BackgroundAlthough the Life-Sustaining Treatment (LST) Decision Act was enforced in 2018 in Korea, data on whether it is well established in actual clinical settings are limited. Hospital-acquired pneumonia (HAP) is a common nosocomial infection with high mortality. However, there are limited data on the end-of-life (EOL) decision of patients with HAP. Therefore, we aimed to examine clinical characteristics and outcomes according to the EOL decision for patients with HAP.MethodsThis multicenter study enrolled patients with HAP at 16 referral hospitals retrospectively from (...) January to December 2019. EOL decisions included do-not-resuscitate (DNR), withholding of LST, and withdrawal of LST. Descriptive and Kaplan–Meier curve analyses for survival were performed.ResultsOf 1,131 patients with HAP, 283 deceased patients with EOL decisions (105 cases of DNR, 108 cases of withholding of LST, and 70 cases of withdrawal of LST) were analyzed. The median age was 74 (IQR 63–81) years. The prevalence of solid malignant tumors was high (32.4% vs. 46.3% vs. 54.3%, P = 0.011), and the ICU admission rate was lower (42.9% vs. 35.2% vs. 24.3%, P = 0.042) in the withdrawal group. The prevalence of multidrug-resistant pathogens, impaired consciousness, and cough was significantly lower in the withdrawal group. Kaplan–Meier curve analysis revealed that 30-day and 60-day survival rates were higher in the withdrawal group than in the DNR and withholding groups (log-rank P = 0.021 and 0.018). The survival of the withdrawal group was markedly decreased after 40 days; thus, the withdrawal decision was made around this time. Among patients aged below 80 years, the rates of EOL decisions were not different (P = 0.430); however, mong patients aged over 80 years, the rate of withdrawal was significantly lower than that of DNR and withholding (P = 0.001).ConclusionsAfter the LST Decision Act was enforced in Korea, a DNR order was still common in EOL decisions. Baseline characteristics and outcomes were similar between the DNR and withholding groups; however, differences were observed in the withdrawal group. Withdrawal decisions seemed to be made at the late stage of dying. Therefore, advance care planning for patients with HAP is needed. (shrink)

Previous studies in Western contexts have examined the relationships between various board characteristics and CSR, yet the relationships need to be re-examined in non-Western contexts given differential theoretical premises across contexts. We specifically propose that the effects of board characteristics on CSR in Korea should be patterned distinctively from Western-based existing literature, focusing on three important board characteristics, such as a board’s independence, social ties, and diversity. Using a panel dataset from large Korean firms, we found that various relationships between (...) board characteristics and CSR were non-linear, whereas most of the previous research on Western contexts found that the same relationships were linear. Specifically, curvilinear relationships were found between CSR and board independence, CEO-outside director social ties, and educational diversity. Our findings suggest that there is no universal feature of CSR-supportive board characteristics due to the unique characteristics of various institutional contexts. (shrink)

This longitudinal study examined the development of moral judgement in 37 nursing students attending a university in Suwon, Korea. The participants completed the Korean version of the Defining Issues Test to allow analysis of their level of moral judgement. The development of moral judgement was quantified using ‘the moral development score’ at each stage (i.e. the six stages detailed by Kohlberg) and the ‘P(%) score’ (a measure of the overall moral judgement level). The results were as follows: (1) the moral (...) development score for stage 5A was consistently the highest across the four years of the students’ course, showing significant differences in some sociodemographic factors including home, birth order and monthly income; and (2) the P(%) score was higher in fourth-year (47.47 ± 11.21) than in first-year (46.13±9.73) students. There was no significant difference in the P(%) score according to sociodemographic factors. Further studies will examine in detail the correlation between curriculum and moral judgement development. We suggest that courses in ethics education should be made more relevant. (shrink)

While working with a long-distance running event organizer, the authors of this study observed considerable differences between event participants’ official finish time and their self-reported finish time in the post-event survey. Drawing on the notion of self-serving bias, we aim to explore the source of this disparity and how such psychological bias influences participants’ event experience at long-distance running events. Using evidence of 1,320 marathon runners, we demonstrated how people are more likely to be subject to a biased self-assessment contingent (...) upon achieving their best finish time at the event. The study samples were split into record-high-achieved and record-high-missed groups, and the self-serving biases of each group were explored. Results from the t-test comparing record-high-achieved and -missed groups showed that runners in the record-high-missed group were significantly more likely to report a positively biased finish time than runners in the record-high-achieved group. Additionally, results from logistic regression showed that as runners missed their best finish time by a wider margin, the probability of reporting a positively biased incorrect finish time increased. Lastly, we conducted an additional t-test and revealed that runners who are subject to self-serving bias showed a lower level of overall event satisfaction. The current study suggests one way to bypass the adverse effects of participant sport event participants’ worse-than-expected athletic performance. We specifically suggest that the event organizers target runners who had worse-than-expected performance and make extra efforts on non-race service attributes because these runners are more likely to be unsatisfied with the event. (shrink)

We examined nurses’ perceptions of the ethical climate of their workplace and the relationships among the perceptions, medical error experience and intent to leave through a cross-sectional survey of 1826 nurses in 33 Korean public hospitals. Ethical climate was measured using the Hospital Ethical Climate Survey. Although the sampled nurses perceived their workplace ethical climate positively, 19% reported making at least one medical error during the previous year, and 25% intended to leave their jobs in the near future. Controlling for (...) individual and organizational characteristics, we found that nurses with a more positive perception of the ‘patient’ dimension of ethical climate were less likely to have made medical errors. Nurses with a more positive perception of the ‘patient’, ‘manager’, ‘hospital’ and ‘physician’ dimensions of ethical climate were less likely to leave their current job. Enhancing workplace ethical climate could reduce medical errors and improve nurses’ retention in public hospitals. (shrink)

We evaluated the reliability, validity, and differential item functioning (DIF) of a shorter version of the Defining Issues Test-1 (DIT-1), the behavioral DIT (bDIT), measuring the development of moral reasoning. 353 college students (81 males, 271 females, 1 not reported; age M = 18.64 years, SD = 1.20 years) who were taking introductory psychology classes at a public University in a suburb area in the Southern United States participated in the present study. First, we examined the reliability of the bDIT (...) using Cronbach’s α and its concurrent validity with the original DIT-1 using disattenuated correlation. Second, we compared the test duration between the two measures. Third, we tested the DIF of each question between males and females. Findings reported that first, the bDIT showed acceptable reliability and good concurrent validity. Second, the test duration could be significantly shortened by employing the bDIT. Third, DIF results indicated that the bDIT items did not favour any gender. Practical implications of the present study based on the reported findings are discussed. (shrink)

The purpose of this paper is to explore the concepts of issue legitimacy and organizational legitimacy, providing a new measure of each construct. The scales were developed and tested using data collected through a statewide survey of Alabama residents. Assessments of issue legitimacy were based on perceptions of direct-to-consumer advertising, whereas assessments of organizational legitimacy were based on perceptions of the pharmaceutical industry as a whole. The findings provide evidence that organizational legitimacy can be reliably measured using a five-item scale (...) and issue legitimacy can be reliably measured using a six-item scale. The implications of the results and potential uses of the scales are discussed. (shrink)

The Middle East Summit is the unofficial name for a series of meetings between several key figures from the Middle Eastern art world and it was proposed here that a Picasso from the collection of the Van Abbemuseum be brought to Palestine. The meaning of Picasso’s Buste de femme crossing this non-place, is here brought to light.

Korea has undergone so much transformation under modernization and industrialization to an extent that tourists visiting from anywhere in the world will not feel inconvenienced for lack of modern facilities. In this modern day and age, it is not easy for foreigners to meet shamans or see shamanistic rituals, even if they try to. The same thing can even be said of educated Koreans. In contrast, shamanists or those attached to shamanism hear shamans perform their rituals anytime and anyplace. There (...) are an estimated 0.2 million shamans in Korea, though the statistics differ according to the researchers’ survey methods. This number surpasses that of all priests of any other established religions. These shamans take their position at the base or margins of Korean society, not readily visible from the surface. (shrink)

The importance of this dictionary stems from Quatreme're's profound reflections on the nature of architecture: on the principles which are at the source of his rules and on the roles of imitation and invention within tradition. This book provides the first English translation of the theoretical essays from his seminal work, Le Dictionnaire Historique d' Architecture.

본 고의 논지는 셋이다. 첫째 깨달음은 문제의식과 문제해결의 관점에서 볼 수 있고, 구체적인 맥락적 관점에서 보아야 한다는 것이다. 붓다의 깨달음이라는 구체적인 맥락 하에서 괴로움의 해결이라는 문제의식과 그 해결 과정을 깨달음으로 볼 수 있고, 이를 통해서 붓다의 깨달음은 사성제의 삼전십이행상에 대한 안지혜명광으로 볼 수 있다.BR 둘째 깨달음의 의미는 변화한다. 붓다의 깨달음을 통해서 새로운 요소, 즉 연기가 추가됨으로 인해서 문제의식이 변화하게 된다. 깨달음의 내용 자체에 대한 추구가 문제의식으로 등장함으로 인해서 대승불교의 깨달음은 사성제와 연기성에 대한 안지혜명광으로 폭이 확대됨을 볼 수 있다. 이는 연기성으로 (...) 인해서 나의 괴로움과 타인의 괴로움이 연결되어 있음을 발견하게 되고, 문제의식은 자신의 괴로움의 해결에서 전체의 괴로움의 해결로 변화하게 된다. 문제의식이 변화함에 따라서 깨달음의 의미도 변화하게 된다.BR 셋째 깨달음의 의미가 변화함에 따라서 불교의 목적론에 해당하는 연기, 무아, 공, 불이, 청정, 자성, 무자성 등의 의미가 변화하는 것을 볼 수 있다. 초기불교에서 괴로움의 근원을 찾는 연결고리로서 연기가 대승불교에서는 제법의 연결성을 의미하게 된다. 괴로움을 자기뜻대로 할 수 없음을 보여주는 초기불교의 무아는 대승불교에서는 사물의 비실체성을 의미하게 된다. 괴로움을 점차적으로 제거하는 과정을 보여주는 공은 사물의 연결성을 의미하는 것으로 바뀌게 된다. 이러한 연결성은 불이라는 측면에서 강조되고, 초기불교의 청정과 번뇌의 대립은 대승불교에서 이러한 대립을 떠난 상태로 나아간다. 부파불교의 법의 자성, 대승불교의 법의 무자성성, 선불교의 자성은 각기 법의 특징을 표현한다. 불교의 목적론의 변화는 가장 중요한 방법론이라고 할 수 있는 빤냐 또는 반야의 의미변화를 가져온다. 괴로움의 원인을 꿰뚫어 아는 것에서 제법의 공성, 무아성, 연기성, 불이성, 무자성성, 자성성을 통째로 아는 것으로 변화하게 된다. (shrink)

The way individuals embody their homeland has been addressed by several scholars. However, this article questions how female refugees embody transnational settings while seeking a new home and homeland. The tales of bodies are traced through the writings of three Iranian female refugees living in Europe. The article analyses their autobiographies through a critical reading of Thomas Csordas’s phenomenology of body–world relations and then diverges from him to draw inspiration from Deleuzian becoming. The study attempts to offer an anthropology of (...) becoming to highlight how corporeality is the realm of bodies becoming. (shrink)

In this article, I trace a shift in Confucian scholars’ interpretations about the idea of ‘learning for one’s self’ vs. ‘learning for others’ from the Analects: a shift from the philological interpretation to the philosophical one. Despite its defect, most Neo-Confucians accepted the philosophical interpretation, because it was considered to play a role of minimizing a newly emerged educational bane, that is, students’ exclusively instrumental study for civil service examinations, while establishing the supremacy of ‘learning for the cultivation of mind’. (...) I will examine whether this shift would also be said to be valid to contemporary Koreans or East Asians, who are often pictured as exam obsessed. (shrink)

Introduction The Defining Issues Test (DIT) aimed to measure one’s moral judgment development in terms of moral reasoning. The Neo-Kohlbergian approach, which is an elaboration of Kohlbergian theory, focuses on the continuous development of postconventional moral reasoning, which constitutes the theoretical basis of the DIT. However, very few studies have directly tested the internal structure of the DIT, which would indicate its construct validity. Objectives Using the DIT-2, a later revision of the DIT, we examined whether a bi-factor model or (...) 3-factor CFA model showed a better model fit. The Neo-Kohlbergian theory of moral judgment development, which constitutes the theoretical basis for the DIT-2, proposes that moral judgment development occurs continuously and that it can be better explained with a soft-stage model. Given these assertions, we assumed that the bi-factor model, which considers the Schema-General Moral Judgment (SGMJ), might be more consistent with Neo-Kohlbergian theory. Methods We analyzed a large dataset collected from undergraduate students. We performed confirmatory factor analysis (CFA) via weighted least squares. A 3-factor CFA based on the DIT-2 manual and a bi-factor model were compared for model fit. The three factors in the 3-factor CFA were labeled as moral development schemas in Neo-Kohlbergian theory (i.e., personal interests, maintaining norms, and postconventional schemas). The bi-factor model included the SGMJ in addition to the three factors. Results In general, the bi-factor model showed a better model fit compared with the 3-factor CFA model although both models reported acceptable model fit indices. Conclusion We found that the DIT-2 scale is a valid measure of the internal structure of moral reasoning development using both CFA and bi-factor models. In addition, we conclude that the soft-stage model, posited by the Neo-Kohlbergian approach to moral judgment development, can be better supported with the bi-factor model that was tested in the present study. (shrink)

Cet article s’attache à décrire l’évolution dans l’amitié entre Chŏng Yakyong et Yi Kigyŏng. Beaucoup de choses les rapprochaient, objectivement. Tous deux étaient de brillants lauréats du concours du doctorat de 1789, tous deux étaient membres de la même faction politique, les Namin (les ''Sudistes''), tous deux étaient fonctionnaires civils à la cour du roi Chŏngjo ( r. 1776-1800) dans la Corée de l'ère Chosŏn (1392-1897), et tous deux jouèrent un rôle important dans cette période de grands changements, à la (...) fois socio-politiques, religieux, culturels et intellectuels, que vécut alors la Corée. Chŏng Yakyong s’intéressa à de nombreuses branches différentes du savoir occidental qui parvenait alors à la Corée, et il embrassa même, brièvement après sa confession, la foi chrétienne en 1784. Se sentant critiqué et calomnié, il la renia publiquement en 1797, mais son ami Yi Kigyŏng, auteur du Pyŏgwip’yŏn 闢衛編 ( Compilation de documents pour le rejet de l’hétérodoxie et la défense de l’orthodoxie ), ne voulut jamais y croire. Cet ami devint même un ennemi au point qu’il l’attaqua violemment, en 1801, ce qui valut à Chong Yakyong un long et douloureux bannissement jusqu’en 1818. À travers la lecture des textes dont nous disposons, officiels et personnels, nous tentons de comprendre ce qui s'est joué alors et d'analyser l’évolution de leur amitié face à ce qui les divisa – ces événements qui furent tragiques pour beaucoup de monde. (shrink)

RésuméʾAbū Saʿīd al-Siǧzī, astronome et mathématicien du ive/xe siècle, fut l'un des premiers auteurs du genre ʿilm al-hayʾa ; mais on connaît peu la genèse de cette discipline et sa relation aux autres écrits et pratiques en astronomie. Dans cet article, je présente de nouvelles découvertes permettant de préciser la biographie d'al-Siǧzī. Je décris ensuite, pour la première fois, une composition d'astronomie théorique du ive/xe siècle, la « Structure des orbes » d'al-Siǧzī, et je montre sa place dans la formation (...) de la discipline ʿilm al-hayʾa en comparant ce livre à l'ouvrage antérieur d'al-Farġānī sur la taille de la Terre et le nombre des sphères célestes. Je conclus que la Tarkīb al-aflāk d'al-Siǧzī est le plus ancien exemple connu d'un livre traitant des sujets abordés plus tard en hayʾa, et qu'il contient peutêtre la première occurrence du neuvième orbe céleste, classique dans les écrits du genre. (shrink)

This paper examines the friendship between Chŏng Yakyong and Yi Kigyŏng and its evolution. Their friendship rested on many commonalities: they both passed the doctorate competition together successfully in 1789, they belonged to the same political faction, the Namin, they were both officials at the court of King Chŏngjo in Chosŏn Korea, and both had important roles and contributions in this period of great socio-political, religious, cultural, and intellectual transformations. Being interested in different areas of knowedge from the West that (...) had reached Chosŏn Korea, Chŏng Yakyong, or Tasan, adopted the Christian faith in 1784 before publicly renouncing it in 1797 due to criticism and slander. His friend Yi Kigyŏng, however, did not believe his apostasy and became his enemy. By studying the official and personal documents available, we attempt to reconstruct the vicissitudes of their friendship that resulted in Tasan’s long and painful banishment. (shrink)

Science museums aim to provide educational experiences for both children and adults. To achieve this goal, museum displays must convey scientifically-relevant relationships, such as the similarities that unite members of a natural category, and the connections between scientific models and observable objects and events. In this paper, we explore how research on comparison could be leveraged to support learning about such relationships. We describe how museum displays could promote educationally-relevant comparisons involving natural specimens and scientific models. We also discuss how (...) these comparisons could be supported through the design of a display—in particular, by using similarity, space, and language to facilitate relational thinking for children and their adult companions. Such supports may be pivotal given the informal nature of learning in museums. (shrink)

Mechanism is a conception of the world according to which all can be explained by mechanics expressed by its fundamental concepts and principles. I’ll firstly show that, following Poincaré’s discussion on mechanical explanation, the very foundation of classical mechanics implicates that all can’t be explained. Next, I’lldiscuss the principles of mechanics as they are viewed by Poincaré, especially the principle of relativity. I’ll show that this principle has a particular feature by its form of “pseudo-universal” argument, as well as by (...) its fundamental role for experiences. It will be finally revealed that, mechanism can be used as a convention, because, by the principle of relativity, we can have only local experiments but these can never be extended to the universe as a whole, and consequently, none of our experiences would lead us to any phenomenon irreducible to mechanics. Nevertheless, it doesn’t exclude the contrary possibility: experiences can reveal that it is not to commode as it used to be, without disapproving it. (shrink)

Despite the general expectation that ethical leadership fosters employees’ ethical behaviors, surprisingly little empirical effort has been made to verify this expected effect of ethical leadership. To address this research gap, we examine the role of ethical leadership in relation to a direct ethical outcome of employees: moral voice. Focusing on how and when ethical leadership motivates employees to speak up about ethical issues, we propose that moral efficacy serves as a psychological mechanism underlying the relationship, and that leader–follower value (...) congruence serves as a boundary condition for the effect of ethical leadership on moral efficacy. We tested the proposed relationships with matched reports from 154 Korean white-collar employees and their immediate supervisors, collected at two different points in time. The results revealed that ethical leadership was positively related to moral voice, and moral efficacy mediated the relationship. Importantly, as the relationship between ethical leadership and moral efficacy depended on leader–follower value congruence, the mediated relationship was effective only under high leader–follower value congruence. Theoretical and practical implications are discussed. (shrink)

Mechanism is a conception of the world according to which all can be explained by mechanics expressed by its fundamental concepts and principles. I’ll firstly show that, following Poincaré’s discussion on mechanical explanation, the very foundation of classical mechanics implicates that all just can’t be explained. Next, I’ll discuss the principles of mechanics as they are viewed by Poincaré, especially the principle of relativity that has a particularity in its form of “pseudo-universal”argument, as well as in its fundamental role for (...) experiences. It will be finally revealed that, the mechanism can be used as a convention, because, by the principle of relativity, we can have only local experiments but never on the universe, and consequently, non of our experiences would never lead us to any phenomenon irreducible to mechanics. Nevertheless, it doesn’t exclude the contrary possibility: experiences can reveal that it is not to commode as it used to be, without disapproving it. (shrink)

In this article, I firstly show that, following Poincaré, it turns out that the very foundation of classical mechanics implicates that all just can’t be explained. Next, I discuss principles of mechanics as they are viewed by Poincaré. This will reveal the particularity of the principle of relativity in its form of “pseudo-universal” argument.

Edition and study of P.Vindob. A.Ch. 36616, a literary paper fragment from 3rd/9th-century Egypt. The fragment contains a tradition that depicts ʿAlī b. Abī Ṭālib (d. 40/661) performing a four-rakʿa prayer and reciting a special supplication on the 15th of the month of Rajab. The tradition is only known from noncanonical Shīʿī ḥadīth collections. Situating it in a broader historical context, the paper provides a glimpse on the Shīʿī presence in Egypt as well as the sanctity of the month of (...) Rajab in Sunnī and Shīʿī literatures. This tradition, in conclusion, presents an early evidence for the observances of the month of Rajab in general and the middle of the month in particular in the local Shīʿī community in pre-Fatimid Egypt. (shrink)

Ce texte a déjà paru dans Phantasia [En ligne], Volume 5 - 2017 : Architecture, espace, aisthesis. Résumé : Henri Maldiney a mis en évidence l'importance, pour la pensée de l'expérience sensible de l'architecture, de la notion de rythme. C'est en faisant advenir, entre sujet et objet, un événement rythmique, que l'œuvre d'art architecturale manifeste la portée existentielle et éthique de l'aisthesis qu'elle suscite. L'article développe l'exemple de l'église de la Croix d'Alvar Aalto : - Philosophie – Nouvel article.

Name der Zeitschrift: Neue Zeitschrift für Systematische Theologie und Religionsphilosophie Jahrgang: 57 Heft: 3 Seiten: 398-417.

This descriptive study was undertaken to identify the degree of ethical sensitivity of staff nurses and to analyze the differences in ethical sensitivity in terms of both general and ethics-related characteristics. Participants were 236 staff nurses working in general hospitals in Korea. Ethical sensitivity was measured by means of an instrument developed by the researchers. The results showed that the mean score for the degree of ethical sensitivity was 0.71 out of a possible maximum score of 1 (range 0.30 to (...) 0.97). For general characteristics, there was a significant difference in ethical sensitivity according to age (F (df 2233)-3.99, P-0.02). For characteristics related to ethics, there was a significant difference in ethical sensitivity according to attitude towards the nursing profession (F (df 4231)-2.94, P-0.03). It is therefore recommended that a training program reflecting these variables be developed to enhance staff nurses’ ethical sensitivity. (shrink)

Drawing upon the theory of virtue ethics, this study builds a decision tree predictive model to explore the anticipated impact of good traits on socially responsible consumption. Using R statistical software, we generate a classification tree and cross-validate the model on two independent datasets. The results indicate that the virtuous traits of self-efficacy, courage, and self-control, as well as the personality traits of openness and conscientiousness, predict socially responsible purchase and disposal behavior. Remarkably, the largest segment of socially responsible consumers (...) in the study scored high in self-efficacy and openness. This result suggests that marketers should focus on these good traits when creating advertisements to encourage sustainable consumption. Our study contributes to enhancing knowledge about the social and psychological aspects of the sustainability movement and provides a new analytical approach to predicting socially responsible consumption. (shrink)