The demand for organ transplants, both globally and in South Korea, substantially exceeds the supply, a situation that might have been aggravated by the enactment of the Life-Sustaining Treatment Decision Act (LSTDA) in February 2018. This legislation may influence emergency medical procedures and the availability of organs from brain-dead donors. This study aimed to assess LSTDA’s impact, introduced in February 2018, on organ donation status in out-of-hospital cardiac arrest (OHCA) patients in a metropolitan city and identified related factors. We conducted (...) a retrospective analysis of a regional cardiac arrest registry. This study included patients aged 16 or older with cardiac arrest and a cerebral performance category (CPC) score of 5 from January 2015 to December 2022. The exclusion criteria were CPC scores of 1–4, patients under 16 years, and patients declared dead or transferred from emergency departments. Logistic regression analysis was used to analyse factors affecting organ donation. Of the 751 patients included in this study, 47 were organ donors, with a median age of 47 years. Before the LSTDA, there were 30 organ donations, which declined to 17 after its implementation. In the organ donation group, the causes of cardiac arrest included medical (34%), hanging (46.8%), and trauma (19.2%). The adjusted odds ratio for organ donation before the LSTDA implementation was 6.12 (95% CI 3.09–12.12), with non-medical aetiology as associated factors. The enactment of the LSTDA in 2018 in South Korea may be linked to reduced organ donations among patients with OHCA, underscoring the need to re-evaluate the medical and legal aspects of organ donation, especially considering end-of-life care decisions. (shrink)

The common focus of these essays is the debate on the nature of science - often referred to by contemporaries as 'natural knowledge' - in Britain during the first half of the 19th century. A study of these debates allow us to see how British science of this period began to cast loose some of its earlier theological supports, but still relied on a moral framework to affirm its distinctive method, ethos and cultural value.

In his classic study,The Great Chain of Being, Arthur Lovejoy delineated a complex set of concepts and assumptions which referred to the perfection of God and the fullness of creation. In attempting to distil the basic or ‘unit idea’ which constituted this pattern of thought, he focused on the assumption that ‘the universe is aplenum formarumin which the range of conceivable diversity ofkindsof living things is exhaustively exemplified’. He called this the ‘principle of plenitude’. Lovejoy argued that this idea implied (...) two others—continuity and gradation—and that together these reflected a pre-occupation with the ‘necessity of imperfection in all its possible degrees’, a concern which had pervaded Western thought since Plato and gave rise to the powerful ontology known as the ‘great chain of being’. (shrink)

Some bioethicists argue that a doctor may frame treatment options in terms of effects on survival rather than on mortality in order to influence patients to choose the better option. The debate over such framing typically assumes that the survival and mortality frames convey the same numerical information. However, certain empirical findings contest this numerical equivalence assumption, demonstrating that framing effects may in fact be due to the two frames implying different information about the numerical bounds of survival and mortality (...) rates. In this paper, I use these findings to argue that framing is presumptively wrong because it violates the duty of proper disclosure. Along the way, I highlight morally relevant features affecting the permissibility of framing, tackle three objections and draw some general lessons for the ethics of nudging. (shrink)

Concepts and Cases in Nursing Ethics maps the ethical landscape of contemporary nursing. The book is the product of a collaboration between philosopher-ethicist Michael Yeo, nurse-ethicist Anne Moorhouse, and six representatives of various areas of professional nursing. It thus combines philosophical and ethical analysis with nursing knowledge and experience in a manner that is both understandable and relevant. The book is organized around six main concepts in nursing ethics: beneficence, autonomy, confidentiality, truth-telling, justice, and integrity. A chapter is devoted to (...) the elucidation of each of these concepts. In each chapter, historical background and conceptual analysis are supplemented by case studies that exemplify issues and show how the concept applies in nursing practice. In this new edition, the materials in each chapter have been updated to reflect recent developments in nursing and more generally in health care. In addition, a totally new chapter on ethical theory has been added. Complete with bibliographies and study questions for further analysis of cases, this book is ideally suited for textbook use. It will help both practitioners and students to deal better with the clinical problems and issues that are encountered in the field. However, it's simple prose and clear exposition of complex issues will make Concepts and Cases in Nursing Ethics attractive to anyone concerned about health care. (shrink)

The ArgumentFocusing on the celebrations of Newton and his work, this article investigates the use of the concept of genius and its connection with debates on the methodology of science and the morality of great discoverers. During the period studied, two areas of tension developed. Firstly, eighteenth-century ideas about the relationship between genius and method were challenged by the notion of scientific genius as transcending specifiable rules of method. Secondly, assumptions about the nexus between intellectual and moral virtue were threatened (...) by the emerging conception of genius as marked by an extraordinary personality – on the one hand capable of breaking with established methods to achieve great discoveries, on the other, likely to transgress moral and social conventions. The assesments of Newton by nineteenth-century scientists such as Brewster, Whewell, and De Morgan were informed by these tensions. (shrink)

A major facet of the bioethics phenomenon in North America has been the emergence of a new profession on the healthcare turf: a growing number of people calling themselves or being called “bioethicists.” Bioethicists are plying their trade mainly as ethics consultants in hospital settings and as researchers and educators with university affiliations. Other more questionable affiliations can easily be imagined: Bioethicist for a controversial transplant program? For a lobby or advocacy group? For a pharmaceutical company?

This paper documents that business ethics has positive impacts upon the development of intellectual capital. Knowledge has become the most important asset of modern businesses, and this study argues that business ethics is associated with the development of intangible knowledge resources—intellectual capital. Businesses with ethical values at the core reinforce ethical conducts and successfully build trust with their various stakeholders, leading to the formation of an ethical and trustworthy corporate culture and a positive corporate environment. Thus, in this reasoning, an (...) ethical approach to business can encourage open communication, problems solving, knowledge sharing and creativity among employees to increase organisational capital; enhance interactions and relationships with suppliers, customers and other stakeholders to increase social capital; attract and retain good talent to increase human capital. Questionnaire survey is adopted as the research method with businesses in the electronic and information technology industries in Taiwan as sample. The results suggest that business ethics is associated with increased intellectual capital. Thus, this study demonstrates that the development of intellectual capital is in line with strengthened ethics. It contributes to the literature through combining research on business ethics with intellectual capital theories and extends the extant intellectual capital literature. (shrink)

Disability has been perceived as a social conditioning phenomenon and a sign system marking the body and mind. Accordingly, photographs of disability could shape our cultural perceptions about disability and disabled persons. In response to this position, we engage in a critical semiotic inquiry into press photographs of disability from The Star, a Malaysian mainstream English newspaper. We adapted Van Leeuwen’s social and visual actor networks to understand the visual techniques employed in depicting disabled actors in these images. The depiction (...) is examined in relation to their absence and/or presence in these published photographs. If absent, the inclusion of non-disabled is analyzed. When present, the social categorizations of roles, grouping and specific/generic depictions are investigated. Findings reveal disabled persons have been symbolically excluded and thus, socially othered. These exclusionary strategies imply disabling journalistic practices which should be cautioned as they could could potentially undermine the advocacy for an inclusive society. (shrink)

SUMMARYAmong the elements of the modern scientific ethos, as identified by R.K. Merton and others, is the commitment of individual effort to a long-term inquiry that may not bring substantial results in a lifetime. The challenge this presents was encapsulated in the aphorism of the ancient Greek physician, Hippocrates of Kos: vita brevis, ars longa. This article explores how this complaint was answered in the early modern period by Francis Bacon’s call for the inauguration of the sciences over several generations, (...) thereby imagining a succession of lives added together over time. However, Bacon also explored another response to Hippocrates: the devotion of a ‘whole life’, whether brief or long, to science. The endorsement of long-term inquiry in combination with intensive lifetime involvement was embraced by some leading Fellows of the Royal Society, such as Robert Boyle and Robert Hooke. The problem for individuals, however, was to find satisfaction in science despite concerns, in some fields, that current observations and experiments would not yield material able to be extended by future investigations. (shrink)

The expanding demands of healthcare necessitate novel methods of increasing the supply of trained professionals to enhance the delivery of care services. One means of doing so is to expand allied health professionals’ scope of practice. This paper explores the ethics of two examples of such expansion in ophthalmology, comparing the widely accepted practice of nurses administering intravitreal injections and the relatively less prevalent optometrists functioning as physician extenders. We conducted a literature review of empirical research into both practices and (...) conclude that nurses administering intravitreal injections are ethically justified. With adequate standardized training, optometrists can also function as primary eye care providers to improve accessibility to eye care. We provide an algorithm for the ethical introduction of innovative expanded allied healthcare. (shrink)

The organizing theme for this special volume raises a momentous question: What are the implications of 21st century science for nursing care? The two terms the question relates – 21st century science and nursing care – are each of central importance for nursing and in philosophical enquiry about nursing as a practice, profession, or institution. These key terms are also highly charged and open to interpretation, as is the relationship of implication between them. Different interpretations or assumptions will steer the (...) search for an answer in quite different directions.Putting the expectation of an answer in abeyance, this paper probes the question precisely in its openness to interpretation and contestation. In elaborating different ways in which the main terms of the question can be taken, and analysing how different interpretations of or assumptions about them lead to different responses, the paper delineates crucial issues and divisions in nursing and commentary about nursing today. (shrink)

Unregulated patient treatments and approved clinical trials have been conducted with haematopoietic stem cells and mesenchymal stem cells for children with autism spectrum disorder. While the former direct-to-consumer practice is usually considered rogue and should be legally constrained, regulated clinical trials could also be ethically questionable. Here, we outline principal objections against these trials as they are currently conducted. Notably, these often lack a clear rationale for how transplanted cells may confer a therapeutic benefit in ASD, and thus, have ill-defined (...) therapeutic outcomes. We posit that ambiguous and unsubstantiated descriptions of outcome from such clinical trials may nonetheless appeal to the lay public as being based on authentic scientific findings. These may further fuel caregivers of patients with ASD to pursue unregulated direct-to-consumer treatments, thus exposing them to unnecessary risks. There is, therefore, a moral obligation on the part of those regulating and conducting clinical trials of stem cell-based therapeutic for ASD minors to incorporate clear therapeutic targets, scientific rigour and reporting accuracy in their work. Any further stem cell-based trials for ASD unsupported by significant preclinical advances and particularly sound scientific hypothesis and aims would be ethically indefensible. (shrink)

In this paper, I consider the tremendous growth in the field of business ethics with reference to the way it is being "marketed". One hears the sales pitch that businesses ought to pay more attention to business ethics because doing so will in fact bring significant rewards. The bottom line here is self-interest. Given that the relationship between self-interest and morality has always been problematic in our tradition, I argue that we have some hard thinking to do about what the (...) bottom line in business ethics is, and about how business ethics ought to be marketed. In this regard, I briefly invoke several classics in our moral tradition and examine the ethics of business ethics in their light. (shrink)

This work interlinks three rapidly developing fields: human reproduction, applied ethics, and feminism. The convergence of the three, each of which is interesting and important in its own right, creates a synergistic effect by which each mutually illuminates the others.

In ‘Measuring the Consequences of Rules’, Holly Smith presents two problems involving the indeterminacy of compliance, which she takes to be fatal for all forms of rule-utilitarianism. In this reply, I attempt to dispel both problems.

The notion of a “query” occurred in legal, medical, theological and scientific writings during the early modern period. Whereas the “questionary” (from c. 1400s) sought replies from within a doctrine (such as Galenic medicine), in the 1600s the query posed open-ended inquiries, seeking empirical information from travellers, explorers and others. During the 1660s in Britain, three versions of the query (and lists of queries) emerged. Distinctions need to be made between queries seeking information via observation and those asking for experimentation, (...) and between those aiming to keep theory to one side and those that framed theoretical conjectures. My examples are drawn from the work of the Royal Society of London (founded 1660) and from some of its leading members, especially Robert Boyle, Robert Hooke and Isaac Newton. (shrink)

Debunking arguments in ethics contend that our moral beliefs have dubious evolutionary, cultural, or psychological origins—hence concluding that we should doubt such beliefs. Debates about debunking are often couched in coarse-grained terms—about whether our moral beliefs are justified or not, for instance. In this paper, I propose a more detailed Bayesian analysis of debunking arguments, which proceeds in the fine-grained framework of rational confidence. Such analysis promises several payoffs: it highlights how debunking arguments don’t affect all agents, but rather only (...) those agents who updated on their intuitions using a specific range of evidentiary weights; it underscores how the debunkers shouldn’t conclude that we should reduce confidence beyond some threshold, but rather only that we should reduce confidence by some amount; and it proposes a method of integrating different kinds of evidence—about the kinds of epistemic flaws at play, about the different possible origins of our moral beliefs, about the background normative assumptions we’re entitled to make—in order to arrive at a rational moral credence in light of debunking. (shrink)

The authors were involved in developing an ethical framework to assist the Queens Region Board (Prince Edward Island, Canada) set priorities in health and health care. Two and one half years after the adoption of this framework, the authors undertook an evaluation of the framework. This paper will discuss: a) the historical background of regionalization in Canada, and in particular the circumstances leading up to the institution of regional boards in Prince Edward Island; b) the sorts of ethical issues facing (...) the Queens Regional Board; c) issues arising in connection with the use and development of ethics frameworks for managing ethical issues in priority setting; d) the framework adopted by the Queens Board and the process that led to its development; e) issues arising as concerns implementation of the framework; f) questions and issues pertinent to other boards and bodies considering similar initiatives. (shrink)

(1979). William Whewell, natural theology and the philosophy of science in mid nineteenth century Britain. Annals of Science: Vol. 36, No. 5, pp. 493-516.

Concepts and Cases in Nursing Ethics is an introduction to contemporary ethical issues in health care, designed especially for Canadian audiences. The book is organized around six key concepts: beneficence, autonomy, truth-telling, confidentiality, justice, and integrity. Each of these concepts is explained and discussed with reference to professional and legal norms. The discussion is then supplemented by case studies that exemplify the relevant concepts and show how each applies in health care and nursing practice. This new fourth edition includes an (...) added chapter on end-of-life issues, and it is revised throughout to reflect the latest developments on topics such as global health ethics, cultural competence, social media, and palliative sedation. (shrink)

1. P'ŭllaetp'om kukka wa sanŏp hyŏngmyŏng iyagi -- 2. Yut'op'ia wa hongik in'gan mohyŏng -- 3. Saeroun pandoch'e munmyŏng ŭl yŏlda -- 4. Han'guk taehyŏngmyŏng i sijak toeŏtta.

본 논문에서는 도가 계열에 속하는 열자의 감정 수양론에서 제시하는 정서적 평정심과 행복에 이르는 방법에 대해 느낌과 인지의 측면에서 분석한다. 첫째, 열자의 감정 수양론은 인간 감정이 무위자연의 천기(天機) 혹은 자연의 이치와 조화를 이루어야 한다는 도가적 관점을 전제로 하여 전개된다. 천기와 이상적으로 감응해 정서적 평안 상태에 도달한 사람을 가리켜 지인, 진인, 신인이라고 부른다. 한편 천기에 어긋나는 유위적 요인들에 의해 정서적 혼란이 발생한다. 열자는 유위적 요인들을 제거하는 과정에서 무심(無心), 심허(心虛), 심재(心齋) 등과 같은 해체적인 방법을 사용한다. 둘째, 열자의 감응론은 감각기관이 외물에 얼마나 조화롭게 반응하는지에 (...) 따라 정서적 혼란과 안정 상태를 구별한다는 점에서 신체에서 활성화되는 느낌의 적절성을 중시한다. 천기는 귀, 눈, 코, 입, 피부 등과 같은 감각기관(所)을 감각기관이도록 만드는(所以) 발생론적 근원이라는 점에서 신체적 느낌의 적절성을 판별하는 기준 역할을 한다. 바꾸어 말하면 적절성을 얻지 못한 과불급 상태의 신체적 느낌은 자연의 이치에 상응하지 못함으로써 생겨난다. 셋째, 열자의 감정 수양론은 미혹된 인지(惑)가 정서적 혼란을 일으키는 주요 원인이므로 이를 해체해야 한다고 주장한다는 점에서 인지와 감정 간 긴밀한 연계성을 가정한다. 미혹된 인지란 어떤 사물이나 사태에 대한 잘못된 견해나 믿음을 가리킨다. 열자는 한편으로는 불필요한 인지에 대해 잊음(忘), 알지 못함(不知), 앎이 없음(無知) 등과 같은 해체적 메타 인지를 구성하고 다른 한편으로는 세계의 실질(實)과 자신의 운명(命)에 대해 제대로 통찰함으로써 정서적 안정을 얻고자 한다. 넷째, 열자는 참된 인지에 기초한 긍정적 감정의 실현을 통해 적극적으로 행복을 추구한다. ｢양주｣편을 중심으로 나타나는 쾌락주의적 행복론은 열자철학이 도가 계열에 속하면서도 장자나 노자의 사상과 구별되는 특성을 잘 보여준다. (shrink)

Publication pressure has been touted to promote questionable research practices (QRP) and scientific or research misconduct (RM). However, logically attractively as it is, there is no unequivocal evidence for this notion, and empirical studies have produced conflicting results. Other than difficulties in obtaining unbiased empirical data, a direct causal relationship between perceived publication pressure (PPP) and QRP/RM is inherently difficult to establish, because the former is a complex biopsychosocial construct that is variedly influenced by multiple personal and environmental factors. To (...) effectively address QRP/RM by tackling the sources of PPP would also be difficult because of the competitive nature of the reward and merit system of contemporary science. We might do better with efforts in enhancing knowledge in research ethics and integrity among the practitioners, as well as institutional infrastructures and mechanisms to fairly and efficiently adjudicate cases of QRP/RM. (shrink)

With increasingly protracted conflict and crisis situations and today’s sustainable development imperative, the global community is facing challenges in providing quality education to refugee learners. The article reflects on conventional approaches that have been adopted by the global stakeholders and questions whether the current state of refugee education is indeed educational. Based on Paulo Freire’s theoretical standpoint, the article draws on limitations of the dominant approaches in the field of refugee education. It argues that there needs to be an alternative (...) view perceiving refugees beyond merely beneficiaries of educational interventions, and education beyond a tool for domestication. (shrink)

Suppose an agent is choosing between rescuing more people with a lower probability of success, and rescuing fewer with a higher probability of success. How should they choose? Our moral judgments about such cases are not well-studied, unlike the closely analogous non-moral preferences over monetary gambles. In this paper, I present an empirical study which aims to elicit the moral analogues of our risk preferences, and to assess whether one kind of evidence—concerning how they depend on outcome probabilities—can debunk them. (...) I find significant heterogeneity in our moral risk preferences—in particular, moral risk-seeking and risk-neutrality are surprisingly popular. I also find that subjects’ judgments aren't probability-dependent, thus providing an empirical defense against debunking arguments from probability dependence. (shrink)

The aim of this article is to describe the change of the Korean society after the neoliberal crisis in 1997. The economic crisis in Korea resulted from the militant struggles of working class between 1987-1997. But it had been used as a moment for deepening the neoliberal reformation and the recomposition of capital. This paradoxical process had been accomplished by a wide and violent lay-off as in any other countries. In this process the first notable factor is the appearance of (...) cooperative attitude in the Korean progressive labor movement. The author described the context of decomposition of militant working class in factories, and groped for the new recomposition of working class and the formation of autonomous multitudes in the whole range of Korean society. (shrink)

Debunking arguments use empirical evidence about our moral beliefs - in particular, about their causal origins, or about how they depend on various causes - in order to reach an epistemic conclusion about the trustworthiness of such beliefs. In this thesis, I investigate the scope and limits of debunking arguments, and their implications for what we should believe about morality. I argue that debunking arguments can in principle work - they are based on plausible epistemic premises, and at least some (...) of them avoid putative problems concerning regress and redundancy. However, I also argue that some debunking arguments fall short because they are insufficiently supported by the empirical evidence. By considering different objections, analyses, and a case study, I explore the conditions for a successful debunking argument. (shrink)

ABSTRACT The Pātañjalayogaśāstra (PYŚ) is typically understood to define yoga as thought-suppression. In several publications, Ian Whicher has sought to avoid the conclusion that the PYŚ endorses thought-suppression by proposing that the PYŚ’s definition of yoga refers not to thought-suppression but to liberation from the puruṣa’s misidentification with the mind. I argue that Whicher’s proposal is unsuccessful because the PYŚ portrays thought-suppression as necessary for this liberation.

Hofmann and Holm’s (2019) recent survey on issues of research misconduct with PhD graduates culminated with a notable conclusion by the authors: ‘ Scientific misconduct seems to be an environmental issue as much as a matter of personal integrity’. Here, we re-emphasise the usefulness of an education-based countermeasure against toxic research environments or cultures that promote unethical practices amongst the younger researchers. We posit that an adequately conducted course in research ethics and integrity, with a good dose of case studies (...) and analyses, can function in a manner that is metaphorically akin to vaccination. The training would cultivate the ability to analyse and build confidence in young researchers in making decisions with sound moral reasoning as well as in speaking up or arguing against pressure and coercions into unacceptable behaviour. A sufficiently large number of young researchers exposed to research ethics trainings would essentially provide a research community some degree of lasting herd immunity at its broadest base. Beyond passive immunity, a crop of research ethics-savvy young researchers could also play active and influential roles as role models for others at their level and perhaps even help correct the wayward attitudes of some senior researchers and initiate prompt action from institutional policy makers in a bottom-up manner. (shrink)

A debunking argument contends that some target moral judgments were produced by unreliable processes and concludes that such judgments are unjustified. Debunking arguments face a regress challenge: to show that a process is unreliable at tracking the moral truth, we need to rely on other moral judgments. But we must show that these relied-upon judgments are also reliable, which requires yet a further set of judgments, whose reliability needs to be confirmed too, and so on. Some argue that the debunker (...) faces an insurmountable regress, which disables the debunking conclusion. In this paper, I explore and defuse this regress challenge. (shrink)

This paper examines the theoretical background and actual behavior in a gaming tournament with endogenous timing where a person has more incentive, structure, and time to form a strategy. The baseline treatment suggests that subgame perfection is a reasonable predictor of behavior –- subjects made 170 of 208 theoretically predicted choices of best actions, with the majority of mistakes made in timing choices by the players who did not survive the cut to the second round. Four sensitivity treatments established that (...) the design feature that lead to more predictable behavior was time to think –- 745 of 960 correctly predicted decisions with more time versus 595 of 960 with less time. A random effects Probit model suggests that the key design feature that closed the gap between predicted and observed behavior was not necessarily the non-linear payoffs created by the tournament design, but rather that the key was providing people with more time to think about their strategy. (shrink)