The paper focuses on physical contact.It depicts the expression and function of physical contact in nonverbal communication and makes a comparison of physical contact between China and other Countries so as to improve...The paper focuses on physical contact.It depicts the expression and function of physical contact in nonverbal communication and makes a comparison of physical contact between China and other Countries so as to improve the communication competence.展开更多
In the process of our growth, we need to be loved. Of course, love is mutual. So I learn how to love and how to care for others. Last time, I read a piece of news. A girl was standing in the street giving everyone a f...In the process of our growth, we need to be loved. Of course, love is mutual. So I learn how to love and how to care for others. Last time, I read a piece of news. A girl was standing in the street giving everyone a free hug. To avoid embarrassment, she wore a blindfold. Everybody goes to hug her. But I think she needs to be loved a little more.展开更多
Background: The supraspinatus tendon is the most commonly affected tendon in rotator cuff tears. Early detection ofa supraspinatus tear using an accurate physical examination is, therefore, important. However, the cu...Background: The supraspinatus tendon is the most commonly affected tendon in rotator cuff tears. Early detection ofa supraspinatus tear using an accurate physical examination is, therefore, important. However, the currently used physical tests for detecting supraspinatus tears are poor diagnostic indicators and involve a wide range of sensitivity and specificity values. Therefore, the aim of this study was to establish a new physical test for the diagnosis of supraspinatus tears and evaluate its accuracy in comparison with conventional tests. Methods: Between November 2012 and January 2014, 200 consecutive patients undergoing shoulder arthroscopy were prospectively evaluated preoperatively. The hug-up test, empty can (EC) test, full can (FC) test, Neer impingement sign, and Hawkins-Kennedy impingement sign were used and compared statistically tbr their accuracy in terms of supraspinatus tears, with arthroscopic findings as the gold standard. Muscle strength was precisely quantified using an electronic digital tensiometer. Results: The prevalence of supraspinatus tears was 76.5%. The hug-up test demonstrated the highest sensitivity (94.1%), with a low negative likelihood ratio (NLR, 0.08) and comparable specificity (76.6%) compared with the other four tests. The area under the receiver operating characteristic curve for the hug-up test was 0.854, with no statistical difference compared with the EC test (z = 1.438, P = 0.075) or the FC test (z = 1.498, P = 0.067). The hug-up test showed no statistical difference in terms of detecting different tear patterns according to the position (X2 = 0.578, P = 0.898) and size (Fisher's exact test, P 〉 0.999) compared with the arthroscopic examination. The interobserver reproducibility of the hug-up test was high, with a kappa coefficient of 0.823. Conclusions: The hug-up test can accurately detect supraspinatus tears with a high sensitivity, comparable specificity, and low NLR compared with the conventional clinical tests and co展开更多
文摘The paper focuses on physical contact.It depicts the expression and function of physical contact in nonverbal communication and makes a comparison of physical contact between China and other Countries so as to improve the communication competence.
文摘In the process of our growth, we need to be loved. Of course, love is mutual. So I learn how to love and how to care for others. Last time, I read a piece of news. A girl was standing in the street giving everyone a free hug. To avoid embarrassment, she wore a blindfold. Everybody goes to hug her. But I think she needs to be loved a little more.
文摘Background: The supraspinatus tendon is the most commonly affected tendon in rotator cuff tears. Early detection ofa supraspinatus tear using an accurate physical examination is, therefore, important. However, the currently used physical tests for detecting supraspinatus tears are poor diagnostic indicators and involve a wide range of sensitivity and specificity values. Therefore, the aim of this study was to establish a new physical test for the diagnosis of supraspinatus tears and evaluate its accuracy in comparison with conventional tests. Methods: Between November 2012 and January 2014, 200 consecutive patients undergoing shoulder arthroscopy were prospectively evaluated preoperatively. The hug-up test, empty can (EC) test, full can (FC) test, Neer impingement sign, and Hawkins-Kennedy impingement sign were used and compared statistically tbr their accuracy in terms of supraspinatus tears, with arthroscopic findings as the gold standard. Muscle strength was precisely quantified using an electronic digital tensiometer. Results: The prevalence of supraspinatus tears was 76.5%. The hug-up test demonstrated the highest sensitivity (94.1%), with a low negative likelihood ratio (NLR, 0.08) and comparable specificity (76.6%) compared with the other four tests. The area under the receiver operating characteristic curve for the hug-up test was 0.854, with no statistical difference compared with the EC test (z = 1.438, P = 0.075) or the FC test (z = 1.498, P = 0.067). The hug-up test showed no statistical difference in terms of detecting different tear patterns according to the position (X2 = 0.578, P = 0.898) and size (Fisher's exact test, P 〉 0.999) compared with the arthroscopic examination. The interobserver reproducibility of the hug-up test was high, with a kappa coefficient of 0.823. Conclusions: The hug-up test can accurately detect supraspinatus tears with a high sensitivity, comparable specificity, and low NLR compared with the conventional clinical tests and co