The aim of this paper is to find how much AI can be useful or as an aid in developing listening skill. A review has been made to past studies as well as the recent developments and innovations made by linguists and teaching community, yielding relevant observations. The present writing is an attempt at exhibiting how much the latest technology is effective which has been tailor-made to suit determined purpose directed at developing the listening skills of EFL learners. It is (...) well established being significant and continues to gain importance in serving needs of education, sparking interest among students and teachers, the latter for innovating delivery of lessons. Teaching EFL college level students uses English as the medium of instruction for language teaching subjects. It is, however, noticed that difficulties crop up at school, where the students use native language for learning syllabi-related subjects, and where it is noticed that there is low comprehension capacity in the learners that needs to be pushed up to learn second language with success. The present research effort has brought to light the difficulties experienced by students in English learning as they struggle to reach a reasonable level of learning with success. This is despite there being other materials to use where old/traditional system is otherwise thought adequate. Modern approaches were brought into use by which AI-powered tools have removed difficulties they used to experience learning the traditional way resorting to written prescribed books; they experienced that books were monotonous and boring. The researchers made quite a few studies in different educational institutions and recognized the ability of AI aided media to make listening skill learning and teaching of English interesting and easy. AI has enabled educators to develop material and make it user-friendly and student-oriented for facilitating language learning easy. Language Listening builds enhanced capacity enabling EFL students to hear sounds of words of English using AI-aided tools. The present paper has discovered the utility of modern virtual tools as significant in facilitating learners’ success in developed listening skill. Tools which are created using AI have proved very help as they extend tremendous help in increasing and developing practical listening skills of not only the teachers but also, and primarily, the EFL students. (shrink)

This study aimed to assess the prevalence of gamophobia among unmarried graduate students at Yarmouk University, Jordan, and to explore its correlation with family communication patterns. The sample comprised 255 male and female students selected through convenience sampling. The results indicated that the overall level of gamophobia within the sample was moderate. Notably, gamophobia levels were significantly higher among females and employed students compared to their male and unemployed counterparts. No significant differences in gamophobia levels related to age or educational (...) level were found. Regarding the relationship between gamophobia and family communication patterns, the study identified a significant positive correlation with four specific family role patterns and a significant negative correlation with one family communication pattern. The analysis further showed that family communication patterns ranged from medium to high, with the balanced communication pattern being the most prevalent and the blaming pattern the least. Additionally, while no significant differences in family communication patterns were observed based on gender, differences were noted in the placating pattern in favor of doctoral students, in the placating and super-reasonable patterns favoring employed students, in the placating style for the 25–30 and 30+ age groups, and the irrelevant pattern for those under 25 years old. The balanced communication pattern was more prevalent among participants aged 30 years and older. (shrink)

Based on the Guest 1997 organizational outcome model, this explanatory study examined the effects of five dimensions of practices of HR. i.e. performance evaluation, recruitment & selection, compensation & reward, career opportunities within organization and training & development on proximal business outcomes. The study validates components of GUEST model by integrating between HRM dimensions and banking operations, thus strengthens the existing theoretical model of GUEST by improving the comprehensiveness as it provides analytical framework for studying HR. Exploratory factor analysis and (...) confirmatory factor analysis was utilized in the current study, and tested the study hypotheses by SEM to analyze the proposed conceptual model. It was found that all five chosen HR practices had significant influence on the quality of operations however for flexibility of operations, performance appraisals and career within organization have shown significant role for banking industry of the country, Pakistan. The study contributed to the construction and validation of structural. path and measurement models of SHRM practices and two selected operational competitive outcomes based on theoretical and empirical foundations, which will help progress the human resource management future researches and important implications for HR mangers, as very little work has been done on interdisciplinary framework of HR and OM specifically within context of South Asian banking Industry. (shrink)

Personal and professional success in the digital age requires digital abilities. Increased expectations that graduates be adept in digitisation while joining the job need higher education institutions to successfully incorporate digital aspects. This study evaluates university EFL students' digital integrative attitudes and instructors' digital proficiency. Digital tools are emphasised for collaborative learning. Researchers seek to address two key questions: What are EFL students’ perspectives on digital learning? How do they assess teachers' IT skills? It appears through the end result not (...) all instructos have the same digital competency and it is strictly field dependent. This variance in the digital capalities and field orientation decideis the choice of their preferredd pedagogical tools. Digital collaborative learning was used by both categories of students: engineering students and non-engineering EFL students to variable degrees. This suggests that punishing students may affect preferences and behaviours in this area. EFL students were confident in their digital tool usage, although they didn't comprehend all the features. This study's results may improve instructional techniques, institutional standards, and professional development programmes to improve educators' digital abilities. As digital technology integration evolves, global higher education consequences are enormous. (shrink)

The current study sought to examine emotional manipulation and its connection to symptoms of narcissistic personality disorder among couples, and whether there are statistically, significant differences based on the variables such as gender, age, duration of marriage, and educational level. The study involved a sample of 924 married couples, selected through the descriptive correlational approach. The findings revealed a moderate level of emotional manipulation and symptoms of narcissistic personality disorder among couples. They also showed statistically significant differences in emotional manipulation (...) and narcissistic personality disorder symptoms based on gender, favoring males; duration of marriage, favoring those married for less than (10) years; and educational level favoring those with secondary or less. No statistically significant differences were found based on age. Moreover, a positive and statistically significant relationship was identified between emotional manipulation and symptoms of narcissistic personality disorder in couples. Based on these findings, the researchers recommend organizing lectures and seminars to educate couples about the negative effects of emotional manipulation and various types of symptoms of narcissistic personality disorder appearing in the marital relationship. (shrink)

Semantic relationships have an active role in textual study, as they are an essential tool through which the text is constructed, this is done through the sequence of sentences of saying, and these relationships lead to the growth and continuation of the subject of the text, and then linking speech, which in turn achieves textual harmony. The aim of this study is to highlight the importance of these relationships and to elaborate on them, this research dealt with two additional linkage (...) relationships: (equivalent additional relationship), and (different additional relationship), with a breakdown of each of them, and then the inclusion of poetic applications from the texts of the poet Hazem Rushak Al-Tamimi, showing the extent of the harmony, plot and coherence of these texts. (shrink)

The study sets out to develop an online course for medical professionals who are not native Arabic speakers. The present study relied on a questionnaire developed by reviewing relevant theoretical literature and prior research in order to apply descriptive and analytical methods to accomplish the study's aims. The researcher sent an online questionnaire to a large number of healthcare workers, including doctors, nurses, lab techs, and radiology technicians. The objective of this survey is to learn about the linguistic communication needs (...) of healthcare workers and to find out when Arabic is useful for communicating with patients and meeting quality standards in healthcare. The study compiled a list of 36 linguistic needs pertaining to various medical settings (e.g., emergency rooms, outpatient clinics, hypnosis rooms, labs, and radiology departments), developed an electronic program to teach Arabic to non-native speakers, and made several suggestions and recommendations. (shrink)

This research study examined what dialogues, methods of communication and mechanisms were employed by the Prophet Muhammad (PBUH) to teach, guide and advise His opponents, particularly the Jews of Medina. This study took the opportunity to understand the characteristics of such dialogues and communication methods and extrapolate the jurisprudential rulings and the legitimate objectives of such dialogues. The study used a historical and heuristic approach to unearth the dialogic communication, and data was retrieved from the Prophet’s biographies, religious writings, archives (...) and documents. The study premised that the dialogic discourse adopted by the Prophet Muhammad (PBUH) could be relevant in the modern times as well for predicting a peaceful coexistence between Muslims and believers of other religions. Such a coexistence established through dialogues in world conferences and religious gatherings could be the real foundations to foster a common understanding among people of different religions. (shrink)

Various domains of life widely recognise the concept of human rights. Regardless of one's spiritual beliefs or background, individuals possess an inherent understanding of their fundamental rights. This knowledge of human rights originates from Allah, who has communicated it through various messengers, including the esteemed Prophet Muhammad ﷺ. This study focuses on examining the religious perspective on basic human rights in order to establish a comprehensive understanding of these rights. There are two revelations: This study employs a linguistic descriptive analysis (...) approach to evaluate the Holy Quran and the guidance of the Prophet. The study primarily focuses on conducting a content analysis and descriptive analysis of case studies and literary insights found in the Holy Quran and the Prophet's ﷺ guidance. The goal is to extract as much content as possible about human rights. The study has identified four major themes defined by the Holy Quran and the Prophet's ﷺ guidance. The study has improved our understanding of key human rights concepts and suggests that future scholars concentrate on assessing other fundamental rights that the two revelations under investigation have illuminated. (shrink)

This study examined scientific tolerance as a human way to life in the context of Sunnah, a much debatable topic among critics and scholars. The study also highlighted prophetic visions in the application of scientific tolerance. Using a normative descriptive approach in this qualitative research, the data was collected from library archives and Islamic data sources. This approach enabled to raise questions about the nature of scientific tolerance in the light of Sunnah, prophetic mechanisms used to establish the scientific tolerance, (...) and its advantages. The findings revealed that scientific tolerance was integrated to the prophetic visions and the Sunnah, aiming at peace, tranquility, and stability for the entire mankind. The study found out how the Sunnah of the Prophet laid the foundation of scientific tolerance, and how it was carried forward by the Companions and mujtahids through their discussions, dialogues, and debates. It was also observed that the scientific tolerance reached its peak in the era of Arab and Islamic civilization, through the translation movement that began in the Umayyad era and reached its culmination, and gained heights through scientific discoveries, innovations, and civilizational achievements. In the Abbasid era, the subsequent transfer and translation of these languages into Latin and other European languages, further enhanced the depth of scientific tolerance in the contemporary renaissance and modern civilization. (shrink)

This study investigates the spatial distribution of industrial facilities within Dhi Qar Governorate. By analyzing geographical patterns, the research aims to identify clusters, hotspots, and potential areas for industrial development. The study utilizes geographic information systems (GIS) to visualize and analyze the distribution of industrial establishments across the governorate. The findings contribute to a better understanding of the industrial landscape, informing future planning and decision-making for economic development and resource allocation in Dhi Qar.

Researchers have recently indicated that employee perceptions of their firm’s corporate social responsibility (CSR) may shape their work behaviors. However, why and when CSR perceptions lead to counterproductive work behavior, such as cyberloafing, remains unclear. In this article, we first investigate the mediating role of workplace boredom in explaining the effect of perceived CSR toward employees on cyberloafing behaviors. We further examine the moderating role of moral disengagement in this process. Overall, the results of our cross-sectional, experimental, and three-wave studies (...) provide strong evidence for our hypothesized relationships. Our research suggests that moral disengagement weakens the effect of internal CSR on workplace boredom, such that for employees high in moral disengagement, the level of internal CSR has a weaker effect on workplace boredom. (shrink)

The banking sector is one of the most important economic sectors in all countries. It represents the backbone of economic life, as it acts as a mediator between savers and investors and provides them with many banking services to meet the requirements of the economic process. This study aimed to define the concept of financial services provided by Islamic banks, their characteristics, and their most key features, while addressing the level of quality of banking services and the extent to which (...) they meet the desires of customers. This study was divided into two sections: Section One: The concept, characteristics, and features of banking services. Section Two: Banking services provided by Islamic banks. (shrink)

In view of the vital role played by the testimony or witness in detecting and combating corruption crimes, the Saudi Arabia issued a new law for the protection of whistleblowers, witnesses, experts and victims, by Royal Decree No. (M/148) dated 8/8/1445 AH, and since there is a potential threat to those who dare to reporting or witnessing the commission of these crimes, the low dealt with the types and forms of protection provided to them, and this research tries to answer (...) a key question, which is: What types of protections does the Saudi low guarantee to witnesses in corruption cases? This is done by using the descriptive, analytical research methodology, by characterizing and extrapolating the types of protection, and analyzing the texts of the low to identify the types and forms of protection contained therein. The study reached several results, the most important of which are: the interest of the Saudi regulator in protecting witnesses in this type of cases to provide the necessary guarantees for the protection of human rights, as it enacted a set of security, judicial, functional and social guarantees to protect the witness, and organized a number of new measures, including concealing the witness's identity and personal data, not attending him during the trial, and sufficiency, for example, with recordings without the possibility of discussing him. (shrink)

This study dealt with one of the most important legal subjects in private international law that relates to the topic of law applicable to electronic signature and is problematic by the lack of clear and explicit texts to determine the law required on the topic The main objective of the study was to reflect the legal regulation in private international law of such a problem, as well as to address some practical and applicable problems relating to the topic of the (...) study, including the legal nature of an electronic signature, When preparing this study, the researcher relied on the inductive approach by extracting legal texts on the subject of the letter in accordance with Jordanian legislation. in addition to the analytical approach where the researcher analysed and described the legislative and doctrinal positions and international conventions associated with the subject matter of the letter, The prescriptive approach, through a statement of the legal nature of the electronic signature. The researcher produced a series of results, the most important of which was the absence of clear and explicit texts specifying the law applicable to the electronic signature. This result was reflected in the recommendations of this letter, which were the most important recommendation to the Jordanian legislature that legal rules should be drawn up to determine the law applicable to the subject matter of the study. (shrink)

In this research, I tried to collect and study Qur’anic verses related to the topic of tolerance temper in the prophets’ calling to their people, through the calling of the Prophet Muhammad, may God bless him and grant him peace, to his people. At the end of the research, it concluded with results, the most prominent of which were: that the Holy Qur’an is the constitution of morals and etiquettes, and it includes sublime etiquettes and refined morals, and that the (...) Prophet, may God bless him, was the most prominent worker of divine directives, especially with regard to tolerance temper with his people when calling them to Islam. The research also ended with a recommendation to conduct specialized studies on tolerance temper among the prophets in the rest of the Qur’anic surahs. (shrink)

Art is an aesthetic message and a means of human communication with its surroundings, as it influences and is influenced by everything that surrounds it, as scientific and intellectual development has a great role in developing the means used in it with the multiplicity of options offered in terms of raw materials and techniques. Undoubtedly, the art of ceramics is one of the arts developed in terms of technology, indicating the development and sophistication of societies throughout history. It offers an (...) aesthetic and utilitarian taste to the community. The color is one of the main elements in the process of adding an aesthetic touch to the surface of the ceramic piece, and this was evident in ceramics of all ages and times, and the implemented idea plays a role in showing an expressive and aesthetic vision in the ceramic surface and in order to keep pace with the rest of the plastic arts. Therefore, the potter always tries to innovate by experimenting with materials and techniques. Accordingly, the potter, especially the Arab potter, relied on coexistence with the modern intellectual dimensions of the era's culture, directing him to research, experimentation, modernization and acculturation from Western arts. This prompted research into Arab ceramics and the study of its ceramic products, especially the art of ceramics and the aesthetics of the raku technique, which is considered the Technique of most potters. The research is part of the methodological framework of the research, as it contains the research question, which concludes with the following question: What is the aesthetic of the raku technique in the works of potters Shunyar Abdullah and Yaqoub Al-Atoum, then the importance of the research, which lies in highlighting the aesthetic effects of the raku technique by identifying the features and characteristics of this Technique reflected in the formal structure of Arab ceramic work and identifying the different reduction processes in this Technique and its impact on the artistic works of potters Shunyar Abdullah and Yaqoub Al-Atoum, to benefit researchers and specialists and enrich scientific libraries and students in the field of ceramics. After that, the aim of the research was discussed: The objective of the research was to identify the raku technique in the works of potters Shinyar Abdullah and Yaqoub Al-Atoum, and then the limits of the research were reached in terms of the objective limits, which were determined by the aesthetic of the raku technique in the works of potters Shinyar Abdullah and Yaqoub Al-Atoum and the temporal limits, which were represented by the period between (2012-2021), the spatial limits (Iraq and Jordan) and the human limits of the potters Shinyar Abdullah and Yaqoub Atoum, and the chapter ends with the definition of the most important terms. (shrink)

The importance of this topic is manifested in its highlighting a facet of grammatical opinions in Arabic grammar that some grammarians uniquely held. It also showcases the critical personality that these grammarians possessed, which enabled them to present new views, even if they contradicted the grammatical school to which they belonged. An example of this is Al-Zamakhshari, whose grammatical opinions were recognized by Al-Alawi for their quality and precision, making them worthy of support. This led Al-Alawi to agree with Al-Zamakhshari, (...) even if those opinions contradicted what many grammarians stated. Al-Alawi provided evidence that reinforced these opinions and opposed those who disagreed with them—by weakening or disapproving of them—and justified their incorrectness or deviation from the truth. Therefore, studying this topic in the context of Imam Al-Alawi highlights a part of the Yemeni grammatical heritage and the contribution of Yemeni grammarians to the maturation of Arabic grammar, as the opinions presented by Al-Alawi in agreement with Al-Zamakhshari and his rebuttals to other grammarians represent a rich intellectual resource and a scientific tributary for Arabic grammar. The research on this topic began with an introduction, followed by a prelude, then issues of agreement between Al-Alawi and Al-Zamakhshari, concluding with a conclusion. The introduction included a definition of the topic, its importance, how it is divided, and the methodology used in its study. The prelude addressed the definitions of Imam Al-Alawi and Al-Zamakhshari, as well as the book "Al-Azhar Al-Safiya." Following that were the issues in which Al-Alawi agreed with Al-Zamakhshari, totaling sixteen issues. The methodology used in studying all these issues was a descriptive approach based on tracing the phenomenon in its contexts, gathering, describing, arranging, discussing, and assigning a suitable title to each issue. The conclusion included the most significant findings revealed by the research, among which are: Al-Alawi agreed with Al-Zamakhshari on sixteen points, and he expressed approval for his viewpoint on those points, characterizing it as the most probable, the best, the excellent, the correct, or the most in line with Arabic principles and grammatical parallels. Al-Alawi often justifies the statement he chooses, explaining the reason for choosing it, strengthening it and gathering evidence for it from hearing and analogy, rejecting other statements that oppose it, and explaining their invalidity and the reason for their corruption. (shrink)

The folk tale or Popular tale, as a popular prose art, is transmitted orally from one generation to another. Therefore, the folk tale has occupied a prominent place among other literary genres, due to its characteristics and features that have made it present to various nations and peoples. It expresses the hopes and dreams of those peoples who have taken It is a way to have fun...and get rid of the harsh reality. These folk tales included different images of that (...) life, as they represented the image of the negative man, and the traits of betrayal and weakness that characterized him. The folk tale is one of the means that preserve cultural heritage and consolidate cultural identity. It is one of the most important forms of expression. It is a summary of the experiences of generations, formulated in an interesting narrative form, full of lessons and noble values. It is a creation of the imagination in which the wisdom of society is revealed. It is a reflective mirror of the society in which it grew, so that the story is considered Folklore is one of the genres of popular literature that is beloved by adults and children, due to the elements it contains that attract, excite, and enrich the imagination, in addition to the positive values it contains. It is the ancient, common art of spontaneous speech, passed down from generation to generation, linked to customs and traditions. The story is the backbone of popular heritage, and it is what we metaphorically call popular literature. Among the studies of the folktale in which the researcher invested the importance of the folktale is a study by M. Furqan Abdel Kadhim Katyou Hammadi, tagged with (the popular story in the book of Qalat Ajibiya, Tihami Myths, Structure and Function). (shrink)

This study investigates the intentions, perceptions, and actual implementation of an innovative English curriculum among preparatory school EFL teachers in Iraq. The research recognizes the growing importance of English globally and Iraq's efforts to enhance English language education and implement an appropriate innovative curriculum. However, the implementation of a new curriculum poses significant challenges related to teachers' knowledge, intention, and academic culture. The study focuses on understanding the relationship between curriculum intentions, teachers' perceptions, and the actual implementation of the curriculum. (...) The study also explores how teachers' intention, culture, and other factors influence the implementation of the curriculum. Data were collected through a combination of vignettes, semi-structured interviews, classroom observations, and follow-up interviews with a random sample of 10 male teachers from 10 preparatory schools in Babylon Governorate during the 2023-2024 school years. The results indicated that teachers are enthusiastic about the new curriculum, but its effective implementation faces many challenges. Teachers recognize the potential of the curriculum, but suffer from insufficient materials and overcrowded classrooms that hinder optimal teaching and learning. The study emphasizes that in order to successfully implement the curriculum, through continuous professional development and strong support systems, there must be ongoing professional development and strong support systems, ongoing training programs can help teachers adapt to the new curriculum, and the provision of resources, teaching aids, and manageable class size can create a more conducive learning environment, leading to better learning outcomes. (shrink)

The ozone layer, which is part of the atmosphere surrounding the globe, which intensively contains ozone gas, is one of the important and highly concentrated air layers in the bottom of the strateosphere and is a blue color, and it has an important impact in regulating a surface temperature.

Die demografische Entwicklung und der medizinische Fortschritt werden die Problematik der Ressourcenknappheit im deutschen Gesundheitswesen in Zukunft weiter verschärfen. Soll nicht nur kurzfristig akuten Sparzwängen ausgewichen werden, steht – wie in verschiedenen Ländern bereits geschehen – auch Deutschland auf Dauer eine Prioritätensetzung im Gesundheitswesen bevor. Diese sollte in möglichst transparenter Weise nach klaren Kriterien erfolgen. Eines der seit einiger Zeit häufig öffentlich zitierten Kriterien der Verteilung von Mitteln in der Gesundheitsversorgung ist die Eigenverantwortung von Patienten. Deren Berücksichtigung in der Allokation (...) von Ressourcen birgt allerdings zahlreiche Probleme. Der vorliegende Beitrag untersucht die gerechtigkeitstheoretischen Grundlagen und die praktischen Probleme bzw. die möglichen Konsequenzen von Eigenverantwortung als Verteilungskriterium im Gesundheitswesen. Auf der Grundlage eines alternativen gerechtigkeitstheoretischen Vorschlags werden drei Möglichkeiten skizziert, Eigenverantwortung von Patienten im deutschen Gesundheitswesen in gerechter Weise stärker zu betonen. (shrink)

We are trying to show the importance of the event patterns and their presence in the wondrous Shuaibi story as a traditional structural form that has its place and manifestations in the literary narrative. It is also considered a suggestive and indicative product of the writer’s imagination, which uses the everyday variable and formulates it in a way different from what it is to show us an interesting miraculous story. Folk tales in general, and the book "Folk Tales" specifically, play (...) a significant role in preserving popular heritage. These tales are transmitted through a chain of narrators or from one storyteller to a group of narrators. Each narrator has their language and method of conveying the story without strict adherence to the original, aiming to reconstruct it according to the situation based on the prominent elements of the tale highlighted by that situation or element. The tale may serve purposes such as entertainment, moral teaching, wisdom, putting children to sleep, or news, or it may involve a miraculous dimension built on the extraordinary and unreal. (shrink)

Sir Sayyed Ahmed Khan -- Sir Dr. Muhammad Iqbal -- Dr. Fazlur Rahman.

Onora O’Neill hat 1984 den Zusammenhang zwischen grundsätzlichen Bedenken gegenüber dem ethischen Autonomiebegriff und der Kritik an der paternalistisch geprägten medizinethischen Praxis hergestellt, nicht die tatsächliche Einwilligung des konkreten Patienten zu berücksichtigen, sondern die angenommene, hypothetische Einwilligung, die ein idealisierter, völlig rationaler Patient geben würde. Im Anschluss an experimentalpsychologische Studien zur subliminalen Wahrnehmung, zu Volition und Handlungskontrolle erfahren kompatibilistische Theorien menschlicher Freiheit innerhalb der theoretischen Philosophie neue Popularität. Eine Handlung ist demnach frei, wenn sie das Resultat bestimmter Fähigkeiten einer Person (...) ist („Kompetenztheorie“). Der Artikel setzt sich mit zwei dieser Theorien, Henrik Walters Konzept „natürlicher Freiheit“ und Michael Pauens „Minimalkonzeption personaler Freiheit“ näher auseinander—und zwar vorderhand im Hinblick auf den Entwurf eines nichtidealisierten ethischen Autonomiekonzeptes. Als solches ist es an der aktualen bzw. faktischen Fähigkeit einer Person ausgerichtet, rekurrierend auf die spezifische Determiniertheit autonomer Entscheidungen und Handlungen sowie auf ein relativiertes Konzept menschlicher Vernunft. (shrink)

In den westlichen Industrienationen gilt das Prinzip der informierten Einwilligung als das Zentralelement medizinischer Forschungsethik. In anderen, stärker die Relationalität als die Individualität von Personen betonenden Kulturen hingegen werden medizinische Entscheidungen traditionell eher durch die Gemeinschaft bzw. ihr Oberhaupt getroffen. Um verschiedenen kulturellen Normen gerecht zu werden, wird international tätigen Forschungsteams häufig empfohlen, den Community Consent und den Informed Consent einzuholen. Ausschlaggebend soll dabei letztlich der Informed Consent des Individuums sein. Es soll die Teilnahme auch dann verweigern können, wenn die (...) Gemeinschaft bzw. ihr Repräsentant dem Vorhaben zugestimmt hat. Der Beitrag diskutiert, ob eine solche Kopplung von Community Consent und Informed Consent tatsächlich geeignet ist, den Ansprüchen beider Prinzipien gerecht zu werden. Es wird argumentiert, dass die Kopplung von Community Consent und Informed Consent ethisch problematisch ist, wenn der Gemeinschaft hierbei ein Vetorecht eingeräumt wird, das geeignet ist, die Realisation konträrer individueller Interessen und damit das Selbstbestimmungsrecht der Betroffenen zu unterlaufen. Um zu gewährleisten, dass in interkulturellen Forschungszusammenhängen sowohl der individuellen als auch der relationalen Autonomie von Personen angemessener Raum gewährt wird, wäre es empfehlenswert, den Informed Consent ausdrücklich mit einer Community Consultation zu koppeln. Hier käme die Entscheidung gegen, aber auch für eine Studienteilnahme in letzter Instanz klar dem Individuum zu, während die Vorzüge einer Einbeziehung der Gemeinschaft in den Entscheidungsfindungsprozess anerkannt und genutzt werden könnten. (shrink)

Die demografische Entwicklung und der medizinische Fortschritt werden die Problematik der Ressourcenknappheit im Gesundheitswesen in Zukunft weiter verschärfen. Auch Deutschland steht eine Prioritätensetzung im Gesundheitswesen bevor. Diese sollte in möglichst transparenter Weise nach klaren Kriterien erfolgen. Ein nur selten in diesem Kontext besprochenes Kriterium der Verteilung von Mitteln in der Gesundheitsversorgung ist die marginale Wirksamkeit medizinischer Leistungen. Im vorliegenden Beitrag wird dieses Kriterium vorgestellt und auf seine Fairness hin untersucht. Nach der kritischen Diskussion einiger Argumente gegen den offenen Einsatz von (...) Rationierungskriterien und einer Definition von marginaler Wirksamkeit in zwei unterschiedlichen Dimensionen werden verschiedene Vorzüge und eventuelle Nachteile des Kriteriums beleuchtet. (shrink)

Bei der Bemühung um die Emanzipation von körperlich oder geistig beeinträchtigten Menschen kommt es häufig zu einer vehementen Kritik an einem "medizinischen Konzept" von Behinderung. Diesem wird aus Sicht einer "Bürgerrechtsperspektive" entgegengehalten, es gelte nicht, die Menschen zu korrigieren, sondern die Umwelt so zu verändern, dass Betroffene ungehindert am gesellschaftlichen Leben teilhaben können. Nach Auffassung der "Normalisierungskritik" sind es Stereotypen und Stigmata, die es Behinderten erschweren, ein selbstbestimmtes Leben zu führen. Beide Ansätze ignorieren oder bagatellisieren jedoch aus systematischen Gründen die (...) Art und Weise, in der Betroffene ihre physische oder psychische Schädigung subjektiv erfahren. Deshalb kann auch nicht auf die erheblichen Unterschiede reflektiert werden, die zwischen verschiedenen Formen der Behinderung bestehen. Es ist jedoch verfehlt, die Feststellung, dass Behinderte häufig in spezifischer Art bedürftig sind, mit paternalistischer Herablassung gleichzusetzen. Gerade für ein zuträgliches Verhältnis von Medizinern und Behinderten ist es wichtig, exakt jene Differenzen zu berücksichtigen, die zwischen akuten Krankheiten und verschiedenen Formen chronischer Beeinträchtigung bestehen. Nur so können Ärzte dazu veranlasst werden, von einer allzu "interventionsfreudigen" Haltung Abstand zu nehmen. (shrink)

Gegenwärtig gibt es eine intensive internationale Diskussion zum Stellenwert der Sedierungsbehandlung am Lebensende. Auch in Deutschland sind der grundsätzliche Status und die medizinethische Bewertung palliativer bzw. terminaler Sedierung noch nicht ausreichend geklärt. Der vorliegende Beitrag stellt anhand der Analyse sechs möglicher klinischer Szenarien differenzierte Beispiele für die Situation von Patienten vor einer Sedierungsbehandlung dar. Dazu wird ein Vergleich mit Standardsituationen der Sterbehilfe vorgenommen. Für die moralische Bewertung werden Aktionen und Intentionen der Sedierungsformen unter besonderer Berücksichtigung von Aufklärung und Autonomie diskutiert. (...) Aus Perspektive einer klinisch orientierten Ethik sind eine differenzierte Entscheidungsanalyse, die Form informierter Zustimmung sowie der Ablauf der Sedierungs- und Ernährungsbehandlung von Bedeutung. Eine kritische Debatte zur moralischen Legitimität der Sedierung am Lebensende ist notwendig für die medizinethische Kultur ärztlicher Praxis. (shrink)

The Studies in Islamic Philosophy begins with a highly readable, annotated translation of Ghazali's Faysal al Tafriqa. Abu Hamid al Ghazali, one of the most famous Muslim intellectuals in the history of Islam set out to provide a legally sanitized definition of Unbelief as the basis for a criterion for determining who, as far as theology is concerned, is to be considered a Muslim and who is not.

Derrida, especially in his late work Politics of Friendship (1997), has introduced the concept of ‘a‐humanist’ politics in the context of his general project of the deconstruction of politics as following upon his showing all such words as state, nation, democracy, justice, law, community et al to be fundamentally breached by their own opposites. All these notions may be retained at one level but also transcended and transgressed by confronting them with their binaries. Derrida’s entire discursive endeavour indeed is characterized (...) by the motifs of transgression and extratranscendence. All the notions of rationality, sanity, normality, morality etc. need to be aporetically transcended and breached. Even the ‘humanity’, the least innocuous of the terms, would be supplanted by the opposite of ‘ahumanity’. ‘Is it possible’, asks Derrida, ‘without setting off loud protests on the part of militants of an edifying or dogmatic humanism, to think and to live … the experience of a certain ahumanity, beyond or below the commerce of gods and men?’ The politics, here, ‘exceeds the measure of man, without becoming a theologem’ (p.294). What could one say about this politics which resists becoming a ‘theologem’ but is still a politics, a politics beyond politics, politics of mysticism in other words. Itcertainly saves us from the dangers of certitude, of dogmatism, even of opinion. But does it also not deprive us of our own selves i.e. our humanity, our community and nation, our values and our God. Is the commitment to a voluntary death our only fate. Is the messiah of Derrida a saviour who saves or is he one who facilitates our death by coming into life himself? Is he the symbol of life or death – death of others, and then of himself. (shrink)

The field of climatic geography focuses on the study of the Earth's surrounding atmosphere, particularly the lower (surface) part close to the Earth's surface. This field examines the interactions within the atmosphere resulting from the solar radiation that reaches the Earth and the subsequent distribution of atmospheric pressure. Consequently, certain surface pressure systems, both high and low, emerge and vary in their temporal and spatial impacts on the climate of the Arabian Peninsula. Therefore, it is essential to conduct a comprehensive (...) and detailed study to understand the causes, development, movement, geographical distribution, and monthly and seasonal recurrence of these pressure systems. For this purpose, a minor climatic cycle spanning eleven years (2007/2008 to 2021/2022) was selected. The study relied on analysing weather maps at the 1000 millibar pressure level to analyse the recurrence of the Siberian high-pressure system over the study area, using observations at both 00:00 and 12:00 during the study period. (shrink)

Biography of Ibn Rushd... Averroes, old heathen, If only you had been right, if Intellect Itself were absolute law, sufficient grace. Our lives could be a myth of captivity. Which we might enter: an unpeopled region.

The eloquence and the continuity of the words and their meaning in the Holy Quran cannot be constructed by any human being, as their order was instituted by the prophet (PBUH). No human being can add, delete or modify this order nor move any verse backward or forward. This research explored the order of meanings related to the eloquence of the verses of the Holy Quran, including a review of those meanings in progressive patterns, to prove the arguments and ingenuity (...) of Quranic brevity, as contained in a scholarly volume Al-Naba al-Azim, by Dr. Abdullah Draz. The research aimed to extract the exact order of the Quranic meanings and connection of this order with the eloquence of the verse. It included the order of tools of arguments, methods to build the verse, the order of Quranic brevity, and the extent of its inclusiveness of meanings of the Holy Quran. The study found out that the order of Quranic meanings has remarkable characteristics like semantic escalation, and the structural coherence and a symmetrical order of all the verses. It was also revealed that Dr. Draz pioneered the argument on the order of the Quranic brevity and the order of meanings that are hidden between the verses. The study recommends to conduct future researches on the phenomenon of semantic escalation, search for the meanings hidden behind the Quranic structures, deduce the silent tools which are used by the Holy Quran to sustain arguments. The study also recommends that studies should be conducted to elaborate the meanings of the Quranic verses that have been mentioned only briefly. (shrink)

Die jüngste höchstrichterliche Rechtsprechung zur Selbstbestimmung der Patienten und zur Normierung medizinischer Handlungen am Lebensende hat eine intensive Debatte ausgelöst. Das Urteil und die akademisch vorgetragene Kritik werden einer grundlegenden medizinethischen Analyse unterworfen. Sie betrifft die objektive Eingrenzung der Zulässigkeit einer Behandlungsbegrenzung und die Subsumtion des Wachkomas als irreversibel tödliches Grundleiden, das ärztliche Ermessen bei der Indikationsstellung, die normative Einordnung einer Ernährungstherapie am Lebensende und die Verbindlichkeit von Patientenverfügungen. Die medizinethische Kritik offenbart eine unzureichende Wahrnehmung medizinischer und medizinethischer professioneller Dokumente (...) und den Rückgriff auf medizinethisch veraltete Konzeptionen der Sterbehilfe durch das Gericht. Die Folge ist eine fehlerhafte Subsumtion der Wachkomapatienten in die Kategorie irreversibel tödlicher Erkrankungen und eine inhaltliche Schwächung der Verbindlichkeit von Patientenverfügungen. Beides bedarf dringend der Korrektur. (shrink)

Der Selbstbestimmungdes Patienten kommt in der modernen Debatte über das Gesundheitswesen eine zentrale Bedeutung zu. Selbstbestimmung ist aber ein voraussetzungsvoller Begriff, der für Patientengruppen wie Demenzbetroffene, deren Entscheidungs- und Einwilligungsfähigkeit nachlässt oder nicht mehr gegeben ist, eine Reihe von Fragen aufwirft. Auf der Grundlage der jeweiligen Symptomentwicklung der Demenzerkrankung und eigener Erfahrungen im Umgang mit Demenzbetroffenen wirdde rEntwicklungdes Willens in den verschiedenen Stadien der Demenz nachgegangen. Dabei wird den Dimensionen der Differenziertheit der Denkinhalte, der Beurteilungsbasis und der Entscheidungskonstanz eine besondere (...) Bedeutung zugemessen und für eine Graduierung der Selbstbestimmungsmöglichkeiten im Umgang mit Demenzbetroffenen plädiert. Wegen der Schwererkennbarkeit der oft verschlüsselten Willensbekundungen Demenzbetroffener wird der Willenswahrnehmung und dem Training der genauen Beobachtung, Einfühlung und Sensibilität im Umgang mit den Betroffenen großes Gewicht beigemessen. Als Ziel wird die jeweils weitestgehende Selbstbestimmung, im Verlaufe der Erkrankung auch Teilselbstbestimmung und schließlich Mitwirkung bei der individuellen Wohlbestimmung im Sinne eines Grundrechtsschutzes vertreten. (shrink)

Eines der medizinischen Felder, in dem die ethische Diskussion um die „wunscherfüllende Medizin“ am intensivsten geführt wird, ist die Reproduktionsmedizin, die die Erfüllung des „Kinderwunsches“ verspricht. Strittig ist besonders, ob Sterilität als Krankheit definiert wird, die eine medizinische Intervention rechtfertigt, ob sich aus der Sterilität oder Infertilität lediglich ein Abwehr- oder auch ein positives Anspruchsrecht auf medizinische Ressourcen ergibt, ob legitime Fortpflanzungsmedizin Grenzen hat. Nach einer Übersicht über Eckpunkte der nationalen und internationalen Debatte beschreiben wir im zweiten Teil Ansichten zum (...) Status ungewollter Kinderlosigkeit, zum Recht auf Fortpflanzungsmedizin und zur möglichen Legitimität ihrer Begrenzung anhand der Ergebnisse unserer vom Bundesministerium für Bildung und Forschung (BMBF) geförderten Studien. Während der letzten fünf Jahre haben wir u. a. Paare mit und ohne Sterilitätsproblematik sowie verschiedene Expertengruppen qualitativ und standardisiert befragt. Die stark divergierenden Auffassungen konfrontieren wir im dritten Abschnitt mit internationalen Standards, zum anderen mit dem „Capability-Ansatz“ und dem freiheitsfunktionalen Liberalismus von Sen und Pauer-Studer. Dies ergibt, dass die Bereitstellung verschiedener Möglichkeiten der In-vitro-Fertilisations-(IVF-)Behandlung nicht lediglich einen Wunsch auf Elternschaft erfüllt sondern als die gesollte Erfüllung eines normativen Bedürfnissanspruchs begriffen werden muss. (shrink)

In wertpluralen Gesellschaften begegnen uns in der medizinischen Versorgung zahlreiche Konflikte, bei denen die kulturellen und religiösen Wertvorstellungen und Einstellungen des Patienten eine wichtige Rolle spielen. Besonders komplex wird es, wenn die betroffene Person nicht mehr in der Lage ist, selbst über die medizinischen Maßnahmen zu entscheiden. Ob eine Patientenverfügung in solchen Konfliktsituationen einen entscheidenden Beitrag zu einer ethisch angemessenen Lösung leisten kann, bleibt eine berechtigte Frage. Im Folgenden werden die ethischen Aspekte im Umgang mit muslimischen Patienten und die Nutzung (...) einer kultursensiblen und kultursensitiven Patientenverfügung bei diesen Patienten differenziert behandelt.Die Vielfalt an Haltungen zu Entscheidungen am Lebensende innerhalb der islamischen Welt, der Einfluss der Familie und traditioneller sittlicher Einstellungen, heterogene Formen der Religiosität und das Gesundheitssystem des jeweiligen Landes erweisen sich als wichtige normative Anhaltspunkte für die Anwendung einer Patientenverfügung bei muslimischen Patienten. Trotz zahlreicher Schwierigkeiten kann eine kultursensible und kultursensitive Patientenverfügung einen wichtigen Beitrag zur Berücksichtigung und Umsetzung der Entscheidungen eines entscheidungsunfähig gewordenen muslimischen Patienten leisten. (shrink)

Wie muss ein ethischer Beratungsdienst strukturiert sein, damit er in moralischen Konfliktsituationen im klinischen Alltag angefragt wird und die Ratsuchenden ergebnisorientiert unterstützen kann? Nach welchen Kriterien lassen sich die Beratungsgespräche auswerten und bewerten? Zur Beantwortung dieser Fragen werden theoretisch fundierte Konzepte ethischer Fallbesprechung aus Nimwegen, Leuven und Basel herangezogen; dies geschieht vor dem Hintergrund der Erfahrungen mit der über zehnjährigen Entwicklung der ethischen Arbeit im Ev. Krankenhaus Bielefeld (EvKB). Als Resultat stellen wir einen strukturierten, multidisziplinären Ansatz vor, mit dem in (...) den Beratungsgesprächen die ethischen Dimensionen unterschiedlicher Vorstellungen herausgearbeitet und möglichst einvernehmlichen Lösungen zugeführt werden. Am Beispiel des EvKB lässt sich zeigen, dass der ethische Beratungsdienst auch in Zeiten knapper Ressourcen implementiert und praktiziert werden kann und eine Gesprächskultur schafft, die zu neuen Zielvariablen führt; hier spielen der Perspektivenwechsel und die Prozessgerechtigkeit eine zentrale Rolle und liefern zugleich Ansatzpunkte für unsere eigene Evaluationsstrategie. Zum aktuellen Stand der Evaluation klinischer Ethikberatung wird die internationale Literatur kritisch gewürdigt. Erste konzeptionelle Ansätze und Ergebnisse einer eigenen Evaluationsstrategie werden vorgestellt. Durch die Offenlegung hoffen wir, die Auseinandersetzung mit diesen Themen zu intensivieren. (shrink)

In diesem Artikel geht es um die Beziehungen zwischen der von Jürgen Habermas entwickelten Diskursethik und den Studierendenseminaren, die der Ulmer Arbeitskreis „Ethik in der Medizin“ veranstaltet. Zunächst erfolgt eine Darstellung der Kernaussagen der philosophischen Diskursethik. Sie liefert eine formale Argumentationsprozedur, mit der es möglich ist, die Legitimität strittig gewordener Normen im Diskurs zu prüfen. Anschließend wird das in Ulm von Baitsch und Sponholz entwickelte Modell der Seminare „Ethische Entscheidungskonflikte im ärztlichen Alltag“ vorgestellt. Da sich die Ulmer Seminare unter anderem (...) auf die Diskursethik als theoretischen Hintergrund berufen, werden die Gemeinsamkeiten und Unterschiede beider Konzepte untersucht. Der Hauptunterschied ist der zwischen einem Begründungs- und einem Anwendungsdiskurs. Gemeinsam sind den Ansätzen die grundsätzlich kognitivistische Einstellung und die „Spielregeln“ des Diskurses. (shrink)

Ob eine sportliche Leistung anerkannt wird, hängt maßgeblich davon ab, ob sie im Einklang mit Werten steht, die wir für wesentlich für den Sport halten. Die philosophischen Standardargumente gegen Doping im Sport behaupten eine Unvereinbarkeit von Doping mit Werten wie Fairness, Gesundheit oder Natürlichkeit. Ich möchte im Gegensatz zu diesen Argumenten eine grundsätzliche Unvereinbarkeit von Doping mit dem Wert eines nachhaltigen Umgangs einer Person mit sich selbst behaupten. Wer dopt, so meine These, folgt einem verabsolutierten Leistungsdenken, was aus ethischer Perspektive (...) kritisiert werden kann, wenn man den Wert der Nachhaltigkeit als ethischen Wert annimmt. (shrink)

ZusammenfassungDie von einem multiprofessionellen Behandlungsteam durchgeführte Symptombehandlung bei inkurablen Patienten am Lebensende erweist sich als hoch effektiv und verschafft den meisten Patienten eine ausreichende Linderung. Dennoch verbleibt ein Patientenanteil, bei dem auch unter Berücksichtigung physischer, psychischer, sozialer und spiritueller Bedürfnisse kein erträglicher Zustand erreicht werden kann. In diesen Extremfällen können Sedierungsmaßnahmen zur Linderung eingesetzt werden. Der Begriff und das Angebot der terminalen Sedierung sind in vielerlei Hinsicht umstritten. Eine Kasuistik soll die Problemstellung veranschaulichen und zeigen, wie die terminale Sedierung von (...) erfahrenen Behandlern als ergänzendes Instrument der Symptombehandlung eingesetzt werden kann, auch wenn sie keine perfekte Antwort auf unerträgliches Leiden in der Sterbesituation darstellt. Im Literaturvergleich werden aktuelle medizinische, rechtliche und psychosoziale Fragen diskutiert. (shrink)