Breaking bad news (BBN) to parents whose newborn has a major disease is an ethical dilemma. In Saudi Arabia, BBN about newborns is performed according to the parental preferences that have been reported from non-Arabic/non-Islamic countries. Saudi mothers' preferences about BBN have not yet been studied. Therefore, we aimed to elicit the preferences of Saudi mothers about BBN concerning newborns. We selected a convenience sample of 402 Saudi mothers, aged 18-50 years, who had no previous experience with BBN. We selected (...) them via a simple number-randomization scheme from the premises of a level III Saudi hospital between October of 2009 and January of 2011. We used a hypothetical situation (BBN about trisomy 21) to elicit their preferences about BBN concerning newborns via a structured verbal questionnaire composed of 12 multiple-choice questions. We expressed their preferences as percentages (95% confidence interval), and we used the Kendall's W test (W) to assess the degree of agreement in preferences. The Saudi mothers preferred that BBN be conducted with both parents together (64% [60-69]), albeit with weak levels of agreement (W = 0.29). They showed moderate agreement in their preferences that BBN should be conducted early (79% [75-83], W = 0.48), in detail (81% [77-85], W = 0.52), in person (88% [85-91], W = 0.58), and in a quiet setting (86% [83-90], W = 0.53). With extremely weak agreement, they preferred to have a known person present for support during BBN (56% [51-61], W = 0.01), to have close bodily contact with their babies (66% [61-70], W = 0.10), and to have no another patients present (64% [59-68], W = 0.08). They showed moderate levels of agreement in their desires to detail, in advance, their preferences about process of BBN by giving a reversible, written informed consent that could be utilized for guidance, if needed (80% [76-84], W = 0.36). In our experience, Saudi mothers' preferences about BBN concerning newborns are varied, suggesting that a "one-size-fits-all" approach is inappropriate. A reversible, written informed consent detailing their preferences about BBN that would be kept in their medical records and utilized for guidance, if needed, may be the best solution, given this level of diversity. These findings merit further study. (shrink)

The dissertation abstract and reflection commentary present the work of Dr. Maryam Kouchaki. The abstract provides an overview of research examining the role of professional identities on ethical behavior. Across a number of studies, this work demonstrates that professionalism, either measured or manipulated, can increase individuals’ unethical behaviors. This dissertation extends prior work on professionalism by examining its psychology and shedding new light on importance of its meanings in driving individuals’ behaviors. Below, the author discusses the reasons for why (...) professionals may engage in unethical behaviors. Finally, the reflection commentary provides insights about the author’s journey as a PhD student. (shrink)

In Allamah Tabatabaee’s works there are found at least three apparently different views about the relation of Divine essence and His attributes of act: 1. the unity of God’s essence and His attributes of act; 2. the ontological distinction between His essence and His attributes of act and 3. the impossibility of attribution of such properties to God’s essence. In this paper we try to establish that these three views are essentially consistent. Our analysis shows that each one of the (...) above-mentioned positions can be considered from a special aspect. The first view is based on considering the mere reality of such attributes while in the second view we are just concerned to the appearance of them. The third view, however, is a result of a pluralistic analysis of the attributes of act. (shrink)

The purpose of this study was to investigate the difference between the performance of Iranian male and female EFL learners on the five dimensions of the California Critical Thinking Skills Test.88 learners, out of 120, who were selected through convenience sampling method, participated in this study. The researcher used a quantitative research method with one-group pretest posttest design. This group received some treatment in the form of “the Meeting-House Debate” strategy. Data analysis was done using descriptive and inferential statistics. Result (...) showed that there was no significant difference in the performance of males and females on the sub-scales measured; i.e. evaluation, analysis, inference, deductive reasoning, and inductive reasoning. It was concluded that gender did not have a significant effect on the students’ critical thinking skills. (shrink)

Background: Despite their negative consequences, evidence shows that futile medical treatments are still being provided, particularly to terminally ill patients. Uncovering the reasons behind providing such treatments in different religious and sociocultural contexts can create a better understanding of medical futility and help manage it effectively. Research objectives: This study was undertaken to explore Iranian nurses’ and physicians’ perceptions of the reasons behind providing futile medical treatments. Research design: This was a qualitative exploratory study. Study data were gathered through conducting (...) in-depth semi-structured personal interviews and analyzed using the conventional content analysis method. Participants and research context: Twenty-one nurses and nine medical specialists were recruited purposively from four teaching hospitals affiliated to Tehran University of Medical Sciences. Ethical considerations: This study was approved by the Nursing and Midwifery Research Center and the Research Ethics Committee of Tehran University of Medical Sciences. All participants gave informed consent for the research and that their anonymity was preserved. Findings: The main theme of the study was “having an obligation to provide medical treatments despite knowing their futility.” This theme consisted of three main categories including patients’ and family members’ request for continuing life-sustaining treatments, healthcare professionals’ personal motives, and organizational atmosphere and structure. Discussion and conclusion: Different personal and organizational factors contribute to providing futile medical treatments. Promoting the structure and the function of hospital ethics committees, establishing and developing home care facilities, increasing the number of palliative care centers and hospices, and educating healthcare professionals, patients, and family members about the services and the benefits of such centers can facilitate making wise decisions about continuing or discontinuing treatments which have been labeled as futile. (shrink)

The fault ride-through capability and fault current issues are the main challenges in doubly fed induction generator- based wind turbines. Application of the bridge-type fault current limiter was recognized as a promising solution to cope with these challenges. This paper proposes a nonlinear sliding mode controller for the BFCL to enhance the FRT performance of the DFIG-based WT. This controller has robust performance in unpredicted voltage sag level and nonlinear features. Theoretical discussions, power circuit, and nonlinear control consideration of the (...) SMC-based BFCL are conducted, and then, its performance is verified through time-domain simulations in the PSCAD/EMTDC environment. To reduce the chattering phenomenon and decrease the reaching time, it used the exponential reaching law for designed SMC. Also, the SMC-based BFCL performance is compared with the conventional and PI controller-based BFCL for both symmetrical and asymmetrical short-circuit faults. Simulation results reveal that the SMC-based BFCL provides better performance compared with the conventional and PI controller-based BFCL to enhance the FRT. (shrink)

Algorithmic systems are increasingly used by state agencies to inform decisions about humans. They produce scores on risks of recidivism in criminal justice, indicate the probability for a job seeker to find a job in the labor market, or calculate whether an applicant should get access to a certain university program. In this contribution, we take an interdisciplinary perspective, provide a bird’s eye view of the different key decisions that are to be taken when state actors decide to use an (...) algorithmic system, and illustrate these decisions with empirical examples from case studies. Building on these insights, we discuss the main pitfalls and promises of the use of algorithmic system by the state and focus on four levels: The most basic question whether an algorithmic system should be used at all, the regulation and governance of the system, issues of algorithm design, and, finally, questions related to the implementation of the system on the ground and the human–machine-interaction that comes with it. Based on our assessment of the advantages and challenges that arise at each of these levels, we propose a set of crucial questions to be asked when such intricate matters are addressed. (shrink)

Alfonsina Storni y Fourough Farrokhzad: dos mujeres poetisas vanguardistas. Una argentina, la otra, iraní. Las dos con un incontenible afán de búsqueda. Mujeres que sobrepasaron las fronteras del tiempo y de sus países y culturas, para proyectar una visión de la mujer insertada en el devenir del siglo XX. Al enfocarnos en la vida y la obra de estas grandes cantoras descubriremos muchos puntos comunes en sus obras y en sus vidas. Se pretende con este trabajo realizar un análisis comparativo (...) que muestre sus aspectos comunes. Se escudriñará en sus necesidades, espirituales, deseos, inquietudes, fracasos e incomprensiones. Aunque no pretendemos profundizar en sus vidas y en sus obras, sí haremos una pequeña búsqueda para resaltar lo que es común en ambas, no obstante a la lejanía cultural y social de ambas escritoras. (shrink)

La lengua española, en los últimos años se ha convertido en uno de los idiomas más importantes del mundo, no solamente por los muchos hispanohablantes, sino por el interés que existe hacia este idioma en todos los países del orbe, desde el occidente hasta el oriente. Esta lengua, en los últimos años se ha estado recuperando del atraso que tuvo durante muchos años en Irán. En este trabajo se intenta describir la situación actual del idioma español y su enseñanza y (...) aprendizaje en el mundo persa. Para cumplir con este objetivo, primero se abordará brevemente la historia de las relaciones hispano-iraníes y luego se presentará el estado de esta lengua en Irán. Al final del trabajo, serán ofrecidas algunas sugerencias para mejorar la situación del español en Irán. (shrink)

The goal of most scientific research published in peer-review journals is to discover and report the truth. However, the research record includes tongue-in-cheek papers written in the conventional form and style of a research paper. Although these papers were intended to be taken ironically, bibliographic database searches show that many have been subsequently cited as valid research, some in prestigious journals. We attempt to understand why so many readers cited such ironic science seriously. We draw from the literature on error (...) propagation in research publication for ways categorize citations. We adopt the concept of irony from the fields of literary and rhetorical criticism to detect, characterize, and analyze the interpretations in the more than 60 published research papers that cite an instance of ironic science. We find a variety of interpretations: some citing authors interpret the research as valid and accept it, some contradict or reject it, and some acknowledge its ironic nature. We conclude that publishing ironic science in a research journal can lead to the same troubles posed by retracted research, and we recommend relevant changes to publication guidelines. (shrink)

What is it for an agent to have a reason to do a certain action? Does this mean that she would desire to do the action under specified conditions, or that there is some external consideration, which she ought to follow? The former affective (i.e., desire-based) theory is ascribed to Humeans, whereas the latter cognitive theory is adopted by Kantians. The debate between the two views has seemingly ended up in a theoretical standoff, and most of the theorists of practical (...) reason have recently turned their attention to the motivational attitude—preceded either by affective attitudes or by cognitive attitudes—as a necessary constituent of having a reason. They contend that an agent has a reason to f only if, on certain occasions, she would be motivated to f: I refer to it as Motivation Reason Internalism. In this paper, I argue that Motivation Reason Internalism is a mirage; it does not obtain necessarily. I classify major versions of Motivation Reason Internalism into three idealized counterfactual versions, arguing that they obtain only contingently, since they all face counterexamples. The Motivation Reason Internalist might attempt to dodge the counterexamples by appealing to Contextual Motivations Reason Internalism, but I show that this move also fails. I discuss a third cause for motivation, some unconscious cause, other than cognitive or affective attitudes, which can still be a motivation maker or breaker. These unconscious causes, such as an underlying biological inclination or psychological bias, functions as motivation maker/breaker but not a reason maker/breaker. This makes room for a variety of cases in which we have reason to perform an action in the absence of any kind (i.e., actual or counterfactual) of motivation. (shrink)

Background Moral distress has negative effects on physical and mental health. However, there is little information about nurses’ coping strategies reducing moral distress. Aim The purpose of this study was to investigate the coping strategies of intensive care unit nurses reducing moral distress in Iran. Study design This is a qualitative study with a content analysis approach. Participants and research context The research sample consisted of nurses working in intensive care units of teaching hospitals affiliated to Tehran University of Medical (...) Sciences. Samples were selected among eligible nurses by purposive sampling. Data were obtained through 17 in-depth, individual, and semi-structured interviews with 17 nurses. Graneheim and Lundman’s (2004) 6-step content analysis method was used to analyze the data. Data management was also performed by MAXQDA software version 20. The COREQ checklist was used to report the study. Ethical considerations This project was approved by the Ethics Committee of Tehran University of Medical Sciences. All ethical guidelines in research were followed. Finding The data analysis resulted in the formation of two main categories of desirable coping strategies (with two subcategories of compensation and rejuvenation) and less desirable coping strategies (with three subclasses of indifference over time, escape and concealment). Discussion The intensive care unit nurses in dealing with ethical problems first try to solve the problem through discussion, but when they fail to resolve it peacefully, they resort to several coping strategies. Factors, such as increasing experience, lack of support from hospital managers and officials, poor communication between colleagues, the need to maintain hierarchy, fear of reprimand, and a sense of powerlessness, changed the nurses’ preferred strategies. It is important for managers to provide a blame/punishment-free atmosphere for expression of ethical experiences; a supportive atmosphere in which staff can engage in ethical discussions without fear of punishment. They should also provide opportunities for rest, rejuvenation, and adequate training for their employees. (shrink)

This study presents the fundamental concepts and technical details of a U-model-based control system design framework, including U-model realisation from classic model sets, control system design procedures, and simulated showcase examples. Consequently, the framework provides readers with clear understandings and practical skills for further research expansion and applications. In contrast to the classic model-based design and model-free design methodologies, this model-independent design takes two parallel formations: it designs an invariant virtual controller with a specified closed-loop transfer function in a feedback (...) control loop and it determines the real controller output by resolving the inverse of the plant U-model. It should be noted that this U-control provides a universal control system design platform for many existing linear/nonlinear and polynomial/state-space models and it complements many existing design approaches. Simulation studies are used as examples to demonstrate the analytically developed formulations and guideline for potential applications. (shrink)

BackgroundHaving moral courage is a crucial characteristic for nurses to handle ethical quandaries, stay true to their professional obligations towards patients, and uphold ethical principles. This concept can be influenced by various factors including personal, professional, organizational, and leadership considerations. The purpose of this study was to explore the predictors of moral courage among nurses working in hospitals.MethodsIn 2018, an observational cross-sectional study was carried out on 267 nurses employed in six hospitals located in the northern region of Iran. The (...) participants were selected through a simple random sampling technique. To collect data, a demographic information form was used along with two questionnaires. The first questionnaire was a standard survey on moral courage, while the second questionnaire was designed to assess the ethical climate. Linear regression was used to assess the predictors of moral courage.ResultsNurses had an average moral courage score of 87.07 ± 15.52 and an average moral climate score of 96.12 ± 17.17. The study showed that 16% of the variation in moral courage scores among nurses was explained by ethical climate and monthly overtime hours.ConclusionThis study underscores the significance of establishing an ethical work environment and minimizing overtime hours in order to enhance moral courage among nurses. These findings carry weight for both nursing practice and organizational policies focused on fostering ethical conduct within healthcare settings. (shrink)

English summary: What is color? Are colors real properties of the world around us, or are they the secondary effects on our senses by the objects around us. Christophe Al-Saleh explores this contemporary philosophical debate over colors, objectivism, and subjectivism. French description: Il existe un ecart entre la conception familiere et commune des couleurs et la conception scientifique, la premiere y voyant spontanement des proprietes reelles du monde qui nous entoure, la seconde mettant en doute cette realite: les couleurs (...) ne seraient jamais que des effets secondaires consecutifs a l'affection de notre sensibilite par les objets qui nous entourent. C'est dans ce contexte que s'inscrit le debat philosophique contemporain sur les couleurs, entre l'objectivisme (les couleurs sont des proprietes presentes dans le monde) et le subjectivisme (les couleurs sont des productions subjectives). (shrink)

The Indus Basin's advantageous climate and topography rendered it a prime site for the implementation of an irrigation system. This study looks at how the Indus Basin is affected by climate change. Changes in water flow, glacial/snow melt, and catchment areas in the Indus and its tributaries are revealed by trend analysis from hydro-logical stations. A network of canals constituted of trans-boundary rivers was built beside the Indus River System (IRS), soon after the implementation of the Indus Water Treaty, about (...) 70% of its water was allocated for irrigation purposes. An evident increase from 8.5 to 18.2 million hectares (MH) in the cropland area in Pakistan is monitored, whereas in India it increased widely from 2.02 to 8.5 MH that is about three times of the pre-vious figures due to expansion of the Indus irrigation network. Water tables have dropped and water logging has resulted from urbanization and groundwater extraction, while the use of pesticides and fertilizers has lowered the quality of the water.These problems are made worse by climate change, which presents serious obstacles to the region's water security, environmental sustainability, and economic growth.This article provides a comprehensive analysis of the modifications in the Indus Basin irrigation system and the impact of these changes on environmental resources. We can create practical plans to lessen the consequences of climate change and guarantee the Indus Basin has a safe and sustainable water supply in the future by comprehending how it affects the basin. (shrink)

The global rollout of Covid-19 vaccination has amplified concerns regarding vaccination hesitancy, which presents a formidable challenge for public health authorities. While widespread vaccination is imperative for containing the virus, hesitancy arises from multiple factors, including apprehensions about potential long-term vaccine side-effects and misconceptions about vaccination. This has prompted discussions about the feasibility of mandating Covid-19 vaccination, especially for specific groups like healthcare professionals and the general public. This paper critically examines the tension between a paternalistic approach and individual autonomy, (...) advocating for a balanced strategy that considers both public health imperatives and individual rights. Drawing insights from existing literature, the study emphasizes the need for a nuanced and pragmatic approach to address vaccine hesitancy effectively. (shrink)

The expansion and transformation of Asian economies is producing class structures, roles and identities that could not easily be predicted from other times and places. The industrialisation of the countryside, in particular, generates new, rural middle classes which straddle the worlds of agriculture and industry in complex ways. Their class position is improvised on the basis of numerous influences and opportunities, and is in constant evolution. Enormous though its total population is, meanwhile, the rural middle class remains invisible to most (...) scholars and policymakers. Contested Capital is the first major work to shed light on an emerging transnational class comprised of many hundreds of millions of people. In India, the 'middle class' has become one of the key categories of economic analysis and developmental forecasting. The discussion suffers from one major oversight: it assumes that the middle class resides uniquely in the cities. As this book demonstrates, however, more than a third of India's middle class is rural, and 17 per cent of rural households belong to the middle class. The book brings this vast and dynamic population into view, so confronting some of the most crucial neglected questions of the contemporary global economy. (shrink)

An increase in narcissism has been reported by experts over the years. Narcissists bring a lot of negative consequences to themselves and to the people around them. This study investigates that perceived parenting leads to the development of inflated, unstable self-concept. The inflated self-concept lays the framework for the development of narcissistic traits among individuals; perceived parenting affects this relationship. A sample of 628 adults was taken from North Cyprus through purposive sampling. Scales for perceived parenting, self-concept, and narcissism were (...) administered. Results showed that the statistically significant variance in the self-concept is explained by perceived parenting. Both mothers and fathers contributed significantly to the development of inflated self-concept. Moreover, multiple linear regression results showed a higher significant variance in narcissistic traits due to self-concept compared with perceived parenting. Mediational tests also showed that high levels of narcissistic traits were indirectly related to self-concept through perceived parenting. The study findings have challenged the notion of only mothers being responsible for narcissistic traits among their children. The study results also suggest that targeting self-concept in individuals with narcissistic traits may be a good directive for therapeutic interventions. (shrink)

According to the World Health Organization, female genital cutting affects millions of girls and women worldwide, particularly on the African continent and in the Middle East. This paper presents a plausible, albeit hypothetical, clinical vignette and then explores the legal landscape as well as the ethical landscape physicians should use to evaluate the adult patient who requests re-infibulation. The principles of non-maleficence, beneficence, justice, and autonomy are considered for guidance, and physician conscientious objection to this procedure is discussed as well. (...) Analyses of law and predominant principles of bioethics fail to yield a clear answer regarding performing female genital cutting or re-infibulation on an adult in the United States. Physicians should consider the patient’s physical, mental, and social health when thinking about female genital cutting and should understand the deep-rooted cultural significance of the practice. (shrink)

El tema del doble y la conexión del hombre con su otro yo, a través de las distancias espaciales, se ha revelado en muchos cuentos de Julio Cortázar. Este tema está relacionado con la ruptura de las individualidades y el desdoblamiento o duplicación de la identidad del hombre. En “Lejana”, uno de los relatos de Bestiario (1951), aparece el tema del doble y la transmutación del personaje. En algunos cuentos de Julio Cortázar el doble está claramente separado del protagonista, pero (...) en “Lejana”, aunque existe una distancia física muy grande entre ellos, el doble se manifiesta dentro y fuera de la protagonista. Al principio se manifiesta dentro de ella, pero finalmente aparece como una presencia real fuera de ella y se ubica en un espacio físico y materializado en Budapest. En este trabajo analizaré uno de los cuentos cortazarianos, “Lejana”, donde el tema del doble se presenta muy nítidamente, en el cual el protagonista se encuentra súbitamente con otra identidad. (shrink)

It is hypothesized that iron from biological tissues, liberated during decay, may have played a role in inhibiting loss of anatomical information during fossilization of extinct organisms. Most tissues in the animal kingdom contain iron in different forms. A widely distributed iron‐bearing molecule is ferritin, a globular protein that contains iron crystallites in the form of ferrihydrite minerals. Iron concentrations in ferritin are high and ferrihydrites are extremely reactive. When ancient animals are decaying on the sea floor under anoxic environmental (...) conditions, ferrihydrites may initialize the selective replication of some tissues in pyrite FeS2. This model explains why some labile tissues are preserved, while other more resistant structures decay and are absent in many fossils. A major implication of this hypothesis is that structures described as brains in Cambrian arthropods are not fossilization artifacts, but are instead a source of information on anatomical evolution at the dawn of complex animal life. (shrink)

We define a class of first-order formulas $\mathsf{P}^{\ast }$ which exactly contains formulas $\varphi$ such that satisfaction of $\varphi$ in any classical structure attached to a node of a Kripke model of intuitionistic predicate logic deciding atomic formulas implies its forcing in that node. We also define a class of $\mathsf{E}$-formulas with the property that their forcing coincides with their classical satisfiability in Kripke models which decide atomic formulas. We also prove that any formula with this property is an $\mathsf{E}$-formula. (...) Kripke models of intuitionistic arithmetical theories usually have this property. As a consequence, we prove a new conservativity result for Peano arithmetic over Heyting arithmetic. (shrink)

My goal in this project is to understand how traditional ecological knowledge (TEK) manifests—or fails to manifest—in environmental education policy issued by the Ministry of Education in Oman. I also seek to explore whether there are cultural pressures in Omani society to overlook TEK in environmental education policy. Specifically, my aim is to understand how forces of globalization interact with TEK in Oman and whether these forces are behind the tendency to unknowingly ignore TEK when designing the Environmental Education Policy. (...) Drawing on critical decolonial studies, post-Heideggerian philosophy, and environmental education pedagogy, this article investigates the Policy of Environmental Education for Sustainable Development in Oman, which is a government document issued by the Ministry of Education in 2012 as a blueprint for designing environmental education curricula in Oman. My analysis of the policy reveals that there is both a tension with and a potential for a pluriversal approach—one that embraces the coexistence and mutual enrichment of scientific knowledge and TEK in environmental education. While the focus on scientism has historically marginalized TEK, this article argues for a pluriversal framework that values multiple ways of knowing. By fostering a dialogue between these knowledge systems, environmental education can become more inclusive, holistic, and ecoculturally sustainable. I argue for honouring indigenous world-views and celebrating the manifestations of our ecological heritage by integrating TEK into a land-based pedagogy that works alongside scientific perspectives, promoting a richer understanding of the environment. (shrink)

Nietzsche, Friedrich Wilhelm, 1844-1900--Criticism and interpretation. ; Nietzsche, Friedrich Wilhelm, 1844-1900--Views on ethics.