Facilitators and barriers to parent-child communication in pediatric palliative care:An integrative review

Objectives:This study aimed to identify facilitators and barriers to parent-child communication in pediatric palliative care,providing insights for medical professionals developing targeted interventions to enhance parent-child communication and improve its effectiveness.Methods:Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in six databases(Medline,Embase,CINAHL Complete,PsycINFO,Web of Science,and Cochrane Library).Peer-reviewer articles published in the English language from inception to December 2023.All of the identified studies were screened,extracted,and analyzed independently by two researchers.Results:Twenty-four articles were included.Thefindings of the relevant studies were analyzed using thematic analysis.Four themes were identified as facilitators:legacy-making,resilience training programs,guidance from the healthcare team,and positive communication.Seven themes were identified as barriers:denial,being unprepared and evasive,mutual protection,being overwhelmed by painful emotions and overloaded with information,incorrect views of medical professionals and parents,negative communication,and cultural context.Conclusions:Parents and professionals should avoid myths about protecting the child and encourage open communication that respects the child’s wishes.The specialized pediatric palliative care team should carefully monitor parent-child communication,determine if any obstacles exist,and design more interventions to enhance it.

Quantitative Structure-activity Relationship Studies on the Antioxidant Activity and Gap Junctional Communication of Carotenoids

The antioxidant and gap junctional communication（GJC） activities of carotenoids are known to be the two main anticancer mechanisms.Quantitative structure-activity relationship（QSAR） models of the two activities were developed using stepwise regression and multilayer perceptron neural network based on the calculated descriptors of quantum chemistry.The results showed that the significant molecular descriptor related to the antioxidant activity of carotenoids was the HOMO-LUMO energy gap（EHL） and the molecular descriptor related to the GJC was the lowest unoccupied molecular orbital energy（ELUMO）.The two models of antioxidant activity both showed good predictive power,but the predictive power of the neural network QSAR model of antioxidant activity was better.In addition,the two GJC models have similar,moderate predictive power.The possible mechanisms of antioxidant activity and GJC of carotenoids were discussed.

The Influence of Parent-Child Relationship on Pupils’ Learning Motivation: The Mediating Role of Teacher-Student Relationship

Objective:The study is to analyze the influence of parent-child relationship on pupils’learning motivation,and to explore the mediating mechanism of teacher-student relationship in parent-child relationship and learning motivation.Method:This study conducted a questionnaire survey on 213 pupils in Grades 5 and 6 in two schools in Beijing using Pianta’s teacher-student relationship scale revised by Qu,Dornbush’s parent-child intimacy scale revised by Zhang and the learning motivation scale adapted by Hu.Results:Gender,grade,whether they are the only child and to be a class cadre or not show significant differences in some dimensions of parent-child relationship,teacher-student relationship and learning motivation.The total scores of parent-child relationship,teacher-student relationship and learning motivation are positively correlated,and some sub dimensions are also significantly correlated.Parent-child relationship and teacher-student relationship have a significant positive predictive effect on learning motivation,and parent-child relationship has a significant positive predictive effect on teacher-student relationship.Teacher-student relationship plays a mediating role in the influence of parent-child relationship on learning motivation.Conclusions:Parent-child relationship can promote the relationship between teachers and students,and then enhance pupils’learning motivation.

Listen and talk to the older patients:a critical emancipatory reflection on the practice of communication issues

Objective: Reflection is a process of deliberating thinking and examining one's practice in the past and thereby encouraging nurses to make improvements in future care delivery. This work outlines a piece of reflection involving the practice of communication between nurses and the elderly, to emancipate the authors from their constraints, help to find values as practitioners, and gain a greater understanding of the nurse-patient relationship.Methods: Using Smyth's four-stage model as a guide, as well as empirical and theoretical knowledge on nurse-patient relationships, this paper presents a deep reflection on the relationship that the authors developed with elderly patients and their families, encountered during the practice as a nurse. By applying the four main stages consisting of describe, inform, confront, and reconstruct, this model enabled the authors to frame, describe the practice issue, and explore the meaning behind it, which helps to facilitate a structured reflection.Results: Critical emancipatory reflection, in association with the Espoused theory and Theory-in-use, as well as reflexivity, critical social theory, and hegemony, was applied to uncover the various power relationships and constraining forces in the authors' practice involved in communicating with the elderly, such as the underlying false consciousness, hegemony, hidden assumptions, influential values, and dominant power structure, which are subtle and persuasive. By applying this process of critical reflection, transformative practice could be achieved.Conclusions: The process of critical reflection facilitated the development of the abilities required to develop and maintain the nursepatient relationship. It helps to enhance the care of old patients and their families, which illuminates the future nursing practice.

Student-Teacher Communication in University Teaching

Considering that communication is an extremely important element in modem university education, it is of utmost importance to know how successful student-teacher communication can be achieved. In an attempt to explain it, this paper gives a definition of educational communication focusing on key aspects of student-teacher relationship and development of skills necessary for complete and independent communication. Student-teacher relationship is mostly determined by the first contact, as explained in Heider＇s attribution theory, because assigning attributes to other people and trying to understand their behavior is essential part of human nature. Through the example of pedagogical workshops, the paper demonstrates the importance of the interactive learning at university level, which leads towards establishing effective communication between teachers and students.Considering that communication is an extremely important element in modem university education, it is of utmost importance to know how successful student-teacher communication can be achieved. In an attempt to explain it, this paper gives a definition of educational communication focusing on key aspects of student-teacher relationship and development of skills necessary for complete and independent communication. Student-teacher relationship is mostly determined by the first contact, as explained in Heider＇s attribution theory, because assigning attributes to other people and trying to understand their behavior is essential part of human nature. Through the example of pedagogical workshops, the paper demonstrates the importance of the interactive learning at university level, which leads towards estabhshmg effective communication between teachers and students.

The Role of Globalization in Formation of Pedagogical Communication

The article is commonly about the impact of globalization on participants of pedagogical process in the condition of communication. The globalization leaves its tracks in separate spheres of the educational system as well as it impacts all spheres of modern life. The relation between a teacher and a student differs with its peculiarity in the contemporary life. A pupil or a student differs totally in classifying the information gained in his activity. A modem student demonstrates a special attitude to everyday events and gets an independent position. Such reality demands the teacher of the day to have a very high practice; the necessity of contemporary training in the process of training-education can be marked as the appearance of globalization. It occurs as a demand for globalization as well. All these items after being analyzed bring some conclusions.

An Exploratory Study on the Electronic Word of Mouth Communication in Promoting Brands in the Online Platforms

This study discusses on the communication method followed by most of the brands called. “Electronic Word of Mouth” in a short form is called as eWOM in order to reach the customers effectively in a short span. Social media having become a new hybrid component of integrated marketing communication allows the brands to establish strong relationship with the customers. With the establishment of customer relationship online, the brands create a platform for the customers to discuss about the product features, quality, price and write a review about the product online. This research analyses about the social media and its impact in spreading the messages about the brands to the end customers and the impact of gender, age groups, income, designation and the demographic details of the customers in trusting the information that is spread through electronic media and the level at which the eWOM helps the customers to select the brand.

Monitor and Acceptance among Couples in Romantic Relationships:Actor-Partner Interdependence Models Based on the Monitor and Acceptance Theory

Communication could be an essential part of couples in their daily life.Based on Monitor and Acceptance Theory(MAT),the present study explored the mediating role of communication in the relationship between mindfulness and relationship quality among college-student couples.The research examined the dynamic relationship of monitoring and acceptance to relationship satisfaction in the Actor-Partner Interdependence Model(APIM),and the mediating effect of positive or negative communications in these relationships.A total of 96 pairs of couples in the universities in Nanjing,China participated in the research.Momentary measurements were used to measure the momentary levels of their monitor,acceptance,positive/negative communication,and relationship satisfaction.A Hierarchical Linear Model(HLM)was used to deal with the APIM.Results showed that the women’s monitor facet of state mindfulness negatively predicted men’s relationship satisfaction through women’s negative communication,and the women’s acceptance facet of state mindfulness positively predicted women’s relationship satisfaction through women’s positive and negative communication at the within-person level.The study highlights the importance of cooperation in monitoring and acceptance for couples to own and hold high levels of relationship satisfaction.

The Role of Relationships with Teachers in Adolescent Development among a National Sample of Chinese Urban Adolescents

A nationally representative sample of 1640 Chinese urban adolescents (mean age=14.5 years) and their parents and teachers were surveyed to examine the associations between relationships with teachers and parents and adolescents' developmental outcomes such as academic performance, psychological well-being, altruistic behaviors, and misconduct. Results showed that the quality of adolescents' relationships with teachers was highly correlated with adolescent outcomes, in most cases more so than for relationships with parents. Furthermore, such associations were the same across both genders and three grade levels. These findings suggest that teachers may play an especially significant role in Chinese adolescent development. This study adds to the small but growing literature on the importance of teachers as well as other non-parental adults in adolescent psychosocial development.

Healing Humor: The Use of Humor in the Nurse-Patient Relationship

Objective: To identify the importance of using humor in patient/nurse relationship, its factors, its conditions and the barriers that might limit its use. Methods: We systematically searched PubMed, Science Direct and Google Scholar, for relevant articles published in English between 2010 and 2019. We included the studies that investigated humor between nurses and their patient’s relationship. Results: From the initial 287 articles found, 15 were included for final revision. Data allowed retrieving information on humor definition;its applicability as a nursing intervention;humor as a tool to improve nurse-patient communication and relationship;influencing factors;humor benefits in health care context and the limits that come against its use. Conclusion: Humor is considered a powerful communication tool, it promotes well-being, relieves anxiety and stress, helps deal with stressful situations but it should be used cautiously in order to prevent undesired consequences.

An analysis of the relationship between interpersonal relationship and mental health

Interpersonal communication is a kind of sociology, is a kind of psychology. The reason why people are people, that is, the people themselves have a certain social attributes, people can not exist independently from the community, it is bound to establish a relationship with society, and people. Interpersonal communication is a kind of communication between people, it will also produce a collision between the mind and the soul, with a certain psychological interaction. From the perspective of mental health, the main reason affecting interpersonal barriers have cognitive factors, emotional factors and economic factors, to solve the problems, we should analyze from several factors, another way, change not only depends on the concept of education, education and teaching activities is more dependent on the mode change. It is necessary to strengthen the theoretical study of interpersonal relationship, change the concept, pay attention to the training of interpersonal skills, reshape the personality.

Chinese Teachers’Professional Identity and Beliefs about the Teacher-Student Relationships in an Intercultural Context

This paper presents a qualitative study of immigrant Chinese teachers’professional identity and beliefs about the teacher-student relationship in an intercultural context.Theoretically,this study takes its departure from a sociocultural perspective on understanding professional identity.The empirical analysis in the study drew mainly upon ethnographic interviews with a group of Chinese language teachers in Denmark concerning their life experiences,perceptions,and beliefs.The results of this study suggest that teachers’beliefs about their roles as teachers and about student-teacher relationships are shaped by both their prior experiences and backgrounds and the current social and cultural contexts in which they are situated.Changes of context(e.g.,from China to Denmark)often lead to a transformation of their professional identity and beliefs.Being a teacher in an intercultural context often exposes them to the confrontation of diverse challenges and dilemmas.On one hand,teachers in this study generally experienced a transformation from being a moral role model,subject expert,authority and parental role to being a learning facilitator and culture worker.On the other hand,they developed diverse individualized coping strategies to handle student-teacher interactions and other aspects of teachers’professional identity.

数字时代城乡关系的可沟通性与融合发展路径

城市化与数字信息技术发展的交叉融合,深刻影响着中国基层社会的深层结构与人们生活方式的变革。面对城市化与流动性带来的人口与地域的分离,流动中的农民对城乡之间沟通交流以及重构日常生活秩序的需求日益强烈。数字媒介变革与新媒体的广泛应用,构建起跨越城乡的媒介空间,为构建去城市中心化、双向和多元交流互动的城乡传播网络提供了条件。农民日常生活与城乡传播网络深度交融,数字媒介赋能流动主体在日常生活实践中编织城乡连接之网、交往之网与意义之网,城乡之间保持一种可沟通的动态平衡关系,从深层次推动城乡社会融合发展。在流动性和媒介化社会环境中,数字媒介赋能构建双向连接与可沟通的城乡关系,成为城乡融合发展路径创新的重要探索方向。

非结核分枝杆菌病治疗药品超说明书用法专家共识

针对非结核分枝杆菌病的治疗药品存在或者没有适应证,或者超疗程、超剂量等情况,中国防痨协会非结核分枝杆菌专业分会组织相关专家对大环内酯类、利福霉素类、氨基糖苷类、氟喹诺酮类、β-内酰胺类、四环素类药品,以及利奈唑胺、氯法齐明、贝达喹啉、复方磺胺甲噁唑等治疗非结核分枝杆菌病药品的超说明书用法达成共识并形成此文件,期望对临床医生提供指导。

Humanity factors and more: A little heads up for medical students and future doctors

Exactly how can we become a successful doctor in the future? It has been widely accepted that chasing perfection in our field of expertise alone is not enough. Here in China, doctors have the liability to do more. Chinese doctors are relatively more prone to confronting difficult situations in a more complex manner. Therefore, the humanity factor in medical practice is discussed, and some essential communication skills are suggested for medical practitioners, with heartfelt anticipation for a better medical environment as well as a more pleasant Doctor-Patient relationship.

A Study of the Differences Between China and UK Classroom Teaching in Middle Schools Based on a BBC Documentary

This paper aims to analyze the differences between China and UK classroom teaching in middle school based on a case study ofa BBC documentary, Are Our Kids Tough Enough-Chinese School. The author found that there were many significant differences between the two countries in terms of the relationship between teacher and student, classroom teaching style and teaching methods.

Discussion on Teacher's Role under Life Threatening Circumstances

This paper first reviewed a controversial case in which a teacher ran away from his students in a earthquake. Several educational ethnic questions were aroused from the case: Is protecting students part of teacher's job? To what extent should it be applied? etc. Then the author aims to answer these questions based on a real case study from philosophical perspective, that is, analyzing teacher's role(i) as a human being;(ii) as a educator;(iii) as a educatee. Finally the paper concludes that teachers should protect their students even under life threatening circumstances.

Securing Happiness in the Workplace

It is a discussion of how to secure the workplace happiness by interviews of a professional and two employees.It addresses that making an employee feel valued to the company,good working relationships,achievements recognized and leadership are significant to maintain employee satisfaction and well being.

Physician disruptive behaviors: Five year progress report

Disruptive behaviors in health care can have a significant adverse effect on staff interactions that can negatively impact staff satisfaction, staff performance, and patient outcomes of care. As referenced in a previously published article, the Obstetrics and Gynecology specialty is one of the service areas where these behaviors occur more frequently. Despite growing evidence of the ill effects of these types ofbehaviors many organizations are still having a difficult time in addressing these issues in an effective manner. Gaining a better understanding of the nature, causes, and impact of these behaviors is crucial to finding the right remedies for solution. Nobody intentionally starts the day planning to be disruptive, it's just that things get in the way. A combination of deep seated factors related to age and gender preferences, culture and ethnicity, life experiences, and other events that help shape values, attitudes and personalities, and more external factors related to training, environmental pressures, stress and burnout, and other personal issues all contribute to the mix. Given the complexities of today's health care environment, each person needs to recognize the importance of being held accountable for appropriate actions and behaviors that affect work relationships and care coordination that impact patient care. Early recognition, early intervention, and taking a pro-active supportive approach to improve individual behaviors will result in better relationships, less disruption, more satisfaction, and better outcomes of care.

Digital Media Ethics： Challenges Between the Public and the Private for ICTs

There have never been more ways for us to ＂communicate＂ than what we may have today as we keep developing new technologies that allow us with alternative forms of interaction other than face-to-face conversation. Our age indeed distinguishes itself by its ever more rapid transformations in the kinds of mediation for such encounters. But, especially when they are new, technologies may deeply affect how we see the world, our communities, our relationships, and ourselves. For, as people usually respond to new media with much excitement as well as a big amount of confusion, and these media may conduct to social and cultural reorganization, they should as well incite more sober reflections about such changes before they become so taken for granted to appear as almost ＂invisible＂