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)

In this paper, I first seek a relatively plausible formulation of the safety principle. To this end, I refute a recent form of safety by Duncan Pritchard and then defend another weaker form of safe...

Urban elites and their relative income levels are windows on the emerging socioeconomic order in China. We add to the research literature a new view that economic sectors are the institutional contexts in which different elites seek their material gains. Conducting a trend analysis with 1988 and 1995 national surveys of urban China, we found that political, administrative, and managerial elites maintained consistently higher levels of income relative to professional elites, but this applied mainly to a monopoly sector of industries (...) that were restricted to state operation. Managers in the open industry sector that allowed for free entry and exile experienced income declines relative to professionals within the sector, even though the former had moderately higher income levels than the latter in 1988 and 1995. All elite groups in the monopoly sector retained higher incomes than their counterparts in the open sector in 1995, but not necessarily in 1988. (shrink)

李燕杰(1930~ ),北京人,首都师范大学教授,中华教育艺术研究会常务副理事长,《教育艺术》杂志社社长.

The two-visual-systems hypothesis proposed by Goodale and Milner is a radical one. If it were to be true, then our common sense such as we are acting on what we are perceiving should be completely abandoned. In this paper, I argue that the hypothesis over-generalizes what happens in simple tasks to what happens in complex tasks. By contrast, I demonstrate that what happens in complex tasks is compatible with our common sense. In a word, though what we are acting on (...) may come apart from what we are perceiving in some cases, that is not the whole story. (shrink)

Di yi juan. Si wei xue, yuan li lun he zhe xue juan -- Di er juan. Mei xue juan -- Di san juan. Fu hao fen xi he yu yan fen xi juan -- Di si juan. Wen hua xue yu dao de zhe xue juan -- Di wu juan. Shi wen juan.

政府信用是社会公众对一个政府守约重诺的意愿、能力和行为的评价,是在政治委托—代理关系中产生的代理人信用,反映了公众对政府的信任度。.

This article introduces the problem of inexistence to studies in genre and gender, providing a hermeneutic point of reference for literary history and trans theory. It seeks to negotiate the affinities and disaffinities between queer and trans by foregrounding the latter’s struggle for existence against the former’s mobilization of a rhetoric of negative relationality, while at the same time preserving the bonds of intimacy across and beyond the coalition of LGBTQIA+. Such queer intimacy is read in relation to a haptic (...) technology of queer close reading, enabling differentially sexed bodies to imaginatively inhabit each other. I begin by considering how Djuna Barnes’s close, haptic readings of Henry James and Marcel Proust enact a reversal of sex, but I consider how the affective evidence of these trans moments do not amount to trans existence but raise the ethical necessity of holding open the difference between the ephemeral trans experiences within cis existence and the real struggle for trans existence of trans subjects today. Such a divide, however, is simultaneously held against the moments of intimacy that are capable of being produced across cis and trans subjects through such close reading and cross-inhabitation of bodies. To read trans literary history before trans, I thus propose the notion of trans inexistence through an interpretation of Jacques Maritain’s figure of the “angel” and Hegel’s “beautiful soul.” By situating Barnes’s and Jean Genet’s own characterizations of their transfeminine characters in terms of the angel in a post-Romantic, Catholic context, I interpret the trans angel as a figure of inexistence, tied to a minimal transcendence from the terms of history and materiality, including the sexed body. Finally, I consider how Genet’s phenomenology of proprioception draws together the problems of queer intimacy, haptic reading, and trans inexistence. In analyzing how Genet and his characters cross-inhabit each other’s bodies via proprioceptive mimicry, I unfold both the vast potential and the limits of the intimacies constructed across cis male and transfeminine lives and the accompanying role played by the literary mode of romance. (shrink)

In this paper, I explore an intriguing view of definable numbers proposed by a Cambridge mathematician Ernest Hobson, and his solution to the paradoxes of definability. Reflecting on König’s paradox and Richard’s paradox, Hobson argues that an unacceptable consequence of the paradoxes of definability is that there are numbers that are inherently incapable of finite definition. Contrast to other interpreters, Hobson analyses the problem of the paradoxes of definability lies in a dichotomy between finitely definable numbers and not finitely definable (...) numbers. To bypass this predicament, Hobson proposes a language dependent analysis of definable numbers, where the diagonal argument is employed as a means to generate more and more definable numbers. This paper examines Hobson’s work in its historical context, and articulates his argument in detail. It concludes with a remark on Hobson’s analysis of definability and Alan Turing’s analysis of computability. (shrink)

This article is based on the author's extensive research on the missionaries to Tibet from the Disciples of Christ USA, and discusses various missionary efforts to transmit scientific and practical knowledge such as medicine, building, and agriculture in Eastern Tibet from 1904–1919. It shows that American missionaries played a prominent and distinctive role in the dissemination of scientific and practical knowledge as a result of their hard work and wisdom. In this sense, they made an important contribution to the development (...) of Tibetan society and the modernization movement in early twentieth-century Eastern Tibet. (shrink)

Elgar Advanced Introductions are stimulating and thoughtful introductions to major fields in the social sciences, business and law, expertly written by the world's leading scholars. Designed to be accessible yet rigorous, they offer concise and lucid surveys of the substantive and policy issues associated with discrete subject areas. Shanyang Zhao provides a unique examination of this evolving topic with a framework to address the common questions: What is self? How is self formed? and Why does self matter? Drawing a (...) fascinating distinction between self and self-concept, Zhao regards both as part of a larger constellation named the 'self-phenomenon.' He separates social determinants of self from neurocognitive prerequisites of self. Focusing on the social determinants, he reviews how social schemas shape self-concept through three intertwined mechanisms and how social resources affect self-conscious action through social position and social capital. Key Features: A clear distinction between self and self-concept A study of the self as both a social product and a social force A new framework for the sociology of the self, built on the foundation of classic works A close examination of three mechanisms of self-concept formation with specifications of the scope conditions under which each mechanism operates An analysis of the distinctiveness of human normative selves through cross-species comparison This Advanced Introduction will provide essential reading for scholars and researchers in sociology, social psychology, and social policy. (shrink)

According to the sensitivity account of knowledge, S knows that p only if S's belief in p is sensitive in the sense that S would not believe that p if p were false. It is widely accepted that the sensitivity condition should be relativized to belief-formation methods to avoid putative counterexamples. A remaining issue for the account is how belief-formation methods should be individuated. In this paper, I argue that while a coarse-grained individuation is still susceptible to counterexamples, a fine-grained (...) individuation makes the target belief trivially insensitive. Therefore, there is no principled way of individuating belief-formation methods that helps the sensitivity account to accommodate different cases. (shrink)

In a recent paper, Francis Y. Lin proposes a “memory-challenge” to two main interpretations of Wittgenstein’s private language argument: the “no-criterion-of-correctness” interpretation and the “no-stage-setting” interpretation. According to Lin, both camps of interpretation fail to explain why a private language is impossible within a short time period. To answer the “memory-challenge”, Lin motivates a grammatical interpretation of the private language argument. In this paper, I provide a critical discussion of Lin’s objection to these interpretations and argue that Lin’s objection fails. (...) In the case of the “no-stage-setting” interpretation, Lin suggests that the private language user can establish a stage within a short time period. However, I show that this stage is insufficient for a private language to be used correctly. In the case of the “no-criterion-of-correctness” interpretation, Lin believes that since memory is reliable within a short period, no criterion is needed for the correct use of a private language. However, I argue that his objection attacks a strawman, since the interpretation concerns the structure of justification, rather than the weakness of memory itself. I conclude with a critical discussion on memory and primitive expressions, the latter of which are crucial to Wittgenstein’s approach to public language. This discussion will help to draw a sharp line between private language and public language, and cast some doubt on Lin’s grammatical interpretation. (shrink)

Statistical distributions play a prominent role for modeling data in applied fields, particularly in actuarial, financial sciences, and risk management fields. Among the statistical distributions, the heavy-tailed distributions have proven the best choice to use for modeling heavy-tailed financial data. The actuaries are often in search of such types of distributions to provide the best description of the actuarial and financial data. This study presents a new power transformation to introduce a new family of heavy-tailed distributions useful for modeling heavy-tailed (...) financial data. A submodel, namely, heavy-tailed beta-power transformed Weibull model is considered to demonstrate the adequacy of the proposed method. Some actuarial measures such as value at risk, tail value at risk, tail variance, and tail variance premium are calculated. A brief simulation study based on these measures is provided. Finally, an application to the insurance loss dataset is analyzed, which revealed that the proposed distribution is a superior model among the competitors and could potentially be very adequate in describing and modeling actuarial and financial data. (shrink)

Addressing the western understanding of the status and nature of animals and the relation of animals to the question of life, this book provides a discourse on animality through an interdisciplinary investigation into various areas of humanities. The nature of animals is explored by drawing on materials from literature, art, religion, philosophy, and political science, focusing on discussions of animality about the classical culture of ancient Greece, metaphysics and its application to debates on life, Martin Heidegger's philosophical theories, and biopolitics. (...) Although the distinctive difference between human beings from animals has long been emphasized, the author argues that they are inseparable from one another to achieve understanding. The interrogation of animality, therefore, provides a new perspective on the nature of human beings in this postmodern era. Academics in western literature, literary theory, literary criticism, and comparative literature will find this work an insightful addition to debates in their respective fields, while it will also help senior university students pursuing their studies. (shrink)

本书包括社会建构论与科学社会研究的转向、科学知识社会学的学术实践、双重黑箱:传统社会学的科学观等。.

《王阳明居黔思想及活动研究》重点研究了居黔时期形成的心即理、知行合一等主要观点，探讨这些观点的形成原因、具体内容及意义；同时，对《五经臆说》之残篇进行研究，以期对阳明思想有更为全面的把握。从被贬赴黔起 ，到离开龙场止，尽可能地弄清居黔活动的相关历史问题，如赴黔时间、居黔时间、离黔时间及原因，在龙场及贵阳的讲学情况、在龙场的生活状况、被贬时龙场驿的情况，试图优选可能还原的居黔活动状况，以期对心学思想的 形成原因有更为清楚的了解。.