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61.
医德是保证社会医疗卫生事业健康发展的一个重要因素,而关于医德方面的教育也是医学教育中的重要组成部分之一。可以说,医德教育的好坏直接关系到社会医德风尚,但是从目前的形势上来看,在我国现行的医学生医德教育中实际上是存在着许多问题的,医德教育很多时候都是在困境中前行的。因此在本文中作者在对医德教育其重要意义进行了阐释的基础上就医学生医学教育中存在的诸多问题进行了剖析,并就这些问题提出了相应的解决方案和应对策略,旨在以此为提高医学生医德教育的质量提供一定的参照和指导。 相似文献
62.
康欣平 《西藏民族学院学报》2015,(2):9-14,24,153
光绪三十四年(1908)三月二十日,张荫棠以大清国钦差全权大臣、西藏查办事件大臣身份,与英国代表韦礼敦拟订《中英藏印通商章程》。《章程》全文在当时报章一经刊登,即引发时被任命驻藏办事大臣的赵尔丰的异议。本文主要梳理了赵尔丰、张荫棠关于《中英藏印通商章程》的争论及清廷对争论的裁决。赵尔丰与张荫棠当时所处位置不同,他们思考问题的出发点不同,赵尔丰由于过去的"事功"显得进取与强硬,而张荫棠处在外交谈判位置"妥协"恐难免。《章程》整个谈判过程是张荫棠与外务部不断协商并在其领导下进行的,外务部清楚谈判过程的艰难与反复,故指出赵尔丰"陈议虽高而于事局不无隔膜",清廷最高统治者最终也同意了外务部观点及处理方案。 相似文献
63.
"儒家文化的命运"关系到每个中国人的安身立命,关系到中华民族和中国的命运,关系到人类和世界格局及其发展趋势。本文以10个样本城市1254个样本的经验数据为根据,澄清了两个诉说纷纭的问题:一,儒家文化的生存状态,它是一成不变地保留下来了,还是已经彻底消亡,抑或是处于一种折中状态?二,近年出现的传统文化复兴现象的性质,它是一个暂时的现象,还是一个长期历史趋势的开端?实证分析表明:一、儒家文化的生存状态,既不是张之洞所言的"一成不变",也不是列文森所言的"彻底消亡"。在经历了一个半世纪的被妖魔化的历史之后,经过损益的儒家文化仍然活着。二、近年来出现的传统文化复兴现象,不是一场误会,而是历史的必然;不是稍纵即逝的泡沫,而是一个长期历史趋势的开端。儒家文化正迎来一个复兴的时代。儒家文化之所以在此时走上复兴之路,一是中国的终极文化具有超越时代的素质,这种素质孕育了其复兴的"可能性";二是中国的工具文化现代化获得了空前成功,这种成功创造了使可能转化为现实的"大势";三是当下的有利的现实的经济、政治、社会和国际条件。 相似文献
64.
Testing for bioequivalence of highly variable drugs from TR‐RT crossover designs with heterogeneous residual variances
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Traditional bioavailability studies assess average bioequivalence (ABE) between the test (T) and reference (R) products under the crossover design with TR and RT sequences. With highly variable (HV) drugs whose intrasubject coefficient of variation in pharmacokinetic measures is 30% or greater, assertion of ABE becomes difficult due to the large sample sizes needed to achieve adequate power. In 2011, the FDA adopted a more relaxed, yet complex, ABE criterion and supplied a procedure to assess this criterion exclusively under TRR‐RTR‐RRT and TRTR‐RTRT designs. However, designs with more than 2 periods are not always feasible. This present work investigates how to evaluate HV drugs under TR‐RT designs. A mixed model with heterogeneous residual variances is used to fit data from TR‐RT designs. Under the assumption of zero subject‐by‐formulation interaction, this basic model is comparable to the FDA‐recommended model for TRR‐RTR‐RRT and TRTR‐RTRT designs, suggesting the conceptual plausibility of our approach. To overcome the distributional dependency among summary statistics of model parameters, we develop statistical tests via the generalized pivotal quantity (GPQ). A real‐world data example is given to illustrate the utility of the resulting procedures. Our simulation study identifies a GPQ‐based testing procedure that evaluates HV drugs under practical TR‐RT designs with desirable type I error rate and reasonable power. In comparison to the FDA's approach, this GPQ‐based procedure gives similar performance when the product's intersubject standard deviation is low (≤0.4) and is most useful when practical considerations restrict the crossover design to 2 periods. 相似文献
65.
As a result of aging populations, institutionalization of older people is creating an increasing financial burden in many countries. The purpose of the present study was to explore the impact of in-home service utilization on institutionalization. The subjects were newly certified as eligible for long-term care insurance between January and February 2009 in Korea. The follow-up period was 40 months, to April 2012. We used logistic regression models to identify factors influencing the transition to institutional service, adjusting for gender, age, living status, income level, activities of daily living, and chronic disease. The institutionalization rate was estimated to be 17.3% over 40 months. The interval from transitional living to institutionalization was 36 ± 8 months. Risk factors of transition to institutional services are being female, having advanced age, living with friends or cousins, getting dementia, and not using in-home services. We determined that institutionalization is mitigated by use of in-home services. Therefore, supplying appropriate in-home services to current nonusers would help to greatly reduce the rate of institutionalization of older people. 相似文献
66.
The Weibull distribution is widely used due to its versatility and relative simplicity. In our paper, the non informative priors for the ratio of the scale parameters of two Weibull models are provided. The asymptotic matching of coverage probabilities of Bayesian credible intervals is considered, with the corresponding frequentist coverage probabilities. We developed the various priors for the ratio of two scale parameters using the following matching criteria: quantile matching, matching of distribution function, highest posterior density matching, and inversion of test statistics. One particular prior, which meets all the matching criteria, is found. Next, we derive the reference priors for groups of ordering. We see that all the reference priors satisfy a first-order matching criterion and that the one-at-a-time reference prior is a second-order matching prior. A simulation study is performed and an example given. 相似文献
67.
本文旨在介绍和评述越南本土人类学的发展与特点,并以观察人类学这一西方学科在越南的本土化历程,增进对越南社会的认识.作者通过探讨族群、乡村、社会发展与城市化、生态环境等四大研究主题,来回顾越南人类学的发展脉络,厘清越南本土人类学的发展简史.同时,揭示出越南学界在新世纪面对复杂的全球政治、文明格局时研究旨趣的转向.越南本土人类学的特点还在于,其基于地方社会、文化多样性的研究在拉近地方与国家的距离中发挥了重要作用. 相似文献
68.
Research suggests that age and organizational factors are consistently linked with job stress, burnout, and intent to leave among child protection workers. However, no study has contextualized how age matters with regards to these adverse employee outcomes. We conducted a theory driven path analysis that identifies sources of employment-based social capital, job stress, burnout, and intent to leave among two age groups. We used a statewide purposive sample of 209 respondents from a public child welfare organization in a New England state in the United States. Results suggest that the paths to job stress, burnout and intent to leave differed by age group. Social capital dimensions were more influential in safeguarding against job stress for older workers compared to younger workers. Our results justify creating workplace interventions for younger workers that target areas of the organization where relational support could enhance the quality of social interactions within the organization. Organizations may need to establish intervention efforts aimed at younger workers by creating different structures of support that can assist them to better deal with the pressures and demands of child protection work. 相似文献
69.
Minjeong Kang 《Journal of Public Relations Research》2014,26(5):399-416
The concept of public engagement has suffered from a lack of a clear theoretical definition and sound operationalization. This study conceptualized and operationalized public engagement at the individual level and tested the micro-model of public engagement in relation to key public relations concepts and supportive behavioral intentions. Further, the study tried to bring the affective component into public relations scholarship by introducing engagement as a behavioral motivator that elicits individual publics' supportive behaviors toward an organization. The results showed the proposed 13-item scale of public engagement was sound in reliability and validity and found support for the proposed model as well as the mediation of public engagement. 相似文献
70.
酒文化与旅游二者之间是一种互容关系,其紧密的结合构成了较深的文化底蕴。酒文化与旅游联姻的历史由来已久,即便在当代,渗入酒文化的旅游也能展示其独有的旅游特色。 相似文献