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1.
Objective: To compare anthropometric measures of body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), and sagittal abdominal diameter (SAD) as predictors of blood pressure in college students. Participants: Students (N = 116) were recruited from November 2012 to May 2014 at an urban university and rural community colleges. Methods: Students underwent a brief physical examination during which anthropometric measures were obtained and blood pressure was measured. Covariates were measured using self-reported questionnaires. Hierarchical multiple linear regressions were used for the data analysis. Results: All anthropometric measures were predictive of systolic (SBP) and diastolic blood pressure (DBP). WC was the strongest predictor of SBP (β = .582, p < .01) explaining an additional 3–4% of the variance than BMI, WHtR, or SAD. The measures were similar in predicting DBP. WC predicted SBP independent of BMI. Conclusions: Clinicians should consider using WC to assess the risk for hypertension in college students.  相似文献   
2.
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。  相似文献   
3.
现代经济主体间网络关联性越来越强,风险很容易在不同行业间扩散,因此有效识别并分析系统性风险是防范金融危机的关键步骤。基于条件风险价值(CoVaR)和边际期望损失(MES)两个指标,对巨潮行业指数系统性风险的静态和动态特征进行了研究。结果发现,各行业间系统性风险的相关性较强,动态特征显示2009年年初和2016年3月为系统性风险的两个峰值;从分行业来看,材料行业的系统性风险最高,而消费和医药行业的系统性风险最低。采用动态面板模型分析影响行业系统性风险的市场面因素发现,短期涨幅较高、长期涨幅较低及流动性较充分的行业,其系统性风险往往更低。因此,应加强对系统性风险较高行业的监管力度,建立好金融防火墙,防止外部金融风险的过度传染;同时应加强对各行业的实时监控,尤其是关注短期暴涨暴跌及流动性充分与否的监控。  相似文献   
4.
Two types of bivariate models for categorical response variables are introduced to deal with special categories such as ‘unsure’ or ‘unknown’ in combination with other ordinal categories, while taking additional hierarchical data structures into account. The latter is achieved by the use of different covariance structures for a trivariate random effect. The models are applied to data from the INSIDA survey, where interest goes to the effect of covariates on the association between HIV risk perception (quadrinomial with an ‘unknown risk’ category) and HIV infection status (binary). The final model combines continuation-ratio with cumulative link logits for the risk perception, together with partly correlated and partly shared trivariate random effects for the household level. The results indicate that only age has a significant effect on the association between HIV risk perception and infection status. The proposed models may be useful in various fields of application such as social and biomedical sciences, epidemiology and public health.  相似文献   
5.
随着中国步入老龄化社会,对老年人的医疗护理工作越来越受到社会的重视。文章提出一种以ARM11架构CPU为核心的远程医疗监护系统,使用嵌入式linux操作系统进行全系统管理,可以通过因特网远程访问获取血压、脉搏、体温和实时视频等信息。经过实际测试,该系统完全达到设计要求,可以满足对监护人员的基本监护要求,大大减轻护理人员的工作量,具有较大的推广应用价值。  相似文献   
6.
While researchers have found that African American youth experience higher levels of juvenile justice involvement at every system level (arrest, sentencing, and incarceration) relative to their other ethnic counterparts, few studies have explored how juvenile justice involvement and number of contacts might be correlated with this broad range of problems. A convenience sample of 638 African American adolescents living in predominantly low-income, urban communities participated in a survey related to juvenile justice involvement. Major findings using logistic regression models indicated that adolescents who reported juvenile justice system involvement versus no involvement were 2.3 times as likely to report mental health problems, substance abuse, and delinquent or youth offending behaviors. Additional findings documented that the higher the number of juvenile justice system contacts, the higher the rates of delinquent behaviors, alcohol and marijuana use, sex while high on drugs, and commercial sex. These findings suggest that identifying and targeting youth who have multiple juvenile justice system contacts, especially those in low-resourced communities for early intervention services, may be beneficial. Future research should examine whether peer network norms might mediate the relationships between juvenile justice involvement and youth problem behaviors.  相似文献   
7.
ABSTRACT

Recently, the FDA announced that it would soon lift the long-standing lifetime ban on blood donation by men who have sex with men (MSM). Reexamining blood donation by MSM, it is clear that there are several ethical goods that must be balanced. Through balancing the primary duty to safety with the imperatives to craft a policy that is formally equal, upholds the public's trust, and is nondiscriminatory, an ethical blood donation deferral guideline may be advanced, both for MSM and the population at large.  相似文献   
8.
A weaver, seamstress, laundress and artist, in this essay I shall spin a yarn, tangle a web, and construct a text(ile) of the inter-weave of narrative and identity that I define as my intellectual, textual, somatic and material/visual practice obsessions. My work explores ‘the places in-between’ in the entanglements of Irish and Northern Irish gender and identity, and in the abject fabrics of death and of desire. As an Irish feminist, sense-making of the complexities, conundrums, challenges and contradictions of my land, my cloth, my body and my culture owes much to Irish women before me who fought for female suffrage, and Irish women now – north and south of the border that divides the island of Ireland – who still struggle for equality of citizenship, social justice, human rights, and full reproductive autonomy. My contention is that when we accept that Ireland herself is a many-layered cloth, a stained and bloodied cloth, a cloth marked irreversibly by history, conflict, denial and abuse, stained by its own repression, marked through denial of all its people’s rights and needs, and bloodied by its greatest export, the haemorrhage of its people, then – polemical, didactic or reflective, with more compassion, empathy, humility and heart – we just might make peace with our past.  相似文献   
9.
10.
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.  相似文献   
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