Experience sharing on perioperative clinical management of gastric cancer patients based on the "China Robotic Gastric Cancer Surgery Guidelines".

BACKGROUND: With the popularization of robotic surgical systems in the field of surgery, robotic gastric cancer surgery has also been fully applied and promoted in China. The Chinese Guidelines for Robotic Gastric Cancer Surgery was published in the Chinese Journal of General Surgery in August 2021. METHODS: We have made a detailed interpretation of the process of robotic gastric cancer surgery regarding the indications, contraindications, perioperative preparation, surgical steps, complication, and postoperative management based on the recommendations of China's Guidelines for Robotic Gastric Cancer Surgery and supplemented by other surgical guidelines, consensus, and single-center experience. RESULTS: Twenty experiences of perioperative clinical management of robotic gastric cancer surgery were described in detail. CONCLUSION: We hope to bring some clinical reference values to the front-line clinicians in treating robotic gastric cancer surgery. TRIAL REGISTRATION: The guidelines were registered on the International Practice Guideline Registration Platform ( http://www.guidelines-registry.cn ) (registration number: IPGRP-2020CN199).

Hybrid knowledge transfer for MARL based on action advising and experience sharing.

Multiagent Reinforcement Learning (MARL) has been well adopted due to its exceptional ability to solve multiagent decision-making problems. To further enhance learning efficiency, knowledge transfer algorithms have been developed, among which experience-sharing-based and action-advising-based transfer strategies share the mainstream. However, it is notable that, although there exist many successful applications of both strategies, they are not flawless. For the long-developed action-advising-based methods (namely KT-AA, short for knowledge transfer based on action advising), their data efficiency and scalability are not satisfactory. As for the newly proposed experience-sharing-based knowledge transfer methods (KT-ES), although the shortcomings of KT-AA have been partially overcome, they are incompetent to correct specific bad decisions in the later learning stage. To leverage the superiority of both KT-AA and KT-ES, this study proposes KT-Hybrid, a hybrid knowledge transfer approach. In the early learning phase, KT-ES methods are employed, expecting better data efficiency from KT-ES to enhance the policy to a basic level as soon as possible. Later, we focus on correcting specific errors made by the basic policy, trying to use KT-AA methods to further improve the performance. Simulations demonstrate that the proposed KT-Hybrid outperforms well-received action-advising- and experience-sharing-based methods.

[CAR-T cells, an innovative therapy]. / Les CAR-Tcells, une thérapie innovante.

CAR-T cell therapy for patients with hematological malignancies has been practiced at the Basse-Normandie Hematology Institute since November 2022. This treatment requires the care pathway to be coordinated by the nurse coordinator. Nurses play a key role in the early diagnosis of side effects induced by this drug. Interdisciplinary collaboration and the value of teamwork are also emphasized.

Silence and its effects on the autonomic nervous system: A systematic review.

This systematic review explores the influence of silence on the autonomic nervous system. The Polyvagal Theory has been used as a reference model to describe the autonomic nervous system by explaining its role in emotional regulation, social engagement, and adaptive physiological responses. PubMed, Scopus, PsycInfo, EMBASE, and Google Scholar were systematically searched up until July 2023 for relevant studies. The literature search yielded 511 results, and 37 studies were eventually included in this review. Silence affects the autonomic nervous system differently based on whether it is inner or outer silence. Inner silence enhances activity of the ventral vagus, favoring social engagement, and reducing sympathetic nervous system activity and physiological stress. Outer silence, conversely, can induce a heightened state of alertness, potentially triggering vagal brake removal and sympathetic nervous system activation, though with training, it can foster inner silence, preventing such activation. The autonomic nervous system response to silence can also be influenced by other factors such as context, familiarity with silence, presence and quality of outer noise, and empathy.

Challenges of measuring empathic accuracy: A mentalizing versus experience-sharing paradigm.

Empathic accuracy, the ability to accurately infer the mental states of others, is essential to successful interpersonal relationships. Perceivers can interpret targets' emotional experiences by decoding facial and voice cues (mentalizing) or by using their own feelings as referents (experience-sharing). We examined the relative efficacy of these processes via a replication and extension of Zhou et al. (Psychol Sci., 28, 2017, 482) who found experience-sharing to be more successful but undervalued. Participants estimated targets' emotional ratings in response to positive, neutral and negative images in mentalizing or experience-sharing conditions. Our analysis of absolute magnitudes of error showed similar levels of accuracy across process conditions (a non-replication of Zhou et al.); however, our exploratory analysis of directional variation across valence using raw scores revealed a pattern of conservative estimates for affective stimuli, which was accentuated in the mentalizing condition. Thus, our exploratory analysis lends conceptual support to Zhou et al.'s finding that experience-sharing represents the more successful process, and we replicated their finding that it was nevertheless undervalued. Extending Zhou et al., we also found that empathic accuracy was predicted by individual differences in fiction-exposure. Future research may further examine the impact of individual differences and stimulus properties in the employment of empathic inferencing strategies.

Chinese institutions should be more proactive and transparent in promoting research integrity: A perspective.

China has significantly endeavored to promote research integrity. Institutions, which have been identified as the primarily responsible entity, face challenges and concerns of compliance, quality, and low efficiency. In this perspective, the problems and root causes of these challenging concerns are clarified from the Chinese viewpoint. In conclusion, the opinion that institutions should be more proactive and transparent in promoting research integrity is discussed. A practical suggestion is proposed, including team building, policy innovation, capacity building, researcher empowerment, and experience sharing.

[Being and having been a psychiatric nurse]. / Être et avoir été infirmière en psychiatrie.

To work as a psychiatric sector nurse is to have built a know-how in the richness and multiplicity of the sectorization. Since the 1990s, this specificity has disappeared and with it the belonging to a common culture. Another conception of care is emerging, responding to general trends rather than to specific and territorial needs. Today, it is hoped that knowledge and know-how will be built and passed on as a reference in areas of exchange yet to be invented.

The Effect of Brand Personality on Electronic Word-of-Mouth: Mediation of Brand Love and Moderated Mediation of Brand Experience Sharing.

The knowledge payment industry will rapidly attract many enterprises that provide knowledge services. This study investigates the interrelationship between brand personality, brand love, and electronic word-of-mouth in the context of knowledge payment. Moreover, this study explored the brand experience sharing boundary condition by adopting a survey. Firstly, the main research results show that brand personality has a significant positive impact on brand love. Secondly, brand love also has a significant positive influence on electronic word-of-mouth. Thirdly, brand experience sharing plays a positive role in regulating brand love and electronic word-of-mouth. This research promotes e-marketing by focusing on brand personality, brand love, e-word of mouth, and other perspectives to improve business operations, user experience, and engagement, providing dedicated products or services to the customer base for profit. As an emerging market, knowledge payment will attract the participation of many knowledge service enterprises.

A Preliminary Study on Realizing Human-Robot Mental Comforting Dialogue via Sharing Experience Emotionally.

Mental health issues are receiving more and more attention in society. In this paper, we introduce a preliminary study on human-robot mental comforting conversation, to make an android robot (ERICA) present an understanding of the user's situation by sharing similar emotional experiences to enhance the perception of empathy. Specifically, we create the emotional speech for ERICA by using CycleGAN-based emotional voice conversion model, in which the pitch and spectrogram of the speech are converted according to the user's mental state. Then, we design dialogue scenarios for the user to talk about his/her predicament with ERICA. In the dialogue, ERICA shares other people's similar predicaments and adopts a low-spirit voice to express empathy to the interlocutor's situation. At the end of the dialogue, ERICA tries to encourage with a positive voice. Subsequently, questionnaire-based evaluation experiments were conducted with the recorded conversation. In the questionnaire, we use the Big Five scale to evaluate ERICA's personality. In addition, the perception of emotion, empathy, and encouragement in the dialogue are evaluated. The results show that the proposed emotional expression strategy helps the android robot better present low-spirit emotion, empathy, the personality of extroversion, while making the user better feel the encouragement.

Enhanced Neural Empathic Responses in Patients with Spino-Bulbar Muscular Atrophy: An Electrophysiological Study.

BACKGROUND: Spino-bulbar muscular atrophy is a rare genetic X-linked disease caused by testosterone insensitivity. An inverse correlation has been described between testosterone levels and empathic responses. The present study explored the profile of neural empathic responding in spino-bulbar muscular atrophy patients. METHODS: Eighteen patients with spino-bulbar muscular atrophy and eighteen healthy male controls were enrolled in the study. Their event-related potentials were recorded during an "Empathy Task" designed to distinguish neural responses linked with experience-sharing (early response) and mentalizing (late response) components of empathy. The task involved the presentation of contextual information (painful vs. neutral sentences) and facial expressions (painful vs. neutral). An explicit dispositional empathy-related questionnaire was also administered to all participants, who were screened via neuropsychological battery tests that did not reveal potential cognitive deficits. Due to electrophysiological artefacts, data from 12 patients and 17 controls were finally included in the analyses. RESULTS: Although patients and controls did not differ in terms of dispositional, explicit empathic self-ratings, notably conservative event-related potentials analyses (i.e., spatio-temporal permutation cluster analyses) showed a significantly greater experience-sharing neural response in patients compared to healthy controls in the Empathy-task when both contextual information and facial expressions were painful. CONCLUSION: The present study contributes to the characterization of the psychological profile of patients with spino-bulbar muscular atrophy, highlighting the peculiarities in enhanced neural responses underlying empathic reactions.

The contribution of linguistic and visual cues to physiological synchrony and empathic accuracy.

There is an ongoing debate concerning the contribution of different aspects of empathy to achieving an accurate understanding of others. In this study, we aimed to better comprehend the roles of experience sharing and mentalizing using a modified empathic-accuracy task. We analyzed the unique contribution of each of these mechanisms with an explicit cognitive report as well as an affective physiological synchrony measurement. First, we recorded the emotional autobiographical stories told by participants ("targets", N = 28). Then, the targets watched their own videos as their heart rate (HR) was measured, and they reported on both a continuous and a discrete emotion scale what they felt while relaying the story. Next, we collected HR data from new participants ("observers", N = 72) as they similarly rated the targets' valence and discrete emotional states. In order to test the contribution of sensorimotor cues and contextual cues to empathic accuracy, observers viewed some videos with audio, others without audio, and listened to a third set of only the audio. We hypothesized that empathic accuracy-a cognitive measure that is a proxy for mentalizing and is operationalized by the correlation between a target's reported emotions and an observer's inference of those emotions-would be greater when linguistic information is present. We also hypothesized that physiological synchrony, a proxy for experience sharing, would be greater in the video-only condition, which was limited to sensorimotor cues to infer the other's emotional state. Indeed, we found that empathic accuracy was greater when auditory information was present, and that HR synchrony was more prevalent when visual cues were presented alone. Having both information streams together did not enhance accuracy, yet it was the only condition in which both behavioral empathic-accuracy measures correlated with HR synchrony. This study provides evidence that separate experience sharing and mentalizing pathways are active in the same task.

What makes clinical documents helpful and engaging? An empirical investigation of experience sharing in an online medical community.

BACKGROUND: Social media have emerged as a platform for experience and knowledge sharing in the medical community. The online medical community is garnering increasing research attention; however, there is a lack of understanding of what factors influence the helpfulness and engagement of experience sharing in the community. METHODS: Clinical documents manifest physicians' experience and knowledge. This study fills the knowledge gap by investigating what elements of clinical documents contribute to the helpfulness of sharing clinical documents online and what influence member engagement. Clinical documents follow certain architecture to specify their structure and semantics for exchange (e.g., HL7 C-CDA). Accordingly, the structural elements of clinical documents may influence document helpfulness for the online community. Member engagement is one of the indicators of community success. We collected 6514 clinical documents from a real-world online medical community, and normalized them with the structural elements of HL7 C-CDA. We performed regression analyses to identify the structural elements that have significant impacts on document helpfulness and member engagement. RESULTS: The results show that some structural elements of clinical documents such as assessment, chief complaints, medications, physical exams, procedures, results, and vital signs sections have positive effects whereas assessment and plan, general status, history and past illness of patients, instructions, problem and review of systems have negative effects on the helpfulness of clinical documents. The results also reveal that structural elements such as family history, history of past illness, medication, physical exam, review of systems, and vital signs positively; whereas assessment, assessment and plan, instruction, and result negatively; influence member engagement. CONCLUSIONS: The findings provide guide on how to improve the effectiveness of sharing clinical experience online. The new and in-depth insights may contribute to the success of online medical communities and the quality of medical decisions.

Dataset for understanding why people share their travel experiences on social media: Structural equation model analysis.

The data presented in this article relates to the individual intrinsic and extrinsic motivations to share travel experience in social media. The 381 records were gathered in Portugal using an online survey. A statistical analysis of the data was carried out using partial least squares (PLS). This dataset shows a relationship between identification, internalization, and compliance to perceived enjoyment, and also, between perceived enjoyment, altruistic motivations, personal fulfillment, and self-actualization as well as security and privacy reasons to actual travel experience sharing. For further findings and interpretation, please refer to the research article entitled "Why do people share their travel experiences on social media?" [1]. We suggest the use of this data to compare with data collected by other researchers to develop cross-country analyses based on the model proposed by Oliveira, Araujo, and Tam [1].

Predicting Empathy From Resting State Brain Connectivity: A Multivariate Approach.

Recent task fMRI studies suggest that individual differences in trait empathy and empathic concern are mediated by patterns of connectivity between self-other resonance and top-down control networks that are stable across task demands. An untested implication of this hypothesis is that these stable patterns of connectivity should be visible even in the absence of empathy tasks. Using machine learning, we demonstrate that patterns of resting state fMRI connectivity (i.e. the degree of synchronous BOLD activity across multiple cortical areas in the absence of explicit task demands) of resonance and control networks predict trait empathic concern (n = 58). Empathic concern was also predicted by connectivity patterns within the somatomotor network. These findings further support the role of resonance-control network interactions and of somatomotor function in our vicariously driven concern for others. Furthermore, a practical implication of these results is that it is possible to assess empathic predispositions in individuals without needing to perform conventional empathy assessments.

Web-Based Experience Sharing Platform on Medical Device Incidents for Clinical Engineers in Hospitals.

The aim of this study was to establish a web-based platform for exchanging medical device management and maintenance experiences to enhance the professional competency of clinical engineers (CEs), which ensures the quality of medical devices and increases patients' satisfaction with medical services. Medical devices play an essential role in diagnosis and disease management. CEs are responsible for providing functional medical devices that contribute worthwhile functions to a medical service to improve patients' health and safety. The purpose of the platform is to facilitate collection and sharing of medical device incidents experiences to improve CEs' capability. To provide useful and practical information for CEs, an event review committee, composed of experts with more than 20 years of clinical engineering experience who were recruited as reviewers, was established under the platform. Cases submitted to the platform were required to have comprehensive descriptions of the device and events. Each case was evaluated by at least two reviewers based on five evaluation indices: (1) severity, (2) breadth, (3) frequency, (4) insidiousness, and (5) correctness. After being reviewed, each final report was published on the platform to be shared with the event submitters and other members. The results show that 116 staffs from 32 different hospitals, registered to join this platform. From January 2015 to December 2016, 70 events were submitted with 56 reports. This study also assessed the platform's benefits for CEs. A total of 93 respondents completed a questionnaire survey: 93% of the CEs agreed that the information from the platform helped them do their job. The web-based platform has high value as an experience-sharing interface for medical devices. The CEs obtained extremely useful information from the platform for medical device management and their daily duties. This study provided an online training model with systematic methods to improve the quality and effectiveness of medical device management.

Neural correlates of empathic accuracy in adolescence.

Empathy, the ability to understand others' emotions, can occur through perspective taking and experience sharing. Neural systems active when adults empathize include regions underlying perspective taking (e.g. medial prefrontal cortex; MPFC) and experience sharing (e.g. inferior parietal lobule; IPL). It is unknown whether adolescents utilize networks implicated in both experience sharing and perspective taking when accurately empathizing. This question is critical given the importance of accurately understanding others' emotions for developing and maintaining adaptive peer relationships during adolescence. We extend the literature on empathy in adolescence by determining the neural basis of empathic accuracy, a behavioral assay of empathy that does not bias participants toward the exclusive use of perspective taking or experience sharing. Participants (N = 155, aged 11.1-15.5 years) watched videos of 'targets' describing emotional events and continuously rated the targets' emotions during functional magnetic resonance imaging scanning. Empathic accuracy related to activation in regions underlying perspective taking (MPFC, temporoparietal junction and superior temporal sulcus), while activation in regions underlying experience sharing (IPL, anterior cingulate cortex and anterior insula) related to lower empathic accuracy. These results provide novel insight into the neural basis of empathic accuracy in adolescence and suggest that perspective taking processes may be effective for increasing empathy.

Understanding criminal behavior: Empathic impairment in criminal offenders.

Criminal offenders (CO) are characterized by antisocial and impulsive lifestyles and reduced empathy competence. According to Zaki and Ochsner, empathy is a process that can be divided into three components: mentalizing, emotional sharing and prosocial concern. The aim of our study was to evaluate these competences in 74 criminal subjects compared to 65 controls. The CO group demonstrated a lower ability in measures of mentalizing and sharing, especially in recognizing the mental and emotional states of other people by observing their eyes and sharing other people's emotions. Conversely, CO subjects showed better abilities in prosocial concern measures, such as judging and predicting the emotions and behavior of other people, but they were not able to evaluate the gravity of violations of social rules as well as the control group. In addition, logistic regression results show that the higher the deficits in the mentalizing component are, the higher the probability of committing a crime against another person. Taken together, our results suggest that criminal subjects are able to judge and recognize other people's behavior as right or wrong in a social context, but they are not able to recognize and share the suffering of other people.

Two systems for empathy in obsessive-compulsive disorder: mentalizing and experience sharing

Objective: To investigate empathic abilities in patients with obsessive-compulsive disorder (OCD) compared to control subjects. OCD is characterized by persistent obsessions and compulsions. Previous studies have proposed specific emotion recognition deficits in patients with OCD. The ability to recognize emotion is part of the broad construct of empathy that incorporates mentalizing and experience-sharing dimensions. Methods: Twenty-four subjects with a diagnosis of OCD and 23 control subjects underwent empathic measures. Results: Patients with OCD compared to control subjects showed deficits in all mentalizing measures. They were incapable of understanding the mental and emotional states of other people. On the other hand, in the sharing experience measures, the OCD group was able to empathize with the emotional experience of other people when they expressed emotions with positive valence, but were not able to do when the emotional valence was negative. Conclusion: Our results suggest that patients with OCD show a difficulty in mentalizing ability, whereas the deficit in sharing ability is specific for the negative emotional valence.

Experience sharing, emotional reciprocity, and turn-taking.

In this perspective article, we consider the relationship between experience sharing and turn-taking. There is much evidence suggesting that human social interaction is permeated by two temporal organizations: (1) the sequential framework of turn-taking and (2) the concurrent framework of emotional reciprocity. From this perspective, we introduce two alternative hypotheses about how the relationship between experience sharing and turn-taking could be viewed. According to the first hypothesis, the home environment of experience sharing is in the concurrent framework of emotional reciprocity, while the motivation to share experiences is in tension with the sequential framework of turn-taking. According to the second hypothesis, people's inclination to coordinate their actions in terms of turn-taking is motivated precisely by their propensity to share experiences. We consider theoretical and empirical ideas in favor of both of these hypotheses and discuss their implications for future research.