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

Korea has seen remarkable development into a key worldwide missionary force since the advent of Christianity in the late 19th century. Building upon this context, the objective of this article is to explore the historical and practical consequences of the increase in Korean Christian overseas missionary endeavours and their relationship with politics. The article emphasises the pivotal significance of political elements in the transition from quantitative to qualitative transformations in Korean Christian missionary movements. For this purpose, the study takes a (...) political science approach, methodically examines the historical relationship between Korean Christian foreign missionary activities and politics, and demonstrates how Korean Christianity has evolved from a key influence in the national movement to a significant participant in contemporary politics, encompassing both international and domestic politics. Given the changing political landscape, the overseas missionary efforts of Korean Christianity have emerged as a crucial element of the country’s soft power, serving to protect national interests and propagate its religious beliefs.Contribution: This article explores South Korean Christian missions’ historical and political evolution, from nationalist roots to global influencers. It highlights their role in South Korea’s soft power strategy, shaping domestic policies and global perceptions. Moreover, it sheds light on Asia, especially Korea, becoming a pivotal hub for Christian missionary endeavours, reflecting a global shift in missionary focus. (shrink)

Gilbert Ryle has made the famous distinction between intellectual knowing-that and practical knowing-how. Since knowledge in Confucianism is not merely intellectual but also practical, many scholars have argued that such knowledge is knowing-how or, at least, very similar to it. In this essay, focusing on Wang Yangming’s moral knowledge, I shall argue that it is neither knowing-that nor knowing-how, but a third type of knowing, knowing-to. There is a unique feature of knowing-to that is not shared by either knowing-that or (...) knowing-how: a person with knowing-to will act accordingly, while neither knowing-that nor knowing-how, whether separately or combined, will dispose or incline its possessor to act accordingly. (shrink)

As organizations are benefiting from investments in big data analytics capabilities building and education, our study has analyzed the impact of big data analytics capabilities building and education on business model innovation. It has also assessed technological orientation and employee creativity as mediating and moderating variables. Questionnaire data from 499 managers at enterprises in Jiangsu, China have been analyzed using Structural Equation Modeling in SmartPLS. Big data analytics capabilities building and education strengthen technological orientation and increase business model innovation. Technology (...) orientation increases business model innovation and plays a mediating role. Employee creativity also boosts innovation. These findings show that business managers should adopt and promote a technological orientation. They should hire and train employees with big data education and training. Organizations can try to select and support employees who show creativity. (shrink)

I provide an alternative to the two prevailing accounts of justice in immigration policy, the free migration view and the state discretion view. Against the background of an internationalist conception of domestic and global justice that grounds special duties of justice between co-citizens in their shared participation in a distinctive scheme of social cooperation, I defend three principles of justice to guide labor immigration policy: the Difference Principle, the Duty of Beneficence, and the Duty of Assistance. I suggest how these (...) principles are to be applied in both ideal and nonideal circumstances. Finally, I argue that the potential conflict between these principles has often been overstated, and propose priority rules for genuine cases of conflict. (shrink)

Moral realism as we know it has been primarily if not exclusively arguing for the objectivity of the moral properties of rightness and wrongness of action. This is understandable because the normative ethics, upon which moral realism as a metaethical theory reflects, has been dominated by consequentialism and deontology, both of which are primarily if not exclusively concerned about the rightness and wrongness of actions. In the last few decades, however, virtue ethics, which is primarily concerned with the goodness and (...) badness of human persons, has become a strong rival to consequentialism and deontology but has so far not received its deserved attention from metaethicists. In this paper, as a metaethical reflection on one of the most fundamental issues of virtue ethics as a normative theory, I shall develop an agent-focused moral realism, arguing for the objectivity of the moral properties of the goodness and badness of human persons. In the process, I shall also argue how such a moral realism can relatively easily respond to a number of representative criticisms that moral anti-realists have lodged to the action-focused moral realism. (shrink)

The current age is characterised by many as secular, and a source of such a characterisation can be found in the Nietzschean claim that thoughts about there being some ultimate reality have to be jettisoned, and human existence and the world need to be embraced as they are. That claim is renewed by some secular thinkers who insist that education has to be reconceived in ways congenial to the new age. It is argued that central to their logic is the (...) dichotomy between the religious and the secular or the otherworldly and the earthly, and that this dichotomy is simplistic as well as problematic. As an alternative to the ‘two worlds’ view, the ‘two aspects’ view is suggested, with an interpretation of reality that the noumenon––the non-human––has to be taken in the negative sense. Against secularising the domain of education, it is indicated that there still remains a place for education to occupy between the two poles of religiousness and secularity. (shrink)

This article attempts to fill a gap in International Relations literature on East Asian security. ‘East Asia’ appears to be mostly an indeterminate conceptual construct, allowing scholars to look selectively at those aspects and areas that could justify their security thesis, albeit security dynamics in the region are all too difficult to comprehend and predict. This problem has been frequently pointed out in IR literature, but its methodological implications and suggestions have neither been appropriately illuminated nor been systematically offered, and (...) the main solution commonly found in the literature was the tautological one of ‘better defining’ the region. As an alternative, this article suggests that one needs to tighten geographical focus and differentiate the subjects of analysis. When it comes to the study of East Asian security, one needs to aim to develop specific and differentiated generalizations as opposed to generalizations of a broad character. To showcase the fact that research outcomes can be more determinate when the target of analysis is more focused and specified, this article takes Northeast Asian security as an example and challenges the so-called ‘peaceful East Asia’ thesis, one of the mainstream perspectives on East Asian security. This article ultimately argues that while apprehending East Asian security dynamics through delimiting the scope of analysis and circumscribing the subjects of investigation is often deemed to be a modest enterprise―in particular, in terms of generalizability―the merits are substantial: research outcomes will be able not only to give us a truer mapping of the real world, but also bring us closer to building knowledge which satisfies the scientific criterion of ‘falsifiability.’Export citation Request permission. (shrink)

When we disagree with each other at the beginning of a debate, we are confident that we are right and the other side is just wrong, 2017). But at the end of the debate, we could be persuaded that we are wrong and the other side is right. This happens a lot when we disagree on empirical or factual claims. However, when we disagree with each other on moral issues, it is quite rare that either side is persuaded. We could (...) be frustrated by the other’s stubbornness. But sometimes we come to see that the other side has a point. Their view seems reasonable. We might even feel that we could have taken their moral perspective and values. This phenomenon of moral ambivalence is discussed extensively by David Wong as part of his argument for moral relativism that there is no single true morality. Recently, Agustín Vicente and Agustín Arrieta write to refute Wong’s argument. They argue that moral ambivalence is a phenomenon of moral pluralism, the position that there are different acceptable courses of actions, rather than moral relativism. In this paper, I argue that moral ambivalence does not support the kind of moral pluralism that Vicente and Arrieta argue for. Furthermore, I point out that moral ambivalence does not support Wong’s naturalism, the position that morality has human nature constraints, but it does support the kind of relativism that he endorses. (shrink)

Moral relativism familiar in the Western philosophical tradition, according to David Lyons, is either agent relativism or appraiser relativism or appraiser group). As Lyons has convincingly argued, they are both problematic. However, in the ancient Chinese Daoist classic, the Zhuangzi, we can find a different type of moral relativism, which I call patient relativism. In the essay, I aim to argue in what sense Zhuangzi is a patient relativist and how patient relativism can avoid the problem of agent relativism and (...) appraiser relativism. (shrink)

There has been a movement aiming to teach agents about their privilege by making the information about their privilege as costless as possible. However, some argue that in risk-sensitive frameworks, such as Lara Buchak’s (2013), it can be rational for privileged agents to shield themselves from learning about their privilege, even if the information is costless and relevant. This threatens the efficacy of these information-access efforts in alleviating the problem of elite-group ignorance. In response, I show that even within the (...) same framework, in this case David Kinney and Liam Kofi Bright’s (2021), the rationality of this information avoidance rests on shaky ground in practice. In this framework, whether an agent should avoid information depends on the precise details of (1) how relevant they expect the information to be, (2) their priors about the value of various options, and (3) their risk attitudes. The model suggests that the rationality of elite-group ignorance is a function of structural factors that are pervasive but nonetheless not insurmountable, thus offering a way out of pessimism about elite group education. (shrink)

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

Public consumption of artificial intelligence (AI) technologies has been rarely investigated from the perspective of data surveillance and security. We show that the technology acceptance model, when properly modified with security and surveillance fears about AI, builds an insight on how individuals begin to use, accept, or evaluate AI and its automated decisions. We conducted two studies, and found positive roles of perceived ease of use (PEOU) and perceived usefulness (PU). AI security concern, however, negatively affected PEOU and PU, resulting (...) in less acceptance of AI—(1) use, (2) preference, and (3) participation. AI surveillance concern also had negative effects on the credibility of AI and its recommendations. We integrated extant literature on socio-demographic differences, providing an insight on how AI acceptance is based on one’s rationality regarding (1) technological risks (security/surveillance) and (2) benefits (PEOU/PU) as well as other contextual factors of socio-demographics. (shrink)

Of the three main teachings in Chinese culture, Confucianism has exerted the most profound and lasting influence in China.While Confucianism (a term coined by Westerners) refers to a tradition (Ruism) that predated Confucius, it is most closely associated with Confucius (551-479 BCE), who determined its later development. Confucius' ideas are reflected in his conversations with students, mostly recorded in the Analects. However, this book also brings into discussion those sayings of Confucius that are recorded in other texts, greatly expanding our (...) perspective of the original Confucius. Scholars in the past, unsure about the authenticity of such sayings, have been reluctant to use them in discussing Confucius' view. However, recent archaeological findings have shown that at least some of them are reliable. Confucius: A Guide for the Perplexed is a clear and thorough account of authentic Confucius and his ideas, underscoring his contemporary relevance, not only to Chinese people but also to people in the West. (shrink)

Though this is not a comparative study of Hegel and Heidegger, this article brings Heidegger's thinking of Being to shed light on some ambiguous parts of Hegel's Godtalk, which is fundamentally postmodern. Its main arguments are (1) as real, Hegel's God is not a metaphysical Being but an absolute activity; (2) as transcendent, Hegel's God is not beyond this world but immanent in this world to bring it beyond itself; and (3) as revealing, God is not external but internal to (...) human knowing. Largely a textual reinterpretation of Hegel in light of Heidegger, this article has in mind a theology that can take our postmodern condition into serious account. (shrink)

As virtue ethics has developed into maturity, it has also met with a number of objections. This essay focuses on the self-centeredness objection: since virtue ethics recommends that we be concerned with our own virtues or virtuous characters, it is self-centered. In response, I first argue that, for Zhu Xi’s neo-Confucianism, the character that a virtuous person is concerned with consists largely in precisely those virtues that incline him or her to be concerned with the good of others. While such (...) an answer is also available to the Aristotelian virtue ethics, I argue that Zhu Xi’s neo-Confucianism can better respond to the objection on two deeper levels: (1) a virtuous person is not only concerned with others’ external well-being but also their virtuous characters, and (2) a virtuous person’s concern with others’ wellbeing, both internal and external, is neither self-indulgent nor self-effacing. (shrink)

With the ultrahigh-speed, large-scale development of tourism and the increasing frequency, intensity, and scope of extreme natural hazards in the context of climate warming, tourism has entered a high-risk era. Based on the central urban area within the outer ring of Shanghai as the research area and the tourism attraction as the research object, this paper takes the flood scenario simulation combined with GIS network analysis to evaluate the spatial accessibility of the emergency response of urban key public service departments (...) under current and future river flood scenarios in different return periods. The results of the study show that, under the current and future flood scenarios, the submergence range is mainly distributed within 2 ∼ 3 km along the banks of the Huangpu River, and it tends to increase from north to south; there are 6, 9, and 21 tourism attractions in the emergency blind area under the once-in-a-century floods in 2010, 2030, and 2050 and 98, 105, and 112 tourism attractions in the emergency blind area under the once-in-a-millennium floods in 2010, 2030, and 2050, respectively; in the flood scene, local road traffic in the inundation area is interrupted by water, and 120 first aid cannot get or be delayed to some tourist attraction ; and in 2030, under the normal and flooding scenarios, 120 first aid in the downtown area of Shanghai has the fastest route to tourism attractions according to the speed of S1, S2, S3, and S4. The flooding intensity, road traffic conditions, and the number and location of key public service departments jointly determine the service scope and response time of medical emergency in urban floods. Since the flood control area of the central city in Shanghai is mainly distributed in the 2 ∼ 3 km area on both banks of the Huangpu River, the impact of flood on the emergency medical service in the entire central city is limited, mainly in some hospitals in the riverside area, where 120 emergency vehicles are unable or delayed to reach some tourism attractions. The research indicates that the quantitative assessment method of spatial accessibility of the emergency response under flood scenario simulation has important scientific value and practical significance, which can provide decision-making basis for emergency management of tourism in China’s urban flood disaster. (shrink)

PART ONE INDIAN THOUGHT INDIAN THOUGHT HAS A LONG AND COMPLEX DEVELOPMENT. IT is DIFFICULT TO GIVE AN EXACT HISTORICAL ACCOUNT OF THE DEVELOPMENT OF INDIAN ...

The question about divine action remains contested in the discussion between theology and science. This issue is further exacerbated with the entry of pentecostals and charismatics into the conversation, especially with their emphases on divine intervention and miracles. I explore what happens at the intersection of these discourses, identifying first how the concept of "laws of nature" has developed in theology and science and then probing what pentecostal-charismatic insights might add into the mix. Drawing from the triadic and evolutionary metaphysics (...) of Charles Sanders Peirce, I propose a reconsideration of the "laws of nature" as habitual, dynamic, and general but nevertheless real tendencies through which the Holy Spirit invites the world to inhabit the coming kingdom of God. This proposal contributes to the articulation of an authentic Pentecostal-charismatic witness at the theology-and-science table while also enabling a more plausible and coherent account of divine action for pentecostal-charismatic piety and Christian practice in the twenty-first century. (shrink)

There is an increasing awareness that we are living in a global village, which demands a global ethics. In this article, I shall explore what contributions Confucianism, particularly its conception of love, can make. It has often been claimed that Confucian love is love with distinction, as a natural feeling, and as merely human love and so it is inferior to the Christian love, which is universal, commanded, and based on divine love. Drawing on the resources of the Cheng brothers' (...) neo-Confucianism, I shall explore how Confucianism can make creative responses to such criticisms and thus make a unique Confucian contribution to the emerging global ethics. (shrink)

Analects 13.18 continues to be the central focus of a prolonged debate among contemporary scholars in the mainland China. The newest stage of this debate is initiated by Liao Mingchun of Tsinghua University and Liang Tao of Renmin University of China, respectively, and responded to by Guo Qiyong and his students. There are three main issues involved in this new round of debate: whether the Chinese character yin in this passage means nondisclosure, as has been traditionally interpreted, or rectification; what (...) the precise meanings of the Chinese character zhi appearing three times in the passage are; and whether it is legitimate to supplement this passage, in light of the recently unearthed ancient Chinese texts, with something to the effect that sons take responsibility for the wrongdoings committed by their parents. (shrink)

The Confucian tradition is famous for its family value. This tradition emphasizes that, after one's moral sentiments are cultivated in the family, one is capable of caring for people outside the family. However, since the early 2000s, there has been a debate in the Chinese Philosophy community about how to understand the ?the father-covering-son? story in the Analects. The story tells that a father covers for his son's stealing a sheep. This is a puzzle because while Confucius's virtue theory implies (...) that concealing a theft is wrong, Confucius contends that a father's covering is right. In this paper I discuss two arguments, the tree argument and the argument of the whole, implicitly held by the Confucian scholars for the priority of the family love in this debate. I argue that none of the arguments are convincing. (shrink)

Virtue ethics has become an important rival to deontology and consequentialism, the two dominant moral theories in modern Western philosophy. What unites various forms of virtue ethics and distinguishes virtue ethics from its rivals is its emphasis on the primacy of virtue. In this article, I start with an explanation of the primacy of virtue in virtue ethics and two dilemmas, detected by Gary Watson, that virtue ethics faces: (1) virtue ethics may maintain the primacy of virtue and thus leave (...) virtue non-explanatory, or it may attempt to explain virtue in terms of something else and thus render virtue secondary at most; (2) the explanation of virtue may be objective and thus become morally indeterminate, or it may be normative and thus lack objectivity, merely re-expressing the virtue it intends to explain (Section II). After showing the failure of both classical Aristotelian and contemporary neo-Aristotelian virtue ethics to escape these dilemmas, I turn to the ethical theory of Zhu Xi 朱熹 (1130–1200)—the greatest synthesizer of neo-Confucianism, whose place in Confucianism is comparable to that of Thomas Aquinas in the Christian tradition—to show how it can successfully avoid both dilemmas. (shrink)

Drawing on Yan’s novella Serve the People (2005), the author examines the metamorphosis of the titular master signifier that has served as a central moral mandate in the Chinese Communist Party’s ideological discourse. Relying on a Lacanian framework via Žižek’s and others’ writings, this paper attempts to show that totalitarian ideological transformation hinges on the organization of jouissance (enjoyment) that has undergone three ideological modes — proto-, post-, and neo-totalitarianism. In the first mode, the subject procures enjoyment from the symbolic (...) order through a gesture of sacrifice. Due to the collapse of the imaginary of the Socialist New Man that sustains the totalitarian gaze, the post-totalitarian subject’s cynical distance from the “official” ideology functions as the very support for the effectiveness of the ideological apparatuses. Finally neo-totalitarianism is characterized as the inverse of proto-totalitarianism: the obscene underside that supports the totalitarian order is brought to the front stage as the new symbolic mandate to enjoy. The manifestations of such metamorphosis in literary and filmic works follow the path that starts from the sublime and ends at the obscene. (shrink)

Our commentary aims to show that the COVID-19 pandemic has amplified existing barriers to healthcare in England for ethnic minority and migrant women. We expose how the pandemic has affected the allocation of healthcare resources leading to the prioritisation of COVID-19 patients and suspending the equal access to healthcare services approach. We argue that we must look beyond this disruption in provision by examining existing barriers to access that have been amplified by the pandemic in order to understand the poorer (...) health outcomes for women in ethnic minority and migrant communities. The reflection focuses on racialised medical perceptions, gendered cultural norms including information barriers and stigma, and specific legal barriers. (shrink)

Cancer chemotherapy has been the most common cancer treatment. However, it has side effects that kill both tumor cells and immune cells, which can ravage the patient’s immune system. Chemotherapy should be administered depending on the patient’s immunity as well as the level of cancer cells. Thus, we need to design an efficient treatment protocol. In this work, we study a feedback control problem of tumor-immune system to design an optimal chemotherapy strategy. For this, we first propose a mathematical model (...) of tumor-immune interactions and conduct stability analysis of two equilibria. Next, the feedback control is found by solving the Hamilton–Jacobi–Bellman equation. Here, we use an upwind finite-difference method for a numerical approximate solution of the HJB equation. Numerical simulations show that the feedback control can help determine the treatment protocol of chemotherapy for tumor and immune cells depending on the side effects. (shrink)

This dissertation is highly motivated by d.r.e. Nondensity Theorem, which is interesting in two perspectives. One is that it contrasts Sacks Density Theorem, and hence shows that the structures of r.e. degrees and d.r.e. degrees are different. The other is to investigate what other properties a maximal degree can have.In Chapter 1, we briefly review the backgrounds of Recursion Theory which motivate the topics of this dissertation.In Chapter 2, we introduce the notion of $$ -cupping degree. It is closely related (...) to the notion of maximal d.r.e. degree. In fact, a $$-cupping degree is maximal d.r.e. degree. We then prove that there exists an isolated$$ -cupping degree by combining strategies for maximality and isolation with some efforts.Chapter 3 is part of a joint project with Steffen Lempp, Yiqun Liu, Keng Meng Ng, Cheng Peng, and Guohua Wu. In this chapter, we prove that any finite boolean algebra can be embedded into d.r.e. degrees as a final segment. We examine the proof of d.r.e. Nondensity Theorem and make developments to the technique to make it work for our theorem. The goal of the project is to see what lattice can be embedded into d.r.e. degrees as a final segment, as we observe that the technique has potential be developed further to produce other interesting results.prepared by Yong Liu.E-mail: liuyong0112@nju.edu.cn. (shrink)