Background: High ethical sensitivity positively affects the quality of nursing care; nevertheless, Chinese nurses’ ethical sensitivity and the factors influencing it have not been described. Research objectives: The purpose of this study was to describe ethical sensitivity and to explore factors influencing it among Chinese-registered nurses, to help nursing administrators improve nurses’ ethical sensitivity, build harmony between nurses and patients, and promote the patients’ health. Research design: This was a descriptive, cross-sectional study. Participants and research context: We recruited 500 nurses (...) from several departments in three tertiary hospitals. The Chinese Moral Sensitivity Questionnaire–Revised version and the Jefferson Scale of Empathy-Health Professionals were used to assess the nurses’ ethical sensitivity and empathy ability, respectively. Fifteen sociodemographic variables were included in the questionnaires. Ethical considerations: Informed consent was obtained from the participants regarding participation and data storage and handling. This program has been examined and supported by the research center of medical ethics and professional ethics of Guilin Medical University. The Approval No. was 2016RWYB04. The whole research process is conducted strictly according to ethical requirements. Results: The valid response rate was 84.40%. The total score of Chinese Moral Sensitivity Questionnaire–Revised was 35.82 ± 8.17. The subscale scores of moral responsibility and strength and sense of moral burden were 21.50 ± 4.91 and 14.33 ± 3.98, respectively. Significant differences were found among age groups, gender, years of working, category of profession, and quality of family communication regarding nurses’ ethical sensitivity. Regression analysis showed that the main factors influencing nurses’ ethical sensitivity were gender, years of working, quality of family communication, career satisfaction, and empathic ability. Discussion: Our findings suggest that Chinese nurses’ ethical sensitivity in tertiary hospitals in Guilin is at a medium level. Conclusion: The director of nursing schools and hospitals in China should pay attention to nurses’ ethical sensitivity and should intensify education and training to improve nurses’ ethical sensitivity. Further studies should focus on interventions aimed at improving Chinese nurses’ ethical sensitivity. (shrink)

Background: Cognitive impairment is one of the core symptoms of schizophrenia, which is considered to be significantly correlated to prognosis. In recent years, many studies have suggested that metabolic disorders could be related to a higher risk of cognitive defects in a general setting. However, there has been limited evidence on the association between metabolism and cognitive function in patients with early-stage schizophrenia.Methods: In this study, we recruited 172 patients with early-stage schizophrenia. Relevant metabolic parameters were examined and cognitive function (...) was evaluated by using the MATRICS Consensus Cognitive Battery (MCCB) to investigate the relationship between metabolic disorder and cognitive impairment.Results: Generally, the prevalence of cognitive impairment among patients in our study was 84.7% (144/170), which was much higher than that in the general population. Compared with the general Chinese setting, the study population presented a higher proportion of metabolic disturbance. Patients who had metabolic disturbance showed no significant differences on cognitive function compared with the other patients. Correlation analysis showed that metabolic status was significantly correlated with cognitive function as assessed by the cognitive domain scores (p < 0.05), while such association was not found in further multiple regression analysis.Conclusions: Therefore, there may be no association between metabolic disorder and cognitive impairment in patients with early-stage schizophrenia.Trial Registration: Clinicaltrials.gov, NCT02880462. Registered August 26, 2016. (shrink)

本书收录了的文章以中国历史、哲学、文学著作中的名言为引子, 结合现实生活, 并以个人的生活经验和哲学体悟相结合的方式, 阐述作者本人的哲学观点.

In this paper, a personalized online education platform based on a collaborative filtering algorithm is designed by applying the recommendation algorithm in the recommendation system to the online education platform using a cross-platform compatible HTML5 and high-performance framework hybrid programming approach. The server-side development adopts a mature B/S architecture and the popular development model, while the mobile terminal uses HTML5 and framework to implement the function of recommending personalized courses for users using collaborative filtering and recommendation algorithms. By improving the (...) traditional recommendation algorithm based on collaborative filtering, the course recommendation results are more in line with users' interests, which greatly improves the accuracy and efficiency of the recommendation. On this basis, online teaching on this platform is divided into two modes: one mode is the original teacher uploads recorded teaching videos and students can learn by purchasing online or offline download; the other mode is interactive online live teaching. Each course is a separate online classroom; the teacher will publish online class information in advance, and students can purchase to get classroom number and password information online. (shrink)

Amid the social background of China where the Internet has penetrated into every corner of an adolescent’s life, we were concerned of the role of Internet usage in influencing the educational gap among social classes. We investigated the mediating role of Internet usage preference for entertainment in the relationship between the family socioeconomic status and the adolescent’s academic achievement and explored the moderating role of future orientation in the relationship. A total of 614 junior high school students were recruited to (...) complete a questionnaire survey, including questionnaires for family SES, Internet usage preference, and adolescent future orientation. The results showed that the relationship between family SES and academic achievement was mediated by Internet usage preference for entertainment; the indirect effect was moderated by future orientation, such that the negative association between family SES and Internet usage preference for entertainment was only indicated in adolescents with low future orientation; and the direct association between family SES and Internet usage preference for entertainment was moderated by future orientation. (shrink)

Interactions with teachers and peers are critical for children’s social, behavioral, and academic development in the classroom context. However, these two types of interpersonal interactions in the classroom are usually pursued via separate lines of inquiries. The current study bridges these two areas of research to examine the way in which teachers influence child-perceived peer social support and peer victimization for 2,678 children within 183 classrooms in preschool through grade three. Two levels of teacher influence are considered, namely teacher-child closeness (...) and conflict relationships at the child-level, and teacher management of interpersonal interactions at the classroom-level. Results of multilevel regression models showed that teacher-child closeness was associated with the growth of child-perceived peer social support from fall to spring, whereas teacher-child conflict and teachers’ behavior management practices were associated with the change in child-perceived peer victimization across the academic year. These associations were unique and above and beyond the influence of children’s actual peer social interactions, including reciprocal friendships and the collective classroom reputation of peer victimization. Collectively, findings highlight the multi-faceted teacher roles in shaping children’s perceptions of their peer social experiences during the earliest years of schooling. (shrink)

This study investigates the relationship between abusive supervision and employee creativity by shedding light on the mediating role of negative affect and the moderating role of interpersonal harmony. Based on affective events theory, it was hypothesized that abusive supervision impacts employees’ negative affect and their creativity. Data from a questionnaire survey of 398 Chinese employee–supervisor dyads were collected and analyzed. The results support our hypotheses, address unexplored theoretical predictions, and suggest that organizations should deal with the factors undermining employees’ emotions (...) to improve their creativity. (shrink)

Background An increasing number of studies on physicians’ professionalism have been done since the 2002 publication of Medical Professionalism in the New Millennium: A Physician Charter. The Charter proposed three fundamental principles and ten responsibilities. However, most studies were done in developed countries, and few have been done in China. Additionally, few studies have examined the effect of patient-centered hospital culture (PCHC) on physicians’ professionalism. We aimed to investigate physicians’ medical professionalism in public hospitals in China, and to assess mediating (...) effect of professional attitudes in the relationship of PCHC with professional behaviours. Methods Self-administered questionnaires including professional attitudes (20 items) and behaviours (10 items) survey and PCHC scale (22 items) were given to clinical physicians in five public hospitals, China. The mediating effect of professional attitudes in the relationship of PCHC with professional behaviours was tested. Result 232 valid questionnaires were collected. More than 90% (208) respondents agreed with 15 of 20 specific statements on medical professionalism. As for the responsibility of improving quality of care, 54 (23%) respondents disagreed with reporting of incompetent colleagues and as for the responsibility of maintaining professional competence, 49 (21%) disagreed with recertification. More than 185 (83%) respondents reported that they sometimes, usually, or always showed the four positive behaviours on the questionnaire, and 173 (77%) reported that they never showed the six negative behaviours. Mediating effect analysis revealed that two dimensions of PCHC (i.e. value/institution culture and behaviour/material culture) had a significant positive impact on physicians’ professional behaviour, and professional attitude played a complete mediation role between them, but another dimension of PCHC (i.e. negative evaluation of hospital) directly affected professional behaviour without influencing professional attitude. Conclusion Chinese physicians showed positive professional attitudes and behaviours. Different dimensions of PCHC affected physicians’ attitudes and behaviours in different ways. (shrink)

By examining managers’ decisions about disclosing updated assessments of firms’ risks, we present evidence that the risk factor disclosures are informative. We use the setting of cybersecurity risk factor disclosures after a data breach because data breaches, especially severe breaches, serve as a natural experiment where an exogenous shock to managers’ assessment of their firm’s cybersecurity risks occurs. We analyze the topic from the perspective of two different theoretical lenses: the economic lens of optimal risk exposure and the ethical lens (...) of stakeholder theory. Using a sample of firms experiencing data breaches, we find that firms experiencing a data breach increase the amount of cybersecurity risk factor disclosures compared to matched firms with no data breach. Further investigation reveals that the severity of data breaches affects the results; cybersecurity risk factor disclosures increase only after severe data breaches. While there is no significant market reaction if breached firms’ subsequent annual reports include increased cybersecurity risk factor disclosures, a significant negative market reaction occurs if breached firms decrease cybersecurity risk factor disclosures, regardless of the severity of the breach, implying that the market anticipates increased disclosures after data breaches. (shrink)

BackgroundPost-stroke depression is one of the most common neuropsychiatric diseases in patients with stroke, and it can increase the disability rate, mortality, and recurrence rate of stroke. Currently, many clinical studies have indicated that traditional Chinese medicine, such as acupuncture and herbs, Western medicine, rehabilitation, repeated transcranial magnetic stimulation, and other treatment methods, are effective in treating PSD. However, no study has formulated a comprehensive treatment plan that integrates TCM, Western medicine, and rehabilitation for PSD. Thus, this trial aims to (...) assess the efficacy and safety of integrative medicine for treating PSD.MethodsThis multicenter, prospective, randomized, controlled study aims to form a set of effective clinical treatment schemes that integrate TCM, Western medicine, and rehabilitation for PSD. A total of 202 participants recruited from four centers will be randomized into either the integrative medicine or standard care group. Standard care—basic treatment, general nursing care, and exercise therapy—will be provided to all participants. The integrative medicine group will also receive acupuncture, Chinese herbs, and repeated transcranial magnetic stimulation. Participants will receive acupuncture and rTMS treatments five times per week for 4 weeks and will be administered Chinese herbs, basic treatment, general nursing care, and exercise therapy for 4 weeks. The primary outcomes include the Hamilton Depression Scale, Self-Rating Depression Scale, and Activity of Daily Living Scale. And the secondary outcomes include the Montreal Cognitive Assessment Scale, the Fugl-Meyer Assessment Scale, and the Pittsburgh Sleep Quality Index. All outcome measures will be evaluated at baseline, week 4, and week 8. Safety assessments will be performed throughout the study.DiscussionThis study is expected to verify the efficacy and safety of integrative medicine for treating PSD, providing an evidence-based clinical reference for the future development of a standardized scheme.Clinical trial registrationClinicalTrials.gov, identifier: NCT05187975. (shrink)

Volunteers play an indispensable role in several major events and activities. The purpose of this study is to review studies on volunteer motivation from 2000 to 2021 and to discover the development trends in this field. The Web of Science Core Collection is the main literature data resource, from which 162 papers on volunteer motivation published in the SSCI were selected. Using two visualization analysis tools, CiteSpace and VOSviewer, this study conducts bibliometric analysis and systematic review from multiple dimensions, identifying (...) the authors, countries, institutions, and journals with high productivity in this field. Additionally, we explored highly cited papers, authors, and journals in this field. This study aims to find the research hotspots and theoretical basis through co-occurrence analysis and cluster analysis of keywords and explore the evolution through the time zone map drawn with CiteSpace. Moreover, we focus on the influence of Chinese and Western cultures on volunteer motivation. It was found that Chinese volunteers were more affected by collectivism, whereas American volunteers were more affected by individualism. The conclusion of this study constructs a clear framework for research on volunteer motivation, which provides researchers with a deeper and thorough understanding of the connotation of volunteer motivation, providing guidance and support for future research in this field. (shrink)

Weight stigma internalization among adolescents across weight categories leads to adverse psychological consequences. This study aims to adapt and validate a Chinese version of the Weight Bias Internalization Scale for Mainland Chinese children and adolescents. A total of 464 individuals aged 9 to 15 years participated in the present study. Based on item response theory and classical test theory, we selected the items for the C-WBIS and evaluated its reliability and validity. The item response theory yields support for the one-dimensional (...) factor mode. All item parameters fit the IRT model, eight items were adopted. No evidence of significant differential item functioning was found for gender and age groups. The C-WBIS was correlated with the Core Self-Evaluation Scale and two subscales of the Social Anxiety Scale for Children, which indicated an acceptable criterion-related validity. The C-WBIS is a reliable and valid measure that can be used as a psychometrically sound and informative tool to assess weight bias internalization among children and adolescents. (shrink)

内容包括:教师道德的形成和发展,教师道德的基本原则和规范,教师道德与依法执教,教师道德建设与教师心理素质,教师道德评价,外国教师道德教育的做法与经验。.

Hyperbolic vectors are called gyrovectors. We show that the Bloch vector of quantum mechanics is a gyrovector. The Bures fidelity between two states of a qubit is generated by two Bloch vectors. Treating these as gyrovectors rather than vectors results in our novel expression for the Bures fidelity, expressed in terms of its two generating Bloch gyrovectors. Taming the Thomas precession of Einstein's special theory of relativity led to the advent of the theory of gyrogroups and gyrovector spaces. Gyrovector spaces, (...) in turn, form the setting for various models of the hyperbolic geometry of Bolyai and Lobachevski just as vector spaces form the setting for the standard model of Euclidean geometry. It is the recent advent of the theory of gyrogroups and gyrovector spaces that allows the Bures fidelity to be studied in its natural context, hyperbolic geometry, resulting in our new representation of the Bures fidelity, that reveals simplicity, elegance, and hyperbolic geometric significance. (shrink)

Interventions that incorporated the teaching of self-regulated learning strategies are assumed to be effective in improving students' second language performance as they support students' SRL activity and self-efficacy. Nevertheless, previous meta-analyses largely focused on students' language learning achievement, while neglecting the instructional effects on their SRL strategy use and self-efficacy, two key factors in SRL models. This meta-analytic study was thus conducted to address the gap by synthesizing the evidence of SRL interventions in influencing students' L2 learning achievement, strategy use, (...) and self-efficacy. The largest effect was obtained for L2 learning achievement, followed by self-efficacy and strategy use. Moderator analysis revealed similar instructional effects on students of different age groups and education levels. The duration and intensity of intervention significantly moderated the effectiveness of SRL interventions in the L2 context, especially for strategy use and self-efficacy. The findings obtained in the current study could inform practitioners and researchers of the cumulative effects of SRL interventions in L2 classrooms and study design and student characteristics that moderate the instructional effectiveness. (shrink)

A link prediction model for weighted networks based on Dempster–Shafer evidence theory and the influence of common neighbours is proposed in this paper. First, three types of future common neighbours and their topological structures are proposed. Second, the concepts of endpoint weight influence, link weight influence, and high-strength node influence are introduced. Then, the similarity based on the impacts of current common neighbours and FCNs is defined, respectively. Finally, the two similarity indices are fused by the DS evidence theory. This (...) model effectively integrates multisource information and completely exploits the influence of all CCNs and FCNs on similarity. Experiments are performed on 9 real and 40 simulation-weighted datasets, and these findings are compared with several classic algorithms. Results show that the proposed method has higher precision than other methods, which can achieve good performance in link prediction in weighted networks. (shrink)

Hengxian, one of the bamboo books of the Chu State during the Warring States Period that is kept in the Shanghai Museum, was collected by the museum in 1994, and is an important piece of literature that discusses cosmic issues prior to Huainanzi. Based on Li Ling’s work on the text, as well as hermeneutic work by some other scholars, this essay represents another attempt to determine the words and meanings of the Hengxian, with a focus on its cosmological commentary.

Let H n be the linear heptagonal networks with 2 n heptagons. We study the structure properties and the eigenvalues of the linear heptagonal networks. According to the Laplacian polynomial of H n, we utilize the method of decompositions. Thus, the Laplacian spectrum of H n is created by eigenvalues of a pair of matrices: L A and L S of order numbers 5 n + 1 and 4 n + 1 n! / r! n − r!, respectively. On the (...) basis of the roots and coefficients of their characteristic polynomials of L A and L S, we get not only the explicit forms of Kirchhoff index but also the corresponding total number of spanning trees of H n. (shrink)

ABSTRACTThe present study examined the effect of stimulus valence on two levels of selection in the cognitive system, selection of a task-set and selection of a response. In the first experiment, participants performed a spatial compatibility task in which stimulus-response mappings were determined by stimulus valence. There was a standard spatial stimulus-response compatibility effect for positive stimuli and a reversed SRC effect for negative stimuli, but the same data could be interpreted as showing faster responses when positive and negative stimuli (...) were assigned to compatible and incompatible mappings, respectively, than when the assignment was opposite. Experiment 2 disentangled these interpretations, showing that valence did not influence a spatial SRC effect when task-set retrieval was unnecessary. Experiments 3 and 4 replaced keypress responses with joystick deflections that afforded appr... (shrink)

Most children experience some form of grouping in the classroom every day. Understanding how teachers make grouping decisions and their impacts on children’s social development can shed light on effective teacher practices for promoting positive social dynamics in the classroom. This study examined the influence of teachers’ grouping strategies on changes in young children’s social experiences with peers across an academic year. A total of 1,463 children and 79 teachers from kindergarten to third-grade classrooms participated in this study. Teachers rated (...) children’s behavioral problems as the most important consideration when creating seating charts or assigning children to small groups. Promoting existing or new friendships was rated as the least important consideration. Heterogeneous ability grouping, rated as somewhat important by the teachers, was associated with a decrease in children’s friendships and yet also a decrease in girls’ experience with peer conflicts. Our findings begin to fill in the gaps in the literature on the social impacts of ability grouping for young children. (shrink)

There is a high need for cognition on earthquake risk to improve the public’s risk knowledge and risk awareness, so that they can make right decisions and take quick actions regarding mitigation measures and adjustments. In this study, search engine query data from the Baidu Index were extracted to reveal the information search behaviors of the Chinese public regarding the earthquake risk from 2010 to 2012. The data were also analyzed to discuss the characteristics of need for cognition on a (...) nationwide scale and over the long term. The results showed that graphic representations of need for cognition adhere to a “half-peak pattern” before and after earthquake events and dimensions in psychological distance theory, such as temporal distance, spatial distance, and social distance influence the need for cognition on earthquake risk that was the time and spatial discount effect. The implications for theory and practice regarding risk communication and management are discussed and concluded. (shrink)

Objective: Cognitive impairment is a common neurological complication in patients with end-stage renal disease undergoing maintenance hemodialysis. Brain network analysis based on graph theory is a promising tool for studying CI. Therefore, the purpose of this study was to analyze the changes of functional brain networks in patients on MHD with and without CI by using graph theory and further explore the underlying neuropathological mechanism of CI in these patients.Methods: A total of 39 patients on MHD and 25 healthy controls (...) matched for age, sex, and years of education were enrolled in the study. Resting-state functional magnetic resonance imaging and T1-weighted high-resolution anatomical data were obtained, and functional brain networks for each subject were constructed. The brain network parameters at the global and regional levels were calculated, and a one-way analysis of covariance was used to compare the differences across the three groups. The associations between the changed graph-theory parameters and cognitive function scores in patients on MHD were evaluated using Spearman correlation analysis.Results: Compared with HCs, the global parameters [sigma, gamma, and local efficiency ] in both patient groups decreased significantly. The clustering coefficient in patients with CI was significantly lower than that in the other two groups. The regional parameters were significantly lower in the right superior frontal gyrus, dorsolateral and gyrus rectus of patients with CI than those of patients without CI; however the nodal local efficiency in the left amygdala was significantly increased. The global Cp and regional parameters in the three brain regions were significantly correlated with the cognitive function scores.Conclusion: This study confirmed that the topology of the functional brain network was disrupted in patients on MHD with and without CI and the disruption of brain network was more severe in patients with CI. The abnormal brain network parameters are closely related to cognitive function in patients on MHD. (shrink)

Extensive conflicts of interest at both individual and institutional levels are identifiable in scientific research and healthcare in China, as in many other parts of the world. A prominent new case from China is He Jiankui’s experiment that produced the world’s first gene-edited babies and that raises numerous ethical, political, socio-cultural, and transnational questions. Serious financial and other COI were involved in He’s genetic adventure. Using He’s infamous experiment as a case study, this paper explores the wider issue of financial (...) and other COI in scientific research and healthcare in China, especially institutional conflict of interest and policy-related COI. Taking a socio-ethical perspective, it examines China’s state policies and its massive efforts to transform and commercialize scientific research, the lack of policies and oversight mechanisms for regulating COI, as well as major ethical issues arising from COI including the undermining of public trust. Some practical suggestions are offered for institutional reform and institutional development so that COI, particularly ICOI, can be avoided or more effectively managed in scientific research in China. (shrink)

The sizes of individual data files have steadily increased along with rising demand for customized services, leading to issues such as low efficiency of web-based geographical information system -based data compression, transmission, and rendering for rich Internet applications in complicated visualization systems. In this article, a WebGIS-based technical solution for the efficient transmission and visualization of meteorological big data is proposed. Based on open-source technology such as HTML5 and Mapbox GL, the proposed scheme considers distributed data compression and transmission on (...) the server side as well as distributed requests and page rendering on the browser side. A high-low 8-bit compression method is developed for compressing a 100 megabyte file into a megabyte-scale file, with a compression ratio of approximately 90%, and the recovered data are accurate to two decimal places. Another part of the scheme combines pyramid tile cutting, concurrent domain name request processing, and texture rendering. Experimental results indicate that with this scheme, grid files of up to 100 MB can be transferred and displayed in milliseconds, and multiterminal service applications can be supported by building a grid data visualization mode for big data and technology centers, which may serve as a reference for other industries. (shrink)