College students with congenital heart disease: A critical time for transition

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.     

Efficacy of Statistical Outlier Analysis for Monitoring Quality of Care

Researchers have proposed that hospitals with excessive statistically unexplained mortality rates are more likely to have quality-of-care problems. The U.S. Health Care Financing Administration currently uses this statistical “outlier” approach to screen for poor quality in hospitals. Little is known, however, about the validity of this technique, since direct measures of quality are difficult to obtain. We use Monte Carlo methods to evaluate the performance of the outlier technique as parameters of the true mortality process are varied. Results indicate that the screening ability of the technique may be very sensitive to how widespread quality-related mortality is among hospitals but insensitive to other factors generally thought to be important.     

全球价值链嵌入与技术创新——基于生产分解模型的分析

基于增加值和最终产品的生产分解模型,本文对我国制造业前向与后向产业关联下的全球价值链嵌入进行测度,实证分析全球价值链嵌入对技术创新的作用机理,并在此基础上重点探讨了吸收能力与技术差距两个重要情境因素的调节作用,同时,运用双重差分、工具变量法以及GMM动态面板模型进行稳健性检验,以控制潜在的内生性问题。研究发现:①我国制造业通过嵌入全球价值链的国际间知识溢出效应促进技术创新能力的提升;②吸收能力能够强化这一正向影响关系;③技术差距在后向全球价值链嵌入对技术创新的影响关系中呈倒U 型调节作用,而在前向全球价值链嵌入对技术创新的影响关系中呈正向调节作用。本文推动了网络嵌入理论和知识溢出理论从组织网络向全球价值链领域的繁衍,丰富了全球价值链嵌入领域的研究成果,同时为我国制造业企业在参与国际分工过程中利用全球价值链嵌入实现技术创新能力提升提供重要的理论参考。     

网络生态伦理哲学基础与高校德育方法论

网络在给大学生提供信息便利的同时,也导致了他们自我约束力和道德法制意识的降低.而建立在因特网基础上的网络文化,也冲击着人类建立在现代化基础上的现代教育,使人们更加关注网络生态伦理问题.在网络生态环境下,高校应把"以学生为本"作为高校德育方法论的逻辑起点和价值取向,以"道德审美"作为高校德育方法论,以建构和谐的大学生网络生态伦理文化.     

孤残儿童的机构照顾与社会融合

机构照顾是我国目前孤残儿童福利服务的主要模式,对孤残儿童的衣、食、住、行、医有了较全面的保障,并为这些特殊儿童提供了安全、健康的集体环境。但随着我国改革开放的不断深入,儿童福利照顾的理念和照顾模式也在发生新的变革,跟很多发达国家的发展经历相似,在照顾模式中,改革、变化的趋势是:从大机构到小机构的转变,从机构照顾到家庭寄养和家庭收养模式的转变。本文重点探讨国外孤残儿童机构照顾的实践及其反思,以及我国孤残儿童机构照顾模式存在的问题,特别在社会融合方面存在的缺陷。试图分析孤残儿童走向社会融合的可能途径,并以上海市儿童福利院为例,从现实操作层面来看这些途径的有效性。     

The quest for legitimacy and the communication of strategic cross-sectoral partnership on Facebook: A big data study

Nowadays, many wicked problems such as environmental issues require organizations from multiple sectors to form cross-sectoral alliances. Cross-sectoral alliance networks can transfer resources and signal affiliations and value alignment between strategic partners. The communication of cross-sectoral alliances is a form of CSR communication that serves organizations’ strategic goals and objectives. Drawing on the literature on digital CSR communication and legitimacy theory, this article examines which legitimacy needs shape the formation of cross-sectoral ties on Facebook in addressing environmental and sustainable development issues in the United States. Combining data-mining, text-mining, social network analysis, and exponential graph modeling, this research investigates the structure of a network among 3071 organizations across multiple sectors. Findings show that organizations’ cross-sectoral tie formation is mainly driven by social legitimacy and alliance legitimacy needs.     

Living with dementia,interdependence and citizenship: narratives of everyday decision-making

This article argues that interdependent relationships are key in realising inclusion and citizenship for people living with dementia. We focus on decision-making as one aspect of everyday life which reflects opportunities and challenges associated with citizenship. Accounts of everyday decision-making from people living with dementia provide insight into strategies for negotiating responsibilities as they shifted with dementia. An inductive, secondary data analysis developed decision narratives from the data of 61 interviews conducted in the United Kingdom. The interviews were with 12 people with a diagnosis of dementia plus their nominated care-partner in a qualitative study which focused on information management and sense of self. The secondary data analysis identified strategies for inclusion, emphasising relational interdependency amidst challenges. The five-stage framework of an Ethic of Care positions this interdependency as a response to barriers to inclusion and citizenship. Interdependency, therefore, emerges as key to realising relational citizenship.     

基于高维波动率网络模型的股票市场风险特征研究

波动率是金融风险管理研究的重要内容之一。本文基于复杂网络理论和数据挖掘技术提出股票市场的高维波动率网络模型。首先运用互信息度量不同股票价格波动之间的相关关系,其次对股票市场不同周期下的波动情况建立度的中心势、平均距离、幂律分布等网络拓扑指标,再次根据这些指标利用Prim算法构建出高维波动率网络模型,最后运用Newman-Girvan算法对股票价格波动率的相关性进行分层研究。高维波动率网络模型突破了传统波动率模型关于变量维数的限制,能够在依赖少量假设的基础上,挖掘出多个金融市场主体间的相互关系,反映金融市场的风险特征及网络拓扑性质。实证结果发现：与常用的Pearson相关系数法相比,在互信息框架下,股价波动的非线性相关关系得到了更好的度量;股票市场的整体波动性与个股波动率相关性变化趋势相反,市场处在高波动时期资产组合分散化效果较好;网络中存在少量度数大的关键节点和中心节点,风险通过这些节点可以迅速传递到整个市场;股票市场的运行具有明显的行业聚集现象;网络分层研究进一步直观的展现了风险在层与层之间的传递规律和与之对应的行业特征。高维波动率网络模型为挖掘股票市场的风险特征与管理金融风险提供了一个新的工具。     

The Nuns of Lepers: Compassion,Discipline and Surrogate Parenthood in a Former Leper Colony of Vietnam

This paper focuses on a Christian model of leprosy care overseen by Catholic nuns in Quy Hòa, a leprosarium in South Central Vietnam, from 1929—when the leper colony was established—until 1975, when the American-backed Southern regime collapsed and all of Quy Hòa’s foreign nuns were forced to leave. Drawing on recollections of elderly residents of the former leprosy colony, it describes the close and loving attention that the nuns offered to inmates, an attentiveness that was informed by the nuns’ ethic of Christian sacrifice. The nuns at Quy Hòa successfully built a quasi parent–child relationship with leprosy-afflicted inmates. Their striking devotion to the ‘lepers’ resembles substitute motherhood. However, these recollections of that era also shed critical light on an approach to leprosy care that was premised on hierarchy, strictly enforced segregation from the wider community and pronounced paternalism towards all those who came under the nuns’ rule of care.     

Eating Morality: Food and the Goodness of Care in Northern Aboriginal Australia

This article contributes to anthropological discussions about care, food and morality by considering the gastro-morality of Yolngu people living in Galiwin’ku in the 2000s. I develop the concept of ‘trans-material morality’ to capture the ways that food takes on material, emotive and ontological forms of morality. Food is central to articulating expressions of care, as well to experiencing feelings of being cared for and, inversely, feelings of not being cared for. This is done by way of the meanings of good and bad that are attached to the food itself and by way of eating and acts of sharing and not sharing. I argue that largely because of food’s capacity to exist as trans-material morality, it is a particularly compelling thing with which to moralise, both in the intimate interactions of day-to-day life and in the grander theorising that human beings undertake to paint a picture of moral change.