基于协调发展度的重大工程团队免疫系统健康评价研究

为评价重大工程团队免疫系统的健康和协调发展状况,本文提出了一种基于协调发展度的评价模型。首先通过文献查询和深度访谈,构建能够体现重大工程团队免疫系统特征的健康评价指标体系;其次利用改进的DEMATEL确定指标权重,然后采用多层次模糊综合评价将相关指标定量化,最终得出重大工程团队免疫系统的健康指数和协调发展度;再次确立重大工程团队免疫系统健康等级和协调发展度划分标准,同时提出免疫系统健康的跟踪评价策略;最后,利用本文模型对某跨国输气管道工程团队的免疫系统进行实证研究。结果表明,协调发展度模型既能反映重大工程团队免疫系统的整体健康程度,又能衡量固有性免疫和适应性免疫的协调发展状况,同时对免疫系统健康的跟踪评价也取得了良好效果。     

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

Legal Marriage,Unequal Recognition,and Mental Health Among Same‐Sex Couples

The authors examined whether the perception of unequal relationship recognition ‐ a novel couple‐level minority stressor ‐ has negative consequences for mental health among same‐sex couples. Data were analyzed from a dyadic study of 100 same‐sex couples (200 individuals) in the United States. Being in a legal marriage was associated with lower perceived unequal recognition and better mental health; being in a registered domestic partnership or civil union—but not also legally married—was associated with greater perceived unequal recognition and worse mental health. Actor partner interdependence models tested associations between legal relationship status, unequal relationship recognition, and mental health (nonspecific psychological distress, depressive symptomatology, and problematic drinking), net controls (age, gender, race and ethnicity, education, and income). Unequal recognition was consistently associated with worse mental health, independent of legal relationship status. Legal changes affecting relationship recognition should not be seen as simple remedies for addressing the mental health effects of institutionalized discrimination.     

Stakeholder Perspectives on Children's Mental Health Needs and Supports in Six Low‐ and Middle‐Income Countries

Low‐ and middle‐income countries (LMIC) are faced with disproportionately high levels of unmet child mental health needs. This study explored through interviews the perspectives of 17 inter‐agency service stakeholders from Brazil, Indonesia, Kenya, Pakistan, Rwanda and Turkey on existing supports and challenges. Four themes emerged on the holistic nature of children's mental health needs linked with disadvantage; limited resources and skilled workforce; stigma; and strategies for future implementation, including awareness, parental engagement, skills‐based programmes and cultural adaptation. Stakeholder input is essential in conceptualising, developing and evaluating culturally appropriate interventions for vulnerable children in LMIC.     

Tracing disorder across theories of autism,empathy, and mental health care

Abstract

Categories of mental disorders are generally understood through a biomedical paradigm of clinical research, diagnosis, and intervention. Here, diagnoses operate as professional tools, facilitating care organization and information exchange across diverse social contexts. In this article, I focus on how the diagnosis of autism-spectrum disorder operates in this manner. Autism conceived as a biomedical disorder is then contrasted with proposals by the neurodiversity movement, who understand core qualities of autism as alternative expressions of otherwise normal processes of brain development. Finally, I supplement these conversations with insights from Gerald Edelman’s theory of neural plasticity and Felix Guattari’s paradigm of ethico-aesthetic care. Understood together, these allow mental disorders and community care generally to be reconceived in terms of networks of expressive, embodied, and dynamically embedded rhythms that transcend individual persons. This serves, additionally, to illustrate a concept of empathy that traverses neurological, psychological, and sociocultural domains.     

Parent/carer views on personal health budgets for disabled children who use rehabilitation therapy services

Personalised budgets are promoted as the person-centred alternative to generically provided services. Nine parents/carers of disabled children (aged 18 years or younger) who accessed at least two rehabilitation therapy services (physiotherapy, occupational therapy, and speech and language therapy) were recruited from one region in England. Focus group/interviews explored their views on the proposed introduction of personalised budgets. Parents and carers viewed a personal health budget with caution and perceived benefits were tempered by their experiences of current provision. Concerns were raised about entitlement and how a personal budget would work in practice.     

探析我国突发公共卫生危机治理的路向选择

文章就当前我国突发公共卫生危机应对只处于“管理”而非“治理”的现状,提出我国需要建设由政府部门、非政府组织、私营部门、公民个人和家庭及国际组织等全主体力量的参与,形成高度组织化的突发公共卫生危机治理体系,使之成为全主体、全危险要素、全过程应对突发公共卫生危机的长期合作网络和制度平台,即着眼全球视野的治理网络,凝聚全国组织治理公共卫生危机的整体合力;着力全主体应急平台建设,整合全部资源畅通公共卫生危机的信息机制;着手全方位应急预案体系,操演全新流程强化公共卫生危机的响应计划;着重全国民疾病防控体系,强化全员监督提高公共卫生危机的应对能力;着实全社会应急知识宣教,推动全民学习锻造公共卫生危机的组织实力。     

大学生体质健康现状及提高对策研究

通过对大学生体育课、课外体育锻炼、课余生活方式的调查,并对大学生体质、体能与健康指标进行测试分析,揭示大学生体质健康的现状,为提高大学生健康水平提供客观依据。     

心理健康与大学生全面发展

从大学生心理健康存在的问题及心理健康在大学生全面发展中的意义,说明了大学生心理健康与全面发展的关系,强调了大学生心理健康工作的重要性。并提出如何增进和维护大学生心理健康,促进大学生全面发展。