The Influence of Globalization on the Occupational Health of Chinese Women

Under the influence of globalization, economic liberalization and integration have rendered the labor market more flexible and short-term, with more people holding more than one job. Women hold a major part of these informal jobs, which are generally not protected by standard labor legislation. Changes in the nature of employment reduce the application of this legislation. Since the government does not put into effect relevant rules and regulations or enterprises manage to overstep or bypass them, the trade union movement that serves women workers in their call for equality is also weakened. Globalization has led to the mobility of labor. A     

On the Involvement of Social Work in Public Health Emergencies

During discussions on how to respondto public health emergencies some scholarshave made use of Ulrich Beck’s theory ofsocial risks to expose the dilemma and tran-scendence of a risk society. They proposeto do away with discourse centralism andcreate a mechanism of autonomous societythrough consultation, dialogue and commu-nication among different discourses; to doaway with human centralism and seek theharmonious coexistence of man and nature;and to do away with individual and nation-state cen…     

Impact of Combat on the Mental Health and Well‐Being of Soldiers and Marines

This presentation introduces a summary of leading edge research and recommendations for a number of changes regarding mental health needs and services for Veterans. Those Veterans who experienced combat exposure and those who have perceived their leadership negatively have greater risks for developing subsequent PTSD. Research data provide support for the use of Battlemind Training as a useful approach to prevent mental health issues at all phases of the deployment cycle. The author also challenges the current use of DSM–IVTR diagnoses with combat Veterans.     

Investigation and Analysis of the Current Medical Health Service in Rural Areas

In order to know more about currentmedical health service conditions, the ProjectGroup of Medical Health Security and Fund-raising in Rural China set up by the Develop-ment Research Center under the State Coun-cil organized a large-scale field investigationin 2004. The investigation did not utilize ran-dom samples, but can still reflect to a verygreat extent the actual medical health condi-tions at present in the rural areas.1. Medical health institutions arestill backward in rural areas(…     

Why Health Care Reform Now? Strategic Framing and the Passage of Obamacare

Economic reform and health care reform were both focal points outlined in President Obama's policy agenda, with increasing pressure to address economic and social insecurity given that President Obama entered office during the Great Recession (2007–09). The Patient Protection and Affordable Care Act (commonly known as ‘Obamacare’) successfully passed in March 2010 in the context of the economic crisis. We argue that the strategic framing of the economic crisis, through reasoning and arguments linking health care reform with economic downfall, is important in understanding the successful passage of Obamacare, and that this is reflected through strategic frames in speeches delivered by the President on health care reform. Health care reform has been successful not in spite of but rather because of the economic crisis of 2008, that allowed President Obama to use a strategic frame focusing on costs and economic problems. The two main frames identified are the ‘market’ and ‘rights’ frames. President Obama's strategic frames specifically surrounding the economic and cost‐containment priority of health care reform are categorized as a ‘market’ frame in this article. He used this frame until the passage of the law in 2010, when the frame shifted to ‘rights’ frames, largely portrayed through anecdotes and focused on the concept of ‘access’ to care rather than the ‘cost’ of care. This is observable through tracking speeches and statements made in support of health care reform between 2009 and 2013.     

Introduction: Reform of the Public Health System Requires That the Public Share Responsibilities

The contributors to this special issue,“Reform of the Public Health Care Systemin China: Challenges and Responses,” comefrom varying organizations — from academicinstitutions to policy research institutes —with varying research backgrounds — fromhealth policy research to social policy re-search and sociology, and to agriculturaleconomics. They have observed the publichealth care system and express their viewsfrom different perspectives: Gong Sen fromthe perspective of health resource a…     

Possibilities for Intervention in Domestic Violence: Frame Analysis of Health Care Professionals’ Attitudes

ABSTRACT. Violence is a serious problem, and social and health care providers are in a key position for implementing successful interventions. This qualitative study of 6 focus groups with professionals (n = 30) examines the health care professionals’ ways of framing a domestic violence intervention. Of special interest here is how professionals see their own roles in the process of recognizing and helping victims of domestic violence. By using Erving Goffman's frame analysis, this study identifies several frames that either: a) emphasize the obstacles to intervention and justify nonintervention, or on the contrary, b) question these obstacles and find justifications for intervention. The possibilities for intervention are further explored by analyzing the ways in which the dynamics between the different frames allow redefinition of domestic violence interventions. Despite the challenges involved in a domestic violence intervention, there seems to be potential for change in personal attitudes and reform of professional practices. The research findings underline the role of social and health care professionals as members of a larger chain of service providers working collaboratively against domestic violence. Implications for practice and directions in policy and future research are suggested.     

SPECIAL ISSUE： CLIMATE CHANGE AND GLOBAL GOVERNANCE A Health Risk Assessment of Carbonyl-containing Volatile Organic Compounds in the Atmosphere of Chinese Megacities

挥发性羰基化合物（cVOC）是大气光化学反应形成臭氧和灰霾等空气污染现象的重要前体物。超大城市是带动中国城市群快速发展的中心城市,经济发达,人口密集且数量超过1000万。在这些超大城市的大气环境中检出21种cVOC化合物,其总浓度年均值达55．6μg／m3,含量之高惊人。由于机动车尾气、工业排放、有机溶剂大量使用等原因,导致甲醛、乙醛、丙酮等三种健康危险物占据了中国城市大气cVOC总浓度的62．4％。采用日暴露水平、致癌风险和风险商等3种定量评价指标,发现北京、上海和广州大气环境中cVOC含量超标严重,具有较高的健康影响风险。在举办奥运会、亚运会和世博会等大型国际活动期间,中国式的空气质量保障运动仅能起到短期内缓解空气污染的疗效,但是难以长治久安。中国城市大气cVOC的健康风险问题应引起高度重视。     

Are baby‐boomers healthy enough to keep working? Health as a mediator of extended labour force participation

One strategy to reduce the economic impact of structural ageing is to increase and/or extend the workforce participation of older workers. Currently, a large proportion of this group consists of post‐World War II baby‐boomers (1946–1965) whose characteristics, experiences and attitudes differ markedly from their predecessors. Maintaining good health underpins strategies to extend workforce participation among baby‐boomers but there is little hard evidence supporting the assumption that baby‐boomers are generally in good health compared to previous generations and will, therefore, be able to work longer. Using a dataset that includes biomedical and self‐reported health for a representative sample of South Australian baby‐boomers, we analyse the extent to which current labour force participation is mediated by health. We find that health is a significant factor in workforce exits. Respondents with fair‐to‐poor self‐rated health, or with diabetes, arthritis, chronic obstructive pulmonary disease or cardiovascular disease, were more likely to be retired or unable to work, and around 10 per cent of older baby‐boomers (born 1946–1955) who have left the workforce rate their health as poor or fair. The data suggest that these patterns are likely to be replicated in younger baby‐boomers (born 1956–1965).     

Pre–Post Release Health in US Adult Male Convicts

Abstract

This study sought to determine whether need for healthcare and reported health status among adult men (N?=?1,113) in US Federal prisons (in 12 states) changed from pre-release to 15?months after release by analyzing data collected by the Serious and Violent Offender Reentry Initiative (SVORI). Specifically, the study was guided by three questions: (1) were there changes in treatment for specific diseases; (2) were there changes in health status, need for care, and access to and satisfaction with healthcare; and (3) did various social determinants of health predict any of the health outcomes at 15-month follow-up. The analysis of SVORI data found that men reported lower physical and mental health status and declines in receiving treatment following release, but greater satisfaction with healthcare. Further, analysis found the best predictors of health status as being satisfied with access to health care as well as employment. The greatest declines were in mental health treatment, however those ceasing treatment did not report worse physical health status, mental health scores, housing, employment, or recidivism. Future research is needed to determine the significance of the link between employment, satisfaction with access to health care, and health status among ex-prisoners.     

Commentary: The Public Health Consequences of an Industry-Influenced Psychiatric Taxonomy: “Attenuated Psychotic Symptoms Syndrome” as a Case Example

Determining the distribution of psychiatric disorders and developing sound preventive and intervention practices are pressing public health issues. Since at present mental disorders lack biological markers, psychiatric taxonomies must grapple with how best to address issues of validity and reliability. With the increasing congruence between the International Classification of Diseases (ICD-11) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) (American Psychiatric Association, 2010 American Psychiatric Association. 2010. Diagnostic and Statistical Manual of Mental DisordersProposed Revisions, Fifth, Washington, D.C: American Psychiatric Association.  [Google Scholar]), it is imperative that decisions regarding the inclusion of new disorders be research-based and not unduly influenced by industry. The first draft of DSM-V, recently made public, has created a firestorm of controversy, for the DSM's nomenclature of disease or other pathology not only affects such disparate domains as jurisprudence and insurance claims but is also an instrument designed to facilitate research on psychopathology.     

New Breakthrough Required for China’s Public Health System Reform

文章在对中国公共卫生发展状况进行回顾分析的基础上,探索了今后的发展方向。作者认为,经济体制改革之后,中国的公共卫生面临着新的经济社会条件,也面临着诸多新的挑战。最突出的问题是在体制上不能适应新的变化,因此需要加快体制改革。在具体对策方面,则需要加强部门之间的联系,加强社区卫生服务,加强政府与社会组织以及独立的非营利组织之间的联系,以期形成新的公共卫生治理格局。     

Willingness to Pay for Health Protection: Inadequate Sensitivity to Probability?

Efficient investments in health protection require valid estimates of the public's willingness to forgo consumption for diminished probabilities of death, injury, and disease. Stated valuations of risk reduction are not valid measures of economic preference if the valuations are insensitive to probability variation. This article reviews the existing literature on CV studies of reductions in health risk and finds that most studies are poorly designed to assess the sensitivity of stated valuations to changes in risk magnitude. Replication of a recent study published in this journal by Johannesson et al. (1997) demonstrates how serious the problem of insensitivity can be, even for a study that reports plausible results. New empirical results are presented from telephone surveys designed to provide internal and external tests of how WTP responds to size of risk reduction. The effect of variations in instrument design on estimated sensitivity to magnitude is examined. Overall, estimated WTP for risk reduction is inadequately sensitive to the difference in probability, that is, the magnitude of the difference in WTP for different reductions in risk is typically smaller than suggested by standard economic theory. Additional research to improve methods for communicating changes in risk is needed, and future studies of stated WTP to reduce risk should include rigorous validity checks.     

Is Housing First for Mental Health Community Support Possible During a Housing Shortage?

Supported housing programmes for people with chronic mental health needs have shifted towards approaches that rely on housing first, which prioritizes access to a permanent home in the community. How do support programmes with this assumption manage the market constraints of a shortage of affordable housing? The article examines empirical mixed method data (interviews and programme data) about the experience of managing this problem in the Mental Health Housing and Accommodation Support Initiative (HASI) in New South Wales, Australia. HASI provides clinical mental health services, housing support and housing if needed, for people who are not yet living independently in the community. It found that the housing shortage affected the ability of the providers to implement the intended programme design at three early steps in the support: determining eligibility; prioritizing access between people with and without housing; and managing entry to the programme when they did not have housing. As a result, some otherwise suitable applicants were not prioritized for entry into the programme or their entry was delayed until they were housed. The providers adjusted the programme to the housing market realities, which compromised the programme intentions. The policy lessons are that programmes need strategies to provide housing for people who require it; assist people to find or apply for housing; and support people while they wait for housing. These approaches enhance the coherence of programmes, build on integration mechanisms and respond to the housing context.     

Non-Statutory Mental Health Social Work in Primary Care: A Chance for Renewal?

Correspondence to Malcolm T. Firth, Honorary Research Fellow & Senior Psychiatric Social Worker, 'DEAL', Department of Psychiatric Social Work, 12th Floor, Mathematics Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. E-mail: malcolm.firth{at}mhsc.manchester.nhs.uk Summary The current status of evidence-based practice in the field ofmental health has led some to question the potential for innovationif social work practice is organizationally proscribed or reducedto a dogged adherence to methodological orthodoxy. Conversely,social work's value base is esteemed disproportionately to itsevidence base. Changing service contexts in the UK, particularlythe emergence of Primary Care Trusts as gatekeepers and commissionersof health and social care services, are providing opportunitiesfor social work to develop a new presence and purpose. The authorsdescribe their work in a small-scale service based in primarycare that anticipated these opportunities, by a retrospectivestudy of 120 cases. A new evidence base that derives directlyfrom practice is suggested as a way forward for social workeducation and training, as well as for service and professionaldevelopment.     

Declaration of the Aesthetics of Comedy

当前中国的美学研究是在传统的知识论哲学的基础上进行的,因而"什么是美?"就成了美学研究的根本问题。本文认为,应当从生存论哲学的立场出发去研究美学。这样一来,美学研究的根本问题就转换成"为什么人类需要美?"在人类发展的历史上,之所以会产生美的意识,并逐步形成一门相对独立的学科,是因为美学对人类的生存是有意义的。谁都不会否认,异化、紧张和冲突构成了当代人的生存状态,因而当代人的主导性的审美需要不再是加剧这一状态的悲剧美学,而是喜剧美学。喜剧美学的核心是通过喜剧性(轻松、俏皮、滑稽和幽默)消解异化、紧张和冲突得以形成的不切实际的理想,从而激发当代人的生命力和创造性,使他们从精神上逐步摆脱并超越这一生存状态。     

Gender and Health Inequalities: What Are They and What Can We Do About Them?

The subject of gender and health inequalities is contested territory in health policy, research and practice. Yet there is a dominant approach which I describe as a form of technocratic rationality. Its application imposes significant limitations because it represents the problem of gender and health in terms of measurable sex differences in relation to health service access and health outcomes. In doing so, it fails to address and explain the social dynamics that generate the problem. I propose an alternative approach that originates in Australian women's health policies of the 1980s. These emphasised the inequalities between men's and women's participation in mainstream health policy, planning, management and delivery of services, and women's concomitant marginalisation. Recent sociological study offers support for this perspective suggesting that the endogenous organisational dynamics (or logics) within public health institutions provide a better way of understanding what the problem of gender inequalities in health is, and how we might fix it.     

An Analysis of the Meaning of Generics

我们知识中的绝大部分是由概称句表述的。建立概称句的形式语义对非单调推理以及人工智能中的知识表示等研究都有非常重要的意义。概称句意义分析是建立其形式语义的基础。目前关于概称句意义主要有两类研究:基于概率论的研究和基于可能世界语义学的研究。本文对概率论的研究进行了分析,指出其本质是外延的解释这一根本缺陷,在可能世界语义学研究所提出的正常性概念的基础上,进一步深化研究,强调对正常性概念的内涵分析,提出了概称句的典范形式,进而提出正常个体选择的三个原则,以及据此建立了正常个体的选择函数,避免了原来研究对正常性概念的外延性处理。本文建立了一个新的概称句形式语义的理论基础,提供了建立该语义的技术关键。     

e of the role of Chinese cultu

ity;optimization;education广东省哲学社会科学规划课题(06A02);; 肇庆学院校重点研究课题     

Evaluation of the United States NorthwestOrdinance of 1787

On13July1787,whilemostofthenotablefiguresfromtheAmericanConfederateCongresswereinPhiladelphiaattendingtheU.S.ConstitutionalConvention,asecondmeetingofCongresswasheldinNewYorkandtheNorthwestOrdinancewaspassedbyamajorityvote(therewasonedissentingvote).Thisordinance,whichestablishedtheprinciplesformanagementofthewesternterritory,hadaprofoundeffectontheopeningupofthewestandtheestablishmentoffuturestates.However,Americanhistoriansaredividedoverthequestionoftheordinance,andChinesehistoriansand…