Implementing a college mental health program – an overview of the first twelve months

Objective: To evaluate the demographics and clinical utilization patterns among college students during the initial 12 months of a novel, multi-disciplinary, collaborative, college mental health program (CMHP). Participants: Undergraduate and graduate students receiving treatment at the CMHP from Jan-Dec 2015. Methods: De-identified data was obtained via electronic health records for all students receiving care through the CMHP. Results: 1.2 FTE clinical providers treated 278 undergraduate and graduate students during the year (65.1% < age 26, 53.6% female, 49.6% caucasian). There were 1822 CMHP outpatient visits, 318 other medical visits and 103 total emergency room (ER)/inpatient visits. Ten students were identified as high utilizers of ER/inpatient services, while charges to the CMHP totaled $470,157 and total charges to the Health System were $2,378,315. Conclusions: Students with complex psychiatric/medical co-morbidities received cost effective, convenient and integrative treatment. Over time, we hope to intervene earlier and decrease ER/inpatient visits.     

Towards a sociology of risk work: A narrative review and synthesis

In this article, we define the concept of “risk work,” which aims to make visible working practices to assess or manage risk, in order to subject these practices to sociological critique. This article reviews and synthesizes existing published literature to identify components of risk work: (a) translating risk into different contexts, (b) minimizing risks in practice, and (c) caring in the context of risk. We argue that these three components of risk work raise important tensions for workers that have been inadequately explored in the literature to date. We propose that future research should additionally focus on practitioner subjectivity and identity in risk work. In addition, we argue that comparative research—across type of risk and different contexts—and methodological and theoretical diversity would enhance this emerging field of research.     

论中医学的网络性思维

任继愈认为,中医哲学的科学价值主要表现在两个方面:一是以自然哲学和科学哲学丰富了中国哲学的内涵;二是通过其基本概念和范畴、特有的思维方式和表达方式,为全面把握中国哲学提供了新的视角。刘长林探讨了中医哲学的“元”创性问题,认为中医哲学的认识论从主客相融一体出发,所把握的是事物自然整体层面的规律。运用这些规律可以避免西方科学技术的缺失,并有望实现人与自然、人与社会的和谐发展。张其成将中医学的生命模型概括为“气—阴阳—五行”模型,认为这一关系性思维模式有助于揭示生命的整体性、动态性、开放性、自相似性、自组织性的本质。萧汉明指出,中医学的思维是一种网络型思维,这一具有普遍意义的思维原理,可以解决在宏观调节与总体把握复杂矛盾系统时遭遇到的困扰,进而有助于促进当代哲学的发展。     

贵州苗族聚居区苗族女童教育普及现状及研究状况

鉴于女童教育对妇女人力资源开发的重要地位与作用,坚持促进女童教育均衡发展成为迈向社会主义和谐社会,实现全面小康社会的重要途径。当前民族地区女童教育滞后,对其普及现状及研究状况的切合实际的了解、认识,对民族地区女童教育发展战略研究具有极为重要的现实意义,本文仅就贵州苗族聚居区苗族女童教育为个案进行剖析。     

略论非法行医罪的主观方面

通过我国刑法的罪过理论分析,认为非法行医罪的基本犯罪的主观方面为故意,包括间接故意,并不要求牟利的目的的理解,才符合我国现行刑法的规定。并且,认为本罪的结果加重犯的罪过形式为典型的复合罪过,即过失和间接故意,并给出了自己的理由。     

Development of the Emergency Department Senior Abuse Identification (ED Senior AID) tool

Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.     

川南苗族丧葬仪式中的史诗唱述及音乐样态研究

近年来,苗族史诗及苗族仪式音乐的研究成果很多,但大多侧重对仪式中史诗唱诵的文本译介或价值分析,缺少对音乐的描写及调查研究.我们注意到,苗族史诗的唱述是与其民族的民俗生活环境密切相关.为此,本文结合田野调查资料,聚焦于川南苗族丧葬仪式上苗族史诗的唱述音乐之民俗环境、音乐形态、史诗语言韵律等方面进行分析.研究显示,苗族史诗的唱述音乐作为较特殊类别的仪式音乐,由多种乐器声响和人的声音相交融,是其民族的音乐、语言和信仰观念的综合表达.把握其唱述与传承的相关关系,对拓展民族音乐学的视野具有学术的意义.     

苗族婚姻制度变迁六十年——以贵州省施秉县夯巴寨为例

半个多世纪以来,苗族婚姻制度发生了诸多变迁。本文聚焦于游方、婚姻仪式、两性距离与婚姻限制等要素来揭示婚姻制度的变迁。这些变迁与国家意志、市场原则、大众媒体、社会时尚、科学知识与文化传统等因素相关。这些因素分别作用于婚姻制度的各个层面,并促使其发生牵连性的变迁。     

论少数民族地区非物质文化遗产的保护性旅游开发——以柳州融水苗族系列坡会群为例

非物质文化遗产主要指的是流传民间文化艺术的表现形式或文化空间,存在于居民的日常生产生活中.是他们习以为常的民间活动.但现代化快速发展的社会环境,既对非物质文化遗产造成了一定的冲击,同时也让人们看到了它的另一种价值,作为一类具有旅游价值的文化资源而存在,故而对其进行旅游开发意义重大.本文在详细论述了融水苗族系列坡会群的发展沿革及其文化内涵的基础上.针对当前其发展现状问题,提出了进一步推动融水苗族系列坡会群保护性旅游开发的对策建议.     

Medicare and Amyloid PET Imaging: The Battle Over Evidence

We examine a recent dispute regarding the Centers for Medicare and Medicaid Services’ (CMS) refusal to unconditionally pay for amyloid positron emission tomography (PET) imaging for Medicare beneficiaries being assessed for Alzheimer’s disease. CMS will only pay for amyloid PET imaging when patients are enrolled in clinical trials that meet certain criteria. The dispute reflects CMS’s willingness in certain circumstances to require effectiveness evidence that differs from the Food and Drug Administration’s standard for pre-market approval of a medical intervention and reveals how stakeholders with differing perspectives about evidentiary standards have played a role in attempting to shape the Medicare program’s coverage policies.