Psychosocial risk factors for excessive gestational weight gain: A systematic review

BackgroundExcessive weight gain during pregnancy can have adverse health outcomes for mother and infant throughout pregnancy. However, few studies have identified the psychosocial factors that contribute to women gaining excessive weight during pregnancy.AimTo review the existing literature that explores the impact of psychosocial risk factors (psychological distress, body image dissatisfaction, social support, self-efficacy and self-esteem) on excessive gestational weight gain.MethodsA systematic review of peer-reviewed English articles using Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature, MEDLINE Complete, PsycINFO, Informit, Web of Science, and Scopus was conducted. Quantitative studies that investigated psychosocial factors of excessive GWG, published between 2000 and 2014 were included. Studies investigating mothers with a low risk of mental health issues and normally-developing foetuses were eligible for inclusion. From the total of 474 articles located, 12 articles were identified as relevant and were subsequently reviewed in full.FindingsSignificant associations were found between depression, body image dissatisfaction, and social support with excessive gestational weight gain. No significant relationships were reported between anxiety, stress, self-efficacy, or self-esteem and excessive gestational weight gain.ConclusionThe relationship between psychosocial factors and weight gain in pregnancy is complex; however depression, body dissatisfaction and social support appear to have a direct relationship with excessive gestational weight gain. Further research is needed to identify how screening for, and responding to, psychosocial risk factors for excessive gestational weight gain can be successfully incorporated into current antenatal care.     

ECM-IS视角下移动政务APP用户持续使用意愿影响因素研究

随着“互联网+”时代的到来，移动政务APP快速发展，但也存在功能单一、满意度不高、用户持续使用意愿较低的问题，要促使其健康发展，必须重视用户的使用体验和使用意愿。本研究以ECM-IS模型理论为基础，构建了移动政务APP用户持续使用意愿影响因素模型，据此设计调查问卷并进行实证研究。研究结果显示，移动政务APP的系统质量是满足用户期望的重要因素，而用户感知对于提升用户的满意度以及促使持续使用具有重要的意义，其中，感知便利性和感知有用性的积极作用尤为明显。最后，从促使用户持续使用的角度，提出了完善移动政务APP系统功能、突出实用优势，兼顾趣味功能，以及重视用户感知、强调人文关怀等对策和建议。     

Ngarraanga Giinganay (‘thinking peacefully’): Co-design and pilot study of a culturally-grounded mindfulness-based stress reduction program with older First Nations Australians

First Nations ‘survivors’ are ageing in increasing numbers. Life-course stress and depression are of concern for older First Nations Australians, yet there are limited psychosocial interventions. This study aimed to co-design a culturally-grounded mindfulness-based program (‘Ngarraanga Giinganay’) and evaluate acceptability/feasibility with an Aboriginal community on Gumbaynggirr Country. An expert Working Group guided program development, with Aboriginal and non-Aboriginal clinicians/consultants. A workshop, collaborative yarning group with older Aboriginal people (n = 9), and further consultation contributed to the design/refinement of the 8-session group-based program, ensuring content aligned with therapeutic principles of mindfulness and cultural understandings of the Gumbaynggirr community. A single-group pilot study was conducted (n = 7, 62−81 years), co-facilitated by an Aboriginal clinician and Elder. Outcomes were qualitative (understandings of mindfulness, program acceptability, benefits to health/wellbeing). Pilot results demonstrated feasibility, acceptability and preliminary effectiveness. The program enhanced understandings of mindfulness and participants highlighted benefits such as helping anxiety, relaxation, focusing on the moment and connection to Country/land. Trends were seen for reducing depression, anxiety and stress symptoms, and blood pressure. This study provides insight into partnering with underrepresented populations through ageing research, highlighting the effectiveness of this co-design approach. Ngarraanga Giinganay has considerable potential for supporting health and wellbeing of First Nations peoples.     

死者人格利益法律保护之构建

死者无人格权,但死者具有人格利益。为了维护社会利益和善良风俗,我国法学界和司法实务界对死者人格利益保护也达成了共识。完善死者人格利益应在保护范围、行使主体、法律责任、免责事由及保护期限等方面给予立法规制。     

多元文化背景下大学生文化自觉缺失现状及影响因素分析

以高度的文化自觉和文化自信推进社会主义文化大发展大繁荣是中国特色社会主义建设的重要战略任务。而多元文化背景下大学生文化自觉问题已经成为关乎中国未来文化安全、关乎中国人才成长、关乎中华民族伟大复兴和世界和谐发展的重大问题。当前大学生文化自觉的现状不容乐观，存在诸多值得关注的问题。影响大学生文化自觉的因素很多，既有外源性的客观因素，也有内源性的主观因素。客观分析当前大学生文化自觉缺失现状及其主、客观影响因素，是深入研究大学生文化自觉培养问题的重要前提。     

论夫妻忠实义务与隐私权冲突的法律协调

配偶间的隐私权和忠实义务的冲突是我国婚姻关系中错综复杂的问题,随着社会的发展,该问题日益凸显,不仅关乎我国婚姻制度的完备,更关乎社会的稳定和谐。《婚姻法》修订后的数年中,我国最高人民法院随后出台了三次司法解释,但是却对夫妻间忠实义务与婚内隐私权冲突的协调没有提出具有实质指导性的法律意见。文章拟通过对夫妻忠实义务和婚内隐私权的含义及特点的理解,阐述夫妻间忠实义务和婚内隐私权的客体内容和法律关系,通过讨论二者之间的冲突现状、原因,以寻求解决途径。     

What are the Risk Factors for Antisocial Behavior Among Low‐income Youth in CapeTown?

Research in high‐income countries has identified an array of risk factors for youth antisocial behavior. However, in low‐ and middle‐income countries, despite higher prevalence of offending and antisocial behavior, there is a paucity of prospective, longitudinal evidence examining predictors. South Africa is a middle‐income country with high rates of violence and crime, and a unique social context, characterized by striking income and gender inequality, and increasing number of children orphaned by AIDS. We tested predictors of antisocial behavior at community, family, and individual levels over four years. One thousand and twenty five adolescents from poor, urban South African settlements were assessed in 2005 (50 percent female; M = 13.4 years) and followed up in 2009. The sample analyzed consisted of the 723 youth (71 percent) assessed at both time points. We employed sociodemographic questionnaires and standardized scales. Validity of our antisocial behavior measure was supported by cross‐sectional associations with well‐evidenced concomitants of youth antisocial behavior, including drug taking and truancy. Regression analysis indicated that male gender and experience of community violence, but not poverty or abuse, predicted antisocial behavior. Despite many South African youth experiencing abuse and poverty at the family level, our findings suggest that high levels of violence in communities may be a more important factor contributing to the development of antisocial behavior, particularly among males.     

互联网医疗服务法律监管研究

随着互联网技术的进步以及医疗改革的深入,互联网医疗服务成为新生业态.然而,我国互联网医疗服务法律监管体系还不够完善,缺乏统一规范的监管体系,多头监管、个人隐私隐患大、纠纷处理解决机制不健全等现实困境尚未解决,不利于互联网医疗服务行业的发展和人民群众身心健康.为解决上述问题,通过梳理发达国家的成功经验,如美国的移动医疗应用程序监管和个人隐私保护、欧盟的互联医疗数据管理、英国的行业协会监管等,结合我国现有国情,建议从完善立法体系、建设隐私保护机制、构建行业监管、明晰医疗服务主体责任等方面健全互联网医疗法律监管制度,以期推动互联网医疗服务行业发展,保障医患双方的合法权益.     

It’s Complicated: Sociocultural factors and the Disclosure Decision of Transgender Individuals in Pakistan

The literature on the disclosure decision of transsexual individuals is sparse, and that which does exist either uses empirical quantitative methods or aggregates transsexuals with other non-heterosexual individuals. The current study focuses this underresearched group and examines the disclosure decision of transsexual people in Pakistan, a developing Muslim country with a unique amalgam of social, cultural, and religious ground realities. Drawing on thematic analysis technique using in-depth interviews with 16 transsexuals, we show how sociocultural factors that are inherently embedded in the environment influence the disclosure decision in work and non-work settings. In particular, our respondents illustrate that their disclosure decision, which ranges from total disclosure on one end to nondisclosure on the other end, is influenced by the complexities of family honor, tightly integrated family network, social obligation to get married, and prevalent religious beliefs in the society. This study advances understanding of identity and disclosure decision of transsexual individuals by explicating the ways in which sociocultural factors are intricate part of their decision of coming out.