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)

Turning couplets into a weapon of the Great Proletarian Cultural Revolution is also a creation by the masses in a revolutionary movement.

Background: There is a growing need to offer appropriate services to persons with mild cognitive impairment and dementia who are faced with depression and anxiety distresses beyond traditional pharmacological treatment. Dance-based interventions as multi-dimensional interventions address persons' physical, emotional, social, and spiritual aspects of well-being. However, no meta-analysis of randomized controlled treatment trials has examined the effectiveness of dance-based interventions on depression and anxiety among persons with MCI and dementia, and the results of RCTs are inconsistent. The study aimed to (...) examine the effectiveness of dance-based interventions on depression and anxiety among persons with MCI and dementia.Methods: A systematic review with meta-analysis was conducted. The inclusion criteria were: population: people of all ages with MCI and dementia; intervention: dance-based interventions; control group: no treatment, usual care, or waiting list group; outcome: depression and anxiety; study design: published or unpublished RCTs. Seven electronic databases were searched from 1970 to March 2021. Grey literature and reference lists from relevant articles were also searched and reviewed. The Cochrane “Risk of Bias” tool was used to assess study quality. RevMan 5.4 was used for meta-analysis and heterogeneity was investigated by subgroup and sensitivity analysis. GRADE was applied to assess the evidence quality of depression and anxiety outcomes.Results: Five randomized controlled trials were identified. Sample sizes ranged from 21 to 204. The risk of bias was low, except for being rated as high or unclear for most included studies in two domains: allocation concealment, blinding participants and personnel. Meta-analysis of depression outcome showed no heterogeneity, indicating that the variation in study outcomes did not influence the interpretation of results. There were significant differences in decreasing depression in favor of dance-based interventions compared with controls [SMD = −0.42, 95% CI, p < 0.0001] with a small effect size ; Compared with the post-intervention data, the follow-up data indicated diminishing effects. Dance-based interventions were more effective in reducing depression for persons with dementia than with those having MCI, and were more effective with the delivery frequency of 1 h twice a week than 35 min 2–3 times a week. Also, one included RCT study showed no significant benefit on anxiety rating scores, which demonstrated small effect sizes at 6 weeks and 12 weeks. GRADE analysis indicated the evidence quality of depression was moderate, and the evidence quality of anxiety was low.Conclusions: Dance-based interventions are beneficial to alleviate depression among persons with MCI and dementia. More trials of high quality, large sample sizes are needed to gain more profound insight into dance-based interventions, such as their effects of alleviating anxiety, and the best approaches to perform dance-based interventions. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Philosophical Enactment and Bodily Cultivation in Early Daoism: In the Matrix of the Daodejing by Thomas MichaelJing Tan (bio) and Xiangfei Bao (bio)Philosophical Enactment and Bodily Cultivation in Early Daoism: In the Matrix of the Daodejing. By Thomas Michael. London: Bloomsbury Academic, 2022. Pp. x + 278. Hardcover $115.00, isbn 978-1-3502-3665-3. Thomas Michael's Philosophical Enactment and Bodily Cultivation in Early Daoism: In the Matrix of the Daodejing (hereafter (...) Philosophical Enactment) brings forward new perspectives and pathways to one of the most important topics concerning the reconstruction of early Daoist history. The author has contributed two other original and insightful monographs to the study of Daoism, including In the Shadows of the Dao: Laozi, the Sage, and the Daodejing (Albany, NY: State University of New York Press, 2015) and The Pristine Dao: Metaphysics in Early Daoist Discourse (Albany, NY: State University of New York Press, 2005). Together with his newly published research article "The Original Text of the Daodejing: Disentangling Versions and Recensions" (Religions 13, No. 4, (2022): 325), Michael has displayed his erudition and expertise in the study of early Chinese religion and philosophy in both a sinological and philosophical way. His Philosophical Enactment sheds new light on the history of early Daoism. Writing the history of early Daoism is not easy, as Daoism is not ready-made and has no clear boundaries. The difficulty lies not only in its entanglement with, for instance, Confucianism and Legalism, but also in when Daoism began and how it transformed. Narrating the origin and the vicissitude of Daoism requires a prescribed narrative logic or a choice of philosophical paradigm. Piling up materials is not history writing. A typical pattern in writing the history of early Daoism is distinguishing the Daoist school of philosophy (daojia 道家) from Daoist religion (daojiao 道教).1 Indeed, this distinction brings much convenience to the history writing of Daoism and has been adopted by many scholars. Though some do not explicitly state this distinction, the structure of their writings indicates it.2 The distinction between daojia and daojiao was recognized by scholars long before Fung Yu-Lan 馮友蘭 (1895-1900) published his A Brief History of Chinese Philosophy in 1948. [End Page 1] Xu Dishan 許地山 (1893-1941) believes that such a distinction can be traced back to the "Three Ranks" (sanpin shuo三品說) in Liu Xie's 劉勰 (ca. 465-532) "On Eliminating Doubts" (Miehuo lun滅惑論).3However, the received distinction between daojia and daojiao is a retrospective one. It is the product of modern discipline classification and is based on the modern understanding of philosophy and religion. Such a distinction must have been unknown to the people before and during the Han. This distinction may also cause difficulties, for instance, how to classify Ge Hong 葛洪 (283-343) and his works. Wang Ka 王卡 (1956-2017) categorized Ge Hong as a Daoist philosopher,4 while Tang Yijie 湯一介 (1927-2014) assigns Ge Hong to Daoist religion. Tang even asserts that Ge Hong established a theoretical system for Daoist religion. 5 The practice of distinguishing and dichotomizing the Daoist school of philosophy and Daoist religion has been opposed by many researchers. The French Sinologist Henri Maspéro (1883-1945) argues that daojia and daojiao are not so distinct as is often received; they both belong to the same ancient tradition. Maspéro's opposition to the dichotomy was also supported by Joseph Needham (1900-1995), Kristof Schipper (1934-2021), and others.6Although many scholars find it difficult to sharply separate the Daoist school of philosophy from Daoist religion,7 and also find it improper to dichotomize these two concepts, they still commonly accept the distinction and then trying to bridge the two. However, the dilemma faced by scholars compels us to wonder about the appropriateness of the philosophical paradigm dictating this distinction. In other words, do we have a more appropriate alternative? Thomas Michael's Philosophical Enactment provides us with a new perspective for reconsidering the problem of the relationship between the Daoist school of philosophy and Daoist religion, while also being an excellent example of the history writing of early Daoism. According to the general view, the Daodejing belongs to Daoist philosophy because it offers systematic... (shrink)

Electroacupuncture (EA) and electroconvulsive therapy (ECT) are often used in the management of schizophrenia. This study sought to determine whether additional EA and ECT could augment antipsychotic response and reduce related side effects. In this retrospective controlled study, 287 hospitalized schizophrenic patients who received antipsychotics (controls, n = 50) alone or combined with EA (n = 101), ECT (n = 55) or both (EA+ECT, n = 81) were identified. EA and ECT were conducted for 5 and 3 sessions per week, (...) respectively, with a maximum of 12 sessions for ECT during hospitalization. The Scale for the Assessment of Positive Symptoms (SAPS) and Scale for the Assessment of Negative Symptoms (SANS) were used to assess the severity of psychotic symptoms. Clinical response on SAPS and SANS, weight gain, and adverse events were compared. Survival analysis revealed that the ECT and EA+ECT groups had markedly greater clinical response rate than controls on SAPS [72.7% and 90.1% vs. 64.0%; relative risk (RR), 1.974 and 2.628, respectively, P ≤ 0.004] and on SANS (67.3% and 70.4% vs. 42.0%; RR, 1.951 and 2.009, respectively, P ≤ 0.015). A significantly greater response rate on SANS than controls was also observed in the EA group (64.4% versus 42.0%; RR = 1.938, P = 0.008). EA-containing regimens remarkably reduced weight gain and incidences of headache, insomnia, dry mouth, and electrocardiographic abnormalities. These results suggest that EA and ECT can serve as additional treatment for enhancing antipsychotic response and reduce the side effects in hospitalized patients with schizophrenia. (shrink)

本书从市场失败出发,越出经济学的范畴,以超越现代性的视角,重新评估并构建了经济伦理学。阐明了道德失败同市场与政府失败构成广义经济学的三大失败,美德机制和良知具有超越一般价值取向和规范的意义。.

本书包括:从特拉西到拿破仑;一个难于“终结”与“清算”的概念;从“美是难的”说到艺术定义问题等内容。.

本书收胡适的《一念》之诗引发奇想,进入时间遂道,直面当今公众,与中外哲人对话。书中融记叙、议论、描写于一体,图文并茂,实中领略到深刻的人生哲理。.

作者通过讲述古希腊罗马哲学家丰富的思想和观点,探讨西方哲学精神的起源,揭示西方民族的精神取向,阐明西方民族思维方式的特征,帮助读者把握西方哲学的基本精神,养成理论思维的能力,培养高尚的情操,全面提高人 文素质.

《从孔子到谢灵运：唐前士人精神史探索/陕西师范大学中国语言文学“世界一流学科建设”成果》为作者关于唐前士人精神史探索的文章的合集，共分三部分：一、论先秦圣贤、诗哲的理思与痛苦；二、论汉兴百年儒士、赋家 的经国品质；三、论晋宋名士的飘逸与痛苦。作者深入开掘孔子、屈原、贾谊、陶渊明、谢灵运等人的精神历程，探讨中国人世代相续的民族精神。.

本書結集作者近年來從傳統道家思想與道教經典中，尋找以符應當代環境保護與生態哲學之生態智慧的研究成果。研究的範疇，包括：莊子思想、《太平經》、《陰符經》、葛洪《抱朴子內篇》等，並結合當代的環境生態思潮， 來詮證傳統到家與道教經典的生態智慧。.