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3. Exploring the cultivation of psychological resilience in medical students from the perspective of doctor–patient relationship.

Author

Tan, Yinuo, Wang, Juan, Chen, Haiyan, Yang, Mengyuan, Zhu, Ning, and Yuan, Ying

Subjects
*PSYCHOLOGICAL resilience, *MENTALIZATION, *MINDFULNESS, *PSYCHOLOGICAL adaptation, *TEACHING methods, *EMOTIONS, *MEDICAL students, *PHYSICIAN-patient relations, *ONLINE education, *STUDENT attitudes, *COGNITIVE therapy, *BIOPSYCHOSOCIAL model
Abstract

The current medical model has transitioned from the original biomedical treatment model to a bio-psycho-social model, where patients now have higher demands for service awareness. Consequently, doctor–patient relationships have become a crucial aspect of the contemporary medical process. Currently, psychological resilience among medical students in China tends to be at a moderately lower level. Medical students often exhibit poor psychological qualities in handling contradictions in doctor–patient relationships. Moreover, there is a lack of emphasis on the education of corresponding psychological qualities for medical students during the teaching process. This deficiency is highly disadvantageous for medical students in their future management of doctor–patient relationships. The article explores how to cultivate psychological resilience in medical students and enhance their ability to handle conflicts in doctor–patient relationships from the perspective of doctor–patient relationships. The author suggests that schools should place greater emphasis on the psychological resilience of medical students, change teaching methods, incorporate online education to enhance the mentalization level of medical students, and propose an eight-week mindfulness cognitive therapy program to improve psychological resilience. The intervention process should consider establishing positive coping mechanisms, promoting good interpersonal relationships among medical students, and regulating individual negative emotions. Through simulating doctor–patient scenarios, teachers should consciously train the psychological resilience of medical students, improve their cognition and thinking abilities, and accelerate their psychological health recovery. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Clinical Characteristics, Treatment, and Prognostic Factors of Patients With Primary Extramammary Paget's Disease (EMPD): A Retrospective Analysis of 44 Patients From a Single Center and an Analysis of Data From the Surveillance, Epidemiology, and End Results (SEER) Database

Author

Weng, Shanshan, primary, Zhu, Ning, additional, Li, Dan, additional, Chen, Yurong, additional, Tan, Yinuo, additional, Chen, Jiaqi, additional, and Yuan, Ying, additional

Published
2020
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27. ANGPTL1 attenuates colorectal cancer metastasis by up-regulating microRNA-138

Author

Chen, Haiyan, primary, Xiao, Qian, additional, Hu, Yeting, additional, Chen, Liubo, additional, Jiang, Kai, additional, Tang, Yang, additional, Tan, Yinuo, additional, Hu, Wangxiong, additional, Wang, Zhanhuai, additional, He, Jinjie, additional, Liu, Yue, additional, Cai, Yibo, additional, Yang, Qi, additional, and Ding, Kefeng, additional

Published
2017
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28. Young Patients (≤35years old) With Colorectal Cancer Have Worse Outcomes Due to More Advanced Disease

Author

Fu, Jianfei, Yang, Jiao, Tan, Yinuo, Jiang, Mengjie, Wen, Fei, Huang, Yanqin, Chen, Hailong, Yi, Chenghao, Zheng, Shu, and Yuan, Ying

Subjects
Adult, Aged, 80 and over, Male, Time Factors, Adolescent, Age Factors, Observational Study, Middle Aged, Article, Survival Rate, Young Adult, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Humans, Female, Colorectal Neoplasms, Aged, Neoplasm Staging, Retrospective Studies
Abstract

Supplemental Digital Content is available in the text, An appropriate cutoff of age and the impact of age on colorectal cancer outcomes remain unclear and need to be explored, particularly in China. In total, 2460 colorectal cancer patients were studied retrospectively. All patients were divided into 6 groups according to their ages at the time of diagnosis: ≤30, 31 to 35, 36 to 40, 41 to 45, 46 to 50, and ≥50 years. A suitable cutoff age for defining young adult colorectal cancer was explored according to the distribution of survival in each group. Clinical characteristics and prognosis between the young adult group and the older group were then compared. According to the survival curves for each group, 35 years old was considered a suitable cutoff age for defining young adult colorectal cancer. There were 140 (5.7%) and 2320 (94.3%) cases in the young adult and older groups, respectively. The proportion of stage III–IV tumors was significantly higher in the young adult group (69.3%) than in the older group (46.4%) (P = 0.000). The univariate analysis showed that the 5-year overall survival (OS) rate and the 10-year OS rate in the young adult group were 48.9% and 38.6%, respectively, whereas in the older group, they were 63.6% and 56.9%, respectively. The young adult group had a worse prognosis (P = 0.000). The multivariate analysis showed that age was not an independent prognostic factor (relative risk 0.787, P = 0.062). After adjusting for tumor stage, the hazard proportion of death in the young adult group increased by 27.6%, but this difference was not significant (P = 0.053). Stratified analyses showed that the young adults with stage IV tumors had a worse survival rate (P = 0.046). Patients ≤35 years who were diagnosed with colorectal cancer had a worse prognosis because of a higher proportion of advanced stage tumors. When stage-to-stage analysis was performed, it was found that young adult colorectal cancer patients had a worse outcome only if they had stage IV tumors.

Published
2014

31. BEX2 promotes tumor proliferation in colorectal cancer

Author

Hu, Yeting, primary, Xiao, Qian, additional, Chen, Haiyan, additional, He, Jinjie, additional, Tan, Yinuo, additional, Liu, Yue, additional, Wang, Zhanhuai, additional, Yang, Qi, additional, Shen, Xiangfeng, additional, Huang, Yu, additional, Yuan, Ying, additional, and Ding, Kefeng, additional

Published
2017
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