青年流动人口教育健康效应及群体差异研究

在“健康中国”战略背景下,如何更充分地发挥青年流动人口的健康人力资本效用,值得关注。本研究基于2014年流动人口动态监测调查社会融合专题调查数据,采用Logistic回归和OLS回归方法,就受教育程度对青年流动人口不同健康指标的影响进行了分析。研究表明：青年流动人口受教育程度由初中向高中提升能够促进正向健康自评,但高等教育加剧了健康随时间推移而变差的感知;女性、农业户籍、80后青年流动人口的健康状况更明显地受到受教育程度的影响。研究建议：通过缩小城乡教育质量差距、加强多元化心理健康支持、提高流动人口社会融合水平等举措,提升青年流动人口的人力资本质量,促进青年流动人口全面发展。     

公共卫生事件风险沟通中社会信任问题研究

在风险社会中,有针对性地进行风险沟通已成为应对风险不确定性的有效手段.随着我国经济的迅速发展,具有"脱域"特质的陌生人社会逐步形成,且移动智能终端进一步普及使得生活场景向虚拟化趋势发展,社会生活现状的改变对风险沟通提出了新要求.应从风险治理、立法完善、专家系统以及公众参与等方面着手完善公共卫生事件风险沟通中的社会信任机...     

论劳动者安全健康权益的保障

保证生命安全是人的最基本需求。“安全发展”体现了科学发展观“以人为本”的本质特征。目前我国安全生产形势十分严峻,伤亡事故频发、职业危害严重,劳动者安全健康合法权益受到侵害。只有实现安全发展,劳动者的生命安全得到切实保障,社会才能和谐稳定,经济才能持续发展。因此,构建社会主义和谐社会,必须从保障劳动者安全健康切身利益这一现实问题入手。     

Overlooking Feigning Behavior May Result in Potential Harmful Treatment Interventions: Two Case Reports of Undetected Malingering

Clinicians tend to overestimate their ability to recognize feigning behavior in psychiatric patients, especially if it concerns patients who have been admitted for observation. Feigning can be either externally motivated (e.g., for financial compensation, known as malingering) or internally motivated (e.g., to assume the “sick role,” known as factitious disorder). Persistent presentation of severe symptoms is usually associated with the factitious disorder. We present two patients with strong external incentives who consistently and convincingly feigned severe psychiatric symptoms during a protracted period of inpatient observation in a specialized center; both were engaged in a procedure for medical asylum. The first case presented with the clinical picture of a psychotic depression with severe motor symptoms, and the second case showed symptoms of a chronic post-traumatic stress disorder with secondary psychotic symptoms. Both cases were thoroughly investigated but feigning was overlooked, and unnecessary and harmful treatment interventions were given. To prevent iatrogenic damage, we recommend a critical attitude that takes malingering as an option into account in settings where patients are often involved in high stake legal procedures. A clinical sign that might indicate feigning is therapy-resistant symptoms. To rule out feigning a comprehensive, multimethod approach is required, but an active stance toward collateral information is essential. Specialized psychological tests may be useful for preliminary screening, but for their use in culturally diverse populations as in refugee mental health more research is needed.     

Evaluating the Potential for Unintentional Occupational Exposure to Fentanyl and Fentanyl Analogues Among Medicolegal Death Investigators and Autopsy Technicians

Recent increases in deaths in the United States from synthetic opioids such as fentanyl and fentanyl analogues (fentanyls) have raised concerns about possible occupational exposures to these potent agents. Medicolegal death investigators and autopsy suite staff might perform job tasks involving exposure to fentanyls. The potential for exposure to fentanyls among medicolegal death investigators and autopsy technicians at a state medical examiner's office was evaluated through review of caseload characteristics, injury and illness logs, and procedures and policies and discussions with management and employee representatives. The evaluation showed that this medical examiner's office had low potential for work-related exposure to fentanyls; its standard operating procedures and personal protective equipment requirements should reduce the potential for occupational exposure. Medicolegal death investigation agencies can develop and implement guidance to control exposures and provide workforce education and training to reduce the potential for work-related exposure to fentanyls.     

Feedback on Forensic Mental Health Assessments in a Juvenile Court Clinic Certification Program

Public-sector mental health systems have set forth specialized practice competencies for forensic mental health clinicians conducting court-ordered examinations. This study examined a sample of feedback letters to clinicians who submitted mid-training and final reports for review as part of the requirements for certification as a juvenile court clinician. The most common feedback points were insufficient/irrelevant historical data, problems with clarity/organization of the report, problems with interview/mental status examination, and problems with competency to stand trial data/opinions. Clinicians had fewer deficiencies in their final report compared to their mid-training report, supporting the perspective that forensic training and supervision is associated with better quality reports.     

Public administration reform for Aboriginal affairs: An institutionalist analysis

Persistent underperformance of public policy and program implementation in Aboriginal affairs is widely recognised. We analysed the results of two case studies of attempted reforms in public administration of Aboriginal primary health care in the Northern Territory, using a framework based on the institutionalist and systemic racism literatures, with the aim of better understanding the sources of implementation failure. Implementation of the agreed reforms was unsuccessful. Contributing factors were as follows: strong recognition of the need for change was not sustained; the seeds of change, present in the form of alternative practices, were not built on; there was a notable absence of sustained political/bureaucratic authorisation; and, interacting with all of these, systemic racism had important consequences and implications. Our framework was useful for making sense of the results. It is clear that reforms in Aboriginal affairs will require government authorities to engage with organisations and communities. We conclude that there are four requirements for improved implementation success: clear recognition of the need for change in ‘business as usual’; sustainable commitment and authorisation; the building of alternative structures and methods to enable effective power sharing (consistent with the requirements of parliamentary democracy); and addressing the impact of systemic racism on decision-making, relationships, and risk management.     

A health management research on the insured group who participate in medical insurance

Taking the insured group who participate in medical insurance as the main subject, Wendeng city carries out the health management and establishes health files for the insured. Through the free health checkup for the high-risk group, the targeted health interventions are conducted according to the physical examination results of those people, and relative health education has achieved satisfying effects. The health education in different western countries has been carried out for more than 20 years, which accumulates a wealth of experiences. However, health education in China has not yet gained sufficient attentions, and to develop the domestic health education becomes an imperative task at present.     

大学校园心理健康文化创建探讨

大学校园文化建设是学生教育工作的重要组成部分,校园文化活动是学生教育的重要载体,创建校园心理健康文化对学生心理健康教育工作有巨大的推动作用。通过对广大高校校园心理健康活动情况的调查,心理健康活动的主要方式具有不同的功能和特点,应该根据实际情况合理运用不同活动方式,创建品牌化的校园心理健康文化。     

公安院校大学生心理健康教育新探

公安院校是培养警察的摇篮,公安院校大学毕业生是警察的主要来源,因此,公安院校大学生的素质直接影响到警察队伍的整体素质.心理健康对公安院校大学生成才具有重要意义,警察职业的特殊性要求公安院校大学生必须具有健康的心理.但是当前,公安院校大学生的心理健康状况并不令人乐观.因此,全面提高公安院校大学生的心理素质,加强心理健康教育,努力提高公安院校大学生的心理健康水平,已成为我国公安院校刻不容缓的重要任务.