Blood ties and strong ties: a two-way linkage? Some non-trivial implications of the care workers market in a Mediterranean region

Taking their cue from a seeming dissonance between the theory of commodification and exploitation of migrant care workers and the case study of the outsourced self proposed by Hochschild, the author speculates whether or not the family–caregiver relationship may be equal and inclusive. The argument is unraveled by posing another question en route: what specific ‘catalysts’ can trigger ‘high-intensity affective relationships’? Elster defines 'essentially byproduct' the result of a process lacking any direct and conscious link between outcome and intention, and requiring the relaxation of the control of reason in order to be fulfilled. The author mixes significant theoretical results coming both from the relational Palo Alto School and from history of families studies, concluding that an equal and inclusive relationship may be like an Elster’s ‘essentially byproduct’ of a market relationship , when a high-intensity affective relation acts as a ‘catalyst’. The frame suggested in this article seems consistent with recent constructionist reinterpretations of the idea of kinship, which take shape and evolve through ‘everyday experiences’. Kinship thus shifts towards a more complex undefined category, that of Karsten’s relatedness. Speaking of which, the author argues some logical reasons suggesting a generalized adoption of the term only with great care and caution.     

论血缘文化的锁定及其突破——中国传统伦理的近现代转换

血缘是中国文化的最本质要素,它建构、锁定了以家庭为核心,以"家国一体"为主要构架的中国伦理;在承载几千年的历史使命之后,在遭遇西方文明的碰撞之时,血缘文化及其建构的中国伦理在合法性上遭受了质疑;从过去的封建小农经济到今天的大工业社会,中国伦理的失范与重建成为一代代学人所共同关注的核心。     

基于随机p-鲁棒优化的国家血液战略储备库选址-库存模型

以往的救灾实践对建立国家血液战略储备体系提出了迫切要求。国家血液战略储备库的建设问题亟待解决。由于血液产品特性以及应急血液保障特性的存在,使得国家血液战略储备库的选址决策具有一定的复杂性。本文将问题定位为选址-库存问题。首先,以应急条件下血液保障及时度最高为目标,构建了一个不确定环境下考虑多情景、多血型、多阶段、带提前期、有容量限制、日常随机需求、有预算约束及协同定位的国家血液战略储备库选址-库存模型。同时,为了规避应急条件下的不确定风险,进一步构建了国家血液战略储备库选址-库存问题的随机p-鲁棒优化模型。该模型为离散非线性混合整数规划模型,难以快速精确求解。故基于模型性质,设计了相应的遗传算法。最后,设计了两组算例验证模型与算法的有效性。其中,第1组算例基于我国大陆地区31个省级血液中心与省级行政区的数据,并根据不同预算值给出6个算例,得到了国家血液战略储备库的选址-库存决策方案。第2组算例为6个不同规模的模拟算例,用来测试不同规模下的算法性能。算例结果表明：遗传算法的性能更好;鲁棒解与确定性模型最优值相差不大（最大差距≤1.08%）,可降低不确定性导致的风险。实践中,可对本文所建模型稍作改进,应用于具有类似特征的易腐品（药品、粮食等）应急物资储备库选址-库存决策。     

Australian maternity healthcare professionals’ knowledge,attitudes and practices relevant to cord blood banking,donation and clamp timing: A cross-sectional survey

ProblemAustralian health professionals’ knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options is unknown.BackgroundParents have several options for the management of their infant’ cord blood during the third stage of labour. Early or deferred cord clamping practices may affect parent choices about physiological transfusion to the neonate and/or cord blood collection for private or public banking or donation.AimTo identify health professionals’ knowledge and attitudes towards third stage labour options of cord clamp timing, cord blood banking and donation and their practice of informing parents of these options.MethodsA total of 129 Australian maternity healthcare professionals responded to the self-administered survey between December 2017 and June 2018.FindingsOccupational differences were revealed in regard to cord clamp timing, cord blood banking and donation knowledge, attitudes and practices. Midwives were more likely to discuss cord clamp timing with parents and to clamp the cord later than obstetricians. Obstetricians were more knowledgeable of cord blood banking and donation options than midwives. Cord blood banking and donation options were discussed by both groups if parents asked.DiscussionIdentification of gaps in knowledge should guide future maternity health professional education that is inclusive of all third stage labour options to ensure that open discussion and informing parents of options is consistent, contemporary and evidence-based.ConclusionTo make informed decisions, parents need evidence-based information on all third stage labour options.     

The psychosocial work environment of district nurses in Sweden

Data were collected from a stratified sample of district nurses in the greater Stockholm area on four occasions during one year using questionnaire techniques (to assess psychosocial working conditions and social networks, and self-reported health sums); as well as physiological measurement techniques. Three groups of district nurses were compared: group A, those working independently in the 'traditional' role but outside primary health care centres; group B, those working independently in the 'traditional' role but in primary health care centres; and group C, those working in the model role as part of primary health care teams. The study focused on the effects of these different work environments on the district nurse's psychological and somatic health, and their physiological state.

The data suggested that district nurses in the primary care teams (group C) had a lower objective work load than those working in the more traditional role. Despite this, they reported a less favourable balance (ratio) of work demands to decision latitude. They reported more 'problems' and 'conflicts' at work than did the other district nurses. However, such 'problems' were diminishing during the study period, which could mean that successive adaptation to the 'new' situation was occurring. The 'conflicts', on the other hand, remained. This may indicate that despite this adaptation, the district nurses in the primary care teams were struggling with their new work roles. It points to the need for organizational support during this important change process. The district nurses in group B (traditional role but in a primary health care centre) had the highest objective work load and showed physiological reactions in terms of elevated plasma cortisol levels in the morning, high systolic blood pressure and sleep disturbances.     

赛艇运动的生理生化研究综述

对近年国内公开发表的有关论文进行了综述，结果发现，对赛艇运动员生理生化方面的研究还主要集中在血色素、血乳酸方面，其他生理生化方面的研究还比较少，许多方面还需要进一步深入研究．     

微波毫米波辐照对生物体血液系统的影响

介绍了微波毫米波的生物医学效应，观察了大功率微波对生物体外用血像的损伤作用和低功率毫米波的治疗作用，发现大功率微波照射对血液粘度、红细胞聚集性和变形性、血小板聚集性有严重的杀伤作用，而低功率毫米波对特定部位的有效照射能够对白细胞和骨髓细胞产生保护作用，能减轻化疗和放疗期白细胞的下降，提高机体对化学药物治疗和放射剂量的承受力。     

Estimation of group means in generalized linear mixed models

In this study, we investigate the concept of the mean response for a treatment group mean as well as its estimation and prediction for generalized linear models with a subject‐wise random effect. Generalized linear models are commonly used to analyze categorical data. The model‐based mean for a treatment group usually estimates the response at the mean covariate. However, the mean response for the treatment group for studied population is at least equally important in the context of clinical trials. New methods were proposed to estimate such a mean response in generalized linear models; however, this has only been done when there are no random effects in the model. We suggest that, in a generalized linear mixed model (GLMM), there are at least two possible definitions of a treatment group mean response that can serve as estimation/prediction targets. The estimation of these treatment group means is important for healthcare professionals to be able to understand the absolute benefit vs risk. For both of these treatment group means, we propose a new set of methods that suggests how to estimate/predict both of them in a GLMMs with a univariate subject‐wise random effect. Our methods also suggest an easy way of constructing corresponding confidence and prediction intervals for both possible treatment group means. Simulations show that proposed confidence and prediction intervals provide correct empirical coverage probability under most circumstances. Proposed methods have also been applied to analyze hypoglycemia data from diabetes clinical trials.     

The Effect of Viewing a Landscape on Physiological Health of Elderly Women

Abstract

A quasi-experiment was undertaken to measure physiological characteristics of elderly women as they viewed different landscapes. Blood pressure and heart rate were monitored as elderly women living in a retirement centre viewed a natural landscape, a built landscape, and a control room with no view to the outside. Other characteristics of the individuals and the settings that have been shown to affect blood pressure and heart rate were controlled. The results indicated that, in all cases, viewing the natural landscape resulted in lower systolic and diastolic blood pressures and lower heart rates than those measured in the control room. Viewing the built landscape also had the general effect of lowering blood pressures and heart rates, but the effect was less consistent and the magnitude was smaller than that caused by the natural landscape. Lowering of blood pressure and heart rate have both been shown to be positively correlated with increased health and well-being, indicating the benefit of simply viewing a landscape. These results have important implications for design of housing for the elderly. Even if individuals are unable or unwilling to go outside, they can still benefit from seeing out into a landscape.     

移动短消息业务在献血服务中的应用

移动短消息业务是人们普遍采用的一种通讯方式。本文介绍了移动短消息发送系统的构建方法和工作原理,以及在献血服务中的应用。