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.

Neurofibrillary tangles in Alzheimer＇s disease： elucidation of the molecular mechanism by immunohistochemistry and tau protein phospho-proteomics

As a key contributor to memory storage, the synapse is one of the earliest affected neuronal components in Alzheimer＇s disease （AD）. Under physiological conditions, the synaptic con- nections between neurons undergo activity-dependent func- tional and morphological re-organisation. This dynamic, ＇plastic＇ neural ability critically depends on the structural integrity of the synapse. Thus, proteins that are implicated in preserving the organisation and dynamics of synaptic connections, including microtubules of the cytoskeleton and associated proteins, have attracted much focus for their involvement in the malfunction- ing AD synapse.

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.

基于Tangle区块链的大数据访问控制研究

为了提高大数据访问控制效果,提出基于Tangle区块链的大数据访问控制研究.依据数据的主体属性以及数据库环境的安全情况,计算数据的敏感度,并通过数据的初始可信值与历史可信值的叠加计算获取数据的最终可信值,结合数据库系统设计中的访问逻辑空间制定访问控制约束规则,基于此,引入Tangle区块链技术构建数据访问控制模型,进而实现对大数据的访问控制.实例应用结果表明,应用所提方法对大数据进行访问控制后,其访问控制拓扑率在26%以内,数据被成功篡改的区块概率在0.4%以下,进一步说明了所提方法的大数据访问控制效果良好.

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.

基于Tangle网络的移动群智感知数据安全交付模型

针对现有群智感知平台在数据和酬金交付过程中存在的安全风险和隐私泄露问题,该文提出一种基于Tangle网络的分布式群智感知数据安全交付模型。首先,在数据感知阶段,调用局部异常因子检测算法剔除异常数据,聚类获取感知数据并确定可信参与者节点。然后,在交易写入阶段,使用马尔科夫蒙特卡洛算法选择交易并验证其合法性,通过注册认证中心登记完成匿名身份数据上传,并将交易同步写入分布式账本。最后,结合Tangle网络的累计权重共识机制,当交易安全性达到阈值时,任务发布者可进行数据和酬金的安全交付。仿真试验表明,在模型保护用户隐私的同时,增强了数据和酬金的安全交付能力,相比现有感知平台降低了时间复杂度和任务发布成本。

基于Tangle网络的群智感知用户可信激励方法

随着群智感知技术的广泛应用,用户参与度成为影响群智感知技术发展的关键问题,提出一种基于Tangle网络的群智感知用户可信激励方法.首先,基于Tangle网络构建群智感知网络模型,通过去中心化的Tangle网络来克服群智感知平台面临可信第三方参与的安全隐患,制定Tangle网络的可信度标准.然后,通过可信度来衡量用户权重,借此来评估交易的可信性,将感知任务分配给更可信的用户.最后,对用户上传的感知数据使用蒙特卡洛最大期望算法量化用户的工作量,支付相应报酬.通过基于真实数据集的仿真实验表明,所提方法能有效激励用户参与感知任务,同RSFP方法和CSII方法相比,所提方法在用户参与度上分别提升了0.379和0.067.

任意维数两体量子态的Tangle

利用任意维数两体量子态密度矩阵的concurrence判据、著名的Peres-Horodecki判据及重排判据之间的重要联系,来获得纠缠量tangle(即I-concurrence)的两个解析下界.

Monogamous nature of symmetric N-qubit states of the W class: Concurrence and negativity tangle

Using Majorana representation of symmetric N-qubit pure states, we have examined the monogamous nature of the family of states with two-distinct spinors, the W class of states. We have evaluated the N-concurrence tangle and showed that all the states in this family have vanishing concurrence tangle. The negativity tangle for the W class of states is shown to be non-zero, illustrating the fact that the concurrence tangle is always lesser than or equal to the negativity tangle in a pure N-qubit state.

Forensic Pathological Expertise of Medical Tangle Analysis of 139 Autopsy Cases

In this article , we report 139 autopsy cases of medical tangle , which were examined by the Department of Forensic Pathology, Faculty of Medicine, Tongji Medical University from Jan. 1972 to Dec. 1992.The emphasis is put on analyses of the status of medical tangle autopsy in forensic pathology, involved medical departments , distribution of victim's age and sex , differences between clinical diagnosis and autoptical conclusion, the composition and causes of medical tangle. The associated problems in forensic pathological autopsy are also discussed.

This Tangled Web

OH! What a tangled web we weave when fir st practise to deceive!" So said Sir Walter Scott in his epic poem Marmion, published in 1808. Of course, he could never have imagined the

Equivalence between Linear Tangle and Maximal Single Ideal

The concept of linear tangle was introduced as an obstruction to mixed searching number. The concept of (maximal) single ideal has been introduced as an obstruction to linear-width. Moreover, it was already known that mixed search number is equivalent to linear-width. Hence, by combining those results, we obtain a proof of the equivalence between linear tangle and maximal single ideal. This short report gives an alternative proof of the equivalence.

Comparative analysis of entanglement measures based on monogamy inequality

We evaluate the monogamy inequality for symmetric, non-symmetric pure states of importance in terms of squared concurrence, squared entanglement of formation, squared negativity of partial transpose and compare the corresponding tangles. We show that though concurrence and concurrence tangle are zero for two special classes of mixed entangled states, both negativity tangle and entanglement of formation（EOF） tangle turn out to be non-zero. A comparison of different tangles is carried out in each case and it is shown that while the concurrence tangle captures the genuine multiqubit entanglement in N-qubit pure states with N distinct spinors（containing GHZ and superposition of W-, obverse W states）either negativity tangle or EOF tangle is to be used as a better measure of entanglement in the W-class of states with two distinct spinors and in the special classes of mixed multiqubit states.