Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case (...) scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality. (shrink)

Abstract‘Raising aspirations’ for education among young people in low socioeconomic regions has become a widespread policy prescription for increasing human capital investment and economic competitiveness in so-called ‘knowledge economies’. However, policy tends not to address difficult social, cultural, economic and political conditions for aspiring, based in structural changes associated with globalization. Drawing conceptually on the works of Pierre Bourdieu, Raymond Williams, Arjun Appadurai and authors in the Funds of Knowledge tradition, this article theorizes two logics for aspiring that are recognizable (...) in research with young people and families: a doxic logic, grounded in populist–ideological mediations; and a habituated logic, grounded in biographic–historical legacies and embodied as habitus. A less tangible third ‘logic’ is also theorized: emergent senses of future potential, grounded in lived cultures, which hold possibility for imagining and pursuing alternative futures. The article offers a sociological framework for understanding aspirations as complex social–cultural phenomena, and for capacitating emergent and hopeful aspirations through school- and community-based research and dialogue. (shrink)

In his featured article, Makins suggests that healthcare professionals ought to defer to patients’ higher-order attitudes towards their risk attitudes when making medical decisions under uncertainty.1 He contends that this deferential approach is consistent with widely held antipaternalistic views about medicine. While Makins offers novel, insightful and provocative perspectives, we illustrate in this commentary that the theory suffers from some weaknesses and shortcomings that limit its persuasiveness and applicability and professionals should take a cautious approach when applying it to their (...) healthcare practice. While Makins does not provide a clear and consistent definition of higher-order risk attitudes, in mathematics, higher-order attitudes should be defined by the sign and shape of the derivatives of the utility or value function beyond the second order. Prudence is defined by a positive third derivative (convex marginal utility), while temperance is defined by a negative fourth derivative (concave second derivative).2 It is worth noting that higher-order attitudes are domain-specific, context-dependent and situation-sensitive. They vary depending on the framing, wording, format or presentation of the choice problem, …. (shrink)

This article offers a comparative study of seven German biographies of Karl Marx (1818–1883) that were published between the two world wars. The interpretations of Marx’s theory of historical materialism presented in these biographies fall into three groups or approaches: the orthodox, the neo-Kantian, and the psychological. Some biographies place Marx the revolutionary above Marx the theorist, while others reverse this order. Similarly, some of the biographies explain the relationship between Marx’s life and thought by adopting the “experience–psychology–thought” framework. The (...) orthodox approach emphasizes the objectivity of cognition in the base–superstructure relationship. Yet both the orthodox and the neo-Kantian approach, which stresses Kant’s cognitive critique and the “is–ought” dualism, fail to grasp Marx’s subject–object dialectics, while the psychological approach undermines the theoretical significance of historical materialism. In comparing and assessing these works I argue that the biographers’ historical and scholarly horizons are dictated by their political standpoint and academic perspective and thus determine their choice of approach, which not only indicates if they will lean toward the theoretical or the revolutionary Marx, but also why they fail to adequately deal with the relationship between Marx’s life and his thought. Nevertheless, I conclude that these biographies, despite their various shortcomings, establish the basic paradigm and parameters of any biography of Marx. (shrink)

Studies on the chronology of ancient books are a form of basic research. They involve complex causes and factors that have to do with the formation of ancient books, include many of the mysteries and secrets of hermeneutics, and are a matter that deserves repeated study and research. In the past, the "doubting of antiquity" school of thought viewed ancient books with an attitude of universal skepticism, which might well be described as an overall rethinking with regard to ancient books, (...) and which directly affected people's entire cognition of China's ancient civilization. In recent years, however, in the wake of the increasing numbers of archaeological discoveries and deeper studies into ancient history, a change is fermenting in people's views about the chronology of ancient books. Due to geographical proximity and convenience in obtaining materials, a number of scholars on the Chinese mainland are already strongly aware of this change. For instance, Li Xueqin has time and again written articles proposing that a "second rethinking" should be conducted with regard to ancient books.1 However, up to this day, many people have yet to attach sufficient importance to this change . I am therefore raising this issue and conducting a preliminary analysis from all the aspects that it touches upon. (shrink)

This famous iambic line is described—alike by commentators on the New Testament and by writers on the Greek drama—as a quotation in the first place from the lost Thaïs of Menander, and it is further stated that it was there borrowed from some play of Euripides no longer extant. In view of the revival of interest in Euripides during recent years, it seems worth while to examine the line in detail, and to see whether, in the light of our present (...) knowledge, any further information can be extracted as to its precise source. (shrink)

That conditional, if-then reasoning does not emerge until 4–5 years has long been accepted. Here we show that children barely 3 years old can do conditional reasoning. All that was needed was a superficial change to the stimuli: When color was a property of the shapes rather than of the background, 3-year-olds could succeed. Three-year-olds do not seem to use color to inform them which shape is correct unless color is a property of the shapes themselves. While CD requires integrating (...) color and shape information, the dimensional change card sort task requires keeping those dimension cognitively separate – inhibiting attention to one when sorting by the other. For DCCS, a superficial change to the stimuli that is the inverse of what helps on CD enables 3-year-olds to succeed when normally they do not until ∼4⁤12 years. As we and others have previously shown, 3-year-olds can succeed at DCCS when color is a property of the background, instead of a property of the stimulus. Our findings on CD and DCCS suggest that scaffolding preschoolers’ emerging conceptual skills by changing the way stimuli look enables 3-year-olds to demonstrate reasoning abilities long thought beyond their grasp. Evidently, children of 3 years have difficulty mentally separating dimensions of the same object and difficulty mentally integrating dimensions not part of the same object. Our present CD findings plus our earlier DCCS findings provide strong evidence against prominent cognitive complexity, conditional reasoning, and graded memory theories for why 3-year-olds fail these two tasks. The ways we have traditionally queried children may have obscured the budding reasoning competencies present at 3 years of age. (shrink)

On December 30, 2003, the FDA announced that it will publish a rule banning sales of ephedra - a dietary supplement often utilized for weight loss, increased energy, and enhanced athletic performance - because it poses an unreasonable health risk.The ban will be issued under the auspices of the Federal Food, Drug, and Cosmetic Act and the Dietary Supplement Health and Education Act of 1994, in response to a process that began in June of 1997, when the FDA first proposed (...) a mandatory warning statement on dietary supplements containing ephedra. FDAs analysis of the scientific evidence has led it to conclude that dietary supplements containing ephedrine alkaloids present an unreasonable risk of illness or injury and are therefore adulterated under Section 402 of the Federal Food, Drug, and Cosmetic Act? (shrink)

Following the Industrial Revolution in Europe and America, the market was flooded with manufacturing goods. To promote sales, the department store that stressed a “low profit, high volume” model appeared in Shanghai. Sellers lowered prices to encourage purchases, and used rapid and high volume turnover to make up for lower profits. To speed up turnover, department stores invented various devices to increase sales, including intensive media advertising, open and comfortable store spaces, and free and attentive services. The new sales philosophy (...) and tactics not only brought about a breakthrough in the retailing, but also reshaped consumer life and urban culture. The Shanghai department store evinced the social and cultural meaning of consumption in its building and inner design, its application of new technology, and its promotional activities and products display. A consumer lifestyle centering on the department store also remolded the Shanghai society. (shrink)

Abstract The notion of necessary new terms (predicates) is proposed. It is shown that necessary new predicates in first?order logic must be directly, recursively defined. I present a first?order inductive learning algorithm that introduces new necessary predicates to model scientific revolution in which a new language is adopted. I demonstrate that my learning system can learn a genetic theory with theoretical terms which, after being induced by my system, can be interpreted as either types of genetic properties (dominant or recessive) (...) or genes, depending on the representation of the hypotheses of the same theoretical terms. (shrink)

We show that the big bang is a coordinate singularity for a large class of \ inflationary FLRW spacetimes which we have dubbed ‘Milne-like.’ By introducing a new set of coordinates, the big bang appears as a past boundary of the universe where the metric is no longer degenerate—a result which has already been investigated in the context of vacuum decay. We generalize their results and approach the problem from a more mathematical perspective. Similar to how investigating the geometrical properties (...) of the \ event horizon in Schwarzschild led to a better understanding of black holes, we believe that investigating the geometrical properties of the big bang coordinate singularity for Milne-like spacetimes could lead to a better understanding of cosmology. We show how the mathematics of these spacetimes may help illuminate certain issues associated with dark energy, dark matter, and the universe’s missing antimatter. (shrink)

Student well-being and its relationships with academic achievement in China have not been well-investigated. This study aimed at investigating student well-being and the trade-off of the well-being and academic achievement with a sample of 1,353 Chinese high-school students from four cities in China during coronavirus disease 2019 pandemic period. The six dimensions of well-being were utilised to test the relationships with three subjects including Mathematics, English, and Chinese using a quantitative analysis. In this study, the relationships between six dimensions of (...) well-being and three academic subject achievements were tested in one statistical model. Results showed that spiritual well-being was ranked the highest, followed by psychological, physical, self, and social well-being. Students gave the lowest ranking to academic well-being. The two significant paths identified were between spiritual well-being and two subjects, namely, Chinese and Mathematics. It is interesting to note that the other five dimensions of well-being were significantly associated with any subjects and English was not significantly related to any dimensions of well-being in this study. Our findings suggested that policymakers and other stakeholders should avoid an “all or nothing” mindset on practice when considering well-being as a multidimensional construct. (shrink)

Under the influence of social changes, latent factors in campus safety are increasing, and dealing with them is becoming more difficult. Facing the challenges in the pluralistic society, students need to cope with the changes of external and internal environments in the dynamic society. Additionally, there are new events on campus at any time, which may lead to campus risk. The frequent events that have occurred on campus in recent years have created difficulties for school administrative units. Implementing campus risk (...) management strategies and conducting risk awareness education campaigns are, therefore, necessary. The fact that we are in a technologically dynamic age is another factor that makes risk awareness and proper risk management essential for individual survival and sustainable development of organizations. The participants of the study were university students in Nanchang, Jiangxi Province. Three hundred copies of the questionnaire were distributed, and 238 valid copies were retrieved, representing a retrieval rate of 79%. The results of the survey show that “life education” is the most emphasized dimension, followed by “curriculum and instruction,” and “environmental planning.” The five most emphasized indicators among the 14 indicators are opportunity education, physical activity, role-play, team competition, and learning area planning. The results suggest that school administrative units can take control in an emergency and reduce the likelihood of school members being threatened or harmed by the risk factor, and educators can make a quick decision to turn risk into opportunity. (shrink)