Introduction: Probationers, offenders with less serious and non-violent offences, and under statutory supervision, have low levels of self-esteem and physical health, and high level of family conflict, and poorer quality of family relationships. This study examined the effectiveness of the existing probation service and the additional use of a positive family holistic health intervention to enhance physical, psychological, and family well-being in probationers and relationships with probation officers.Methods: Probationers under the care of the Hong Kong Social Welfare Department were randomized (...) into a care-as-usual control group, a brief intervention group receiving two 1-h individual sessions [of a brief theory-based positive family holistic health intervention integrating Zero-time Exercise and positive psychology themes of “Praise and Gratitude” in the existing probation service], or a combined intervention group receiving BI and a 1-day group activity with family members. The outcomes were physical activity, fitness performance, self-esteem, happiness, anxiety and depression symptoms, life satisfaction, quality of life, family communication and well-being, and relationships with probation officers. Self-administered questionnaires and simple fitness tests were used at baseline, 1-month and 3-month follow-up. Linear mixed model analysis was used to compare difference in the changes of outcome variables among groups, adjusted of sex, age, and baseline values. Focus group interviews were conducted. Thematic content analysis was used.Results: 318 probationers were randomized into CAU, BI, or CI group. CAU showed enhanced physical activity, fitness performance and psychological health, and family communication with small effect sizes. BI and CI showed further improved physical activity, family communication and family well-being. Additionally, CI reported greater improvements in the relationships with probation officers than CAU with a small effect size. CI also reported greater increases in physical activity and family communication than BI with small to moderate effect sizes. Qualitative feedbacks corroborated the quantitative findings.Conclusion: Our trial provided the first evidence of the effectiveness of probation service and the additional use of an innovative, relatively low-cost, theory-based brief positive family holistic health intervention. This intervention may offer a new model for enhancing probation service.Trial Registration: The research protocol was registered at the National Institutes of Health. (shrink)

The realist interpretations of quantum theory, proposed by de Broglie and by Bohm, are re-examined and their differences, especially concerning many-particle systems and the relativistic regime, are explored. The impact of the recently proposed experiments of Vigier et al. and of Ghose et al. on the debate about the interpretation of quantum mechanics is discussed. An indication of how de Broglie and Bohm would account for these experimental results is given.

In 2018-2019, at the Keck School of Medicine of the University of Southern California, we developed and piloted a narrative-based health systems science intervention for patients living with HIV and medical students in which medical students co-wrote patients’ life narratives for inclusion in the electronic health record. The pilot study aimed to assess the acceptability of the “life narrative protocol” from multiple stakeholder positions and characterize participants’ experiences of the clinical and pedagogical implications of the LNP. Students were recruited from (...) KSOM. Patients and staff were recruited from the Maternal, Child, and Adolescent/Adult Center for Infectious Disease and Virology at Los Angeles County+USC Medical Center. Ten patients, seventeen students, and ten MCA staff participated in the pilot study. Qualitative methods were used to gather data from students’, patients’, and staff’s perspectives. Three themes emerged from the thematic analysis: patients’ life narratives conveyed their unique life experiences and voices; the protocol could result in wide-ranging effects on HIV care; the LNP enabled students to contribute value to patients’ healthcare. Across groups, participants considered the LNP an acceptable intervention. The LNP, its limitations, and implications for HIV care, narrative medicine, and health information technology are presented. (shrink)

Bohm 's approach to quantum field theory is illustrated through its application to cavity quantum scalar field dynamics. Specific calculations demonstrate how the evolution of the well-defined scalar field is governed by the nature of its quantum state. The implications of the nonlocality inherent in quantum mechanics and the meaning of the classical limit are discussed in this context.

The deterministic process of the detection of a single quantum of energy in Bohm's approach to quantum field theory is illustrated using the Jaynes-Cummings model with a scalar field. The nonlocality of differing quantum states of the scalar field is also explored, and this description is compared with the causal picture of an unquantized field acting on the detector.

The phenomenological goal of grounding the content of conceptual thought in the background understanding of everyday, skillful coping was approached using evolutionary autonomous agent methodology. The behavior of an EAA evolved to perform a specified motor task was identified with skillful coping. Changes in the dynamics of the EAA controller occurred when the EAA encountered an unexpected obstacle with loss of longer time scale components in its hierarchical temporal organization. These temporal changes are consistent with the phenomenological changes which we (...) experience with breakdown during equipment use with our adoption of a more immediate, determinate stance. Since this latter experience is the basis of conceptual thought, the EAA paradigm goes some way in providing a naturalized explanation for the grounding of the content of conceptual thought in everyday, skillful coping in a manner that is physiologically plausible and phenomenologically accurate. (shrink)

Background Residual dried blood spots (rDBS) from newborn screening programmes represent a valuable resource for medical research, from basic sciences, through clinical to public health. In Hong Kong, there is no legislation for biobanking. Parents’ view on the retention and use of residual newborn blood samples could be cultural-specific and is important to consider for biobanking of rDBS. Objective To study the views and concerns on long-term storage and secondary use of rDBS from newborn screening programmes among Hong Kong Chinese (...) parents. Methods A mixed-method approach was used to study the views and concerns on long-term storage and secondary use of rDBS from newborn screening programmes among Hong Kong Chinese parents of children 0–3 years or expecting parents through focus groups (8 groups; 33 participants) and a survey (n = 1012, 85% mothers) designed with insights obtained from the focus groups. We used framework analysis to summarise the themes as supportive factors, concerns and critical arguments for retention and secondary use of rDBS from focus group discussion. We used multiple logistic regression to assess factors associated with support for retention and secondary use of rDBS in the survey. Results Both in focus groups and survey, majority of parents were not aware of the potential secondary use of rDBS. Overall secondary use of rDBS in medical research was well accepted by a large proportion of Hong Kong parents, even if all potential future research could not be specified in a broad consent. However parents were concerned about potential risks of biobanking rDBS including leaking of data and mis-use of genetic information. Parents wanted to be asked for permission before rDBS are stored and mainly did not accept an “opt-out” approach. The survey showed that parents born in mainland China, compared to Hong Kong born parents, had lower awareness of newborn screening but higher support in biobanking rDBS. Higher education was associated with support in rDBS biobanking only among fathers. Conclusion Long-term storage and secondary use of rDBS from newborn screening for biomedical research and a broad consent for biobanking of rDBS are generally acceptable to Hong Kong parents given their autonomy is respected and their privacy is protected, highlighting the importance of an accountable governance and a transparent access policy for rDBS biobanks. (shrink)

In the course of an immune response, antibodies undergo affinity maturation in order to increase their efficiency in neutralizing foreign invaders. Affinity maturation occurs by the introduction of multiple point mutations in the variable region gene that encodes the antigen binding site. This somatic hypermutation is restricted to immunoglobulin genes and occurs at very high rates. The precise molecular basis of this process remains obscure. However, recent studies using a variety of in vivo and in vitro systems have revealed important (...) regulatory regions, base motifs that are preferred targets of mutation and evidence that transcription may play an active role in hypermutation. BioEssays 20:227–234, 1998. © 1998 John Wiley & Sons, Inc. (shrink)

Methoden. Im obigen Artikel ist die „Phylogenie des Stammbaumes” untersucht worden. Beginnend mitHaeckel werden 26 Typen phylogenetischer Symbole kritisch besprochen, d.h. nicht die Resultate, sondern nur die Methoden, z.B. bezüglich Systematik und Phylogenie, lebender und ausgestorbener Organismen, geologischer Perioden, Stufen und homologer Variationen, geographischer Verbreitung, Diversität, etwaiger Bedeutung der Einzelheiten, Mono-, Bi- und Polyrheithrie , usw. Der Faktor Zeit wird dabei für phylogenetische Systeme als der wesentlichste betrachtet. Der Autor hat daher in seinen- neuen Darstellungen die Begriffe „Zeit-Stufen” oder „Zeit-Globen-Oberflächen” (...) eingeführt; diese stehen senkrecht zum „Zeit-Radius”. Auf diesem Grunde wird ein neues Kriterium zur Unterscheidung systematischer und phylogenetischer Vorstellungen denjenigen anderer Autoren hinzugefügt. Erläuterungen. Nach einer Übersicht über die besprochenen Schemen im 1. Teil werden die Verhältnisse zwischen systematischen und phylogenetischen Darstellungen sowie die Verbindung ihrer Symbole untersucht. Es wird gezeigt, dass viele Einzelheiten solcher Konstruktionen oft, wissentlich oder unwissentlich, keine bestimmte Bedeutung haben. Der Verfasser hat versucht zu zeigen, dass es erwünscht wäre, möglichst mit allen Einzelheiten einer symbolischen Darstellung irgendeine Bedeutung zu verbinden: Linien und Entfernungen in der Ebene, Winkel in räumlichen Schemen. Die letztgenannten werden besonders für solche Arten von phylogenetischen Systemen empfohlen, bei denen der Faktor Zeit stets eine der Dimensionen bildet. Dieser Grundsatz wird mit der Evolution systematischer Einzelheiten in Verbindung gebracht, und Merkmals-Phyletik, homologe Variationen, Stufen, Polyrheithrie, Analogie und Homologie, Konvergenz und Verwandtschaft, etc. werden kurz im Lichte der Vererbungslehre besprochen. Es istHayata's extrem dynamischen Ansichten zu verdanken, dass das Statische in den systematischen und phylogenetischen Darstellungen aufgelockert worden ist. Méthodes. Dans l'article inséré ci-dessus il s'agit de ce qu'on pourrait appeler „la phylogénie de l'arbre généalogique”. En commençant parHaeckel , l'auteur discute 26 types divers de symboles phylogénétiques, c.à.d. seulement les méthodes , par exemple en ce qui concerne la taxonomie et la phylogénie, les organismes récents et éteints, les périodes géologiques, les niveaux et les variations homologues, la distribution géographique, la diversité, la signification éventuelle des détails, la mono-, bi- et polyrheithrie , etc. Le Temps est considéré comme l'élément le plus essentiel dans tout système phylogénétique. Par conséquence, l'auteur a introduit dans ses nouvelles représentations les idées de „Niveaux” ou de „Surfaces des Sphères du Temps” qui sont imaginés perpendiculaires au Radius-Temps. Dans l'ordre de ces idées un nouveau critère est ajouté à ceux donnés par d'autres auteurs pour la distinction des systèmes taxonomiques et des représentations phylogénétiques. Justifications. Après une récapitulation des systèmes, énumérés dans la première partie, les relations des constructions taxonomiques et phylogénétiques, ainsi que les connections de leurs symboles sont discutées. Souvent plusieurs détails sont, sciemment ou insciemment, dépourvus de toutes signification. L'auteur a essayé de démontrer qu'il serait désirable d'attribuer autant que possible de significations définies au détails d'une représentation symbolique de la nature décrite: aux lignes et aux distances dans le plan, aux angles dans l'espace. Les constructions tridimensionales sont particulièrement recommandées pour plusieurs systèmes phylogénétiques; dans de tels systèmes le Temps devrait toujours remplir la fonction d'une des dimensions. Ce principe est mis en rapport avec l'évolution des unités taxonomiques; phylogénie des charactères, variations homologues, niveaux, polyrheithrie, analogie et homologie, convergence et relations héréditaires, tous ces sujets sont brièvement discutés dans leurs rapports avec la Génétique. Selon l'opinion de l'auteur, c'est aux idées ultra-dynamiques d'Hayata que la taxonomie et la phylogénie doivent la pénétration féconde du dynamisme dans leurs systèmes trop souvent statiques. (shrink)

Turn taking is observed in many field and laboratory settings captured by various widely studied 2 × 2 games. This article develops a repeated game model that allows us to systematically investigate turn-taking behavior in many 2 × 2 games, including the battle of the sexes, the game of chicken, the game of common-pool-resources assignment, and a particular version of the prisoners’ dilemma. We consider the “turn taking with independent randomizations” (TTIR) strategy that achieves three objectives: (a) helping the players (...) reach the turn-taking path, (b) resolving the question of who takes the good turn first, and (c) deterring defection. We determine conditions under which there exists a unique TTIR strategy profile that can be supported as a subgame-perfect equilibrium. We also show that there exist conditions under which an increase in the “degree of conflict” of the stage game leads to a decrease in the expected number of periods in reaching the turn-taking path. (shrink)

Concerns about exploiting the poor or economically disadvantaged in clinical research are widespread in the bioethics community. For some, any research that involves economically disadvantaged individuals is de facto ethically problematic. The economically disadvantaged are thought of as “venerable” to exploitation, impaired decision making, or both, thus requiring either special protections or complete exclusion from research. A closer examination of the worries about vulnerabilities among the economically disadvantaged reveals that some of these worries are empirically or logically untenable, while others (...) can be better resolved by improved study designs than by blanket exclusion of poorer individuals from research participation. The scientific objective to generate generalisable results and the ethical objective to fairly distribute both the risks and benefits of research oblige researchers not to unnecessarily bar economically disadvantaged subjects from clinical research participation. (shrink)

This paper explores the evolution of the Universal Declaration on Bioethics and Human Rights , which was adopted by the United Nations Educational, Scientific and Cultural Organization in 2005. While the draft UDBHR generated controversy among bioethicists, the process through which it evolved excluded mainstream bioethicists. The absence of peer review affects the declaration’s content and significance. This paper critically analyses its content, commenting on the failure to acknowledge socioeconomic and other factors that impede its implementation. The UDBHR outlines ideal (...) standards but fails to provide guidance that can be readily applied in different settings. It strives for universality but does not contribute to understanding of universal or global bioethics.The Universal Declaration on Bioethics and Human Rights was developed through multinational consultation over several years. It was officially adopted by the United Nations Educational, Scientific and Cultural Organization in October 2005.1 This paper explores the process of drafting the UDBHR, critically analyses its content and considers its status in the context of global bioethics. It comments on the UDBHR’s failure to acknowledge or respond to socioeconomic and other factors that impede attempts to implement it. The paper concludes that the process of drafting the declaration excluded a necessary group of stakeholders and that the UDBHR therefore fails to provide the guidance it aims to offer.Identifying a need to develop universally applicable ethical guidelines within a context of cultural pluralism, Unesco began developing a draft Declaration on Universal Norms on Bioethics. A near final draft was posted on Unesco’s website in February 2005 and replaced in June 2005 with the version subsequently adopted as the UDBHR. Stakeholder consultation on the draft involved hundreds of people in many diverse nations. These were seemingly limited to consultations with Unesco affiliates, however, and public comment was not solicited. …. (shrink)

In this dialogue Plato shows the pretensions of the leading sophist, Protagoras, challenged by the critical arguments of Socrates. The dialogue broadens out to consider the nature of the good life and the role of intellect and pleasure.

Education is so strongly emphasized in the Chinese culture that academic success is widely regarded as the only indicator of success, while too much physical activity is often discouraged because it drains energy and affects academic concentration. This study investigated the relations among academic achievement, self?esteem, school conduct and physical activity level. The participants were 333 Chinese pre?adolescents (aged 8?12) in Hong Kong. Examination results and conduct grades were obtained from the school records. Global self?esteem was measured with the Physical (...) self?description questionnaire (PSDQ), while physical activity patterns of the children were assessed with the Physical activity questionnaire for children (PAQ?C). Results showed that high academic achievers consistently attained better school conduct marks. However, physical activity level was quite an independent entity that was related neither to academic achievement nor school conduct. Furthermore, regression analyses showed that only academically high?achieving boys and physically active boys had higher self?esteem. (shrink)