BackgroundAlthough the Life-Sustaining Treatment (LST) Decision Act was enforced in 2018 in Korea, data on whether it is well established in actual clinical settings are limited. Hospital-acquired pneumonia (HAP) is a common nosocomial infection with high mortality. However, there are limited data on the end-of-life (EOL) decision of patients with HAP. Therefore, we aimed to examine clinical characteristics and outcomes according to the EOL decision for patients with HAP.MethodsThis multicenter study enrolled patients with HAP at 16 referral hospitals retrospectively from (...) January to December 2019. EOL decisions included do-not-resuscitate (DNR), withholding of LST, and withdrawal of LST. Descriptive and Kaplan–Meier curve analyses for survival were performed.ResultsOf 1,131 patients with HAP, 283 deceased patients with EOL decisions (105 cases of DNR, 108 cases of withholding of LST, and 70 cases of withdrawal of LST) were analyzed. The median age was 74 (IQR 63–81) years. The prevalence of solid malignant tumors was high (32.4% vs. 46.3% vs. 54.3%, P = 0.011), and the ICU admission rate was lower (42.9% vs. 35.2% vs. 24.3%, P = 0.042) in the withdrawal group. The prevalence of multidrug-resistant pathogens, impaired consciousness, and cough was significantly lower in the withdrawal group. Kaplan–Meier curve analysis revealed that 30-day and 60-day survival rates were higher in the withdrawal group than in the DNR and withholding groups (log-rank P = 0.021 and 0.018). The survival of the withdrawal group was markedly decreased after 40 days; thus, the withdrawal decision was made around this time. Among patients aged below 80 years, the rates of EOL decisions were not different (P = 0.430); however, mong patients aged over 80 years, the rate of withdrawal was significantly lower than that of DNR and withholding (P = 0.001).ConclusionsAfter the LST Decision Act was enforced in Korea, a DNR order was still common in EOL decisions. Baseline characteristics and outcomes were similar between the DNR and withholding groups; however, differences were observed in the withdrawal group. Withdrawal decisions seemed to be made at the late stage of dying. Therefore, advance care planning for patients with HAP is needed. (shrink)

Les études rassemblées dans cet ouvrage sont le fait de philosophes, de théoriciens des arts, d'écrivains et de plasticiens. Les auteurs ont voulu rencontrer Michel Guérin sur les chemins où il conduit sa pensée, et souhaité dialoguer avec lui à partir de leurs propres préoccupations ou présupposés. Michel Guérin s'intéresse au pouvoir des gestes de faire sens de manière intelligible et sensible d'un même tour; c'est ce qui explique sans doute pourquoi l'histoire des idées comme le regard porté sur les (...) ouvres d'art, et la conceptualisation des outils propres à l'aiguiser, ont sous sa plume un air de famille dont on rencontrera les effets dans ce recueil. Les contributions y reflètent l'étendue des domaines vers lesquels la Figurologie de Michel Guérin porte bénéfice, ainsi que la multiplicité des implications théoriques et pratiques de sa pensée transversale. Le chapitre initial regroupe des commentaires et des réponses au projet global du philosophe de générer des espaces par les Figures qu'il construit. Le second réunit différents gestes et coupes de sensibilité effectués par des amis artistes aussi bien que théoriciens, dont les intentions sont avant tout plastiques (différencier, donner rythme, donner forme). Dans la dernière partie, les auteurs tentent diversement de penser l'époque au sens où Michel Guérin l'entend, sur le plan éthique autant que sur les plans historique, esthétique et sociopolitique."--Page 4 of cover. (shrink)

Complete works of Zhu-chen Tshul-khrims-rin-chen, 1697-1774 on Buddhist philosophy, liturgical and rituals texts of Sakyapa sect.

In his philosophy of nothingness, Kitarō Nishida illuminates the matrix of transformation of the world "from the Created to the Creating" (tsukuru mono kara tsukurareta mono e) through shintai, or the body. In this matrix, shintai enters into the stage of an action-sensation continuum and emerges as the immaculate iconic tool of nothingness to create new figures as extended self. This idea of shintai has resonance with the development of postwar art in Japan. The "Space of Transparency" put forth by (...) Ufan Lee, the leader of Monoha, is the principal example. This essay investigates Nishida's notion of shintai and its influence on Lee's theory of art. (shrink)

This dissertation contextualizes the emergence of the Church of Light by Tadao Ando within the Japanese religio-philosophical tradition of nothingness. The idea of nothingness was revived during the first half of the twentieth-century by Kitaro Nishida with two cultural ramifications in the post-war period: a series of dialogues on the points of convergence and divergence between nothingness and the God of Christianity, and an architectural art movement called Monoha, or l'Ecole de Choses. Under the concept of "structuring emptiness," Monoha attempted (...) to restore perceptual depth where dichotomous semiotic representation is overcome through shintaisei, the co-originating corporeal fabric between the subject and object. This two-fold mapping, theological and architectural, not only illuminates the post-war cultural milieu from which Ando's church of spatial emptiness emerged, but also locates the church within the legacy of Nishida's nothingness. ;Nishida's philosophy of nothingness offers a perceptual theory of the "dialectic of self-negation" enacted by shintai, "the actively knowing body." Shintai is the agent of emptying selfhood by functioning as 'the sensational capacity to be filled by' the world. Shintai concretizes the perceptual matrix of co-emergence between the interiority of selfhood and the outside world. When its sensational capacity overflows, shintai enters into the realm of creative action to accommodate the surplus. The figure thus created is not a sign embodying subjective intentions, but constitutes the corporelly-inscribed, pre-reflective experiential datum of the world. Nishida called such a figure "the pure body of the artist," implying its apprehension not as the other in unknowable confrontation, but as the extended self. ;The dissertation examines how this notion of self-renunciatory perception through shintai opens a new hermeneutic horizon for the Church of Light. The church presents an unprecedented conjunction between emptiness, based on the reductive removal of signs, and the cross of light. This seemingly contradictory integration confronts the modern degradation of the cross into an atrophied sign of Christianity and seeks to retrieve its fully efficacious symbolic power. The emptiness contributes to the revival of a deeper communicative mode as shintai by negating the habituated perception pivoted upon the dichotomy between the deciphering subject and the semiotic elements. The perception of light, a natural thing rather than a sign, which infiltrates the cross, is a preliminary ritual to save the perception from the paradigm of the semiotic representation. Shintai, the self-emptying corporeality, resonates with and becomes penetrated by, rather than subjectivizes, the light. On this restored perceptual depth, the cross is perceived not as a sign, but as a part of the pre-reflective, ontological datum constructed and apprehended by shintai. This perceptual experience endorses the associational similarity between the pre-Christian datum predicated upon shintai as the agent of the self-renunciatory subjectivity and Christianity with its theology of the self-transcending love of kenosis. (shrink)

Kwŏnil chʻŏn. Kibon wŏlli pʻyŏn -- kwŏni chi. Chŭksa ihwa pʻyŏn -- kwŏnsam in. Pulcha haengdŭng pʻyŏn.

In [7], open questions are raised regarding the computational strengths of so-called ∞-α -Turing machines, a family of models of computation resembling the infinite-time Turing machine model of [2], except with α -length tape . Let TαTα denote the machine model of tape length α . Define that TαTα is computationally stronger than TβTβ precisely when TαTα can compute all TβTβ-computable functions ƒ: min2→min2 plus more. The following results are found: Tω1≻TωTω1≻Tω. There are countable ordinals α such that Tα≻TωTα≻Tω, the (...) smallest of which is precisely γ , the supremum of ordinals clockable by TωTω. In fact, there is a hierarchy of countable TαTαs of increasing strength corresponding to the transfinite Turing-jump operator ▼. There is a countable ordinal μ such that neither Tμ⪰Tω1Tμ⪰Tω1 nor Tμ⪯Tω1Tμ⪯Tω1—that is, the models TμTμ and Tω1Tω1 are computation-strength incommensurable . A similar fact holds for any larger uncountable device replacing Tω1Tω1. Further observations are made about countable TαTα. (shrink)

Transfinite recursion is an essential component of set theory. In this paper, we seek intrinsically justified reasons for believing in recursion and the notions of higher computation that surround it. In doing this, we consider several kinds of recursion principles and prove results concerning their relation to one another. We then consider philosophical motivations for these formal principles coming from the idea that computational notions lie at the core of our conception of set. This is significant because, while the iterative (...) conception of set has been widely recognized as insufficient to establish replacement and recursion, its supplementation by considerations pertaining to algorithms suggests a new and philosophically well-motivated reason to believe in such principles. (shrink)

Study on general observation on Tibetan Buddhist philosophical concept comparing with western philosophy.

In their proof-of-concept, Meier and colleagues describe the purpose and programming decisions underpinning Medical Ethics Advisor, an automated decision support system used t...

Over the past twenty-five years, or so, considerable advances have been made in understanding how learning occurs in the brain, though much of this research is still to make its way into education. One contribution it should be making is to furnish the philosophical critique of past and current theory with supporting empirical evidence. For example, motivation theory and its cognate expectancy-value theory continue to be taught in teacher education, even though their rational cognitivist foundations are philosophically shaky, and their (...) shared representational notion of the mind is incompatible with what is now known about the learning brain. Furthermore, the central claim of motivation theory that children need to be motivated in order to learn is educationally problematic, not least because it incorporates a deficit model of the child as learner. This paper provides a philosophical and educational critique of motivation and expectancy-value theories and begins to sketch out an alternative dynamic systems approach, which argues that value is deeply embedded in the learning process, not only in the value students may or may not attach to their learning, but also neurobiologically. In opposition to motivation and its notion of the learner this paper argues that every student is equipped with a brain that is value-orientated towards learning and will learn, when nested in suitably affordant learning environments. In place of expectancy-value, we argue for value-embedded learning, which provides a non-reductive and biologically plausible account of how value and emotional salience are dynamically interwoven in the learning process. (shrink)

Les traditions philosophiques et rhetoriques de l'epoque antique ont alternativement aborde l'usage technique du langage comme un moyen d'acces au progres moral ou comme un instrument dangereux de manipulation. A l'epoque classique, certains philosophes des Lumieres ont preconise une therapie du langage visant a nous rendre conscients de notre usage des mots. Plus recemment, le renouveau de la rhetorique, qu'on observe depuis plusieurs decennies, semble inseparable d'une reflexion ethique. Fruit d'un colloque international et interdisciplinaire (Montpellier, avril 2011), cet ouvrage collectif (...) s'attache a mettre en relation le questionnement ethique et les usages publics du langage dans une perspective historique et prolonge ces analyses par des investigations contemporaines. Il rassemble les reflexions theoriques et les analyses pratiques d'eminents specialistes autour de trois periodes majeures (rhetorique antique, age classique, epoque contemporaine), en croisant les regards methodologiques francais et anglo-saxon.<BR> Ce livre contient des contributions en francais et en anglais.". (shrink)

This book presents an analysis of global legal history in Modern times, questioning the effect of political revolutions since the 17th century on the legal field. Readers will discover a non-linear approach to legal history as this work investigates the ways in which law is created. These chapters look at factors in legal revolution such as the role of agents, the policy of applying and publicising legal norms, codification and the orientations of legal writing, and there is a focus on (...) the publicization of law. The author uses Herbert Hart's schemes to conceive law as a human artefact or convention, being the union between primary rules of obligations and secondary rules conferring powers. Here we learn about those secondary rules and the legal construction of the Modern state, and we question the extent to which codification and law reporting were likely to revolutionize the legal field. These chapters examine the hypothesis of a legal revolution that could have concerned many countries in modern times. To begin with, the book considers the legal aspect of the construction of Modern States in the 17th and 18th centuries. It goes on to examine the consequences of the codification movement as a legal revolution before looking at the so-called "constitutional" revolution, linked with the extension of judicial review in many countries after World War II. Finally, the book enquires into the construction of an EU legal order and international law. In each of these chapters, the author measures the scope of the change, how the secondary rules are concerned, the role of the professional lawyers and what are the characters of the new configuration of the legal field. This book provokes new debates in legal philosophy about the rule of change and will be of particular interest to researchers in the fields of law, theories of law, legal history, philosophy of law and historians more broadly. (shrink)

Les juristes considèrent souvent que toute société a un droit. Une conception positiviste du droit comme artefact humain conduit, au contraire, à envisager que la technologie juridique a été inventée dans l'histoire pour formaliser les changements normatifs. Cette technologie du changement a pu être ensuite transférée, par la force ou le prestige, dans d'autres sociétés. Les transferts de droit ne sont-ils pas à l'origine de plusieurs mondialisations dont on pourrait dessiner les profils? Un premier profil, de caractère historique, montre que (...) le droit romain, le droit chinois et le droit musulman ont donné lieu dans les siècles passés à de grandes vagues d'expansion. Avec l'impérialisme colonial, l'Occident a imposé ses conceptions du droit, en diffusant des modèles de constitution ou de codification, ainsi que des règles du common law. Depuis 1945, l'hégémonie américaine n'est pas sans liens avec les nouvelles formes, en apparence plus achevées, de mondialisation du droit. Un second profil propose une typologie des ordres juridiques actuels en relativisant la cartographie traditionnelle des familles du droit pour privilégier des domaines où les changements ont été plus notables au cours de ces dernières décennies : les diverses configurations des ordres juridiques démocratiques, le maintien ou non des statuts personnels, l'opposition entre traditions privatistes et commercialisation du droit, les flux ou reflux de l'ordre public social. (shrink)

This paper examines the adoption of ISO 14001, which is known as the most famous voluntary environmental program. The data of this paper pertain to Korean [Throughout this paper, Korea refers to the Republic of Korea ] firms in manufacturing industries from 1996 to 2011. Event-history modeling to examine firms’ adoption of ISO 14001 finds that both resource-based factors and institutional factors have influenced the diffusion of ISO 14001 in Korea. By exploring time-related effects, I also find that while resource-based (...) factors are important in the early periods of the diffusion, institutional factors become important in the later periods of the diffusion. This confirms the findings of previous studies that a firm’s motivation to adopt organizational policies varies according to different diffusion periods. The paper concludes with a brief discussion of what this study tells us about the institutional context of ISO 14001 in Korea and Asia more broadly. (shrink)

A semantics for quantified modal logic is presented that is based on Kleene's notion of realizability. This semantics generalizes Flagg's 1985 construction of a model of a modal version of Church's Thesis and first-order arithmetic. While the bulk of the paper is devoted to developing the details of the semantics, to illustrate the scope of this approach, we show that the construction produces (i) a model of a modal version of Church's Thesis and a variant of a modal set theory (...) due to Goodman and Scedrov, (ii) a model of a modal version of Troelstra's generalized continuity principle together with a fragment of second-order arithmetic, and (iii) a model based on Scott's graph model (for the untyped lambda calculus) which witnesses the failure of the stability of non-identity. (shrink)