中医院市场定位的两难选择及其对策

中医院的市场定位处于两难选择之中:中医药技术的潜在优势与现实局限性的矛盾、中医院管理者的价值取向与现实窘况的矛盾、中医院发展历史沉淀与市场竞争的矛盾、政府的中医药政策自身存在的矛盾等。这些矛盾涉及多方行为和利益主体,必须深化改革,以实现中医院的良性发展。     

注意瞬脱效应的个体差异

注意瞬脱是指个体在对同一位置出现的多个刺激进行识别时, 如果第二个目标刺激出现在第一个目标刺激之后200~500 ms之间, 那么个体对第二个目标刺激的识别会显著降低的现象。研究表明, 注意瞬脱效应在健康人群中存在显著的个体差异, 主要表现在工作记忆、对分心刺激的抑制能力、意向聚焦、情绪状态和人格等方面。近年来, 注意瞬脱的个体差异也在多种神经疾病的临床研究中得到重视。未来的研究应更多关注注意瞬脱效应个体差异背后的神经机制以及应用研究。     

Sexual Health Research Among Youth Representing Minority Populations: To Waive or Not to Waive Parental Consent

Human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs) significantly burden youth 13–24 years of age in the United States. Directly engaging youth in sexual health research is a public health priority and urgently needed to develop targeted, youth-friendly, and culturally relevant HIV/STI prevention interventions. Controversies arise, however, regarding informed assent and consent, parental permission or consent, and the definition of “child”/“minor” as it relates to medical, legal, and ethical issues. In this article, we describe challenges in the human subjects review processes that were undertaken before beginning an HIV/STI prevention research project with sexually active youth in an urban setting. These findings provide important contextual information to facilitate youth sexual health research and care, and Institutional Review Board approval processes with fewer delays.     

Thematic role properties of subjects and objects

This paper tests two claims about the thematic roles Agent and Patient: first, that they can be decomposed into more primitive features, as laid out in Dowty's (1991) Proto-Roles Hypothesis; and second, that these properties can be inferred directly from the grammatical roles subject and object. In Experiments 1 and 2, participants rated the Proto-Roles properties of the subject and object of transitive sentences with real verbs. Subjects were rated as more Agent-like than objects, while objects were rated as more Patient-like than subjects. Experiment 3 used transitive sentences with nonsense content words (e.g. "The rom mecked the zarg"). Even in the absence of a known verb, the results were the same. Experiment 4 examined the corollary prediction that subjects and objects should not differ on grammatically irrelevant properties (e.g. "being liquid"); this prediction was confirmed. In Experiment 5, verbs that do not permit objects (e.g. "fall," "erupt") were placed in the transitive frame. Results were the same as in Experiments 1 through 3. Moreover, the semantics of the verb were altered by the frame, indicating that participants tried to fuse the semantics of the verb with those of the frame. Possible sources of these inferences are considered.     

SCIENCE‐AND‐RELIGION/SPIRITUALITY/THEOLOGY DIALOGUE: WHAT FOR AND BY WHOM?

In recent years the science‐and‐religion/spirituality/theology dialogue has flourished, but the impact on the minds of the general public, on society as a whole, has been less impressive. Also, religious believers and outspoken atheists face each other without progressing toward a common understanding. The view taken here is that achieving a more marked impact of the dialogue would be beneficial for a peaceful survival of humanity. I aim to argue the why and how of that task by analyzing three possible purposes of the dialogue and their logical interdependence, suggest conceivable improvements of the quality and extent of the current efforts toward a negotiated action plan, and consider an enlargement of the circle of the actors involved. The dialogue that has been carried on between science and religion/spirituality/theology could be expanded and usefully applied to some major problems in the present world.     

Conducting Health Disparities Research with Criminal Justice Populations: Examining Research,Ethics, and Participation

This study explored the challenges of informed consent and understanding of the research process among Black and Latino men under community supervision (e.g., parole and/or probation). Between February and October 2012, we conducted cognitive face-to-face interviews using open-ended questions on the significant areas of research participation (i.e., the informed consent process, confidentiality, compensation, what is meant by human subject and clinical trials) among 259 men aged 35 to 67 under community supervision in Bronx, New York. Content analysis of the open-ended questions revealed limited knowledge concerning the understanding of research participation. The study participants appeared to generally understand concepts such as compensation after research participation and confidentiality. Participants demonstrated a lack of understanding of certain aspects of the research process—informed consent, human subject, Institutional Review Board, and clinical trials. These findings are informative to researchers conducting studies with criminal justice populations and Institutional Review Boards reviewing research studies.     

Comprehension of Online Informed Consents: Can It Be Improved?

This study examined possible ways to ensure that participants provide fully informed consent for online surveys. Participants were randomly assigned to read either a traditional informed consent or one of three modified versions: enhanced (e.g., images, bullet points), consent for each key element, or a combination of these two. Those who read the combination version scored higher on a comprehension quiz, guessed at fewer questions, and were more likely to read all of the informed consent than those who received the traditional version. These findings suggest that comprehension can be improved by adopting alternatives to the traditional informed consent.     

The effects of interference on recognition of haptic pictures in blindfolded sighted participants: the modality of representation of haptic information

Haptic picture recognition was tested in 36 undergraduate students to determine whether haptic representations are visual or multi-modal. Participants explored target haptic pictures and were asked to recognize the target from three alternatives. Each participant completed eight control and eight interference trials in visual, lexical and tactile recognition modalities. For interference, participants were assigned to either an articulatory suppression (repeat "the" at a constant rate) or a visual interference (watch a visual display) condition, to prevent recoding into a verbal or visual code. The results showed that accuracy was higher at control compared to interference trials and for tactile compared to lexical recognition. Additionally, lexical and tactile recognition decreased with articulatory suppression whereas only tactile recognition decreased with visual interference. These findings suggest that haptic pictures may be represented by coordinating visual and verbal codes.     

Ethical Implications of Using the Term “Non-white” in Psychological Research

Psychologists have long been concerned with the welfare and competent treatment of underserved populations. However, terminology used in psychological research is not always conducive to cultural sensitivity. This article discusses why the term “non-white” may be less sensitive to diverse populations and provides practical alternatives to this nomenclature. In addition, the authors examine the literature from 2008 to 2012 to establish whether the term “non-white” is still used to describe populations in psychological research. The article concludes with several recommendations for how researchers could choose to proceed in regards to identifying populations using culturally sensitive and relevant language.     

论基因检测之应用及其ELSI议题的文化意涵

在基因科技的革命性发展过程中,整体社会似乎未能提供一个充分保障研究参与者与科学研究之完整性的机制。以台湾面临基因检测之挑战的经验为例,探讨了伦理、法律与社会意涵（Ethical,Legal and Social Implications,ELSI）研究如何完善规范体制的实务应用需求,并兼顾人权团体所期待的妥善保护研究参与者。