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Relationship between Job Stress and Hypo-high-density Lipoproteinemia of chinese workers in Shanghai： The Rosai Karoshi Study

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chinese Medical Journal 2016年第20期129卷 2409-2415页

作者： Tomohiko Muratsubaki Tomomi Hattori Jue Li Shin Fukudo Masanori Munakata Department of Behavioural Medicine Tohoku University Graduate School of MedicineSendai 980-8575Japan Research Centre for Lifestyle-Related Disease Tohoku Rosai HospitalSendai 981-8563Japan Heart Lung and Blood Vessel Research CentreTongji University School of MedicineShanghai 200092China Division of Hypertension Tohoku Rosai HospitalSendai 981-8563Japan

Background：Karoshi,or death due to overwork,has now become a serious social problem in *** of cardiovascular risks by stress might initiate *** studies have examined the relationship between job stress and obesity,hypertension,and type 2 diabetes mellitus,but less evidence exists for dyslipidemia like hypo-high-density lipoproteinemia （hypo-HDL）.The aim of this study was to investigate the relationship between job stress and hypo-HDL of chinese workers in ***：We studied 2219 chinese workers in Shanghai,who participated in the Japan-China cooperative study for the prevention of karoshi.A questionnaire was administered to examine the lifestyle characteristics,job category,weekly working hours,and job *** demand and job control were quantified using the National Institute for Occupational Safety and Health *** job strain measure was defined by the combination of low job control and high ***-HDL was defined as plasma high-density lipoprotein cholesterol concentration of〈1.04 mmol/L （40 mg/dl）.Multivariate logistic regression analysis was performed for hypo-HDL as a dependent ***：Modified job strain was not related to hypo-HDL either in men or *** men,multivariate adjusted odds ratio （OR） for having hypo-HDL was significantly higher in the lowest job control tertile compared with the highest job control tertile （OR =1.39,95% confidence interval [CI] 1.03-1.87,P =0.034）.In the same model,a similar trend was observed for women,but it did not reach a statistically significant level （OR =1.51,95% CI,0.88-2.56,P =0.132）.Conclusion：A low level of job control but not modified job strain was significantly related to higher prevalence ofhypo-HDL of chinese workers in Shanghai.

关键词： chinese workers Hypo-high-density Lipoproteinemia Job Stress

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Presenting an Artificial Dilemma for the Working Class： On the Narrative Strategy of The Road as a =National Epic＂

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Frontiers of Literary Studies in China-Selected Publications from chinese Universities 2014年第4期8卷 555-574页

作者： Xiaoping WANG Department of chinese Language and Literature Xiamen University Xiamen 361005 China

A new trend has emerged in chinese film over the past two decades in which the story of the working class has been narrated aimed at an authentic representation of the nation＇s socialist past, against the general demonization of the Maoist era. Still, there are a number of problems existed in this cinematic ＂new wave.＂ This paper analyzes a recent example of this tide, The Road （Fangxiang zhi lii, 2006）, and its implications. A careful examination of the film＇s narrative strategy reveals that it is oftentimes entrenched in the bourgeois ideology of ＂human nature,＂ which circumscribes its intended agenda of making a genuine reflection on the past and present of chinese workers. On the surface, this film offers a positive image of the Maoist period by presenting a vivacious revolutionary work ethic in the female protagonist and her master. However, on a deeper level, the film only gives an impression of pity for this wretched workwoman who has completely wasted her life. Her ＂human nature＂ has been distorted by her socialist work ethic that had been inscribed with imprints of Maoism. In the mean time, the movie＇s repetition of political clich6s against revolutionary discourse, and an artificial binarity between socialism and commercial culture, bring out the real effect that rather than departing from stereotypes, it in effect merely perpetuates the popular narrative that has come to stigmatize the Maoist era. By this strategy, the film also evades the responsibility of accounting for the real reason for the gigantic social-political transformation.

关键词： national epic chinese workers narrative strategy The Road,commercial culture

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