老年流动人口的就医行为及影响因素研究

近年来,我国老年流动人口的规模持续上升。文章使用2015年全国流动人口动态监测调查数据,从门诊治疗和住院治疗两个方面出发,使用Logit模型和Heckman两步法检验分析老年流动人口的就医行为及其影响因素。结果显示,在患小病时,70岁及以上、以家庭其他成员收入为主要收入来源、家庭人均月收入水平较高、患有高血压或糖尿病的流动老年人选择门诊就医的可能性更高,差异有统计学意义(P<0.05)。在患需要住院治疗的疾病时,以离退休金/养老金为主要收入来源、自评身体健康的老年流动人口更有可能选择住院治疗。参加医疗保险的类型也对老年流动人口的就医行为存在着显著的影响。此外,外出务工、依靠子女和退休养老三类老年流动人口在门诊就医行为及其影响因素方面也存在显著差异。     

医院青年文化品牌塑造的路径探析

青年是医院的未来,引导青年医务人员树立坚定而充沛的文化自信是激发其积极性、主动性和创造性的重要方式。常州市第一人民医院以涵养文化自信为着力点打造青年文化品牌“青之源”,通过营造学习创新氛围、建设团日活动体系、搭建阅读分享平台、探索涵养青年文化自信的品牌塑造路径等方式,动力、活力、能力三源合流,为青年成长提供正向激励和人文滋养。     

太极拳与瑜伽术的传统意蕴及其文化学阐释

中、印传统体育文化蕴含了东方文明对于处世之道和养身模式的价值追求，作为东方体育文化典型代表的太极拳与瑜伽术，既是修炼身心、运动健身的重要项目，也是人们了解东方体育文化的重要媒介。跨文化比较分析表明，太极拳和瑜伽术在注重身形技法与艺术审美的结合、吐纳导引与意念游动的耦合、修身养性与天人意境的融合等方面具有共性，也有差异，体现出中、印在传统体育文化方面的异同。太极拳和瑜伽术的传承应该做到与时俱进、创新发展，其目标既不是传统竞技搏击术，也不是简单修炼养身术，而是融道德修养与身心修炼为一体的综合性运动项目。     

Probabilistic Analysis of Dam Accidents Worldwide: Risk Assessment for Dams of Different Purposes in OECD and Non-OECD Countries with Focus on Time Trend Analysis

This study presents probabilistic analysis of dam accidents worldwide in the period 1911–2016. The accidents are classified by the dam purpose and by the country cluster, where they occurred, distinguishing between the countries of the Organization for Economic Cooperation and Development (OECD) and nonmember countries (non-OECD without China). A Bayesian hierarchical approach is used to model distributions of frequency and severity for accidents. This approach treats accident data as a multilevel system with subsets sharing specific characteristics. To model accident probabilities for a particular dam characteristic, this approach samples data from the entire data set, borrowing the strength across data set and enabling to model distributions even for subsets with scarce data. The modelled frequencies and severities are combined in frequency-consequence curves, showing that accidents for all dam purposes are more frequent in non-OECD (without China) and their maximum consequences are larger than in OECD countries. Multipurpose dams also have higher frequencies and maximum consequences than single-purpose dams. In addition, the developed methodology explicitly models time dependence to identify trends in accident frequencies over the analyzed period. Downward trends are found for almost all dam purposes confirming that technological development and implementation of safety measures are likely to have a positive impact on dam safety. The results of the analysis provide insights for dam risk management and decision-making processes by identifying key risk factors related to country groups and dam purposes as well as changes over time.     

Defending the Family,Defending the Faith: An Analysis of The Family: A Proclamation to the World,Religious Identity,and the Politics of Same-Sex Marriage in a Mormon Community

In this article, we apply Peter Berger's theory of religion as a social construct to learn how The Church of Jesus Christ of Latter-day Saints (the Mormon Church) advances a heteronormative view of family relationships in the United States using a document titled The Family: A Proclamation to the World. Furthermore, applying cultural studies theory, we examine how believing Mormons negotiate the tension that arises when their secular values compete with those expressed by Church leaders. We argue that, although the Proclamation addresses a number of issues, the Church offers a closed text that emphasizes war narratives in which same-sex marriage is portrayed as a threat to LDS identity and the heteronormative family. This closed text is further legitimized by emphasis on the authority of Church leaders as oracles of God. The study participants largely accept the dominant narrative, and those who reject it, do so with some trepidation.     

Predicting Condom Use Outcomes via the Information Motivation Behavioral Skills Model: An Analysis of Young Black Men

Objectives: This study examines the relationships between information motivation behavioral skills model constructs and their associations with consistent condom use and condom use problems among young Black men. Methods: The authors use baseline data collected from 702 participants in a randomized controlled trial. Analyses involved path modeling and bootstrapped standard errors to estimate associations. Results: Motivation had the largest association with consistent condom use, whereas condom application skills had the largest association with condom use problems. Conclusion: Motivation is the most important predictor of consistent condom use, whereas condom application skills are the most important predictor of condom use problems.     

Economic statistical design of the T2 control chart under the Weibull shock model with multiple assignable causes

A proper monitoring of stochastic systems is the control charts of statistical process control and drift in characteristics of output may be due to one or several assignable causes. Although much research has been done on the design of control charts, the economic statistical design of the T2 control chart under the Weibull shock model with multiple assignable causes has not yet been addressed. Therefore, we tried to deal with it in this paper and thus we developed a cost model based on the variable sampling interval. We also give an example to support the practical use of T2 chart under the Weibull shock model with multiple assignable causes. Based on the optimization of the average cost per unit of time and taking into account the different combination values of Weibull distribution parameters, optimal values of design parameters were derived and calculated. Then, the cost models under the influence of single assignable cause and multiple assignable causes under the same cost and time parameters were compared. Also, a sensitivity analysis was conducted in which the variability of loss cost and design parameters due to change of cost and time and Weibull distribution parameters were evaluated.     

A seasonal mixed-POT model to estimate high flood quantiles from different event types and seasons

Flood events can be caused by several different meteorological circumstances. For example, heavy rain events often lead to short flood events with high peaks, whereas snowmelt normally results in events of very long duration with a high volume. Both event types have to be considered in the design of flood protection systems. Unfortunately, all these different event types are often included in annual maximum series (AMS) leading to inhomogeneous samples. Moreover, certain event types are underrepresented in the AMS. This is especially unsatisfactory if the most extreme events result from such an event type. Therefore, monthly maximum data are used to enlarge the information spectrum on the different event types. Of course, not all events can be included in the flood statistics because not every monthly maximum can be declared as a flood. To take this into account, a mixture Peak-over-threshold model is applied, with thresholds specifying flood events of several types that occur in a season of the year. This model is then extended to cover the seasonal type of the data. The applicability is shown in a German case study, where the impact of the single event types in different parts of a year is evaluated.     

Majority size and conformity behavior in charitable giving: Field evidence from a donation-based crowdfunding platform in Japan

A charitable donor typically imitates the majority contribution of other donors. This study examines the relationships between majority size and this so-called donor’s conformity behavior, by empirically investigating the impacts of multiple earlier donations on the donation of a subsequent donor to JapanGiving, a donation-based crowdfunding platform in Japan. This analysis is possible because the platform’s webpage displays the previous donation amounts in chronological order, thus allowing us to examine the modal amount of more recent donations. By using data on 9989 actual donations, our dynamic panel analysis suggests that when the number of most recent continuous modal donations increases, the likelihood that a subsequent donor matches the modal amount increases. This result supports the notion that a donor’s conformity behavior is more likely to occur when a greater proportion of other donors give a similar amount. Furthermore, the effects of continuous modal donations are strongly observed for low monetary ranges. We interpret that initiating further cooperation among a large number of less cooperative other donors would become harder, or individuals would obtain an excuse for less cooperation due to the others’ behaviors. Finally, we discuss how our findings connect economic studies of charity and social psychology studies of conformity and could help improve the effectiveness of fundraising by charities.     

The case of vegetovascular dystonia: inventing the most common Soviet disease

ABSTRACT

The paper considers the case of vegetovascular dystonia, one of the most typical and common “Soviet” diseases. This syndrome emerged in Soviet medicine after World War II, and very quickly become a popular diagnosis among physicians. The author describes how the construct of vegetovascular dystonia was formed and developed, what changes it underwent, and what affected those changes. The concept and history of vegetovascular dystonia can provide an understanding of Soviet medicine and health science in general.