The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill

This study of chronically mentally disabled persons in community residences examined the discriminant validity of subjective quality of life indicators and self-report mental health indices to determine the potential confounding effects of psychopathology on the assessment of quality of life (QOL). Factor analyses and difference-score reliabilities identified a general QOL construct and a general mental health construct with 27% common variance. However, psychiatric symptoms did not significantly (p less than .05) alter the bivariate and multivariate relationships among the QOL ratings, except in the health domain in which the correlations of health-related QOL indicators with global QOL were significantly (p less than .05) attenuated after removing the effects of psychopathology. The results suggest that psychopathology does not introduce bias into the overall structure of QOL data, but they also indicate the importance of controlling for mental health effects in the assessment of patients' self-rated health and satisfaction with health care.     

Consumer trust in B2C e-Commerce and the importance of social presence: experiments in e-Products and e-Services

Reducing social uncertainty—understanding, predicting, and controlling the behavior of other people—is a central motivating force of human behavior. When rules and customs are not sufficient, people rely on trust and familiarity as primary mechanisms to reduce social uncertainty. The relative paucity of regulations and customs on the Internet makes consumer familiarity and trust especially important in the case of e-Commerce. Yet the lack of an interpersonal exchange and the one-time nature of the typical business transaction on the Internet make this kind of consumer trust unique, because trust relates to other people and is nourished through interactions with them.This study validates a four-dimensional scale of trust in the context of e-Products and revalidates it in the context of e-Services. The study then shows the influence of social presence on these dimensions of this trust, especially benevolence, and its ultimate contribution to online purchase intentions.     

Treatment Choice With Trial Data: Statistical Decision Theory Should Supplant Hypothesis Testing

Abstract

A central objective of empirical research on treatment response is to inform treatment choice. Unfortunately, researchers commonly use concepts of statistical inference whose foundations are distant from the problem of treatment choice. It has been particularly common to use hypothesis tests to compare treatments. Wald’s development of statistical decision theory provides a coherent frequentist framework for use of sample data on treatment response to make treatment decisions. A body of recent research applies statistical decision theory to characterize uniformly satisfactory treatment choices, in the sense of maximum loss relative to optimal decisions (also known as maximum regret). This article describes the basic ideas and findings, which provide an appealing practical alternative to use of hypothesis tests. For simplicity, the article focuses on medical treatment with evidence from classical randomized clinical trials. The ideas apply generally, encompassing use of observational data and treatment choice in nonmedical contexts.     

近代天津的瘟疫流行与慈善机构的医疗救济

近代天津是一个瘟疫多发的城市,尤其是在水旱灾害频发的年份。瘟疫流行期间,天津市各慈善团体均致力于疫病的防治、控制和治疗。他们的善举有效地控制了疫情,拯救了许多人的生命,尤其是士绅倡导的"防疫"理念为近代公共卫生体制的确立提供了市民基础。     

Smoking during pregnancy,stigma and secrets: Visual methods exploration in the UK

BackgroundMoral judgements are commonly directed towards mothers through reference to health behaviour in pregnancy, and working-class mothers are particularly subject to this moral gaze.AimTo gain an in-depth understanding of the health issues affecting 10 low income pregnant women from deprived areas of south Wales, UK.MethodsParticipants completed visual activities (timelines, collaging or thought bubbles and dyad sandboxing) prior to each interview. Participants’ visual representations were used in place of a topic guide, to direct the interview. Guided by feminist principles, 28 interviews were completed with 10 women. Data were analysed thematically.FindingsSmoking was discussed at length during interviews, and this paper focuses on this issue alone. Five of the participants had smoked during pregnancy. Negative reactions were directed towards pregnant women who smoked in public, resulting in maternal smoking being undertaken in private. Participants also reported awkward relationships with midwives and other health professionals, including receipt of public health advice in a judgemental tone.DiscussionSmoking during pregnancy is a particularly demonised and stigmatised activity. This stigma is not always related to the level of risk to the foetus, and instead can be seen as a moral judgement about women. We urgently need to move from individualised neo-liberal discourses about the failure of individual smokers, to a more socio-ecological view which avoids victim blaming.ConclusionStigma from friends, family, strangers and health professionals may lead to hidden smoking. This is a barrier to women obtaining evidence based stop smoking support.     

战国四公子风范及其性格探微

战国时期，群雄割据，连年混战，政局动荡。为了达到强大自己并统一天下的目的，各诸侯国对人才的需要极度膨胀，而这一时期，以好客喜士而闻名的四公子，即齐国孟尝君、赵国平原君、魏国信陵君、楚国春申君，为其所处诸侯国的人才储备与供应做了巨大贡献。司马迁在《史记》中对四公子的行径描述详细。在这里，分别从“四公子何以进入《史记》”“四公子之好客”“四公子之疏误…‘从生活环境窥探四公子的性格”和“太史公笔下的四公子”等方面浅显解析战国四公子之异同。     

The recruitment and selection of hospital medical consultants

Abstract

The literature on selection has been dominated in recent decades by the ‘prediction’ paradigm. Such an approach requires a substantial number of positions to be filled in order to compute validity coefficients. There are other approaches, using a different paradigm, when concentrated on adjusting the organization and the employee. Here careful analysis of job demands is essential. This article describes such an analysis, taking the medical consultant as an example. The method can be used in an iterative way. It is useful when one has to work with small numbers of positions.     

《大唐西域记》与西藏文化

《大唐西域记》与西藏文化有着千丝万缕的联系。不管是在地理位置、宗教传播,还是在与周边国家的关系方面,都是有迹可寻的。从这种联系,我们可以窥见唐初西藏文化的一些蛛丝马迹,同时也可以看出周边文化的多元化对整个西藏文化所产生的影响。     

"百苗图"源流考略--以《黔苗图说》为范本

“百苗图”是历史背景较为复杂的一种反映贵州古代少数民族的地方文献,其版本众多。据考,它们是源自清人陈浩著的《八十二种苗图并说》。关于其母本的产生历史,学术界纷争不一。《黔苗图说》是贵州省博物馆收藏的一部较为典型的百苗图册页。本文以它为例,试对“百苗图”的源流做一些考证。并认为其母本并非某一时代实地调查的第一手资料,而主要是利用许多地方文献的相关材料编纂成册。