“Pale Blue Dot” and “Anthropocene” are common tropes in astrobiology and often appear in ethical arguments. Both support a decentering of human life relative to biological life in terms of value. This article introduces a typology of life-value narratives: hierarchical narratives with human life above other life and holistic narratives with human life among other life. Astrobiology, through the two tropes, supports holistic narratives, but this should not be viewed as opposed to Christianity. Rather, Christian scriptures provide seeds of (...) both hierarchical and holistic narratives, each of which may flourish in different environments. By attending to which aspects of human life are valued—or disvalued—relative to biological life, we can better understand how life-concepts do work in ethics, anthropology, and soteriology in secular as well as theological contexts. (shrink)

As long-term childhood cancer survivors are at risk for late effects, ongoing medical care is crucial to detect and treat physical illnesses as early as possible. However, previous research from around the world has shown that many adult survivors did not participate in long-term medical follow-up. This study aimed to provide insight into German survivors’ care situation, with a particular focus on barriers to follow-up care. We investigated a sample of adult CCS drawn from the German Childhood Cancer Registry’s oldest (...) cohort. Our analyses included data from a standardized medical examination, a self-report questionnaire, and in-depth interviews with a subsample. Half of the participants reported participating in some kind of medical follow-up. In a logistic regression analysis, attendance of medical follow-up care was associated with higher age. Reasons for non-attendance were assigned to four categories: lack of information about medical follow-up and/or its purpose, termination by the health care provider, structural barriers, and emotional-motivational aspects. The interviews contributed to a better understanding of how these reported barriers played out in the care of individual survivors. Further, they revealed that some survivors currently in medical follow-up had had periods without follow-up care in the past—which were also in many cases related to a lack of information, both on the part of health care providers and CCS themselves. The results indicated that a large proportion of long-term CCS do not receive the recommended follow-up care. Further, there is a great need for more information regarding the aims of long-term medical follow-up and available offers. This is an important prerequisite for CCS to make informed decisions. (shrink)

The term 'covert mixed quotation' describes cases in which linguistic material is interpreted in the manner of mixed quotation — that is, used in addition to being mentioned — despite the superficial absence of any commonly recognized conventional devices indicating quotation. After developing a novel theory of mixed quotation, I show that positing covert mixed quotation allows us to give simple and unified treatments of a number of puzzling semantic phenomena, including the projective behavior of conventional (...) implicature items embedded in indirect speech reports and propositional attitude ascriptions, so-called 'c-monsters,' metalinguistic negation, metalinguistic negotiation, and 'in a sense' constructions. (shrink)

The ability of dance to address social isolation is argued, but there is a lack of both evidence of such an effect and interventions designed for the purpose. An interdisciplinary research team at University of Calgary partnered with Kaeja d’Dance to pilot test the effects of an intervention designed to facilitate embodied social connections among older adults. Within a mixed methods study design, pre and post behavioral tests and qualitative surveys about experiences of the body and connecting were administered (...) to thirteen participants along with test instruments of loneliness and body appreciation. In the short-term, no significant changes were found on quantitative tests. Exploratory analysis revealed intervention improvements on individual body appreciation questions only. This indication of change was strongly supported by converging qualitative data and identified as relating to: increased connection through task-based collaboration, increased awareness of interpersonal boundaries, and a shift to experiencing the body as responsive. These indications of increased relational capacity were deemed likely to cause further impact in the long term. Examining this possibility and the subsequently arisen factor of COVID-19 risks and restrictions, test instruments were administered again to 10 participants 4 and 5 months after the intervention. A significant increase in loneliness was found. Despite this negative impact of COVID-19 isolation, several positive intervention changes remained detectable and some continued to increase over time. Seventy percent of the participants, who made new social contacts during the intervention and later sought continued contact, improved significantly across all body appreciation measures over the full study. The qualitative data from the last two time-points revealed both consistent values and new, negative changes. While these preliminary findings speak to the durability of intervention changes, they also identify areas of urgent priority to help older adults restore embodied relational capacity that has declined during COVID-19. Within the limitations of a small-sample pilot study, converging mixed methods results support the hypothesis that dance interventions designed for the purpose can positively affect the social inclusion of older adults. Although we recommend further study, these promising results also indicate that dance interventions can help older adults recover from pandemic isolation. (shrink)

Nurse engagement, empowerment and strong relationships among staff, residents and families, are essential to attract and retain a suitably qualified and skilled nursing workforce for safe, quality care. There is, however, limited research that explores engagement, empowerment and relational coordination in long‐term care (LTC). Nurses from an older persons’ mental health and dementia LTC unit in Australia participated in this study. Forty‐one nurses completed a survey measuring psychological empowerment, work engagement and relational coordination. Twenty‐nine nurses participated in individual interviews to (...) further explore these concepts. Although nurses reported high psychological empowerment and work engagement, their relationships with key stakeholders varied. Our findings suggest that nurses in LTC require both supports and opportunities to contribute as active members of the multiprofessional care team that includes tailored education, professional development and positive interactions within the care team. Regular support is needed to enable nurses to feel empowered, foster relationships and communication, and facilitate work engagement. Based on these findings, we suggest that it is important to find ways to ensure that all who provide care perceive that they are part of the whole care team and able to contribute to the care and well‐being of people in LTC. (shrink)

“Moral Character: An Empirical Theory” and “Character and Moral Psychology” represent part of the research output of the Templeton-funded Character Project, which was headed by Christian Miller. In ‘Moral Character’, Miller develops his “mixed trait” account of character. The first two parts consist in conceptual background and the empirical grounding for his account . In part three Miller develops and describes his account, before showing the extent of its application in part four . In ‘Character and Moral Psychology”, he (...) gives the reader more details about the metaphysics of his view , places it in relation to other accounts of character and personality , shows the normative and meta-ethical implications of his account , and opens a discussion of what could follow from his account in terms of improving character .The first thing to note about these books is the impressive rang .. (shrink)

Discerning the motives that lead businesspeople to make ethical decisions in economic contexts is important, for it aids the moral evaluation of such decisions. But conventional economic theory has for too long assumed an egoist model of motivation, to which many contrast an altruist view of ethical choices. The result is to see business decision making as implying dilemmas. On the other hand, we argue, if one assumes multiple motives, economic and ethical, in ordinary business decisions, a more fruitful model (...) of ethical motivation in such decisions emerges. In this paper multiple motives are assumed to be the norm in a world of large organizations, complex decisions and stakeholder management. An example of a technology acquisition decision, with environmental overtones is presented in illustration of this approach. A method for discerning motives, primarily in terms of behavioural efficacy is presented. On this basis a two step approach to morally evaluating mixed motives in business decisions is proposed. First, the fit of motives with substantive ethical values should be ascertained, and then the efficacy of moral motives in yielding ethical behaviour and outcomes should be determined. This approach, we conclude, offers a much more concrete model of the actual role of moral motives in business decision making. It also signals the importance of moral learning in organizations. (shrink)

This article examines mixed ℋ -infinity and passivity synchronization of Markovian jumping neutral-type complex dynamical network models with randomly occurring coupling delays and actuator faults. The randomly occurring coupling delays are considered to design the complex dynamical networks in practice. These delays complied with certain Bernoulli distributed white noise sequences. The relevant data including limits of actuator faults, bounds of the nonlinear terms, and external disturbances are available for designing the controller structure. Novel Lyapunov–Krasovskii functional is constructed to (...) verify the stability of the error model and performance level. Jensen’s inequality and a new integral inequality are applied to derive the outcomes. Sufficient conditions for the synchronization error system are given in terms of linear matrix inequalities, which can be analyzed easily by utilizing general numerical programming. Numerical illustrations are given to exhibit the usefulness of the obtained results. (shrink)

In a late treatise, That the Capacities of the Soul Follow the Mixtures of the Body, Galen of Pergamum infamously offered the view that the substance of the soul is identical with a bodily mixture. This thesis has been found radical and extreme in modern scholarship and is generally considered to be at odds with Galen’s ‘agnosticism’ on the substance of soul. In this paper I propose a close reading of QAM that allows us to make sense of it in (...) terms of Galen’s other work, including his late work On My Own Opinions. (shrink)

In Plato's Philebus the last section of the discussion on the falseness of pleasure is dedicated to those pleasures intrinsically mixed with pain. This paper focuses specifically on bodily mixed pleasures, an analysis that extends from 44d to 47c, while its focal point is 46-47c. By adopting the anti-hedonists' methodology, Socrates cunningly transforms his entire analysis of bodily mixed pleasures into a discourse on human disease, in which medical terminology prevails. Two major points are made in the (...) reading suggested here. Despite Socrates' quasi-medical language, a substratum of poetic discourse is underlying his analysis. Thus, a network of poetic associations—probably promptly recalled by Plato's audience—not only reveals the intertextual encounter between medical, philosophic and poetic discourses but also contributes to the interpretation of Socrates' analysis. Hence, the pathology of love as expressed through poetry illuminates the meaning, questionable in straightforward medical terms, of passage 46c6-d2, while it also reveals the unfolding unity underlying Socrates' analysis, otherwise thought to comprise three distinct medical cases. Ancient medical lore is important for the understanding of passage 46d7-47a1 on the affliction of knêsis and psôra, not only because it confirms the analogy between the physiology of knêsis and that of sexual arousal and climax, but also because it illuminates the specific medical treatment Socrates is describing. Thus, in the crucial debate about whether Plato uses the term aporiais or pyriais in 46e2, medical evidence seems to support the latter. The reading pyriais makes this complicated paragraph more comprehensible in terms of meaning and syntax, while stressing the importance of heat in the processes of both the curing of knêsis and of human orgasm. Besides, it further confirms the intertextual encounter between the Phaedrus and the Philebus. (shrink)

We develop a theory of joint intention in contexts in which participants have mixed motives that can manifest in all-things-considered reasons to deviate from contributing to the desired project, e.g., contexts with collective action problems. Our theory is based on strategic equilibrium-based reasoning, which links the characterization of joint intention in terms of individual intentions with conditions on strategy profiles of the underlying strategic games. We use elements of equilibrium reasoning to construct a counterfactual account of joint intention (...) in the mixed-motive contexts, which extends the reach of the notion of joint intention considerably beyond that of previous formulations. (shrink)

Order picking, which is collecting a set of products from different locations in a warehouse, has repeatedly been described as one of the most laborious and time-consuming internal logistic processes. Each order is issued to pick some products located at given locations in the warehouse. In this paper, we consider an order picking problem, in which a number of orders with different delivery due dates are going to be retrieved by a limited number of order pickers in multiperiods such that (...) the total tardiness is minimized. The aim is to determine a retrieval plan in terms of order batching and order picker multitrip routing as decision variables. Besides, products are arrived and replenished at the predetermined locations at different periods. Therefore, products sitting in those locations should be delivered soon to provide empty rooms for replenishment. A mixed integer linear programming formulation is proposed for this new problem. The model is optimally solved for small-size problems. For larger instances, grouping metaheuristic algorithms are proposed based on particle swarm optimization and the league championship algorithm that use group-based operators to generate reasonable batches of orders. Improvement heuristics are designed as well. The performance of the MILP formulation and metaheuristic algorithms is analyzed for different problem instances whose designs are based on real data gathered from an auto parts warehouse. Results indicate that our algorithms can stably solve large instances of the problem in a reasonable time. (shrink)

Since their emergence, discourses of sustainability have been widely resemioticised in different genres and have intertextually merged with other discourses and practices. This article examines the emergence of Integrated Reporting as a new hybrid genre in which, along with financial information, organisations may choose to report the social and environmental impacts of their activities in one single document. Specifically, this article analyses a selected sample of IRs produced by early adopters to explore how discourses of sustainability have been recontextualised into (...) financial and economic macro discourses and how different intertextual/interdiscursive relations have played out in linguistic constructions of ‘sustainability’. We contend that, by and large, the term sustainability has been appropriated, mixed with other discourses and semantically ‘bent’ to construct the organisation itself as being financially sustainable, that is, viable and profitable and for the primary benefit of shareholders. From this stance, we argue that, through the hybridity of IR, most companies have primarily colonised discourses of sustainability for the rhetorical purpose of self-legitimation. (shrink)

Teaching and research are organised differently between subject domains: attempts to construct typologies of higher education institutions, however, often do not include quantitative indicators concerning subject mix which would allow systematic comparisons of large numbers of higher education institutions among different countries, as the availability of data for such indicators is limited. In this paper, we present an exploratory approach for the construction of such indicators. The database constructed in the AQUAMETH project, which includes also data disaggregated at the disciplinary (...) level, is explored with the aim of understanding patterns of subject mix. For six European countries, an exploratory and descriptive analysis of staff composition divided in four large domains (medical sciences, engineering and technology, natural sciences and social sciences and humanities) is performed, which leads to a classification distinguishing between specialist and generalist institutions. Among the latter, a further distinction is made based on the presence or absence of a medical department. Preliminary exploration of this classification and its comparison with other indicators show the influence of long term dynamics on the subject mix of individual higher education institutions, but also underline disciplinary differences, for example regarding student to staff ratios, as well as national patterns, for example regarding the number of PhD degrees per 100 undergraduate students. Despite its many limitations, this exploratory approach allows defining a classification of higher education institutions that accounts for a large share of differences between the analysed higher education institutions. (shrink)

In this paper I explore the production aesthetics that define the sound of most arranged traditional music albums produced in the early 2000s in Istanbul,Turkey. I will focus on two primary aesthetic characteristics, the achievement of which consume much of the labor put into tracking and mix- ing: parlak (“shine”) and büyük ses (“big sound”). Parlak, at its most basic, consists of a pronounced high frequency boost and a pattern of harmonic distortion characteristics,and is often described by studio musicians and (...) engineers in Turkey as an exaggeration of the perceived brightness of the majority of Anatolian folk instruments. Büyük ses, which in basic terms connotes a high density of heterogeneous musical parts,in contrast to parlak has no relation to any known longstanding Anatolian musical performing traditions or timbral aesthetics, and is a recent development in Istanbul-produced record- ings.Parlak and büyük ses became widespread after 2000,accompanying the paradigm shift of Istanbul studios from analog to digital workflows. Parlak and büyük ses are of interest for reasons that transcend music-aesthetics. The successful creation of mixes with parlak and büyük ses necessitates a palpable change in the performance practice of folk music instruments, as well a fundamental reconfiguration of the social structure of music-making, which in turn involves new musical competences and conceptualizations of musical practice. Parlak and büyük ses are not just a result of using a particular set of technologies (i.e., microphones or effects plugins), but instead arise from arduous and detailed arrangement and nonlinear editing work that is made feasible through DAW (digital audio workstation) systems. Although parlak and büyük ses index the transformation of traditional music aesthetics in the context of digital audio recording production, and their production is at the forefront of concerns of the professionals working in the recording studio environment, the terms are never mentioned in published music criticism, and only usually uttered in the studio context at the inception of a project and at the completion of a mix. Considerable preemptive work is done by studio musicians, engineers, and arrangers to avoid the need for the terms to be mentioned at all. (shrink)

In this article I first analyze the meaning of mixed feelings and what this expression refers to. I argue that what the term mixed feelings is commonly taken to mean are not mixed feelings because there is no mixture, and also because the same object and the same time condition of what is supposed to be mixed is not satisfied. I then pass on to a case of genuine mixed feelings. Genuinely mixed feelings are (...) feelings composed of simple or basic feelings as well as occurrences of compounds and sets of feelings. I then discuss three categories adjacent to mixed feelings: layered feelings, metaemotions, and moods. Layered feelings are not mixed but superposed one over another, metaemotions have a mixed phenomenology, and moods are an affective mixture par excellence. In conclusion, I suggest that wrong labelling coincides with a category mistake which hampers further progress in the philosophy of affectivity. (shrink)

Considering animality in terms of interdependency between humans and animals may help us understand how different species have evolved and continue to do so through time. The stakes are high. Darwinian evolutionary theories, while based on the continuity of the species and while suggesting the idea of mutual derivation, e.g. of humans from animals, are mostly concerned with the origins; they are not concerned with whether and how humans and animals have evolved together socially and culturally. Even a superficial (...) look at contemporary society, with its habits, tastes and recurring trends in fashion, design and the arts, shows that the border between the two categories is nothing but a threshold: the Umwelt of the humans has evolved by borrowing from the Umwelt of the animals, creating hybrids and interspecies.The article presents a few illustrations of the forms and force of this evolution, and highlights the obstacles that may prevent various disciplines from seeing it as it is, i.e. as a participatory process. (shrink)

In 1990 J-L. Krivine introduced the notion of storage operators. They are $\lambda$ -terms which simulate call-by-value in the call-by-name strategy and they can be used in order to modelize assignment instructions. J-L. Krivine has shown that there is a very simple second order type in AF2 type system for storage operators using Gödel translation of classical to intuitionistic logic. In order to modelize the control operators, J-L. Krivine has extended the system AF2 to the classical logic. In his (...) system the property of the unicity of integers representation is lost, but he has shown that storage operators typable in the system AF2 can be used to find the values of classical integers. In this paper, we present a new classical type system based on a logical system called mixed logic. We prove that in this system we can characterize, by types, the storage operators and the control operators. (shrink)

This essay is basically divided into two parts. The first deals with the similarities between reductio ad absurdum arguments and slippery slope arguments. The chief example comes from Thomas Hobbes’s Leviathan, which advances an argument for the necessity of government for humane living. The second addresses some pedagogical concerns centered around another pair of arguments: the argument by complete enumeration and the argument by inductive generalization. The illustration for this pair comes from the arts. I finish with a suggestion that (...) pairs like the above can be as effectively used in shorter, non-regular critical reasoning or introductory logic courses as those in mid-term or summer courses. Such pairing can demonstrate a good use of mixing and matching deductive and non-deductive arguments in teaching logic. (shrink)

The aim of this paper is to define a λ-calculus typed in aMixed (commutative and non-commutative) Intuitionistic Linear Logic. The terms of such a calculus are the labelling of proofs of a linear intuitionistic mixed natural deduction NILL, which is based on the non-commutative linear multiplicative sequent calculus MNL [RuetAbrusci 99]. This linear λ-calculus involves three linear arrows: two directional arrows and a nondirectional one (the usual linear arrow). Moreover, the -terms are provided with seriesparallel orders on (...) free variables. We prove a normalization theorem which explicitly gives the behaviour of the order during the normalization procedure. (shrink)

The study of the artistic heritage of neo-academicians in the context of the study of mixed techniques is quite relevant. To date, the analysis of the creativity of artists, representatives of non-academism as an artistic trend of the late twentieth century in Russia, is based on the artistic criticism of art critics, art critics who were part of this trend and considered the work of non-academicians from the perspective of the artistic life of this period in the context of (...) the socio-cultural processes of Russia during the Perestroika era. Also, the works of neo-academist artists are studied from the position of "creative rebellion" and the search for new forms in art. In this article, the works of T. Novikov, G. Guryanov, K. Goncharov, V. Mamyshev-Monroe and other representatives of NAII are studied from the position of "mixed techniques" in art objects. The main emphasis is placed on the analysis of art objects in mixed techniques in the context of overcoming formalism, embodying stylistic diversity, metamorphosis of forms and states, pictorial symbols and universal meanings. The realization of the principle of the infinity of choice and the infinity of meaning and diversity is associated with postmodernism in art, the introduction to which became decisive in Russian art of the late twentieth and early twenty-first centuries. The appeal to the study of art objects of neo-academicians made in mixed technique allows us to enrich and supplement the understanding of the term "mixed techniques" in modern art practices related to the search for new forms, compositional solutions, the formation of a unique author's language, the originality of the work. (shrink)

Purpose This paper aims to formalize long-term trajectories of human civilization as a scientific and ethical field of study. The long-term trajectory of human civilization can be defined as the path that human civilization takes during the entire future time period in which human civilization could continue to exist. -/- Design/methodology/approach This paper focuses on four types of trajectories: status quo trajectories, in which human civilization persists in a state broadly similar to its current state into the distant future; catastrophe (...) trajectories, in which one or more events cause significant harm to human civilization; technological transformation trajectories, in which radical technological breakthroughs put human civilization on a fundamentally different course; and astronomical trajectories, in which human civilization expands beyond its home planet and into the accessible portions of the cosmos. -/- Findings Status quo trajectories appear unlikely to persist into the distant future, especially in light of long-term astronomical processes. Several catastrophe, technological transformation and astronomical trajectories appear possible. -/- Originality/value Some current actions may be able to affect the long-term trajectory. Whether these actions should be pursued depends on a mix of empirical and ethical factors. For some ethical frameworks, these actions may be especially important to pursue. (shrink)

In recent years the term ‘family language policy’ has begun to circulate in the international sociolinguistics literature (cf. Spolsky 2004, 2007, 2012, King et al. 2008; Caldas 2012; Schwartz & Verschik 2013)1. From a conceptual standpoint, however, the creation and/or use of this syntagma, applied directly to the language decisions taken by family members to speak to one another, can raise questions about whether one should apply what appears rather to be a framework that pertains to actions arising out of (...) institutionalisation, public debate, and formal decisions to a phenomenon produced ‘spontaneously’. ‘Language policy’, which is also commonly associated with the term ‘planning’, has traditionally evoked the study of actions taken by public authorities at the level of the institutional and social use of languages and of their process of decision-making, implementation and any effects on social language behaviours that may ensue. The expansion of this concept to the level of interpersonal uses in families, which corresponds to another sphere involving elements that are distinct from those of the political level or of a formally constituted organisation, can be misleading and conceal phenomena specific to this level of social reality. (shrink)

If, as many historians and theorists now believe, narrative is the form proper to historical explanation, this raises the problem of the terms in which such narratives are to be evaluated. Without a clear account of evaluation, the status of historical knowledge remains obscure. Beginning with the view, found in Hayden White and others, that historical narrative constitutes a meaning not reducible to the factual content it engages, this essay argues that such meaning can arise only through a synthesis (...) of cognitive and normative discourses. Narrative combines "heterogeneous" language games in such a way that neither appeal to "truth content" nor to "justice" suffices to decide the question of which of two competing historical explanations is, as a whole, superior. Examining in critical detail the opposed positions on this issue articulated by two recent theorists-Frank Ankersmit and David Carr -the paper concludes that the debate between those who hold that historical narratives should be judged in essentially cognitive terms and those who hold that they should be judged in essentially political terms cannot be resolved and that a philosophical view of historical narrative that is neither realist nor idealist needs to be developed. (shrink)

The future of work is forcing the world to adjust to a new paradigm of working. New skills will be required to create and adopt new technology and working methods. Additionally, cognitive skills, particularly creative problem-solving, will be highly sought after. The future of work paradigm has threatened many occupations but bolstered others such as engineering. Engineers must keep up to date with the technological and cognitive demands brought on by the future of work. Using an exploratory mixed-methods approach, (...) our study sought to make sense of how engineers understand and use creative problem solving. We found significant associations between engineers’ implicit knowledge of creativity, exemplified creative problem solving, and the perceived value of creativity. We considered that the work environment is a potential facilitator of creative problem-solving. We used an innovative exceptional cases analysis and found that the highest functioning engineers in terms of knowledge, skills, and perceived value of creativity, also reported working in places that facilitate psychosocially safe environments to support creativity. We propose a new theoretical framework for a creative environment by integrating the Four Ps and psychosocial safety climate theory that management could apply to facilitate creative problem solving. Through the acquisition of knowledge to engage in creative problem solving as individuals or a team, a perception of value must be present to enforce the benefit of creativity to the engineering role. The future of work paradigm requires that organisations provide an environment, a psychosocially safe climate, for engineers to grow and hone their sought-after skills that artificial technologies cannot currently replace. (shrink)

In this paper, chaotic dynamics of a mixed Rayleigh–Liénard oscillator driven by parametric periodic damping and external excitations is investigated analytically and numerically. The equilibrium points and their stability evolutions are analytically analyzed, and the transitions of dynamical behaviors are explored in detail. Furthermore, from the Melnikov method, the analytical criterion for the appearance of the homoclinic chaos is derived. Analytical prediction is tested against numerical simulations based on the basin of attraction of initial conditions. As a result, it (...) is found that for ω = ν, the chaotic region decreases and disappears when the amplitude of the parametric periodic damping excitation increases. Moreover, increasing of F 1 and F 0 provokes an erosion of the basin of attraction and a modification of the geometrical shape of the chaotic attractors. For ω ≠ ν and η = 0.8, the fractality of the basin of attraction increases as the amplitude of the external periodic excitation and constant term increase. Bifurcation structures of our system are performed through the fourth-order Runge–Kutta ode 45 algorithm. It is found that the system displays a remarkable route to chaos. It is also found that the system exhibits monostable and bistable oscillations as well as the phenomenon of coexistence of attractors. (shrink)

Background Moral distress is a well-recognized term for emotional, cognitive, and physical reactions of professionals, when facing conflicts between perceived obligations and institutional constraints. Though studied across medical roles, limited research exists among physiotherapists. Research Question What factors contribute to Moral distress among physiotherapists and how do they cope? Objectives To develop and test a multifaceted model of Moral distress and gain an in-depth understanding of the phenomena. Research Design A 2017–2022 mixed-methods study: (1) Survey of 407 physiotherapists quantitatively (...) testing a literature-based model analyzing relationships between Moral distress, Moral sensitivity, Locus of control, Self-efficacy, Ethical climate perceptions and demographics, analyzed by descriptive and inferential statistics, multiple comparisons and structural equation modelling (SPSS26, SAS, AMOS); (2) Semi-structured interviews with 21 physiotherapists examining Moral distress experiences using meticulous phenomenological analysis. Participants and Context Israeli physiotherapists from various occupational settings recruited via professional networks. Ethical Considerations The Haifa University Ethics Committee authorized the study. Informed consent was obtained for the anonymous survey and before interviews regarding recording, and quote use. Findings Quantitative results showed moderately high average Moral distress, significantly higher among women and paediatric physiotherapists, positively correlating with Moral sensitivity. Qualitative findings revealed intense emotions around Moral distress experiences, inner conflicts between care ideals and constraints, and coping strategies like reflective skills. Senior therapists, despite higher self-efficacy and moral sensitivity, still reported persistent high distress. Discussion Moral distress has complex links with moral sensitivity, self-efficacy, perceived professional autonomy and organizational support. A renewed framework emerged explaining relations between moral distress and personal, professional and organizational factors. Conclusions Multidimensional insights help identify Moral distress causes and coping strategies among physiotherapists, advancing theory. Conclusions can shape ethics training programs and competencies. (shrink)

In the literature, the term code-mixing/switching refers to instances of language mixing in which speakers/signers combine properties of two or more languages in their utterances. Such a linguistic behavior is typically discussed in the context of multilinguals, and experts commonly focus on the form of language mixing/switching and its cross-linguistic commonalities. Not much is known, however, about how the knowledge of code-mixing comes about. How come any speaker/signer having access to more than one externalization channel (spoken or signed) code-mixes spontaneously? (...) Likewise, why do both neurotypical speakers/signers and certain neuro-atypical speakers/signers produce structurally similar mixing types? This paper offers some answers to these questions arguing that the cognitive process underlying code-mixing is a basic property of the human learning device: recombination, a fully automated cognitive process. Recombination is innate: it allows learners to select relevant linguistic features from heterogeneous inputs, and recombine them into new syntactic objects as part of their mental grammars whose extensions, arguably individual idiolects, represents what Aboh (2015b, a, 2019b) characterizes as hybrid grammars. (shrink)

What does it mean to ‘drop out’ of therapy? Many definitions of ‘dropout’ have been proposed, but the most widely accepted is the client ending treatment without agreement of their therapist. However, this is in some ways an external criterion that does not take into account the client’s experience of therapy, or reasons for ending it prematurely. This study aimed to identify whether there were more meaningful categories of dropout than the existing dropout definition, and to test whether this refined (...) categorisation of dropout was associated with clinical outcomes. This mixed-methods study used a subset of data from the IMPACT trial, which investigated psychological therapies for adolescent depression. Adolescents were randomly allocated to a treatment arm (Brief Psychosocial Intervention; Cognitive-Behavioural Therapy; Short-Term Psychoanalytic Psychotherapy). The sample for this study comprised 99 adolescents, aged 11-17 years. 32 were classified as having dropped out of treatment and participated in post-therapy qualitative interviews about their experiences of therapy. For 26 dropout cases, the therapist was also interviewed. 67 cases classified as having completed treatment were included to compare their outcomes to dropout cases. Interview data for dropout cases were analysed using ideal type analysis. Three types of dropout were constructed: ‘dissatisfied’ dropout, ‘got-what-they-needed’ dropout, and ‘troubled’ dropout. ‘Dissatisfied’ dropouts reported stopping therapy because they did not find it helpful. ‘Got-what-they-needed’ dropouts reported stopping therapy because they felt they had benefitted from therapy. ‘Troubled’ dropouts reported stopping therapy because of a lack of stability in their lives. The findings indicate the importance of including the perspective of clients in definitions of drop out, as otherwise there is a risk that the heterogeneity of 'dropout' cases may mask more meaningful distinctions. Clinicians should be aware of the range of issues experienced by adolescents in treatment that lead to disengagement. Our typology of dropout may provide a framework for clinical decision-making in managing different types of disengagement from treatment. (shrink)

Transnational food retailers expanded to middle-income countries over recent decades responding to supply and demand. Control in new markets diffuses along three axes: socio-economic, geographic, and product category. We used a mixed method approach to study the progression of modern retail in Thailand on these three axes and consumer preferences for food retailing. In Thailand modern retail controls half the food sales but traditional fresh markets remain important. Quantitative questionnaires administered to members of a large national cohort study revealed (...) around half of respondents were primarily traditional shoppers and half either utilized modern and traditional formats equally or primarily shopped at supermarkets. Fresh foods were mainly purchased at traditional retail formats and dry packaged foods at supermarkets. Qualitative interviews found price and quality of produce and availability of culturally important products to be significant reasons for continued support of fresh markets. Our results show socio-economic and geographic diffusion is already advanced with most respondents having access to and utilizing modern retail. Control of the fresh food sector by transnationals faces barriers in Thailand and may remain elusive. The short to mid-term outcome may be a bifurcated food system with modern and traditional retail each retaining market share, but fresh markets longer term survival may require government assistance as supermarkets become more established. Fresh markets supply affordable, healthy foods, and livelihoods for poorer Thais and are repositories of Thai food culture and social networks. If they survive they will confer cultural, social, economic, and health benefits. (shrink)

A non-repeated item design refers to an experimental design in which items used in one level of experimental conditions are not repeatedly used at other levels. Recent literature has suggested the use of generalized linear mixed-effects models for experimental data analysis, but the existing specification of GLMMs does not account for all possible dependencies among the outcomes in NRI designs. Therefore, the current study proposed a GLMM with a level-specific item random effect for NRI designs. The hypothesis testing performance (...) of the newly proposed model was evaluated via a simulation study to detect the experimental condition effect. The model with a level-specific item random effect performed better than the existing model in terms of power when the variance of the item effect was heterogeneous. Based on these results, we suggest that experimental researchers using NRI designs consider setting a level-specific item random effect in the model. (shrink)

This paper has three main goals. Firstly – to draw attention to the phenomenon of the democratic paradigm in the study of modern state systems (especially monarchical ones), characterise it and outline its sources. Also - to question the basis of this phenomenon (by pointing out, among other things, the durability of monarchical systems and the phenomenon of partial ‘re-monarchization’ – real or apparent – of certain contemporary republican systems on the examples of: Montenegro, Romania, the Czech Republic, Hungary and (...) Poland). Secondly, to present the negative consequences of the functioning of the democratic paradigm, also (paradoxically) those affecting the political practice of republics. Thirdly, to propose a way to reduce these negative consequences by changing the optics adopted in comparative studies about monarchies and republics. This change is based on the restoration, in comparative analyses of contemporary state systems (including monarchical ones), of the concepts of ‘mixed system’ and ‘monarchical principle’, which are still used in research on the history of the state and law, and should be disseminated in research on contemporary political systems and constitutional law. An explanation of the terms ‘mixed system’ and ‘monarchical principle’ as I use them here will follow in the final part of the paper. (shrink)

The paper assumes as a general abstract norm that the specific potentialities of living beings be fulfilled. No being has a priority in principle in the realizing of its possibilities, but norms of increasing diversity or richness of potentialities put limits on the development of destructive life-styles. Application is made to the mixed Norwegian communities of certain mammals and humans. A kind of modus vivendi is established which is firmly based on cultural tradition. It is fairly unimportant whether the (...) term 'rights (of animals)' is or is not used in the fight for human peaceful coexistence with a rich fauna. (shrink)

The practice of placing men and women in the same hospital room (mixed gender rooms) has been prohibited in the UK National Health Service for over a decade. However, recent research demonstrates that the practice is common and increasing in a major New Zealand public hospital. Reports and complaints show that the practice also occurs in Australia. We argue that mixed gender rooms violate the fundamental human rights of personal security and dignity. The high rates of cognitive impairment, (...) sensory impairment and frailty in hospital wards exacerbates the risk for these violations and subsequent harm. We argue for the adoption of specific national policies prohibiting mixed gender rooms and public reporting of breaches. Importantly, these guidelines can be adopted without compromising the rights of gender minorities. In the long term, hospitals should be built with single occupancy rooms. (shrink)

The article develops a critique of John Deely’s ontological realism, specifically in its relevance for the project of global semiotics. Deely, whose theorizations rely heavily on the pre-modern philosophical systems of Thomas Aquinas and the Latin scholastics, has made the most sustained attempt to give philosophical grounding to Charles Peirce’s famous intuition that “all this universe is perfused with signs, if it is not composed exclusively of signs”. The critique developsalong two main lines. Firstly, I contend that Deely’s account of (...) onto logical relations is unsatisfactory, for it assumes the very fact it promises to demonstrate: the identity between patterns of physical events, on one hand, and patt erns of thought, on the other. As it is never adequately explained what it means for the former to be identical with the latter, the mediating term – “ontological relation” – remains highly problematic. Secondly, I argue that even if this ontological paradigm is allowed to stand as proposed, it still fails to bridge the gap between the so-called “natural” signs and human-specific, language-based signification; for, as it posits a unity between the stipulable and the non-stipulable sign, the argument falls into a performative contradiction. (shrink)

Using mixed methods, we explored new music students’ concepts of wellbeing and success and their current state of wellbeing at a university music department in Switzerland. Music performance is a competitive and achievement-oriented career. Research suggests musicians face vocation-specific challenges to physical health and mental wellbeing but has yet to investigate music students’ beliefs about wellbeing and success. With a self-report questionnaire we investigated new music students’ quality of life and self-efficacy. Through qualitative workshops we explored students’ understanding of (...) the term “wellbeing,” and how this relates to “success.” Over half new music students believed the institution has 40–60% responsibility for their wellbeing. A simple linear regression showed that self-efficacy could predict better wellbeing, explaining 12% of the variance. Self-efficacy predicts wellbeing for new music students. The 17 flipcharts generated 121 inputs clustered into themes. Four themes solely described “wellbeing” and four separately depict “success”. Some themes intersected as elements of both constructs. Four further themes illustrated the relationship between the two. Music students believe responsibility for wellbeing is shared between themselves and their institution. As they scored low on both self-efficacy and wellbeing, these findings are an urgent call for action for school management and stakeholders of the music student population. (shrink)

The general study of the ontology of quantum field theories (QFTs) concerns whether particles or fields are more fundamental. Both views are well-motivated, although each is subject to some serious criticism. Given that the current versions of the particle interpretation and the field interpretation are not satisfying, I propose a mixed ontology of particles and fields in the framework of QFT. I argue that the ontological question should focus on how to view particles and fields consistently in QFT, provided (...) that they are the natural candidates for the ontology of QFT. In particular, based on this reading, I adopt a functionalist reading of ontology and defend a mixed ontology of QFT. I address a paradigmatic case of the mixed ontology approach: a particle/field duality defined in terms of functional equivalence between particles and fields. Functionalism about ontology provides new insight into resolving the problem of unitarily inequivalent representations, which is one of the major interpretational issues of QFT. (shrink)

A number of medieval Arabic logicians discussed inferences that combine the principles of propositional and term logic, for example: Whenever H is Z then Every J is DNo D is AWhenever H is Z then S...

Kripke’s notion of groundedness plays a central role in many responses to the semantic paradoxes. Can the notion of groundedness be brought to bear on the paradoxes that arise in connection with abstraction principles? We explore a version of grounded abstraction whereby term models are built up in a ‘grounded’ manner. The results are mixed. Our method solves a problem concerning circularity and yields a ‘grounded’ model for the predicative theory based on Frege’s Basic Law V. However, the method (...) is poorly behaved unless the background second-order logic is predicative. (shrink)

The original development of the formalism of quantum mechanics involved the study of isolated quantum systems in pure states. Such systems fail to capture important aspects of the warm, wet, and noisy physical world which can better be modelled by quantum statistical mechanics and local quantum field theory using mixed states of continuous systems. In this context, we need to be able to compute quantum probabilities given only partial information. Specifically, suppose that B is a set of operators. This (...) set need not be a von Neumann algebra. Simple axioms are proposed which allow us to identify a function which can be interpreted as the probability, per unit trial of the information specified by B, of observing the (mixed) state of the world restricted to B to be σ when we are given ρ – the restriction to B of a prior state. This probability generalizes the idea of a mixed state (ρ) as being a sum of terms (σ) weighted by probabilities. The unique function satisfying the axioms can be defined in terms of the relative entropy. The analogous inference problem in classical probability would be a situation where we have some information about the prior distribution, but not enough to determine it uniquely. In such a situation in quantum theory, because only what we observe should be taken to be specified, it is not appropriate to assume the existence of a fixed, definite, unknown prior state, beyond the set B about which we have information. The theory was developed for the purposes of a fairly radical attack on the interpretation of quantum theory, involving many-worlds ideas and the abstract characterization of observers as finite information-processing structures, but deals with quantum inference problems of broad generality. (shrink)

In contemporary society, childhood is characterized as mediatized and commercialized. Media consumption worlds (MCWs) are a phenomenon that mirrors both aspects. They are narratives that are presented through various media platforms, games, and merchandising products. In this paper, the concept of children’s MCWs is developed theoretically and investigated empirically using the case of primary school children’s appropriation of MCWs as well as parental mediation and attitude in Austria and Germany. A mixed-methods design was applied, starting with qualitative interviews with (...) children and their parents and followed by an online survey for parents (N=327). The study revealed that children find individual ways to deal with MCWs, some of which foster creativity and self-expression but also consumerism. The parents’ attitude is ambivalent. They view MCWs as beneficial in terms of creativity, positive values, and as peer group experience. However, parents observe critically that MCWs lure children to the media and to consumption. (shrink)

Commercial video games are popular entertainment media and part of students’ media reality. While commercial video games’ main purpose is not learning, they nonetheless could and should serve as objects of reflection in formal educational settings. Teachers could guide student learning and reflection as well as motivate students with commercial video games, but more evidence from formal educational settings is required. We conducted two mixed methods case studies to investigate students’ reflection processes using commercial video games in regular formal (...) high school teaching. In a double lesson, 29 students of a 10th-grade biology course and 17 students of a 12th-grade advanced course on history played and discussed a commercial video game related to the current curricular topic. We examined the reflection processes of students in terms of their reactions to the teachers’ game-related statements and questions. Regarding teachers’ statements, students discussed several topics related to game enjoyment and the games’ representation of topic-related content. Regarding teachers’ questions, students discussed multiple goals in each game, how the games represented topic-related content, and how the games could be appropriate for learning. In Study 2, students additionally discussed emotions, stereotypes, violence, and the narrative related to the digital history game. We found that the discussions provided students opportunities to reflect on their game experiences and the current curricular topic as well as to practice media criticism. We further provide quantitative results on students’ perceived topic knowledge, on several facets of their learning motivation, and on their acceptance of video games. Overall, our findings illustrate the educational value of using commercial video games as objects of reflection. (shrink)

In industrialized democracies, contractionist social welfare policies have transformed healthcare systems. This has led to reallocations of long‐term care work that have perpetuated gender inequities. The appropriated work of female family caregivers substitutes for paid nursing work, and the household is the primary site for long‐term care delivery. In this article, central premises of critical social theory are used to analyse current long‐term care policy and to explicate how research facilitated the development of mixed economies of care. Problematic consequences (...) of home caregiving are revealed through a depiction of contemporary Canadian families, a critique of the related empirical research literature, and a discussion of the assumptions that underlie long‐term care policies. The article concludes with suggestions which nurse researchers could use to contribute to the reformulation of policies to render them just and equitable. (shrink)

Background: Infectious disease outbreaks such as COVID-19 and MERS pose a major threat to healthcare workers' physical and mental health. Studies exploring the positive changes gained from adapting to traumatic events, known as post-traumatic growth, have attracted much attention. However, it is unclear which factors or experiences lead to PTG among HCWs. The purpose of this mixed-method study was to investigate factors associated with PTG among HCWs who experienced the MERS outbreak in South Korea, and fully describe their experience (...) of developing PTG.Methods: Quantitative data from 78 participants were collected using psychometric tools for Psychological distress, Resilience, and Support for coping, and Post-traumatic growth. Qualitative interviews were conducted with seven nurses. Data were analyzed using the qualitative content analysis method according to the sub-themes of resilience, which was the main factor associated with PTG.Results: We found resilience to have a significant impact on PTG. Thus the qualitative interviews were analyzed using the core concepts of resilience. Qualitative interviews with nurses illustrated how participants experienced the development of resilience in terms of its sub-factors: hardiness, persistence, optimism, and support.Conclusion: HCWs who endured the MERS outbreak showed high levels of PTG, and the analysis of the interview data provided a fuller understanding on the experience of remaining resilient and developing PTG. These results provide practical and pragmatic information helpful for developing intervention strategies and protocols that can help HCWs transform adversity into growth and development. (shrink)

Various studies on the impact of religiousness on consumer ethics have produced mixed results and suggested further clarification on the issue. Therefore, this article examines the effect of religiousness, materialism, and long-term orientation on consumer ethics in Indonesia. The results from 356 respondents in Indonesia, the largest Muslim population in the world, showed that intrinsic religiousness positively affected consumer ethics, while extrinsic social religiousness negatively affected consumer ethics. However, extrinsic personal religiousness did not affect consumer ethical beliefs dimensions. Unlike (...) other studies in developed countries, materialism and long-term orientation influenced only a few of the consumer ethical beliefs dimensions in this study. To date, the study is one of the first empirical studies to explore the impact of religiousness on consumer ethics in Indonesia. The study contributes to the debate on the impact of religiousness on consumer ethics and can assist managers and public policymakers in their effort to mitigate unethical consumer activities in Indonesia. (shrink)