Placebo-controlled trials are controversial when individuals might be denied existing beneficial medical interventions. In the case of malaria, most patients die in rural villages without healthcare facilities. An artesunate suppository that can be given by minimally skilled persons might be of value when patients suddenly become too ill for oral treatment but are several hours from a facility that can give injectable treatment for severe disease. In such situations, by default, no treatment is (or can be) given until the patient (...) reaches a facility, making the placebo control design clinically relevant; alternative bioequivalence designs at the facility would misrepresent reality and risk incorrect conclusions. We describe the ethical issues underpinning a placebo-controlled trial in severe malaria. To protect patients and minimise risk, all patients were referred immediately to hospital so that each had a higher chance of prompt treatment through participation. There was no difference between artesunate and placebo in patients who reached clinic rapidly; among those who could not, a single artesunate suppository significantly reduced death or permanent disability, a finding of direct and indirect benefit to patients in participating villages and elsewhere. (shrink)

The current study aimed to construct a multicultural psychological empowerment scale for Saudi women depending on the four dimensions of psychological empowerment, namely, meaningfulness, impact, self-efficacy, and self-determination. It was applied to a sample of Saudi women from various age categories, different social, educational, and employment status, and geographical regions. Pooled confirmatory factor analysis was using to determine the reliability and validity of the scale. As a result, the reliability and validity of the entire model were satisfied. Specifically, the composite (...) reliability values fell in the range between 0.804 and 0.883. Meanwhile, the convergent validity was achieved as these values produced from each construct were higher than the acceptable limit of 0.50. Also, the construct validity of fitness indexes was achieved. In its final form, multicultural psychological empowerment scale for Saudi Women included phrases distributed over its four dimensions. The study suggested systematic measurements of psychological empowerment for Saudi women from different categories, targeted with therapeutic, preventative and developmental visions, plans, and programs to determine the extent of their psychological empowerment. (shrink)

In this paper, we utilized triangular conorms. The essence of using S-norm is that the similarity order does not change using different norms. In fact, we are investigating for a new conception for calculating the similarity of two Fermatean fuzzy sets. For this purpose, utilizing an S-norm, we first present a formula for calculating the similarity of two Fermatean fuzzy values, so that they are truthful in similarity properties. Following that, we generalize a formula for calculating the similarity of the (...) two Fermatean fuzzy sets which prove truthful in similarity conditions. Finally, various numerical examples have been presented to elaborate this method. (shrink)

The neglect of psycho-spiritual needs of patients as they traverse the modern healthcare system has been a featured theme in medical literature over the past decade. This literature, which often highlights in-patient palliative care, as well as acute and critical care settings, influences practice guidelines and protocols of doctors and nurses. In this essay, I review some of the pertinent issues raised in the literature and examine the validity of placing an ethical perspective on this issue. I also compare Islamic (...) theocentric perspectives with secular, non-theistic perspectives on restoring psycho-spiritual care for patients. I then develop a framework for pastoral intervention based on aspects of the Islamic tradition and elaborate this framework by addressing clinical contexts and cases. The essay is an exposition based upon a review of the modern medical literature, an analysis of some of the traditional Islamic written sources, and the observations of the investigator, a practicing physician and an American Muslim. (shrink)

The connection between cultural heritage site visits and expenditures usually shows that improved visits to cultural sites lead to higher tourist spending, as these sites regularly appeal to extra prosperous or culturally engaged traffic. Additionally, properly preserved and promoted cultural history sites can enhance local economies by way of illustrating more travelers who spend on diverse services like accommodation, food, and entry fees. Therefore, investment in cultural heritage maintenance and merchandising can drastically enhance tourism revenues.In this paper, it used data (...) from 138 visitors to analyze the connection between their tourist expenditures and visits to cultural heritage sites. 40 questions were distributed to the visitors to collect their experience and data, including age, gender, and income level. Then evaluate the factors and their willingness to visit using the Pearson correlation, descriptive analysis, and ANOVA test. Additionally, we assessed the main reasons for unwillingness and detailed total expenditures. As a result, we found that visitors had a high willingness to spend more on expenditures. (shrink)

BackgroundThe pharmaceutical market in Bangladesh is highly concentrated. Due to high competition aggressive marketing strategies are adopted for greater market share, which sometimes cross limit. There is lack of data on this aspect in Bangladesh. This exploratory study aimed to fill this gap by investigating current promotional practices of the pharmaceutical companies including the role of their medical representatives.MethodsThis qualitative study was conducted as part of a larger study to explore the status of governance in health sector in 2009. Data (...) were collected from Dhaka, Chittagong and Bogra districts through in-depth interview, observation, and round table discussion.ResultsFindings reveal a highly structured system geared to generate prescriptions and ensure market share instituted by the pharmaceuticals. A comprehensive training curriculum for the MRs prepares the newly recruited science graduates for generating enough prescriptions by catering to the identified needs and demands of the physicians expressed or otherwise, and thus grab higher market-share for the companies they represent. Approaches such as inducements, persuasion, emotional blackmail, serving family members, etc. are used. The type, quantity and quality of inducements offered to the physicians depend upon his/her capacity to produce prescriptions. The popular physicians are cultivated meticulously by the MRs to establish brand loyalty and fulfill individual and company targets. The physicians, willingly or unwillingly, become part of the system with few exceptions. Neither the regulatory authority nor the professional or consumer rights bodies has any role to control or ractify the process.ConclusionsThe aggressive marketing of the pharmaceutical companies compel their MRs, programmed to maximize market share, to adopt unethical means if and when necessary. When medicines are prescribed and dispensed more for financial interests than for needs of the patients, it reflects system’s failed ability to hold individuals and entities accountable for adhering to basic professional ethics, code of conduct, and statutory laws. (shrink)

Various government efforts to address the exploitation of street beggars have yet to be fully effective, especially in Medan City. This research aims to explore and understand how the practice of street begging exploitation and its social and economic impacts. The method used is qualitative research with a case study approach. The data was collected through in-depth interviews, observations, and focus group discussions involving the Medan City government, non-governmental organizations, and other stakeholders, especially street child beggars. The results showed that (...) the exploitation of street children in Medan City continues to increase, which reflects the problems of poverty and poor child protection. The characteristics of street child beggars in Medan are diverse, with different modes of begging. On the other hand, the Medan City Government has enacted Regional Regulation No. 6 Year 2003 to address this issue, but its implementation could have been more optimal. As the responsible party, the Social Affairs Office of Medan City has made various efforts, such as coaching and rehabilitation, but the number of street children is increasing. This research concludes that a more integrated approach and cooperation with related parties is needed to address the problem of street beggars' exploitation effectively. (shrink)

Histopathological lung cancer segmentation using region of interest is one of the emerging research area in the field of health monitoring system. In this paper, the histopathological images were collected from the database Stanford Tissue Microarray Database (TMAD). After image collection, pre-processing was performed using a normalization technique, which enhances the quality of the histopathological image by eliminating unwanted noise. After pre-processing, segmentation was carried out using the modified kernel-based fuzzy c-means clustering (KFCM) approach along with the edge bridge and (...) fill technique (EBFT). It was a flexible high-level machine learning technique to localize the object in a complex template. The experimental result shows that the proposed approach segments the normal and abnormal cancer regions by means of precision, recall, specificity, accuracy, and Jaccard coefficient. The proposed methodology improved the classification accuracy in lung cancer segmentation up to 2.5–5% compared to the existing methods deep convolutional neural network (DCNN) and diffusion-weighted approach. (shrink)

The current research addressed the issue of challenges faced by the rural women in Balochistan. A qualitative research were conducted on various parts of the Balochistan, Data were collected from 300 respondents five districts of Balochistan i.e. Turbat, Gawader, Sibbi, Pashen and Khuzdar Districts by using simple random technique. It was revealed that women in Balochistan are facing lot f problems like karo Kari, sexual harassments by their Tribal Waderas and feeling unsecure. Women are totally deprived from the basic rights. (...) According to our research about 80% of the Karo Kari cases are based on Bias basis there was no reality. It was further revealed that women are facing difficulties and after Watta satta marriages they feel unsecure. Government and NGOs can play role to educate those women about their basic rights. Women are deprived from their basic rights in Balochistan. In most of the cases they are illegally raped with their feudal and in many cases they were married with 60 years old man without their wishes. (shrink)

The current research explores the women participation in SMEs business by using Probit model. The rapid absorption of women into the labor market has been influenced by several factors. The rapid economic growth was due largely to important growth in the SMEs business, where substantial and proportionally larger increase of female workers has been registered. Among all sectors of the economy, the SMEs have recorded the highest growth rate during the last decade. The increase in the female labor force participation (...) in SMES business may also be attributable to improving economic incentives in employment and policies favoring the employment of women. In addition, the combined effects of increased years of schooling, access to family planning services, improved maternal and child care, leading to arise in the average age at marriage, have allowed women to take advantage of the increased employment opportunities. Survey was conducted from 300 women in SMEs business in rural Sindh by using simple random technique from four districts, Shikarpur, Jacobabad, Kandhkot/Kashmore and Larkana Districts. Questionnaire was the basic tool to find out the major challenges of rural women as an entrepreneur business. It was revealed that there is great potential of rural women I doing the various entrepreneur business like in Kandhkot, Jacobabad, Rali, Ajrak and Sindhi caps they are very much unique and they were generating income from their families. It was further revealed that the rural women is less confident and their husbands were always given them hard time once they are exposing themselves to outside the boundaries of the house. The biggest challenges which they were facing they were doing all business in house, lack of marketing facilities, Karo Kari criminal activities and they were deprived from the basic rights. This study contributes and explores the Rural Women challenges in SMEs business and how these critical unethical problems we can overcome like KARO KARI, and other various social issues growth. (shrink)

Since Seligman's 1971 statement that the vast majority of phobias are about objects essential to the survival of a species, a multitude of laboratory studies followed, supporting the finding that humans learn to fear and detect snakes (and other animals) faster than other stimuli. Most of these studies used schematic drawings, images, or pictures of snakes, and only a small amount of fieldwork in naturalistic environments was done. We address fear preparedness theories, and automatic fast detection data from mainstream laboratory (...) data and compares it with ethobehavioural information relative to snakes, predator-prey interaction, and snakes’ defensive kinematics strikes in order to analyse their potential matching. From this analysis four main findings arose, namely that: 1) Snakebites occur when people are very close to the snake and are unaware or unable to escape the bite; 2) Human visual detection and escape response is slow compared to the speed of snake strikes; 3) In natural environments, snake experts are often unable to see snakes existing nearby; 4) animate objects in general capture more attention over other stimuli and dangerous but recent objects in evolutionary terms are also able to be detected fast. The issues mentioned above pose several challenges to evolutionary psychology-based theories expecting to find special-purpose neural modules. The older selective habituation hypothesis (Schleidt, 1961), that prey animals start with a rather general predator image from which specific harmless cues are removed by habituation might deserve reconsideration. (shrink)

The organizational culture of an educational institution is key in influencing students' adoption of new teaching practices. It is felt that creating a positive and supportive culture goes a long way in encouraging people to embrace and practice the new education methods. This information can be useful for identifying how certain cultural elements affect students' engagement and, thus, facilitating the establishment of more appropriate and suitable environments in institutions that contribute to better educational outcomes. This study’s focus is on exploring (...) the nexus between organizational culture and the impact that it possesses on the students' interactions with innovations in learning methods, with several considerations. Informed consent was obtained from 1411 students in 5 colleges, including questions that sought demographic information including gender, age, and study year. Statistical Package for Social Sciences (SPSS) was analyzed to test reliability, mean scores, and correlations. The findings show that the research used methods like reliability analysis, descriptive analysis, Pearson correlations, analysis of variance (ANOVA), post hoc assessment, and Chi-Square tests. These suggest positive correlations between main organizational culture variables and differences between institutions. The findings suggest that a positive organizational culture enhances student engagement with innovative learning techniques. The study concludes that fostering a supportive and innovation-driven organizational culture is essential for improving student participation and effectiveness in educational practices. (shrink)

This study aimed to explore the influence the value modularity and a firm’s innovation performance, directly and indirectly, using knowledge management as mediating variable. Moreover, in this study, we used the resource integration ability as a moderator between the relationship value modularity and firm innovation performance. We collected data from the Chinese state-owned and state-controlled high-tech firms from 2011 to 2018. In this study, we used the gray comprehensive evaluation method to test the degree of value modularity, and hierarchical regression (...) analysis is used to analyze the relationship among variables. The outcomes of this study indicate that value modularity and firm innovation performance has inverted U-shaped and significant association. Similarly, results also confirm that knowledge acquisition and knowledge internalization mediate the relationship between value modularity and firm innovation performance. The finding of this research also confirms that resource integration ability negatively affects the relationship between value modularity and firm innovation performance. This paper enriches the research of the value modularity and gives certain inspiration to knowledge management. At the end of this study, we also suggest some significant practical implications. (shrink)

Ribā/interest is one of the prominent regulations in Islam regarding commercial life. The commercial lives of Muslims and laws related to commerce were regulated in accordance with the prohibition of ribā, and by this a society that avoided ribā with sensitivity was created in practice. This sensitivity about ribā manifested in the principle that the suspicion of ribā is evaluated as ribā, and it is ruled as haram like riba. In fiqh sources, besides issues regarding ribā, issues involving suspicion of (...) ribā were also mentioned, and some rulings were justified with the presence of suspicion of riba. However, the logic of using the concept of ribā suspicion in fiqh sources may vary from case to case: the reasoning behind the use of riba suspicion in one case may not fit into another case, and thus a completely different reasoning of ribā suspicion may appear in another case. To clarify the framework of the concept of ribā suspicion, it would be noteworthy to study these each of the uses in the classical fiqh sources. The purpose of this article is to examine the use of the concept of ribā suspicion based on the cases in the Ḥanafī sources. Methodologically, first, the cases in which the concept of ribā suspicion is used are determined. Secondly, the reasoning made for each example is examined by considering the contextual framework of the case. Lastly, these uses are classified and presented to the reader with examples. The principle of evaluating “the suspicion of ribā like ribā” in Islamic law is indeed related to the rule of considering “any suspicion as certainty when it comes to harams or in matters where precaution is substantial”. Since ribā is a haram that Muslims should meticulously avoid, and therefore requires caution, its suspicion is subject to the same rulings as ribā itself. In the Hanafi fiqh books, the concept of suspicion of ribā is mostly referred in the following cases: - Not knowing whether there is equality between the subject matters in barter transactions where equality is stipulated. For example, when exchanging two batches of the same kind of ribawi goods, though quantities are unknown. - It is not known whether tariq al-itibār has taken place in changes that may be permissible through tariq al-itibār. For example, in the exchange of a silver-embroidered sword with silver, if the amount of silver in the ornamented part is not known, the suspicion of ribā arises. - The emergence of a situation similar to ribā because of a transaction that is normally permissible: While there are two legitimate sales in Bay' al-inah, the conclusion of being the same as an interest bearing loan is considered as ribā suspicion. - When the case has two different sides; from one side the act is ribā, but from other side it is not. For example, in the case of salam contract of ribawi goods, if goods of different quality are brought during delivery and the quality difference is requested from the customer; suspicion of ribā arises. Apart from these uses in the Hanafi fiqh books, it is seen that the concept of ribā suspicion is employed to prove an opinion disputed between schools of Islamic law. For example, to argue that ribā rules are also valid for goods sold by piece (adadiyyāt) or by length measures (zirāiyyāt), the Hanafis say that one of the two causes (illah) of ribā is found in the exchange of these goods by type, and the suspicion of ribā arises with just a single cause (illah). On the other hand, the Shafiis use the concept of suspicion of ribā to argue that determining the subjects (ta’yin) in the exchange of ribavi goods other than gold and silver is not sufficient. Another use of the term emerges because of the authors' preference for a cautious language. Some authors acted cautiously on some cases that were normally ribā and were described by other authors in this manner, and used the term "ribā suspicion" instead of ribā; probably as they both require the same ruling (harām). Another wrongly used (in our opinion) is the use of “suspicion of ribā” in some cases that are actually considered only as disliked acts (makruh). (shrink)

This article examines the relationship between piety, social pressure, and riya’ among urban Muslim youth in Yogyakarta who use social media to express religiousity, and the way the youth negotiate to deal with the contradiction between displayed piousness and religious norms. Employing a phenomenological approach this article explore the negotiation of ambiguity among urban Muslim youth, in particular the urban students actively involved in lecture series branded Ngaji Filsafat conducted by Dr. Fahruddin Faiz. This article argue that not only (...) digital media provide space for youth to express their piety, it also offer bigger social pressure to gain social validation for their (digital) existence, in the form of likes and followers, for instance. The social pressure increases ethical ambiguity, where expressions of online piety can be considered as violating a moral principle of religiosity, namely riya’. Finally, this article contributes to debates on the intersection of religion and media, especially on the aspect of individual negotiation space in responding to biases and dilemmas arising from the hybridity of the two. (shrink)

Objects often manifest themselves in incompatible ways across perspectives that are on a par. Phenomena of this kind have been responsible for crucial revisions to our conception of the world, both philosophical and scientific. The standard response to them is to deny that the way things appear from different perspectives are ways things really are out there, a response that is based on an implicit metaphysical assumption that the world is a unified whole. This dissertation explores the possibility that this (...) assumption is false, that the world is fragmented instead of unified. On the proposed understanding of such worldly fragmentation, there is a notion of co-obtainment according to which two facts may obtain without co-obtaining. Since not every fact that obtains also co-obtains with every other fact, two incompatible facts may both obtain, as long as they do not co-obtain in the introduced sense. The possibility of such fragmentation sheds new light on a range of phenomena. It allows us to explore a view of time that takes the notion of passage as its defining primitive. It bolsters a no-subject view of experience against the objection that it leads to solipsism. It allows a realist view about colours to withstand the objection from conflicting appearances. And, it makes room for a view on which things really have the properties that are attributed to objects and events across different frames of reference, such as length, mass, duration and simultaneity. Overall, fragmentalism changes the way in which the manifest image feeds into an objective conception of the world: what is manifest to us is not misleading in what sort of properties it shows the world to have, it's only misleading in making it seem more unified than it really is. (shrink)

Seminar papers on the philosophical thoughts of the people of Bangladesh.

Festschrift in honor of 60th birthday of Āgamānaṅdasvāmikaḷ, 1896-1961; collection of his speeches and writings on Vedanta and other aspects of Hindu philosophy.

Open peer commentary on the article “Amusement, Delight, and Whimsy: Humor Has Its Reasons that Reason Cannot Ignore” by Edith K. Ackermann. Upshot: Ackermann tackles “humor” as an agentive participant in the process of knowledge construction. Performing her thesis in her writing, she give a reflective account of how oblique ways of knowing have always been present in debates concerning epistemology, albeit not given equal status as rational ones. As such, her endeavors in this text are geared towards lifting up (...) the position of “humor” to a much deserved higher level in educational and learning practices. Consequently, our endeavors in this commentary are targeted towards a little more in this direction by focusing on how “humor” becomes a way of accessing the process of knowledge construction and of unraveling its significance. (shrink)

Israel Scheffler's ground-breaking essay, On Human Potential, deserves to be more widely known among educational policy analysts, especially in light of the popularity in educationist circles of W.E. Deming's organizational philosophy known as Total Quality Management . In what follows,I argue that the heuristical value of Deming's perscriptions are entailed in Scheffler's On Human Potential. More importantly, I argue, where Deming's work falls short, especially in being naive about the human condition, Scheffler's analysis provides a foundation for management theory in (...) education that insures the flourishing of an optimal number of contributing participants. In fashioning these ideas, Scheffler brings pioneering thinking to the emerging fields of management studies generally and educational policy specifically. (shrink)