基于CNKI的国内医学用途英语教学研究进展分析（2011—2020）

对近十年来国内医学用途英语教学研究进展进行了整体回顾和概要总结。利用中国知网CNKI文献分析工具,对2011至2020年发表的医学用途英语学术论文进行检索统计,从发文量、文献来源、作者及机构分布、研究主题、研究视角等维度进行进展分析。研究发现,知网共发表相关主题论文342篇,其中核心期刊论文26篇,主要从医学用途英语所面临的挑战、需求分析、教学模式、教学改革、教材编写以及医学用途英语教师转型发展等视角展开讨论。研究认为未来的医学用途英语教学研究需要走“外语+医学”跨学科特色发展路径,以培养更多面向新时代的复合型医学人才。     

农户持续参加科普培训意愿的影响因素

持续参与科普培训对提升农户科学素质具有关键作用。基于社会认知理论,将外部环境划分为参与环境和人际环境两个维度,将农户结果期望划分为素质结果期望和收入结果期望两个维度,采用陕西省305户农户随机分层抽样调研数据,运用Probit模型对农户科普培训持续参与意愿影响因素进行实证分析。研究发现:外部环境和结果期望对农户持续参与意愿均有显著的正向影响,其中素质结果期望在参与环境、人际环境对持续参与意愿的关系中具有中介作用,收入结果期望在参与环境对持续参与意愿的关系中具有中介作用。据此提出营造良好外部环境、增强科普培训的实用性以满足农户结果期望等提升农户持续参与科普培训的建议。     

基于DEPA探究亚太地区数字贸易治理前景

随着全球数字贸易的迅猛发展,当前WTO多边框架下数字贸易规则存在缺失,使得数字贸易治理呈现出区域化趋势。为探究亚太地区数字贸易治理前景,预判亚太经济体参与数字贸易治理的可能路径,基于《数字经济伙伴关系协定》(DEPA),采用文献分析、规则文本对比、逻辑推演等研究方法,对亚太地区数字贸易治理的议题广度和深度、谈判模式、模块特征、关注焦点及竞争格局进行全面系统的分析研判。研究认为,未来亚太数字贸易治理主要呈现以下趋向:数字贸易治理将涵盖更多新兴技术领域,传统议题也会趋于更高标准; 专门协定的高效率将驱使数字贸易议题逐渐与传统议题相剥离,协定的框架形式也将采取开放、灵活、包容的“主题模块”形式。数字包容性发展、数字便利化等议题将是亚太数字贸易治理的焦点议题; 亚太数字贸易治理的大国博弈将以中美两国为中心,中小经济体也会以“联合抱团”来争取某些议题的话语权。     

利用数控增益放大器提高A/D转换器的分辨率

文章介绍利用数控增益放大器LH0086大幅度提高A／D转换器分辨率的方法,可将8位A／D转换器的分辨率提高到接近16位A／D的水平,适用于高速数据系采集系统,给出了相应的硬件原理图和软件框图。     

从生成史略论《水浒传》的主题

本文从《水浒传》生成史的角度,将《水浒传》的成书和作品主题的嬗变联系起来,论证梁山故事在流传过程中不断出现的传奇色彩和归正倾向。它是封建社会全社会被压迫者与有志之士的反抗与追求的“交响曲”,是对封建社会后期现实的一种“全景式的综合反映”。     

Correlates of honor ratings in a clinical clerkship employing a faculty forum evaluation system

5he purpose of this study was to determine whether or not suspected variables affected a surgery clerk's chances of being awarded an honor rating. Findings indicated a significant relationship between a student receiving an honor rating and his or her preceptor's predetermined level of student advocacy, the number of completed patient interview and physical examination write-ups, and final examination scores. There was no significant relationship found between honor ratings and the preceptor's status, the sequence in which the student was discussed or the length of time spent discussing the student at the final evaluation meeting, or the number of clinical faculty present at the meeting. These results lend support to the faculty forum evaluation approach, but suggest a need for further scrutiny of some influencing variables to ensure all students are fairly considered and honor ratings judiciously awarded.     

Physician perceptions of medical malpractice and defensive medicine

Using judgments obtained in interviews with 33 Massachusetts physicians, the annual statewide volume of expenditures incurred for defensive medical reasons in 1982 was estimated to be $1.0 billion, 12% of all medical care expenditures. Estimates for the nation were $37 billion, 14% of expenditures. Nationally, 180,000 cesarean deliveries were thought to be performed for defensive motives. In their own institutions, respondents judged 43% of all skull x-rays following injury to be medically justified, 30% to be defensive medicine, 16% to be placebos, and 11% to be physician misjudgments. In considering the economic and noneconomic costs of medical malpractice procedures, the dollar costs of insurance were considered most serious, followed closely by defensive medicine, unfairness, and poorer relations with patients. Thirty-two percent of the responsibility for the negative aspects of malpractice processes was assigned to lawyers, 21% to physicians, 18% to legislatures and courts, 16% to patients, and 13% to insurance companies.     

Intergenerational and career mobility in Britain: An integrated analysis

Mobility analysis has traditionally concentrated on the task of charting flows in the two-way contingency table which relates occupational origin to occupational destination. It has not yet undertaken a unified analysis of intergenerational and intragenerational aspects of mobility. And only rarely does it incorporate terms which represent ordered concepts such as inequality or vertical movement. In contrast, path analysis has typically imposed strong orderings on the data, and it has been employed to tease out the relations among several occupational variables. Its main defect is that it entirely abstracts from shifts in mean occupational position, and also from change in the shape of the occupational distribution. Yet both of these are important sources of mobility. The present paper shows how two innovations in mobility analysis may be generalized to constitute a technique which unites the strengths of path analysis with those of log-linear analysis. The two innovations are (a) the conceptual disaggregation of perfect and exchange mobility, and (b) the imposition of an ordered component within each (K. Hope, 1981, Sociology 15, 19–55). The outcome of this generalization is a simple yet powerful account of mobility in Britain.     

The impact of P.L. 93-641, the National Health Planning and Resources Development Act, upon health and mental health programming

Federal legislation regarding health care in the U.S. has increased rapidly in the past few years. A major law with potential far-reaching effects was enacted as a result of increasing legislation and rising health care costs. This law,The National Health Planning and Resources Development Act,has created a network of over 200 local, mostly nongovernment units, called health systems agencies. These agencies are responsible for areawide health planning, plan implementation, review and approval of federal health care expenditures for local programs, and facilities review. They will affect health and mental health programs at the local level. The article is directed to local health and mental health care providers who will, of necessity, deal directly with the local HSA's.