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Emancipatory reflection on a nursing practice-based ethical issue about nurses' paternalistic decision-making for patients

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Frontiers of Nursing 2019年第1期6卷 19-26页

作者： Lian-Lian Tang Department of Nursing Administration The First Hospital of Qinhuangdao

Objective: This study aimed to demonstrate and promote the skill of critical emancipatory reflection through reflecting on a nursing practice-based ethical issue about nurses' paternalistic decision-making for patients. Meanwhile, critical awareness will be developed and the underlying issues of paternalism in nursing decision-making will be analyzed. Then, by applying the procedure, improvement in nursing decision-making practice will be expected.Methods: Taylor's model of emancipatory reflection with four steps, including construction, deconstruction, confrontation, and reconstruction, is utilized to guide the author's reflection.Results: Guided by the socialization theory, the author's personal and professional socialization is seen to be associated with the formation of the value of paternalism. The theory of reflexivity is applied to unearth the related issues, including deeper personal value,work environment, as well as historical and cultural contexts. Moreover, the power derived from policy, work relationship, and nursing administration, which could induce paternalism in the author's nursing decision-making practice, was critically debated using the hegemony theory. Finally, new insights into paternalism will be achieved, which enable change in terms of how to facilitate patients' autonomous decision-making.Conclusions: The process of refection makes it clear that respecting patients' right and performing patient-centered caring are the bases to change the paternalism existing in the nursing decision-making practice currently. The reconstruction step assists the author in terms of how to value the patients' autonomy and balance patients' safety and choice, rather than being overprotective; carry out risk assessment, and search for strong evidence to counterbalance the positive and negative aspects of risk-taking; communicate with patients appropriately in a manner that they can comprehend; spend more time to explore patients' preference and choice; make every effort to elevate the patients' decision-makin

关键词： reflection paternalism critical emancipatory reflection Taylor’s model decision-making nursing ethical issue

Preface to the Special issue on Active Source Research

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Earthquake Research in China 2019年第2期33卷 171-173页

作者： WANG Baoshan CHEN Yong School of Earth and Space Sciences University of Science and Technology of ChinaHefei 230006China School of Earth Science and Engineering Nanjing UniversityNanjing 210046China

The seismic waveforms may present subtle changes related to the external loadings such as earthquakes(Pei Shunping et al.,2019)and landslides(Larose E.et al.,2015).Monitoring subtle changes provides a complementary tool for studying the dynamic processes(e.g.,Niu Fenglin et al.,2008),which has long been a major subject in seismology.The subsurface can be monitored by using natural repetitive events including repeated earthquakes(e.g.,Song Xiaodong et al.,1996)and ambient seismic noises(e.g.,Mao Shujuan et al.,2019).

关键词： Special issue Active Source Research ambient seismic noises

In this issue(August 2015)

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上海精神医学 2015年第4期27卷 200-202页

This issue starts with a Commentary by Lam[1]about the Special Article by Paul Bebbington published in a previous issue.[2]Bebbington’s article discussed a new model for conceptualizing psychosis based on findings in psychosocial epidemiology;Lam agrees that this new integrated approach raises the exciting possibility of new methods for preventing the onset of psychosis

关键词： schizophrenia starts possibility exciting epidemiology psychiatric August 2015 In this issue medication representing

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Acta Seismologica Sinica(English Edition) 1997年第6期10卷 131-133页

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＺＨＩ┐ＱＩＡＮＧＨＡＮ（韩志强）ＲｅｓｅａｒｃｈＡｓｓｉｓｔａｎｔｏｆＩｎｓｔｉｔｕｔｅｏｆＧｅｏｐｈｙｓｉｃｓ，ＳｔａｔｅＳｅｉｓｍｏｌｏｇｉｃａｌＢｕｒｅａｕ．Ｇｒａ... 详细信息

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＺＨＩ┐ＱＩＡＮＧＨＡＮ（韩志强）ＲｅｓｅａｒｃｈＡｓｓｉｓｔａｎｔｏｆＩｎｓｔｉｔｕｔｅｏｆＧｅｏｐｈｙｓｉｃｓ，ＳｔａｔｅＳｅｉｓｍｏｌｏｇｉｃａｌＢｕｒｅａｕ．ＧｒａｄｕａｔｅｄｆｒｏｍｔｈｅＤｅｐａ...

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Characteristics of soil water retention curve at macro-scale

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Science China(Technological Sciences) 2009年第10期52卷 2990-2996页

作者： TIAN FuQiang MOU LiQin HU HePing State Key Laboratory of Hydro-Science and Engineering Department of Hydraulic EngineeringTsinghua UniversityBeijing 100084China

Scale adaptable hydrological models have attracted more and more attentions in the hydrological modeling research community, and the constitutive relationship at the macro-scale is one of the most important issues, upon which there are not enough research activities yet. Taking the constitutive relationships of soil water movement--soil water retention curve (SWRC) as an example, this study extends the definition of SWRC at the micro-scale to that at the macro-scale, and aided by Monte Carlo method we demonstrate that soil property and the spatial distribution of soil moisture will affect the features of SWRC greatly. Furthermore, we assume that the spatial distribution of soil moisture is the result of self-organization of climate, soil, ground water and soil water movement under the specific boundary conditions, and we also carry out numerical experiments of soil water movement at the vertical direction in order to explore the relationship between SWRC at the macro-scale and the combinations of climate, soil, and groundwater. The results show that SWRCs at the macro-scale and micro-scale presents totally different features, e.g., the essential hysteresis phenomenon which is exaggerated with increasing aridity index and rising groundwater table. Soil property plays an important role in the shape of SWRC which will even lead to a rectangular shape under drier conditions, and power function form of SWRC widely adopted in hydrological model might be revised for most situations at the macro-scale.

关键词： scale issue constitutive relationship soil water retention curve Richards equation

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Acta Seismologica Sinica(English Edition) 1998年第3期11卷 122-124页

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＭＥＩ－ＪＩＡＮＡＮ（安美建）ＧｒａｄｕａｔｅｄｆｒｏｍｔｈｅＤｅｐａｒｔｍｅｎｔｏｆＧｅｏｌ－ｏｇｙ，ＣｈａｎｇｃｈｕｎＣｏｌｅｇｅｏｆＧｅｏｌｏｇｙｉｎ１９９２，ａｎｄ... 详细信息

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＭＥＩ－ＪＩＡＮＡＮ（安美建）ＧｒａｄｕａｔｅｄｆｒｏｍｔｈｅＤｅｐａｒｔｍｅｎｔｏｆＧｅｏｌ－ｏｇｙ，ＣｈａｎｇｃｈｕｎＣｏｌｅｇｅｏｆＧｅｏｌｏｇｙｉｎ１９９２，ａｎｄｒｅｃｅｉｖｅｄｈｉｓＭＳｄｅｇｒ...

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SUBJECT INDEX IN ENGLISH OF VOLUME 22 (2006) (issue:PAGE) (MAIN ARTICLES)

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法医学杂志 2006年第6期22卷 479-480页

关键词： mtDNA issue MAIN ARTICLES SUBJECT INDEX IN ENGLISH OF VOLUME 22

Special issue in Honor of Professor Carlos E. Kenig

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Acta Mathematica Sinica,English Series 2019年第6期35卷 719-720页

作者： Guozhen Lu Zhongwei Shen University of Connecticut University of Kentucky

It is our great honor and pleasure to be the guest editors for this special issue of the Acta Mathematica Sinica-English Series, a flagship journal of the Chinese Mathematical Society, dedicated to Professor Carlos E.... 详细信息

关键词： Kenig Special issue in Honor of Professor Carlos E

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Acta Seismologica Sinica(English Edition) 1997年第5期10卷 133-134页

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＪＩＥＬＩＵ（刘洁）ＡｓｓｉｓｔａｎｔｐｒｏｆｅｓｓｏｒｏｆＩｎｓｔｉｔｕｔｅｏｆＧｅｏｌｏｇｙ，ＳＳＢ，Ｃｈｉｎａ．ＧｒａｄｕａｔｅｄｆｒｏｍｔｈｅＳｐｅｃｉａｌｉｔｙｏ... 详细信息

ＣｏｎｔｒｉｂｕｔｏｒｓｔｏｔｈｉｓｉｓｕｅＪＩＥＬＩＵ（刘洁）ＡｓｓｉｓｔａｎｔｐｒｏｆｅｓｓｏｒｏｆＩｎｓｔｉｔｕｔｅｏｆＧｅｏｌｏｇｙ，ＳＳＢ，Ｃｈｉｎａ．ＧｒａｄｕａｔｅｄｆｒｏｍｔｈｅＳｐｅｃｉａｌｉｔｙｏｆＧｅｏｈｙｄｒｏｌｏｇｙａｎｄＥ...

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