Search Results (21)

Background: While prenatal diagnosis of congenital heart disease is increasingly common, and communication is essential to minimizing familial stress, little is known about how the fetus is discussed in this setting. This study observed how clinicians and families refer to the fetus during initial fetal cardiology consultations. Methods: Initial fetal cardiology consultations from one institution were recorded and transcribed verbatim. A codebook was developed and used to code the transcripts. Codes included any reference to the fetus and any attribution of agency or mental states to the fetus. Results: Nineteen consultations performed by five clinicians from one academic institution were included. Clinicians and families most frequently referred to the fetus using personal terminology (e.g., third-person pronouns, a given name, or “son” or “daughter”). Impersonal terminology (e.g., “baby”) was used less frequently, followed by medical terminology (e.g., “fetus”), which was only used in two consultations. In about half of the consultations, clinicians conferred agency or mental states on the fetus by attributing actions, emotions, or knowledge to the fetus. Conclusions: Fetal cardiology clinicians primarily use personal terminology when referring to the fetus during initial consultations. Familial preferences need to be evaluated to optimize communication and support. Full article

Advances in AI and Brain–Computer Interfaces (BCIs) like Neuralink’s invite constructive Christian ethical responses that capitalize on these increasingly powerful technologies. This paper offers such a response. Its thought experiment partly draws on Immanuel Kant’s work Religion Within the Boundaries of Mere Reason in which he argues that the Son of God is the prototype of the perfectly good person and, as such, serves as the ideal model for anyone seeking to lead a moral life. Working within this Kantian framework, the anticipated capabilities of BCIs and AI could assist humans make moral progress and support their efforts to imitate the Son of God. These two technologies, coupled with a computer science approach to AI ethics known as Conditional Preference Networks, or CP-nets, offer a path forward. A case study in which a medical doctor with access to only one donor kidney must choose between two patients illustrates how BCIs and AI can help. Full article

Introduction: Pakistan is confronted with the formidable challenge of high population growth, which is compounded by cultural norms that prioritize male offspring, leading to adverse implications for family planning efforts and demographic trends. Despite efforts to promote contraception, including a national family planning program, Pakistan continues to struggle with low and stagnant contraceptive prevalence rates among married women. The influence of gender composition on modern contraceptive uptake remains underexplored, necessitating research to elucidate its impact on reproductive behavior. Materials and methods: This study used the dataset of a facility-based cross-sectional survey conducted in six districts of the Sindh and Punjab provinces in Pakistan. A subset of 495 married women of reproductive age seeking health services from March to June 2019 was used for this study. Logistic regression analysis was employed to examine the association between the gender composition of children and modern contraceptive uptake, adjusting for covariates such as province, the age of the women, and the type of health facility. Results: The analysis revealed a significant association between the gender composition of children and modern contraceptive uptake among married women. As the number of daughters increased without sons, the likelihood of contraceptive uptake remained low (adjusted odds ratio [AOR]: 0.12; 95% CI: 0.04–0.34; p < 0.000), while having at least one son substantially increased the odds of contraceptive use (AOR: 19.91; 95% CI: 8.00–49.50; p < 0.000). Notably, the gender composition of having one daughter with two sons had the highest level of contraceptive uptake, potentially because of family composition preferences. Discussion: The findings highlight the pervasive influence of gender composition on reproductive decision-making in Pakistan, with a clear preference for sons driving modern contraceptive behavior. These results underscore the need for targeted interventions to address gender norms and biases while promoting equitable access to family planning services. Engaging men in family planning initiatives is crucial for challenging traditional gender norms and fostering informed decision-making regarding contraception. Conclusions: Gender preference influences modern contraceptive uptake among women in Pakistan, with the strong preference for sons driving reproductive behavior. Addressing gender norms and biases while promoting informed, self-determined choice is essential for enhancing modern contraceptive uptake and achieving sustainable population growth. Targeted interventions, including male engagement strategies, are needed to challenge societal gender norms and empower individuals to make autonomous decisions regarding family planning. Full article

Gender imbalance and high housing costs are some of the important issues currently facing China, and they are also not in line with the UN’s SDGs, particularly SDG 5, Gender Equality, and SDG 11, Sustainable Cities and Communities. This research examines the influence of gender disparities within the matrimonial arena on housing demand. Data from the 2015 and 2017 editions of the China Household Finance Survey were utilized in this work. The cultural preference for male offspring, coupled with the one-child policy introduced by the Chinese government in 1978, has contributed to the escalating gender ratio in the country. In light of this gender imbalance, it is posited that Chinese families with unmarried male children may endeavor to bolster their sons’ desirability in the marriage market by investing in real estate. The study findings reveal that households with at least one son are more inclined to purchase additional or more spacious residences. This finding substantiates the notion that gender imbalance could be a contributing factor in the escalation of housing prices. Full article

This study focused on the nuanced phenomenon of gendered parenting by exploring how maternal son preference is associated with depressive symptoms among Chinese early adolescents. Focusing on 1093 junior high school students from a relatively affluent city in Western China, this study examined the mediating roles of mother–child attachment and father–child attachment as well as the moderating role of school connectedness in the relationship between maternal son preference and depressive symptoms. The results revealed a noteworthy positive correlation between maternal son preference and depressive symptoms among female adolescents, with no significant association observed in males. In addition, mother–child attachment and father–child attachment mediated the relationship between maternal son preference and girls’ depressive symptoms, supporting the “spillover effect” and “crossover effect”. Moreover, a moderation effect analysis indicated that a higher level of school connectedness can buffer the effect of maternal son preference on girls’ depressive symptoms, while a lower level of school connectedness can enhance the effect of maternal son preference on girls’ depressive symptoms. In addition, maternal son preference was negatively correlated with boys’ depressive symptoms in relation to high school connectedness. These insights help enhance people’s understanding of gendered parenting, emphasizing the enduring necessity of addressing son preference within the broader context of promoting gender equality. Full article

In many forensic cases, the identification of human remains is performed by comparing their genetic profile with profiles from reference samples of relatives, usually the parents. Here, we report, for the first time, the identification of the remains of an adult using DNA from the person’s deciduous teeth as a reference sample. Fragments of a skeletonized and burned body were found, and a short tandem repeat (STR) profile was obtained. A woman looking for her missing son went to the authorities. When the DNA profile of the woman was compared to a database, a positive match suggested a first-degree kinship with the person to whom the remains belonged. The woman had kept three deciduous molars from her son for more than thirty years. DNA typing of dental pulp was performed. The genetic profiles obtained from the molars and those from the remains coincided in all alleles. The random match probability was 1 in 2.70 × 10²¹. Thus, the remains were fully identified. In the routine identification of human remains, ambiguous STR results may occur due to the presence of null alleles or other mutational events. In addition, erroneous results can be produced by false matches with close family members or even with people who are completely unrelated to the victim, such that, in some cases, a probability of paternity greater than 99.99% does not necessarily indicate biological paternity. Whenever possible, it is preferable to use reference samples from the putative victim as a source of DNA for identification. Full article

The Śyāma jātaka is renowned for its portrayal of a devoted son who cared for his blind parents. The story has been translated into various textual versions and depicted in reliefs and murals, gaining wide circulation in the Buddhist world. Previous scholarship on the story’s transmission in China has primarily focused on its representation of filial piety and its resonance with the Chinese context. However, a careful examination of surviving visual depictions of jātaka stories brings to light historical and regional disparities that have often been overlooked in relation to the reception of Śyāma jātaka’s didactic teachings in early medieval China. While the story has flourished in North China (including the Central Plain and the Hexi Corridor) from the late fifth century onwards, it was intriguingly absent from the region during the first half of the sixth century. This absence of the Śyāma jātaka stands in contrast to the popularity of other jātakas such as Sudāna and Mahasattva, which were widely circulated in China. In this article, I explore the uneven adaptation of the Śyāma jātaka within Chinese visual culture by placing the story’s textual and visual traditions within the broader historical milieu of depicting Buddhist stories and filial paragons in the sixth century. My study demonstrates that the story’s theme in multiple dimensions was simplified to filial piety during the textual translation process of the story in third- and fourth-century China. Moreover, it reveals that the story’s visual legacy faced challenges and negotiations when integrating into the local teaching of filial piety. This reluctance can be attributed to two historical factors: the revival of pre-existing visual traditions depicting Chinese filial sons, and the growing preference for other jātakas that embodied teachings on generosity in early sixth-century North China. Furthermore, this study sheds light on the tension between textual and visual traditions when incorporating Buddhist teachings into a new social context. While various rhetoric strategies were developed in text translation to integrate Buddhist teachings into existing Chinese thought, the visual tradition posed separate questions regarding its necessity, the didactic intentions of patrons, and the visual logic understood by viewers. Full article

In 2022, the Nobel Prize in Chemistry was awarded to Bertozzi, Meldal, and Sharpless “for the development of click chemistry and biorthogonal chemistry”. Since 2001, when the concept of click chemistry was advanced by Sharpless laboratory, synthetic chemists started to envision click reactions as the preferred choice of synthetic methodology employed to create new functions. This brief perspective will summarize research performed in our laboratories with the classic Cu(I)-catalyzed azide-alkyne click (CuAAC) reaction elaborated by Meldal and Sharpless, with the thio-bromo click (TBC) and with the less-used, irreversible TERminator Multifunctional INItiator (TERMINI) dual click (TBC) reactions, the last two elaborated in our laboratory. These click reactions will be used to assemble, by accelerated modular-orthogonal methodologies, complex macromolecules and self-organizations of biological relevance. Self-assembling amphiphilic Janus dendrimers and Janus glycodendrimers together with their biological membrane mimics known as dendrimersomes and glycodendrimersomes as well as simple methodologies to assemble macromolecules with perfect and complex architecture such as dendrimers from commercial monomers and building blocks will be discussed. This perspective is dedicated to the 75th anniversary of Professor Bogdan C. Simionescu, the son of my (VP) Ph.D. mentor, Professor Cristofor I. Simionescu, who as his father, took both science and science administration in his hands, and dedicated his life to handling them in a tandem way, to their best. Full article

Eldercare is a major public health concern in many East Asian countries, including Japan, because of the ever-growing elderly population, and significant changes in family caregiving norms. The changes are due to global diffusion and the influence of socioeconomic and demographic shifts. Consequently, perceptions of the norm of family caregiving need investigation. We examined how demographic and socioeconomic factors influence the perception of family caregiving norms in Japan, using data from Osaka University’s preference parameter study. According to the results of the probit regression, age, education, full-time employment, marital status, the number of sons and daughters, interactions between females and age and females and full-time employment, and parents’ education are negatively related to the participants’ perceptions of family caregiving norms. Our results suggest that people traditionally perceived as caregivers are less likely to have a positive attitude towards family caregiving, despite the government’s efforts through Universal Long-Term Care Insurance, implemented in 2000. Therefore, authorities must reassess the role of families, explore alternative forms of community-based care, and provide more assistance to caregivers. Full article

The causal link between family size and human capital investment in children is critical for family planning policy. However, empirical studies aiming to test the quantity–quality trade-off are far from sufficient. This paper tried to estimate the family-size effect on intergenerational income mobility using China Family Panel Survey (CFPS) data. The empirical model of intergenerational income mobility with respective to family size was formulated, and the fertility rates allowed by family planning policy were used as an instrument variable for family size. It was found that intergenerational income elasticity tended to decrease with an increase in family size. The impact of family size on intergenerational income elasticity was sensitive to the income rank positions, and nonlinearity in intergenerational transmission of income under unequal family was observed. A quantity–quality trade-off analysis was applied to further test the family-size effect. Pronounced family-size effects were observed in low-income regions with tight budget constraints and in regions with less-developed credit markets, followed by an obvious quantity–quality trade-off. The sex difference in intergenerational transmission of income may be attributed to the existence of the “preference to sons over daughters” phenomenon. The present work provides a theoretical basis for shaping family planning policies toward sustainability. Full article

Overwork is one of the risk factors for the work-related burden of disease. In China, nearly a quarter of migrant women are overworked. Working long hours can significantly increase the possibility of migrant women suffering from hypertension and hyperglycemia. The phenomenon of overtime work of migrant women and their health conditions deserves attention. Based on the China Migrants Dynamic Survey in 2016, this study indicates that giving birth to a boy may exacerbate overtime work among migrant women and having more boys in a family increases the probability of women’s overwork. Empirical results confirmed the existence of son preferences in China. Compared with women who gave birth to boys, women who gave birth to girls have a lower probability of being a workaholic due to a future fertility plan. Furthermore, the overwork of women is also due to the great economic burden on families to buy a wedding house, brought on by the birth of boys. To overcome the endogenous problem caused by this omitted explanatory variable, this study uses each province’s relative sex ratio at birth in 2010 as the instrumental variable of the firstborn’s gender. The IV results illustrate that the birth of boys still significantly exacerbates women’s overwork. Furthermore, considering age heterogeneity, the influence of son preference on women’s overtime work exists throughout their labor life cycle. This paper provides a new perspective for understanding migrant women’s overtime work and their health issues in urban China. Full article

The Seventh National Population Census, recently conducted in 2020, reported the most up-to-date information on the size, structure, and distribution of China’s population. The results showed that the gender imbalance in China is still severe compared with the international standard. With the aim of understanding what has contributed to China’s gender imbalance, this study examined a range of potential influencing factors and measured the extent to which they have affected China’s sex structure. We gathered data from 3100 citizens (100 surveys from each provincial-level administrative region in mainland China); the useful response rate was 87.5% (2713/3100). We relied on statistical analysis to investigate the phenomenon of male preference in China and used a logit regression to analyze the factors associated with this result. We inspected the factors associated with the perception according to gender, age, annual income, living location, educational level, nationality, family contribution, the ideology of being supported by sons, social status, ability to generate money, and carrying on the family name. The results showed that, among these factors, the relationship of family contribution, the ideology of being supported by sons, and carrying on the family name with male preference was significant. This study is among the first to explore the factors affecting male preference that could have resulted in China’s gender imbalance. The findings of this research are also important as references for the development of the population strategy and policy instruments used to manage the demographic problems in China. Full article

Previous studies have indicated gender-based discriminatory practices as a result of son preference up to the first half of the 20th century in Greece. Demographic indices calculated from published vital statistics, such as sex ratios at birth and at childhood, were distorted to such an extent that certain scholars suggest that this distortion was due to sex-selective infanticide and neglect of the girls. Although we cannot exclude this possibility, the aim of this paper is to assess to what extent under-registration of female births (in the civil registration system) and under-enumeration of females (in censuses) accounted for the skewed sex ratios and to pinpoint that gender-based discrimination was not the same all over Greece. There were areas in insular Greece, notably the Ionian islands and the Aegean Archipelago, and one area in mainland Greece (Epirus) where demographic indices imply that gender inequalities were less acute. On the other hand, there were areas in mainland Greece, notably in Thessaly, where sex-differential mortality denotes extremely unequal treatment of girls. Full article

This study aimed to identify differences in factors associated with subsequent childbirth between the marriage years of 1996–2005 (Group 1) and 2006–2015 (Group 2) using the 2015 National Survey. A total of 5097 eligible participants (2492 and 2605 women in each group, respectively) were included. The main variables consisted of demographic characteristics, socio-economic status, value for child and son, and social support for raising child. For statistical analysis, discrete-time hazard models were used. The common factors associated with subsequent childbirth in both groups were son preference (Group 1: HR = 1.16; 95% CI = 1.06–1.27, Group 2: HR = 1.14; 95% CI = 1.04–1.24) and the favorable value on children (HR = 1.12; 95% CI = 1.01–1.25, HR = 1.11; 95% CI = 1.01–1.22). Only in Group 2, age at the first childbirth (HR = 1.35; 95% CI = 1.31–1.39) and more monthly income (≥4600, <6000: HR = 1.18; 95% CI = 1.04–1.33, ≥6000: HR = 1.15; 95% CI = 1.00–1.32) were significantly associated with subsequent children. Whereas, working women (HR = 0.86; 95% CI = 0.78–0.94) were less likely to have subsequent children. To increase fertility in Korea, the government must provide childcare and deal with factors associated with low fertility considering the reduction in role incomparability for women due to changes in demographic characteristics. Full article

Child loss is a rare but traumatic life event that often has a detrimental effect on parental wellbeing. However, parents’ resources and strategies in coping with the stressful child bereavement event may depend on timing of the event. This study intends to examine how parental depression could be aroused by the occurrence and timing of child bereavement, and how the influences vary by child gender. Drawing on the theoretical framework of the stress and life course, and using three waves of data from the China Health and Retirement Longitudinal Study, we find that both the occurrence and timing of child bereavement are significantly associated with parental depression in later life. Bereaved parents are more likely to report depression than non-bereaved parents. Child bereavement in children’s young adulthood is more likely to spark off parental depression than that occurring in children’s midlife or later. Further analysis confirms that the timing effect of child bereavement differs by child gender. Parents whose son died during young adulthood are more likely to report depression than their counterparts whose daughter died. Future studies need to address how to build up a specific social welfare program targeting child bereavement groups in different life stages. Full article