国内城市社区健康教育和健康促进研究

分析了我国城市化加速发展过程中出现的城市社区健康问题及其影响因素.在对社区健康教育与健康促进的作用和意义进行探讨的基础上,提出解决这些城市健康问题的根本途径是城市社区健康教育与健康促进策略,并针对我国城市社区健康教育与健康促进的研究和发展现状提出对策建议.     

ICU中机械通气患者胃肠道功能障碍与预后的关系

为了探讨重症加强治疗病房机械通气患者胃肠道功能障碍与预后的关系,回顾性分析了我院中心ICU收治的68例非胃肠道疾病且行有创机械通气治疗超过48h患者的临床资料,并将患者分为胃肠道功能障碍组和非胃肠道功能障碍组,用统计软件分析发生胃肠道功能障碍的相关临床因素及发生胃肠道功能障碍后对病死率的影响。结果显示,统计分析显示胃肠道功能障碍组和非胃肠道功能障碍组在机械通气天数、APACHEⅡ评分、MODS的发生率、病死率间存在明显差异。因此,对危重病患者应重视其胃肠道功能障碍的防治。     

MULTILAYERED SOCIOCULTURAL PHENOMENA: ASSOCIATIONS BETWEEN SUBJECTIVE WELL‐BEING AND ECONOMIC STATUS

In this article, incoherent results of the associations between subjective well‐being and economic status at multiple social levels are shown. Although individual‐level positive associations are shown within developed countries, national‐level associations disappear among developed countries. Group/area‐level associations, meanwhile, do exist within Japanese societies. From these inconsistent phenomena, a sociocultural unit is proposed, within which well‐being of people is collectively shared based on mutual reciprocity. The simple addition of social scientific results themselves cannot reconstruct the whole range of phenomena. Humanities could be considered as the glue, which adds sociocultural meanings to the generalized scientific results.     

Poverty,affect and breaking the cycle: Implementing a ‘vulnerability unit’ in a white working-class community school

Schools serving communities experiencing poverty continue to be challenged as to how to best meet the needs of their pupils. This article documents how educators in one school in Wales developed and implemented a ‘vulnerability unit’ – called The Bridge – which centred on trusting relationships to improve the educational experience for primarily white working-class pupils. In the United Kingdom, the white working class remains the lowest performing socio-economic group. To make sense of the ‘emotional archive’ of the vulnerability unit and how subjects were constituted in this school space, I draw on theories of affect. The investigation considers affective relationships as not only integral to fostering inclusive practices but also closely aligned with physical and social spatiality within the community school. I argue The Bridge is a dynamic space which informs the participants' relationships with themselves and each other. With this in mind, the article contributes to research on the importance of affect and space to inclusive education and pastoral support.     

Modelling perceived risk and trust in driving automation reacting to merging and braking vehicles

Perceived risk and trust are crucial for user acceptance of driving automation. In this study, we identify important predictors of perceived risk and trust in a driving simulator experiment and develop models through stepwise regression to predict event-based changes in perceived risk and trust. 25 participants were tasked to monitor SAE Level 2 driving automation (ACC + LC) while experiencing merging and hard braking events with varying criticality on a motorway. Perceived risk and trust were rated verbally after each event, and continuous perceived risk, pupil diameter and ECG signals were explored as possible indictors for perceived risk and trust.The regression models show that relative motion with neighbouring road users accounts for most perceived risk and trust variations, and no difference was found between hard braking with merging and hard braking without merging. Drivers trust the automation more in the second exposure to events. Our models show modest effects of personal characteristics: experienced drivers are less sensitive to risk and trust the automation more, while female participants perceive more risk than males. Perceived risk and trust highly correlate and have similar determinants. Continuous perceived risk accurately reflects participants’ verbal post-event rating of perceived risk; the use of brakes is an effective indicator of high perceived risk and low trust, and pupil diameter correlates to perceived risk in the most critical events. The events increased heart rate, but we found no correlation with event criticality. The prediction models and the findings on physiological measures shed light on the event-based dynamics of perceived risk and trust and can guide human-centred automation design to reduce perceived risk and enhance trust.     

Forecasting Elections from Voters' Perceptions of Candidates' Ability to Handle Issues

When deciding for whom to vote, voters should select the candidate they expect to best handle issues, all other things equal. A simple heuristic predicted that the candidate who is rated more favorably on a larger number of issues would win the popular vote. This was correct for nine out of ten U.S. presidential elections from 1972 to 2008. We then used simple linear regression to relate the incumbent's relative issue ratings to the actual two‐party popular vote shares. The resulting model yielded out‐of‐sample forecasts that were competitive with those from the Iowa Electronic Markets and established quantitative models. The issue‐index model has implications for political decision makers, as it can help to track campaigns and to decide which issues to focus on. Copyright © 2012 John Wiley & Sons, Ltd.     

Behavioral Health Adjustment in Reserve Component Soldiers During a Noncombat Deployment to Africa

This study benchmarked rates of mental health problems, adjustment difficulties, and perceptions of unit climate among 505 U.S. soldiers (primarily National Guard) deployed to the Horn of Africa in 2012. In addition, the study examined whether differences across these outcomes exist between combat veterans (n = 239) and noncombat veterans (n = 242). Rates of mental health problems among soldiers on this noncombat deployment were lower than rates typically found among soldiers on combat deployments. Furthermore, soldiers without previous combat experience had lower rates of mental health problems and aggression than combat veterans. Similar differences were evident when adjustment difficulties and unit climate variables were compared. Although combat veterans could be valuable in training new soldiers, the results of this study indicate that combat veterans may need more targeted resources to facilitate their adjustment if they are to be optimally utilized.     

Gaze-fixation and pupil dilation in the processing of emotional faces: The role of rumination

Sustained attentional processing of negative information plays a significant role in the development and maintenance of depression. The present study examines the relationships between rumination, a relevant factor in information processing in depression, and the attentional mechanisms activated in individuals with different levels of depression severity when attending to emotional information (i.e., sad, angry and happy faces). Behavioural and physiological indicators of sustained processing were assessed in 126 participants (39 dysphoric and 87 non-dysphoric) using eye-tracking technology. Pupil dilation and total time attending to negative faces were correlated with a global ruminative style in the total sample once depression severity was controlled. Furthermore, in dysphoric participants the brooding component of rumination was specifically associated with the total time attending to sad faces. Finally, bootstrapping analyses showed that the relationships between global rumination and pupil diameter to emotional faces were accounted by total time attending to emotional faces, specifically for participants reporting lower levels of depression severity. The results support the idea that sustained processing of negative information is associated with a higher ruminative style and indicate differential associations between these factors at different levels of depressive symptomatology.     

Parent–child talk and children's understanding of beliefs and emotions

We examined the development of children's understanding of beliefs and emotions in relation to parental talk about the psychological world. We considered the relations between parent–child talk about the emotions of characters depicted in a picture book, false belief understanding and emotion understanding. Seventy-eight primarily Caucasian and middle-class parents and their 3- to 5-year-old children participated (half boys and half girls). The emotions talked about were relatively simple, but the complexity of the situation varied in terms of whether or not an understanding of beliefs was required to understand the emotion. Talk about the belief-dependent aspects of the emotions of picture book characters predicted children's false belief understanding, whereas talk about non-belief-dependent aspects of these emotions predicted children's emotion understanding. We argue that these data suggest that the development of children's understanding of beliefs and emotions is intertwined with learning to talk about the psychological world.