ObjectivesDepression and anxiety persist in cancer patients, creating an additional burden during treatment and making it more challenging in terms of management and control. Studies on the prevalence of depression and anxiety among cancer patients in the Middle East are limited and include many limitations such as their small sample sizes and restriction to a specific type of cancer in specific clinical settings. This study aimed to describe the prevalence and risk factors of depression and anxiety among cancer patients in (...) the inpatient and outpatient settings.Materials and MethodsA total of 1,011 patients formed the study sample. Patients’ psychological status was assessed using the Hospital Anxiety and Depression Scale, the Patient Health Questionnaire, and the Generalized Anxiety Disorder 7-item scale. The prevalence rate of depressive and anxious symptomatology was estimated by dividing the number of patients who exceeded the borderline score: 10 or more for each subscale of the HADS scale, 15 or more for the GAD-7 scale, and 15 or more in the PHQ-9 by the total number of the patients. Risk factors were identified using logistic regression.ResultsThe prevalence of depressive and anxious symptomatology among all patients was 23.4% and 19.1–19.9%, respectively. Depressive symptomatology was more prevalent across patients who were hospitalized compared with patients in the outpatient setting. Similarly, anxious symptomatology was more prevalent in the inpatient setting. In the inpatient setting, depressive symptomatology was more prevalent among patients with bladder cancer, while severe anxious symptomatology was more prevalent across patients with lung cancer. In the outpatient setting, depressive and anxious symptomatology was more prevalent among breast and prostate cancer patients, respectively. Despite that, around 42.7% and 24.8% of the patients, respectively, reported that they feel anxious and depressed, and only 15.5% of them were using medications to manage their conditions.ConclusionOur study findings demonstrated a higher prevalence of depressive and anxious symptomatology in the inpatient setting and advanced disease stages. In addition, the underutilization of antidepressant therapy was observed. There is a need to consider mental disorders as part of the treatment protocol for cancer patients. Enhanced clinical monitoring and treatment of depression and anxiety of cancer patients are required. (shrink)

Buildings energy consumption is growing gradually and put away around 40% of total energy use. Predicting heating and cooling loads of a building in the initial phase of the design to find out optimal solutions amongst different designs is very important, as ell as in the operating phase after the building has been finished for efficient energy. In this study, an artificial neural network model was designed and developed for predicting heating and cooling loads of a building based on a (...) dataset for building energy performance. The main factors for input variables are: relative compactness, roof area, overall height, surface area, glazing are a, wall area, glazing area distribution of a building, orientation, and the output variables: heating and cooling loads of the building. The dataset used for training are the data published in the literature for various 768 residential buildings. The model was trained and validated, most important factors affecting heating load and cooling load are identified, and the accuracy for the validation was 99.60%. (shrink)

Following a long-term international collaboration between leaders in cosmology and the philosophy of science, this volume addresses foundational questions at the limit of science across these disciplines, questions raised by observational and theoretical progress in modern cosmology. Space missions have mapped the Universe up to its early instants, opening up questions on what came before the Big Bang, the nature of space and time, and the quantum origin of the Universe. As the foundational volume of an emerging academic discipline, experts (...) from relevant fields lay out the fundamental problems of contemporary cosmology and explore the routes toward finding possible solutions. Written for graduates and researchers in physics and philosophy, particular efforts are made to inform academics from other fields, as well as the educated public, who wish to understand our modern vision of the Universe, related philosophical questions, and the significant impacts on scientific methodology. (shrink)

Business Ethics: A European Review, EarlyView.

Background Ethical care provided by nurses to earthquake victims is one of the main subjects in nursing profession. Objectives Given the information gap in this field, the present study is an attempt to explore the nurses’ experience of ethical care provided to victims of an earthquake. Research design and method A hermeneutic phenomenological study was performed. The participants were 16 nurses involved in providing care to the injured in Kermanshah earthquake, Iran. They were selected using purposeful sampling, and in-depth and (...) semi-structured interviews were carried out. The transcribed interviews were analyzed based on the hermeneutic approach using the analysis method proposed by Diekelmann et al. Ethical considerations The study was approved by the Research Council and Ethics Committee of Urmia University of Medical Sciences, Iran. Findings Data analyses revealed four themes and 10 sub-themes that illustrated nurses’ experience of ethical care during earthquake. The themes were (1) Respecting humanistic values (sacrifice, stepping beyond task description, and voluntary work), (2) Commitment to ethics (honesty, confidentiality, and trustworthiness), (3) Respecting dignity of victims (respecting cultural values, maintaining privacy, having humanistic perspective, and effective communication), and (4) Spiritual support (helping patients to do religious rituals Psychological support). Conclusion The results showed the nurses’ experience with providing care to earthquake victims. The findings underlined ethics and ethical values in providing nursing care during disasters. It is suggested that special courses on the importance of nursing ethics in critical situations be incorporated into nursing curriculums and in-service educations. (shrink)

In the conditions in which dominant global powers is still trying to expand their cultural hegemony, neo-colonialism, over the countries which are trying to hold their independence, through the creation of native intellectuals who are mentally Gharbzadeh, Westoxificated. This study finds it crucial to take the issue a step further ahead to discuss how the ideas of Ale-e Ahamad’s famous theory of Gharbzadegi is still applicable in our time and reveals its representations in Said’s well-known concept of Orientalism. These imperial (...) powers through the controlling of the world’s educational system and thoughts and ultimately the mindsets of the native intellectuals of the downtrodden countries would have produced Intellectuals who are mentally filled with Westernized knowledge. These people who are mostly kind, good in nature, and placid seem to be dominated by a sense of instrumental rationality which makes them obediently adaptable to the dominant power. These people have narrated our history so far and we have had enough. (shrink)

Using a sample of 15,174 firms from 24 countries included in the 2009 World Bank Enterprise Survey, we investigate the impact of disclosure standards and auditing infrastructure on the bribery of public officials to secure government contracts. We find that firms are less likely to grant gift to secure a government contract in countries having more extensive financial reporting requirements and countries where audit firms face a higher litigation and sanction risk. Findings also show that firms are less likely to (...) bribe bureaucrats in case financial statements are reviewed by an external audit firm. Our results are economically significant and are robust to several sensitivity analyses. These findings support certain policies that are currently being implemented or discussed to mitigate bribery within the public sector across the globe. (shrink)

Abstract There are two kinds of beliefs. If the ultimate objective is wellbeing (util- ity), the generated beliefs are “practical.” If the ultimate objective is truth, the generated beliefs are “scientific.” This article defends the practical/scientific belief distinction. The proposed distinction has been ignored by standard rational choice theory—as well as by its two major critics, viz., the Tversky/Kahneman program and the Simon/ Gigerenzer program. One ramification of the proposed distinction is clear: agents who make errors with regard to scientific (...) beliefs (e.g., the conjunction fallacy) should not be taken as committing irrationality—because they are most probably engaging the other kind of maximization, the pursuit of wellbeing. (shrink)

Medical research must involve the participation of human subjects. Knowledge of patients' perspectives and concerns with their involvement in research would enhance recruitment efforts, improve the informed consent process, and enhance the overall trust between patients and investigators. Several studies have examined the views of patients from Western countries. There is limited empirical research involving the perspectives of individuals from developing countries. The purpose of this study is to examine the attitudes of Egyptian individuals toward medical research. Such information would (...) help clarify the type and extent of concerns regarding research participation of individuals from cultural, economic, and political backgrounds that differ from those in developed countries. (shrink)

This paper addresses the impact of the unethical business conduct of a few individuals that shook the financial market in 1986. Specifically, in the study undertaken for this paper, the wealth status of the shareholders of securities firms was examined in relation to the public disclosure of the insider-trading scandals involving Dennis Levine, Ivan Boesky, and their confederates. It was hypothesized that the expected market-adjusted stock returns for the securities firms would be negative as a result of the scandals. The (...) findings of the study supported the hypothesis. (shrink)

The paper distinguishes between two kinds of products, `symbolic' and `substantive'. While substantive products confer welfare utility in the sense of pecuniary benefits, symbolic products accord self-regarding utility. Symbolic products enter the utility function in a way which differs from substantive ones. The paper distinguishes among three kinds of symbolic products and proposes that each has a distorted form. If symbolic products result from forward-looking evaluation, they act as `prestige goods' which please admiration or, when distorted, as `vanity goods' which (...) satiate pretentiousness. When symbolic products originate from forward-looking action, they act as `pride goods' which satisfy respect or, when distorted, as `deference goods' which indulge pomposity. When symbolic products arise from backward-looking evaluation, they act as `identity goods' which enhance dignity or, when distorted, as `reification goods' which gratify reverence. (shrink)

Oaksford & Chater (O&C) would need to define rationality if they want to argue that stomachs are not rational. The question of rationality, anyhow, is orthogonal to the debate concerning whether humans use classical deductive logic or probabilistic reasoning.

Neo-Darwinism is based on the same principles as the Walrasian analysis of equilibrium. This may be surprising for evolutionary economists who resort to neo-Darwinism as a result of their dissatisfaction with Walrasian economics. As it is well-known, the principle of rationality does not play a role in neo-Darwinism. In fact, the whole (neo-)Darwinian agenda became popular exactly because it expunged the idea of rationality from nature, and hence, from equilibrium. It is less known, however, that the rationality principle is also (...) not central in Walrasian equilibrium analysis. Therefore, if we find that the rationality principle must be central to the analysis of decision making of human and nonhuman organisms, we must advance organomics . Organomics is bioeconomics understood as the use of rational choice to the study of the behavior of human and nonhuman organisms. Organomics offers a different starting point than the one offered by neo-Darwinism. (shrink)

_Pakistan gained independence on August 14, 1947. Its democratic system has deep historical roots dating back to ancient times. This study explores the growth and development of grassroots governance in Pakistan. A qualitative research approach was employed, incorporating an extensive review of books on the subject and relevant online materials. The research reveals that grassroots governance in Pakistan has undergone several evolutionary phases, supported by a strong legal and constitutional framework. These constitutional provisions have played a crucial role in reinforcing (...) local governance institutions. The study finds that the system of local governance has provided citizens with the opportunity to manage their affairs through elected representatives, thus empowering individuals across different social strata without discrimination based on caste or creed. This empowerment at the local level has been instrumental in fostering inclusive participation in the democratic process and enhancing the overall effectiveness of governance. The study concludes that grassroots governance in Pakistan not only has a rich historical foundation but also continues to be a vital component of the country’s democratic framework, promoting equity and inclusion._. (shrink)

Leibnizian senses of temporality are analized, in order to assess that Leibniz’s formal and a priori notion of time is based on his own modal metaphysics. In this way, we can say that time constitutes the notion that allows the modalities articulation (Possibility-Necessity-Contingency) as well as the role of modal concepts allows to control the time.

For the authors of the target article, innovations are underdetermined by environmental inducement underdetermination.sourceinducement” that makes the organism adopt it in the future.

The brain is involved in theory-laden cognitive processes. But there are two different theory-laden processes. In cases where the theory is based on facts, more facts can either falsify or confirm a theory. In cases where the theory is about the choice of a benchmark or a standard, more facts can only make a theory either more or less warranted. Clark offers a review of a view of the brain where the brain pro- cesses input information in a way that (...) confirms its priors or its pre- dictions. This does not mean that the brain creates its own reality. The brain, rather, processes input data, but it does so in light of its own priors. The brain is a bidirectional hierarchical structure. While the top layers generate priors, the lower layers process input data. The brain amounts to the dynamics of image- making, where the top-down process generates unified images, while the bottom-up process, which takes data, corrects the images. (shrink)

I attempt a reconstruction of Adam Smith's view of human nature as explicated in The Theory of Moral Sentiments. Smith's view of human conduct is neither functionalist nor reductionist, but interactionist. The moral autonomy of the individual, conscience, is neither made a function of public approval nor reduced to self-contained impulses of altruism and egoism. Smith does not see human conduct as a blend of independently defined impulses. Rather, conduct is unified, by the underpinning sentiment of sympathy.

The study focuses on the emotional-motivational experiences of Bedouin-Arab beginning teachers during the induction period, from the perspective of Self-Determination Theory. A phenomenological study was employed. Seventy-four teachers participated, 62 of whom completed open questionnaires, while semi-structured interviews were conducted with 12 other participants. The findings indicate that the beginning teachers reported experiences of coercion, exploitation, and gender-based discrimination. They also experienced a judgmental attitude, lack of assistance, and difficulties with students, and their sense of relatedness to the school is (...) impaired due to cultural factors. As a result, they expressed controlled motivation, a sense of burnout, stress, impaired well-being and disengagement in school. They also suppressed their students' autonomy. At the same time, the findings also show that when the teachers experience a sense of need satisfaction, they integrate well into the school. These findings indicate the necessity for establishing a need-supportive school environment for beginning teachers during their induction period. (shrink)

Textual exegesis is used to show that Marx's concept of social labor is transhistorical, referring to a collective activity of humans as a species. The collective nature of labor is suspended in capitalist production because of the anarchic character of market relations. But the suspension is skin deep: The sociality of labor asserts itself in a mediated manner through the alienated empowerment of goods with value. This is commodity fetishism, which vanishes when relations of production become actually collective?matching the transhistorical (...) essence of labor. Marx's concept of social labor is adjudged inadequate. It amounts to asserting that the actions of agents could be ex ante calculated according to a global rationality. In this respect, Marx's concept of social labor is reminiscent of the equally deficient notion of perfect competition in mainstream neoclassical economics. (shrink)

According to Tocqueville, the freedom of the press, which he treats as an extension of the freedom of speech, is a primary constituent element of liberty. Tocqueville treats the freedom of the press in relation to and as an extension of the right to assemble and govern one’s own affairs, both of which he argues are essential to preserving liberty in a free society. Although scholars acknowledge the importance of civil associations to liberty in Tocqueville’s political thought, they routinely ignore (...) the importance he places on the freedom of the press and speech. His reflections on the importance of the free press and speech may help to shed light on the dangers of recent attempts to censor the press and speech. (shrink)

Organisms change their shape and behavior during ontogenesis in response to incentives—what biologists call “phenotypic plasticity” or what is called here more specifically “behavioral plasticity.” Such plasticity is usually in the direction of enhancing welfare or fitness. In light of basic concepts in economics, such behavioral plasticity is nothing but rationality. Such rationality is not limited to organisms with neural systems. It also characterizes brainless organisms such as plants, fungi, and unicellular organisms. The gist of the article is the distinction (...) between rationality and intelligence. Whereas rationality is ubiquitous in all organisms, intelligence varies in degrees depending on division of labor that may involve the evolution of a neural system. This article aims to defend the universality of rationality—the Organismus oeconomicus hypothesis. It argues that neither the notion of bounded rationality of behavioral economics nor Herbert Simon’s “procedural rationality” can ultimately undermine the Organismus oeconomicus hypothesis. (shrink)

Alfred I. Tauber (ed.), Organism and the Origins of Self. Dordrecht, Netherlands: Kluwer Academic Publishers, 1991. xix + 384 pp., US$ 110.00 (US$ 25.00 paperback). This is a fascinating book based on a 1990 symposium at Boston University. It promises to change the way one conceives of the organism. The authors start from different specializations but provide a most tantalizing feast of ideas. Richard Lewontin commences the book with a strange foreword. Lewontin submits that the concern with the "self and (...) private identity in modern biology is ... only one manifestation of the ideology of individualism that is a shibboleth of our particular [bourgeois] form of social organization" (p. xix). If this is the case, the reader should stop reading the book and ask for her money back. But I advise patience. Tauber's introduction is a mixture of the history of the medical notion of disease and the advocacy of a dialectical concept of the self as the interpenetration of part and whole. Tauber highlights Elie Metchnikoff's appealing idea of phagocytosis as just one form of the active organism striving to attain harmony among competing cells. (shrink)

Ovaj rad odgovara na argument modalnog kolapsa protiv božanske jednostavnosti ili klasičnog teizma koji nude neoklasični ili kompleksni teisti. Argument modalnog kolapsa tvrdi da ako je Bog apsolutno jednostavan i apsolutno neophodan, tada je Božji čin stvaranja apsolutno neophodan, pa je stoga postojanje stvorenog svijeta također apsolutno neophodno. To znači da se Bog i njegova kreacija urušavaju u jednu modalnu kategoriju apsolutne nužnosti bez ikakvih kontingentnih bića. Moj odgovor je utemeljen na islamskoj neoplatonstičkoj filozofiji Ibn Sine i islamskoj tradiciji. Nudim (...) četiri argumenta koji dopuštaju muslimanskom neoplatoničaru da apsorbira modalni kolaps u modalitetu mogućih svjetova koji istovremeno može negira modalni kolaps unutar avicenovskog modaliteta: Prvo, prigovor modalnog kolapsa temelji se na okviru mogućih svjetova čiji je pojam nužnosti preširok; ovaj okvir ne uspijeva napraviti razliku između Boga kao ontološki nužnog po sebi, stvorenog bića kao nužno ovisnog o drugome i puke logičke nužnosti, kao što to čine Ibn Sina i islamski mislioci. Drugo, argumenti modalnog kolapsa samo pokazuju da je kreacija neophodna kroz drugost, ali ne uspijevaju dokazati da kreacija ima ontološku nužnost ili aseity––što se odnosi samo na Boga; prema tome, ne dolazi do posljedičnog modalnog kolapsa kada nečiji modalitet prepozna kreaciju kao "ovisno nužno biće" unatoč tome što je modalno nužno. Treće, islamski filozofi imaju nelibertarijanski pojam Božje volje i slobode koji je imun na prigovore modalnog kolapsa. Konačno, tvrdim da svi klasični i neoklasični teisti moraju prihvatiti modalno nužnu kreaciju jer libertarijanski modeli Božje volje za sobom povlače neuzrokovane i primitivno kontingentne učinke. (shrink)

Este artículo analiza los cambios que se produjeron en el estatus legal de las esclavas (yawari) con la introducción y expansión del islam entre los árabes. El autor analiza tanto las causas religiosas como las debidas a factores históricos y sociales: cambio en los criterios del reparto del botín de guerra, en el trato y uso de las prisioneras de guerra, introducción del concepto de umm al-walad, etc. Igualmente, se estudia la repercusión social que tuvieron estos cambios para las esclavas (...) y para las familias a las que pertenecían. (shrink)

Este artículo se ocupa de los reyes tribales en la Arabia pre-islámica. Estos reyes, eran en realidad jefes tribales que llevaban el título de malik y se tocaban con coronas. Algunos derivaban su poder del emperador sasánida, que eran quien les concedía las coronas. Su autoridad era principalmente local y limitada al territorio concreto de sus propias tribus; en algunos casos, a través de una confederación tribal, podía extenderse a otros territorios. Apoyados por guarniciones de la caballería persa, los reyes (...) podían ejercer su poder sobre el territorio y la población, lo que se traducía en un tributo anual pagado por los habitantes de las áreas bajo control. Asimismo, los reyes controlaban los mercados estacionales que se celebraran en su territorio y las rutas comerciales que lo atravesaban. A cambio, eran responsables de las vidas de sus contríbulos y de la seguridad de sus propiedades. (shrink)

BackgroundStudies have shown that research participants fail to appreciate the difference between research and medical care, labeling such phenomenon as a "therapeutic misconception" (TM). Since research activity involving human participants is increasing in the Middle East, qualitative research investigating aspects of TM is warranted. Our objective was to assess for the existence of therapeutic misconception amongst Egyptians.MethodsStudy Tool: We developed a semi-structured interview guide to elicit the knowledge, attitudes, and perspectives of Egyptians regarding medical research.Setting: We recruited individuals from the (...) outpatient settings (public and private) at Ain Shams University in Cairo, Egypt.Analysis: Interviews were taped, transcribed, and translated. We analyzed the content of the transcribed text to identify the presence of a TM, defined in one of two ways: TM1 = inaccurate beliefs about how individualized care can be compromised by the procedures in the research and TM2 = inaccurate appraisal of benefit obtained from the research study.ResultsOur findings showed that a majority of participants (11/15) expressed inaccurate beliefs regarding the degree with which individualized care will be maintained in the research setting (TM1) and a smaller number of participants (5/15) manifested an unreasonable belief in the likelihood of benefits to be obtained from a research study (TM2). A total of 12 of the 15 participants were judged to have expressed a TM on either one of these bases.ConclusionThe presence of TM is not uncommon amongst Egyptian individuals. We recommend further qualitative studies investigating aspects of TM involving a larger sample size distinguished by different types of illnesses and socio-economic variables, as well as those who have and have not participated in clinical research. (shrink)

This paper proffers a dialogical theory of decision-making: decision-makers are engaged in two modes of rational decisions, instrumental and existential. Instrumental rational decisions take place when the DM views the self externally to the objects, whether goods or animate beings. Existential rational decisions take place when the DM views the self in union with such objects. While the dialogical theory differs from Max Weber’s distinction between two kinds of rationality, it follows Martin Buber’s philosophical anthropology. The paper expounds the ramifications (...) of the dialogical theory in understanding structures of exchange considering assessments of diverse thinkers. (shrink)

Hume and Smith advance different answers to the question of whether sympathy can ever be the foundation of the moral order. They hold contradictory views of sympathy, called here ‘the Fellow-Feeling Paradox’. For Hume, fellow-feeling tends to reverberate in society, leading to the socialization of the individual and even mob (collective) psychology. Hence, sympathy cannot be the foundation of the moral order. In contrast, for Smith, fellow-feeling develops into critical judgment of the emotions/actions, leading to individual moral autonomy even self-command. (...) Hence, sympathy can be the foundation of the moral order. This paper provides a resolution of the two answers. (shrink)