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.

Relationships between Rainy Days,Mean Daily Intensity and Seasonal Rainfall in Normal,Flood and Drought Years over India

here are limitations in using the seasonal rainfall total in studies of Monsoon rainfall climatology. A correlation analysis of the individual station seasonal rainfall with all India seasonal mean rainfall has been made. After taking the significance test (strictly up to 5% level) the stations which are significantly correlated have been considered in this study in normal, flood and drought years respectively. Analysis of seasonal rainfall data of 50 stations spread over a period of 41 years suggests that a linear relationship fits better than the logarithmic relationship when seasonal rainfall versus number of rainy days is studied. The linear relationship is also found to be better in the case of seasonal rainfall versus mean daily intensity.

Contrasting the Indian and western North Pacific summer monsoons in terms of their intensity of interannual variability and biennial relationship with ENSO

The intensity of interannual variability(IIV)of the monsoon and monsoon–ENSO biennial relationship(MEBR)were examined and compared for both the Indian summer monsoon(ISM)and western North Pacific summer monsoon(WNPSM)during 1958–2018.Covariability of the IIV and MEBR were identified for the two monsoons.When the MEBR was strong(weak),the IIV of the monsoon was observed to be large(small).This rule applied to both the ISM and WNPSM.Out-ofphase relationships were found between the ISM and the WNPSM.When the IIV and MEBR of the ISM were strong(weak),those of the WNPSM tended to be weak(strong).During the period with a stronger(weaker)ENSO–Atlantic coupling after(before)the mid-1980 s,the IIV and MEBR of the WNPSM(ISM)were observed to be stronger.The increasing influences from the tropical Atlantic sea surface temperature(SST)may trigger the observed seesaw pattern of the ISM and WNPSM in terms of the IIV and MEBR multidecadal variability.The results imply that tropical Atlantic SST may need to be given more attention and consideration when predicting future monsoon variability of the ISM and WNPSM.

STRESS INTENSITY FACTORS CALCULATION IN ANTI-PLANE FRACTURE PROBLEM BY ORTHOGONAL INTEGRAL EXTRACTION METHOD BASED ON FEMOL

For an anti-plane problem, the differential operator is self-adjoint and the corresponding eigenfunctions belong to the Hilbert space. The orthogonal property between eigenfunctions （or between the derivatives of eigenfunctions） of anti-plane problem is exploited. We developed for the first time two sets of radius-independent orthogonal integrals for extraction of stress intensity factors （SIFs）, so any order SIF can be extracted based on a certain known solution of displacement （an analytic result or a numerical result）. Many numerical examples based on the finite element method of lines （FEMOL） show that the present method is very powerful and efficient.

Parameter Fitting of Seismic Intensity Attenuation Model in Xinjiang

By using the existing historical earthquake investigation data in Xinjiang,this paper obtained the envelope curves of isoseismal maps of 103 destructive earthquakes occurring from 1716 to 2010 after digitization of the data. The author summarized the seismic intensity attenuation laws in the Xinjiang region with the multiple regression fitting method. The intensity attenuation function of the elliptical model was provided and the fitting results in different periods and areas were compared. Finally, the intensity attenuation relationship in the Xinjiang region was obtained by the method of constraining the start and end of the attenuation curves.

我国黄土高原地区地震动衰减关系研究的若干进展

地震动的衰减关系是指地震动随震级、距离和场地条件等变化的经验关系,近年来在我国亦被称为地震动预测方程,是估计地震动及其影响场的主要方法之一,在地震区划和重大工程场地地震安全性评价中被广泛应用。黄土是一种特殊土,在我国广泛分布。我国黄土高原地区地质构造复杂,新构造活动强烈,中强地震频发,地震动的衰减关系有其特殊性,总结我国黄土高原地区地震动衰减关系的研究成果对促进黄土高原地区抗震研究有重要意义。在简要介绍国内外地震动衰减关系研究的基础上,全面系统地总结我国学者在黄土高原地区的地震烈度衰减关系,基岩和土层场地地震动峰值加速度、峰值速度、峰值位移以及反应谱衰减关系方面的研究成果;评述和讨论在黄土覆盖地区地震动衰减研究领域存在的问题和今后的研究方向。文章的研究工作对从事黄土高原地区地震工程研究的科技人员有重要参考价值。

海域地震动强度包络模型研究

人工模拟地震动是目前开展海洋工程结构抗震分析的主要地震输入分析。强度包络函数是人工模拟地震动的重要参数,决定了地震动的强度非平稳性特性,并对地震动持时起控制作用。目前的地震动强度包络模型均是基于陆域地震动记录统计分析得出,无法准确反应海域地震动的强度特性。因此,基于日本K-Net强震动观测台网的实测地震数据库,分析海域地震动在时域中强度分布特性;提出适用于海域地震动的三段式强度包络模型,回归得到震级M、震中距R及关键参数上升段t_(1)、强震平稳段ts、下降段衰减率c(无量纲)的计算表达式;研究震级、震中距对海域地震动强度包络模型的影响规律,并探讨海域地震动与陆域地震动强度包络模型的异同。研究结果表明:海域地震动强度包络模型中关键参数上升段t_(1)、强震平稳段ts、下降段衰减率c的取值范围分别为[13~52 s],[12~79 s],[0.037~0.173];震级对关键参数(t_(1)、t_(s)、c)的影响要大于震中距;与陆域地震动相比,海域地震动的强度包络模型的下降段衰减率c相差显著,且各关键参数的分布范围更大。

安徽省村庄开发强度与景观格局的空间分异及耦合关系研究

综合应用村庄开发强度、景观格局指数和双变量空间自相关模型等方法,分析安徽省村庄开发强度与景观格局的空间分布特点、空间耦合关系及影响因素。结果显示:安徽省村庄开发强度呈现皖北>皖中皖南,村庄景观格局破碎度呈现皖中>皖北>皖南,村庄开发强度与景观格局的空间分布存在明显区域差异,二者空间耦合关系上,皖北没有明显主导类型,皖中以低-高和低-低聚类为主,皖南以低-高聚类为主;村庄开发强度与景观格局的空间分异受自然地理、人类活动和土地利用政策的多重因素影响。最后,根据研究结果提出针对性的对策建议,可为村庄国土空间开发保护、村庄规划编制提供理论方法参考和实践应用借鉴。

步行如何影响老年女性衰弱状态:步数还是步行强度?

目的探究步数、步行强度以及有氧步数与老年女性衰弱间的剂量-效应关系。方法采用ActiGraph三轴加速度计测量1099名60~70岁老年女性每日步数、步行强度(峰值1 min步数和峰值30 min步数)及有氧步数(以≥60步/min的步频连续行走≥10 min的步数)。根据衰弱表型评估老年女性衰弱状态,使用Logistic回归和限制性立方样条曲线分析步数、步行强度及有氧步数与衰弱的关联。结果控制混杂因素后,步行强度与老年女性衰弱前期显著相关,有氧步数与衰弱存在非线性关系。随着有氧步数的增加,衰弱患病率逐渐下降,当有氧步数达到4000步时,下降幅度趋于平缓。结论有氧步数而非总步数与衰弱间存在剂量-效应关系,每日有氧步数达到约4000步时,可能对老年女性衰弱的改善效果最佳。

水资源节约集约利用理论体系与应用实践

水资源节约集约利用是促进全社会节约用水、保障国家水安全、促进生态文明建设、助力高质量发展的重要举措。通过梳理水资源节约集约利用的提出背景及历程,深入剖析水资源节约集约利用的概念内涵,提出了水资源节约集约利用理论体系框架,包括基础理论、符合原则与研究内容。重点分析了水资源节约集约利用理论在节水型社会建设、水利高质量发展、人与自然和谐共生以及水资源刚性约束制度建设中的应用实践,旨在为我国现代水资源利用提供理论支撑和实践指导。

运动目标的多维度微运动特征提取研究

微多普勒特征提取作为一种常用的时频分析工具,对微动目标特征的提取重构具有重要意义.为了更好地研究多运动的微多普勒效应,提出了一种运动姿态分类方法.按照目标频移是否随时间变化可以将运动姿态分为频移时变运动和频移时不变运动.频移时变运动包括平移、翻滚和振动.针对这种运动应分析对比不同时间对应的瞬态频移,频移时不变运动主要为旋转运动.本文通过微多普勒效应理论结合电磁波频域模型,实现3D运动目标微动特性提取的仿真建立目标,分析不同环境条件例如晴天阴天、有无湍流对探测的影响,为后续实验研究奠定理论基础.开展基于收发同置系统的多特征运动目标的微多普勒频移探测实验,实验结果表明,不同目标位置上频移的幅度、正负性和谱线宽度旨在反演目标形状、运动姿态、运动方向和速度.利用FFTshift函数对一维数据进行解调分析,实现三维时间-频率-强度关系的研究.本研究实现了对目标宏观形状特性的测量以及微观运动信息的提取,为雷达探测和识别奠定基础.

供应链关系与企业数字化转型——基于动机与能力双重视角的分析

从上下游供应链视角探索企业数字化转型的影响要素是破解当前数字化转型实践中企业“不愿转、不敢转、不会转”难题的新思路,本文围绕供应链关系对企业数字化转型的可能影响及作用机理展开实证考察。研究结果表明,在考虑内生性等问题后,供应链集中度对企业数字化转型存在负向影响。机制检验结果表明,随着供应链集中程度的加大,一方面企业开展数字化转型的动机容易因弱化的研发动力与简单的业务体系而受到抑制,另一方面企业参与数字化建设的能力容易因密集的专用性资产与不良的信息透明度而受到损害。在动机与能力双重机制的作用下,集中的供应链形态不利于企业数字化转型程度提升,且这种影响效应受企业内外部要素的调节,在非国有、处于高度市场化水平环境的企业中更为突出。本文为企业从供应链关系管理维度加快推进数字经济发展提供了一定启示。

关系强度对农地流转契约选择影响的研究——来自贵州省4县(市)1108户农户的经验证据

基于贵州省4县(市)1108户农户的一手调研数据,利用Probit模型考察关系强度对农地流转契约选择的影响,同时使用改进中介效应模型进一步探讨其内在传导机制。结果表明:关系强度越弱,农户在农地流转时越倾向于采用书面式契约;自然空间距离以及信任在关系强度对农户农地流转契约选择的影响中具有中介效应。上述研究结论的启示为:在经济发展相对落后的农村地区,农地流转过程中的契约选择实质上尚未摆脱社会关系的影响,农地流转双方仍旧会基于关系强度来配置农地资源。因此,中央及各级地方政府在推动农地流转契约正规化的过程中,一定要充分考虑当地差序格局、信任机制以及关系网络等非正式制度供给在乡村治理中所发挥的重要作用。

重度放牧导致荒漠草原丛生禾草优势种群种间竞争强度下降

探究荒漠草原的优势种短花针茅和无芒隐子草在放牧过程中种间关系的变化,对于丛生禾草优势种群调控植物群落结构和功能具有重要指导意义。本文以荒漠草原的短花针茅(S.breviflora)和无芒隐子草(C.songorica)为研究对象,采用了方差分析和Jaccard指数以及线性回归模型分析方法,探究在不同放牧强度和空间尺度下短花针茅和无芒隐子草的密度变化及其二者的种间竞争关系。结果表明:伴随放牧强度和空间尺度的增加,短花针茅和无芒隐子草的密度均存在显著性差异(P<0.05)。放牧强度和空间尺度增加均增大了短花针茅和无芒隐子草密度,且该密度对空间尺度的响应更强。伴随放牧强度增加,短花针茅和无芒隐子草的竞争能力先增强后减弱,丛生禾草优势种群通过降低种间竞争强度(增加种间亲和性)来抵御重度放牧条件下的干扰。因此,放牧会使得优势种的种间关系由竞争关系转变为亲和关系。

热带气旋尺度与强度关联性研究进展

主要回顾了热带气旋(TC)尺度与强度相关性的统计研究,简要阐述了影响TC尺度、强度及尺度-强度关联性的内部和外部物理因子的相关研究进展。不同于以往研究仅考虑尺度或强度各自的变化,本文在回顾前人研究时将尺度-强度关联性作为主要讨论对象,这有助于深入理解TC整体风场变化背后的物理机制,为提升模式模拟能力和业务预报水平提供科学指导,并明确未来有待进一步深入的研究方向。

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.