We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students ...We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training(P〈0.001). After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions(P 〈0.05, Alphasim corrected). The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline(r=-0.734, P= 0.036). The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.展开更多
As an indispensable part of medical practice.doctor-patient conversation is drawing more and more attention in the field of sociology,psychology and linguistics.Little attention,however,has been paid to the interperso...As an indispensable part of medical practice.doctor-patient conversation is drawing more and more attention in the field of sociology,psychology and linguistics.Little attention,however,has been paid to the interpersonal aspect of the conversation between doctors and patients,which is regarded as one of the most complex interpersonal relationships.Being dominant in the interaction,doctors'words,mainly in the form of questions,deserve more studies,especially for the interpersonal functions delivered.This study mainly focuses on this aspect.展开更多
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 t...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.展开更多
Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to eff...Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.展开更多
At present,doctor-patient relationship has become a sensitive topic in society,and frequent doctor-patient communication problems have become an important factor affecting the tension of the relationship.From the pers...At present,doctor-patient relationship has become a sensitive topic in society,and frequent doctor-patient communication problems have become an important factor affecting the tension of the relationship.From the perspective of communication,this paper analyzes the causes of doctor-patient communication barriers based on the communication mode of interaction process proposed by Deffler and puts forward relevant solutions.展开更多
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.Method...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.展开更多
The Wannianchang Neighborhood Community in the Chenghua Distric.t, Chengdu City in Sichuan Province,covers an area of about 5.2 square kilometers and has a population of about 58,000. The area is noted for the largest...The Wannianchang Neighborhood Community in the Chenghua Distric.t, Chengdu City in Sichuan Province,covers an area of about 5.2 square kilometers and has a population of about 58,000. The area is noted for the largest number of factories, floating population and low-income groups. The office of the community, which is the grassroots governmental organ, has done a great deal of solid work to promote social stability and harmony.展开更多
On the 20th anniversary of UNESCO’s adoption of the Convention for the Safeguarding of Intangible Cultural Heritage,the first Beijing International Week of Intangible Cultural Heritage was held from October 22nd to 2...On the 20th anniversary of UNESCO’s adoption of the Convention for the Safeguarding of Intangible Cultural Heritage,the first Beijing International Week of Intangible Cultural Heritage was held from October 22nd to 25th,2023,co-sponsored by the Ministry of Culture and Tourism and the People’s Government of Beijing Municipality.Around the theme of“Unveiling the Beauty of Intangible Cultural Heritage,Fostering Global Harmony”,nearly 1,000 representatives,500 projects of intangible cultural heritage and more than 3,000 exhibits and works from 18 provinces(autonomous regions and municipalities)and about 40 countries from Asia,Europe,North and South America and Africa(including live exhibitions in 20 countries and regions)gathered together in Beijing through exhibitions。展开更多
Many search-based algorithms have been successfully applied in sev-eral software engineering activities.Genetic algorithms(GAs)are the most used in the scientific domains by scholars to solve software testing problems....Many search-based algorithms have been successfully applied in sev-eral software engineering activities.Genetic algorithms(GAs)are the most used in the scientific domains by scholars to solve software testing problems.They imi-tate the theory of natural selection and evolution.The harmony search algorithm(HSA)is one of the most recent search algorithms in the last years.It imitates the behavior of a musician tofind the best harmony.Scholars have estimated the simi-larities and the differences between genetic algorithms and the harmony search algorithm in diverse research domains.The test data generation process represents a critical task in software validation.Unfortunately,there is no work comparing the performance of genetic algorithms and the harmony search algorithm in the test data generation process.This paper studies the similarities and the differences between genetic algorithms and the harmony search algorithm based on the ability and speed offinding the required test data.The current research performs an empirical comparison of the HSA and the GAs,and then the significance of the results is estimated using the t-Test.The study investigates the efficiency of the harmony search algorithm and the genetic algorithms according to(1)the time performance,(2)the significance of the generated test data,and(3)the adequacy of the generated test data to satisfy a given testing criterion.The results showed that the harmony search algorithm is significantly faster than the genetic algo-rithms because the t-Test showed that the p-value of the time values is 0.026<α(αis the significance level=0.05 at 95%confidence level).In contrast,there is no significant difference between the two algorithms in generating the adequate test data because the t-Test showed that the p-value of thefitness values is 0.25>α.展开更多
At present,the ecological environment crisis of global concern,such as climate warming and biodiversity loss,the fundamental reason is the change and destruction of the earth's soil and water ecology.Therefore,pro...At present,the ecological environment crisis of global concern,such as climate warming and biodiversity loss,the fundamental reason is the change and destruction of the earth's soil and water ecology.Therefore,protecting and restoring the authenticity,diversity,cleanliness and integrity of soil and water ecology,we should coordinate and deal with the relationship between human beings and soil and water ecology,and realize the harmonious coexistence between human beings and nature from the three aspects of protecting natural soil and water ecology,protecting and restoring natural soil and water ecology,building and regenerating artificial soil and water ecology.展开更多
On April 28,2023,the 1st special activity of"Tea for Harmony:Yaji Cultural Salon"raised the curtain in China Cultural Center in Madrid.Up till now,"Tea for Harmony:Yaji Cultural Salon"has been succ...On April 28,2023,the 1st special activity of"Tea for Harmony:Yaji Cultural Salon"raised the curtain in China Cultural Center in Madrid.Up till now,"Tea for Harmony:Yaji Cultural Salon"has been successively launched in Spain,Thailand,New Zealand,Sweden,etc.展开更多
Founded in Yuan Dynasty,formed and perfected from Ming and Qing Dynasties to modern times,the Central Axis of Beijing has a history of more than 750 years.It is the longest and best be-preserved traditional capital ax...Founded in Yuan Dynasty,formed and perfected from Ming and Qing Dynasties to modern times,the Central Axis of Beijing has a history of more than 750 years.It is the longest and best be-preserved traditional capital axis in China.It is composed of a series of buildings,historical landmarks,historical roads,bridges and ruins,forming an orderly urban space complex.展开更多
Since ancient times,Chinese tea has made great contributions to the development of mankind and the exchangeof worldcivilizations.Tea can be described as one of the best media for communication between China and the wo...Since ancient times,Chinese tea has made great contributions to the development of mankind and the exchangeof worldcivilizations.Tea can be described as one of the best media for communication between China and the world.As an important carrier of Chinese culture,tea has beendiscovered and enjoyed by Chinese formore than 4,700years.展开更多
On May 7,the"Tea for Harmony:Yaji Cultural Salon"and"Sichuan,Home to Pandas and Tea"organized by Ministry of Cultural and Tourism of the People's Republic of China,co-organized by China Cultura...On May 7,the"Tea for Harmony:Yaji Cultural Salon"and"Sichuan,Home to Pandas and Tea"organized by Ministry of Cultural and Tourism of the People's Republic of China,co-organized by China Cultural Center in Stockholm,Sichuan Provincial Department of Culture and Tourism,Ya'an Municipal People's Goverment,was successfully held at China Cultural Center in Stockholm.展开更多
On September 28,2022,the"Harmonious Co-existence-Joint Exhibition of Collections from the Palace Museum and the National Museum of China"opened at the National Museum of China.The exhibition aims to reflect ...On September 28,2022,the"Harmonious Co-existence-Joint Exhibition of Collections from the Palace Museum and the National Museum of China"opened at the National Museum of China.The exhibition aims to reflect the Chinese philosophy of harmonious co-existence through the rich collection of more than 400 objects from the Palace Museum and the National Museum of China.展开更多
On May 4,jointly hosted by the Ministry of Culture and Tourism of China,the Embassy of China in Belgium,and the Mission of China to the European Union,the opening ceremony of the"Tea for Harmony:Yaji Cultural Sal...On May 4,jointly hosted by the Ministry of Culture and Tourism of China,the Embassy of China in Belgium,and the Mission of China to the European Union,the opening ceremony of the"Tea for Harmony:Yaji Cultural Salon"was held at China Cultural Center in Brussels.展开更多
Tea,originated in China,is popular all over the world.In November 2019,the 74th United Nations General Assembly adopted a resolution designating May 21 as Inter national Tea Day to celebrate the economic,social and cu...Tea,originated in China,is popular all over the world.In November 2019,the 74th United Nations General Assembly adopted a resolution designating May 21 as Inter national Tea Day to celebrate the economic,social and cultural value of tea and promote the sustainable development of the global agriculture.On November 29,2022,"Traditional Tea Processing Techniques and Associated Social Practices in China"was inscribed on UNESCO's Representative List of the Intangible Cultural Heritage of Humanity.展开更多
Publicity documentaries play an important role in shaping the image of one country during the international communication.Seasons of China is a publicity documentary introducing the traditional Chinese culture 24 sola...Publicity documentaries play an important role in shaping the image of one country during the international communication.Seasons of China is a publicity documentary introducing the traditional Chinese culture 24 solar terms.Under the guidance of the framework of Harmonious Discourse Analysis,this thesis uses a combination of quantitative and qualitative methods to analyze the harmonious discourse of this documentary based on the transitivity system.The research finds that the discourse of Seasons of China conveys the China’s ecological concept of respecting,following and protecting the nature,while telling the stories of Chinese traditional culture 24 solar terms,highlighting the image of China as a responsible country for ecological civilization construction.展开更多
China’s vast and diverse landscape is a testament to nature’s grandeur,with each region narrating a unique tale of human-nature symbiosis.Among these tales,two landmarks are of profound significance:the Yellow River...China’s vast and diverse landscape is a testament to nature’s grandeur,with each region narrating a unique tale of human-nature symbiosis.Among these tales,two landmarks are of profound significance:the Yellow River and the Ziquejie Terraces.These aren’t mere geographical entities;they represent chapters of a story where humans,despite the challenges posed by nature,found ways to coexist,adapt,and thrive.The Yellow River,often dubbed the“Mother River,”has been the cradle of Chinese civilisation,nurturing life and culture for millennia.Similarly,the Ziquejie Terraces,with their intricate patterns,showcase the pinnacle of agricultural innovation and harmony with the land.展开更多
文摘We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI(rs-fMRI) with a regional homogeneity(ReHo) method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training(P〈0.001). After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions(P 〈0.05, Alphasim corrected). The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline(r=-0.734, P= 0.036). The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.
文摘As an indispensable part of medical practice.doctor-patient conversation is drawing more and more attention in the field of sociology,psychology and linguistics.Little attention,however,has been paid to the interpersonal aspect of the conversation between doctors and patients,which is regarded as one of the most complex interpersonal relationships.Being dominant in the interaction,doctors'words,mainly in the form of questions,deserve more studies,especially for the interpersonal functions delivered.This study mainly focuses on this aspect.
文摘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.
文摘Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.
文摘At present,doctor-patient relationship has become a sensitive topic in society,and frequent doctor-patient communication problems have become an important factor affecting the tension of the relationship.From the perspective of communication,this paper analyzes the causes of doctor-patient communication barriers based on the communication mode of interaction process proposed by Deffler and puts forward relevant solutions.
文摘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.
文摘The Wannianchang Neighborhood Community in the Chenghua Distric.t, Chengdu City in Sichuan Province,covers an area of about 5.2 square kilometers and has a population of about 58,000. The area is noted for the largest number of factories, floating population and low-income groups. The office of the community, which is the grassroots governmental organ, has done a great deal of solid work to promote social stability and harmony.
文摘On the 20th anniversary of UNESCO’s adoption of the Convention for the Safeguarding of Intangible Cultural Heritage,the first Beijing International Week of Intangible Cultural Heritage was held from October 22nd to 25th,2023,co-sponsored by the Ministry of Culture and Tourism and the People’s Government of Beijing Municipality.Around the theme of“Unveiling the Beauty of Intangible Cultural Heritage,Fostering Global Harmony”,nearly 1,000 representatives,500 projects of intangible cultural heritage and more than 3,000 exhibits and works from 18 provinces(autonomous regions and municipalities)and about 40 countries from Asia,Europe,North and South America and Africa(including live exhibitions in 20 countries and regions)gathered together in Beijing through exhibitions。
文摘Many search-based algorithms have been successfully applied in sev-eral software engineering activities.Genetic algorithms(GAs)are the most used in the scientific domains by scholars to solve software testing problems.They imi-tate the theory of natural selection and evolution.The harmony search algorithm(HSA)is one of the most recent search algorithms in the last years.It imitates the behavior of a musician tofind the best harmony.Scholars have estimated the simi-larities and the differences between genetic algorithms and the harmony search algorithm in diverse research domains.The test data generation process represents a critical task in software validation.Unfortunately,there is no work comparing the performance of genetic algorithms and the harmony search algorithm in the test data generation process.This paper studies the similarities and the differences between genetic algorithms and the harmony search algorithm based on the ability and speed offinding the required test data.The current research performs an empirical comparison of the HSA and the GAs,and then the significance of the results is estimated using the t-Test.The study investigates the efficiency of the harmony search algorithm and the genetic algorithms according to(1)the time performance,(2)the significance of the generated test data,and(3)the adequacy of the generated test data to satisfy a given testing criterion.The results showed that the harmony search algorithm is significantly faster than the genetic algo-rithms because the t-Test showed that the p-value of the time values is 0.026<α(αis the significance level=0.05 at 95%confidence level).In contrast,there is no significant difference between the two algorithms in generating the adequate test data because the t-Test showed that the p-value of thefitness values is 0.25>α.
文摘At present,the ecological environment crisis of global concern,such as climate warming and biodiversity loss,the fundamental reason is the change and destruction of the earth's soil and water ecology.Therefore,protecting and restoring the authenticity,diversity,cleanliness and integrity of soil and water ecology,we should coordinate and deal with the relationship between human beings and soil and water ecology,and realize the harmonious coexistence between human beings and nature from the three aspects of protecting natural soil and water ecology,protecting and restoring natural soil and water ecology,building and regenerating artificial soil and water ecology.
文摘On April 28,2023,the 1st special activity of"Tea for Harmony:Yaji Cultural Salon"raised the curtain in China Cultural Center in Madrid.Up till now,"Tea for Harmony:Yaji Cultural Salon"has been successively launched in Spain,Thailand,New Zealand,Sweden,etc.
文摘Founded in Yuan Dynasty,formed and perfected from Ming and Qing Dynasties to modern times,the Central Axis of Beijing has a history of more than 750 years.It is the longest and best be-preserved traditional capital axis in China.It is composed of a series of buildings,historical landmarks,historical roads,bridges and ruins,forming an orderly urban space complex.
文摘Since ancient times,Chinese tea has made great contributions to the development of mankind and the exchangeof worldcivilizations.Tea can be described as one of the best media for communication between China and the world.As an important carrier of Chinese culture,tea has beendiscovered and enjoyed by Chinese formore than 4,700years.
文摘On May 7,the"Tea for Harmony:Yaji Cultural Salon"and"Sichuan,Home to Pandas and Tea"organized by Ministry of Cultural and Tourism of the People's Republic of China,co-organized by China Cultural Center in Stockholm,Sichuan Provincial Department of Culture and Tourism,Ya'an Municipal People's Goverment,was successfully held at China Cultural Center in Stockholm.
文摘On September 28,2022,the"Harmonious Co-existence-Joint Exhibition of Collections from the Palace Museum and the National Museum of China"opened at the National Museum of China.The exhibition aims to reflect the Chinese philosophy of harmonious co-existence through the rich collection of more than 400 objects from the Palace Museum and the National Museum of China.
文摘On May 4,jointly hosted by the Ministry of Culture and Tourism of China,the Embassy of China in Belgium,and the Mission of China to the European Union,the opening ceremony of the"Tea for Harmony:Yaji Cultural Salon"was held at China Cultural Center in Brussels.
文摘Tea,originated in China,is popular all over the world.In November 2019,the 74th United Nations General Assembly adopted a resolution designating May 21 as Inter national Tea Day to celebrate the economic,social and cultural value of tea and promote the sustainable development of the global agriculture.On November 29,2022,"Traditional Tea Processing Techniques and Associated Social Practices in China"was inscribed on UNESCO's Representative List of the Intangible Cultural Heritage of Humanity.
文摘Publicity documentaries play an important role in shaping the image of one country during the international communication.Seasons of China is a publicity documentary introducing the traditional Chinese culture 24 solar terms.Under the guidance of the framework of Harmonious Discourse Analysis,this thesis uses a combination of quantitative and qualitative methods to analyze the harmonious discourse of this documentary based on the transitivity system.The research finds that the discourse of Seasons of China conveys the China’s ecological concept of respecting,following and protecting the nature,while telling the stories of Chinese traditional culture 24 solar terms,highlighting the image of China as a responsible country for ecological civilization construction.
文摘China’s vast and diverse landscape is a testament to nature’s grandeur,with each region narrating a unique tale of human-nature symbiosis.Among these tales,two landmarks are of profound significance:the Yellow River and the Ziquejie Terraces.These aren’t mere geographical entities;they represent chapters of a story where humans,despite the challenges posed by nature,found ways to coexist,adapt,and thrive.The Yellow River,often dubbed the“Mother River,”has been the cradle of Chinese civilisation,nurturing life and culture for millennia.Similarly,the Ziquejie Terraces,with their intricate patterns,showcase the pinnacle of agricultural innovation and harmony with the land.