Effective communication between nurses and patients is crucial for therapeutic interactions.It influences trust,patient satisfaction,adherence,and overall health outcomes.Various communication models have been develop...Effective communication between nurses and patients is crucial for therapeutic interactions.It influences trust,patient satisfaction,adherence,and overall health outcomes.Various communication models have been developed over time to guide practice,incorporating fundamental concepts of therapeutic encounters;nevertheless,the majority are not designed for application in both inpatient and outpatient settings.The SAIDAR communication model is suggested to address this disparity.This review integrates elements of an integrative review with a critical review perspective to provide a narrative synthesis of theoretical and applied communication models derived from seminal works in the field of health communication.Using the CINAHL,Scopus,and Web of Science databases without date restrictions,the selected seminal authors were retrieved.Elicit,an artificial intelligence-driven research assistant,and the Google Scholar search engine were utilized together,and citation chaining facilitated the retrieval of relevant studies,which were analyzed using inductive dominant thematic analysis.Thirteen studies beneficial to the review question were included,and six themes were generated.These themes were salutation,assessing the environment,informing and explaining the task,doing,demonstrating,and performing the task;applauding,correcting,and appreciating,and reinforcing knowledge of the receiver of care.The critical analysis of these themes culminated in the formulation of the SAIDAR communication model.The current model integrates a structured communication framework that acknowledges the individuality of man and environmental assessment and demonstrates,appreciates,and reinforces knowledge.This model is an adaptable and acontextual communication tool suitable for various healthcare environments.展开更多
在Road to Heaven:Encounters with Chinese Hermits一书中,比尔·波特对中华传统文化和中国典籍相关文字的翻译俯拾即是,此外还包含作者对中国隐士文化的看法和评价,是典型的无本译写文本。文章以Road to Heaven:Encounters with C...在Road to Heaven:Encounters with Chinese Hermits一书中,比尔·波特对中华传统文化和中国典籍相关文字的翻译俯拾即是,此外还包含作者对中国隐士文化的看法和评价,是典型的无本译写文本。文章以Road to Heaven:Encounters with Chinese Hermits为研究对象,采用无本译写特有的底本追踪方法,分析书中译的元素、译写关系以及无本译写所展现的中国文化中的隐士精神。首先,本文从中国典籍、民间传说、历史事件、中国传统价值观念、寻访见闻五个方面分析书中译的元素,其次探讨译写关系,最后从三个层面分析该书无本译写展现的隐士精神。研究发现:译写关系具体表现为互释互构、互相拓展的渐变连续体关系;比尔·波特对中国文化存在误读、翻译不准确、对某一特定文化的了解不全面等现象。展开更多
Since the 1990s,globalization has aroused people’s attention constantly.Meanwhile,with more and more immigrants,migrant workers,international students,foreign tourists,and business people,cross-cultural interaction h...Since the 1990s,globalization has aroused people’s attention constantly.Meanwhile,with more and more immigrants,migrant workers,international students,foreign tourists,and business people,cross-cultural interaction has increased dramatically.Consequently,the communication and interaction between service employees and customers from different cultural backgrounds is getting frequent.Services have gotten great profits from the phenomenon which is known as intercultural service encounters(ICSE).For one who has contributed a lot to ICSE,Piyush Sharma in his book Intercultural Service Encounters:Cross-cultural Interactions and Service Quality attempts to concentrate on some significant factors closely related to ICSE,from the perspective of service employees.Account for Piyush Sharma’s novel view on the relationship of employees and customers in the process of ICSE,here is a review of his work.For each part of Piyush Sharma’s volume,this review gives readers a brief and concise summary,which is followed by comprehensive comments of the reviewer.This review is a good guidance and introduction for those who are interested in ICSE and those who major in foreign languages and marketing management to have a good command of Piyush Sharma’s volume.展开更多
Typically, Japanese macaques are thought to avoid encountering other groups wherever possible. Intergroup relations between macaques on Shodoshima Island, however, appear exceptional. We show that neighboring groups o...Typically, Japanese macaques are thought to avoid encountering other groups wherever possible. Intergroup relations between macaques on Shodoshima Island, however, appear exceptional. We show that neighboring groups of Shodoshima mon-keys spent 32.8% of their active time in proximity to （〈100 m） and even foraged simultaneously at the same provisioning site with another group. The average duration and rate of intergroup encounters at Shodoshima （59.8 rain, 0.33 times/hour, n=269） were approximately ten times longer and 16.5 times more frequent than those at Jigokudani （6.1 rain, 0.02 times/hour, n--14）. Since both populations have similar provisioning and ecological conditions, such variation cannot be explained by the socioecol- ogy model alone. Compared with other populations of Japanese macaques, intergroup relations of Shodoshima monkeys are also characterized by more frequent neutral encounters, less frequent agonistic encounters, more frequent unsuccessful displacement, a lower intensity of aggression, and more frequent counter-aggression between groups. These characteristics suggest that intergroup relationships on Shodoshima Island are more tolerant than those in other Japanese macaque populations. This study reveals con- siderable differences in intergroup encounters within local populations of Japanese macaques living in similar environments, and emphasizes the role of social factors in such intra-specific variation [Current Zoology 58 （4）： 517-524, 2012].展开更多
The paediatric online consultative forum,where putative patients interact with physicians,has become a lifesaver for many,especially during the covID-19 lockdown era in Nigeria.Examining the affective stance expressed...The paediatric online consultative forum,where putative patients interact with physicians,has become a lifesaver for many,especially during the covID-19 lockdown era in Nigeria.Examining the affective stance expressed by mothers in this asynchronous discourse from the linguistic perspective adds to the few existing studies on telemedicine and reveals the plight of mothers and their children in Nigeria.This study examines the discourse patterns of affective stance and its linguistic markers in online consultative encounters.Using the purposive random sampling method,80 posts on the Facebook account“Ask the Paediatricians"”between May and June 2020 and analysed using stance theory.Findings show that mothers express affectivity as interrogative,attention and hypothetical markers to project their concerns,worries,and curiosity about their children's health status,e.g.,breastfeeding,immunization,stools abnormalities,nutrition,fever,refluxing babies among others.Self-mentions and attitude markers are the two linguistic markers predominantly deployed in expressing affective stance.While the instances of self-mentions index affective representation,attitude markers,on the other hand,foreground affective attitude toward the propositions expressed.The above implies the level of emotional conditions of motherhood and sociocultural experiences of Nigerian women in the context of telemedicine encounters in child health studies.展开更多
Purpose:Meeting“others,”especially so-called“local”students,is usually seen as a sign of success for intercultural learning and integration in research on study abroad and internationalization of higher education....Purpose:Meeting“others,”especially so-called“local”students,is usually seen as a sign of success for intercultural learning and integration in research on study abroad and internationalization of higher education.Previous studies have focused on how international students themselves describe their(mis-)encounters.In this article,the authors consider lecturers’voices about this phenomenon.Lecturers have an influence on the students’experiences since they spend a lot of time together in and outside class.Design/Approach/Methods:Using a thematic analysis and social network analysis of interview data with lecturers,and a critical perspective toward the dichotomy of“local”versus“international”students,a university in Finland,a popular destination thanks to its positive image in global education,serves as a case study.Findings:The article identifies privileges,limits,and(missed)opportunities of encounters,as shared by the lecturers in focus group discussions.Furthermore,the lecturers created hierarchies in the way they described the encounters between different kinds of students.Some signs of pluralizing both local and international students were also found in some lecturers’discourses.Originality/Value:The article ends with recommendations for institutions regarding the lecturers’problematic role of gatekeepers in student encounters and the limiting categories used in institutions of higher education to refer to students.展开更多
自本栏目开辟以来,好评如潮。一位澳大利亚的作家,不远万里来到中国,在上海的郊区金山和松江的两所中学任教一年。这是她一生难忘的一年,她的快乐和欣喜、困惑和迷茫、寂寞与痛苦、希望和憧憬,等等,都在本专栏得以真实而又生动的折射。...自本栏目开辟以来,好评如潮。一位澳大利亚的作家,不远万里来到中国,在上海的郊区金山和松江的两所中学任教一年。这是她一生难忘的一年,她的快乐和欣喜、困惑和迷茫、寂寞与痛苦、希望和憧憬,等等,都在本专栏得以真实而又生动的折射。本专栏的上期披露了这样一个令人心疼的事实:Once,theywere so naughty I stormed outside and cried while they laughed at me through thewindows。不少读者发来邮件,对这些naught学生表示了强烈的不满,cried/laughed在上句形成了强烈对比。在素质教育的呼声日甚一日之今日,让人觉得,这些学生已非一般意义上的naughty(顽皮;淘气)了。本文,Denise Noblet又向读者披露了她在上海遇到的一件让她至今不能理解的真实故事。】展开更多
1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western med...1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western medicine.Such a binary framework,however,oversimplifies the intricate realities of medical encounters in China.展开更多
1 On May 19,2025,I had the pleasure of meeting two football players from North Carolina Central University in the Philadelphia airport as we were all headed back to Raleigh,NC.To protect their privacy,I will use only ...1 On May 19,2025,I had the pleasure of meeting two football players from North Carolina Central University in the Philadelphia airport as we were all headed back to Raleigh,NC.To protect their privacy,I will use only the initials of their first names-L and N.展开更多
In the context of Western medicine,Xin(心heart),Gan(肝liver),Pi(脾spleen),Fei(肺lung),and Shen(肾kidney)are five specific organs,while in ancient Chinese medicine,they are five kinds of Zang Xiang(藏象visceral manifes...In the context of Western medicine,Xin(心heart),Gan(肝liver),Pi(脾spleen),Fei(肺lung),and Shen(肾kidney)are five specific organs,while in ancient Chinese medicine,they are five kinds of Zang Xiang(藏象visceral manifestation),often referred to as Wu Zang(五藏five zang-organs),representing five interrelated structural-functional systems.There are both differences and connections between visceral manifestations and organs,which are reflected in the theories of Wu Zang.The specific connotation of Wu Zang are determined by the specific context in which they are located.With the accumulation of practice,the Wu Zang of the human body structures and functions,as well as the relationship between the Wu Zang have been in constant development and change.The encounter of Chinese and Western medicine in the 19th century dramatically changed the connotation of Wu Zang,from emphasizing visceral manifestations and neglecting substance to an organs-oriented perspective.This article examines how the encounter of Chinese and Western medicine in China influenced Chinese medicine.By analyzing three key aspects:(1)the interpretation of Wu Zang in pre-16th century texts;(2)the evolution and dissemination of Western medicine during the Ming and Qing dynasties;(3)the shifting conceptualization of Wu Zang in late Qing medical literature—the study elucidates the transformative impact of this cross-cultural medical encounter on the theory and practice of Chinese medicine.展开更多
Background The Registrar Clinical Encounters in Training(ReCEnT)project is an Australian general practice vocational training programme with integrated and interdependent education and research functions.Trainees(regi...Background The Registrar Clinical Encounters in Training(ReCEnT)project is an Australian general practice vocational training programme with integrated and interdependent education and research functions.Trainees(registrars)contemporaneously document in-consultation clinical experience and actions.Objectives Using a realist lens,we elucidate the mechanisms underpinning project outcomes to answer questions around programme effectiveness,impacts,sustainability and the lessons and findings that are translatable to other primary care training programmes.Methods The context,input,process and product framework was used.As a means to understand the interactions between each of the interdependent components,it allows for inferences regarding causal mechanisms for specific outcomes.Results Context:ReCEnT occurs within an apprenticeship-like model of general practice vocational training entailing a central supervisor/apprentice relationship.ReCEnT has demystified the content and characteristics of registrar consultations.Input:multiple stakeholder involvement is both advantageous and a logistical challenge,with the programme’s success dependent on registrars,practices and training providers providing detailed and accurate data,with prompt subsequent processing.Process:contemporaneous consultation data collection in different stages of training constitutes a component of registrars’programmatic assessment.Product:individualised feedback provides educational benefit through reflection.Clinical and educational research questions can be addressed with resulting research translation feeding back into the programme model and government policy.Clinical behaviour change is also evaluated.Conclusion ReCEnT is unique,globally,in its scope and longevity(2010–present).Creation of meaningful,individualised feedback facilitates reflection and provides both immediate educational benefits and the substrate for further research,programme and policy design and targeted formal teaching and learning.展开更多
While current analyses of European interpretations of non-western cultures are guided by a modern concept of sexuality, this article argues for a more encompassing, historical awareness by drawing historical construct...While current analyses of European interpretations of non-western cultures are guided by a modern concept of sexuality, this article argues for a more encompassing, historical awareness by drawing historical constructs of sexuality into the analysis. To illustrate the point, it will analyze the accounts of indigenous sexual practices written by the botanist Johann Reinhold Forster and his son Georg, in the wake of Cook＇s voyages. These accounts differ starkly, even though the authors participated in the same expedition. As the post-structural textual analysis of the text makes apparent, each author has a specific concept of sexuality in mind. These perceptions affirm the change taking place in 18th-century European culture, as analyzed by Foucault. Moreover, the textual analysis strongly suggests that their respective views of sexuality impact upon their interpretations of Tahitian culture at large. As a consequence, the article furthers insight into ＂Western＂ ways of interpreting ＂non-western＂ cultures.展开更多
With the continuous growth of air traffic flow, some airports in China or other countries begin to construct Closely Spaced Parallel Runways(CSPR) to meet the capacity requirement of civil aviation. In this paper, the...With the continuous growth of air traffic flow, some airports in China or other countries begin to construct Closely Spaced Parallel Runways(CSPR) to meet the capacity requirement of civil aviation. In this paper, the simulation and calculation method of flight trajectory is developed,as well as the collision risk calculation method and wake vortex encounter risk calculation method.New methods for departure and go-around procedures are proposed to achieve approximate segregated parallel operation in an attempt to obtain approximately the same results on closely spaced parallel runways as on widely spaced parallel runways. By comparing with the independent parallel departure and segregated parallel operation in ICAO Doc. 9643, it is found that the lateral separation between aircraft in this proposal is not less than the separations in the other two cases. Based on the simulation calculation of flight trajectories under different conditions, the probabilities of collision conflict and encountering wake vortex are lower than those in current operation plan.The proposed plan has no special requirements in pilot operation, control command procedures,airport facilities, or meteorological observation and prediction, so it is convenient to promote and implement at the airports with closely spaced parallel runways.展开更多
Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based r...Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based ratings and in-room ratings,as well as the agreement between the faculty ratings and SP ratings.Methods The CARE was translated into Chinese.Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter.Performance of each resident was graded by in-room raters,video raters and SP raters.Consistency between different raters was examined.Results The Chinese-CARE measure demonstrated high scale reliability with a Cronbach's alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation(coefficient=0.888,P<0.001).Despite a good consistency in intraclass correlation,video ratings were significantly higher than in-room ratings(39.6±7.1 vs.24.0±10.0,P<0.001),and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings(45/48 vs.22/48,P<0.001).SP ratings had a moderate consistency with in-room faculty ratings(coefficient=0..568,P<0.001),and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings(22/48vs.28/48,P=0.12).Conclusions The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview.In-room and video ratings are not equivalent,while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.展开更多
The Western Route of the South-to-North Water Diversion Project is an important trans-basin diversion project to transfer water from the upstream Yangtze River and its tributaries （water-exporting area）, to the upst...The Western Route of the South-to-North Water Diversion Project is an important trans-basin diversion project to transfer water from the upstream Yangtze River and its tributaries （water-exporting area）, to the upstream of the Yellow River （water- importing area）. The long-term hydrologieal data from 14 stream gauging stations in the Western Route area and techniques including the pre-whitening approach, non-parametric test, Bayes, law, variance analysis extrapolation, and Wavelet Analysis are applied to identify the streamflow eharacteristics and trends, streamflow time series cross-correlations, wetness-dryness encountering probability, and periodicities that occurred over the last 50 years. The results show that the water-exporting area, water- importing area, and the streteh downstream of the water-exporting have synehronization in high-low flow relationship, whereas they display non- synchronization in long-term evolution. This corresponds to the complicated and variable climate of the plateau region. There is no obvious increasing or decreasing trend in runoff at any gauging station. The best hydrological eompensation probability for rivers where water is diverted is about 25% to lO%, and those rivers influenced significantly by diversion are the Jinsha and Yalong rivers. Proper planning and design of compensation reservoirs for the water-exporting area and stretch downstream of the water- exporting area can increase the hydrological compensation possibility from water-exporting area to the water-importing area, and reduce the impact on the stretch of river downstream of the water- exporting area.展开更多
Opportunistic networks are self-organizing networks that do not require a complete path between the source node and the destination node as it uses encounter opportunities brought by nodes movement to achieve network ...Opportunistic networks are self-organizing networks that do not require a complete path between the source node and the destination node as it uses encounter opportunities brought by nodes movement to achieve network communication.Opportunistic networks routing algorithms are numerous and can be roughly divided into four categories based on different forwarding strategies.The Prophet routing algorithm is an important routing algorithm in opportunistic networks.It forwards messages based on the encounter probability between nodes,and has good innovation significance and optimization potential.However,the Prophet routing algorithm does not consider the impact of the historical throughput of the node on message transmission,nor does it consider the impact of the encounter duration between nodes on message transmission.Therefore,to improve the transmission efficiency of opportunistic networks,this paper based on the Prophet routing algorithm,fuses the impact of the historical throughput of the node and the encounter duration between nodes on message transmission at the same time,and proposes the Prophet_TD routing algorithm based on the historical throughput and the encounter duration.This paper uses the Opportunistic Networks Environment v1.6.0(the ONE v1.6.0)as the simulation platform,controls the change of running time and the number of nodes respectively,conducts simulation experiments on the Prophet_TD routing algorithm.The simulation results show that compared to the traditional Prophet routing algorithm,on the whole,the Prophet_TD routing algorithm has a higher message delivery rate and a lower network overhead rate,and its average latency is also lower when node density is large.展开更多
文摘Effective communication between nurses and patients is crucial for therapeutic interactions.It influences trust,patient satisfaction,adherence,and overall health outcomes.Various communication models have been developed over time to guide practice,incorporating fundamental concepts of therapeutic encounters;nevertheless,the majority are not designed for application in both inpatient and outpatient settings.The SAIDAR communication model is suggested to address this disparity.This review integrates elements of an integrative review with a critical review perspective to provide a narrative synthesis of theoretical and applied communication models derived from seminal works in the field of health communication.Using the CINAHL,Scopus,and Web of Science databases without date restrictions,the selected seminal authors were retrieved.Elicit,an artificial intelligence-driven research assistant,and the Google Scholar search engine were utilized together,and citation chaining facilitated the retrieval of relevant studies,which were analyzed using inductive dominant thematic analysis.Thirteen studies beneficial to the review question were included,and six themes were generated.These themes were salutation,assessing the environment,informing and explaining the task,doing,demonstrating,and performing the task;applauding,correcting,and appreciating,and reinforcing knowledge of the receiver of care.The critical analysis of these themes culminated in the formulation of the SAIDAR communication model.The current model integrates a structured communication framework that acknowledges the individuality of man and environmental assessment and demonstrates,appreciates,and reinforces knowledge.This model is an adaptable and acontextual communication tool suitable for various healthcare environments.
文摘在Road to Heaven:Encounters with Chinese Hermits一书中,比尔·波特对中华传统文化和中国典籍相关文字的翻译俯拾即是,此外还包含作者对中国隐士文化的看法和评价,是典型的无本译写文本。文章以Road to Heaven:Encounters with Chinese Hermits为研究对象,采用无本译写特有的底本追踪方法,分析书中译的元素、译写关系以及无本译写所展现的中国文化中的隐士精神。首先,本文从中国典籍、民间传说、历史事件、中国传统价值观念、寻访见闻五个方面分析书中译的元素,其次探讨译写关系,最后从三个层面分析该书无本译写展现的隐士精神。研究发现:译写关系具体表现为互释互构、互相拓展的渐变连续体关系;比尔·波特对中国文化存在误读、翻译不准确、对某一特定文化的了解不全面等现象。
文摘Since the 1990s,globalization has aroused people’s attention constantly.Meanwhile,with more and more immigrants,migrant workers,international students,foreign tourists,and business people,cross-cultural interaction has increased dramatically.Consequently,the communication and interaction between service employees and customers from different cultural backgrounds is getting frequent.Services have gotten great profits from the phenomenon which is known as intercultural service encounters(ICSE).For one who has contributed a lot to ICSE,Piyush Sharma in his book Intercultural Service Encounters:Cross-cultural Interactions and Service Quality attempts to concentrate on some significant factors closely related to ICSE,from the perspective of service employees.Account for Piyush Sharma’s novel view on the relationship of employees and customers in the process of ICSE,here is a review of his work.For each part of Piyush Sharma’s volume,this review gives readers a brief and concise summary,which is followed by comprehensive comments of the reviewer.This review is a good guidance and introduction for those who are interested in ICSE and those who major in foreign languages and marketing management to have a good command of Piyush Sharma’s volume.
基金The study was supported by the Na- tional Natural Science Foundation of China （31000175）, the Grant-In-Aid from the Japan Society for the Promotion of Science （JSPS： P09103） and the Kiriyama Foundation of Ja-pan. We are grateful to the Choshikei Monkey Park and Jigo-kudani Monkey Park for granting permission to carry out this research, special thanks to Mr. Eishi Tokida for his kind aids in our study. We thank Dr. Andrew J. Macintosh for reading and commenting on a previous draft of this manuscript. We thank all members of the Anthropology Department, Sun Yat-sen University, China and the Social Ecology Department at the Primate Research Institute, Kyoto University, for their helpful comments on this research. The research and care of the monkeys under study abides by the national and institu- tional guidelines for the care and management of primates established by the Primate Research Institute, Kyoto Univer- sity, Japan.
文摘Typically, Japanese macaques are thought to avoid encountering other groups wherever possible. Intergroup relations between macaques on Shodoshima Island, however, appear exceptional. We show that neighboring groups of Shodoshima mon-keys spent 32.8% of their active time in proximity to （〈100 m） and even foraged simultaneously at the same provisioning site with another group. The average duration and rate of intergroup encounters at Shodoshima （59.8 rain, 0.33 times/hour, n=269） were approximately ten times longer and 16.5 times more frequent than those at Jigokudani （6.1 rain, 0.02 times/hour, n--14）. Since both populations have similar provisioning and ecological conditions, such variation cannot be explained by the socioecol- ogy model alone. Compared with other populations of Japanese macaques, intergroup relations of Shodoshima monkeys are also characterized by more frequent neutral encounters, less frequent agonistic encounters, more frequent unsuccessful displacement, a lower intensity of aggression, and more frequent counter-aggression between groups. These characteristics suggest that intergroup relationships on Shodoshima Island are more tolerant than those in other Japanese macaque populations. This study reveals con- siderable differences in intergroup encounters within local populations of Japanese macaques living in similar environments, and emphasizes the role of social factors in such intra-specific variation [Current Zoology 58 （4）： 517-524, 2012].
文摘The paediatric online consultative forum,where putative patients interact with physicians,has become a lifesaver for many,especially during the covID-19 lockdown era in Nigeria.Examining the affective stance expressed by mothers in this asynchronous discourse from the linguistic perspective adds to the few existing studies on telemedicine and reveals the plight of mothers and their children in Nigeria.This study examines the discourse patterns of affective stance and its linguistic markers in online consultative encounters.Using the purposive random sampling method,80 posts on the Facebook account“Ask the Paediatricians"”between May and June 2020 and analysed using stance theory.Findings show that mothers express affectivity as interrogative,attention and hypothetical markers to project their concerns,worries,and curiosity about their children's health status,e.g.,breastfeeding,immunization,stools abnormalities,nutrition,fever,refluxing babies among others.Self-mentions and attitude markers are the two linguistic markers predominantly deployed in expressing affective stance.While the instances of self-mentions index affective representation,attitude markers,on the other hand,foreground affective attitude toward the propositions expressed.The above implies the level of emotional conditions of motherhood and sociocultural experiences of Nigerian women in the context of telemedicine encounters in child health studies.
基金of a Ministry of Education Youth Project on the Construction of Internationalization Quality Model of Teachers in Minzu Colleges and Universities(No.EMA200394).
文摘Purpose:Meeting“others,”especially so-called“local”students,is usually seen as a sign of success for intercultural learning and integration in research on study abroad and internationalization of higher education.Previous studies have focused on how international students themselves describe their(mis-)encounters.In this article,the authors consider lecturers’voices about this phenomenon.Lecturers have an influence on the students’experiences since they spend a lot of time together in and outside class.Design/Approach/Methods:Using a thematic analysis and social network analysis of interview data with lecturers,and a critical perspective toward the dichotomy of“local”versus“international”students,a university in Finland,a popular destination thanks to its positive image in global education,serves as a case study.Findings:The article identifies privileges,limits,and(missed)opportunities of encounters,as shared by the lecturers in focus group discussions.Furthermore,the lecturers created hierarchies in the way they described the encounters between different kinds of students.Some signs of pluralizing both local and international students were also found in some lecturers’discourses.Originality/Value:The article ends with recommendations for institutions regarding the lecturers’problematic role of gatekeepers in student encounters and the limiting categories used in institutions of higher education to refer to students.
文摘自本栏目开辟以来,好评如潮。一位澳大利亚的作家,不远万里来到中国,在上海的郊区金山和松江的两所中学任教一年。这是她一生难忘的一年,她的快乐和欣喜、困惑和迷茫、寂寞与痛苦、希望和憧憬,等等,都在本专栏得以真实而又生动的折射。本专栏的上期披露了这样一个令人心疼的事实:Once,theywere so naughty I stormed outside and cried while they laughed at me through thewindows。不少读者发来邮件,对这些naught学生表示了强烈的不满,cried/laughed在上句形成了强烈对比。在素质教育的呼声日甚一日之今日,让人觉得,这些学生已非一般意义上的naughty(顽皮;淘气)了。本文,Denise Noblet又向读者披露了她在上海遇到的一件让她至今不能理解的真实故事。】
文摘1 Introduction The history of medicine in modern China has frequently been framed through a lens of“Westernization”,in which traditional Chinese medicine(TCM)is portrayed as grad-ually yielding to modern Western medicine.Such a binary framework,however,oversimplifies the intricate realities of medical encounters in China.
文摘1 On May 19,2025,I had the pleasure of meeting two football players from North Carolina Central University in the Philadelphia airport as we were all headed back to Raleigh,NC.To protect their privacy,I will use only the initials of their first names-L and N.
基金financed by the grant from The MUST Faculty Research Grants(FRG-25-031-FC)and Fundação Macao.
文摘In the context of Western medicine,Xin(心heart),Gan(肝liver),Pi(脾spleen),Fei(肺lung),and Shen(肾kidney)are five specific organs,while in ancient Chinese medicine,they are five kinds of Zang Xiang(藏象visceral manifestation),often referred to as Wu Zang(五藏five zang-organs),representing five interrelated structural-functional systems.There are both differences and connections between visceral manifestations and organs,which are reflected in the theories of Wu Zang.The specific connotation of Wu Zang are determined by the specific context in which they are located.With the accumulation of practice,the Wu Zang of the human body structures and functions,as well as the relationship between the Wu Zang have been in constant development and change.The encounter of Chinese and Western medicine in the 19th century dramatically changed the connotation of Wu Zang,from emphasizing visceral manifestations and neglecting substance to an organs-oriented perspective.This article examines how the encounter of Chinese and Western medicine in China influenced Chinese medicine.By analyzing three key aspects:(1)the interpretation of Wu Zang in pre-16th century texts;(2)the evolution and dissemination of Western medicine during the Ming and Qing dynasties;(3)the shifting conceptualization of Wu Zang in late Qing medical literature—the study elucidates the transformative impact of this cross-cultural medical encounter on the theory and practice of Chinese medicine.
文摘Background The Registrar Clinical Encounters in Training(ReCEnT)project is an Australian general practice vocational training programme with integrated and interdependent education and research functions.Trainees(registrars)contemporaneously document in-consultation clinical experience and actions.Objectives Using a realist lens,we elucidate the mechanisms underpinning project outcomes to answer questions around programme effectiveness,impacts,sustainability and the lessons and findings that are translatable to other primary care training programmes.Methods The context,input,process and product framework was used.As a means to understand the interactions between each of the interdependent components,it allows for inferences regarding causal mechanisms for specific outcomes.Results Context:ReCEnT occurs within an apprenticeship-like model of general practice vocational training entailing a central supervisor/apprentice relationship.ReCEnT has demystified the content and characteristics of registrar consultations.Input:multiple stakeholder involvement is both advantageous and a logistical challenge,with the programme’s success dependent on registrars,practices and training providers providing detailed and accurate data,with prompt subsequent processing.Process:contemporaneous consultation data collection in different stages of training constitutes a component of registrars’programmatic assessment.Product:individualised feedback provides educational benefit through reflection.Clinical and educational research questions can be addressed with resulting research translation feeding back into the programme model and government policy.Clinical behaviour change is also evaluated.Conclusion ReCEnT is unique,globally,in its scope and longevity(2010–present).Creation of meaningful,individualised feedback facilitates reflection and provides both immediate educational benefits and the substrate for further research,programme and policy design and targeted formal teaching and learning.
文摘While current analyses of European interpretations of non-western cultures are guided by a modern concept of sexuality, this article argues for a more encompassing, historical awareness by drawing historical constructs of sexuality into the analysis. To illustrate the point, it will analyze the accounts of indigenous sexual practices written by the botanist Johann Reinhold Forster and his son Georg, in the wake of Cook＇s voyages. These accounts differ starkly, even though the authors participated in the same expedition. As the post-structural textual analysis of the text makes apparent, each author has a specific concept of sexuality in mind. These perceptions affirm the change taking place in 18th-century European culture, as analyzed by Foucault. Moreover, the textual analysis strongly suggests that their respective views of sexuality impact upon their interpretations of Tahitian culture at large. As a consequence, the article furthers insight into ＂Western＂ ways of interpreting ＂non-western＂ cultures.
基金funded by the National Natural Science Foundation of China (Nos. U1533116, U1633125)Project Foundation of Civil Aircraft for MIIT of China (No. MJ-2016-Y76)the Fundamental Research Funds for the Central Universities of CAUC of China (No. 3122017067)
文摘With the continuous growth of air traffic flow, some airports in China or other countries begin to construct Closely Spaced Parallel Runways(CSPR) to meet the capacity requirement of civil aviation. In this paper, the simulation and calculation method of flight trajectory is developed,as well as the collision risk calculation method and wake vortex encounter risk calculation method.New methods for departure and go-around procedures are proposed to achieve approximate segregated parallel operation in an attempt to obtain approximately the same results on closely spaced parallel runways as on widely spaced parallel runways. By comparing with the independent parallel departure and segregated parallel operation in ICAO Doc. 9643, it is found that the lateral separation between aircraft in this proposal is not less than the separations in the other two cases. Based on the simulation calculation of flight trajectories under different conditions, the probabilities of collision conflict and encountering wake vortex are lower than those in current operation plan.The proposed plan has no special requirements in pilot operation, control command procedures,airport facilities, or meteorological observation and prediction, so it is convenient to promote and implement at the airports with closely spaced parallel runways.
基金the Undergraduate Teaching Reform Project from Peking Union Medical College(Grant number:2017zlgc0102).
文摘Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy(CARE)in physician-standardized patient(SP)encounter.We also tried to examine the agreement between video-based ratings and in-room ratings,as well as the agreement between the faculty ratings and SP ratings.Methods The CARE was translated into Chinese.Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter.Performance of each resident was graded by in-room raters,video raters and SP raters.Consistency between different raters was examined.Results The Chinese-CARE measure demonstrated high scale reliability with a Cronbach's alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation(coefficient=0.888,P<0.001).Despite a good consistency in intraclass correlation,video ratings were significantly higher than in-room ratings(39.6±7.1 vs.24.0±10.0,P<0.001),and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings(45/48 vs.22/48,P<0.001).SP ratings had a moderate consistency with in-room faculty ratings(coefficient=0..568,P<0.001),and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings(22/48vs.28/48,P=0.12).Conclusions The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview.In-room and video ratings are not equivalent,while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.
基金supported by the China Meteorological Data Sharing Service System,the Bureau of Hydrology,and Water Resources of Sichuan Province,China
文摘The Western Route of the South-to-North Water Diversion Project is an important trans-basin diversion project to transfer water from the upstream Yangtze River and its tributaries （water-exporting area）, to the upstream of the Yellow River （water- importing area）. The long-term hydrologieal data from 14 stream gauging stations in the Western Route area and techniques including the pre-whitening approach, non-parametric test, Bayes, law, variance analysis extrapolation, and Wavelet Analysis are applied to identify the streamflow eharacteristics and trends, streamflow time series cross-correlations, wetness-dryness encountering probability, and periodicities that occurred over the last 50 years. The results show that the water-exporting area, water- importing area, and the streteh downstream of the water-exporting have synehronization in high-low flow relationship, whereas they display non- synchronization in long-term evolution. This corresponds to the complicated and variable climate of the plateau region. There is no obvious increasing or decreasing trend in runoff at any gauging station. The best hydrological eompensation probability for rivers where water is diverted is about 25% to lO%, and those rivers influenced significantly by diversion are the Jinsha and Yalong rivers. Proper planning and design of compensation reservoirs for the water-exporting area and stretch downstream of the water- exporting area can increase the hydrological compensation possibility from water-exporting area to the water-importing area, and reduce the impact on the stretch of river downstream of the water- exporting area.
基金The authors wish to thank the Natural Science Foundation of China under Grant Nos.61841109,61662054Natural Science Foundation of Inner Mongolia under Grand No.2019MS06031.
文摘Opportunistic networks are self-organizing networks that do not require a complete path between the source node and the destination node as it uses encounter opportunities brought by nodes movement to achieve network communication.Opportunistic networks routing algorithms are numerous and can be roughly divided into four categories based on different forwarding strategies.The Prophet routing algorithm is an important routing algorithm in opportunistic networks.It forwards messages based on the encounter probability between nodes,and has good innovation significance and optimization potential.However,the Prophet routing algorithm does not consider the impact of the historical throughput of the node on message transmission,nor does it consider the impact of the encounter duration between nodes on message transmission.Therefore,to improve the transmission efficiency of opportunistic networks,this paper based on the Prophet routing algorithm,fuses the impact of the historical throughput of the node and the encounter duration between nodes on message transmission at the same time,and proposes the Prophet_TD routing algorithm based on the historical throughput and the encounter duration.This paper uses the Opportunistic Networks Environment v1.6.0(the ONE v1.6.0)as the simulation platform,controls the change of running time and the number of nodes respectively,conducts simulation experiments on the Prophet_TD routing algorithm.The simulation results show that compared to the traditional Prophet routing algorithm,on the whole,the Prophet_TD routing algorithm has a higher message delivery rate and a lower network overhead rate,and its average latency is also lower when node density is large.
