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.

A Study on the Structural Contradictions in the US-Turkey Alliance Relations

After the Cold War and especially since the Justice and Development Party administration led by Erdogan,the US-Turkey alliance relations have declined.The two countries have sharp structural contradictions on a series of issues.Due to the profound geopolitical landscape changes,the interdependence on security and defense between the United States and Turkey has been severely weakened,leading to significant divergence in threat definition and pursuit of interests.Turkey has continuously enhanced its diplomatic autonomy,seeking to change its weak position in the original alliance relations,and striving to become a regional leader.These structural contradictions inevitably trigger the hedging of policies and interests between the United States and Turkey.

The Contradiction between “Soul” and “Body” in André Gide’s Pastoral Symphony

André Gide is one of the most important writers in the history of French literature in the 20th century.His works are highly distinctive:on the one hand,there is strong coherence and beautiful language between his works,which gives them a strong musicality.On the other hand,his works delve deeper into the struggle between the“soul”and the“body”under the oppression of“religious concepts”,which is most evident in one of his representative works:Pastoral Symphony.This article will analyze and explore the contradiction between“soul”and“body”reflected in the work of“Pastoral Symphony”from three aspects:“modernity”,“aesthetics”,and“characters’prototypes”.

Proof of Riemann Conjecture Based on Contradiction between Xi-Function and Its Product Expression

Riemann proved three results: analytically continue ζ(s) over the whole complex plane s =σ + it with a pole s =1;(Theorem A) functional equation ξ(t) = G(s0)ζ (s0), s0 =1/2 + it and (Theorem B) product expression ξ1(t) by all roots of ξ(t). He stated Riemann conjecture (RC): All roots of ξ (t) are real. We find a mistake of Riemann: he used the same notation ξ(t) in two theorems. Theorem B must contain complex roots;it conflicts with RC. Thus theorem B can only be used by contradiction. Our research can be completed on s0 =1/2 + it. Using all real roots rk and (true) complex roots zj = tj + iaj of ξ (z), define product expressions w(t), w(0) =ξ(0) and Q(t) > 0, Q(0) =1 respectively, so ξ1(t) = w(t)Q(t). Define infinite point-set L(ω) = {t : t ≥10 and |ζ(s0)| =ω} for small ω > 0. If ξ(t) has complex roots, then ω =ωQ(t) on L(ω). Finally in a large interval of the first module |z1|>>1, we can find many points t ∈ L(ω) to make Q(t) . This contraction proves RC. In addition, Riemann hypothesis (RH) ζ for also holds, but it cannot be proved by ζ.

On Daniel Bell's The Cultural Contradictions of Capitalism

This article makes a brief introduces to Daniel Bell's The Cultural Contradictions of Capitalism which explores how a bourgeois economy coexists with an anti-bourgeois culture. This article is comprised of four parts including the concept of culture、the disjunction of three realms(economics, politics and culture)、the cultural contradictions of capitalism and the evaluation on Daniel Bell's theory. It offers a close look into the inner relation between different spheres in the capitalist society illustrated in Bell's book, and Bell's theory in terms of cultural contradictions of capitalism will be concretely elaborated.

Rereading the Contradiction in "The Hereditary House of the Marquis of Liu"

In the biography of "The Hereditary House of the Marquis of Liu," Zhang Liang,the major character,is undoubtedly regarded as a great talent in military strategy as well as a prototype of wisdom in later Chinese novels.However,the author Sima Qian compares Zhang Liang to a woman in his concluding remarks,which greatly reflect his ambiguous attitude toward Zhang Liang.To find out the reason why Zhang Liang's portrait is more significant than his image revealed in the narrative provides readers a chance to inspect how Zhang Liang's characterization was fashioned in the biography.

Hester Prynne:Contradictions and Mother's Role

Hester Prynne,heroine of Hawthorne's The Scarlet Letter,seems idealized by the narrator,yet in her attitudes and behaviors there are some contradictions that need a further study.Her role as a mother plays a vital part in all the contradictions,bringing the figure to life from the sacred shrine made for her by the narrator.To understand the significance of Hester's mother's role in her contradictions will reveal a character more human to the reader.

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.

Unprecedented Emergence of the World Structural Contradictions

In recent years, profound and complex transformations in the world order have emerged on the global landscape, which are marked by the following attributes. First, strategic tension between the major powers,namely China and the US, is unfolding in a more notable way than ever before. Second, conflicts between the public and private enterprises in the economic sector are deepening. Third, globalization is at the crossroad,featuring contradictions between nationalism and globalism. Last,uncertainties of the future world reflect also in the debates over conflicting concepts and ideologies.

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.

Changes in the Features of Major Contradictions

Immediately after humanity entered the new century,the worldseems somewhat a bit turbulent because of the following events.First are the September 11 events,which were followed by U.S.militaryattacks against Afghanistan.Last year witnessed the continuity of Arab-Israel conflicts in the Middle East,and at the very beginning of the newyear,the United States dispatched warships to the Persian Gulf for a“war to topple the Saddam regime”.The Democratic People’s Republicof Korea(DPRK)suddenly declared that it has decided to withdraw fromthe Nuclear Non-proliferation Treaty just after Iraq stated that it wasdetermined to resist the United States.Whither the world in the new year?This is a question that all of the academic circles on international relationsare trying to answer.To this end,on January 9,2002,we speciallyinvited Lu Zhongwei,Research Professor and President of China Instituteof Contemporary International Relations and some other experts oninternational relations from the institute to hold a symposium with the theme“Prospect on World Trend 2003.”Now we present their discussions as anew-year gift to our readers who are always in support of our journal.Wehope this would do a bit for their mastery of international situation.

Possibilities and Contradictions of Nanotechnology Applications in Preventive Activities Insurer

One effective and proven tool for managing risk is insurance. At the same time, insurers, reinsurers, insurance, and reinsurance brokers in search of the relevant value of their services in the eyes of insured and long-term benefits are increasingly paying attention to the possibilities of nanotechnology. On one hand, insurers see unlimited possibilities of nanotechnology in preventive and repressive activity in relation to losses. The obstacle in this case, for high-tech companies, is stiff competition from companies which are not innovation leaders, but with the necessary influence and power at the international and national market. On the other hand, understanding the reasons for the application of nanotechnology in the conflict prevention activities of the insurer allows him to develop and implement a more flexible strategy for sustainable development of the business.

Iraq War and Principal contradictions in World Politics

Nobody denies that the Iraq war launched by America is a local war that is of global influence and beyond the anti-terror campaign. The various contentions among major world political powers before and after the war reveal that the world strategic structure that is changing since the end of the Cold War has gone through another grave impact after the 9/11 events. The paper does not want to make an

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.

Political Reform in Brazil and Contradictions in the Legal Understanding of Party Loyalty

The Superior Electoral Court anticipated the political reform with the creation of party loyalty, reproduced in infra constitutional legislation by Law n°. 13.165/2015. The change in the electoral system allows imagine the foundation of a State Parties in Brazilian democracy. Although most constitutions incorporate the virtual mandate idea, or representative, according thought of Burke and Sieyes, the democratic legitimacy requires control mechanisms and accountability of representatives to the population, including legal. It takes up to the imperative mandate, not in Rousseauian molds, but tied to party guidelines, founding party mandates. The ownership of the mandate by the political party moves towards the strengthening of key players who are partisan associations in the electoral process. On the other hand, it is not obvious that political parties meet the necessary conditions for the establishment of an imperative mandate tied to party deliberations, since patent oligarchic and bureaucratic character of much of them, whose process of deliberation and choice of leaders and political positions do not require internal democracy. This reflection induces the political and party system to wonder if the role they playing in democracy helps to combat political inequality or strength it, by analyzing the dynamics of party migration in Brazil.

Defining Landscape： Resolving Contradictions at Postcolonial Omhedi, the Oukwanyama Royal Palace, Namibia

The history of Omhedi in north-central Namibia is not simply about place but is a site that internalizes conflictual and contradictory social forces which are inscribed in place. While Omhedi was a contested site of conflict during the war of liberation and served as a stage for ethnographic tours and photography, it has in post-colonial period come to represent a segment of important local power as it is currently the seat of the new Oukwanyama kingship. The central aim of this paper is to explain the transformation of Omhedi as a site of＂spectacles＂ of culture during the colonial period and as the seat of Oukwanyama monarchy in post-colonial Namibia. It centrally asks how the colonial politics of the time influenced the way Omhedi was organized and accessed and the ways in which people attach meaning to and organize a sense of space and place in the postcolonial era. This paper is significant as it explores how political legitimacy can be reactivated at such a contradictory site of＂traditional＂ power like Omhedi and what meanings these hold in terms of access in postcolonial Namibia. I conclude by raising issues of the past with the restoration of the Oukwanyama monarchy and its installation at Omhedi after independence, posing key questions about shifts in political legitimacy in both the colony and the post-colony. My analysis utilizes theories on the important use of landscape as a physical ＂space＂ for living, but also as a ＂place＂ with its meanings and contributions to societal identity. Consequently the place identity is a particular element contributing to sense of place. I argue that there exists a sense of nostalgia that many Ovakwanyama people have for a precolonial past, and the Omhedi landscape serves that purpose. In analyzing these sentiments against the construction of Omhedi as a space and place, this highlights a sense of identity and belonging that many Ovakwanyama people have towards Omhedi in default of any site with deeper legitimation or authenticity.