Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although ...Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although the acute phase of COVID-19 has now ended,understanding its impact is essential for strengthening medical system preparedness.Therefore,the present study examined the association between changes in medical education and worry about clinical learning,considering the mediating role of psychological distress among participants who received clinical training.Methods:A cross-sectional online survey was conducted with 542 post-graduate year(PGY)doctors and allied health students from the 2020 and 2021 cohorts in Taiwan.The survey assessed changes in clinical training modes,direct patient care,learning stress,psychological distress,and worry about clinical learning.Results:Among the participants,76.0%experienced changes in clinical training mode,and 84.3%had direct patient care experience.Direct patient care/contact was significantly correlated with lower levels of worry about clinical learning.Learning stress was positively correlated with increased psychological distress and worry about clinical learning.Psychological distress partially mediated the relationship between learning stress and worry about clinical learning.Conclusion:The findings highlight the importance of direct contact with patients because it was associated with lower levels of worry about clinical learning.Moreover,increased learning stress was associated with psychological distress and worry about clinical learning.Therefore,effective support systems are essential to mitigate these impacts and enhance clinical training during national health crises.The findings provide valuable insights for improving medical education and support systems in future health emergencies.However,the present study used a cross-sectional study design.Therefore,the mediation findings should be interpreted with caution(i.e.,no causal relationships can be determined based on cross-sectional data).展开更多
The Penn State Worry Questionnaire(PSWQ) is a measure of worry phenomena and has been demonstrated valid in cross-cultural populations. The present study examined the factor structure and psychometric properties of th...The Penn State Worry Questionnaire(PSWQ) is a measure of worry phenomena and has been demonstrated valid in cross-cultural populations. The present study examined the factor structure and psychometric properties of the Chinese version of PSWQ(Ch-PSWQ) in a Chinese college sample(n=1243). Exploratory factor analysis of the Ch-PSWQ revealed a two-factor solution(engagement of worry and absence of worry). Confirmatory factor analysis and model comparison supported that the model of one factor with method effect provided the best fit to the data. The Ch-PSWQ and its factors evidenced good internal consistency and both convergent and discriminate validity. The present study supports the opinion that the second factor of PSWQ not only contains the component of evaluating pathological worry,but also might represent other traits.展开更多
On the 18th of February, the Kenya Medical Research Institute(KEMRI) raised an alarm that it had detected Anopheles(An.) stephensi in Laisamis and Saku sub counties of Marsabit county during a routine mosquito surveil...On the 18th of February, the Kenya Medical Research Institute(KEMRI) raised an alarm that it had detected Anopheles(An.) stephensi in Laisamis and Saku sub counties of Marsabit county during a routine mosquito surveillance[1,2]. Up until this announcement, the invasive mosquito had been reported in other horn of African countries: Djibouti(2012), Ethiopia(2016).展开更多
BACKGROUND The mental status of gynecologic patients has an important influence on their quality of life(QOL).Although high-quality QOL studies into breast cancer patients have been performed internationally,few QOL s...BACKGROUND The mental status of gynecologic patients has an important influence on their quality of life(QOL).Although high-quality QOL studies into breast cancer patients have been performed internationally,few QOL studies have examined patients with gynecological cancer.AIM To investigate the brief cancer-related worry inventory(BCWI)could evaluate the mental status of gynecological patients.METHODS Between July 2018 and December 2018,19 consecutive gynecological cancer patients were prospectively recruited for this study.The BCWI is a 15-item selfreported questionnaire that assesses cancer-related worries on a numeric scale(0–100).RESULTS The high BCWI group was significantly younger than the low BCWI group.Regarding social status,the absence of a spouse and children was significantly more common in the high BCWI group than in the low BCWI group.The operation time was longer in the worsening BCWI group than in the stable BCWI group(305.3±140.5 min vs 171.1±97.2 min;P=0.026).CONCLUSION Being young,having no family,and a long operation time were found to be risk factors for increased anxiety.Therefore,gynecological cancer patients should be assessed using the BCWI,and specific perioperative mental care should be considered for highly anxious patients.展开更多
River Elegy(Heshang)is a Chinese TV documentary aired on Chinese Central Television(CCTV)in 1988.Its provocative condemnation of the thousand-year-old'yellow civilization'(huangse wenming黄色文明)of China stir...River Elegy(Heshang)is a Chinese TV documentary aired on Chinese Central Television(CCTV)in 1988.Its provocative condemnation of the thousand-year-old'yellow civilization'(huangse wenming黄色文明)of China stirred up a tornado of controversies among Chinese audiences.Intense debates and reflections on the documentary both inside and outside China have made Heshang one of the most intriguing'phenomena'in contemporary Chinese culture.This paper proposes a new perspective to read Heshang,tackling it as a historically situated narrative that embodies a post-Mao intellectual discourse of the national sentiment.In the new context of post-Mao China,what does Heshang tell of the relative positionalities of the intellectuals,the masses,and the state in the frame of Chinese modernity?How do we dialectically understand the documentary’s national pedagogy of reform in relation to the elusive agency of the low-quality Chinese masses?With these questions in mind,I revisit Heshang’s claim of weak political agency as an embodiment of low people quality.I argue that the national sentiment of the consciousness of sorrow and worry(忧患意识)simultaneously suggests and subverts the national pedagogy of reform promoted by the Heshang intellectuals.展开更多
Faith and well-being are the main concern of this paper. The connection between the two is discussed in three lessons that Soren Kierkegaard provides in his religious discourses What We Learn from the Lilies in the Fi...Faith and well-being are the main concern of this paper. The connection between the two is discussed in three lessons that Soren Kierkegaard provides in his religious discourses What We Learn from the Lilies in the Field and from the Birds of the Air. The importance of the connection between faith and well-being, especially within Kierkegaard＇s authorship, derives from his definition of a human being as a synthesis of the infinite and the finite, of the temporal and the eternal, of freedom and necessity. It is important to note that this synthesis is not yet a self, not yet an authentic human being. In order to become a self a deviation is needed, a split within this elementarysynthesis. Only upon achieving such split a new synthesis is reconstructed, the synthesis that amounts to an authentic selfhood. The believer who has stopped worrying over his/her mundane concerns, by shifting its existential gravity towards God, will then have to reconstruct a new synthesis. This new synthesis will resemble the fundamental one in almost every aspect. But the difference would lie in choosing God, in the believer＇s hidden inwardness. Faith＇s fruits of eternal happiness are attained strictly through the journey undertaken by the believer＇s inner self.展开更多
A young lady was permitted by her parents to take a job in a large cityand live in her own apartment.The one condition was that she would not al-low men in her apartment as it would worry her mother. During a long-dis...A young lady was permitted by her parents to take a job in a large cityand live in her own apartment.The one condition was that she would not al-low men in her apartment as it would worry her mother. During a long-dis-tance phone conversation,the daughter described her date of her展开更多
Iknow, I know! If kids worry you, perhaps you shouldn＇t have them. Before I had them, however, I didn＇t quite appreciate the degree to which they would consume my attention.
We know that there are many films in our life,and different people like different films.As for me,my favorite movie is My Beloved.This is a moving story about a mother and her son.The son was lost one day,and the moth...We know that there are many films in our life,and different people like different films.As for me,my favorite movie is My Beloved.This is a moving story about a mother and her son.The son was lost one day,and the mother was so worried that she looked for him everywhere.展开更多
朋友,你有过这样的经历吗?刚才读了一篇文章,盛赞饮用咖啡的益处,现在又读到一则消息,说饮用咖啡“弊大于利”。中国是绿茶的故乡,人们历来对饮茶的益处深信不疑,可是,忽然跑出一个权威,斩钉截铁地奉劝世人:停止喝茶！绿茶之污染已经到...朋友,你有过这样的经历吗?刚才读了一篇文章,盛赞饮用咖啡的益处,现在又读到一则消息,说饮用咖啡“弊大于利”。中国是绿茶的故乡,人们历来对饮茶的益处深信不疑,可是,忽然跑出一个权威,斩钉截铁地奉劝世人:停止喝茶！绿茶之污染已经到了危害健康的程度！于是,人们感到无所适从。念及当代之科学,眼睛里充满了迷茫。 美国的养生保健意识在世界上是有名的,关于饮食的研究也领先世界各国,而现在,他们对饮食科学的怀疑也同样领先各国一步。本文发出了这样的呼声: Not only do people not trust the message;they no longer trust themessenger.Our faith in science is on a steady decline. 本文对于这样现象的分析,有主观的,也有客观的,视角独到: 1.Conflict is inherent in the scientific process. 2.Many experts deliver the message as if everything is understood and,when new research shows something different,confusion follows. 3.Different scientific approaches produce different advice. just as funding;samples and sources can change results. 文章的末句概括了许多美国人的心态: People know the doctor and the scientist are no longer gods. 读者朋友,在铺天盖地的广告和连篇?展开更多
Many students feel excited about going back to school.They want to meet new teachers,new classmates and learn new subjects.But somestudents worry.Once school starts,they can't sleep in or text their friends all th...Many students feel excited about going back to school.They want to meet new teachers,new classmates and learn new subjects.But somestudents worry.Once school starts,they can't sleep in or text their friends all the time.They also worry about homework,exams or friendship troubles.展开更多
There are many expressions using the word"bridge".So today,let’s talk about the stories of"bridge".英语中有很多表达中使用了"桥"一词,所以今天我们就来说说"桥"的故事吧。A bridge i...There are many expressions using the word"bridge".So today,let’s talk about the stories of"bridge".英语中有很多表达中使用了"桥"一词,所以今天我们就来说说"桥"的故事吧。A bridge is a structure that provides passage over something—such as a river,train tracks,a highway or a deep,wide opening in the ground.The word"bridge"can also展开更多
1.The biggest reason for the nationwide decline,though,is modern DNA analysis,which over the years has revealed that a significant number of the condemned were wrongly accused.（Chicago Tribune,Dec.19,2014）翻译：不过...1.The biggest reason for the nationwide decline,though,is modern DNA analysis,which over the years has revealed that a significant number of the condemned were wrongly accused.（Chicago Tribune,Dec.19,2014）翻译：不过,美国死刑减少的最大原因却是现代DNA分析。几年来,DNA分析发现有相当数量的死囚是被冤枉的。解析：though不过,然而。作此意时一般放在句中或句末,使语气减弱。which over the years has revealed...是一个定语从句,修饰DNA analysis。over the years几年来,一般用于现在完成时。展开更多
二、词组填空,要求使用适当的时态和语态,每个词组只能用一次(16分)see sth with one’s own eyes,look througl,jump out of,stay in bed,die from,consist of,Laugh at,worry about,make sure,give out,be known as,use up,Cutdown,be...二、词组填空,要求使用适当的时态和语态,每个词组只能用一次(16分)see sth with one’s own eyes,look througl,jump out of,stay in bed,die from,consist of,Laugh at,worry about,make sure,give out,be known as,use up,Cutdown,be responsible for,go on doing be similar to1.展开更多
Objectives: The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a prev...Objectives: The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a previous miscarriage. Method: A qualitative content analysis with an inductive approach has been used to analyze fourteen interviews that served as the data base for this study. The content analysis resulted in the development of five categories which evolved into one primary theme. Findings: The five categories identified were Worry and preoccupation;Distance;managing their feelings;Mourning what is lost;Guarded happiness and expectations. These categories were compiled into a main theme, “Worry consumes a lot of energy, but on the other side lies happiness”. This theme focused on whether the women could feel any happiness about being pregnant again despite their concerns with the previous miscarriage. Conclusions: The emotional states of the women when they get pregnant again are typically characterized by anxiety, worry and concerns about their current pregnancy. The women have a tendency to distance themselves emotionally from their pregnancy but also strive to find the joy of being pregnant again. During the new pregnancy they find themselves in need of support from their family and friends as well as in need of support from the healthcare system.展开更多
Traditional medicine,especially traditional Chinese medicine,has made indelible contributions to the reproduction and development of the Chinese nation.In the current era dominated by western medicine,the development ...Traditional medicine,especially traditional Chinese medicine,has made indelible contributions to the reproduction and development of the Chinese nation.In the current era dominated by western medicine,the development of traditional medicine has encountered great challenges and difficulties.People with lofty ideals put forward that traditional medicine should take the road of modernization,especially advocating the modernization of traditional Chinese medicine.It is true that the research and practice of traditional medicine must advance with the times and keep up with the times,but we must also guard against the trap of modernization,that is,the plight of traditional Chinese medicine.This is because reductionist western medicine cannot effectively explain the profound Oriental wisdom and culture.At present,some problems in traditional medical research have caused us to worry.展开更多
基金supported in part by(received funding from)the National Science and Technology Council,Taiwan(NSTC 113-2321-B-006-007)and the E-Da Hospital(EDAHS113037).
文摘Background:The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period.Although the acute phase of COVID-19 has now ended,understanding its impact is essential for strengthening medical system preparedness.Therefore,the present study examined the association between changes in medical education and worry about clinical learning,considering the mediating role of psychological distress among participants who received clinical training.Methods:A cross-sectional online survey was conducted with 542 post-graduate year(PGY)doctors and allied health students from the 2020 and 2021 cohorts in Taiwan.The survey assessed changes in clinical training modes,direct patient care,learning stress,psychological distress,and worry about clinical learning.Results:Among the participants,76.0%experienced changes in clinical training mode,and 84.3%had direct patient care experience.Direct patient care/contact was significantly correlated with lower levels of worry about clinical learning.Learning stress was positively correlated with increased psychological distress and worry about clinical learning.Psychological distress partially mediated the relationship between learning stress and worry about clinical learning.Conclusion:The findings highlight the importance of direct contact with patients because it was associated with lower levels of worry about clinical learning.Moreover,increased learning stress was associated with psychological distress and worry about clinical learning.Therefore,effective support systems are essential to mitigate these impacts and enhance clinical training during national health crises.The findings provide valuable insights for improving medical education and support systems in future health emergencies.However,the present study used a cross-sectional study design.Therefore,the mediation findings should be interpreted with caution(i.e.,no causal relationships can be determined based on cross-sectional data).
基金supported by the Soft Science Office of Beijing MunicipalScience and Technology Commission of China(No.Z000608100007110)the German Academic Exchange Service(No.2006-3139)
文摘The Penn State Worry Questionnaire(PSWQ) is a measure of worry phenomena and has been demonstrated valid in cross-cultural populations. The present study examined the factor structure and psychometric properties of the Chinese version of PSWQ(Ch-PSWQ) in a Chinese college sample(n=1243). Exploratory factor analysis of the Ch-PSWQ revealed a two-factor solution(engagement of worry and absence of worry). Confirmatory factor analysis and model comparison supported that the model of one factor with method effect provided the best fit to the data. The Ch-PSWQ and its factors evidenced good internal consistency and both convergent and discriminate validity. The present study supports the opinion that the second factor of PSWQ not only contains the component of evaluating pathological worry,but also might represent other traits.
文摘On the 18th of February, the Kenya Medical Research Institute(KEMRI) raised an alarm that it had detected Anopheles(An.) stephensi in Laisamis and Saku sub counties of Marsabit county during a routine mosquito surveillance[1,2]. Up until this announcement, the invasive mosquito had been reported in other horn of African countries: Djibouti(2012), Ethiopia(2016).
基金Supported by Grant-in-Aid for Scientific Research from the Ministry of Education,Culture,Sports,Science,and Technology,Japan,No.17K10672(to Mizuguchi T)Astellas Pharma,Inc.,Tokyo,Japan,No.RS2018A000763+7 种基金Daiichi Sankyo Company,Tokyo,Japan,No.1800461Shionogi&Co.,Osaka,Japan,No.RS2018A000439931Merck Serono,Tokyo,Japan,No.MSJS20180613001Sapporo Doto Hospital,Sapporo,Japan,No.30037656Noguchi Hospital,Otaru,Japan,No.30047663Dokikai Tomakomai Hospital,Tomakomai,Japan,No.30047674Tsuchida Hospital,Sapporo,Japan,No.30057704Ikuta Hospital,Shiraoi,Japan,No.30057704
文摘BACKGROUND The mental status of gynecologic patients has an important influence on their quality of life(QOL).Although high-quality QOL studies into breast cancer patients have been performed internationally,few QOL studies have examined patients with gynecological cancer.AIM To investigate the brief cancer-related worry inventory(BCWI)could evaluate the mental status of gynecological patients.METHODS Between July 2018 and December 2018,19 consecutive gynecological cancer patients were prospectively recruited for this study.The BCWI is a 15-item selfreported questionnaire that assesses cancer-related worries on a numeric scale(0–100).RESULTS The high BCWI group was significantly younger than the low BCWI group.Regarding social status,the absence of a spouse and children was significantly more common in the high BCWI group than in the low BCWI group.The operation time was longer in the worsening BCWI group than in the stable BCWI group(305.3±140.5 min vs 171.1±97.2 min;P=0.026).CONCLUSION Being young,having no family,and a long operation time were found to be risk factors for increased anxiety.Therefore,gynecological cancer patients should be assessed using the BCWI,and specific perioperative mental care should be considered for highly anxious patients.
文摘River Elegy(Heshang)is a Chinese TV documentary aired on Chinese Central Television(CCTV)in 1988.Its provocative condemnation of the thousand-year-old'yellow civilization'(huangse wenming黄色文明)of China stirred up a tornado of controversies among Chinese audiences.Intense debates and reflections on the documentary both inside and outside China have made Heshang one of the most intriguing'phenomena'in contemporary Chinese culture.This paper proposes a new perspective to read Heshang,tackling it as a historically situated narrative that embodies a post-Mao intellectual discourse of the national sentiment.In the new context of post-Mao China,what does Heshang tell of the relative positionalities of the intellectuals,the masses,and the state in the frame of Chinese modernity?How do we dialectically understand the documentary’s national pedagogy of reform in relation to the elusive agency of the low-quality Chinese masses?With these questions in mind,I revisit Heshang’s claim of weak political agency as an embodiment of low people quality.I argue that the national sentiment of the consciousness of sorrow and worry(忧患意识)simultaneously suggests and subverts the national pedagogy of reform promoted by the Heshang intellectuals.
文摘Faith and well-being are the main concern of this paper. The connection between the two is discussed in three lessons that Soren Kierkegaard provides in his religious discourses What We Learn from the Lilies in the Field and from the Birds of the Air. The importance of the connection between faith and well-being, especially within Kierkegaard＇s authorship, derives from his definition of a human being as a synthesis of the infinite and the finite, of the temporal and the eternal, of freedom and necessity. It is important to note that this synthesis is not yet a self, not yet an authentic human being. In order to become a self a deviation is needed, a split within this elementarysynthesis. Only upon achieving such split a new synthesis is reconstructed, the synthesis that amounts to an authentic selfhood. The believer who has stopped worrying over his/her mundane concerns, by shifting its existential gravity towards God, will then have to reconstruct a new synthesis. This new synthesis will resemble the fundamental one in almost every aspect. But the difference would lie in choosing God, in the believer＇s hidden inwardness. Faith＇s fruits of eternal happiness are attained strictly through the journey undertaken by the believer＇s inner self.
文摘A young lady was permitted by her parents to take a job in a large cityand live in her own apartment.The one condition was that she would not al-low men in her apartment as it would worry her mother. During a long-dis-tance phone conversation,the daughter described her date of her
文摘Iknow, I know! If kids worry you, perhaps you shouldn＇t have them. Before I had them, however, I didn＇t quite appreciate the degree to which they would consume my attention.
文摘We know that there are many films in our life,and different people like different films.As for me,my favorite movie is My Beloved.This is a moving story about a mother and her son.The son was lost one day,and the mother was so worried that she looked for him everywhere.
文摘Yesterday I lost my favorite watch.It was a gift from my grandfather.I was so sad and worried.I looked for it here and there,but I just couldn't find.
文摘朋友,你有过这样的经历吗?刚才读了一篇文章,盛赞饮用咖啡的益处,现在又读到一则消息,说饮用咖啡“弊大于利”。中国是绿茶的故乡,人们历来对饮茶的益处深信不疑,可是,忽然跑出一个权威,斩钉截铁地奉劝世人:停止喝茶！绿茶之污染已经到了危害健康的程度！于是,人们感到无所适从。念及当代之科学,眼睛里充满了迷茫。 美国的养生保健意识在世界上是有名的,关于饮食的研究也领先世界各国,而现在,他们对饮食科学的怀疑也同样领先各国一步。本文发出了这样的呼声: Not only do people not trust the message;they no longer trust themessenger.Our faith in science is on a steady decline. 本文对于这样现象的分析,有主观的,也有客观的,视角独到: 1.Conflict is inherent in the scientific process. 2.Many experts deliver the message as if everything is understood and,when new research shows something different,confusion follows. 3.Different scientific approaches produce different advice. just as funding;samples and sources can change results. 文章的末句概括了许多美国人的心态: People know the doctor and the scientist are no longer gods. 读者朋友,在铺天盖地的广告和连篇?
文摘Many students feel excited about going back to school.They want to meet new teachers,new classmates and learn new subjects.But somestudents worry.Once school starts,they can't sleep in or text their friends all the time.They also worry about homework,exams or friendship troubles.
文摘There are many expressions using the word"bridge".So today,let’s talk about the stories of"bridge".英语中有很多表达中使用了"桥"一词,所以今天我们就来说说"桥"的故事吧。A bridge is a structure that provides passage over something—such as a river,train tracks,a highway or a deep,wide opening in the ground.The word"bridge"can also
文摘1.The biggest reason for the nationwide decline,though,is modern DNA analysis,which over the years has revealed that a significant number of the condemned were wrongly accused.（Chicago Tribune,Dec.19,2014）翻译：不过,美国死刑减少的最大原因却是现代DNA分析。几年来,DNA分析发现有相当数量的死囚是被冤枉的。解析：though不过,然而。作此意时一般放在句中或句末,使语气减弱。which over the years has revealed...是一个定语从句,修饰DNA analysis。over the years几年来,一般用于现在完成时。
文摘二、词组填空,要求使用适当的时态和语态,每个词组只能用一次(16分)see sth with one’s own eyes,look througl,jump out of,stay in bed,die from,consist of,Laugh at,worry about,make sure,give out,be known as,use up,Cutdown,be responsible for,go on doing be similar to1.
文摘Objectives: The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a previous miscarriage. Method: A qualitative content analysis with an inductive approach has been used to analyze fourteen interviews that served as the data base for this study. The content analysis resulted in the development of five categories which evolved into one primary theme. Findings: The five categories identified were Worry and preoccupation;Distance;managing their feelings;Mourning what is lost;Guarded happiness and expectations. These categories were compiled into a main theme, “Worry consumes a lot of energy, but on the other side lies happiness”. This theme focused on whether the women could feel any happiness about being pregnant again despite their concerns with the previous miscarriage. Conclusions: The emotional states of the women when they get pregnant again are typically characterized by anxiety, worry and concerns about their current pregnancy. The women have a tendency to distance themselves emotionally from their pregnancy but also strive to find the joy of being pregnant again. During the new pregnancy they find themselves in need of support from their family and friends as well as in need of support from the healthcare system.
文摘Traditional medicine,especially traditional Chinese medicine,has made indelible contributions to the reproduction and development of the Chinese nation.In the current era dominated by western medicine,the development of traditional medicine has encountered great challenges and difficulties.People with lofty ideals put forward that traditional medicine should take the road of modernization,especially advocating the modernization of traditional Chinese medicine.It is true that the research and practice of traditional medicine must advance with the times and keep up with the times,but we must also guard against the trap of modernization,that is,the plight of traditional Chinese medicine.This is because reductionist western medicine cannot effectively explain the profound Oriental wisdom and culture.At present,some problems in traditional medical research have caused us to worry.
