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.

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.

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.

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.

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.

教育生态视角下研究生和谐师生关系构成及其影响因素——基于应用型高校的调查分析

研究生教育高质量发展离不开和谐融洽的师生关系,这种关系的建立是在师生交互的基础上多因素共同作用的结果。结合应用型高校的调查分析,基于教育生态视角,以师生交互行为为基础,建立和谐师生关系架构,并运用QCA组态分析法,从教师职业素养、学生综合素质、师生交互及外部环境等方面综合评价多重并发因素对研究生和谐师生关系的影响,提出高和谐师生关系的5种类型组态:学术基础型、制度约束型、教师主动科研型、学生主动复合型以及教师主动复合型,为应用型高校创造师生间良性互动氛围、建立健全外部制度保障、促进形成和谐师生关系提供参考。

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。

河流伦理的概念及研究框架与构建路径

河流作为人类文明的发源地,蕴含基本的伦理形态和独特的伦理价值。随着现代社会的快速发展和对自然资源的过度开发,河流生态环境问题日益严峻,探索河流伦理的概念、研究框架及其构建路径显得尤为重要。从伦理角度出发,定义了河流伦理的概念,认为河流伦理是一种赋予河流生命、道德、权利、价值的意识形态;深度解读河流伦理的内涵,阐述构建河流伦理的意义;从研究目标、内涵解读、构建意义、主要内容以及构建路径5个方面,构建了河流伦理研究框架,其主要研究内容涵盖河流伦理的理论基础、意识形态、问题评估、构建路径、支撑体系5部分。在以上研究的基础上,从河流伦理的支撑体系(包括思想体系、制度体系、文化体系、工程体系、技术体系、管理体系)出发,总结提出河流伦理的10条构建路径。研究成果可为河流伦理系统研究和应用提供理论支撑。

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。

重建人与自然和谐关系的新思考

党的二十大提出“推动绿色发展,促进人与自然和谐共生”,并指出要“站在人与自然和谐共生的高度谋划发展”。人与自然和谐共生是新时代生态文明建设的重要原则,也是中国式现代化的重要特征。从辩证统一的视角出发,澄清人类具有生物性与社会性双重属性这一实质,并对人类社会历史发展进程中无意识导致生态副作用这一历史教训始终保持警惕,乃是确保我国生态文明建设成效显著,促进中国式现代化稳步实现必不可少的新思考。

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。

Analysis and improving countermeasures of medical disputes from the perspective of legal changes

Under the background of medical disputes growing in number,scale and intensity,tracing back legal changes in medical field as a breakthrough point,this paper took a legal perspective to illustrate changes in medical dispute settlements from legislative orientation to legal system improvement.In view of the fact that early legislation in medical field was biased towards identification and punishment of doctors’responsibility,and later intensive legislation in balancing increasing"medical trouble"phenomenon with limited effects and difficulties to abide by the law,this paper proposed to improve doctor-patient dispute settlements system in China referencing from foreign law experience,to reduce investigation of doctors at the judicial level,and to establish a settlement mechanism on doctors’apology at the legislative level,so as to promote a healthy development of doctor-patient relationship.

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。

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。

性爱工具而非完美伴侣——对于性爱机器人的再思考

在《当代医疗与儒家思想》的第十一章“性爱机器人”中,通过对三位学者文章的评述,该书作者范瑞平基于儒家视角提出了对于性爱机器人的看法,即性爱机器人无法成为也不应该被视为人类的完美伴侣。这一观点可能面临着一系列的挑战。挑战一:未来拥有逼真的人类外貌的机器人,或许能够进化到既能满足用户的性需求,又能为用户提供情绪价值,还能做家务的阶段。这种集多种功能于一身的机器人难道还算不上完美吗?挑战二:既然儒家反对将性爱机器人视为完美伴侣,那么儒家大概不会支持用户因沉溺于性爱机器人所带来的体验而不愿与真实人类建立伴侣关系。然而,问题在于该如何避免沉溺式地使用性爱机器人?挑战三:仅被当作工具的性爱机器人被用于人类伴侣间的日常使用,是否能够被儒家所接受?尝试基于儒家视角对以上挑战进行回应。

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。