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Cyberbullying Sexism Harassment Identification by Metaheurustics-Tuned eXtreme Gradient Boosting
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作者 Milos Dobrojevic Luka Jovanovic +6 位作者 Lepa Babic Miroslav Cajic Tamara Zivkovic Miodrag Zivkovic Suresh Muthusamy Milos Antonijevic Nebojsa Bacanin 《Computers, Materials & Continua》 SCIE EI 2024年第9期4997-5027,共31页
Cyberbullying is a form of harassment or bullying that takes place online or through digital devices like smartphones,computers,or tablets.It can occur through various channels,such as social media,text messages,onlin... Cyberbullying is a form of harassment or bullying that takes place online or through digital devices like smartphones,computers,or tablets.It can occur through various channels,such as social media,text messages,online forums,or gaming platforms.Cyberbullying involves using technology to intentionally harm,harass,or intimidate others and may take different forms,including exclusion,doxing,impersonation,harassment,and cyberstalking.Unfortunately,due to the rapid growth of malicious internet users,this social phenomenon is becoming more frequent,and there is a huge need to address this issue.Therefore,the main goal of the research proposed in this manuscript is to tackle this emerging challenge.A dataset of sexist harassment on Twitter,containing tweets about the harassment of people on a sexual basis,for natural language processing(NLP),is used for this purpose.Two algorithms are used to transform the text into a meaningful representation of numbers for machine learning(ML)input:Term frequency inverse document frequency(TF-IDF)and Bidirectional encoder representations from transformers(BERT).The well-known eXtreme gradient boosting(XGBoost)ML model is employed to classify whether certain tweets fall into the category of sexual-based harassment or not.Additionally,with the goal of reaching better performance,several XGBoost models were devised conducting hyperparameter tuning by metaheuristics.For this purpose,the recently emerging Coyote optimization algorithm(COA)was modified and adjusted to optimize the XGBoost model.Additionally,other cutting-edge metaheuristics approach for this challenge were also implemented,and rigid comparative analysis of the captured classification metrics(accuracy,Cohen kappa score,precision,recall,and F1-score)was performed.Finally,the best-generated model was interpreted by Shapley additive explanations(SHAP),and useful insights were gained about the behavioral patterns of people who perform social harassment. 展开更多
关键词 Coyote optimization algorithm NLP TF-IDF BERT XGBoost online harassment and cyberbullying metaheuristics
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Analysis on the Ways to Prevention and Cure of Sexual Harassment On the Campus under the Perspective of Gender Equal Education 被引量:2
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作者 Jiangbing Wang 《International Journal of Technology Management》 2013年第10期73-75,共3页
Sexual harassment on campus has increasingly become the focus of widespread attention from all walks of life. The special identity of subject and object of sexual harassment on campus, concealed action, long cycle, ma... Sexual harassment on campus has increasingly become the focus of widespread attention from all walks of life. The special identity of subject and object of sexual harassment on campus, concealed action, long cycle, mainly come from the idea of a deep dilemma, namely the lack of social gender equity. And the first premise to realize social gender equality is to ensure the education gender justice. Therefore, we need to draw lessons from the experience of the gender equality education in Taiwan, clear the social differences in the mind, respect for diverse gender culture; At the legislative level, improve laws and regulations, safeguard formal sources of law; At the system level, set up specialized agencies, through the permeability of course teaching, the strengthening of construction of teaching staff and the academic research, systematically discuss the effective path to construct mechanism of campus sexual harassment prevention. 展开更多
关键词 sexual harassment on campus gender equity education prevention and control mechanism.
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Study of Descriptive Determinants of Moral Harassment at Work in a Factory in Senegal
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作者 Abou Sy Ekué Kafui Kokou +6 位作者 Jean Augustin Diegane Tine Ndeye Amelie Makareme Sy Aissatou Diallo Ibrahima Seck Mor Ndiaye Taiwo Lateef Sheikh Mamadou Habib Thiam 《Health》 2020年第2期106-117,共12页
Introduction: Globalization and the attendant contemporary system of work organization, industrial competitiveness and workplace hostility could be a source of stress. Behaviors considered to be hostile tend to consti... Introduction: Globalization and the attendant contemporary system of work organization, industrial competitiveness and workplace hostility could be a source of stress. Behaviors considered to be hostile tend to constitute the foundation on which moral harassment at work rests and contributes significantly to work place mental health. Methodology: We conducted a quantitative, cross sectional descriptive study between April 1 and June 30, 2018 at the Grands Moulins de Dakar “GMD”. We used a questionnaire containing the socio-demographic data to which we added the Masson Meret and Steiner questionnaire called, “Ambiance in professional environment”. We used the Epi info software for data entry and analysis. Results: Sample population was 100 subjects with average age of 42.18 years ± 7.6, a male predominance of 91% and average length of service in the company was 15.27 years ± 10.1. Hostile behavior was more frequently reported than stress, with 49% and 28% respectively. Among the hostile behavior we found criticism in the professional field in 35% of the cases and rumors mongering was observed in 25% of the cases. The most reported stress symptom was general fatigue (45%), hostile behavior was more common in males (40 - 49 years of age and those with more than 10 dependents). Of the officers who felt generally unwell, 78.9% were victims of hostile behavior. Conclusion: Hostile behavior forms the basis of moral harassment at work and their devious nature makes them difficult to detect, this contrasts with its harmful consequences on the health of the staff. Potentially harmful workplace stress has become more frequently encountered in the contemporary workplace and has constituted an occupational hazard. The most common symptoms reported are feeling unwell and general fatigue. 展开更多
关键词 Bulling MORAL harassment PSYCHOSOCIAL VIOLENCE Stress Senegal
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Verbal Abuse, Physical Assault, and Harassment in Pediatric Medical Settings: A Nationwide Survey in Japan
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作者 Rie Wakimizu Hinako Kuwahara 《Health》 CAS 2022年第2期177-193,共17页
Background: Verbal abuse, physical assault, and harassment of pediatric healthcare workers by patients and their families have become increasingly serious. These incidents lead to various problems, including the deter... Background: Verbal abuse, physical assault, and harassment of pediatric healthcare workers by patients and their families have become increasingly serious. These incidents lead to various problems, including the deterioration of staff members’ mental health and employee turnover. Methods: This study was conducted as the first Japanese nationwide survey to assess the abuse perpetrated by patients and families and experienced by medical staff in pediatric medical settings in 2018, countermeasures employed, and staff member evaluations of the countermeasures. Results: Responses from 526 facilities were received, clinics accounted for 79.8% of these facilities;88.1% of the respondents were females. Further, 10.5% of the facility staff reported having experienced verbal abuse, violence, or harassment from patients or family members. Of 1103 cases of victimizations, there were 719, 136, and 248 cases of verbal abuse, violence, and harassment, respectively. Manuals and guidelines had been created and training and drill performances were conducted as countermeasures in 10.7% and 9.0% of facilities, respectively;7.3% of staff members felt that the countermeasures were effective, corresponding to 45.6% of the affected staff. Conclusion: The findings suggest the necessity of thoroughly familiarizing staff with existing facility countermeasures as well as introducing new countermeasures such as victimization simulations. 展开更多
关键词 Verbal Abuse Physical Assault harassment Pediatric Medical Setting COUNTERMEASURES
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Female Executives' Experiences of Contrapower Sexual Harassment From Male Subordinates in the Workplace
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作者 Emmanuel Abiodun Fayankinnu 《Sociology Study》 2012年第5期315-329,共15页
This paper examines female executives' experiences of contra-power sexual harassment (CPSH). One hundred and fifteen respondents, consisting of 67 female executives and 48 male subordinates, were purposively select... This paper examines female executives' experiences of contra-power sexual harassment (CPSH). One hundred and fifteen respondents, consisting of 67 female executives and 48 male subordinates, were purposively selected. Both quantitative and qualitative data were utilized. Female executives perceived and experienced three out of the 11 acts-male subordinates grabbing their groins before female executives, male subordinates bragging about their sexual organs as hefty before female executives, and male subordinates bragging about their prowess in bed before female executives-as most sexually harassing And 35~6 of the male respondents reported that they grabbed their groins before female executives, 60.4% bragged of the size of their sexual organs, and 52.1% bragged of their prowess in bed. The focused group discussions (FGDs) revealed that CPSH may induce low job satisfaction, job commitment and reduced productivity, increase feelings of loss of control over the body, destroy gender identity, and increase the tendency to quit the job. Female executives ignored the acts and maintained strict formal relationships with their male subordinates as ways of coping with the acts. Conclusively, as powerful as female executives are in position of authority, they are still powerless as regards CPHS. 展开更多
关键词 Contra-power sexual harassment (CPSH) job satisfaction gender identity
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Law Revised to Battle Sexual Harassment
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作者 RONG JIAOJIAO 《The Journal of Human Rights》 2006年第1期35-36,共2页
As if a special gift for the 10th anniversary of the United Nations Fourth World Conference on Women, convened in Beijing in 1995,China revised its 13-year-old Law on the Protection of Women's Rights' and Inter ests... As if a special gift for the 10th anniversary of the United Nations Fourth World Conference on Women, convened in Beijing in 1995,China revised its 13-year-old Law on the Protection of Women's Rights' and Inter ests on August 28, 2005, to further guarantee gender equality in the country. 展开更多
关键词 Law Revised to Battle Sexual harassment very
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Relief Dilemma of Sexual Harassment in the Workplace and the Way Out of Judgment——Based on Judicial Case Analysis
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作者 王倩 於舒琳 YU Qiming 《The Journal of Human Rights》 2022年第2期401-425,共25页
Through the retrieval of judicial documents involving sexual harassment in the workplace,it is found that the overall number of civil cases caused by sexual harassment in the workplace in China is very small.In relate... Through the retrieval of judicial documents involving sexual harassment in the workplace,it is found that the overall number of civil cases caused by sexual harassment in the workplace in China is very small.In related cases,the proportion of courts identifying sexual harassment in the workplace is low,the proportion of victims suing to protect their rights and interests is low,and the winning rate is also low.The main reason why it is difficult to take legal remedy is that the standards of sexual harassment identification are vague,the collection of evidence is difficult,the standards of proof are different,and it is difficult to take the liability of the employer.Article 1010 of the Civil Code stipulates the definition of sexual harassment and the whole-process prevention and treatment of the employer's obligation,which is significant progress in regulating sexual harassment in the workplace,but cannot completely solve the above problems.Before the legislation is further perfected,it is necessary to clarify the specific identification elements and judgment standards of sexual harassment,clarify the certifying power and proof standards of relevant evidence,and actively explore the path of liability of the employer. 展开更多
关键词 sexual harassment in the workplace difficulty in proof liability of the employer article 1010 of the Civil Code
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黄连温胆汤加减方治疗痰热内扰型高血压病合并睡眠障碍患者有效性与安全性研究
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作者 巫祖强 周慧萍 +4 位作者 邹军 蔡甜 杨顺志 黄深荣 罗爱兰 《广州中医药大学学报》 CAS 2024年第9期2319-2325,共7页
【目的】探索中药复方黄连温胆汤加减方治疗痰热内扰型高血压病合并睡眠障碍患者的有效性和安全性。【方法】将70例痰热内扰型高血压病合并睡眠障碍患者随机分为对照组和观察组,每组各35例。对照组患者给予常规西药治疗,观察组在对照组... 【目的】探索中药复方黄连温胆汤加减方治疗痰热内扰型高血压病合并睡眠障碍患者的有效性和安全性。【方法】将70例痰热内扰型高血压病合并睡眠障碍患者随机分为对照组和观察组,每组各35例。对照组患者给予常规西药治疗,观察组在对照组的基础上联合黄连温胆汤加减方治疗,疗程为4周。观察2组患者治疗后临床疗效总评量表(CGI)的评分情况及治疗前后中医证候积分、匹兹堡睡眠质量指数(PSQI)评分、血压水平、血清同型半胱氨酸(Hcy)、白细胞介素6(IL-6)、白细胞介素10(IL-10)、白细胞介素8(IL-8)水平的变化情况,并评价2组患者的用药安全性。【结果】(1)治疗4周后,观察组的CGI评分为(1.63±0.60)分,较对照组的(2.74±0.82)分有明显降低,差异有统计学意义(P<0.01)。(2)治疗后,2组患者的中医证候积分、收缩压、舒张压和PSQI评分均较治疗前明显降低(P<0.01),且观察组对中医证候积分、收缩压、舒张压和PSQI评分的降低幅度均明显优于对照组(P<0.05或P<0.01)。(3)治疗后,2组患者的血清Hcy、IL-6和IL-8水平均较治疗前明显降低(P<0.01),血清IL-10水平均较治疗前明显升高(P<0.01),且观察组对血清Hcy、IL-6和IL-8水平的降低幅度及对血清IL-10水平的升高幅度均明显优于对照组(P<0.01)。(4)治疗过程中,2组患者均未出现与治疗相关的不良反应和并发症发生。【结论】黄连温胆汤加减方对痰热内扰型高血压病合并睡眠障碍患者具有明确的治疗效果,不仅可以降低患者血压及血清Hcy水平,还能对炎症因子水平进行调控,且具有较高的安全性。 展开更多
关键词 黄连温胆汤加减方 痰热内扰型 高血压病 睡眠障碍 同型半胱氨酸(Hcy) 炎症因子 安全性
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陈玉燕治疗难治性抽动障碍痰火扰神证经验介绍
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作者 马青华 陈玉燕(指导) 《新中医》 CAS 2024年第4期208-211,共4页
介绍陈玉燕主任医师治疗难治性抽动障碍痰火扰神证的临床经验。陈玉燕主任认为难治性抽动障碍患儿大多病程日久,虚实夹杂,不可单纯拘泥于痰火扰神证。急性期应重在治标,以祛邪为主,治以清热豁痰,平肝熄风止动,病位着重于心、肝、脾三脏... 介绍陈玉燕主任医师治疗难治性抽动障碍痰火扰神证的临床经验。陈玉燕主任认为难治性抽动障碍患儿大多病程日久,虚实夹杂,不可单纯拘泥于痰火扰神证。急性期应重在治标,以祛邪为主,治以清热豁痰,平肝熄风止动,病位着重于心、肝、脾三脏。缓解期应标本兼治,治以平肝熄风,兼补益心脾,病位着重于心、脾、肝三脏。巩固期应以治本为主,兼以治标,治以滋水涵木、柔肝熄风,病位责之于肝、肾二脏。同时重视对患儿的心理辅导,不忘对家长进行心理疏导,提醒家长为患儿创造温馨和睦的家庭环境,多角度联合治疗。 展开更多
关键词 难治性抽动障碍 痰火扰神证 陈玉燕
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亚健康失眠的中医辨证分型及临床用药思路
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作者 杨熠文 夏立营 +1 位作者 张建军 杨柏灿 《世界中医药》 CAS 北大核心 2024年第12期1816-1819,共4页
失眠是亚健康状态的主要表现之一。在病因病机上可归于劳逸失度、阴血亏耗,情志不舒、肝郁化火,饮食偏嗜、痰湿内生3方面。在中医证型上可分为心神失养证、火扰心神证、气郁痰阻证3型。针对亚健康失眠的中医保健,应以辨证保健为主结合... 失眠是亚健康状态的主要表现之一。在病因病机上可归于劳逸失度、阴血亏耗,情志不舒、肝郁化火,饮食偏嗜、痰湿内生3方面。在中医证型上可分为心神失养证、火扰心神证、气郁痰阻证3型。针对亚健康失眠的中医保健,应以辨证保健为主结合对症保健。辨证保健上以利尿导热、滋阴降火法清心安神缩短入睡时间,以补虚敛神、益精养血法养心安神维持睡眠深度,以理气化痰、利胆和胃法疏泄通滞调节寐寤表现;对症保健上以重镇与甘缓类药物改善烦躁不宁、心神不安的表现,以导阳入阴药物改善节律紊乱症状,实现辨证、对症相结合。 展开更多
关键词 辨证保健 失眠 亚健康 中药 心神失养证 火扰心神证 气郁痰阻证 对症保健
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清神醒脑汤配合无抽搐电休克治疗双相情感障碍躁狂发作临床研究 被引量:1
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作者 高晓欣 李阳 吴云 《新中医》 CAS 2024年第4期38-42,共5页
目的:观察清神醒脑汤配合无抽搐电休克治疗痰火扰神证双相情感障碍躁狂发作的临床疗效。方法:选取112例痰火扰神证双相情感障碍躁狂发作患者为研究对象,按随机数字表法分为研究组与对照组各56例。对照组给予无抽搐电休克治疗,研究组在... 目的:观察清神醒脑汤配合无抽搐电休克治疗痰火扰神证双相情感障碍躁狂发作的临床疗效。方法:选取112例痰火扰神证双相情感障碍躁狂发作患者为研究对象,按随机数字表法分为研究组与对照组各56例。对照组给予无抽搐电休克治疗,研究组在对照组基础上给予清神醒脑汤治疗。治疗2个月后评价临床疗效,以及治疗前后中医证候评分、Bech-Rafaelsen躁狂量表(BRMS)评分、智力状态量表(MMSE)评分及匹茨堡睡眠质量指数量表(PSQI)评分。结果:治疗后,研究组总有效率为92.86%,对照组为78.57%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组头痛躁狂、彻夜不眠、面红耳赤、两目怒视、骂人毁物、高歌狂呼、狂乱莫制等中医证候评分均较治疗前降低(P<0.05),且研究组上述各项中医证候评分均低于对照组(P<0.05)。治疗后,2组BRMS评分较治疗前降低(P<0.05),MMSE评分较治疗前上升(P<0.05);且研究组BRMS评分低于对照组(P<0.05),MMSE评分高于对照组(P<0.05)。治疗后,2组PSQI评分较治疗前降低(P<0.05),且研究组PSQI评分低于对照组(P<0.05)。结论:清神醒脑汤配合无抽搐电休克治疗有利于减轻痰火扰神双相情感障碍躁狂发作的临床症状,改善患者躁狂程度,提高其认知功能及睡眠质量,临床疗效显著。 展开更多
关键词 双相情感障碍躁狂发作 躁狂症 痰火扰神 清神醒脑汤 无抽搐电休克治疗 Bech-Rafaelsen躁狂量表
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从性别不平等角度思考职场性骚扰的研究述评
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作者 沈云芸 颜烔 《山东女子学院学报》 2024年第2期55-67,共13页
职场性骚扰已成为性别研究的重要议题,作为各国普遍面临的社会问题,其不仅是对社会秩序的挑战,也是对个人权益的侵犯。权力差异与等级制度、组织氛围、性别偏见态度等因素被认为与性骚扰的发生有着密不可分的关系。职场性骚扰不仅对受... 职场性骚扰已成为性别研究的重要议题,作为各国普遍面临的社会问题,其不仅是对社会秩序的挑战,也是对个人权益的侵犯。权力差异与等级制度、组织氛围、性别偏见态度等因素被认为与性骚扰的发生有着密不可分的关系。职场性骚扰不仅对受害者的身心健康与职业发展造成伤害,同时在组织内部也造成恶劣影响,使负面后果扩散到组织和社会层面。聚焦性别不平等角度,通过总结与分析性骚扰的成因、影响因素及相关后果,探讨与展望职场性骚扰的防治与反馈机制,可揭示出女性在职场性骚扰行为中的受害处境及面临的现实伤害。如何建立更好的防治和反馈机制以消除工作场所中的不当性行为,还需进一步深化有关方面的研究。 展开更多
关键词 性骚扰 职场 性别不平等 性别偏见 性与性别
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基于福柯权力理论的女性职场性骚扰及其解决
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作者 岳依泉 《兰州文理学院学报(社会科学版)》 2024年第1期103-109,共7页
职场是性骚扰最常发生的场所之一,职场性骚扰中的绝大部分受害者是女性。根据法国社会学家米歇尔·福柯的理论,职场中的性骚扰本质上是权力关系的体现,是父权制运作支配社会的一个缩影。基于福柯的知识—人体—权力理论,辅以其主体... 职场是性骚扰最常发生的场所之一,职场性骚扰中的绝大部分受害者是女性。根据法国社会学家米歇尔·福柯的理论,职场中的性骚扰本质上是权力关系的体现,是父权制运作支配社会的一个缩影。基于福柯的知识—人体—权力理论,辅以其主体理论,分析职场性骚扰中的权力运行机制,并建立相应的模型以更清晰地阐释权力文化如何通过身体和性支配个人。要解决女性职场性骚扰,就需要唤醒女性的主体意识,解构男性文化对男性自身的“桎梏”,通过社会工作改善职场性骚扰干预效果,不断完善现行法律法规。 展开更多
关键词 职场性骚扰 权力运作 福柯 女性主义
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基于机器学习技术的骚扰电话识别技术研究
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作者 杨双 《电信工程技术与标准化》 2024年第4期75-81,共7页
随着移动通信服务的不断发展,广泛存在的骚扰电话违法行为愈演愈烈,成为当前通信运营商急需解决及优化治理的主要通信违法行为,造成了严重的负面社会影响。本文提出基于机器学习及大数据分析的骚扰电话拨打行为分析的治理方案。方案基... 随着移动通信服务的不断发展,广泛存在的骚扰电话违法行为愈演愈烈,成为当前通信运营商急需解决及优化治理的主要通信违法行为,造成了严重的负面社会影响。本文提出基于机器学习及大数据分析的骚扰电话拨打行为分析的治理方案。方案基于移动通信网络在客户使用过程中产生的各类语音信令数据,通过机器学习技术,对保存在大数据集群上的信令数据进行分析与训练,实现更加精准的骚扰电话分析研判策略制定,形成基于“大数据采集、策略制定、分析研判,封堵处置”的闭环管理流程,达到业务应用优化的目的。 展开更多
关键词 骚扰电话 大数据分析 机器学习 通话行为分析
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美国1972年《教育法修正案》第九章对大学校园性骚扰的规制
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作者 杨婧 《人权法学》 2024年第1期138-158,171,172,共23页
美国法院通过判例确认了1972年《教育法修正案》第九章可以用于规范校园性骚扰。个人有权依据该规定提起校园性骚扰诉讼并获得损害赔偿。目前,美国大部分高校都以《教育法修正案》第九章为依据,制定了符合本校校情的政策。以哈佛大学为... 美国法院通过判例确认了1972年《教育法修正案》第九章可以用于规范校园性骚扰。个人有权依据该规定提起校园性骚扰诉讼并获得损害赔偿。目前,美国大部分高校都以《教育法修正案》第九章为依据,制定了符合本校校情的政策。以哈佛大学为例,该校制定了相关政策,成立了专门机构,为规制校园性骚扰提供了尽可能多的资源和服务,并进一步规范了校园性骚扰的处理程序。在美国规制校园性骚扰的过程中,适用证明标准的选择曾引发争论。公民权利办公室最终确定了高校在标准选择上的自主权,即高校可以自行选择适用优势证据标准或清晰且令人信服的标准来证实性骚扰事实,这可能会导致不同学校之间在性骚扰的认定上存在冲突,不利于大学校园性骚扰问题的解决。为了更好地保护当事人双方的合法权益,应该加大对校园性骚扰投诉处理程序的司法审查力度。 展开更多
关键词 《教育法修正案》第九章 性骚扰 哈佛大学 性别歧视 诉权
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骚扰分析和系统核查方法的电磁兼容传导发射
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作者 吴林喜 《内燃机与配件》 2024年第10期27-29,共3页
针对国标GB/T 18655-2018中汽车部件发射类中的传导发射,分析揭开了测试中的电压法试验本质,分析传导发射测试系统骚扰电压路径,同时针对差模骚扰和共模骚扰路径做了分析,为整改EMI提供了方向和思路,针对电压法系统稳定性和准确性提出... 针对国标GB/T 18655-2018中汽车部件发射类中的传导发射,分析揭开了测试中的电压法试验本质,分析传导发射测试系统骚扰电压路径,同时针对差模骚扰和共模骚扰路径做了分析,为整改EMI提供了方向和思路,针对电压法系统稳定性和准确性提出核查方法,验证了核查中传导发射要注意的事项,并给出了一种系统核查的验证过程,分别对结果进行分析和改进,得出一种保证核查结果对系统的评价比较准确,保证了实验室后期测试数据可对比性和准确性。 展开更多
关键词 电磁兼容 传导发射骚扰 差模干扰 共模干扰 分布电容 传导发射系统核查
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黄连温胆汤辅助丙戊酸钠缓释片治疗痰火扰神型癫痫临床研究
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作者 孙璐璐 《新中医》 CAS 2024年第9期22-25,共4页
目的:观察黄连温胆汤辅助丙戊酸钠缓释片治疗痰火扰神型癫痫的临床疗效。方法:采用随机数字表法将丽水市第二人民医院收治的62例痰火扰神型癫痫患者分为对照组与治疗组各31例。对照组口服丙戊酸钠缓释片治疗,治疗组给予丙戊酸钠缓释片... 目的:观察黄连温胆汤辅助丙戊酸钠缓释片治疗痰火扰神型癫痫的临床疗效。方法:采用随机数字表法将丽水市第二人民医院收治的62例痰火扰神型癫痫患者分为对照组与治疗组各31例。对照组口服丙戊酸钠缓释片治疗,治疗组给予丙戊酸钠缓释片联合黄连温胆汤治疗。比较2组治疗前后中医证候评分、简易智能精神状态检查量表(MMSE)、蒙特利尔认知评估量表(MoCA)、成人癫痫患者生活质量问卷-31-P (QOLIE-31)评分及炎症因子,评估2组临床疗效及不良反应发生情况。结果:治疗组总有效率96.77%,高于对照组77.42%(P<0.05)。治疗后,2组中医证候评分及白细胞介素-6 (IL-6)、白细胞介素-1β (IL-1β)、肿瘤坏死因子-α (TNF-α)水平均较治疗前降低(P<0.05),且治疗组中医证候评分及炎症因子均低于对照组(P<0.05)。2组治疗后MMSE、MoCA、QOLIE-31评分均较治疗前升高(P<0.05),且治疗组MMSE、 MoCA、 QOLIE-31评分高于对照组(P<0.05)。治疗组不良反应发生率6.45%,低于对照组29.03%(P<0.05)。结论:黄连温胆汤辅助丙戊酸钠缓释片治疗痰火扰神型癫痫疗效确切,能够改善患者症状,提升认知功能和生活质量,减少炎性反应,安全性较高。 展开更多
关键词 癫痫 痰火扰神型 黄连温胆汤 丙戊酸钠缓释片 炎症因子
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化痰解郁安神汤联合振腹推拿手法对老年慢性失眠症的临床治疗效果研究
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作者 范佩 杨潇 +3 位作者 李月星 任延昆 袁玉欣 武清敏 《广州中医药大学学报》 CAS 2024年第4期840-847,共8页
【目的】探讨化痰解郁安神汤联合振腹推拿手法对老年慢性失眠症的临床治疗效果。【方法】将94例老年慢性失眠症痰热内扰型患者随机分为观察组和对照组,每组各47例。对照组给予化痰解郁安神汤治疗,观察组给予化痰解郁安神汤联合振腹推拿... 【目的】探讨化痰解郁安神汤联合振腹推拿手法对老年慢性失眠症的临床治疗效果。【方法】将94例老年慢性失眠症痰热内扰型患者随机分为观察组和对照组,每组各47例。对照组给予化痰解郁安神汤治疗,观察组给予化痰解郁安神汤联合振腹推拿手法治疗,疗程为4周。观察2组患者治疗前后中医证候积分、匹兹堡睡眠质量指数(PSQI)评分、阿森斯失眠量表(AIS)评分、疲劳量表-14(FS-14)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分以及血清褪黑素(MT)、多巴胺(DA)、皮质醇(CORT)水平的变化情况,并评价2组患者的临床疗效。【结果】(1)疗效方面:治疗4周后,观察组的总有效率为97.88%(46/47),对照组为87.23%(41/47),组间比较(χ2检验),观察组的疗效明显优于对照组(P<0.01)。(2)中医证候积分方面:治疗后,2组患者的主症积分和次症积分均较治疗前明显降低(P<0.05),且观察组对主症积分和次症积分的降低幅度均明显优于对照组(P<0.01)。(3)相关量表评分方面:治疗后,2组患者的PSQI评分、AIS评分、FS-14评分均较治疗前明显降低(P<0.05),WHOQOL-BREF评分均较治疗前明显升高(P<0.05),且观察组对PSQI评分、AIS评分、FS-14评分的降低幅度及对WHOQOL-BREF评分的升高幅度均明显优于对照组(P<0.01)。(4)血清学指标方面:治疗后,2组患者的血清MT水平均较治疗前明显升高(P<0.05),血清DA、CORT水平均较治疗前明显降低(P<0.05),且观察组对血清MT水平的升高幅度及对血清DA、CORT水平的降低幅度均明显优于对照组(P<0.01)。【结论】化痰解郁安神汤与振腹推拿手法联合治疗方案在老年慢性失眠症痰热内扰型患者中能达到较理想的应用效果,可有效调节患者的中枢神经系统,改善患者的睡眠质量,促进机体疲劳感的消除及生活质量的提升,对提升其整体的失眠治疗效果有重要意义。 展开更多
关键词 老年慢性失眠症 痰热内扰型 化痰解郁安神汤 振腹推拿 睡眠质量 生活质量 褪黑素 多巴胺 皮质醇
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《民法典》视域下“工作场所性骚扰”的用人单位责任 被引量:3
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作者 何霞 冉智勤 《人权法学》 2023年第1期43-60,151,152,共20页
《民法典》第一千零一十条规定了用人单位预防和制止性骚扰的义务,但未明确用人单位未履行义务时应承担的责任。目前,对工作场所性骚扰情形中雇主责任的规制主要形成了职场保护主义与私权保护主义两种模式。以人格权保护与侵权责任为基... 《民法典》第一千零一十条规定了用人单位预防和制止性骚扰的义务,但未明确用人单位未履行义务时应承担的责任。目前,对工作场所性骚扰情形中雇主责任的规制主要形成了职场保护主义与私权保护主义两种模式。以人格权保护与侵权责任为基础的私权保护主义模式在我国后《民法典》时代更具现实可行性。基于用人单位工作场所经营者与管理者的角色定位,用人单位防治性骚扰义务在性质上应属于安全保障义务,体现为应当采取措施保护员工免受工作场所性骚扰这一组织风险。用人单位违反该防治义务应当承担的侵权责任是违反安全保障义务的自己责任、过错责任,而非替代责任。就责任形态而言,用人单位如果没有采取合理有效的预防措施,或者知道或应当知道工作场所中发生了性骚扰,未采取有效措施及时制止该性骚扰行为并救济受害人而导致损害后果发生,则构成《民法典》第一千一百六十九条规定的帮助侵权行为,应当与性骚扰加害人承担连带责任。如果受害人能证明用人单位未尽到防治义务,但不能证明用人单位应承担连带责任的,则可依据《民法典》第一千一百九十八条第二款请求用人单位承担补充责任。在现有的法律体系下明确工作场所性骚扰中用人单位的侵权责任有助于完善工作场所性骚扰治理机制。但对于工作场所性骚扰这一结构性问题,未来仍应以建立多元化的规制体系为努力方向。 展开更多
关键词 《民法典》 工作场所性骚扰 用人单位责任 侵权责任
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反性骚扰强制合规制度研究
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作者 李玉华 冯泳琦 《沈阳大学学报(社会科学版)》 2023年第4期11-19,70,共10页
从保护公民人格尊严、助力企业健康发展与人类文明发展三个方面,阐述建立反性骚扰强制合规制度的必要性。从法经济学和危险控制等理论角度,指出企业应当承担预防制止性骚扰的责任。在微观层面,分析企业构建性骚扰的预防机制、识别机制... 从保护公民人格尊严、助力企业健康发展与人类文明发展三个方面,阐述建立反性骚扰强制合规制度的必要性。从法经济学和危险控制等理论角度,指出企业应当承担预防制止性骚扰的责任。在微观层面,分析企业构建性骚扰的预防机制、识别机制和应对机制的具体内容。在宏观层面,论述国家应尽快确立反性骚扰强制合规制度,将企业反性骚扰作为法定义务,明确相应的法律责任,还应当设立反性骚扰专门机构,加强全社会反性骚扰法治宣传,营造风清气正的职场和社会环境。 展开更多
关键词 反性骚扰 强制合规 举报与调查 专门机构
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