Studies on testing effect have showed that a practice test on study materials leads to better performance in a final test than restudying the materials for the same amount of time. Two experiments were conducted to test how distraction, as triggered by divided attention or experimentally induced anxious mood in the practice phase, could modulate the benefit of testing (vs. restudying) on the learning of interesting and boring general knowledge facts. Two individual difference factors (trait test anxiety and working memory (...) (WM) capacity) were measured. Under divided attention, participants restudied or recalled the missing information in visually presented general knowledge facts, while judging whether auditorily presented items were from a pre-specified category. To experimentally induce anxious mood, we instructed participants to view and interpret negative pictures with anxious music background before and during the practice phase. Immediate and two-day delayed tests were given. Regardless of item type (interesting or boring) or retention interval, the testing effect was not significantly affected by divided (vs. full) attention or anxious (vs. neutral) mood. These results remained unchanged after taking into account the influences of participants’ trait test anxiety and WM capacity. However, when analyses were restricted to the study materials that had been learnt in the divided attention condition while participants accurately responded to the concurrent distracting task, the testing effect was stronger in the divided attention condition than in the full attention condition. Contrary to previous studies (e.g., Tse and Pu, 2012 ), there was no WM capacity × trait test anxiety interaction in the overall testing effect. Theoretical and practical implications of these findings are discussed. (shrink)

This article discusses the establishment of a governance framework for biomedical research in Singapore. It focuses on the work of the Bioethics Advisory Committee , which has been instrumental in institutionalizing a governance framework, through the provision of recommendations to the government, and through the coordination of efforts among government agencies. However, developing capabilities in biomedical sciences presents challenges that are qualitatively different from those of past technologies. The state has a greater role to play in balancing conflicting and potentially (...) irreconcilable economic, social, and political goals. This article analyzes the various ways by which the BAC has facilitated this. (shrink)

The research ethics framework put forward by McCradden et al. to support systematic inquiry in the development of artificial intelligence and machine learning technologies in healt...

This paper reports on the long-term effectiveness of a non-formal co-curricular educational program based on a campus ecogarden at a Hong Kong university in developing pro-sustainability awareness, attitudes and behavior among undergraduate students. This service-based, nature-based experiential learning program, termed the Ecogarden Farmer and Biodiversity Surveyor, has been running at the university since 2015. The program is divided into two consecutive phases: a training phase comprising various learning activities and a successive internship phase consisting of the all-round practical tasks involved (...) in managing the garden. A retrospective evaluation of the program using phenomenographic approach and content analysis was adopted to reveal the diversity of students’ learning experience, as the indicators of the success of the program. Of 112 participants from 4 cohorts, 32 completed online questionnaires, and semi-structured interviews were successfully conducted with twelve participants, three from each of the four cohorts. The results indicated that the program’s outcomes could be categorized into five themes. Most outcomes fit into the theme ‘an increase in knowledge and skill level,’ followed by ‘rise in environmental awareness,’‘facilitation of personal growth,’ and ‘enhancement of career development.’ Many structural experiences revealed may suggest the success of the program. The longer the participants had participated in the program, the more in-depth and diversified reflection of the senior participants relating to personal development were mentioned. This study provides critical insights into the validity of retrospective program evaluation for assessing the long-term impact of EfS programs by introducing a cross-sectional study of different cohorts as a serial time-point sampling strategy. (shrink)

This article investigates the structure of trust in China and compares it with the U.S., using the 2000 and 2005 waves of the World Value Survey (WVS). We analyze two dimensions of trust - trust in people and trust in major companies. It is found that the level of trust has remained stable in China within the 5-year period. On the other hand, trust in major companies has declined dramatically in U.S. while trust in people has increased slightly. The structure (...) of trust in companies is different from trust in people. For both countries, individuals with higher education tend to have a higher level of trust. Individuals who are divorced tend to have lower trust in people. Individuals who think that other people are fair are more likely to trust in people. Preference for competition has a positive effect on trust in major companies. On the other hand, some differences between the two countries are observed. Perception of fairness does not affect trust in major companies in China, while it has a positive effect in U.S. in year 2006. Preference for equality has a negative effect on trust in major companies in U.S. but no significant effect in China. The pattern of trust and its changes over time may reflect differences in market conditions in the two economies. (shrink)

The pipeline model framework proposed by Char et al. makes a timely contribution to the literature in allowing one to take a step back and consider machine learning healthcare app...

OpenAI’s Chat Generative Pre-training Transformer (ChatGPT), Google’s Bard and other generative artificial intelligence (GenAI) technologies can greatly enhance the capability of healthcare profess...

Following the outbreak of what would become the COVID-19 pandemic, social distancing measures were quickly introduced across East Asia—including drastic shelter-in-place orders in some cities—drawing on experience with the outbreak of severe acute respiratory syndrome almost two decades ago. “Smart City” technologies and other digital tools were quickly deployed for infection control purposes, ranging from conventional thermal scanning cameras to digital tracing in the surveillance of at-risk individuals. Chatbots endowed with artificial intelligence have also been deployed to shift part of (...) healthcare provision away from hospitals and to support a number of programmes for self-management of chronic disease in the community. With the closure of schools and adults working from home, digital technologies have also sustained many aspects of both professional and social life at a pace and scale not considered to be practicable before the outbreak. This paper considers how these new experiences with digital technologies in public health surveillance are spurring digitalization in East Asian societies beyond the conventional public health context. It also considers some of the concerns and challenges that are likely to arise with rapid digitalization, particularly in healthcare. (shrink)

With focus on the development and use of artificial intelligence (AI) systems in the digital health context, we consider the following questions: How does the European Union (EU) seek to facilitate the development and uptake of trustworthy AI systems through the AI Act? What does trustworthiness and trust mean in the AI Act, and how are they linked to some of the ongoing discussions of these terms in bioethics, law, and philosophy? What are the normative components of trustworthiness? And how (...) do the requirements of the AI Act relate to these components? We first explain how the EU seeks to create an epistemic environment of trust through the AI Act to facilitate the development and uptake of trustworthy AI systems. The legislation establishes a governance regime that operates as a socio-epistemological infrastructure of trust which enables a performative framing of trust and trustworthiness. The degree of success that performative acts of trust and trustworthiness have achieved in realising the legislative goals may then be assessed in terms of statutorily defined proxies of trustworthiness. We show that to be trustworthy, these performative acts should be consistent with the ethical principles endorsed by the legislation; these principles are also manifested in at least four key features of the governance regime. However, specified proxies of trustworthiness are not expected to be adequate for applications of AI systems within a regulatory sandbox or in real-world testing. We explain why different proxies of trustworthiness for these applications may be regarded as ‘special’ trust domains and why the nature of trust should be understood as participatory. (shrink)

The ethical restatement of the “risk and crisis communication in public health emergency” (PHERCC) matrix by Spitale et al. (2024) is a step up from mainstream approaches like the Crisis and Emerge...

This article examines the social development of Hong Kong's cultural and national identity since its return from the UK to the People's Republic of China nearly six years ago, focusing on the extent to which Hong Kong students are now inculcated in traditional Chinese music and express their devotion to the PRC through singing the national anthem. Hong Kong music teachers experience conflicts concerning their roles as music teachers and as purveyors of values education. These observations raise fundamental questions concerning (...) the sociopolitical function of values education in the music classroom. (shrink)

Metacognitive training (MCT) was developed to promote awareness of reasoning biases among patients with schizophrenia. While MCT has been translated into 31 languages, most MCT studies were conducted in Europe, including newer evidence recommending an individualized approach of delivery. As reasoning biases covered in MCT are separable processes and are associated with different symptoms, testing the effect of selected MCT modules would help to develop a targeted and cost-effective intervention for specific symptoms and associated mechanisms. This study tested the efficacy (...) of a 4-session metacognitive training for delusions, MCTd (in Traditional Chinese with cultural adaptations, provided individually), as an adjunct to antipsychotics in reducing severity and conviction of delusions, jumping to conclusions bias and belief inflexibility. Forty-four patients with delusions were randomized into the MCTd or the wait-list control condition. Patients on wait-list received the same MCTd after four weeks of treatment as usual. Assessment interviews took place before and after the treatment, and at 4-week follow-up. There was an additional baseline assessment for the controls. Jumping to conclusions and belief flexibility were measured by the beads tasks and the Maudsley Assessment of Delusions Scale. Attendance rate of the MCTd was satisfactory (84.5%). Compared to treatment as usual, there was a greater reduction in psychotic symptoms, delusional severity and conviction following MCTd. There was a large treatment effect size in improvement in belief flexibility. Improvement in reaction to hypothetical contradiction predicted treatment effect in positive symptoms and delusions. Jumping to conclusions bias was reduced following MCTd, although the treatment effect was not significantly larger than TAU. Our results support the use of process-based interventions that target psychological mechanisms underlying specific psychotic symptoms as adjuncts to more conventional approach. (shrink)

The coronavirus disease pandemic fundamentally disrupted humans’ social life and behavior. Public health measures may have inadvertently impacted how people care for each other. This study investigated prosocial behavior, its association well-being, and predictors of prosocial behavior during the first COVID-19 pandemic lockdown and sought to understand whether region-specific differences exist. Participants from eight regions clustering multiple countries around the world responded to a cross-sectional online-survey investigating the psychological consequences of the first upsurge of lockdowns in spring 2020. Prosocial behavior (...) was reported to occur frequently. Multiple regression analyses showed that prosocial behavior was associated with better well-being consistently across regions. With regard to predictors of prosocial behavior, high levels of perceived social support were most strongly associated with prosocial behavior, followed by high levels of perceived stress, positive affect and psychological flexibility. Sociodemographic and psychosocial predictors of prosocial behavior were similar across regions. (shrink)

Most neuroimaging research in stroke rehabilitation mainly focuses on the neural mechanisms underlying the natural history of post-stroke recovery. However, connectivity mapping from resting-state fMRI is well suited for different neurological conditions and provides a promising method to explore plastic changes for treatment-induced recovery from stroke. We examined the changes in resting-state functional connectivity (RS-FC) of the ipsilesional primary motor cortex (M1) in 10 post-acute stroke patients before and immediately after 4 weeks of robot-assisted bilateral arm therapy (RBAT). Motor performance, (...) functional use of the affected arm, and daily function improved in all participants. Reduced interhemispheric RS-FC between the ipsilesional and contralesional M1 (M1-M1) and the contralesional-lateralized connections were noted before treatment. In contrast, greater M1-M1 functional connectivity and disturbed resting-state networks were observed after RBAT relative to pre-treatment. Increased changes in M1-M1 RS-FC after RBAT were coupled with better motor and functional improvements. Mediation analysis showed the pre-to-post difference in M1-M1 RS-FC was a significant mediator for the relationship between motor and functional recovery. These results show neuroplastic changes and functional recoveries induced by RBAT in post-acute stroke survivors and suggest that interhemispheric functional connectivity in the motor cortex may be a neurobiological marker for recovery after stroke rehabilitation. (shrink)

Background Care homes have been disproportionately affected during the COVID-19 pandemic. Practical challenges of enacting infection control measures in care home settings have been widely reported, but little is known about the ethical concerns of care home staff during the implementation of such measures.. Objectives To understand the ethical challenges perceived by care home staff during the early months of the COVID-19 pandemic. Research design An exploratory qualitative study. Participants and research context A purposive sample of 15 care home staff (...) in different roles and ranks in Hong Kong was recruited to take part in semi-structured interviews between June and August 2020. Ethical considerations Ethical approval for this study was obtained. Participation was voluntary and anonymous. Participants had the right to withdraw from the study at any time without reprisal. Findings Three themes were identified: unclear legitimacy regarding infection control measures, limited autonomy in choices over infection control measures and inevitable harms to residents’ well-being. While the participants expected that they would have legitimated power to implement infection control measures, they were resistant when their right to self-determination of testing and vaccination was infringed. They also felt trapped between ethical duties to protect care home residents from infection risk and the anticipated detrimental effects of infection control measures. Conclusions The findings of this study reveal tensions among the ethical obligations of care home staff in response to a public health emergency. They highlight the importance of strengthening ethical sensitivity and ethical leadership in identifying and resolving the challenges of pandemic responses. (shrink)

XIX. Yüzyılın sonları ve XX. yüzyılın başlarında Azerbaycan'da entelijansiya arasında milli bilinç ortaya çıkmış olsa da Sovyet dönemiyle birlikte bu süreç kesintiye uğramış ve toplumsal tabana yayılamamıştır. Sonuç olarak, var olan “Müslüman Kimliği”, Azeri toplumu için temel bir kimlik bağı olarak varlığını sürdürmeye devam etmiştir. Entelijansiyanın tasfiyesi ile birlikte, kullandıkları sloganlar ve milliyetçi semboller de ortadan kalkmış, Türk milliyetçiliği Azerbaycan'da bir ideoloji olarak varlığını koruyamamıştır. Sonuç itibariyle, politik-ideolojik milliyetçilik ve onun sloganları, milli bilinci canlı tutma imkanından yoksun bırakılmıştır. Bu makalede, (...) Sovyet Azerbaycan'ında milli bilinci besleyen temel faktörün İslâm ve Müslüman kimliği olduğu savunulmaktadır. Komünist rejim İslam’ın entelektüel ve ideolojik boyutlarını en aza indirmeyi başarmasına rağmen, kültürel norm ve yaşam tarzı haline gelen unsurlarını aşındırma konusunda başarısız kalmaktaydı. Sovyet Azerbacan’ında Müslüman olmak Azeri toplumunun bir üyesi olmak ve söz konusu toplumun yaşam tarzına bağlılık olarak algılanmaktaydı. Nitekim, Azerbaycan'da “Müslüman” tanımının göndermede bulunduğu yaşam tarzı Azeri toplumunu çevredeki -Ruslar, Ermeniler ve Gürcüler- toplumlardan ayıran temel faktör olmuştur. Bu anlamda, ortak yaşam tarzına ve kültürel normlara atıfta bulunan İslam, Sovyet döneminde Azeri toplumunun özdeşlik duygusunu pekiştirerek milli bilinci canlı tutmuştur.ÖzetBu çalışma Sovyet döneminde Azerbaycan’da İslam kimliğinin ve İslamî yaşam tarzının milli bilincin sürüdürülmesindeki rolü üzerine yoğunlaşmaktadır. Çalışmanın temel iddiası milli bilincin varlığını sürdürmesinde Müslüman kimliğinin ve İslami yaşam tarzının etkili olduğudur. Bu iddianın doğruluğunun kanıtlanması için belli tarihsel dönemde gerçekleşen, siyasi, toplumsal, demografik ve kültürel konularla ilgili analizler yapılmaktadır. Bu bağlamda XIX. yüzyılın ikinci çeyreğinden itibaren Rusya’nın işgali, milletleşme süreci ve arkasından yaşanan sovyetleştirme süreci Müslüman kimliği ve İslamî yaşam tarzi bağlamında ele alınmaktadır. Söz konusu dönem istatistiki kaynaklar, istihbarat raporları, propaganda kitapları, ve dönem üzerine yapılan akademik araştırmalar ışığında ele alınmış ve üzerine yorumlar yapılmıştır. XIX. Yüzyıla kadar siyasi ve kültürel açıdan İran’ın etkisi altında bulunan şimdiki Azerbaycan bölgesi Rusya İmparatorluğu tarafından işgal edilince bölge halkı ilk kez Hıristiyan yöneticilerin yönetimi altına girmiş oldu. Bölgedeki dayanaklarını güçlendirmek için Çar yönetiminin bölgeye yoğun bir şekilde Ermeni ve Rus nüfusu göç ettirmesi sonrasında ise Azerbaycan’daki Müslüman halk kendini ilk kez Hıristiyan topluluklarla çevrelenmiş olarak buldu. Hep kendisi gibi Müslüman olan toplumun bir parçası olan Azerbaycan toplumu Ruslardan, Ermenilerden ve Gürcülerden oluşan Hıristiyan toplulukların ortasında kendi kimliğini yeniden tanımlamak durumunda kaldı. Çar yönetiminin Azerbaycan’a göç ettirilen Ermeni ve Ruslar’a hem yasal olarak hem de uygulamalarda bir dizi ayrıcalıklar tanıması Azerbaycan Türklerinin kendilerini toplumsal, kültürel, ekonomik ve siyasi açıdan Hıristiyan baskısı altında hiss etmelerine neden olmuştur. Söz konusu baskı ve kayırmanın 1905 ve 1918 yıllarında Azerbaycan Türkleri ile Ermeniler arasında patlak veren çatışmalarda daha yoğun bir şekilde hiss edildiği görülmektedir. Yaşadığı tecrübeler Azerbaycan Türklerini dışlanma nedeni olan kimliklerini, yani Müslüman kimliğini, çevresinde bulunan gayri-muslim topluluklara karşı sahiplenmelerini sağlamıştır. XX. Yüzyılın başında toplumsal gelişimi sağlamak üzere halkın milli bilincini geliştirmeye yönelik faaliyetlerde bulunan, aynı zamanda Müslüman kimliğini de sahiplenen entelejensiya ve burjuvazi kesimi oluşmuştu. Bu süreç 1918 senesinde Azerbaycan’da, türkleşmeyi, çağdaşlaşmayı ve İslamlaşmayı simgeleyen mavi, kırmızı ve yeşil renkleri biraraya getiren bayrağı bulunan Cumhuriyetin kurulması ile sonuçlandı. Fakat cumhuriyet varlığını sadece 23 ay sürdürebildi ve 1920 yılında gerçekleşen sovyet işgali ile birlikte Azerbaycan’da milliyetçi ideoloji, onun idelogları ve sembolleri tamamen tasfiye edilerek yoğun bir şekilde sovyetleştirme politikaları uygulanmaya başladı. Sovyet döneminde milliyetçilik ideolojik düzlemde ortadan kalkmış olsa bile, halkın homojenleşmesini sağlayan, ulus devlete mahsus bir dizi donanımlar sağlandı. Sovyet versiyonunda olsa bile, milli bir devlet aygıtı, milli sınırlar, milli tarih, milli eğitim sistemi oluşturuldu. Neticede aynı dili, aynı tarih bilincini, aynı sınırları paylaşan fakat milli bir ideolojiden yoksun olan bir millet meydana geldi. İdeolojik milliyetçiliğin tehlikeli bir girişim (perilous venture) olduğu Sovyet Azerbaycanı’nda kültüre ve yaşam tarzına dayanan kültürel bir milliyetçilik gelişti. Kültürel milliyetçilik halkın dilini, tarihini ama özellikle de yaşam tarzını savunan bir tutum olarak Sovyet Azerbaycan’ında gelişme gösterdi. Bütün bunlar, yani kültürel özellikler ve yaşam tarzı Azerbaycan toplumunu kendini çevre toplumlarından –Ruslardan, Ermenilerden ve Gürcülerden– ayırdığı başlıca niteliklerdi. Bu bağlamda Sovyet Azerbaycan’ında milliyetçi ve vatansever olmak Azerbaycan toplumunun kültürüne ve yaşam tarzına sahip çıkmak anlamına gelmekteydi. Dolayısıyla kültürel milliyetçilik çevredeki halklarla etnik sınırları sürdürme ve milli bilinci canlı tutma açısından önemli bir role sahipti. Burada araştırma konumuz açısından üzerinde durulması gereken nokta Azerbaycan toplumunda yaşam tarzının ve kültürün önemli bir kısmının İslam ve İslamî gelenek görenekle yakından ilişkili olduğudur. Sovyetleştirme politikaları İslam’ın entelektüel ve ideolojik boyutunu ortadan kaldırma konusunda büyük ölçüde başarılı olduysa da İslam’ın kültürel normları ve yaşam tarzı haline gelen öğeleri kendi varlığını güçlü bir şekilde sürdürmekteydi. Sovyet rejiminin başarısız olduğu nokta, yönettikleri Müslüman toplumlara alternatif bir kültür ve yaşam tarsi sunamamaları idi. Sovyet döneminde İslam’ın cami, başörtüsü vb. somut sembolleri yok edilse de kişiler arası ilişkilerde, sosyal yapıda ve aile ilişkilerinde tezahür eden öğeleri varlığını sürdürmeye devam etmekteydi. Bütün bunlar Azerbaycan toplumunun kendini çevresindeki etnik kimliklerden Ruslardan, Ermenilerden ve Gürcülerden ayırt ettiği, dolayısıyla da milli kimliğinin sınırlarını muhafaza ettiği önemli kültür öğeleri idi. Kebinolarak bilinen dinî nikah, sünnet, cenaze ve yas merasimleri gibi yaşam döngüsü ritüelleri Azeri olmanın çok önemli göstergeleri olarak algılanmıştır. Sovyet ateist ideologlarının yaptıkları birçok araştırmalarda ve istihbarat raporlarında komunist partisi yöneticileri de dahıl olmak üzere halkın söz konusu yaşam döngüsü ritüellerini milli gelenek görenek olduğu gerekçesiyle sürdürdükleri belirtilmekteydi. Ateistler bile, bahsedilen yaşam döngüsü ritüellerine uymadıkları taktirde milli geleneklere karşı gelmekle suçlanacakları ve toplumdan dışlanacakları endişesiyle ritüelleri yerine getirmekteydiler. Kebinsadece Müslüman çiftler arasında kıyıldığından ve dini nikahsız yapılan evlilikler toplumda hoş karşılanmadığından Ruslar, Ermeniler ve Gürcülerle evlilik yapma oranları oldukça düşük kalmaktaydı. Erkek çocuğa sünnet yaptırmak o çocuğu Azeri toplumunun bir üyesi yapmak olarak algılandığından çocuğa sünnet yaptırmak onu diğer toplumların üyelerinden ayıran bir özelliğe kavuşturmak anlamına gelmekteydi. Ölen bir kişinin İslamî üsullere göre gömülmesi o cenazenin bir Rusa, Ermeniye veya Gürcüye değil, bir Azeriye ait olduğunun göstergesi olmaktaydı. Dolayısıyla İslamî kültürden kaynaklanan yaşam döngüsü ritüelleri aynı zamanda çevredeki etnik gruplarla sınırları belirlemekte, dolayısıyla milli ve etnik bilinci canlı tutmaktaydı. Böylece İslamî kültür ve yaşam tarzi Sovyet rejiminin milli ve etnik kimliklerin ötesinde yeni bir insan ve toplum tipi oluşturmayı amaçlayan Homo Sovieticus projesinin de en önemli panzehirlerinden biri olmuştur. (shrink)

This article presents narratives from 13 Indigenous early career academics (ECAs) at one university in Auckland, New Zealand. These experiences are likely to represent those of Indigenous Māori and Pasifika ECAs nationally, given the small, centralised nature of the national academy of Aotearoa New Zealand. The narratives contain testimony, fictionalised vignettes of experience, and poetic expressions. Meeting the demands of an academic role in one’s first years of working at a university is a big deal for anyone; the extra pressures (...) and challenges for Indigenous Māori and Pacific staff are immense, yet little understood by White ‘others.’ A writing workshop was the initial catalyst of this collective writing project. Through these insider narratives, this article presents a collective description of, and response to, the experience of Māori and Pasifika early career academics. (shrink)

Nae ka kanŭn mumyŏng ŭi to -- Manyak insaeng i ssaum iramyŏn yonggi rŭl kajyŏra -- To ŭi mal ŭl ch'ajasŏ.

Prescription opioid abuse (POA) is an escalating clinical and public health problem. Physician worries about iatrogenic addiction and whether patients are ‘drug seeking’, ‘abusing’ and ‘diverting’ prescription opioids exist against a backdrop of professional and legal consequences of prescribing that have created a climate of distrust in chronic pain management. One attempt to circumvent these worries is the use of opioid contracts that outline conditions patients must agree to in order to receive opioids. Opioid contracts have received some scholarly attention, (...) with trust and trustworthiness identified as key values and virtues. However, few articles have provided a critical account of trust and trustworthiness in this context, particularly when there exists disagreement about their role in terms of enhancing or detracting from the patient–physician relationship. This paper argues that opioid contracts represent a misleading appeal to patient–physician trust. Assuming the patient is untrustworthy may wrongfully undermine the credibility of the patient's testimony, which may exacerbate certain vulnerabilities of the person in pain. However, misplaced trust in certain patients may render the physician vulnerable to the potential harms of POA. If patients distrust their physician, or feel distrusted by them, this may destabilise the therapeutic relationship and compromise care. A process of epistemic humility may help cultivate mutual patient–physician trust. Epistemic humility is a collaborative effort between physicians and patients that recognises the role of patients’ subjective knowledge in enhancing physicians’ self-understanding of their theoretical and practice frameworks, values and assumptions about the motivations of certain patients who report chronic pain. (shrink)