Background Respect for patients’ autonomy is usually considered to be an important ethical principle in Western countries; privacy is one of the implications of such respect. Healthcare professionals frequently encounter ethical dilemmas during their practice. The past few decades have seen an increased use of courts to resolve intractable ethical dilemmas across both the developed and the developing world. However, Chinese and American bioethics differ largely due to the influence of Chinese Confucianism and Western religions, respectively, and there is a (...) dearth of comparative studies that explore cases of ethical dilemmas between China and the United States. Methods This paper discusses four typical cases with significant social impact. First, it compares two cases concerning patient privacy: the “Shihezi University Hospital Case”, in which a patient was used as a clinical teaching object without her permission, and the “New York-Presbyterian Hospital Case”, in which the hospital allowed the filming of a patient’s treatment without his consent. Second, it compares two cases regarding patient autonomy and potentially life-saving medical procedures: the “Case of Ms. L”, concerning a cohabitant’s refusal to sign a consent form for a pregnant woman’s caesarean, and the “Case of Mrs. V”, concerning a hospital’s insistence upon a blood transfusion for a dissenting patient. This paper introduces the supporting and opposing views for each case and discusses their social impact. It then compares and analyses the differences between China and the United States from cultural and legislative perspectives. Conclusions Ethical dilemmas have often occurred in China due to the late development of bioethics. However, the presence of bioethics earlier in the US than in China has not spared the US of ethical dilemmas. This paper highlights lessons and inspiration from the cases for healthcare professionals and introduces readers to the role and weight of privacy and autonomy in China and in the US from the perspectives of different cultures, religions and laws. (shrink)

The target article by Laacke et al. focuses on the specific context of identifying people in social media with a high risk of depression by using artificial intelligence technologies. I...

In the past decades, the booming growth of housing markets in China triggers the urgent need to explore how the rapid urban spatial expansion, large-scale urban infrastructural development, and fast-changing urban planning determine the housing price changes and spatial differentiation. It is of great significance to promote the existing governing policy and mechanism of housing market and the reform of real-estate system. At the level of city, an empirical analysis is implemented with the traditional econometric models of regressive analysis and (...) GIS-based spatial autocorrelation models, focusing in examining and characterizing the spatial homogeneity and nonstationarity of housing prices in Guangzhou, China. There are 141 neigborhoods in Guangzhou identified as the independent individuals, and their values of the average annual housing prices in are clarified as the dependent variables in regressing analysis models used in this paper. Simultaneously, the factors including geographical location, transportation accessibility, commercial service intensity, and public service intensity are identified as independent variables in the context of urban development and planning. The integration and comparative analysis of multiple linear regression models, spatial autocorrelation models, and geographically weighted regressing models are implemented, focusing on exploring the influencing factors of house prices, especially characterizing the spatial heterogeneity and nonstationarity of housing prices oriented towards the spatial differences of urban spatial development, infrastructure layout, land use, and planning. This has the potential to enrich the current approaches to the complex quantitative analysis modelling of housing prices. Particularly, it is favorable to examine and characterize what and how to determine the spatial homogeneity and nonstationarity of housing prices oriented towards a microscale geospatial perspective. Therefore, this study should be significant to drive essential changes to develop a more efficient, sustainable, and competitive real-estate system at the level of city, especially for the emerging and dynamic housing markets in the megacities in China. (shrink)

The pervasive nature of social media can result in excessive use and addiction, but whether excessive use of social media is good or bad for individuals' creativity is unclear. This study explored the direct and indirect impact of excessive use of WeChat on individuals' creativity in workplace, focusing on how excessive use of WeChat promotes or restrains creativity through knowledge sharing and psychological strain. Based on the person–environment fit model and motivation theory, this study examined the three paths of excessive (...) WeChat use affecting individuals' creativity in workplace. We used the structural equation model to test our research model. A survey of 364 employees revealed that excessive WeChat use directly promotes creativity and indirectly improves creativity via knowledge sharing, but excessive WeChat use does not lead to psychological strain. These findings, obtained by theoretically and empirically investigating the positive outcomes of excessive WeChat use, suggest an upside to excessive WeChat use. The implications and limitations of this study and future research on excessive-use behavior are also discussed. (shrink)

Social networks are a complex system that members communicate, create new connections or destroy existing connections, and further deliver major impacts on each member’s life. Given the spread of the Internet and increased academic pressure, sedentary and prescreen behaviors are very common among adolescents; meanwhile, sports behaviors are gradually decreasing. This situation has had an adverse effect on health. This paper used a questionnaire survey to investigate the influence of social networks on adolescent sports behavior, including the intermediary role of (...) social efficacy and moderating effect of self-presentation. The questionnaire survey was conducted on 568 students from 6 high schools in Shaanxi, Henan, and Shandong Provinces. After this, factor analysis and weighted least squares method were used for the empirical test. Based on theoretical and empirical analysis, this paper found the following: Social networks of adolescents have obvious positive predictive effects on their sports behavior. A single online social network and an offline social network, instrumental network, emotional network, and mixed network have obvious positive predictive effects on adolescent sports behaviors. However, under the influence of multiple types of social networks, an offline social network has a negative predictive effect, while a mixed network has effects that are not as obvious. Social efficacy plays an intermediary role in the relationship between social network and adolescent sports behavior. The moderating effect of self-presentation is not significant. (shrink)

The target article by David Alfandre et al. offers a new ethical framework to guide COVID-19 contingency surge planning and response, and applies this ethical framework to three case example...

Ankeny et al. focuses on the recent creation of “iBlastoids” and defends the need for reflexive, anticipatory, and deliberative approaches in the domain of emerging and potentially contentio...

In capable person governing agricultural cooperatives, the internal governance is essential for cooperatives to achieve sustainable development. As an important mechanism of cooperative internal governance, relational governance is the focus of the current research in the field of cooperative internal governance. Based on the theory of organizational justice, relational embeddedness theory, and relational governance theory, this paper constructs the relationship between interactive justice, relational embeddedness, and governance performance based on fuzzy cognitive map and discusses the influence mechanism of interactive justice (...) on relational governance performance. Taking 245 members of 18 agricultural cooperatives as samples, this paper makes an empirical test by using the machine learning method. Through the analysis of the data, we find that interactive justice has a significant positive impact on the governance performance. Relational embeddedness also has a significant positive impact on the governance performance. And relational embeddedness plays an intermediary role in the positive impact of interactive justice on governance performance. To some extent, the research results broaden the relationship between interactive justice and relational governance performance and provide useful reference for cooperatives to strengthen internal governance and achieve sustainable growth. (shrink)

In “Deception and the Clinical Ethicist,” Meyers defends the argument that the clinical ethicist should sometimes be an active participant in the deception of patients and their families. Me...

The target article describes a Dutch case that happened in 2008, where Albert Heringa helped his 98-year-old mother, whose general practitioner rejected her request for an assisted d...

Inspired by Friedrich Nietzsche's idea of philology and William Gass's concept of transreading, Huiwen (Helen) Zhang employs “transreader” to suggest the integration of four roles in one: reader, translator, writer, and scholar. “Transreader” recognizes that close reading, literary translation, creative writing, and cultural hermeneutics are interdependent activities with intertwined goals: to transfer, transvalue, transform, and transcend the canon. From this perspective, Lu Xun, China's Nietzsche, is a twentieth-century transreader of the canon, and his prose poem “Revenge (The Second)” delivers a (...) self-referential ethics of transreading. Zhang's transreading of this poem shows why slow reading is today more necessary than ever, in what sense translation is a universal dilemma, how humanity grows when its expression grows more subtle, and that transreading opens a space for genuine communication. (shrink)

Evidence supports predictive roles of non-social smartphone use for smartphone addiction, but the relationship of social smartphone use and smartphone addiction is unclear. This study explored whether social smartphone use has a double-edged impact on smartphone addiction. Using data from a sample of 909 Chinese undergraduates, we tested a parallel mediation model that considered online social support and realistic social support as mediators. As predicted, social smartphone use weakened smartphone addiction through realistic social support and contributed to smartphone addiction through (...) online social support. Moreover, we tested the moderating role of agreeableness in the mediation path of online social support. Agreeableness only moderated the indirect effects. Specifically, the predictive effects of online social support on smartphone addiction was greater for lower rather than higher agreeableness. The results suggest that social needs play an important role in the formation of smartphone addiction. Several limitations and implications are also discussed herein. (shrink)

This study created a motion graphic animation about the danger of snakes within a story telling structure, which is different from a traditional science animation that relies on explanatory language to explain the scientific concept. The effects of the two types of animations on children’s attentional perception on snakes were compared by an inattentional blindness task. Three groups of children undertook the IB task with one control group who did not watch the animation and the other two groups who watched (...) the MG and the traditional styled animation, respectively in advance. The results showed that: Children who watched the animation were significantly more likely to detect the unexpected snake images in the IB task than those who did not watch the animation; Children who watched the MG animation showed a higher detection rate on the snake images than those who watched the traditional animation. The findings indicate that the intervention of animation would increase children’s attentional perception on the key concepts significantly. The MG animation has more impact than the traditional animation on children’s attentional perception on the key information. This study demonstrates that MG animation may have a significant value in promoting science education for young children that merits further explorations in depth. (shrink)

Irregular self-selection is a demonstration of active involvement in interaction. English as a foreign language learners’ talk-in-interaction is one of such cases. Yet, little research has explored when, how, and why learners implement this action. The aim of this article is to address these issues in Chinese postgraduate EFL learners’ conversations from the perspective of multimodal interaction. To this end, we provide descriptive statistics and use multimodal conversation analysis to investigate the detailed process of irregular self-selection. The results show the (...) interactional sensitivity of learners, and all the successful irregular self-selection can be divided into the following three types: turn interruption, turn competition TC), and turn holding abortion. Learners implement this action by using multimodal resources, including lexis, syntax, pitch reset, intensity enhancement, gaze, and so forth. However, their body movements lack diversity, causing behaviors to be constrained and inactive. The main purpose of irregular self-selection is to provide knowledge that contributes to topical development. This study reveals that Chinese postgraduate EFL learners are interactionally competent members. They are able to achieve communicative goals but in a low diversity of body movements. The findings help to understand the detailed process of speakership claiming in EFL learners’ conversations. (shrink)

Differential tractography and correlation tractography are new tractography modalities to study neuronal changes in brain diseases, but their performances in detecting neuronal injuries are yet to be investigated in patients with mild traumatic brain injury. Here we investigated the white matter injury in mTBI patients using differential and correlation tractography. The diffusion MRI was acquired at 33 mTBI patients and 31 health controls. 7 of the mTBI patients had one-year follow-up scans, and differential tractography was used to evaluate injured fiber (...) bundles on these 7 patients. All subjects were evaluated using digital symbol substitution test and trail making test A, and the correlation tractography was performed to explore the exact pathways related to the cognitive performance. Our results showed that differential tractography revealed neuronal changes in the corpus callosum in all 7 follow-up mTBI patients with FDR between 0.007 and 0.17. Further, the correlation tractography showed that the splenium of the corpus callosum, combined with the right superior longitudinal fasciculus and right cingulum, were correlated with DSST in the acute mTBI patients. The cognitive impairment findings in the acute stage and the longitudinal findings in the corpus callosum in the chronic stage of mTBI patients suggest that differential tractography and correlation tractography are valuable tools in the diagnostic and prognostic evaluation of neuronal injuries in mTBI patients. (shrink)

BackgroundThe COVID-19 pandemic called for a new ethical climate in the designated hospitals and imposed challenges on care quality for anti-pandemic nurses. Less was known about whether hospital ethical climate and nurses’ ethical sensitivity were associated with care quality. This study examined the association between the perceived hospital ethical climate and self-evaluated quality of care for COVID-19 patients among anti-pandemic nurses, and explored the mediating role of ethical sensitivity in this relationship.MethodsA cross-sectional study was conducted through an online survey. A (...) total of 399 anti-pandemic nurses from ten designated hospitals in three provinces of China were recruited to fill out an online survey. Multiple linear regression analysis and a bootstrap test were used to examine the relationships between ethical climate, ethical sensitivity and care quality.ResultsNurses reported mean scores of 4.43 ± 0.577 for hospital ethical climate, 45.00 ± 7.085 for ethical sensitivity, and 5.35 ± 0.661 for self-evaluated care quality. After controlling for covariates, perceived hospital ethical climate was positively associated with self-evaluated care quality, and was partly mediated by ethical sensitivity.ConclusionsChinese nurses who cared for COVID-19 patients perceived high levels of hospital ethical climate, ethical sensitivity, and self-evaluated care quality. Positive perceptions of hospital ethical climate were both directly associated with a higher level of self-evaluated care quality and indirectly associated, through the mediation effect of ethical sensitivity among anti-pandemic nurses. (shrink)

BackgroundThe number of students enrolled in higher education in China accounts for more than one-fifth of the world, and universities, as a community of faculty, staff and scholars, currently do not have a scale that specifically assesses the well-being of the population in the environment of Chinese universities. However, the University of Pittsburgh has developed a comprehensive well-being scale, referred to as the Pitt Wellness Scale, specifically to measure people’s well-being in a university environment.AimsInvestigate the psychometric properties of the Pitt (...) Wellness Scale in Chinese university environmental samples.MethodsThe original scale was culturally adapted and modified through expert consultation, a random sample of 1870 current faculty, staff, and students were selected for the questionnaire survey. Exploratory factor analysis and confirmatory factor analysis were used to investigate the potential factor structure of the Chinese Revision of the Pitt Wellness Scale and to measure its reliability and validity. Finally, the factors that affect people’s well-being in the Chinese university environment were explored.ResultsThe Chinese Revision of the Pitt Wellness Scale retained 30 items, and the EFA supports a five-factor structure, which differed from the results of the original scale, and the CFA results showed that the model fitted well. The discriminant validity of the modified Chinese scale was excellent. The overall Omega coefficient of the scale was 0.958, and the reliability of the retest after 4 weeks was 0.821.ConclusionThe Chinese Revision of the Pitt Wellness Scale possesses satisfactory psychometric properties, and it can be considered an instrument for assessing personal well-being in Chinese university environment. (shrink)

The target article by Lynch et al. offers approaches for improving trial availability and Expanded Access for non-pandemic diseases based on the analysis of the COVID-19 experience in the US...

The COVID-19 is creating panic among people around the world and is causing a huge public mental health crisis. Large numbers of observational studies focused on the prevalence of psychological problems during the COVID-19 pandemic were published. It is essential to conduct a meta-analysis of the prevalence of different psychological statuses to insight the psychological reactions of general population during the COVID-19 epidemic in China. Sixty six observational studies about the psychological statuses of people during the COVID-19 were included, searching (...) up to 1 December 2020. Strengthening the Reporting of Observational Studies in Epidemiology was used to evaluate the quality of the included studies. OpenMeta[Analyst] was used for the data analysis. High prevalence of acute stress and fear symptoms were observed in the early period of the epidemic. Additionally, anxiety and depression symptoms continued at a high prevalence rate during the epidemic. It should alert the lasting mental health problems and the risk of post-traumatic stress disorder and other mental disorders.Systematic Review Registration: PROSPERO CRD 42020171485. (shrink)

Sustainable consumption has attracted much attention from the tourism industry. However, from the perspective of academic research, the psychological mechanism of collaborative consumption has not been thoroughly understood as the main form of sustainable consumption. This study explores the impact of advertising appeals on consumers’ willingness to participate in collaborative consumption. Through two psychological experiments, it is believed that, relative to the rational appeal, the emotional appeal will positively affect consumers’ participation willingness to collaborative consumption, and psychological ownership mediates this (...) relationship. Furthermore, the form of information presentation moderates the influence of advertising appeals on psychological ownership. (shrink)

When humans are addressing multiple robots with informative speech acts, their cognitive resources are shared between all the participating robot agents. For each moment, the user’s behavior is not only determined by the actions of the robot that they are directly gazing at, but also shaped by the behaviors from all the other robots in the shared environment. We define cooperative behavior as the action performed by the robots that are not capturing the user’s direct attention. In this paper, we (...) are interested in how the human participants adjust and coordinate their own behavioral cues when the robot agents are performing different cooperative gaze behaviors. A novel gaze-contingent platform was designed and implemented. The robots’ behaviors were triggered by the participant’s attentional shifts in real time. Results showed that the human participants were highly sensitive when the robot agents were performing different cooperative gazing behaviors. Keywords: human-robot interaction; multi-robot interaction; multiparty interaction; eye gaze cue; embodied conversational agent. (shrink)

In this paper, the problem of finite-time tracking is investigated for switched buck power converters based on the pulse width modulation technique. For the continuous model, an equivalent continuous controller is solved by the backstepping technique, such that all signals are finite-time stable. PWM-based finite-time tracking with the equivalent control input is proposed for the switched buck converter, such that the tracking error converges to an arbitrarily small neighborhood of the origin in finite time, and the origin of the closed-loop (...) system is practically finite-time stable. Simulation results are given to demonstrate the effectiveness of the proposed schemes. (shrink)

Joining the ongoing academic debates around medical students’ alternative career choices, this research examines the role of family in medical school attendees’ entrepreneurial intention. Specifically, this study decomposes the multidimensionality of family embeddedness and highlights the mediated nature of the family–EI relationship. The empirical analysis relied on data from graduation year medical students from diverse geographical locations and from different institution types in China. These data were collected from a total of 687 questionnaires covering the basic information of individual, parents, (...) and family composition, as well as the measuring scale of EI. Examining medical students’ EI and its antecedents provide a dual-missing-link in the extant knowledge, i.e., it adds the medical school piece to the overall picture of university students’ EI, and equally important, it de-trivializes entrepreneurship from the extant theorizations of medical students’ career choices. This study also bears implications for educators, practitioners, and policymakers interested in better understanding EI of medical school attendees and family embeddedness. (shrink)

With the rapid development of Internet technology, sports media consumption is migrating toward streaming. The online streaming of sporting events has become the important way of copyrights holders to engage sports fans, especially young fans. Therefore, it is vital to understanding users' willingness to pay. Given that previous studies of the livestream sports broadcasts online have not dealt with users' payment intention, the originality of this study is that it explore users' motivation by combining information system research with the consumer (...) demand theory. The study aimed to examine the factors that influence users' payment intention to stream online sports by using the extended Technology Acceptance Model. Data from questionnaires completed by 330 Chinese respondents determined how perceived usefulness, ease, enjoyment, and satisfaction, influence users' WTP. Satisfaction positively correlated with users' payment intentions, impacted WTP values, mediated ease of use. The analysis also revealed the necessity for broadcast platforms to improve satisfaction and to increase payment intentions. (shrink)

The efficient processing of large-scale data has very important practical value. In this study, a data mining platform based on Hadoop distributed file system was designed, and then K-means algorithm was improved with the idea of max-min distance. On Hadoop distributed file system platform, the parallelization was realized by MapReduce. Finally, the data processing effect of the algorithm was analyzed with Iris data set. The results showed that the parallel algorithm divided more correct samples than the traditional algorithm; in the (...) single-machine environment, the parallel algorithm ran longer; in the face of large data sets, the traditional algorithm had insufficient memory, but the parallel algorithm completed the calculation task; the acceleration ratio of the parallel algorithm was raised with the expansion of cluster size and data set size, showing a good parallel effect. The experimental results verifies the reliability of parallel algorithm in big data processing, which makes some contributions to further improve the efficiency of data mining. (shrink)