政府奖惩机制下药品安全质量监管三方演化博弈及仿真分析

药品安全关乎人民群众生命健康、经济发展、社会稳定和国家安全，一直以来都是政府和全社会关注的热点问题之一。但是，近年来频发的各类药品安全事件，揭露了政府监管缺失、药品检测机制不完善、公众投诉失效等诸多问题。本文考虑了药品检测中存在寻租现象，构建了药品生产企业、第三方药品检测机构和政府监管部门之间的三方演化博弈模型，分析了各参与方策略选择的演化稳定性，探讨了各要素对三方策略选择的影响关系，进一步分析了三方博弈系统中均衡点的稳定性。研究结果表明：1)政府增强奖励、惩罚力度均有助于促进企业生产高药效药品、第三方药品检测机构拒绝寻租的规范行为，但是增大奖励力度将不利于政府自身履行监管职责；2)政府设定合理的奖惩机制必须符合对各方的奖惩之和大于其投机收益的条件，才能保障演化稳定市场环境下的药品安全；3)上级政府对监管部门失职的问责对增强企业生产高药效药品的稳健性具有重要意义；4)提升企业的药品销售收益、增加企业寻租成本也是避免企业生产低药效药品的有效途径。最后，利用Matlab 2020b进行了仿真分析，为政府完善药品监管机制提出了对策与建议。     

Factors associated with a positive childbirth experience in Brazilian women: A cross-sectional study

BackgroundHaving a positive childbirth experience is an increasingly valued outcome. Few studies evaluated the women’s satisfaction with childbirth through face-to-face interviews out of the health service environment. The objective of this study was to identify factors associated with a higher level of satisfaction with the childbirth experience among Brazilian women.MethodsThis cross-sectional study involved 287 women giving birth in two hospitals in southern Brazil. Women who gave birth to healthy newborns at term were randomly selected. Face-to-face interviews were conducted 31–37 days after delivery, at the mothers’ homes, using a structured questionnaire. Satisfaction with the childbirth experience was measured using a Likert-type scale ranging from very satisfied to very dissatisfied. Prevalence ratios (PR) were estimated using Poisson regression with robust variance.ResultsFollowing hierarchical multivariate analysis, the following factors remained associated with a higher level of satisfaction with the childbirth experience: being satisfied with antenatal care (PR = 1.30; 95% confidence interval [95%CI] = 1.06−1.59), understanding the information provided by health professionals during labor and delivery (PR = 1.40; 95%CI = 1.01−1.95), not having reported disrespect and abuse (PR = 1.53; 95%CI = 1.01−2.31), and having had the baby put to the breast within the first hour of life (PR = 1.63; 95%CI = 1.26−2.11). No association was observed with type of delivery or hospital status (public or private).ConclusionsA higher level of satisfaction with the childbirth experience is related to satisfactory antenatal care, a non-abusive, respectful, and informative environment during childbirth, and to the opportunity to breastfeed the baby within the first hour of life. In clinical practice, greater attention to these basic principles of care during pregnancy and delivery could provide more positive experiences during birth.     

习近平新时代观的理论生成探讨

理顺习近平关于“中国特色社会主义进入新时代”的逻辑理路，有助于系统论证“新时代”的科学性和理论性。从方法论上看，习近平新时代观是应用马克思主义立场观点和方法得出的正确结论。从理论归因看，中国社会主要矛盾的转化作为习近平新时代观生成的主要标志，源于马克思主义关于矛盾运动的基本理论。从理论定位看，习近平新时代观展现的是中国发展的特殊阶段，内含着中国对自身发展的时代定位与目标趋向，渗透着中国与世界在共同发展中的新阶段、新高度、新未来，是对中国发展方向的顶层设计。     

The Times They are A’changing: Multigenerational Family Simulations

Multigenerational households are increasingly affecting both the individual and family as well as community organizations and social policies. Social work and other family studies students can profit from educational modalities that use adult learning applications through a systems life-course perspective, the whole family aging over time. Family simulation software—addressing multigenerational families, such as two or more adult generations living together—builds on a previous paper (Marriage & Family Review, Feb. 2015). Social class, among other demographic and environmental variables, is emphasized. Agent-based family social network simulation of multigenerational families can facilitate experiential learning. An automatically generated life events report, based on both factual data and specific family characteristics, can be used as a classroom case study for role playing and assessing.     

“Filthy rich” and “dirt poor:” social and cultural dimensions of solid waste management (SWM) in Lagos

Abstract

This paper analyses how household solid waste was perceived and handled in traditional Yoruba and contemporary Lagos society in South West Nigeria. It highlights the roles of individuals, households, changing lifestyles and diet, business cycles, residential segregation, and state and non-state actors and institutions in waste management in Lagos. The filthy rich/dirt poor divide in Lagos is epitomised by spatial segregation and social stratification, reflected by contrasting highbrow neighbourhoods and massive dumpsites in the metropolis. Central to this discussion are changing economic dynamics. The boom years were characterised by conspicuous consumption, waste and replacement while economic adversity precipitated destitution, re-use and recycling of waste, and recourse to imported second-hand clothing and household utensils. The paper recommends a multi-pronged sustainable waste management strategy for Lagos.     

Maternal Employment,Community Contexts,and the Child‐Care Arrangements of Diverse Groups

Integrating family and child data from the Early Childhood Longitudinal Study–Birth Cohort with contextual data from the census, this study examined associations among maternal employment, aspects of communities related to child‐care supply and demand, and the early care and education arrangements of 4 year olds in Mexican‐origin, Black, and White families. Children with employed mothers were more likely to be in informal care arrangements than in early childhood education, regardless of racial/ethnic background. For children in Mexican‐origin families, selection into informal care over early childhood education was more likely in zip codes with greater demand for care as measured by higher female employment. Utilization of parent care versus early childhood education was also more likely for children in Mexican‐origin and Black families in zip codes with higher female employment. Constraints associated with maternal employment thus hindered children from enrolling in early childhood education, and community contexts posed challenges for some groups.     

印度战略文化及其变迁机制

自20世纪90年代战略文化成为备受关注的议题以来,从战略文化视角解释印度外交战略的研究不胜枚举.学术界对印度战略文化的研究普遍受到文化“稳定性”、“持久性”等基本特征的限制,主要从静止的视角围绕其起源、属性与形态等方面展开论述.本文试图从动态视角理解印度战略文化,构建战略文化生成与变迁理论框架.通过对战略文化的类型划分发现,印度在冷战时期形成了防御为主、进攻为辅的协调型战略文化,冷战后形成了强进攻性偏好的冲突型战略文化.作为印度战略文化变迁的首要条件,环境认知推动了印度国内政治程序的修正,从而影响了战略文化变迁.具体而言,国际体系环境的变化重塑了印度决策精英对国家安全的判断,并内化成新的观念体系.全新观念体系驱使决策精英行为偏好改变,且通过国内政治程序的修正上升为特定取向的国家战略偏好,最终生成全新的战略文化.     

“百年未有之大变局”之哲学分析

当今世界正处于“百年未有之大变局”中。这是中国共产党对于世界新的时代特征的全新、科学和准确的研判。“百年未有之大变局”这一重大论断，具有深厚的马克思主义哲学的本体论基础、认识论基础、矛盾论基础和历史观基础。作为科学世界观与方法论，马克思主义哲学的辩证唯物主义和历史唯物主义为我们深刻认识和精准把握“百年未有之大变局”的深层本质和哲学依据提供了重要的认知性引导、方法论基础和实践智慧支撑。     

Does biomass energy consumption reduce total energy CO2 emissions in the US?

This study investigates the causal relationship between total biomass energy consumption, total energy CO₂ emissions, and GDP in the United States for the period January 1973–December 2016 by employing a directed acyclic graph (DAG) techniques and the Autoregressive Distributed Lag (ARDL) model. Additionally, this paper examines the existence of the environmental Kuznets curve (EKC) hypothesis. The result of the DAG reveals that total biomass energy consumption and GDP have a unidirectional contemporaneous causal relationship with total energy CO₂ emissions. Based on the results of the ARDL, we find that a 1% increase in per capita total biomass energy consumption causes a 0.65% reduction in per capita total energy CO₂ emissions in the long-run. This finding implies that expanding the usage of biomass is one way to reduce and control greenhouse gases in the US. Moreover, we find that the inverted U-shaped EKC hypothesis is satisfied for the US case. Findings from this study suggest that energy policies should stimulate an increase of biomass production for reducing total energy CO₂.     

Toward an emergent Asian behavioural model of perceived managerial and leadership effectiveness: a cross-nation comparative analysis of effective and ineffective managerial behaviour of private sector managers in India and South Korea

ABSTRACT

This Type 4 (emic-and-etic) indigenous cross-case/cross-nation comparative study compares the results of two Type 3 (emic-as-emic) indigenous replication studies of effective and ineffective managerial behaviour carried out within private companies in India and South Korea respectively. The method used was ‘realist qualitative content analysis’ involving inductive open and axial coding. Of the Indian findings 100% were found to be convergent in meaning with 94.43% of the equivalent South Korean findings. This has led to the identification of a two-factor emergent Asian behavioural model of perceived managerial and leadership effectiveness comprised of 16 positive (effective) and 6 negative (ineffective) generic behavioural criteria. These criteria could be used in both countries to critically review and improve extant, or develop new, competency-based management/leadership development programmes. The research findings lend no support to claims that national culture has a major impact on managerial and leadership practices, styles, and effectiveness.