就医患者对实习医生参与临床实习教学的认识与态度研究

通过调查502位患者,分析影响患者“有无义务支持实习医生的临床实习教学”的相关因素,结果显示,有显著性影响的因素包括:患者的受教育程度,对实习医生的了解程度及对实习医生参与医疗活动的态度等.深入研究这些影响因素,有助于进一步了解患者与实习医生的关系,促进实习医生的人才培养.     

准确、完整的诊断与临床决策

正确的诊断是正确的临床决策的基础,正确的诊断依赖于详细的病史、准确全面的体格检查、合理的辅助检查资料的分析及正确的临床诊断思维方法.如果其中任何一项被忽视,临床医生可能会做出错误的诊断和错误的治疗,给病人造成不必要的损害.为了避免上述情况的发生,临床医生必须在掌握全面的临床资料的基础上,加以科学的综合分析,这样才能得出正确的诊断,给病人以正确的治疗.     

Explaining variance in long-term recall in 3- and 4-year-old children: The importance of post-encoding processes

Long-term recall is influenced by what originally was encoded as well as by the efficacy of retrieval processes. The possible explanatory role of post-encoding processes by which initially labile memory traces are stabilized and integrated into long-term memory (i.e., consolidated) has received relatively less research attention. In the current research, we examined 3- and 4-year-old children's recall of multi-step event sequences immediately after seeing them modeled as a measure of encoding, 1week later as a measure of the status of the memory trace post-encoding, and 1month later as an assessment of long-term recall. We tested recall of events with three different levels of internal structure and with three different levels of support for retrieval. Measures of the post-encoding status of the memory trace explained significant variance in long-term recall when they were the sole predictors of performance, and they contributed unique variance in long-term recall even after accounting for the variance associated with encoding. The results imply that a complete explanation of forgetting during childhood must include not only roles for encoding and retrieval processes but also roles for post-encoding processes.     

医学基本功与临床决策

医学的基本理论、基本知识和基本技能,是临床医生的基本功底,是医疗实践的基础。任何疾病的发生、发展和治疗,都不能背离人体的生理病理规律。所提供的10个病例,充分地指明,掌握医学的基本功和对病情直接、全面、充分、持续的了解,是十分重要的。     

“悲喜交加”的概念、测量及相关研究述评

"悲喜交加"是一种同时体验到高兴和悲伤的混合情绪体验,在个体面临有意义的事件即将结束,或即将失去曾经拥有的美好事物时所产生。"悲喜交加"产生的前提是混合情绪体验的存在,其强度可用"高兴"和"悲伤"情绪体验值中的最小值表示。根据社会情绪选择理论,个体体验到该情绪的强度与老化正相关,并能引起注意的积极效应。悲喜交加情绪在一定程度上存在文化普遍性,同时也具有文化特殊性。未来研究应拓展悲喜交加情绪在文化特异性、性别差异等方面的研究,促进其在情绪管理和心理健康教育方面的应用。     

社会情绪选择理论概述

个体对未来时间的感知会影响其社会动机、社会目标追求、情绪管理以及认知过程, 研究者对此提出了社会情绪选择理论, 认为对未来生命中所剩时间的感知是个体动机的组成部分, 影响着社会目标的优先性选择。当知觉到未来时间非常有限时, 优先选择以情绪调节为目标; 反之, 则偏向选择以获取知识为目标。社会情绪选择理论概述介绍了相关的基本假设和理论要点, 对其主要研究领域进行述评, 并指出未来研究中值得注意的几个方面。     

新生儿情绪性语音加工的正性偏向——来自事件相关电位的证据

准确解码语音中的情绪信息能让个体更好地适应社会环境, 此能力对新生儿和婴儿尤其重要, 因为人类刚出生时听觉系统远比视觉系统发育得完善。虽然已有研究表明5~7月龄的婴儿能分辨不同情绪种类的语音, 但目前对新生儿的研究还非常少。人类是否在出生时即具有分辨不同种类情绪性语音的能力?新生儿对情绪的加工是否存在正性或负性偏向?本文选用odd-ball范式考察高兴、恐惧、愤怒三种韵律性语音在1~6天龄新生儿大脑中诱发的事件相关电位。实验1直接对比三种情绪性条件, 发现新生儿大脑的额区(F3和F4电极点)可以区分情绪性语音的正负性, 正性(高兴)语音诱发的“失匹配反应”幅度明显大于负性(愤怒和恐惧)语音。实验2采用偏差和标准刺激反转的odd-ball范式, 证实了实验1的结果并非源于三种情绪语音物理属性的差异。本文的结果提示, 新生儿大脑可自动辨别正性与负性情绪语音, 但尚不能将愤怒和恐惧两种负性语音区分开来。更重要的是, 高兴语音比两种负性语音诱发了更大的失匹配反应, 这一结果首次从神经学层面(电生理指标)为新生儿情绪性语音加工的正性偏向提供了证据。     

医学基本功与临床决策

医学的基本理论、基本知识和基本技能,是临床医生的基本功底,是医疗实践的基础.任何疾病的发生、发展和治疗,都不能背离人体的生理病理规律.所提供的10个病例,充分地指明,掌握医学的基本功和对病情直接、全面、充分、持续的了解,是十分重要的.     

准确、完整的诊断与临床决策

正确的诊断是正确的临床决策的基础,正确的诊断依赖于详细的病史、准确全面的体格检查、合理的辅助检查资料的分析及正确的临床诊断思维方法。如果其中任何一项被忽视,临床医生可能会做出错误的诊断和错误的治疗,给病人造成不必要的损害。为了避免上述情况的发生,临床医生必须在掌握全面的临床资料的基础上,加以科学的综合分析,这样才能得出正确的诊断,给病人以正确的治疗。     

The Opinions of GP's Patients About Suicide,Assisted Suicide,Euthanasia, and Suicide Prevention: An Italian Survey

A survey about opinions on end‐of‐life issues of a population represented by 1,171 people in the waiting room of general practitioners' surgeries was conducted in a province of northern Italy. Most subjects did not consider suicide as a reasonable option even in cases of a serious and incurable disease. Moreover, subjects did not consider euthanasia as a possible option either; however, they did express an opposite attitude when considering euthanasia in a third‐person perspective. People with a personal history of suicidal behavior appear to present as a different population, overall expressing more open attitudes.