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.

Doctor-patient communication starts from medical students

Currently,with the increasing tensionin doctor-patient relationship and medical disputes,it is of great practical importance to train medical students’communication skills in order to establisha harmonious doctor-patient relationship to improve the quality of clinical teaching.This paper emphasizes the importance of cultivation of communication skills in medical education and suggests ways to improve communication skills among medical students.

Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study

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.

Research on psychological factors which influence Doctor-Patient communications among outpatients

An Outpatient Department is the first point of contact with the hospital, and good Doctor-Patient communication would improve the service quality of the hospital, so it is important to construct a harmonious Doctor-Patient relationship. This article, from the perspective of psychology, investigates into the common psychological factors which affect the Doctor-Patient communication, the appearance of the communication problem, and make suggestions on possible solutions accordingly.

Interpersonal Functions of Doctor-Patient Conversations

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.

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.

Functional Health Literacy and Doctor-Patient Communication: Experiences of HIV/AIDS Patients in Homa Bay County, Kenya

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.

A Study on Doctor-patient Communication under Defler Interaction Process Model

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.

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.

Plato＇s Theory of the Intercommunion of Forms （∑υμπλοκη Еīδων）： the Sophist 259, e4-6

Plato＇s lifelong confrontation with Parmenides and his metaphysical mire of believing that nothing （το μη ǒν） does not actually exist, gradually in the Sophist comes into finish, insofar as the philosopher after facing the foe and having the last laugh simmers down. In this paper after giving an interpretation of what Parmenides says, I shall present an analysis of Plato＇s drastic answer to him （Sophist, 259 e4-6） to see how Plato opens the impasse way created by the Eleatic philosopher. Here the intercommunion of Forms is regarded as the final answer by which Plato devastates Parmenides infamous thesis. Since hitherto no in-depth analysis is given by the scholars who are puzzled with the subject, I have tried to analyze the intercommunion of Forms philosophically. Plato＇s Eleatic challenge has always been crucial in Plato himself and philosophical development after him. As while as Parmenides thesis （Sph., 238 a8-9） provides the sophists opportunity to reject the falsehood, Plato＇s theory of Forms in contrast in order to cross off the extremely sly sophists tries to make Parmenides come down. In my opinion, the intercommunion of Forms, as the last step of the theory of Forms, basically determines Plato＇s late ontology tightly knitted with logic. Vindicating this proposal depends on true understanding of the intercommunion of Forms. Since Plato＇s late ontology, in my opinion, is closed to Frege＇s ontology and discussion of language, we are armed to interpret the intercommunion of Forms with recent recent logico-philosophicus achievements, I think. In this respect, this is what I have done in my paper： analyzing sentence from Plato＇s logico-metaphysical point of view. Ultimately, I have tried to show how the aim of the intercommunion of Forms, which Plato himself states, is demonstrating the possibility of dialogue and discourse. This statement explicitly sets forward that the discussion is bound up with several logical approaches, according to which finally full bright light is shed on different implications of the subject such as universals.

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.

浅析医患沟通中的语言表达技能

临床教师在教学过程中,如果善于创造情景提问,巧用临床沟通的例证,适时地组织语言沟通方面的讨论,及时地进行医患沟通练习,并通过自身语言对学生潜移默化,将有助于医学生医患沟通能力的提高。

图形化界面设计分析

这种面向使用者的系统工程设计,其目的是要准确、快速地在设计者与使用者之间传递信息和实现功能,也是优化产品性能来适应大众的操作能力,减轻使用者的认知负担。结合图形化界面设计成功原因及其在设计中应注意的9个方面问题进行了分析与探讨,使其设计出的图形化界面更科学合理,更好地满足使用者需要。

Humanistic Spirit Contained in Traditional Chinese Medicine should Be Valued

Medicine is a science studying human's health and diseases as well as the regularity between them. Its research subject is human, who possess natural attribute, psychological attribute and social attribute. Therefore, medicine is bound to possess humanistic attribute. Rooted in Chinese traditional culture, Traditional Chinese Medicine contains abundant humanistic thoughts, for instance, pursuing the unity of human and nature, advocating the vital importance of life, sticking to the virtue of "medicine being humane art", abiding by the principle of "Benevolence prior to interest", complying with the medical rule of "Respecting peers". These are the very concrete reflections of medical humanistic spirit. In this article we aim to explore the humanistic thoughts contained in Traditional Chinese Medicine, and try to inherit and carry forward the spirit to better relieve the tensions between doctors and patients and improve the quality of medical services.

合作创新中企业知识学习行为的制度化研究

合作创新过程就是知识学习过程 ,知识学习行为的制度化使得企业的知识获取更加有效。本研究通过对企业内部影响知识学习行为制度化的主要因素的分析 ,提出机械的组织结构、稳定的导向性文化以及合作双方的深层交流是知识获取有效性的重要条件。

同伴交往对西南少数民族儿童民族文化认知的影响

采用自编的调查问卷,从民间故事传说、民族工艺建筑、民族禁忌、民族崇拜物、民族鬼怪神灵、民族服饰、民族节日、民族饮食这八个方面考察了同伴交往对少数民族儿童民族文化认知的影响。通过对云南丽江纳西族、迪庆藏族、澜沧拉祜族,贵州铜仁苗族、三都水族,四川凉山彝族共1 202名少数民族儿童的调查研究,发现同伴交往对少数民族儿童的民族文化认知产生不同程度的影响,这些影响在不同民族之间以及不同民族文化之间都有着显著的差异。文章分析了同伴交往对西南少数民族儿童的民族文化认知产生影响的特征及其差异性,并在此基础上进一步论述了这些特征和差异性的影响因素及其民族文化教育的启示。

关于城市设计实践的思考

不同的专业角度必然会使得建筑师和城市规划师在从事城市设计研究中有着各自的相对局限性。解决这一问题的关键在城市设计大纲的制定上。建议:在宏观的制度层面上为城市规划和建筑学等学科创造富有效率的信息交流平台,使各方能够共同参与城市设计大纲的制定;在微观的操作层面上建立共识性意象标志系统,为城市设计实践提供富有实效的出发点。

Na_2SiO_3、H_(205)、102浮选药剂对稀土浮选的影响及其交互作用

研究了Na_2SiO_3、H_(205)、102对稀土浮选的作用与影响,并采用回归正交试验方法系统地研究三者之间的交互作用规律。通过回归分析建立了稀土品位、回收率与其三种药剂用量的数学模型。研究结果表明,Na_2SiO_3、H_(205)、102三者间存在强度不同的交互作用,其中以H_(205)与Na_2SiO_3作用最为强烈,H_(205)与102次之,Na_2SiO_3与102作用较弱。

校园综合网UML建模及实现

中国教育逐步走向以学生为中心的教学模式,采用以学生为中心的教学模式,应加强师生之间教与学的互动。基于此,本文设计和开发了一套校园综合网站,该网站系统集论坛、博客、电子商务、人才市场等为一体。将面向对象建模语言UML引入到校园综合网站的设计和实现过程中,利用Rational Rose 2003建立了校园综合网的功能需求模型、静态和动态模型等,并根据上述模型开发了校园综合网站系统。