Cardiovascular disease is a major complication of type 2 diabetes mellitus. In addition to traditional risk factors, psychological determinants play an important role in CVD risk. This study applied Deep Neural Network to develop a CVD risk prediction model and explored the bio-psycho-social contributors to the CVD risk among patients with T2DM. From 2017 to 2020, 834 patients with T2DM were recruited from the Department of Endocrinology, Affiliated Hospital of Harbin Medical University, China. In this cross-sectional study, the patients' bio-psycho-social (...) information was collected through clinical examinations and questionnaires. The dataset was randomly split into a 75% train set and a 25% test set. DNN was implemented at the best performance on the train set and applied on the test set. The receiver operating characteristic curve analysis was used to evaluate the model performance. Of participants, 272 were diagnosed with CVD. The developed ensemble model for CVD risk achieved an area under curve score of 0.91, accuracy of 87.50%, sensitivity of 88.06%, and specificity of 87.23%. Among patients with T2DM, the top five predictors in the CVD risk model were body mass index, anxiety, depression, total cholesterol, and systolic blood pressure. In summary, machine learning models can provide an automated identification mechanism for patients at CVD risk. Integrated treatment measures should be taken in health management, including clinical care, mental health improvement, and health behavior promotion. (shrink)

Transformational leadership has been becoming increasingly vital to the provision of high-quality health care, particularly during major public health emergencies. The present study aims to investigate the impact of transformational leadership on physicians’ performance and explore the cross-level underlying mechanisms with achievement motivations and coping styles among Chinese physicians. During 2017–2019, 1,527 physicians of 101 departments were recruited from six hospitals in China with a cluster random sampling method. Participants completed several questionnaires regarding their job performance, achievement motivations, coping styles, (...) and transformational leadership. Multilevel mediation effects were tested using cross-level path analysis. The result of this study indicated that transformational leadership was applied well in Chinese medical settings with a score of 101.56 ± 6.42. The hierarchical linear model showed that transformational leadership had a cross-level direct positive effect on physicians’ performance. Furthermore, results of cross-level path analyses revealed that transformational leadership contributed to physicians’ performance by sequentially influencing achievement motivations first and then coping styles. In addition, the path “transformational leadership → positive coping style → physicians’ performance” showed the strongest cross-level indirect effect. In summary, public health leaders should enhance physicians’ performance by promoting individual development, especially achievement motivation and PC style. (shrink)

BackgroundThe therapeutic effect of deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD) is related to the modulation of pathological neural activities, particularly the synchronization in the β band (13–35 Hz). However, whether the local β activity in the STN region can directly predict the stimulation outcome remains unclear.ObjectiveWe tested the hypothesis that low-β (13–20 Hz) and/or high-β (20–35 Hz) band activities recorded from the STN region can predict DBS efficacy.MethodsLocal field potentials (LFPs) were recorded in (...) 26 patients undergoing deep brain stimulation surgery in the subthalamic nucleus area. Recordings were made after the implantation of the DBS electrode prior to its connection to a stimulator. The maximum normalized powers in the theta (4–7 Hz), alpha (7–13 Hz), low-β (13–20 Hz), high-β (20–35 Hz), and low-γ (40–55 Hz) subbands in the postoperatively recorded LFP were correlated with the stimulation-induced improvement in contralateral tremor or bradykinesia–rigidity. The distance between the contact selected for stimulation and the contact with the maximum subband power was correlated with the stimulation efficacy. Following the identification of the potential predictors by the significant correlations, a multiple regression analysis was performed to evaluate their effect on the outcome.ResultsThe maximum high-β power was positively correlated with bradykinesia–rigidity improvement (rs = 0.549, p < 0.0001). The distance to the contact with maximum high-β power was negatively correlated with bradykinesia–rigidity improvement (rs = −0.452, p < 0.001). No significant correlation was observed with low-β power. The maximum high-β power and the distance to the contact with maximum high-β power were both significant predictors for bradykinesia–rigidity improvement in the multiple regression analysis, explaining 37.4% of the variance altogether. Tremor improvement was not significantly correlated with any frequency.ConclusionHigh-β oscillations, but not low-β oscillations, recorded from the STN region with the DBS lead can inform stimulation-induced improvement in contralateral bradykinesia–rigidity in patients with PD. High-β oscillations can help refine electrode targeting and inform contact selection for DBS therapy. (shrink)

Ben shu tan tao le Song Ming li xue yu Ming dai wen xue de guan xi, bing yi ren ge feng fan wei zhong dian shen ru yan jiu le Ming dai wen xue de chuang zuo yu liu bian, jian gou le Ming dai wen xue de chuang zuo yu liu bian jian gou le Ming dai wen xue de fa zhan ti xi, dui Ming dai zhong yao zuo jia, zuo pin ti chu le du dao (...) de kan fa. (shrink)

What kind of impact did social networks of Song literati have on their lives in exile? This paper focuses on Sun Di 孫覿, a prominent literary figure in the Northern to Southern Song transition, and studies his epistolary writings in connection with his banishment to Xiangzhou 象州 in the years 1133 and 1134. Through an in-depth analysis of the contents of his letters, the paper shows how Sun Di established ties with officials in different localities and how he (...) responded to the humiliation of banishment. I argue that Sun Di’s reputation as a literary stylist among his contemporaries helped him to develop a good rapport with local officials, particularly in the Guangnan West circuit, which was essential to creating a relatively comfortable exile journey and a pleasant life during his confinement. This study highlights the value of letters as historical sources pertaining to Song political and literati culture and sheds light on literati responses to life’s many challenges. (shrink)

Ben shu wei "Song Ming shi qi Chang Jiang zhong you de ru xue yan jiu" cong shu zhi yi: ben cong shu shi ren wen she hui ke xue chong dian yan jiu ji di-Wuhan da xue Zhongguo chuan tong wen hua yan jiu zhong xin tou biao, jing jiao yu bu zu zhi zhuan jia ping shen tong guo, zheng shi pi zhun de jiao yu bu ren wen she hui ke xue 2001 nian du zhong da (...) yan jiu xiang mu, xiang mu pi zhun hao shi 01JAZJD720008, ding yu 2004 nian qian hou wan cheng. ke ti zu zhu chi ren wei Guo Qiyong jiao shou, "Jiangxi zhi xue"shi Zhu Xi ti chu de yi ge gai nian, zhu yao zhi chu zi yu Jiangxi Jinxi Lu shi jia zu yi men de xue shuo, qi nei he shi Lu Jiuyuan de xin xue; di 2 quan ze shi you "Song Yuan xue an" suo zai zhi Xiangshan xiong Zhangfu, Suoshan de xue shuo; di 3 quan wei Xiangshan xiong di de di zi men de si xiang. Ben shu quan mian kao cha Jiangxi zhi xue zai Song dai Chang Jiang zhong you xing qi de xue mo yuan yuan, zhu yao xue shuo, yu Luo xue Min xue Zhejiang zhu xue zhe (Lü Zuqian, Yong Shangsi xian sheng deng) zhi jian de guan xi, yi ji qi dui Wang (Yangming) xue xing qi de nei zai guan lian xing, bing yan ji dui xian dai xin ru xue de tan tao. ben shu de xie zuo jiang zhu zhong si xiang kao gu de fang fa, zai quan mian yan jiu you guan dian ji de ji chu shang, dui you guan ren wu de chu sheng di, huo dong de di qu (ru jia zu suo zai cun luo, xue zhe shu xin wang lai, jiang xue, hui jiang, shu yuan deng) jin xing shi di de kao cha, guang fan di yun yong fang zhi, nian pu, shu yuan zhi, jia pu deng cai liao, ba si xiang jia huan yuan yu ju ti huan jing zhi zhong, zai ju ti she hui de li shi de jia zu de bei jing xia kao cha qi si xiang de nei han, jie shi qi jing shen suo zai, bing jin er yin shen chu qi yi yi yu jia zhi. (shrink)

Yung Sik Kim's new book is a welcome addition to the large number of studies of the thought of Chu Hsi, arguably the most important literati thinker in China since the Southern Song dynasty . Chu's ideas became orthodox empire‐wide during the early Ming dynasty , and during the Ming and Qing dynasties millions of candidates for the imperial civil service examinations mastered the “Learning of the Way” associated with Chu and his followers. With the exception of the pioneering (...) study by Yamada Keiji in 1978, nearly all previous accounts of Chu's ideas written by students of Chinese philosophy have emphasized the metaphysical, moral, and epistemological concerns in Chu's writings. Those more concerned with imperial dogma and state power in China since 1400 have tended to paint Chu Hsi's “Learning of the Way” as a monolithic, authoritarian ideology that legitimated the Ming and Qing dynasty rulers politically, socially, and culturally among gentry elites.Kim acknowledges that the core of Chu Hsi's grand intellectual synthesis was focused on moral and social philosophy, but in this book Kim provides compelling information that Chu was also concerned with natural knowledge about the three levels of reality: heaven and earth, the myriad things in the world, and the human realm. Humans thus formed a triad with heaven and earth as the most numinous living thing because they were endowed with the psycho‐physical stuff of ch'i that was most clear and complete. Recognizing no boundary between the physical and the spiritual, Chu Hsi equated human nature with the universe. The basic concepts that informed Chu's natural world were yin‐yang, the five evolutive phases, and the dualism of li and ch'i .Chu Hsi advocated a scholarly agenda that would explain why things and events were as they were. Through the “investigation of things,” the heavenly principle that inscribed the ch'i of each object and event could be discovered. Normally historians of Chinese philosophy stress the place of universal heavenly li in Chu's thought, but Kim makes a concerted effort not to overlook the important place of ch'i as the aggregated collection of stuff in the universe, some dense and falling like the earth, some airy and rising like heaven. Indeed, as important as li was for Chu Hsi's moral philosophy, ch'i was the most important concept he employed to explain natural phenomena, material changes, and earthly events. With no discontinuity between matter and life, or between materiality and mind, Chu's philosophy made no allowance for the Western distinctions between the material and spiritual spheres or between the physical and mental realms.It was precisely such views that troubled the Jesuits such as Matteo Ricci who came to China in the late sixteenth century. Ricci and his European cohort would be condemned in the early eighteenth century by French Jansenists and Spanish Franciscans for their overly accommodational compromises with traditional Chinese religious practices such as ancestor worship, which Ricci interpreted as a civil rite. Nonetheless, when Ricci studied Chu Hsi's moral philosophy and natural thought, he was appalled at its materialism and atheism, which he considered the fault of Buddhism and its impact on Song literati such as Chu Hsi.The “noninertness” of ch'i carried over from the dynamic materiality of all things, including the human mind, to the formless and unfathomable spirits and ghosts that existed in a border area outside the natural realm between heaven and human beings. The dispersion of ch'i upon death could take many forms but, according to Chu Hsi, in the end all such ch'i disaggregated, leaving no ongoing or abiding spiritual form for humans, plants, or animals. The ch'i of the ancestors could be prayed to because the materiality of their descendants was the same ch'i, but even this continuity could not survive more than a few generations. Again, the Jesuits were shocked at this atheistic view of the human soul and its eventual demise materially with no possible eternal life after death.Accordingly, Kim's careful study of what Chu Hsi thought about the natural world makes it evident that most modern studies have elided an essential aspect of traditional Chinese thought, particularly the centrality of ch'i in the dynamic processes of collection and dispersion that produce all things, whether living or inanimate. Students of Chinese philosophy have tended to prioritize those aspects of Chu Hsi's views on universal li and its instantiated forms that are more amenable to a Western, Judeo‐Christian‐Islamic reading drawn ultimately from the debate between Plato and Aristotle over the universal forms of particular things.Modern presentations, in other words, have failed to grasp why a generation of Jesuit scholars who spent their adulthood in China during the seventeenth century found Chu Hsi's views alien and dangerous. Kim deserves credit for going against the tide of twentieth‐century scholarly interpretation and restoring to Chu Hsi those aspects of his natural philosophy that have been conveniently repressed to make his views more palatable. Rather than just the builder of the orthodox brick wall of traditional Chinese moralism, we can see that Chu Hsi's natural philosphy challenged any view of the world that assumed theological differences between life and death, mind and body, or the spiritual and physical. (shrink)

Ben shu zai lüe lun guan zhong yu "Guanzi" de ji chu shang, dui Song yi qian de guan zi yan jiu jin xing liao shu li he tan tao, gou hua chu zai zhe yi shi qi, Guanzi yan jiu de li shi gui ji.

This paper deals with the function of metonymy in A Song of the Sad Coffee Shop (1996), a novel by Taiwan’s woman writer Shao-lin Chu (b. 1966). For my reading of the novel’s narrative, I should like to appropriate a Jakobsonian understanding of metaphoric and metonymic functions. This approach will hopefully help in analyzing the significance of the protagonist’s quest for identification in her trip to Madagascar, in which the juxtaposition of places of similar geographical features works to construct (...) a contiguity between them, and goes on to achieve a rapprochement of mind and body in the practice and process of philosophical cultivation. The protagonist’s trip, as a quest for home and identity, through the metonymic power of identification and localization, finally calls into question the fixity of the concept of home and homeland, the expedition itself turning into a mysterious journey of self-cultivation and home-coming. (shrink)

This paper deals with the function of metonymy in A Song of the Sad Coffee Shop (1996), a novel by Taiwan’s woman writer Shao-lin Chu (b. 1966). For my reading of the novel’s narrative, I should like to appropriate a Jakobsonian understanding of metaphoric and metonymic functions. This approach will hopefully help in analyzing the significance of the protagonist’s quest for identification in her trip to Madagascar, in which the juxtaposition of places of similar geographical features works to construct (...) a contiguity between them, and goes on to achieve a rapprochement of mind and body in the practice and process of philosophical cultivation. The protagonist’s trip, as a quest for home and identity, through the metonymic power of identification and localization, finally calls into question the fixity of the concept of home and homeland, the expedition itself turning into a mysterious journey of self-cultivation and home-coming. (shrink)

This paper deals with the function of metonymy in A Song of the Sad Coffee Shop (1996), a novel by Taiwan’s woman writer Shao-lin Chu (b. 1966). For my reading of the novel’s narrative, I should like to appropriate a Jakobsonian understanding of metaphoric and metonymic functions. This approach will hopefully help in analyzing the significance of the protagonist’s quest for identification in her trip to Madagascar, in which the juxtaposition of places of similar geographical features works to construct (...) a contiguity between them, and goes on to achieve a rapprochement of mind and body in the practice and process of philosophical cultivation. The protagonist’s trip, as a quest for home and identity, through the metonymic power of identification and localization, finally calls into question the fixity of the concept of home and homeland, the expedition itself turning into a mysterious journey of self-cultivation and home-coming. (shrink)

本书是作者的一部遗作。书中对中国国学大师王国维1898-1911年间11种哲学译稿进行了详尽周密考订和主板,可谓王国维研究的可喜成果。作者同时利用加“按”的形式,在许多细微的对比与议论中贯注了自己的审 美意识与世界观,也具有学术价值.

本书主要研究的是心理现象的形式、范围、本质、特征、心身关系、心理内容及其根源等,并对常识心理解释模式和心理学进行哲学反思。.

In lieu of an abstract, here is a brief excerpt of the content:Teaching the Trinity:Scripture and Performance of the Psychological Analogy in Aquinas's Summa TheologiaeZane E. ChuTeaching the Trinity, for St. Thomas Aquinas, takes its point of departure from Sacred Scripture. He makes this explicit at the outset of the Trinitarian treatise in the Summa theologiae, citing Christ's words at John 8:42, "from God I proceeded," and affirming, "divine Scripture in the things of divinity, uses words that pertain to procession."1 (...) The order of teaching then continues through speculative effort to give an account of the scriptural witness to the distinction of persons in God, in order to return to the same Scripture with a deeper grasp of its meaning.2Aquinas is a master of the sacred page, and his basic pedagogy for theology involves the "exercises of Sacred Scripture" of reading, disputing, and preaching.3 Recent scholarship draws attention to his reading of Scripture [End Page 1149] expressed in biblical commentaries as foundational for his teaching and as an interpretive context for his summative works.4 My purpose is to illustrate this basic pedagogy in the Trinitarian treatise of the Summa theologiae, taking the Lectura super Ioannem as an interpretive context for the analogies of word and love—the psychological analogy—for the Trinity. Most scholarly discussion of the psychological analogy elaborates on its theoretical aspects, with some attention to its scriptural foundation.5 I wish to show the priority of Scripture in Aquinas's employment of this analogy in three respects, namely, its foundation in exegesis, performative aspects, and orientation toward preaching.My investigation focuses on question 27 of the prima pars alongside pertinent sections of the Super Ioannem. I argue that citations from the Gospel of John (8:42, 15:26, and 14:16) in the sed contras of articles 1 and 3 function to ground the psychological analogy in scriptural exegesis and to prompt its performance. Turning to the corresponding commentary shows Aquinas leading the student to knowledge of Christ as divine Word and to love of him from the Holy Spirit that both leads to and follows upon such knowledge. This provokes an affective experience of loving Christ in knowing his divinity that is an actual performance of the psychological analogy. The magisterial responses then use this affective experience as a basis to facilitate a grasp of the analogy, the articulation of which is a further guided performance that reflects on this experience. Aquinas teaches the Trinity by exercising the student both affectively and intellectually in its scriptural foundation for a deeper grasp that prepares for preaching. I develop my argument in three [End Page 1150] main steps. First, I specify the place of Scripture in Aquinas's teaching and review the composition of the Trinitarian treatise. Then, I examine the first four articles of question 27 and corresponding sections of the Super Ioannem, in the order of the analogies of word and of love. Lastly, I consider Aquinas's treatment of the Holy Spirit's proper name of Love and subsequent preaching to illustrate Scripture as a point of arrival through performance of the psychological analogy.The Place of Scripture in Aquinas's TeachingFor Aquinas, Scripture is placed within his broader practice of sacra doctrina or holy teaching, attention to which assists in demonstrating how the Johannine citations ground the psychological analogy in Scripture and prompt its performance. Sacra doctrina has a primarily pastoral orientation, namely, to form Dominicans for preaching and hearing confessions.6 Though more speculative than practical, sacra doctrina as speculation or contemplation of the truth of Christian faith contained in Scripture is to be handed on to others.7 This requires training in the scriptural exercises of reading and disputing as preparation for preaching. These may be taken as "spiritual exercises" that engage not only thought, but also affectivity in service of personal transformation for the preacher's way of life.8 Aquinas's practice of sacra doctrina begins with reading Scripture as expressed in biblical commentaries, and develops in the Summa theologiae, which accesses Scripture through citations to offer a summative grasp of the truth contained therein. Here, I review the formal aspects of Aquinas's teaching from Scripture in these texts... (shrink)

The existing scholarship has developed six main explanations to account for the success of the Chinese Revolution, which has been anomalous for major paradigms derived from cross-national comparisons. Methodologically, we use a social geographical approach to test these existing explanations systematically by constructing and analyzing a unique dataset of Communist growth in 93 counties in the three most contested provinces during its most pivotal period of ascendence. Theoretically, we advance and test an alternative perspective, based on the groundwork of Tocqueville (...) and Fei Xiaotong, that integrates the state-centric theory, elite theory, and cultural analysis. Our perspective emphasizes the interplay between state centralization and local elite structure, which leads to intensified state extraction and local elite fracturing, thus creating favorable conditions for revolution. The quantitative analysis strongly supports the importance of the Japanese invasion but provides limited support for many other conventional explanations. The analysis largely confirms the Tocqueville-Fei perspective on state centralization, elite fracturing, cultural change, and revolution. The findings are buttressed by a detailed case study of Lianshui County. The study unveils a common structural challenge that a modernizing state faces in an agrarian status society, to recreate its political legitimacy while disrupting local elite structure. It also sheds historical light on the evolution of state-society relationship through the Chinese Revolution. (shrink)