Emotional differences based on comments on doctor-patient disputes with varying levels of severity

BACKGROUND The risks associated with negative doctor-patient relationships have seriously hindered the healthy development of medical and healthcare and aroused wide-spread concern in society.The number of public comments on doctor-patient relationship risk events reflects the degree to which the public pays attention to such events.Thirty incidents of doctor-patient disputes were collected from Weibo and TikTok,and 3655 related comments were extracted.The number of comment sentiment words was extracted,and the comment sentiment value was calculated.The Kruskal-Wallis H test was used to compare differences between each variable group at different levels of incidence.Spearman’s correlation analysis was used to examine associations between variables.Regression analysis was used to explore factors influencing scores of comments on incidents.RESULTS The study results showed that public comments on media reports of doctor-patient disputes at all levels are mainly dominated by“good”and“disgust”emotional states.There was a significant difference in the comment scores and the number of partial emotion words between comments on varying levels of severity of doctor-patient disputes.The comment score was positively correlated with the number of emotion words related to positive,good,and happy)and negatively correlated with the number of emotion words related to negative,anger,disgust,fear,and sadness.CONCLUSION The number of emotion words related to negative,anger,disgust,fear,and sadness directly influences comment scores,and the severity of the incident level indirectly influences comment scores.

The harmonious relationship between land use and environment in Xi’an

In this paper we adopt annual land use conditions change data, land sifting data, social, economic and population data and environment information of nine districts and four counties in Xi＇an city from 1980 to 2000 to analyze its structural and degree change of land use since the 1980s, and calculate the benefits and transformation of land use type. The results show that the non-agricultural land increased rapidly, especially the urban and rural residential spots and industrial and mining （RIM） land use increased mostly rapidly, an increase of 64%. Meanwhile, the intensity of land exploitation was accelerating, land was transformed to industries with better benefit and areas experiencing faster urbanization process. By analyzing the harmonious degree of land exploitation in economic and environmental aspects, we find out that the land use imbalance mainly existed in the municipal area of Xi＇an, and the imbalance index of land use based on GDP and non-agricultural population were respectively 12.37 and 14.67 in 2000, which were far higher than those in other regions. Nevertheless the environmental harmonious degree in the municipal area of Xi＇an ranges between 0.6 and 0.8, which was better than that of suburban area. Some proposals addressing to the problems of harmonious level in all scales, resources utilization, projects management and feasibility analysis and intensive urbanization are also put forward.

Study on the Relationship between Psychological Stress and Doctor-Patient Relationship of Cancer Patients and Their Families

Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.

Spiritual Anamnesis and Doctor-Patient Relationship： Review and Reconstruction of a Daily Routine Instrument

Introduction： spiritual anamnesis is fundamental to familiarity with patient’s beliefs. It enables health professionals to： investigate how patients face the treatment, understand the role and importance of religion in the life of this individual, how much spirituality may interfere in the health-disease process and in the disease experience. It also helps detect spiritual needs and mobilize resources to promote the biopsychosocial and spiritual wellness of the individual. Objective： identify spiritual questionnaires in literature. Methods： This article is a bibliographic review. Researching was on books and electronically based from August to December 2014. PUBMED and SCIELO databases were used in English and Portuguese. Inclusion factors： short, brief and easy to memorize questions to know if the patient’s beliefs interfere in medical treatments and to what extent. Exclusion factors： not try to convert or to interfere with the patient’s rights, not try to influence their beliefs or to make anamnesis on emergency situations or acute medical consultations. Results： based on the questions of seven samples of spiritual questionnaires found in literature, health professionals identified the patient’s spiritual needs and the beliefs likely to interfere in the doctor-patient relationship and in the therapeutic conduct as such. The anamnesis models found converge in some points, but differ mainly as to time excess some questionnaires demand （due to the large number of questions） when compared to others （shorter） and/or when going deeper into a particular aspect of beliefs, leaving some important points out. Conclusion： the anamnesis found are as follows： FICA Questionnaire; HOPE Questionnaire, Kunh’s Spiritual Inventory, CSI-MEMO, ACP Spiritual History, Matthews Spiritual History, Maugans Spiritual History. The main points found in these seven questionnaires are： resources mobilization to meet the patients’ spiritual demands; to what extent spirituality may interfere both in adherence to the treatment and in the clinical treatment and in strengthening the doctor-patient relationship.

Students＇ Healthy Mental Development Is Promoted by a Harmonious Relationship between Teachers and Students

The harmony of a relationship between teachers and students is a powerful promotion to the students＇ mental health. A ＂shared＂ relationship between teachers and students is advocated now. In the construction of a harmonious relationship between teachers and students, the positions of the teachers and students in teaching should be first made clear, and then an effective mental communication between teachers and students is necessarily available.

An Investigation of Medical Students’ Cognition on the Doctor-Patient Relationship and Their Career Choice

Objective:To investigate medical students’cognition on the doctor-patient relationship and its influence on their career choice as well as to provide reference for medical education and communication education.Methods:A self-compiled questionnaire survey was carried out at a medical university in W city,and descriptive statistics as well as chi-square tests were conducted.Results:There were significant differences in medical students’cognition of doctor-patient relationship among different genders,registered residence,only-child status,whose parents are working in the medical field,and their own evaluation of the major(p<0.05);the different cognitions of doctor-patient relationship have a significant influence on medical students’career choice.Conclusion:Medical students’vocational cognition and educational guidance should be strengthened,hospital information should be open and transparent,media reporting of medical events should be standardized,and a doctor-patient conflict regulation mechanism should be established.

构建和谐水城关系的多维度思考

水城关系是影响城市兴衰变迁的重要因素。近年来,随着全球城市化加速及气候变暖,极端气候所引起的雨洪灾害日益频繁,构建和谐水城关系成为保障城市安全健康和可持续发展的关键。主要梳理河南省在构建和谐水城关系方面面临的突出问题,并从水安全、水保护、水治理、水资源利用以及水文化传承等方面提出构建和谐水城关系的相关对策。

基于栅格尺度的黄河流域人地关系时空耦合分析

黄河流域作为中国人口与产业集聚区,其水资源短缺、生态退化、环境污染等问题严重,研究该区域的人地关系对于推进生态保护和高质量发展国家战略具有重要意义。然而面向国土空间规划、生态环境网格化治理等现实需求,目前黄河流域人地关系还缺乏精细栅格尺度研究。使用人类足迹(HF)和生态系统质量指数(EQI)作为人地系统的代理变量,基于Sen+MK趋势检验识别了2000—2020年1km×1km栅格尺度下黄河流域人类活动和生态系统质量时空演化特征,运用四象限图解法量化了两者协调与冲突关系,基于多种回归模型解析了黄河流域人类活动对生态系统质量的影响程度和时空异质性。结果表明,2000—2020年黄河流域EQI和HF整体均呈上升趋势,其中显著上升区域前者占比64.2%,后者占比49.2%。黄河流域人地关系整体呈现协调演化态势,人地协调演化区主要分布在黄土高原、太行山西麓和宁夏沿黄等地区;人地冲突区域仅占7.7%,主要分布在城镇化快速推进地区和上游生态脆弱区。在控制了气温、降水、日照、海拔等自然因子后,HF对EQI仍有显著负向影响,整体看HF每增加1%,EQI将下降0.067%。但这种影响存在时空异质性,人类活动对黄河流域中下游EQI的负向影响更加显著,20年间整个流域的HF对EQI的负向影响呈现缓慢增加态势。为栅格尺度的人地关系研究提供了新的方法论,研究结果为黄河流域人与自然和谐共生的政策制定提供决策支持。

论乡村教师职业角色的脱域区隔与空间重构

乡村教师职业角色涵盖空间性和教育性,对应教师职业角色的工作环境、社会地位体现及自我与他者的期望,需要从乡村的物质空间、社会空间和文化空间出发来审视乡村教师职业角色,才能对其形成较为完整的认识。乡村教师职业角色因而具有了乡土生成的特性、专业性与公共性的双重属性、人己联通对自身价值澄明的秉性。当前,城乡社会发展的二元化分、社会局内外主体的利益博弈、多元价值的冲突等使得乡村教师对其职业角色的认同陷入现代性的困境,具体表现为职业角色人本空心化、职业角色边界泛化、职业价值迷失。突破这些困境,需要从合乎乡土规律的人地互动出发,在递进实现人地厘合、人际协和、人己澄明的基础之上,实现乡村教师职业角色的重新回归。

城水和谐视角下的城市宜居环境营造

城市与自然紧密相连,与河流的关系更为密切。从原始聚落到现代城市,河流一直影响着城市的发展和变迁,城市从依河而建到目前突破大江大河而拥江河发展。城水关系也因江河在城市不同时期发挥作用的不同发生巨大变化,总体上经历了城水共生、城水疏离、城水融合3个阶段,走向和谐是发展的必然趋势。在城镇化2.0阶段,我们应针对前期我国城河发展中面临的问题,利用河流水系重塑城市空间,让河流水系承载城市文化,让河流水系成为市民交往的重要场所,营造生态宜居的城市环境。

高职院校和谐师生关系的构建

高职院校师生关系是高职院校最重要的人际关系。随着新时代的到来,伴随着社会的转型、观念的变化等诸多因素,师生关系也一直在随之发生变化。高职师生关系作为高职教育教学活动中最重要的关系,对于教学活动的完成极其重要。所以,如何化解矛盾、避免冲突、构建和谐的高职师生关系是每一位高职教育工作者必须面对和思考的重大问题。研究如何构建和谐的师生关系非常重要。本文从高职师生关系的特征、师生关系不和谐的原因,构建和谐师生关系的理论三个方面对我国高职院校和谐师生关系的研究进行初步探索。

破除和谐师生关系景观化的迷思

和谐师生关系意指师生间、师生与教育环境间达成的协调统一关系。通过解放固有角色、注重发展过程、体会交互共生,构筑了和谐师生关系的理想样态。和谐师生关系能够促进学生整全发展,驱动教师个体成长,推动教与学的共同进步。但以“有意识的表演和作秀”为特征的景观化现象瓦解了师生关系异质性的发展内核,致使学生的主体性假象被推崇、师生关系的发展过程被虚化、师生关系的育人价值被遮蔽,偏离了和谐师生关系的真实向度。超越景观化现象需复归其中具体的“人”,除了从师生的内在视角提出可行方案,还需要家庭、学校、社会协力共助,通过唤醒师生主观意识与过程性思维,达到和谐师生关系的自主、自觉发展,在彰显育人价值、营造健康氛围的过程中走出和谐师生关系景观化的局限。

马克思“人与自然对象性关系”思想的价值意蕴及其启示

马克思立足感性的对象性活动,批判性考察费尔巴哈“对象性直观的自然”和黑格尔“无人身的理性自然”,揭示人与自然本质上是互为对象的辩证发展关系,拒斥一切把客体或主体绝对化的形而上学迷雾,揭露人与自然遭受资本霸权支配的真实图景,开辟出重建人与自然同生共进关系的现实路径。马克思“人与自然对象性关系”思想破解了西方生态中心论和现代人类中心论主客二分的形而上学迷雾,打破资本逻辑下的生态幻想。新时代,推动人与自然和谐共生的现代化建设,需要秉持马克思“人与自然对象性关系”思想的本真精神,增强“天人合一”的生态思想意识,警惕割裂人与自然关系的思想陷阱;坚持“以人民为中心”的生态价值立场,超越资本逐利的价值诉求;推动经济社会绿色低碳发展,实现自然保护与经济发展的协调统一,真正走向人与自然的和谐共生。

儒家忠恕思想对大学生人际交往的价值

忠恕思想是儒家学说中的核心内容,是处理人际关系的重要原则。“忠”是“己欲立而立人,己欲达而达人”的为人准则,“恕”是“己所不欲,勿施于人”的成事之基,二者一体两面,重在“推己及人”。面对当前大学生人际交往过程中戒备心强、个人中心倾向严重、性格差异较大等问题,儒家忠恕思想对优化大学生人际交往具有重要借鉴意义和实践价值。忠恕之道是“仁爱”思想的实现途径,是提升自身修养的有效方法,也是人与人情感互动的关系准则。在新时代高校大学生人际交往活动中,辩证地认识和运用忠恕思想,有助于解决大学生人际交往问题,建立和谐的大学生人际关系。

唯物史观视域下人与自然和谐共生的现代化的本质探微

人与自然和谐共生的现代化与唯物史观的内在逻辑高度一致:它以“现实的个人”作为逻辑起点,既确立了人的自我生成、自主创造的历史主体地位,又确立了人的历史制约性,强调以生态理性代替经济理性,保障人民环境权益的平等性;它以人与自然的实践关系为认识论基础,肯定人与自然在本体论层面构成生命、生活维度上的共生共荣关系,要求以生产力的绿色转型真正实现生态化和现代化的融通共赢,与欧美国家生态现代化理论存在本质差别;它以“两个和解”作为价值旨归,破除西方资本主义现代化内生性的人类中心主义、物质主义、发展主义、生态异化等诸多积弊,超越资本主义生产方式下人与自然之间虚幻的、抽象的共同体关系,倡导构建“真正的共同体”以实现人与自然、人与人的全面解放。社会主义生态文明与社会主义现代化建设的有机统一是遵循人类历史客观规律的必然选择。

基于社会互构论的和谐警民关系构建——兼论新媒体背景下警察网上话语权建设

社会互构论视角下的警民关系构建大致经历“压制性的警民关系”—“契约性的警民关系”—“互构性的警民关系”三个发展阶段。社会转型期的和谐警民关系构建,在互构背景方面承认传统社会向现代社会转型过程中警民利益的对立矛盾,在互构框架方面强化治理体系和治理能力现代化建设中的复合主体作用发挥,在互构平台方面注重建设连通警察与公众的“联结场域”。在新媒体背景下,公安机关和警察队伍面临舆论弱势困境,可通过增强政治引领感召力、政法话题原创力、平台合作影响力、“引关圈粉”吸引力、克难攻坚创新力、网宣铁军战斗力,争取警察网上话语主动权,着力构建“强警察—强民众”的舆论格局。

Time to rebuild the doctor-patient relationship in China

In China,the doctor-patient relationship(DPR)has been tense in recent years and continues to deteriorate.From 2009 to 2018,295 severe medical violence events were reported on social media,in which 362 doctors were injured and 24 lost their lives(1).According to a survey conducted in 2018 by the national Chinese Medical Doctor Association(CMDA),62% of doctors had experienced varying degrees of medical disputes and 66% had experienced varying degrees of doctor-patient conflict,dominated by verbal violence(accounting for 51%of cases).

专业认同对研究生主动创新行为的影响研究

研究生创新能力的提升是高校研究生教育关注的重点,创新行为是创新能力的表现。为揭示研究生主动创新行为的影响因素,研究基于自我决定理论,构建了以和谐式创新激情为中介变量,导学关系为调节变量的专业认同对研究生主动创新行为的影响机制模型。运用SPSS26.0和MPLUS8.3软件对413份研究生问卷进行实证分析,结果表明,专业认同正向影响研究生主动创新行为;和谐式创新激情在专业认同与研究生主动创新行为之间起中介作用;导学关系正向调节专业认同与和谐式创新激情的关系且正向调节和谐式创新激情在专业认同与研究生主动创新之间的中介作用。根据研究结论,建议通过提高研究生的专业认同、构建维系高质量的导学关系和推进创新学习环境氛围建设等方式激发研究生主动创新行为。

导学关系的和谐建构研究——基于互惠利他理论的导学匹配分析

互惠利他理论对导学关系的和谐建构具有较强的适切性和积极的指导意义,它阐明了导学和谐关系的构建需要双方共同的付出与努力。对导师和研究生进行匹配分析发现,导学关系紧张问题的症结在于导师的注意力配置不当、研究生的学术志趣缺失和导师-研究生匹配机制不完善。为促进导学关系和谐建构,可以采取为“学-指”兼备型导师配备助教;组建导师组,促成“学术”偏向型导师和“关怀”偏向型导师间能力互补;纠偏“学-指”缺乏型导师,减少失职导师招生指标或取消其导师资格;增强研究生学术之志与交流合作意识;完善导学匹配机制等策略。

关怀理论视域下和谐师生关系的挑战与应对

人是社会关系的总和,始终处于复杂的关系网络之中。师生关系是教育教学活动中最基本、最重要的人际关系,其和谐与否是影响学生品德形成的重要因素。从诺丁斯关怀理论的角度看,当前学校教育中还存在着关怀目的的单一与功利、关怀付出的单向片面、关怀环境的缺乏等问题,以致师生关系的发展偏离了既有轨道。诺丁斯关怀理论对关怀、需要、师生关系特征的论述可以提供解决问题的思路。基于关怀理论对关怀关系建立过程的有关论述,为构建新时代的和谐师生关系,需要提升教师关怀能力,帮助学生学会回应关怀,家庭协助培养关怀,创设关怀型学校教育环境。