“受事+施事+vp”型主谓谓语句的句法、篇章功能考察

"受事 施事 vp"型主谓谓语句的形成和使用受到句法、篇章的制约.在句法上有强调、突出受事主语和强调、突出补语成分的作用.在篇章中,受事主语有衔接连贯、对比和开启下文的作用,衔接连贯的受事主语能够使文气顺畅;对比的受事主语带有话题焦点的性质;开启下文的受事主语可以使主题统一;施事主语有对比强调和开启下文的作用,对比强调的施事主语带有对比焦点的性质;开启下文的施事主语起到主题统一的作用.     

Heterogeneity in treatment effects across diverse populations

Differences in patient characteristics, including age, sex, and race influence the safety and effectiveness of drugs, biologic products, and medical devices. Here we provide a summary of the topics discussed during the opening panel at the 2018 Johns Hopkins Center for Excellence in Regulatory Science and Innovation symposium on Assessing and Communicating Heterogeneity of Treatment Effects for Patient Subpopulations: Challenges and Opportunities. The goal of this session was to provide a brief overview of FDA-regulated therapeutics, including drugs, biologics and medical devices, and some of the major sources of heterogeneity of treatment effects (HTE) related to patient demographics, such as age, sex and race. The panel discussed the US Food and Drug Administration's role in reviewing and regulating drugs, devices, and biologic products and the challenges associated with ensuring that diverse patient populations benefit from these therapeutics. Ultimately, ensuring diverse demographic inclusion in clinical trials, and designing basic and clinical research studies to account for the intended patient population's age, sex, race, and genetic factors among other characteristics, will lead to better, safer therapies for diverse patient populations.     

Discourse,affect and affliction

While much recent theorizing into affect has challenged the primacy of discourse in understanding social life, this paper is premised on the intertwining of affective experience with discursive meaning. Furthermore, appreciating the entwining of affect and discourse facilitates broader understanding into the illness experience, medical decision‐making and experiences of healing. Today, the biomedical discourse carries particular affective weight that can saturate experiences of affliction. Cultural understandings of disease similarly shape affect that may emerge in affliction. Social meaning, more specifically stereotypes pertaining to identities, interweave with emotion also in the context of medical practice. The doctor‐patient relationship is an affect‐laden encounter where the entwining of affect with social assumptions carries important, yet poorly understood, repercussions for treatment decisions and for the furthering of health inequalities. Both the elusiveness and the power of affect that unfolds in relation to discursive meaning rest on the way in which affect dwells in and resounds through the body.     

Enhancing the Career Planning Self-Determination of Young Adults with Mental Health Challenges

The impact of an intervention on the self-determination and career planning engagement of young adults with mental health challenges was studied. Sixty-seven young adults, 20 to 30 years of age, with mental health diagnoses (e.g., depression, bipolar disorder) were randomly assigned to intervention and control groups. Statistically significant greater increases were made by the intervention group versus the control group for self-determination and career planning engagement, and self-determination at least partially mediated increases in career planning engagement. With career planning self-determination interventions, young adults with mental health challenges might be able to achieve better career and life outcomes than is typical for this population.     

论中共二大提出"民族自决"的历史原因

本文认为,中共二大提出并不符合中国国情的民族自决主张,有其一定的必然性.这种必然性来自当时国际与国内、主观和客观诸种因素相互作用而产生的"历史合力".     

Megalomania: A Mingled Tale

Predictably, certain patients present treatment issues which resonate strongly with issues that are still problematic (unconscious and/or only partially resolved) for the therapist. This paper examines the author's professional/personal development over forty years, beginning with reflections about a countertransference enactment triggered by an acting-out African American child whose father, his primary caregiver, had abandoned him at age 18 months. The potential dangers and benefits of therapist grandiosity are also considered.     

Palliative care patients' experiences of healthcare treatment

Kennett C, Payne M. Palliative care patients' experiences of healthcare treatment Int J Soc Welfare 2010: 19: 262–271 © 2009 The Author(s), Journal compilation © 2009 Blackwell Publishing Ltd and the International Journal of Social Welfare. This article reports on a thematic analysis of the opinions of 34 palliative care patients about medical and healthcare treatment expressed in comments, narratives and discussions during a series of facilitated group discussions undertaken as part of training events for medical students. Palliative care patients often have long healthcare careers, which enables them to compare different professionals and services, thus offering a more powerful and complex analysis of patient experience than that obtainable from analysis of complaints or satisfaction surveys, and permits some understanding to be obtained of the attitudes that condition evaluations of services. The patients balanced negative views with positive experiences. They appreciated open, listening, equal and friendly relationships with professionals in which careful explanation fostered their confidence in the overall service. They criticised inflexible services that did not consider their broad needs, and in which relationships with professionals were characterised by busy‐ness and professional distance.     

“自由”、“平等”的呼唤——“五四”时代女作家创作论

妇女解放是"五四 "时期民主知识分子备加关注的一个问题.伴随着"人"的意识的觉醒,追求人格独立、个性自由、婚恋自主已成为"五四"时代广大知识女性的自觉要求,"五四"时代女作家本身就是这样一些知识女性.文章从分析她们的作品入手,论述了女性自身对"自由"平等"的不懈探寻.     

“以病人为中心”的深层次思考

“以病人为中心”是医院管理道德和医患关系道德的核心话语,其基本理念是“以人为本”。在医患关系道德建设过程中贯彻“以人为本”理念,一是要“以病人为中心”,这是医患关系道德“以人为本”的核心,二是要“以医务人员为主体”,这是实现“以病人为中心”的关键,而且要将这两者结合起来,共同指导医患关系道德建设。“以人为本”理念的贯彻,对于我们建立良好的医患关系,促进医疗卫生事业的健康发展具有重要的现实意义。     

Spinal Cord Injury

ABSTRACT

This article provides an overview of spinal cord injury (SCI) that is useful and informative for social workers and other health care professionals who work with this population. Social workers new to the specialty of spinal cord injury must expand their knowledge base of this chronic injury. Social workers contribute to the rehabilitation process through assessment, education, and discharge planning. This article also may be used to inform persons with spinal cord injury and their families and to encourage them to engage in dialogue about SCI in the earliest stages of treatment and rehabilitation.