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)

This paper summarizes the evolution of analytic philosophy in Taiwan, examines its impact within and beyond academia, and discusses the future of the discipline. The roots of modern philosophy in Taiwan can be traced back to the Japanese colonial era, and analytic philosophy was introduced to the country in the late 1940s when many intellectuals in China moved to Taiwan. However, massive curbs were imposed on philosophy during Chiang Kai-shek’s dictatorship, and the discipline began to thrive again only after Taiwan’s (...) democratization in the late 1980s. Nonetheless, since its introduction in the colonial era, modern philosophy has made significant contributions in Taiwan, encouraging interdisciplinary engagements, advancing civic education, and promoting the spirit of democracy and political liberation. Philosophy has played a key role in Taiwan’s remarkable transformation from an island colonized for hundreds of years to a country that recognizes democracy, freedom, and human rights. The themes of anti-colonialism and anti-domination seen in the works of modern Taiwanese philosophers not only reflect the discipline’s political and historical underpinnings but also signal how Taiwanese philosophy can acquire a distinct identity despite being influenced by many other philosophical traditions. While still at a nascent stage, Taiwanese philosophy has the potential to join forces with other philosophical traditions in advancing the vision of decolonizing philosophy. (shrink)

This paper investigates whether the pattern of firms’ corporate social responsibility activities affects firm value. If firms do permanently CSR activities for strategic purposes, firms’ value is more likely to increase. Using firms known to do CSR in Korea, we examine the valuation effect by adopting an earnings response coefficient model and document firms with permanent CSR activities, which show higher ERCs than other firms regardless of the level of CSR activities. This result partly explains the inconsistency among the results (...) of previous studies by showing the differential implication for firm value depending on the CSR activity pattern. Also, the results of our paper imply that investors need to consider the pattern of firms’ CSR activities in their economic decision making. (shrink)

According to two-dimensional semantics, primary intension and secondary intension can play the role of reflecting the cognitive aspect of an expression like Fregean sense does. The aim of this paper is to argue that this role is likely a myth. To argue for this, I attempt to show that cognitive aspects of fictional names cannot be explained within the framework of two-dimensional semantics. To be more specific, I consider four ontological theories about fictional characters that two-dimensional semanticists might be tempted (...) to choose. And then, I argue that none of them can be combined with two-dimensional semantics in a satisfactory way. (shrink)

The present study aimed to investigate the effects of acute aerobic exercise on underlying neuronal activities associated with task-switching processes including both mixing and switch costs. A total of 29 healthy young adults (21.4 ±1.2 years) participated in this study. The experiment consisted of an exercise and a rest condition. In the exercise condition, participants completed 30 minutes of walking and/or jogging on a motor driven treadmill sufficient to achieve an intensity of 70% of maximum heartrate (HRmax). In the rest (...) condition, participants rested quietly for 30 minutes. Both conditions were conducted on different days, and the order was counterbalanced across participants. Participants performed the task-switching paradigm (switching between two different tasks), after both exercise and rest conditions respectively. The P3 amplitude was smaller in the non-switch trial than the single trial only in the rest condition, but not in the exercise condition. In other words, more attentional resources were allocated to the non-switch trial requiring greater amounts of working memory following the exercise condition. Mixing and switch effects on the P3 component were influenced by acute aerobic exercise. This result suggests that acute aerobic exercise may serve to facilitate the flexibility of task-set reconfiguration and maintaining the task set in working memory. Furthermore, during the switch trials, the P3 latency was shorter in the exercise condition than in the rest condition. This result is consistent with the findings of previous studies, indicating that cognitive processing speed is increased only during task conditions requiring greater amounts of executive control. Our study clearly indicates that acute aerobic exercise may facilitate cognitive flexibility as well as other executive functions (i.e., inhibitory control and working memory). (shrink)

In recent years much scholarly work has explored the topic of John Chrysostom as an ancient “psychagogue”. In these recent studies, however, relatively little attention has been devoted to Chrysostom’s approach to almsgiving in relation to the cure of the soul. This article looks closely at Chrysostom’s view of almsgiving and soul therapy within the context of ancient philosophical therapy. Analyzing Chrysostom’s Homilies on Matthew, it demonstrates that for Chrysostom almsgiving is a crucial remedy for healing the sick soul.

In my dissertation I examine Plato's ontology. As is well-known, Plato accepts the existence of two different kinds of entities: sensible particulars, such as Socrates, and Forms, such as the Form of Beauty. Moreover, according to the standard understanding of Plato, he thinks that there are entities of no other kind. I argue that this is an incorrect understanding. Specifically, I argue that Plato assumes the existence of entities of a third kind in the Phaedo. ;The dissertation has developed from (...) my attempts to clarify Plato's conception of the human soul. By examining the Phaedo, the dialogue in which Plato gives his most elaborate discussions of the ontological status of the soul while attempting to prove its immortality, I conclude that Plato conceives the soul as an entity whose ontological status is intermediate between those of Forms and sensible particulars: It has some of the features used to characterize forms and some of the contrary features used to characterize sensible particulars. ;In the dissertation, I first examine the features characterizing forms and those characterizing sensible particulars. Second, I discuss the first group of intermediate entities, the opposites in us, and argue that they are intermediate in the sense in question. Third, I discuss the group of entities that I call the occupiers, such as fire or the number three, and show that they are also seen as intermediates. Finally, I discuss the human soul as an intermediate entity belonging to this second group of intermediates, and show that the Final Argument for the immortality of the soul in the Phaedo can be best understood with reference to the framework including the intermediates as well as forms and sensible particulars. (shrink)

This article examines distinctive American political institutions that contribute to explaining the continued use of the death penalty. In the light of wide popular support for capital punishment, strong political leadership is considered to be a principal channel for the abolition of capital punishment. The dilemma of the US death penalty, however, lies in populist features of political structures that greatly limit the political leverage and possibilities available to leaders. The institutional arrangements in the United States allow public support for (...) the death penalty to influence political decision making more directly than it can in the European counterpart. A strong receptiveness of US political leaders to the public also implies that once public opinion changes, political leaders are likely to respond to the public’s new attitude. Unlike most countries, which abolished the death penalty through political initiatives that were counter-majoritarian, the United States may abolish it only after a change in public opinion. (shrink)

This article explores the Korean application of “mind-transmission” (K. chŏnsim, C. chuanxin) episodes to the intra-Sŏn (C. Chan) polemics. Korean Sŏn masters, unlike Chinese counterparts, sought for the religious meaning of the existence of multiple transmission episodes that circulated in East Asia from the Sŏn polemical perspective. In particular, Kagun and Paekp’a used the term “samch’ŏ chŏnsim” to promote their own visions of Sŏn within the situation in which different visions of Sŏn competed for dominance.

Two philosophical problems are thoroughly treated here: (1) how close the philosophical idea of Hong Tae-yong in eighteenth-century Korea is to the non-absolutist Weltanschauung of Chuang-tzu, and (2) how, by means of this non-absolutist idea, Hong was able to question the orthodox sinocentrism that most Korean Neo-Confucianists of the time stubbornly took for granted. Hong felt that Korean intellectuals had to look beyond sinocentrism for a consciousness of their own cultural identity. As a Confucian reformist, he highlights the realization of (...) this cultural identity as the imminently required move to accomplish social reform. (shrink)

In our study, we examine the association between hedge fund activism and a target firm’s corporate social responsibility (CSR) activities and whether activists can promote socially responsible investments while upholding shareholders’ interests. Using different matched samples, we find a strong positive association between the target firm’s CSR in the year before it is targeted by activists and its probability of being targeted by a hedge fund. Classifying hedge fund activists into socially and non-socially responsible funds based on their objectives, we (...) find that both give similar level of consideration to a firm’s CSR activities when initiating campaigns. Similar to DesJardine and Durand (DesJardine and Durand, Strategic Management Journal 41:1054–1082, 2020), we demonstrate that hedge funds have, on average, a negative impact on target firms’ CSR in the years following the initial investments. Complementary to DesJardine and Durand (DesJardine and Durand, Strategic Management Journal 41:1054–1082, 2020), we compare the two types of hedge funds and find an asymmetric effect of the hedge funds’ campaigns. Socially responsible hedge fund campaigns are associated with a large _increase_ in their target’s CSR, whereas non-socially responsible hedge funds _decrease_ this measure in their target. Finally, we find that target firms exhibit a long-term improvement in future stock returns and profitability. These findings provide evidence that certain types of activists, such as socially responsible funds, promote both _stakeholder_ and _shareholders’_ long-term interests. (shrink)

According to Rettler, there are three types of control that we should consider in relation to the legitimacy of doxastic blame: Intention-based, reason-based, and influence-based control. Rettler argues that among these, influence-based control is the only type of control that is necessary and sufficient for fulfilling the control con-dition required for legitimate doxastic blame. The aim of this short discussion paper is to critically assess Rettler’s view of doxastic con-trol. By doing so, I attempt to defend the reason-responsiveness view from (...) Rettler’s criticism and cast doubt on whether influence-based control has a positive epistemic influence on beliefs. (shrink)

During the eighteenth century, cabinetmakers in Canton (Guangzhou) produced a large quantity of hardwood furniture for European consumers. This essay examines the knowledge culture of these cabinetmakers, focusing on epistemic negotiations and adaptations in the process of making export furniture. While export furniture was made in European styles, cabinetmakers did not parrot European techniques of carpentry but creatively mobilized their own craft knowledge. Juxtaposing material evidence from extant pieces and the carpentry manual The Classic of Lu Ban, the essay argues (...) that the knowledge of joinery formed the basis of a practice of artisanal translation that was material and syntactic. Offering modular rubrics for spatial handling, joinery allowed cabinetmakers to restructure and reinvent furniture with a European appearance. Tracing the interaction between an indigenous knowledge system and global trade commodities, the essay underlines the social and epistemic realignments of locally rooted craft in the achievement of innovation. (shrink)

This study delves into the philosophy, aesthetics, and educational components of somaesthetics to highlight the art of living by practicing body awareness. Specifically, this study focuses on ‘educ...

PurposeThis study aimed to examine the long-term association between social activity, physical function decline and cognitive function, as well as verify the long-term mediating effect of physical function decline on the relationship between social activity and cognitive function.MethodsData from the Korean Longitudinal Study of Aging that was collected over 10 years was analyzed. The sample included 10,240 adults aged 45–93 years. Multivariate latent growth modeling was applied to verify the long-term effect of social activity and physical function on cognitive function.ResultsThe (...) results revealed that social activity had a positive impact on cognitive function and negative impact on physical function decline after controlling for age and education level. Additionally, physical function decline negatively influenced cognitive function. Finally, social activity indirectly affected cognitive function through physical function decline.ConclusionThe contribution of this study was to test the long-term effect social activity on physical and cognitive function. (shrink)

The result of 2007’s presidential election in South Korea symbolizes the decline of the Left and the growth of the new Right. They say it goes with the global retrogression of democracy, or the consolidation of the hegemony of the rightist versions of democracy. According to Choi Jang-jip, the general public in Korea has thought that the Roh Moo-hyun’s administration had betrayed them, handing power over to the market, and seeking to form a coalition government with theconservatives. Similarly, Professor Jang (...) Ha-jun asserts that the democratic governments of Kim Dae-jung and Roh Moo-hyun have mistaken economic democratization for neo-liberalistic structural adjustment. (shrink)

This article provides a comprehensive overview of John Dewey's impact on education and aesthetics in Korea and Japan. While initially focused on education, the 1990s saw a growing interest in Dewey's aesthetics, with _Art as Experience_ partially translated in 1999. The Korean perspective on Dewey's aesthetics extends mostly to philosophy of education and art education, but there are also efforts to deepen the understanding of Dewey's aesthetics itself. Also, the interdisciplinary impact of Dewey's aesthetics can be found in fields such (...) as design and human-computer interaction. In Japan, Dewey's aesthetics received limited focus in spite of the "Dewey boom" from 1945 to 1970. Studies since the 2010s reconnect Dewey's aesthetics to his social and cultural context, highlighting its relevance to contemporary issues and emphasizing the public nature of Dewey's concept of democracy. The article also traces the historical development of Dewey studies in Japan, acknowledging the pioneering work of Tsurumi Shunsuke, who integrated Dewey's aesthetics into Japan's social fabric. While recognizing the biases and division of understanding in Dewey studies, the article concludes with a description of the renewed interest in _Art as Experience_ in both countries since the 2010s. (shrink)

This paper will describe the rite for the exorcism of toch'aebi and examine its symbolic significance in the wider social reality of Cheju shamanism. Toch'aebi is a stranger deity who visits Cheju randomly and tries to get on good terms with the people. However, this deity afflicts people, particularly women, wearing down their vitality and causing a kind of “madness” (turida). The exorcism ritual of toch'aebi requires a sacrificial feast of roast pig and several days of dancing by the possessed. (...) For this reason, the exorcism ritual is called a dancing rite, or ch'unun kut. It is supposedly toch'aebi himself who has the desire to dance. Shaman's songs (seouje sori) are used to induce the toch'aebi, who is hiding in the patient's body, to dance and reveal his identity. The trance dance and singing are directed toward a dialogical construction of the demonic reality, which entails a romantic entanglement of toch'aebi and the possessed. By translating a history of personal suffering into the idiom of love, the shaman's songs develop a particular cultural logic of cure. Through an analysis of curing song texts, along with various modes of performance such as dance and comic play, this paper explores the transformative process in which a particular cultural logic of illness and cure are produced and enacted to reintegrate the patient into the social world. In practice, the analysis addresses the articulation of a personal case of madness that afflicted Sunho, a twenty-one year old female factory worker, whose social values and understanding are reflective of contemporary Korea. (shrink)