海南省大学生网络成瘾和心理健康水平研究

以海南省3所高校的421名在校非体育专业本科生为研究对象,并与体育专业本科生的网络成瘾情况进行对比研究,所有数据均采用SPSS11软件进行统计分析。结果表明：体育生的网络成瘾现象均高于文科生和理科生,而文科生又高于理科生;理科生网络成瘾者的心理健康水平均高于体育生和文科生,体育生则高于文科生。     

医疗信息共享对患者转移数量和服务质量水平影响研究

当前我国医院间存在严重的"信息孤岛",医院参与医疗信息共享意愿不高,患者的诊疗信息被静态碎片化储存而无法充分有效地利用。考虑到医院进行医疗信息共享将降低患者转移成本,本文构建一个多阶段双寡头动态博弈模型研究医疗信息共享对医院竞争过程中患者转移数量和服务质量水平决策的影响。首先,根据是否存在转移成本,将患者分为新患者和经验性患者,借助Hotelling模型刻画患者的效用函数,分析患者就诊决策。然后,在政府价格规制和不考虑医院利他性情景下,构建了医院累积期望收益目标函数,使用动态规划方法,求解实现医院累积期望收益最大化的服务质量水平,获得了实现患者相互转移且医院在市场中共存的马尔可夫完美均衡。最后,根据医院参与医疗信息共享后患者转移成本降为零,分析与比较信息共享前后患者转移数量和服务质量水平变化。研究发现：在不同医院间本身存在患者转移背景下,医院参与信息共享后,患者转移数量增加但存在一个上限,增加的转移量与患者在医院间的转移成本呈正相关,与初始感知效用的差值范围呈负相关;医院参与信息共享后,均衡状态下的医院服务质量水平高于信息共享前的服务质量水平。因此,在不改变当前医保支付方式下,要加快推进医疗信息共享,政府部门可以根据医院的患者数量和服务质量水平变化对其进行定期补贴,以激励医院积极参与医疗信息共享,本文给出了这个补贴的量化表达。     

Using In Vitro High‐Throughput Screening Data for Predicting Benzo[k]Fluoranthene Human Health Hazards

Today there are more than 80,000 chemicals in commerce and the environment. The potential human health risks are unknown for the vast majority of these chemicals as they lack human health risk assessments, toxicity reference values, and risk screening values. We aim to use computational toxicology and quantitative high‐throughput screening (qHTS) technologies to fill these data gaps, and begin to prioritize these chemicals for additional assessment. In this pilot, we demonstrate how we were able to identify that benzo[k]fluoranthene may induce DNA damage and steatosis using qHTS data and two separate adverse outcome pathways (AOPs). We also demonstrate how bootstrap natural spline‐based meta‐regression can be used to integrate data across multiple assay replicates to generate a concentration–response curve. We used this analysis to calculate an in vitro point of departure of 0.751 μM and risk‐specific in vitro concentrations of 0.29 μM and 0.28 μM for 1:1,000 and 1:10,000 risk, respectively, for DNA damage. Based on the available evidence, and considering that only a single HSD17B4 assay is available, we have low overall confidence in the steatosis hazard identification. This case study suggests that coupling qHTS assays with AOPs and ontologies will facilitate hazard identification. Combining this with quantitative evidence integration methods, such as bootstrap meta‐regression, may allow risk assessors to identify points of departure and risk‐specific internal/in vitro concentrations. These results are sufficient to prioritize the chemicals; however, in the longer term we will need to estimate external doses for risk screening purposes, such as through margin of exposure methods.     

Feminist power and its implications on Uganda’s malaria communication campaign

This paper examines power and its manifestation in Uganda’s “Stop Malaria Campaign.” It specifically questions the apparent radical feminism, which is conceptualized as a quest for power, and how such excesses drive implementation of the campaign. The paper explains data collected through focus group discussions and key informant interviews using feminist communication theory as informed by the critical ideas of feminism and power. These three ideas help to put into perspective: domination of the campaign by one gender, interpretation of the campaign’s objectives to suit that one gender, and communication methods used in the campaign. Analysis of the above three processes shows that men are the weaker gender in the malaria prevention drive, an idea that has clashed with the existing male chauvinism on which several families still thrive in Africa. A view that radical feminism should be seen as an organized form of power that needs to be checked if Uganda’s malaria communication campaign is to be implemented successfully is herein proposed, along with some solutions to the challenges.     

陕西新型农村合作医疗制度的实证分析

本文利用抽样调查的实证方法,从农户的医疗费用、所遇到的疾病风险和农民获益情况几个方面,具体考察了陕西新型农村合作医疗的运行状况。研究表明,陕西农民对于新型合作医疗有很强的需求,陕西农民的参合率很高,参加新型农村合作医疗制度有助于农民就医。但是,农民对新型农村合作医疗的认知与政府的预期也存在一定差距,经济困难仍然是影响陕西贫困农民不能有效利用卫生资源的主要原因。     

河南省幼儿园园长主观幸福感调查研究

为了解幼儿园园长的心理健康状况，对116名来自河南省18个地市的幼儿园园长进行了主观幸福感的问卷调查，结果表明：幼儿园园长的主观幸福感水平中等偏上；年龄、婚姻状况、收入、任职年限、任教园所性质、级别、规模、地理位置主效应显著。     

Humanitarian response and stress in Kenya: gendered problems and their implications

ABSTRACT

Stress-related conditions such as burnout and post-traumatic stress disorder are a growing concern in the humanitarian sector. Aid workers themselves report not only that mental health problems are common, but that the support they receive from their employers is insufficient. Problematically, the experience of the international aid worker – particularly those who are white and from the global North – is often foregrounded in explaining what constitutes stress and related mental health problems. This indicates a wider problem of what is required of ‘the perfect humanitarian’ – a personality that is gendered and racialised – and how this influences the different experiences and treatment of national and international staff from aid agencies. This article explores the organisational culture and working conditions of humanitarian settings and their impact on the mental health and well-being of staff. It argues that there is a structural dimension to stress that is less to do with external security threats and more to do with the specific infrastructure, policies, and practices of humanitarian operations, with implications for aid workers which cut across dimensions of race, gender, and nationality.     

Open spaces for dialogue promoting mental health as a social work education methodology

ABSTRACT

The authors discuss service user involvement as a key approach regarding training of social workers. In many European Union countries this is a stable practice with a lengthy tradition in research and application. However, in Poland it is almost entirely absent and marginalized. This article presents the results of a participatory action research project conducted at the Institute of Sociology of the Jagiellonian University in Krakow, the objective of which was to identify and critically analyze the key substantive and formal aspects of training of social workers with the participation of individuals with experience of mental illness. This research project adopted an open approach to cognizing reality based on qualitative co-participatory methods. In the conclusion, the authors emphasize that the fundamental criterion for the success of this particular form of training is voluntary and differentiated participation of students—both in the role of people sharing their own experience and as learners—as well as shaping a culture of open dialogue, educational alliances of recognition and recovery, the foundation of which is axiological experience.     

基于可能自我概念的高职生心理健康教育

可能自我概念属于心理学范畴，本文通过分析当前环境下高职生的心理特点，结合可能自我横向和纵向两个方面的内容及其形成原因，介绍了在实际学生工作中如何利用这一概念做好思想教育工作，改善高职生自我认知，从根本上对这一群体给予心灵和行为上的关怀。     

Modeling the Adenoma and Serrated Pathway to Colorectal CAncer (ASCCA)

Several colorectal cancer (CRC) screening models have been developed describing the progression of adenomas to CRC. Currently, there is increasing evidence that serrated lesions can also develop into CRC. It is not clear whether screening tests have the same test characteristics for serrated lesions as for adenomas, but lower sensitivities have been suggested. Models that ignore this type of colorectal lesions may provide overly optimistic predictions of the screen‐induced reduction in CRC incidence. To address this issue, we have developed the Adenoma and Serrated pathway to Colorectal CAncer (ASCCA) model that includes the adenoma‐carcinoma pathway and the serrated pathway to CRC as well as characteristics of colorectal lesions. The model structure and the calibration procedure are described in detail. Calibration resulted in 19 parameter sets for the adenoma‐carcinoma pathway and 13 for the serrated pathway that match the age‐ and sex‐specific adenoma and serrated lesion prevalence in the COlonoscopy versus COlonography Screening (COCOS) trial, Dutch CRC incidence and mortality rates, and a number of other intermediate outcomes concerning characteristics of colorectal lesions. As an example, we simulated outcomes for a biennial fecal immunochemical test screening program and a hypothetical one‐time colonoscopy screening program. Inclusion of the serrated pathway influenced the predicted effectiveness of screening when serrated lesions are associated with lower screening test sensitivity or when they are not removed. To our knowledge, this is the first model that explicitly includes the serrated pathway and characteristics of colorectal lesions. It is suitable for the evaluation of the (cost)effectiveness of potential screening strategies for CRC.