BackgroundMedical education is currently more considerate about the human dimension. The present qualitative study aimed to explain the experiences of clinical professors with regard to humanism in clinical education in Iran.MethodsThis mixed methods study had two phases, a quanitative phase of scientometrics and a qualitative phase of a content analysis. In the scientometrics phase, Ravar PreMap and VOSviewer software programs were utilized for plotting the conceptual networks. The networks were analyzed at the micro-level based on centrality indices. The conceptual network (...) was plotted and the prominent topics in clinical education were identified using co-word analysis. In the second qualitative phase on the topic, based on the scientometrics phase, semi-structured interviews were conducted with clinical professors. The interviews were transcribed verbatim and analyzed.ResultsOn the basis of the analysis of titles, abstracts, and keywords of the retrieved articles on clinical education from ISI Web of Science, Scopus, and PubMed, 1412 keywords were extracted. After the refining process, 356 keywords with 6741 relations remained. Upon plotting the conceptual network, 19 conceptual clusters related to clinical education were obtained. Then, micro-level network analysis indicated that the keyword humanism with the frequency of 137 had the highest rate, closeness, and betweenness. Moreover, from the interview data analysis, two themes of “intertwined nature of the human spirit in clinical education” and “humanistic behavior of professors in clinical education” were extracted.ConclusionAs a part of the educational culture, humanistic values must be intertwined with the medical education curriculum. In this regard, humanism and clinical reasoning are the two major clusters of clinical teaching; moreover, altruism and adherence to humanistic values, and scientific qualification are other main pillars that should be considered as the criteria for the selection of clinical professors and medical students. (shrink)

The novel COVID-19 has created an exogenous shock to capital markets and, hence, an ideal opportunity for researchers to assess whether CSR-related activities provide an insurance-like mechanism to protect firms against the shock. Using a large sample of 4361 firms domiciled in 40 countries, we investigate the roles of CSR reporting and assurance in the negative consequences of COVID-19 on firm value. The results confirm that prior CSR reporting experience buffers firms against the adverse effects of the health crisis. The (...) results also support that not only does the assurance on CSR reports create a buffering effect against the health crisis, but it also intensifies the buffering effects of prior CSR reporting experience against the pandemic. Moreover, using difference-in-difference method for testing the link between CSR reporting and firm value, we show that the positive association of reporting and assurance with firm value is more pronounced during the pandemic as compared with the years preceding it. The results of this study are robust to various analyses. Replicating the analyses to the context of the global financial crisis, we find that prior CSR reporting experience and assurance provide similar buffering effects when a market is exposed to various exogenous shocks. The results also hold for the mandatory disclosure regimes. By distinguishing first and subsequent reports and assurance, we show that, unlike subsequent CSR reports and assurance, the initial ones cannot mitigate the negative effects of the crisis on firm value, indicating that stakeholders take into account longer-term CSR reporting experiences. Aside from reporting and assurance aspects of CSR, we analyze the role of CSR report's quality and accuracy and show that the adoption of Global Reporting Initiatives (GRI) frameworks can enhance socially responsible firms' resilience against systematic shocks. (shrink)

Background and ObjectivesFocal cortical dysplasia is a type of malformations of cortical development and one of the leading causes of drug-resistant epilepsy. Postoperative results improve the diagnosis of lesions on structural MRIs. Advances in quantitative algorithms have increased the identification of FCD lesions. However, due to significant differences in size, shape, and location of the lesion in different patients and a big deal of time for the objective diagnosis of lesion as well as the dependence of individual interpretation, sensitive approaches (...) are required to address the challenge of lesion diagnosis. In this research, a FCD computer-aided diagnostic system to improve existing methods is presented.MethodsMagnetic resonance imaging data were collected from 58 participants. Morphological and intensity-based features were calculated for each cortical surface and inserted into an artificial neural network. Statistical examinations evaluated classifier efficiency.ResultsNeural network evaluation metrics—sensitivity, specificity, and accuracy—were 96.7, 100, and 98.6%, respectively. Furthermore, the accuracy of the classifier for the detection of the lobe and hemisphere of the brain, where the FCD lesion is located, was 84.2 and 77.3%, respectively.ConclusionAnalyzing surface-based features by automated machine learning can give a quantitative and objective diagnosis of FCD lesions in presurgical assessment and improve postsurgical outcomes. (shrink)

This study examined the opening and closing sequences of requestive e–mails written by 66 native English speaking students and 34 Iranian students sent to a faculty member in an American university. Three hundred requestive e–mails from NES students and NNES students sent to a professor were collected over six semesters and were analyzed for the cultural and social variation that exists in e–mail communication. Students’ choices of opening and closing strategies were examined with respect to different interpersonal styles of politeness. (...) Quantitative and qualitative findings revealed that solidarity and deference towards the professor were expressed differently in the e–mails of NES students and NNES students. (shrink)

Postphenomenology was envisaged to lay bare the black box of technology through a phenomenological approach. The vision, in this sense, was to identify how technology might mediate both the subjectivity of its immediate user and the world around her. In this paper I will argue that to cognize technology’s effects fully, we need to enrich postphenomenology with further insights. In particular, SCOT and ANT may be integrated into postphenomenology. While the former can provide a historical narrative of how technology has (...) evolved throughout time, the latter may embed technology within a network where the interplay of the technology, the first user, other individuals and the society, on the whole, can be depicted. After a preliminary theoretical discussion, I will go through some case studies to articulate how SCOT and ANT can make a contribution to a systematic investigation of technology. (shrink)

The main purpose of this study is to probe into the human capacity of understanding systems and defects in human knowledge of the world. The study addresses the greyness levels and systems levels and explains why the world cannot be perceived as a purely white or black structure. It also clarifies why human knowledge of systems always remains grey. The investigation relies on logical and deductive reasoning and uses the theoretical foundations of systems thinking and Boulding’s systems hierarchy. The most (...) important argument that this study advances is that human knowledge, in any form or under any circumstances, is grey and incomplete and will remain grey. Because the notion of “perfect knowledge” is ambiguous given human epistemic limits, any proportion of knowledge is incomplete and prone to change. Less complexity could lead to more accurate predications, but even in the simplest forms of systems, reaching perfect knowledge seems to be an unwarranted claim. Furthermore, because our perception of past events is incomplete, we cannot predict the future with certainty, as a result of which both the past and the future appear grey to us. The world, as an integrated system, is neither black nor white, but it remains grey, and the systems partially recognized by humans are part of the grey world. Gaining knowledge and increasing discoveries only contribute to the grey systems that are already known. (shrink)

Purpose: Despite various comparative studies in the field of cultural heritage protection in the world, there is still a significant lack of comparative research on policies related to the legal system of countries' governance. The purpose of this study is to address the comparative policies in Iran and Italy, with a particular focus on the results of the executive experiences of two different types of policies in the cities of Oroumieh (North-West of Iran) and Turin (in North-West of Italy). Design/methodology/approach: (...) Utilising the comparative, analytical, bibliographic and descriptive historical research methodology, which is based on the study of the local, national and international comprehensive review of regulations and policy-making of cultural heritage preservation policies in Iran and Italy. In this research, the related documents in three languages (Persian, Italian and English) have been examined to compare profoundly and comprehensively the policies and regulations adopted in these two countries to be able to analyze the national and transnational regulations and local policies in the cultural heritage sector. Findings: In addition to many cultural similarities and numerous commonalities, especially in the multiplicity of urban cultural heritage in historical centers, the results suggest that the legislation structure in Iran is much more centralized than in Italy. Also, the findings suggest that Italy focuses on aligning its previously centralized national legislative system in line with contemporary European heritage and preservation policies. Originality/value: The paper outlines how to use historical and cultural similarities through comparative study to benefit the experiences of two historical countries in urban heritage conservation and policy-making part despite their differences. (shrink)

This article investigates the political role of social theories in contemporary Iran. It focuses, specifically, on how the 1979 Revolution marks a passage in Iranian political and social thought from political radicalism informed by Marxism to reformist liberalism inspired by local readings of Weber, Habermas, and Giddens. By investigating the writings of public intellectuals and political activists involved in Iran’s reform movement, the article traces their transformation from leftist revolutionary radicals to liberal proponents of free market, democracy, and religious pluralism. (...) It will be argued that an inadequate understanding of economic issues underlies the political failings of this movement. (shrink)

The concept of space has always been a fundamental theme and issue since the beginning of philosophy and abstract thinking in ancient Greece, and has been fundamentally change due to cultural-historical changes of spatiality throughout the history of knowledge. At the beginning of philosophy, there was a metaphysical question about the beginning or the first cause of all things, to which the concept of space, as a fundamental concept, is the answer. The main lines of philosophical discourse in ancient Greece, (...) which flowed in the philosophy of Plato and Aristotle, were conceived in the context of Euclid's geometry and Ptolemy's worldview. In the modern era, Descartes, Leibniz and Kant tried to conceptually influence space with Copernican rotation and Newtonian physics. Finally, spatial imagery is challenged by the application of physiological problems through non-Euclidean geometry, and especially through phenomenology. Hence, the opening of phenomenological concepts in philosophy and other disciplines that focus on the concept of space could be of interest to researchers in the foundations of phenomenology. Therefore, the aspect of effort in this article is the descriptive analytical development of the opinions of three expert phenomenologists on space. These three philosophers base their theories on a critique of the way of speaking on space. This approach taken by Descartes and Newton has been completed in recent times. In this article, we discuss the philosophical foundations of these philosophers. We discuss the space with each of these three philosophers in terms of a key concept in their philosophical system. Therefore, for Cassirer, we discuss the concept of symbolic spaces, for Heidegger, the concept of being-in-the-world, and for Schmitz, the concept of surfaceless space and felt-bodily space. (shrink)

This book is about the journey that humanity has taken over the last 2500 years in its understanding of religion, philosophy and to bring us to the brink of planetary destruction. This should be read by anyone with an interest in understanding religion, philosophy, the approach of modern medicine or the roots of our current climate crisis and ecocide. They will learn that the roots of our current planetary crisis in the early 21st century stem well beyond the fossil fuel (...) industry and actually have their origins in shifts in paradigms of philosophy and religion going back 2500 years and continuing their pervasive influence well into the 20th and 21st centuries in order to help provide a root cause analysis to help comprehensively address humanity's greatest problem of the 21st century. The book is different from other similar books in that it does not merely look at the abuses of the fossil fuel industry, humanity's excessive use of plastic or even civilizational changes from tribal to more individual societies; rather, it looks at how our abuses in understanding and applying philosophy, religion and scientific medical understanding have taken humanity to the self-inflicted brink of planetary destruction. (shrink)

Intellectual humility (IH) is often conceived as the recognition of, and appropriate response to, your own intellectual limitations. As far as we are aware, only a handful of studies look at interventions to increase IH – e.g. through journalling – and no study so far explores the extent to which having high or low IH can be predicted. This paper uses machine learning and natural language processing techniques to develop a predictive model for IH and identify top terms and features (...) that indicate degrees of IH. We trained our classifier on the dataset from an existing psychological study on IH, where participants were asked to journal their experiences with handling social conflicts over 30 days. We used Logistic Regression (LR) to train a classifier and the Linguistic Inquiry and Word Count (LIWC) dictionaries for feature selection, picking out a range of word categories relevant to interpersonal relationships. Our results show that people who differ on IH do in fact systematically express themselves in different ways, including through expression of emotions (i.e., positive, negative, and specifically anger, anxiety, sadness, as well as the use of swear words), use of pronouns (i.e., first person, second person, and third person) and time orientation (i.e., past, present, and future tenses). We discuss the importance of these findings for IH and the value of using such techniques for similar psychological studies, as well as some ethical concerns and limitations with the use of such semi-automated classifications. (shrink)

Generative artificial intelligence systems based on transformers, including both text-generators like GPT-4 and image generators like DALL-E 3, have recently entered the popular consciousness. These tools, while impressive, are liable to reproduce, exacerbate, and reinforce extant human social biases, such as gender and racial biases. In this paper, we systematically review the extent to which DALL-E Mini suffers from this problem. In line with the Model Card published alongside DALL-E Mini by its creators, we find that the images it produces (...) tend to represent dozens of different occupations as populated either solely by men (e.g., pilot, builder, plumber) or solely by women (e.g., hairdresser, receptionist, dietitian). In addition, the images DALL-E Mini produces tend to represent most occupations as populated primarily or solely by White people (e.g., farmer, painter, prison officer, software engineer) and very few by non-White people (e.g., pastor, rapper). These findings suggest that exciting new AI technologies should be critically scrutinized and perhaps regulated before they are unleashed on society. (shrink)

BackgroundMedical errors, unsatisfactory outcomes, or treatment complications often prompt patient complaints about healthcare providers. In response, physicians may adopt defensive practices to mitigate objections, avoid complaints, and navigate lengthy trial processes or other potential threats. However, such defensive medicine (DM) practices can carry risks, including potential harm to patients and the imposition of unnecessary costs on both patients and the healthcare system. Moreover, these practices may run counter to accepted ethical standards in medicine.MethodsThis qualitative study involved conducting semi-structured interviews with (...) 43 physicians, among whom 38 were faculty members at medical universities, 42 had administrative experience at various levels of the health system, and 23 had previously served as health system policymakers. On average, the participants had approximately 23.5 years of clinical experience. The selection of participants was based on purposive sampling. Data collection through interviews continued until data saturation was achieved.ResultsBased on the findings, DM manifests in both positive and negative forms, illustrated by instances like ordering unnecessary lab tests, imaging, or consultations, reluctance to admit high-risk patients, and avoiding high-risk procedures. The study participants identified a range of underlying and contextual factors contributing to DM, encompassing organizational-managerial, social, personal, and factors inherent to the nature of defensive medical practices. The results also highlight proposed strategies to address and prevent DM, which can be grouped into organizational-managerial, social, and those focused on modifying the medical complaints management system.ConclusionDM is a multifaceted and significant phenomenon that necessitates a comprehensive understanding of its various aspects, including interconnected and complex structures and underlying and contextual factors. While the results of this study offer a solid foundation for informing policy decisions within the healthcare system and include some explanatory policy suggestions, we encourage policymakers to complement the findings of this study with other available evidence to address any potential limitations and to gain a more comprehensive understanding of the policymaking process related to DM. (shrink)

The assassinations of the Prophet Muḥammad’s antagonists were, according to the sīra, the harsh measures he took toward the consolidation of Islam in the Arabian Peninsula. These incidents’ narratives are often labeled in modern scholarship as “completely free of any tendentiousness.” This contention seems, however, to be grounded in the lack of full cognizance of the sources’ ulterior motives and of the extent of literary devices deployed in the traditional biography of the Prophet. The present study identifies the topoi appearing (...) in the murder accounts of the Prophet’s political opponents that shed light on the extent of these stories’ dependence on each other and on the possibility of literary borrowing between them. This analysis shows that the use of literary tools in the sources are more widespread than what may appear at first sight. Our accounts exhibit striking resemblances with one another in both form and content, a point seriously undermining the trustworthiness of the sīra as a straightforward source for reconstructing the Prophet’s life. (shrink)

Every scientific or intellectual movement is founded upon basic assumptions and hypotheses that shape its specifically formulated philosophy. This study seeks to explore and explicate the basic philosophical underpinnings of grey systems theory, as well as the paradigm governing its postulates. The study, more specifically, scrutinizes the underlying principles of GST from the perspective of postmodern philosophy. To accomplish this, the epistemology, ontology, human nature, and methodology of GST are substantially investigated in the light of postmodern philosophy. The study draws (...) on Burrell and Morgan’s framework to reveal the paradigm underlying the philosophy of GST. Results demonstrate that GST is an anti-realistic, anti-positivistic, and non-deterministic theory which is inherently pluralistic and ideographic. Based on the principles of GST, change is an indispensable dimension of human speculation about the world and systems, and knowledge is ceaselessly reproduced as new information is collected. As a result, knowledge, narratives, theories and scientific laws are dynamically changed. GST, then, is remarkably compatible with the foundations of postmodern thought and it could be regarded as a postmodern theory governed by a humanistic paradigm. (shrink)

This study explores how syntactic and discourse-based parsing principles direct English relative clause attachment preferences. Forty-nine highly advanced L1-Persian L2-English and thirty-six English native speakers completed a self-paced reading task involving temporarily ambiguous relative clauses that were semantically associated with either the first or the second noun phrase (NP) in a complex NP (NP1–of–NP2) (The resident called the nurse NP1 of the patient NP2 who was injecting penicillin/coughing severely). We manipulated the definiteness of the antecedent (a/the nurse & a/the patient) (...) to examine the extent to which a discourse-based definiteness principle — which motivates attachment to a definite NP — impacts attachment preferences. The results showed no L1/L2 differences, and both groups preferred an NP2 interpretation in relative clauses with a definite antecedent but no strong preference in relative clauses with an indefinite antecedent. The findings highlight the significance of definiteness and cast doubt on the hypothesis that L1 and L2 processing are fundamentally different. (shrink)

Conversational implicatures (CIMs) are implied by the speaker in context rather than being linguistically encoded, and learners’ inability to infer the intended meaning, if not remedied through instruction (or mediation), leads to communication breakdowns. Given this premise, the current study aimed to examine effects of classroom praxis-based instruction adjusted to EFL learners’ Zone of Proximal Development (ZPD) on their comprehension of CIMs. Participants were 36 Iranian high school students in 2 classrooms, assigned to experimental and comparison groups. A 20-item CIM (...) test was administered at pretest and posttest times to collect the data. Microgenetic trajectories were also traced through audio-recorded role-plays and social interactions within the ZPD setting. ZPD-adjusted mediational instruction on CIMs was given based on a multi-level regulatory scale and a view of microgenetic development along an other-to self-regulated functioning continuum. In the non-ZPD setting, mainstream teacher-fronted instruction was employed. ANCOVA results revealed differential instructional effects in favor of the praxis-based mediational setting. Microgenetic learning episodes also portrayed how collectively-mediated, ZPD-activated learning led to L2 learners’ progressively improved comprehension of CIMs. The findings suggest that comprehension (and perhaps production) of L2 CIMs can be improved through praxis-oriented co-construction of pragmatic knowledge through collaborative engagement with communicative activity. (shrink)

Every scientific or intellectual movement rests on central premises and assumptions that shape its philosophy. The purpose of this study is to review a brief account of the main philosophical bases of grey systems theory (GST) and the paradigm governing its principles. So, the recent studies on the philosophical foundations of GST have been reviewed and tried to pay attention to some key ambiguities in the previous studies and give more and clearer explanations in this paper. Also, this paper tries (...) to fill the gap among the previous studies and to provide a purposeful connection between them by expressing two key concepts: complete information and imbalance knowledge. Primarily, the study addresses the theoretical foundations of uncertainty and the concept of greyness. Next, it focuses on the notion of “complete information” and challenges to it. Then, it reviews such processes as perception, cognition, and understanding, as well as their dynamic nature. It explains how knowledge is produced through understanding and interpreting information/data and the dynamics governing the whole process. Also, the study describes any dataset, no matter how large it may be, will remain incomplete, imperfect, and grey, so humans only rely on incomplete datasets to interpret the world. As such, information and knowledge are always grey and uncertain because they are basically contingent on subjective understandings and interpretations and imperfect inputs and data. Finally, as a key development, this study also demonstrates that human grey knowledge remains imbalanced across different disciplines and spheres. In the end, a brief overview of the philosophical paradigm of GST is also provided. GST is depicted as an anti-realistic, anti-positivistic, and non-deterministic approach, which is inherently pluralistic and ideographic. According to GST principles, dynamicity and change are essential parts of human narratives of the world and systems, and human knowledge is constantly reproduced through collecting new information. As a result, knowledge, theories, narratives, and scientific laws dynamically change. Given this premise, one could argue that GST is considerably compatible with the postulates of post-modern thinking. (shrink)

The current paper discusses the peer review process in journals that publish research papers purveying new science and understandings. Different aspects of peer review including the selection of reviewers, the review process and the decision policy of editor are discussed in details. Here, the pros and cons of different conventional methods of review processes are mentioned. Finally, a suggestion is presented for the review process of scientific papers.

This study seeks to explicate the philosophical foundations and theoretical outlines of grey systems theory by focusing on human perception, cognition, and understanding processes and by considering their functions in the process of producing knowledge. Primarily, the study investigates the processes of perception, cognition, and understanding, as well as their dynamicity. Then, it is explained how knowledge is produced through the interpretation/understanding of information and data and through the dynamicity governing this process. The findings reveal that human perception, cognition, and (...) understanding perpetually remain grey and imperfect, while lost sensatory data mark the very first aspect of greyness in such human capabilities. Furthermore, any piece of data, as a discrete and single entity, represents a determinate fact, symbol or signal from the world, while any set of data, no matter how large, remains incomplete and imperfect, and human beings always interpret inadequate sets of data in the world. Therefore, information and knowledge always remain grey and uncertain because they deeply rely on subjective understandings/interpretations and work with imperfect inputs and sets of data. The impact of knowledge on action and interaction and their effects on the world are some factors adding to the dynamicity of the world. Constant change in world data, outdated knowledge, defects in datasets, and human biases in understanding all confirm the infinitely grey nature of human knowledge of the world. (shrink)

Similar to its old history, Japan has a rich traditional and ethical Architecture. Based on these tenets and ethics, different concepts and spaces are formed through the time, as now Japan's ethical and traditional design ideas has its standard principles. Linking the present and the past has always been a momentous criterion in the countries with an old rich Architecture. This fact is indeed important in Japan due to the blend of ethics and religions with peoples` life. Through this idea, (...) three Japanese Architects, Kenzo Tange, Fumihiko Maki and Tadao Ando-who are the only Japanese pritzker prize winners-have well, noticed the need for linking the country's traditional and ethical Architecture criteria with the contemporary Architecture. So, analyzing such projects of these architects prepares a good basis to find out the quality of how traditional and ethical design ideas crystallize in the works of contemporary Japanese architects. The research method for this article is a comparative analysis between the architects` particular projects and Japan's ethical and traditional design ideas, formed through the history of architecture in this country. The contents of this article rely heavily on three bases: 1) study of the historical documents concerning the ethical and traditional design concepts in Japan. 2) The consultancy of leading experts on Asian traditional constructions and ethical architecture specialists from Azad Universities in Tehran. 3) Comparative analysis between the ethical concepts applied in different contemporary works. The results show that the contemporary architects have had good bases for presenting the traditional design concepts as standard principles are all formed in the architecture of Japan today. Meanwhile, it seems that Maki and Ando are more likely to have a conceptual look at Japan's traditions while Tange has a more formal viewpoint. Chronological analysis of the architects` projects shows that despite, all the three architects were impressed by the works of le Corbusier, they were successful to keep contacts with Japan's traditional design concepts. (shrink)

Aging is accompanied by stereotyped changes in functional brain activations, for example a cortical shift in activity patterns from posterior to anterior regions is one hallmark revealed by functional magnetic resonance imaging (fMRI) of aging cognition. Whether these neuronal effects of aging could potentially contribute to an amelioration of or resistance to the cognitive symptoms associated with psychopathology remains to be explored. We used a visual illusion paradigm to address whether aging affects the cortical control of perceptual beliefs and biases. (...) Our aim was to understand the effective connectivity associated with volitional control of ambiguous visual stimuli and to test whether greater top-down control of early visual networks emerged with advancing age. Using a bias training paradigm for ambiguous images we found that older participants (n = 16) resisted experimenter-induced visual bias compared to a younger cohort (n = 14) and that this resistance was associated with greater activity in prefrontal and temporal cortices. By applying Dynamic Causal Models for fMRI we uncovered a selective recruitment of top-down connections from the middle temporal to Lingual gyrus (LIN) by the older cohort during the perceptual switch decision following bias training. In contrast, our younger cohort did not exhibit any consistent connectivity effects but instead showed a loss of driving inputs to orbitofrontal sources following training. These findings suggest that perceptual beliefs are more readily controlled by top-down strategies in older adults and introduce age-dependent neural mechanisms that may be important for understanding aberrant belief states associated with psychopathology. (shrink)

Background To practice nursing ethics, students must first understand the ethical concepts and principles of their profession, but despite this knowledge, students face challenges in implementing ethical principles in clinical settings. The educational performance of nurse educators is critical in resolving these challenges. This study focused on the lived experiences of nurse educators. Objective To address the main concern of educators when teaching ethics to undergraduate nursing students and how they deal with it. Research Design We conducted this qualitative content (...) analysis in Iran in 2020. We used individual semi-structured interviews to collect, record, and transcribe data, as well as Graneheim and Lundman method to analyze them. Participants and research context: We used purposive sampling to select 11 nurse educators who either were currently in the position of ethics educators or had taught ethics from Iranian universities of medical sciences. Ethical considerations The present study received the code of ethics No. IR.MODARES.REC.1399.036. Participants were aware of the study’s purpose and signed a consent form to participate in the study. We considered data confidentiality and the voluntary principle in data collection. Findings Nurse educators’ main concern was how to sensitize students to ethical principles in clinical settings, so they tried to involve students in the teaching process, to repeat and practice ethical principles and concepts, simplify and simulate ethical principles and concepts, and provide opportunities for students to gain clinical experiences. Discussion To sensitize students to ethical nursing care, nurse educators try to institutionalize ethical principles using different teaching methods, including students' involvement in teaching, experiential learning through simulated situations, practice, repetition, and provision of opportunities for practice and experience. Conclusion Improving students’ cognitive ability and objectifying moral concepts and principles for students will institutionalize moral values in them that are fundamental for their moral sensitization. (shrink)

Since the time of the Renaissance, it has been believed in the West that Greco-Roman Civilization developed solely between Athens, Rome and Paris. In so doing, we forget the detour that Greek culture took into Muslim culture over a period of several centuries, and the influence of this culture on Muslim philosophy and science. This assumption also fails to take note of Muslim influence on Europe, in which Andalusia and Sicily acted as intermediaries. In order accurately to trace the spread (...) of knowledge from Greece we must follow a path leading from Athens to Baghdad and Cordoba before reaching Paris. If we omit this historical reality, we underestimate the role played by Eastern Christians and Jews in the transmission of Greek knowledge to Islam, and from Islam to the West. (shrink)

This article investigates the construction of urban/rural binary distinctions in 18th - and 19th-century social scientific literature, and in particular in the writings of the statistical societies in England. The 18th-century writers were primarily concerned with the spread of luxury, vice and effeminacy among the upper social strata in large cities. Later on, statisticians began to focus on moral hazards among the urban working poor. These writings are significant in several respects: they contributed to the spatial mapping of moral character, (...) played a role in the development of quantitative social scientific techniques, and foreshadowed later sociological debates over the nature and consequences of social evolution from simpler to more complex societies. (shrink)

The present study investigates variability among raters from different linguistic backgrounds, who evaluated the pragmatic performance of English language learners with varying native languages (L1s) by using both self- and peer-assessments. To this end, written discourse completion task (WDCT) samples of requesting speech acts from 10 participants were collected. Thereafter, the participants were asked to assess their peers’ WDCTs before assessing their own samples using the same rating scale. The raters were further asked to provide an explanation for their rating (...) decisions. Findings indicate that there may indeed be a link between a rater’s language background and their scoring patterns, although the results regarding peer- and self-assessment are mixed. There are both similarities and differences in the participants’ use of pragmatic norms and social rules in evaluating appropriateness. (shrink)

As access to the internet continues to grow, so do concerns about its effects on individuals. This digital revolution is not without its religious implications, and it appears that opinions are divided on how religiosity is being affected. On the one hand, it is possible that the emergence of virtual Islam could lead to an increase in extremism. On the other hand, with more exposure to diverse perspectives, religious tolerance may be bolstered. This article examines the potential effects of the (...) internet and social media on religious thought, drawing upon insights from the contemporary philosophy of technology, specifically postphenomenology. In this framework, technology is seen as an active agent, influencing both the subject and the object. Additionally, this article seeks to explain the logic underlying the conflicting views in the literature. (shrink)

This paper seeks to analyse the concept of atmosphere in the philosophical system of Hermann Schmitz, the founder of New Phenomenology, as a fundamental concept for understanding his philosophical system; he uses this concept to transcend the duality of subject-object as well as to show the hidden realities and the foundations of lived experience of reality, by looking at how phenomenological analysis is revealed. Beside being used in sciences such as physics, meteorology, and psychology, the term also refers to the (...) atmosphere as a concrete phenomenon; it is also an evidence of his understanding the phenomenology and reformulating it. This paper aims to show the connection between the concept of the felt-body (Leib), as the theoretical core of his work, and space and emotion as other key concepts in his philosophical system, by using the structural analysis of the concept and the phenomen of atmosphere.The result of the analysis in this paper shows the special place of the concept of atmosphere in Schmitz's philosophical system and its prominent role in establishing his method of New Phenomenology. (shrink)

The social model of disability is predicated upon the dichotomy of disability and impairment, which proves vulnerable to objections. Phenomenological approaches to disability in particular found this sharp distinction contrived, and accordingly implausible. Moreover, the social model ignores lived body of individuals and the inside-out perspective on disability. A phenomenological approach thus places the emphasis on the embodied nature of being-in-the-world. Yet, when it comes to the role of technology in disabled people’s life, and in particular assistive technologies, it does (...) not do justice to the role they play, and as a result, technology is treated predominantly as instrumental. In this article, I suggest taking a more systematic approach to technology in disability studies and bringing its role into an interrogation. To that purpose, I will draw from the postphenomenology movement to show how technology may actively mediate individuals’ life and, perhaps more importantly, how disability is technologically mediated. (shrink)

This paper evaluates the ways in which European business schools are implementing sustainability and ethics into their curricula. Drawing on data gathered by a recent large study that the Academy of Business in Society conducted in cooperation with EFMD, we map the approaches that schools are currently employing by drawing on and expanding Rusinko’s :507–519 2010) and Godemann et al.’s matrice of integrating sustainability in business and management schools. We show that most schools adopt one or more of the four (...) approaches outlined by Godemann et al.. However, we also argue that a fifth dimension needs to be added as the existing matrices do not capture the systemic nature of such curricular initiatives and how these are influenced by internal factors within the business school and external factors beyond. We suggest calling this fifth dimension ‘Systemic Institutional Integration’ and demonstrate that any business school which aims to integrate sustainability further into the curricula cannot succeed without the following: Systemic thinking and systemic leadership, Connectedness to business, the natural environment and society and Institutional capacity building. Utilising further literature and the answers provided by the deans and faculty, we discuss each factor in turn and suggest paths towards the successful systemic institutional integration of sustainability and ethics into management education. (shrink)

Various political groups were involved in the 1979 Islamic Revolution of Iran, which led to the downfall of the Pahlavi regime. However, Islamic Fundamentalists gradually seized power and eliminated rival ideologies in the 1980s. In the late 1990s, Iranian Reformers won the elections and oversaw the management of the film industry for two four-year administrations until 2005. As liberals and religious democrats, the Reformers supported a modern portrayal of Iranian women in movies. The findings of this research challenge the previous (...) studies that voiced optimism about the new individualistic portrayal of women in Iranian movies. The research methodology is based on Theresa de Lauretis's technologies of gender involving a narrative analysis of sixty-eight Iranian movies produced from 2001 to 2005. Given the political defeat of the Reformers in 2005, the main research question is to what extent has the portrayal of Iranian women gone beyond the ideological domination of Islamic Fundamentalism. (shrink)

Background: Rationing of various needed services, for example, nursing care, is inevitable due to unlimited needs and limited resources. Rationing of nursing care is considered an ethical issue since it requires judgment about potential conflicts between personal and professional values. Objectives: The present research sought to explore aspects of rationing nursing care in Iran. Research design: This study applied qualitative content analysis, a method to explore people’s perceptions of everyday life phenomena and interpret the subjective content of text data. Data (...) collection was performed through in-depth, unstructured, face-to-face interviews with open-ended questions. Participants and research context: The study population included Iranian nurses of all nursing positions, from clinical nurses to nurse managers. Purposive sampling was employed to select 15 female and 3 male nurses (11 clinical nurses, 3 supervisors, 1 matron, 1 nurse, and 2 members of the Nursing Council) working in hospitals of three cities in Iran. Ethical considerations: The study protocol was approved by Tehran University of Medical Sciences (91D1302870). Written informed consent was also obtained from all participants. Findings: According to the participants, rationing of nursing care consisted of two categories, that is, causes of rationing and consequences of rationing. The first category comprised three subcategories, namely, patient needs and demands, routinism, and VIP patients. The three subcategories forming the second category were missed nursing care, patient dissatisfaction, and nurses’ feeling of guilt. Conclusion: Levels at which healthcare practices are rationed and clarity of the rationing are important structural considerations in the development of an equal, appropriate, and ethical healthcare system. Moreover, the procedure of rationing is critical as it not only influences people’s lives but also reflects the values that dominate in the society. Therefore, in order to minimize the negative consequences of rationing of nursing care, further studies on the ethical dimensions of this phenomenon are warranted. (shrink)

The study adopted a systematic review approach to review the existing studies on the relationship between corporate social responsibility (CSR) and Earnings Management (EM). The aim of this study is to determine whether CSR is an effective tool to promote healthy relationships with stakeholders or CSR is used as an effective strategy by firm's mangers to hide out their involvement in (EM) practices. Results revealed that prior research on the CSR‐EM relationship is limited. The majority of the studies found an (...) inverse relationship between CSR and EM. Moreover, mixed results were reported because of the lack of sufficient theoretical support, inappropriate research designs, and varying approaches to measure CSR and EM. This study also synthesizes the various consistencies and inconsistencies in the existing literature of CSR‐EM and future research agenda. Policymakers should reward organizations that pursue CSR purely for social and environmental concerns and at the same time they should be vigilant for those which use CSR for shielding their EM practices. (shrink)

The Semantic-Pragmatic Analysis of Persian Modal Verbs Based on Papafragou's Model This paper aims at analyzing the semantics and pragmatics of Persian modal verbs based on Papafragou's relevance-theoretic model. Persian modals are defined in terms of logical relations and propositional domains. According to the findings of the research, two of the three modals, namely, šodan and tavân express the logical relation of compatibility with respect to different propositional domains: the three forms mišavad, mišod and mišode are unspecified with respect to (...) their propositional domains and take them directly from the context, whereas betavân and bešavad accept the desirability domain. Mitavân also expresses compatibility in relation to the propositions in the factual domain. However, bˇyad is the only modal that encodes the logical relation of entailment and is unspecified with respect to the type of propositional domain it accepts. (shrink)

A challenging issue within the philosophy of technology is the moral relevancy of artifacts. While many philosophers agree that artifacts have moral significance, there are numerous positions on how moral relevancy ought to be understood, ranging from scholars who argue that there is no room for artifacts in moral debates to those who argue for the moral agency of artifacts. In this paper, I attempt to avoid extreme positions; accordingly, I reject both the neutrality thesis and the moral agency of (...) artifacts thesis. Instead, I propose finding a compromise for describing their moral role. In doing so, I take Philip Brey’s idea of developing a new framework, called ‘Structural Ethics,’ as my point of departure. Although the structural ethics proposed by Brey needs some revisions, it may serve as a proper metaethical theory to account for the role of non-humans. (shrink)

Artificial intelligence (AI) systems are increasingly being used not only to classify and analyze but also to generate images and text. As recent work on the content produced by text and image Generative AIs has shown (e.g., Cheong et al., 2024, Acerbi & Stubbersfield, 2023), there is a risk that harms of representation and bias, already documented in prior AI and natural language processing (NLP) algorithms may also be present in generative models. These harms relate to protected categories such as (...) gender, race, age, and religion. There are several kinds of harms of representation to consider in this context, including stereotyping, lack of recognition, denigration, under-representation, and many others (Crawford in Soundings 41:45–55, 2009; in: Barocas et al., SIGCIS Conference, 2017). Whereas the bulk of researchers’ attention thus far has been given to stereotyping and denigration, in this study we examine ‘exnomination’, as conceived by Roland Barthes (1972), of religious groups. Our case study is DALL-E, a tool that generates images from natural language prompts. Using DALL-E mini, we generate images from generic prompts such as “religious person.” We then examine whether the generated images are recognizably members of a nominated group. Thus, we assess whether the generated images normalize some religions while neglecting others. We hypothesize that Christianity will be recognizably represented more frequently than other religious groups. Our results partially support this hypothesis but introduce further complexities, which we then explore. (shrink)

Using an international setting consisting of 5410 corporations domiciled in 24 countries, we test the insurance-like effect of corporate social responsibility (CSR) performance in the era of the pandemic and confirm that CSR performance increases socially responsible companies’ resilience against the adverse effects of the crisis. Comparing stakeholders' responses to CSR activities during the pandemic and normal periods, we observe that the link between CSR performance and firm value is stronger during the crisis period. We also realize that the social (...) aspect of CSR performance is the main driver for the mentioned effects. Finally, comparing the resilience of highly committed socially responsible companies with those with moderate and very low CSR ratings, we observe that best-in-class companies enjoy the greatest buffering effects, implying that the insurance-like effect of CSR performance is non-linear against systematic crises. Findings are robust to ceremonial CSR activities, extreme values of market-based instruments, endogeneity concern, etc. (shrink)

One of the important questions discussed by philosophers of technology has to do with the moral significance of artefacts in human life. While many philosophers agree that artefacts do have moral significance attached to them, opinions vary as to how it is to be construed. In this paper we deal with the approach of the influential Dutch philosopher of technology Peter Paul Verbeek. He criticizes traditional ethical theories for assuming that whatever relevancy artefacts have for morality is entirely dependent on (...) human beings, since artefacts are mere passive instruments of human agency. In contrast, he develops a view of moral agency that includes artefacts and that ascribes moral agency to human-technology hybrids rather than to humans as such. The goal of this paper is to elucidate Verbeek’s account of moral agency and evaluate it. We also deal with his views on post phenomenology and mediation underlying this account. Although the general gist of our paper is expository, we point out to several problems for Verbeek’s account. (shrink)

Background Moral distress is a common challenge among professional nurses when caring for their patients, especially when they need to make rapid decisions. Therefore, leaving moral distress unconsidered may jeopardize patient quality of care, safety, and satisfaction. Aim To estimate moral distress among nurses. Methods This systematic review and meta-analysis conducted systematic search in Scopus, PubMed, ProQuest, ISI Web of Knowledge, and PsycInfo up to end of February 2022. Methodological quality of included studies was assessed using the Newcastle Ottawa checklist. (...) Data from included studies were pooled by meta-analysis with random effect model in STATA software version 14. The selected key measure was mean score of moral distress total score with its’ 95% Confidence Interval was reported. Subgroup analyses and meta-regressions were conducted to identify possible sources of heterogeneity and potentially influencing variables on moral distress. Funnel plots and Begg’s Tests were used to assess publication bias. The Jackknife method was used for sensitivity analysis. Ethical consideration The protocol of this project was registered in the PROSPERO database under decree code of CRD42021267773. Results Eighty-six manuscripts with 19,537 participants from 21 countries were included. The pooled estimated mean score of moral distress was 2.55 on a 0–10 scale [95% Confidence Interval: 2.27–2.84, I2: 98.4%, Tau2:0.94]. Publication bias and small study effect was ruled out. Moral distress significantly decreased in the COVID-19 pandemic versus before. Nurses working in developing countries experienced higher level of moral distress compared to their counterparts in developed countries. Nurses' workplace (e.g., hospital ward) was not linked to severity of moral disturbance. Conclusion The results of the study showed a low level of pooled estimated score for moral distress. Although the score of moral distress was not high, nurses working in developing countries reported higher levels of moral distress than those working in developed countries. Therefore, it is necessary that future studies focus on creating a supportive environment in hospitals and medical centers for nurses to reduce moral distress and improve healthcare. (shrink)

Background In order to achieve the goals of the healthcare system, nursing managers are required to comply with ethical principles in decision-making. In complex and challenging healthcare settings, it is shown that the managers’ mere awareness of ethics does not suffice and managers need to be sensitive toward making ethical decisions. Aim To explore nursing managers and their sensitivity toward ethical decision-making by analyzing their related experiences. Method The current study has been conducted in Iran in 2017 through a qualitative (...) content analysis approach. Nineteen nurse managers were selected purposefully from different hospitals in Tehran. Data were collected using semi-structured, in-depth, face-to-face interviews, and after transcription, they were analyzed according to the Graneheim and Lundman method. Ethical considerations The research was approved by the ethics committee of Tarbiat Modares University, Tehran, Iran. Participants were informed about the purpose of the study and submitted written informed consents regarding their participation. The principle of autonomy, confidentiality, and anonymity was taken into account in data collection. Results Fifteen subcategories, three categories (assertiveness, commitment, and insight), and one theme of excellent decision-making were the results of data analysis. Discussion Findings showed that nursing managers’ sensitivity to ethical decision-making allows them to make the best decision by insight, commitment, and assertiveness. Making a morally excellent decision ensures that ethical principles are followed in the healthcare system. Conclusion Considering that most managers are committed to making ethical decisions, it is required to develop the scope of their insights even further using a professional management and ethical principles training program. Also, by addressing some of the ethical barriers at personal and organizational levels, the assertiveness in managers can be improved, which in turn can facilitate their ethical decision-making. (shrink)

Background Healthy aging is one of the essential aspects of a health promotion program in the elderly. Aim Exploring ethical challenges in healthy elderly care from the perspective of nurses, older adults, and families in the Iranian context. Research Design This qualitative study was conducted using a content analysis approach in 4 health centers in northeastern Iran from 2017 to 2019. Semi-structured interviews, observation, review of elderly files, and focus groups were used to collect data. Ethical considerations The ethics committee (...) of the university approved this study in Iran. This study adhered to the principles of the Helsinki Declaration. Ethical principles autonomy, confidentiality, and anonymity were considered for the participants. Participants were informed about the purpose of the study and submitted written informed consent regarding their participation. Findings The central theme was: An unfair approach to caring for healthy older adults. The three categories were as follows: Forgotten human care, disrespect, and lack of a meaningful and trustworthy relationship. The 14 subcategories highlighted the ethical challenges of healthy aging care in health centers. Discussion The findings showed that due to nurses’ unfamiliarity with the concept of healthy aging, older adults are discriminated against in care centers. Creating a standard care program for healthy older adults ensures that ethical principles are followed for these clients. Conclusion Various individual and organizational factors lead to an unfair approach to caring for healthy elderly in health centers. The following factors can help improve the care of healthy aging and reduce ethical challenges in this area: Introducing nurses to the concept of healthy old age and its dimensions, creating a community-based approach in health centers, prioritizing health issues over health issues, Involvement of families and older adults in needs assessment-goal setting-implementation and evaluation of health services, and design of home visit programs to provide services to healthy elderly. (shrink)

Members of research ethics committees (RECs) face a number of ethical challenges when reviewing genomic research. These include issues regarding the content and type of consent, the return of individual research results, mechanisms of sharing specimens and health data, and appropriate community engagement efforts. This article presents the findings from a survey that sought to investigate the opinions and attitudes of REC members from four Arab countries in the Middle East and North Africa (Egypt, Morocco, Sudan, and Jordan) toward these (...) ethical issues. Our findings suggest that efforts are required to better familiarize REC members with the requirements for ethical biobank research. Additionally, we recommend that further research is undertaken with REC members regarding the main items that should be present in the Material Transfer Agreements /Data Transfer Agreements in their corresponding countries and the type of consent that should be used in genomic research. (shrink)

Metaphor theory claims that there is no any construct of reality outside of domination of a picture orimage. At the bottom of any philosophical system lays an image or a picture. Analysis of thinking relatesto the analysis of metaphorical aspects of that thinking. Every concept that pretends to be abstract becomes a consequence of a concrete image. The canon of philosophy no longer lays at depth but isaroused from surface. Hana Arendt is one of the most interesting and most complicated (...) politicalphilosopher in the 20th century. This study is going to examine the role of theater metaphor in her politicalphilosophy. Arendt’s political philosophy is influenced by theater metaphor. This study aimed to examinethis by using the works of Flydenberg and Blumenberg. (shrink)

This article reports the results of a qualitative study that used a deep interview method. The aim was to gather lived experiences of clinical nurses employed at government-funded medical centres regarding the non-materialistic and spiritual aspects of the profession that have had an important impact on their job satisfaction. On analysing the participants' concepts of spiritual satisfaction, the following themes were extracted: spiritually pleasant feelings, patients as celestial gifts, spiritual commitment, spiritual penchant, spiritual rewards, and spiritual dilemmas. Content analysis of (...) the data indicated that nurses who viewed these dimensions of job satisfaction as a significant factor considered nursing as an opportunity to worship God while providing care for patients, and regarded their aim as achieving patients' contentment by providing nursing care compatible with scientific care methods. (shrink)

Spitale, Germani, and Biller-Andorno (2024) presented an ethical framework for managing risk and crisis communication (RCC) during public health emergencies (PHE) in their recent paper. They advoca...