Background: Both anxiety and depression in family caregivers of advanced cancer patients are common, and they have a negative influence on both the FCs and the patients. Some studies suggested that a variety of interventions could alleviate the psychological symptoms of FCs. However, there is no consensus on much more effective methods for intervention, and relatively high-quality research is blank in psychological problems of these population in China. The validity of mindfulness-based stress reduction and psychological consultation guided by the needs (...) assessment tool in the psychological status of caregivers will be compared in this study to select a more suitable intervention for the FCs of advanced cancer patients in China.Methods and Analysis: A randomized N-of-1 trial would be conducted at the Cancer Hospital, Chinese Academy of Medical Sciences. Fifty eligible FCs of advanced cancer patients will be recruited, and all will receive three cycles of psychological intervention treatment, with each cycle including both of MBSR and psychological consultation guided by the NST. MBSR and psychological consultation guided by the NST will be compared with each other in each cycle, and the intervention sequence will be based on the random number table generated after the informed consent has been completed. Each treatment period is 2 weeks, and the interval between different treatment cycles or treatment periods is 1 week. The self-reported scales are measured at the beginning and end of each treatment period, including the Self-Rating Anxiety Scale, the Self-Rating Depression Scale, Distress Thermometer, Zarit Burden Interview, Chinese version of the Medical Outcomes Study 12-item Short Form, and Family Carer Satisfaction with Palliative Care scale.Dissemination: The protocol of the study was approved by the Institutional Review Board of the Ethical Committee of the Cancer Hospital, Chinese Academic of Medical Science. The results will be published in a peer-reviewed medical journal. The study is registered at Chinese Clinical Trials Registry with the trial registration number chiCTR2000033707. This study employs an innovative methodological approach on the effectiveness of MBSR and psychological consultation guided by the NST for psychological status of FCs of advanced cancer patients. The findings of the study will be helpful to provide high-quality evidence-based medical data for psychological intervention of FCs of advanced cancer patients, and guide clinicians on best quality treatment recommendations. (shrink)

With the rapid expansion of Internet technology, this research aims to explore the teaching strategies of ceramic art for contemporary students. Based on deep learning, an automatic question answering system is established, new teaching strategies are analyzed, and the Internet is combined with the automatic QA system to help students solve problems encountered in the process of learning. Firstly, the related theories of DL and personalized learning are analyzed. Among DL-related theories, Back Propagation Neural Network, Convolutional Neural Network, Long Short-Term (...) Memory, and Gated Recurrent Unit are compared to implement a single model and a mixed model. Secondly, the collected student questions are selected and processed, and experimental parameters in different models are set for comparative experiments. Experiments reveal that the average accuracy and Mean Reciprocal Rank of traditional retrieval methods can only reach about 0.5. In the basic neural network, the average accuracy of LSTM and GRU structural models is about 0.81, which can achieve better results. Finally, the accuracy of the hybrid model can reach about 0.82, and the accuracy and MRR of the Bidirectional Gated Recurrent Unit Network-Attention model are 0.87 and 0.89, respectively, achieving the best results. The established DL model meets the requirements of the online automatic QA system, improves the teaching system, and helps students better understand and solve problems in the ceramic art courses. (shrink)

The energy hole is a severe problem for underwater acoustic distributed networks in that it affects the normal operations of the network and shortens the network’s life span. To deal with this problem, a loop-free routing control technique is proposed in this paper. The classical shortest-path routing control method is used to generate multiple disjointed routing tables. The residual energy of the nodes and the changing information of the uplink/downlink matrix are added to the data frames for distribution. The source (...) node specifies the routing path to transmit the data frames based on the changing information, and the relay nodes route the data frames strictly according to the routing path designated by the source node. Besides, the energy consumption of the relay node is saved by replying to the pseudo-ACK frame. Simulation experiments are implemented in four typical scenarios, and the results reflect that the proposed technique could extend the network’s life span by approximately 10% when compared to other mature techniques. Besides, it has no other negative effects on the normal operations of the network. (shrink)

The massive social change in urban China today has led to a decline in the adaptive implications of shyness for child adjustment, yet evidence of this trend in young children is limited. Moreover, the underlying mechanisms that help to explain the associations between shyness and maladjustment remains poorly understood. The primary goal of the present study was to explore the moderating role of conflict resolution skills in the links between shyness and socio-emotional and school adjustment among urban Chinese preschoolers. Data (...) were collected from 360 children in kindergartens using parent ratings, teacher ratings, and child interviews. The analyses indicated that the relations between shyness and adjustment were moderated by child conflict resolution skills, which served to buffer shy children from adjustment problems. The results were discussed in terms of the implications of conflict resolution skills for early adjustment of shy preschoolers in the Chinese context. (shrink)

BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)

Loving-Kindness Meditation (LKM) is an efficient mental practice with a long history that has recently attracted interest in the fields of neuroscience, medicine and education. However, the neural characters and underlying mechanisms have not yet been fully illustrated, which has hindered its practical usefulness. This study aimed to investigate LKM from varied aspects and interactions between the brain, the heart, and psychological measurements. A Buddhist monk practitioner was recruited to complete one 10-min LKM practice, in between two 10-min resting tasks (...) (pre- and post-resting) per experimental run. Two sets of single-channel wearable EEG devices were used to collect EEG data (placed at Fz and Pz) and heart rate simultaneously. A self-report evaluation was conducted to repeatedly record the comprehensive performance of mind and body in each session. EEG data were preprossessed and analyzed by EEGlab. Further statistics were made by SPSS. Spectrum analysis showed a significant increase of theta power (Fz: t = −3.356; p = 0.002; Pz: t = −5.199; p < 0.001) and decrease of heart rate between pre- and post-resting tasks (t = 4.092, p < 0.001). The analysis showed a negative correlation between theta power and heart rate (Fz: r = −0.681, p < 0.001; Pz: r = −0.384, p = 0.008), and a positive correlation between theta power and the self-designed report score (Fz: r = 0.601, p < 0.001). These findings suggest that LKM is accompanied by significant neurophysiological changes, mainly an increase in slower frequencies, such as theta, and a decrease in heart rate. More importantly, subjective psychological assessments were also correlated with objective neurophysiological measurements in a long-term meditator participant. During LKM meditation, this connection was stronger. The results of this case report have promising implications for LKM practice in daily life. (shrink)

Although many consider professional ethics in the food supply chain an essential topic that should be covered in any degree program, few higher education institutions currently include a module on ethics in their study programs. Instead, ethics is taught in tandem to the core curriculum and is often embedded in the contents of other modules rather than treated as a subject in its own right. Ethics, however, is important enough to warrant a different teaching and educational approach. This book provides (...) support for development of a course in ethics for food studies education. The book is divided into 3 sections, each containing several chapters: Section 1 includes chapters that identify and discuss several ethical issues along the food chain, with particular attention given to issues in the food industry and in consumer behavior; Section 2 includes chapters that present the basis of a code of conduct in the food profession, as well as descriptions of existing codes of conduct for food industry and food scientist professionals. These include codes for the ethics of publishing, and also ethics in risk communication; Section 3 includes chapters based on case studies with examples of teaching approaches currently used in teaching food ethics. These approaches are easy to implement and have already been tested and confirmed as successful examples that engage students in this topic. (shrink)

Using a signaling framework, we argue that ethical behavior as evidenced by charitable donations is viewed more positively by investors when seen not to be based on self-serving motives but rather on authentic generosity that builds moral capital. The affirmed religiosity of CEOs may make their ethical position more credible, while their embeddedness within a family business suggests that CEOs are backed by powerful owners with long-time horizons and a desire to build moral capital with stakeholders. We find in a (...) study of market responses to 1572 corporate donations by S&P 1500 firms that financial markets react more positively to charitable initiatives from firms with religion-declared CEOs, but only if these are family businesses. (shrink)

For many energy companies in China, green brand strategy is becoming an important approach to enhance competitive advantage. However, greenwashing behaviors result in a crisis of trust. Existing research focuses on green marketing, but is silent on the institutional view of the trust crisis resulting from greenwashing by energy brands. Thus, this study takes a decoupling perspective from institutional theory and considers legitimacy, energy policy management, and green brand theories to shed light on the path from the decoupling of an (...) energy brand from green promise to green energy brand trust and the role of brand legitimacy and brand loyalty. It then analyzes survey data to conclude that DEBG not only has a direct negative effect on GEBT but also has an indirect influence through the vital mediating role of green energy brand legitimacy. Moreover, brand loyalty is a moderating factor and can alleviate the energy brand trust crisis. These findings not only can enrich the theories of energy brand management and green marketing but also offer important implications for energy policy management. (shrink)

Auditory perception is traditionally conceived as the perception of sounds — a friend’s voice, a clap of thunder, a minor chord. However, daily life also seems to present us with experiences characterized by the absence of sound — a moment of silence, a gap between thunderclaps, the hush after a musical performance. In these cases, do we positively hear silence? Or do we just fail to hear, and merely judge or infer that it is silent? This longstanding question remains controversial (...) in both the philosophy and science of perception, with prominent theories holding that sounds are the only objects of auditory experience and thus that our encounter with silence is cognitive, not perceptual. However, this debate has largely remained theoretical, without a key empirical test. Here, we introduce a novel empirical approach, presenting experimental evidence that silence can be genuinely perceived (not just cognitively inferred). We ask whether silences can ‘substitute’ for sounds in event-based auditory illusions — empirical signatures of auditory event representation in which auditory events distort perceived duration. Seven experiments introduce three new ‘silence illusions’ — the one-silence-is-more illusion, silence-based warping, and the oddball-silence illusion — each adapted from a prominent perceptual illusion previously thought to arise only from sounds. Subjects were immersed in ambient noise interrupted by silences structurally identical to the sounds in the original illusions. In all cases, silences elicited temporal distortions perfectly analogous to the illusions produced by sounds. Our results suggest that silence is truly heard, not merely inferred, introducing a general approach for studying absence perception. (shrink)

We investigate how state involvement in the ownership of non-listed entrepreneurial firms affects pollution fees levied by national and provincial governments in China. While the national government sets minimum environmental standards, provincial governments can enact requirements that exceed these minimums, and they are largely responsible for enforcing even the national standards, so environmental levies can measure concessions that provinces make to encourage development and employment. Furthermore, state ownership is a good proxy for a firm’s political connections, which can influence the (...) relationship between the firm and the environmental authorities. We find that firms with state ownership pay lower environmental levies, which indicates that concessions are made for political or economic purposes. However, these concessions are conditional on the level of development of the province offering them, with better developed provinces providing fewer concessions. (shrink)

BackgroundAdvance directives (ADs) were implemented in Portugal in 2012. Although more than a decade has passed since Law 25/2012 came into force, Portuguese people have very low levels of adherence. In this context, this study aimed to identify and analyse the attitudes of people aged 18 or older living in Portugal towards ADs and to determine the relationships between sociodemographic variables (gender/marital status/religion/level of education/residence/whether they were a health professional/whether they had already drawn up a living will) and people’s attitudes (...) towards ADs.MethodsAn online cross-sectional analytical study was conducted using a convenience sample. For this purpose, a request (email) that publicized the link to a –form—which included sociodemographic data and the General Public Attitudes Toward Advance Care Directives (GPATACD) scale—was sent to 28 higher education institutions and 30 senior universities, covering all of mainland Portugal and the islands (Azores and Madeira). The data were collected between January and February 2023.ResultsA total of 950 adults from completed the online form. The lower scores (mean 1 and 2) obtained in most responses by applying the GPATACD scale show that the sample of the Portuguese population has a very positive attitude towards ADs. The data showed that women, agnostics/atheists, health professionals and those who had already made a living will had more positive attitudes (p < 0.001) towards ADs. There were no statistically significant differences in the attitudes of the Portuguese population sample towards ADs in relation to marital status, education level, and residence.ConclusionThe results obtained enable us to confirm that this sample of the Portuguese population has a positive attitude towards ADs. We verify that there are certain fringes of this sample with certain sociodemographic characteristics (women, agnostics/atheists, health professionals and those who had already made a living will) that have a more positive attitude towards ADs. This data could facilitate the implementation and adjustment of relevant measures, particularly in the field of health education and aimed at groups with less favourable attitudes, to increase the effectiveness of voluntary exercise of citizens’ autonomy in end-of-life care planning. (shrink)

di 1 juan. Qian shen shou--shen shou shi dai -- di 2 juan. She ji shou shi dai -- di 3 juan. Zhu zi shi dai.

Recent research in numerical cognition has begun to systematically detail the ability of humans and nonhuman animals to perceive the magnitudes of nonsymbolic ratios. These relationally defined analogs to rational numbers offer new potential insights into the nature of human numerical processing. However, research into their similarities with and connections to symbolic numbers remains in its infancy. The current research aims to further explore these similarities by investigating whether the magnitudes of nonsymbolic ratios are associated with space just as symbolic (...) numbers are. In two experiments, we found that responses were faster on the left for smaller nonsymbolic ratio magnitudes and faster on the right for larger nonsymbolic ratio magnitudes. These results further elucidate the nature of nonsymbolic ratio processing, extending the literature of spatial–numerical associations to nonsymbolic relative magnitudes. We discuss potential implications of these findings for theories of human magnitude processing in general and how this general processing relates to numerical processing. (shrink)

Hay muchas combinaciones del Urbanismo con los Juegos, pero los temas para entender las ciudades, su planeamiento, proyecto y gobierno, suelen tener gran complejidad. Este trabajo presenta la aplicación de un juego de grupo que motive los estudiantes de Arquitectura para los conocimientos integrados del Urbanismo. La experiencia de la actividad lúdica, ampliada por algunos ejercicios académicos en continuidad, permite discutir varias cuestiones relevantes, la escala, los indicadores y aspectos de economía y medio ambiente. Los resultados demuestran que hay aún (...) el potencial para mejorar las prácticas profesionales, en especial en la gestión urbanística y territorial. (shrink)

ABSTRACT This article engages with the historiography of the Portuguese empire with reference to Mozambique. It explores the impact of visual archives on existing debates and asks what difference photographs make to our interpretation and understanding of this colonial past. Deprived of their 'historical rights' by the requirements of the Berlin treaties that insisted on 'effective occupation', the Portuguese started to employ a complex of knowledge-producing activities in which photography was crucially involved. This article examines different photographic moments before and (...) during the 'Pacification Campaign' that assured Portugal's authority over the Gaza Empire in southern Mozambique in the 1890s, by official, commercial and missionary photographers. It identifies controversies over the small number of portraits of the Gaza king Ngungunyane that took on distinctive and disputed 'other lives' after their initial production. The realisation of how one image might be disassembled to generate others becomes an exercise - in visual terms - of rethinking colonial violence. A critical engagement with the slippages and repositionings around photographs, and the errors or disputes in various captions, allows for a better understanding of the production of both silence and particular narratives in the archives and popular history. The demonstration of these other lives matters because it stimulates awareness of what is seen, what is made visible, and addresses the desire to look beyond the image to find others in a continuous interrogation of photographic excess. (shrink)

Based on a sample of 46 Portuguese schoolbooks, this study aims to understand how factory-farmed animals are presented in such books across the themes of food and health, the environment and sustainability, and animal welfare. It examines whether schoolbooks address the importance of reducing the consumption of animal-based products for a healthy diet, whether plant-based diets are recognized as healthy, whether animal welfare and agency are considered, and whether the livestock sector is indicated as a major factor in environmental degradation. (...) The findings show that schoolbooks present animals as essential for economic activities and human nutrition. Recommendations on reducing the consumption of animal-based products in consideration of the environment, sustainability and human health are very rare. Animal production is presented as benign, and the agency and welfare of factory-farmed animals are simply not addressed. (shrink)

This article is a Gadamer-Perelman's debate. The author points out the limits of the gadamerian's hermeneutic conception of philosophy and criticizes this conception from Perelman's new rhetoric point of view. Instead of speaking of truth as an ontological originary experience, the rhetorical foundation of philosophy allows us to say that in philosophy the important is the contrastation and the confrontation of criteria and that, for that reason, philosophy is above all characterized by discussibility.

Authoritarian leadership is of great significance to eastern countries, including China. Meanwhile, unethical employee behavior also exists in all types of social organizations. The relationship between authoritarian leadership and unethical employee behavior is worth studying. Senior leaders often do not have a direct influence on employees except for through their immediate supervisors. The leadership style of senior leaders also influences the leadership style of their subordinates. This paper studies how authoritarian manager leadership trickles down to unethical employee behavior through authoritarian (...) supervisor leadership and discusses the moderating effect of leader member exchange and an ethical climate. Through a questionnaire survey of 406 pairs of leaders, supervisors, and employees, the research results of the multilevel model show that authoritarian supervisor leadership is positively related to unethical employee behavior, authoritarian supervisor leadership mediates the relationship between authoritarian manager leadership and unethical employee behavior, LMX positively moderates the relationship between authoritarian manager leadership and authoritarian supervisor leadership and moderates the mediating effect of authoritarian supervisor leadership, and, that an ethical climate negatively moderates the relationship between authoritarian supervisor leadership and unethical employee behavior and moderates the mediating effect of authoritarian supervisor leadership. (shrink)

As a first step, the arguments for and against the use of animals for medical purposes in general were reviewed. These arguments are summarized briefly in the first part of the article; Secondly, even if people accept in principle the use of animals in medicine and medical research, their use in xenotransplantation mayraise particular difficulties. There are three key issues in the debate over the use of animals in xenotransplantation. The first is whether as a matter of principle, it is (...) considered to be morally acceptable to use animals as organ or tissue source; the second is the ethical acceptability of the use of primates to supply transplant material; the third is the ethical issues raised by the use of genetically modified animals to provide organs for xenotransplantation. If it is agreed to be acceptable in principle, there are then questions to address regarding the welfare of animals within any xenotransplantation program. Finally, the author makes an attempt to discuss these ethical issues in Chinese cultural context. (shrink)

According to an influential epistemological tradition, science explains phenomena on the basis of laws, but the last two decades have witnessed a neo-mechanistic movement that emphasizes the fundamental role of mechanism-based explanations in science, which have the virtue of opening the “black box” of correlations and of providing a genuine understanding of the phenomena. Mechanisms enrich the empirical content of a theory by introducing a new set of variables, helping us to make causal inferences that are not possible on the (...) basis of macro-level correlations. However, the appeal to mechanisms has also a methodological price. They are vulnerable to interference effects; they also face underdetermination problems, because the available evidence often allows different interpretations of the underlying structure of a correlation; they are strongly context-dependent and their individuation as causal patterns can be controversial; they present specific testability problems; finally, mechanism-based extrapolations can be misleading due to the local character of mechanisms. At any rate, the study of mechanisms is an indispensable part of the human sciences, and the problems that they raise can be controlled by quantitative and qualitative methods, and an epistemologically informed exercise of critical thinking. (shrink)

In Portugal, as elsewhere, the rhetoric of managerialism in higher education is becoming firmly entrenched in the governmental policymakers’ discourse and has been widely disseminated across the institutional landscape. Managerialism is an important ideological support of New Public Management policies and can be classified as a narrative of strategic change. In this paper, we analyse how far the managerialism narrative has been injected into the discursive repertory of Portuguese academics in their role as the co-ordinators of the higher education institutions’ (...) teaching and academic middle levels. Based on an analysis of interview responses, it seems that most academics support traditional academic values such as autonomy and collegiality, and reject university or polytechnic governance based on corporate philosophy. (shrink)

A obra do filósofo romeno Emil Cioran oferece importantes desafios aos seus investigadores, graças, entre outras coisas, ao seu modelo assistemático de expressão e sua recusa em definir horizontes teóricos claros. Este fato contribui para a dificuldade de associá-lo seguramente a uma tradição de pensamento. O presente artigo pretende fomentar a discussão de como, mesmo com significativas interdições, Cioran contribuiu para o pensamento antidogmático. Para alcançar esse objetivo exordial, o trabalho propõe-se a (a) investigar as mudanças sofridas pelo filósofo entre (...) as obras de juventude e maturidade; (b) apresentar paulatinamente as características antidogmáticas do pensamento cioraniano; além de (c) identificar as idiossincrasias deste suposto antidogmatismo. A hipótese que subjaz à perscrutação é a de que Cioran teria, através de seu peculiar antidogmatismo, aperfeiçoado um “método” que lhe permitia discutir filosoficamente, ainda que persistindo na “tarefa” assumida de nada propor. A partir deste escopo, considera-se possível esclarecer suficientemente pontos obscuros ou ainda não recepcionados daquela obra. (shrink)

Silva-Rui_Ceteris-paribus-laws-and-the-human-sciences.

Algorithms increasingly make managerial decisions that people used to make. Perceptions of algorithms, regardless of the algorithms' actual performance, can significantly influence their adoption, yet we do not fully understand how people perceive decisions made by algorithms as compared with decisions made by humans. To explore perceptions of algorithmic management, we conducted an online experiment using four managerial decisions that required either mechanical or human skills. We manipulated the decision-maker, and measured perceived fairness, trust, and emotional response. With the mechanical (...) tasks, algorithmic and human-made decisions were perceived as equally fair and trustworthy and evoked similar emotions; however, human managers' fairness and trustworthiness were attributed to the manager's authority, whereas algorithms' fairness and trustworthiness were attributed to their perceived efficiency and objectivity. Human decisions evoked some positive emotion due to the possibility of social recognition, whereas algorithmic decisions generated a more mixed response – algorithms were seen as helpful tools but also possible tracking mechanisms. With the human tasks, algorithmic decisions were perceived as less fair and trustworthy and evoked more negative emotion than human decisions. Algorithms' perceived lack of intuition and subjective judgment capabilities contributed to the lower fairness and trustworthiness judgments. Positive emotion from human decisions was attributed to social recognition, while negative emotion from algorithmic decisions was attributed to the dehumanizing experience of being evaluated by machines. This work reveals people's lay concepts of algorithmic versus human decisions in a management context and suggests that task characteristics matter in understanding people's experiences with algorithmic technologies. (shrink)