The COVID-19 pandemic at the beginning of 2020 has changed the conventional learning mode for most students at schools all over the world, and the e-learning at home has become a new trend. Taking Chinese college students as the research subject and drawing on the stimulus–organism–response model, this paper examines the relationship between the peer referent, perceived closeness, and perceived control and the learning engagement. Using data from 377 college students who have used e-learning, this study shows that perceived closeness, (...) perceived control, and peer referents in e-learning have a positive effect on the self-efficacy and well-being of students, thus improving students’ enthusiasm for learning. Our intent is to assist researchers, instructors, designers, and others in identifying effective methods to conceptualize and measure student engagement in e-learning. (shrink)

We used social network analysis to examine a theoretical model exploring why, and under what circumstances, the perpetrators’ ostracizing behaviors are accurately perceived by the target employees. In turn, these perceptions of ostracism lead to the target employees’ counterproductive work behaviors. Adopting perspectives from both perpetrators and targets, we directly measured the ostracizing behaviors by all potential perpetrators and perceived workplace ostracism by target employees. We integrate Social information processing theory and conservation of resource theory to propose a moderated mediation (...) model, and found that employees who have a high level of need to belong are more likely to capture coworkers’ ostracizing behaviors, and those with low political skill are more likely to engage in counterproductive work behavior as their reaction to perceived workplace ostracism. Theoretical and practical implications are discussed. (shrink)

The recognition memory for inverted faces is especially difficult when compared with that for non-face stimuli. This face inversion effect has often been used as a marker of face-specific holistic processing. However, whether face processing without awareness is still specific remains unknown. The present study addressed this issue by examining the face inversion effect with the technique of binocular rivalry. Results showed that invisible upright faces could break suppression faster than invisible inverted faces. Nevertheless, no difference was found for invisible (...) upright houses and invisible inverted houses. This suggested that face processing without awareness is still specific. Some face-specific information can be processed by high-level brain areas even when that information is invisible. (shrink)

ObjectiveThe large-scale epidemic of Coronavirus Disease 2019 has triggered unprecedented physical and psychological stress on health professionals. This study aimed to investigate the prevalence and risk factors of burnout syndrome, and the relationship between burnout and depressive symptoms among frontline medical staff during the COVID-19 epidemic in China.MethodsA total of 606 frontline medical staff were recruited from 133 cities in China using a cross-sectional survey. The Maslach Burnout Inventory was used to assess the level of burnout. Depressive symptoms were assessed (...) by the Patient Health Questionnaire Depression.ResultsDuring the COVID-19 pandemic, 36.5% of the medical staff experienced burnout. Personal and work-related factors were independently associated with burnout, including age, family income, having physical diseases, daily working hours, and profession of nurse. The correlation coefficients between the scores of each burnout subscale and the scores of depressive symptoms were 0.57 for emotional exhaustion, 0.37 for cynicism, and −0.41 for professional efficacy.ConclusionsOur findings suggest that the prevalence rate of burnout is extremely high among medical staff during the COVID-19 pandemic, which is associated with other psychological disorders, such as depression. Psychological intervention for medical staff is urgently needed. Young and less experienced medical staff, especially nurses, should receive more attention when providing psychological assistance. (shrink)

Background Participants' understanding of clinical trials is important in informed consent. However, little is known about what information participants really want to know. Aims To demonstrate the existence of a discrepancy between participants' understanding and their desire to know. Methods The participants in clinical trials at Seoul National University Hospital were surveyed. The survey consisted of 11 statements based on the essential elements of informed consent. The participants gave two responses to each statement on a five-point Likert scale to rate (...) their subjective understanding and desire to know, respectively. Information discrepancy was defined as the difference between these two ratings: if understanding exceeded desire to know for a particular item, it was defined as ‘over-informed’; if desire to know exceeded understanding for a particular item, it was defined as ‘under-informed’. Results Participants reported good understanding of ‘voluntariness’, ‘duration’, ‘study involves research’ and poor understanding of ‘confidentiality’, ‘compensation’, ‘benefits’, ‘procedures’ and ‘risks or discomforts’. For ‘risks or discomforts’, ‘who to contact’, ‘voluntariness’, ‘duration’ and ‘procedures’, participants reported high desire to know compared with ‘confidentiality’, ‘purpose’, ‘study involves research’ and ‘benefits’. The elements ‘study involves research’, ‘voluntariness’, ‘duration’, ‘purpose’ and ‘who to contact’ were over-informed, while ‘compensation’, ‘risks or discomforts’, ‘procedures’, ‘confidentiality’ and ‘benefits’ were under-informed. Participants over 50 years of age, those without a college education and those whose participation was less voluntary were relatively less informed about the clinical trials. Conclusions An information discrepancy was observed between the participants' understanding and their desire to know. By putting more emphasis on under-informed elements, the quality of informed consent could be improved. (shrink)

Fecal microbiota transplantation is reportedly the most effective therapy for relapsing Clostridium Difficile infection and a potential therapeutic option for many diseases. It also poses important ethical concerns. This study is an attempt to assess clinicians’ perception and attitudes towards ethical and social challenges raised by fecal microbiota transplantation. A questionnaire was developed which consisted of 20 items: four items covered general aspects, nine were about ethical aspects such as informed consent and privacy issues, four concerned social and regulatory issues, (...) and three were about an FMT bank. This was distributed to participants at the Second China gastroenterology and FMT conference in May 2015. Basic descriptive statistical analyses and simple comparative statistical tests were performed. Nearly three quarters of the 100 respondents were gastro-enterologist physicians. 89% of all respondents believed FMT is a promising treatment modality for some diseases and 88% of whom chose clinical efficacy as the primary reason for recommending FMT. High expectation from patients and pressure on clinicians was reported as the most frequent reasons for not recommending FMT. The clinicians who had less familiarity with FMT reported significantly more worry related to the dignity and psychological impact of FMT compared to those who have high familiarity with FMT.More than half of the respondents were concerned about the commercialization of FMT, although almost one in five respondents did not see this as a problem. We found most respondents have positive attitudes towards FMT but low awareness of published evidence. Informed consent for vulnerable patients, privacy and protection of donors were perceived as the most challenging ethical aspects of FMT. This study identified areas of limited knowledge and ways of addressing ethical issues and indicates the need to devise the education and training for clinicians on FMT. (shrink)

In his feature article,1 McCullough LB et al highlights the importance of civility among medical educators and academic leaders in shaping the professional habits of junior doctors. He emphasises the role of medical educators in correcting unprofessional behaviour and emphasises the need for academic leaders to motivate junior doctors to develop virtuous professional habits. The relationship between junior doctors and medical educators can be likened to that between students and teachers. Through active or passive learning from medical educators, junior doctors (...) gain the necessary knowledge, experience and professional virtues. Academic leaders, as prominent experts in their field, play a guiding role in this process. Therefore, their relationship with junior doctors is akin to that between idols and fans. In this regard, academic leaders can serve as exceptional role models for guiding junior doctors to develop the inclination to …. (shrink)

Background The ethical competence of head nurses plays a pivotal role in nursing ethics. Ethical climate is a prerequisite for ethical competence, and moral resilience can positively influence an individual’s ethical competence. However, few studies have focused on the relationship between ethical climate, moral resilience, and ethical competence among them. Objectives To investigate the relationship between ethical climate, moral resilience, and ethical competence, and examine the mediating role of moral resilience between ethical climate and ethical competence among head nurses. Design (...) A quantitative, cross-sectional study. Methods A total of 309 Chinese head nurses completed an online survey, including ethical climate questionnaire, Rushton moral resilience scale, and ethical competence questionnaire. Inferential statistical analysis includes Pearson’s correlation and a structural equation model. Ethical considerations This study received ethical approval from the Institutional Review Board of Xiangya Nursing School of Central South University (No. E2023146). Results Head nurses’ ethical climate score positively impacted ethical competence (r = 0.208, p <.001), and ethical climate could affect ethical competence through the mediating role of moral resilience. Conclusion This study emphasized the value of ethical climate in moral resilience of head nurses, ultimately leading to an enhancement in their ethical competence. (shrink)

Traffic congestion is a common problem in many countries, especially in big cities. At present, China’s urban road traffic accidents occur frequently, the occurrence frequency is high, the accident causes traffic congestion, and accidents cause traffic congestion and vice versa. The occurrence of traffic accidents usually leads to the reduction of road traffic capacity and the formation of traffic bottlenecks, causing the traffic congestion. In this paper, the formation and propagation of traffic congestion are simulated by using the improved medium (...) traffic model, and the control strategy of congestion dissipation is studied. From the point of view of quantitative traffic congestion, the paper provides the fact that the simulation platform of urban traffic integration is constructed, and a feasible data analysis, learning, and parameter calibration method based on RBF neural network is proposed, which is used to determine the corresponding decision support system. The simulation results prove that the control strategy proposed in this paper is effective and feasible. According to the temporal and spatial evolution of the paper, we can see that the network has been improved on the whole. (shrink)

Nowadays, depression is the world’s major health concern and economic burden worldwide. However, due to the limitations of current methods for depression diagnosis, a pervasive and objective approach is essential. In the present study, a psychophysiological database, containing 213 subjects, was constructed. The electroencephalogram signals of all participants under resting state and sound stimulation were collected using a pervasive prefrontal-lobe three-electrode EEG system at Fp1, Fp2, and Fpz electrode sites. After denoising using the Finite Impulse Response filter combining the Kalman (...) derivation formula, Discrete Wavelet Transformation, and an Adaptive Predictor Filter, a total of 270 linear and nonlinear features were extracted. Then, the minimal-redundancy-maximal-relevance feature selection technique reduced the dimensionality of the feature space. Four classification methods distinguished the depressed participants from normal controls. The classifiers’ performances were evaluated using 10-fold cross-validation. The results showed thatK-Nearest Neighbor had the highest accuracy of 79.27%. The result also suggested that the absolute power of the theta wave might be a valid characteristic for discriminating depression. This study proves the feasibility of a pervasive three-electrode EEG acquisition system for depression diagnosis. (shrink)

In this study, we investigated the integration between neuroscience and entrepreneurship. First, we explored the concept of neuroentrepreneurship and the investigation of neuroentrepreneurship using scientific research methods. Second, we constructed a road map for entrepreneurial researchers interested in conducting neuroentrepreneurship-related research. This is an emerging research area; therefore, to more clearly analyze the dynamics of the research trends, we used a bibliometric method to capture patterns in current publications on subjects related to neuroentrepreneurship, examining papers published between 1999 and 2021 (...) using the keywords “neuroscience” and “entrepreneurship” or “neuroentrepreneurship.” To identify the keywords, we used two academic databases—the Social Science Citation Index and Science Citation Index—accessed through the Web of Science website. The three keywords were identified from studies integrating neuroscience with entrepreneurship. After carefully reviewing the research papers, we identified neuroentrepreneurship as a novel research area. The outcomes of this study provide a guide for describing the theoretical connection between neuroscience and entrepreneurship. In the future, this field of study should be empirically investigated. (shrink)

In this paper, we mainly investigate the existence of states based on the Glivenko theorem in bounded semihoops, which are building blocks for the algebraic semantics for relevant fuzzy logics. First, we extend algebraic formulations of the Glivenko theorem to bounded semihoops and give some characterizations of Glivenko semihoops and regular semihoops. The category of regular semihoops is a reflective subcategory of the category of Glivenko semihoops. Moreover, by means of the negative translation term, we characterize the Glivenko variety. Then (...) we show that the regular semihoop of regular elements of a free algebra in the variety of Glivenko semihoops is free in the corresponding variety of regular semihoops. Similar results are derived for the semihoop of dense elements of free Glivenko semihoops. Finally, we give a purely algebraic method to check the existence of states on Glivenko semihoops. In particular, we prove that a bounded semihoop has Bosbach states if and only if it has a divisible filter, and a bounded semihoop has Riečan states if and only if it has a semi-divisible filter. (shrink)

Objective: Pulmonary complications could badly affect the recovery of neurological function and neurological prognosis of neurological critically ill patients. This study evaluated the effect of high-flow nasal cannula therapy on decreasing pulmonary complications in neurologically critically ill patients.Patients and Methods: The patients admitted to the intensive care unit with serious neurological disease and receiving oxygen therapy were retrospectively reviewed. Patients were divided into the HFNC group and the conventional oxygen therapy group. We analyzed the data within these two groups, including (...) patients’ baseline data, short-term outcomes of respiratory complications, general outcomes including hospital stay, ICU stay and mortality, and neurological functions. To analyze the relevant factors, we performed multivariable logistic regression analysis.Results: A total of 283 patients met the criteria, including 164 cases in the HFNC group and 119 cases in the COT group. The HFNC group had remarkably less mechanical ventilation requirement with lower phlegm viscosity. Even more, ICU stay and total hospital stay were significantly shortened in the HNFC group.Conclusion: HFNC decreased pulmonary complications in neurologically critically ill patients and improved recovery of neurological function and neurological prognosis. (shrink)

Assessing the impact of CSR initiatives can be a complex task for marketers given the variety of methods of communicating about CSR as well as the broad range of stakeholders that CSR initiatives might interest. Social media helps increase the visibility and credibility of CSR communication and provides new ways of reaching and involving stakeholders in CSR initiatives. Using data collected and coded from Facebook pages of the Top 100 Global Brands, the authors introduce a new measure of effectiveness for (...) CSR communication; CSR communication productivity (CCP). The findings indicate that CCP has a positive impact on firm performance (Tobin’s Q). The authors also investigate the impact of External Stakeholder Involvement in CSR initiatives. The results suggest that when external stakeholders are involved in an organization’s CSR initiatives, both CCP and firm performance (Tobin’s Q) improve. In addition, third-party evaluations of CSR performance positively moderate the impact of External Stakeholder Involvement on CCP. These findings offer contributions to CSR communication and social media marketing theories. They also have implications for marketing managers regarding how to measure and benchmark CCP, and how to maximize returns by involving external stakeholders in CSR efforts. (shrink)

The purpose of this study is to investigate the current state of post-traumatic growth and identify its influencing factors in discharged COVID-19 patients. PTG refers to individual experiences of significant positive change arising from the struggle with a major life crisis. This descriptive cross-sectional study used the convenient sampling method to recruit 140 discharged COVID-19 patients in Hunan, China. The results show that the PTG of the discharged COVID-19 patients was positively correlated with self-esteem, post-traumatic stress disorder, coping style tendency, (...) and social support, but negatively correlated with the time from onset to diagnosis. Our findings could provide guidance on improving the psychological state and well-being of discharged COVID-19 patients. (shrink)

Excavated from the ruins of a Han dynasty postal and relay station located in the Gansu Corridor, the Xuanquan manuscripts provide a precious chance to look into the daily traffic along the ancient Silk Road. After a brief introduction to the Han postal system, this paper translates and examines some of the Xuanquan documents directly related to foreigners traveling to Han China, such as passports, records of lodging and boarding, and files concerning trade disputes. The author concludes that the management (...) of traffic and trade along the Silk Road was a business tightly controlled by the early Chinese empire. (shrink)

Rather than being a form of explicitly commodified reproduction, informal surrogacy is practiced (and interpreted) in a working-class community in Beijing as part of local affective life, viewed in terms of gifting, favors, filial piety, and family concerns. Through this practice a particular form of biopower, articulated in affective terms, limits some women to serving as instruments of reproduction. Unlike the common western assumption of a physical body as separate from the experiencing subject, the Chinese body has a subjective, experiential (...) dimension. This subjective body harbors an agency with the potential to transform the power exercised on it and to impact the circumstances of the surrogate’s life. I contextualize such agency in the analysis of the ambivalence of these women toward surrogacy and the violence of local kinship systems. Through analyzing how surrogates use their bodies to transform codes, forces and reform the self, the article suggests that informal surrogacy interacts and shapes local affective and political economies. (shrink)

This study examines whether an acquirer’s pre-announcement corporate social responsibility (CSR) engagement can provide an insurance-like effect to preserve acquirer returns during the announcement of an acquisition event. Drawing on stakeholder theory and signaling theory, we posit that CSR engagement accrues positive moral capital for an acquirer and sends a positive signal indicating the acquirer’s altruism, both of which temper stakeholders’ negative responses and prevent a reduction in market returns around the announcement of an acquisition. However, high-CSR engagement could backfire (...) when the acquirer makes a hostile takeover announcement. Incongruent signals between high-CSR engagement and the hostile practice are a sign of hypocrisy in the eyes of stakeholders, which can worry investors and hurt acquirer returns. By analysing 1310 acquisition transactions from 2002 to 2012, the results of our event study show that high-CSR acquirers generally enjoy positive acquirer returns during their acquisition announcements, but negative returns when the acquisitions are hostile. These findings support the idea that CSR engagement can provide insurance-like benefits during an event that is often seen as “negative”, while also identifying signal incongruence as an important boundary condition. (shrink)

We show that the formulations of non-relativistic quantum mechanics can be derived from an extended least action principle. The principle can be considered as an extension of the least action principle from classical mechanics by factoring in two assumptions. First, the Planck constant defines the minimal amount of action a physical system needs to exhibit during its dynamics in order to be observable. Second, there is constant vacuum fluctuation along a classical trajectory. A novel method is introduced to define the (...) information metrics to measure additional observability due to vacuum fluctuations, which is then converted to an additional action through the first assumption. Applying the variational principle to minimize the total actions allows us to recover the basic quantum formulations including the uncertainty relation and the Schrödinger equation in the position representation. In the momentum representation, the same method can be applied to obtain the Schrödinger equation for a free particle while further investigation is still needed for a particle with an external potential. Furthermore, the principle brings in new results on two fronts. At the conceptual level, we find that the information metrics for vacuum fluctuations are responsible for the origin of the Bohm quantum potential. Even though the Bohm potential for a bipartite system is inseparable, the underlying vacuum fluctuations are local. Thus, inseparability of the Bohm potential does not justify a non-local causal relation between the two subsystems. At the mathematical level, quantifying the information metrics for vacuum fluctuations using more general definitions of relative entropy results in a generalized Schrödinger equation that depends on the order of relative entropy. The extended least action principle is a new mathematical tool. It can be applied to derive other quantum formalisms such as quantum scalar field theory. (shrink)

The Wigner’s friend type of thought experiments manifest the conceptual challenge on how different observers can have consistent descriptions of a quantum measurement event. In this paper, we analyze the extended version of Wigner’s friend thought experiment in detail and show that the reasoning process from each agent that leads to the no-go theorem is inconsistent. The inconsistency is with respect to the requirement that an agent should make use of updated information instead of outdated information. We then apply the (...) relational formulation of quantum measurement to resolve the inconsistent descriptions from different agents. In relational formulation of quantum mechanics, a measurement is described relative to an observer. Synchronization of measurement result is a necessary requirement to achieve consistent descriptions of a quantum system from different observers. Thought experiments, including EPR, Wigner’s Friend and it extended version, confirm the necessity of relational formulation of quantum measurement when applying quantum mechanics to composite system with entangled but space-like separated subsystems. (shrink)

This essay shows that comparable notions of humanism emerged independently in two twentieth-century scholars, Yuen Ren Chao (1892–1982) and George Sarton (1884–1956). They met as young men at Harvard University and found themselves to be compatible thinkers. They both respected the so-called facts of science, perhaps more than theories in science. They saw their task as assembling these facts for a future synthesis. They recognized the diversity of the world’s civilizations, and they actively participated in trying to unite scholars of (...) good will. At the end of their lives, they remained optimistic about the future of humanity. (shrink)

In this paper, dynamic behavior analysis has been discussed for a class of switched complex-valued neural networks with interval parameter uncertainties and impulse disturbance. Sufficient conditions for guaranteeing the existence, uniqueness, and global robust exponential stability of the equilibrium point have been obtained by using the homomorphism mapping theorem, the scalar Lyapunov function method, the average dwell time method, and M-matrix theory. Since there is no result concerning the stability problem of switched neural networks defined in complex number domain, the (...) stability results we describe in this paper generalize the existing ones. The effectiveness of the proposed results is illustrated by a numerical example. (shrink)