Purpose The debate about the end-of-life care decision is becoming a serious ethical and legal concern in the Far-Eastern countries of Korea, China and Japan. However, the issues regarding end-of-life care will reflect the cultural background, current medical practices and socioeconomic conditions of the countries, which are different from Western countries and between each other. Understanding the genuine thoughts of patients who are critically ill is the first step in confronting the issues, and a comparative descriptive study of these perspectives (...) was conducted by collaboration between researchers in all three countries. Methods Surveys using self-reporting paper questionnaire forms were conducted from December 2008 to April 2009 in Korea (six hospitals in two regions), China (five hospitals in four regions) and Japan (nine hospitals in one region). The subjects were patients who were critically ill who had been diagnosed as having cancer. A total of 235 participants (Korea, 91; China, 62; Japan, 52) were eventually recruited and statistically analysed. Results Most respondents had sometimes or often thought of their own death, mostly fear of ‘separation from loved ones’. They wanted to hear the news regarding their own condition directly and frankly from the physician. A quarter of them preferred making end-of-life care decisions by themselves, while many respondents favoured a ‘joint decision’ with their family members. The most favoured proxy decision maker was the spouse, followed by the children. Most admitted the necessity of ‘advance directives’ and agreed with artificial ventilation withdrawal in irreversible conditions. The most common reason was ‘artificial prolongation of life is unnecessary’. Most respondents agreed with the concept of active euthanasia; however, significant differences were sometimes observed in the responses according to variables such as patient's country of origin, age, gender and education level. Conclusion Patients in Far-Eastern countries gave various responses regarding end-of-life care decisions. Although familial input is still influential, most patients think of themselves as the major decision maker and accept the necessity of advance directives with Westernization of the society. Artificial ventilation withdrawal and even active euthanasia may be acceptable to them. (shrink)

The present study aimed to investigate the effects of acute aerobic exercise on underlying neuronal activities associated with task-switching processes including both mixing and switch costs. A total of 29 healthy young adults (21.4 ±1.2 years) participated in this study. The experiment consisted of an exercise and a rest condition. In the exercise condition, participants completed 30 minutes of walking and/or jogging on a motor driven treadmill sufficient to achieve an intensity of 70% of maximum heartrate (HRmax). In the rest (...) condition, participants rested quietly for 30 minutes. Both conditions were conducted on different days, and the order was counterbalanced across participants. Participants performed the task-switching paradigm (switching between two different tasks), after both exercise and rest conditions respectively. The P3 amplitude was smaller in the non-switch trial than the single trial only in the rest condition, but not in the exercise condition. In other words, more attentional resources were allocated to the non-switch trial requiring greater amounts of working memory following the exercise condition. Mixing and switch effects on the P3 component were influenced by acute aerobic exercise. This result suggests that acute aerobic exercise may serve to facilitate the flexibility of task-set reconfiguration and maintaining the task set in working memory. Furthermore, during the switch trials, the P3 latency was shorter in the exercise condition than in the rest condition. This result is consistent with the findings of previous studies, indicating that cognitive processing speed is increased only during task conditions requiring greater amounts of executive control. Our study clearly indicates that acute aerobic exercise may facilitate cognitive flexibility as well as other executive functions (i.e., inhibitory control and working memory). (shrink)

In my dissertation I examine Plato's ontology. As is well-known, Plato accepts the existence of two different kinds of entities: sensible particulars, such as Socrates, and Forms, such as the Form of Beauty. Moreover, according to the standard understanding of Plato, he thinks that there are entities of no other kind. I argue that this is an incorrect understanding. Specifically, I argue that Plato assumes the existence of entities of a third kind in the Phaedo. ;The dissertation has developed from (...) my attempts to clarify Plato's conception of the human soul. By examining the Phaedo, the dialogue in which Plato gives his most elaborate discussions of the ontological status of the soul while attempting to prove its immortality, I conclude that Plato conceives the soul as an entity whose ontological status is intermediate between those of Forms and sensible particulars: It has some of the features used to characterize forms and some of the contrary features used to characterize sensible particulars. ;In the dissertation, I first examine the features characterizing forms and those characterizing sensible particulars. Second, I discuss the first group of intermediate entities, the opposites in us, and argue that they are intermediate in the sense in question. Third, I discuss the group of entities that I call the occupiers, such as fire or the number three, and show that they are also seen as intermediates. Finally, I discuss the human soul as an intermediate entity belonging to this second group of intermediates, and show that the Final Argument for the immortality of the soul in the Phaedo can be best understood with reference to the framework including the intermediates as well as forms and sensible particulars. (shrink)

Two philosophical problems are thoroughly treated here: (1) how close the philosophical idea of Hong Tae-yong in eighteenth-century Korea is to the non-absolutist Weltanschauung of Chuang-tzu, and (2) how, by means of this non-absolutist idea, Hong was able to question the orthodox sinocentrism that most Korean Neo-Confucianists of the time stubbornly took for granted. Hong felt that Korean intellectuals had to look beyond sinocentrism for a consciousness of their own cultural identity. As a Confucian reformist, he highlights the realization of (...) this cultural identity as the imminently required move to accomplish social reform. (shrink)

This article uses a research method that combines theoretical research and empirical analysis. It first introduces the relevant theories of energy service city distribution sites in the context of e-commerce and then the types of energy service city distribution sites and the composition of energy service city distribution systems. The network layout of the service city distribution site and the location objectives, principles, and processes of the model is studied to determine the network layout plan of the energy service city (...) distribution system in this paper. This paper fully considers the characteristics of the network operation mode of the energy service city distribution site and establishes an optimization model for the location selection and vehicle routing of the distribution center with the lowest total system cost under the simultaneous delivery service mode; based on the hierarchical solution strategy, a combination of deep learning is designed. Algorithms mainly include two-stage hybrid heuristic algorithm of cluster analysis, maximum coverage and genetic algorithm; simulation analysis is conducted to verify the effectiveness of the model and algorithm by data simulation, finally get the integrated optimization plan of distribution center location and routing, and put forward the operation strategy through the result expansion analysis. This paper studies the planning model based on the network layout planning of the energy service city distribution system under the e-commerce environment, aiming to promote the breakthrough development of urban smart logistics and prove the importance of the energy service city distribution station network layout planning. The purpose and results of the research are to reduce traffic and environmental pressures, achieve joint direct distribution, improve the efficiency of urban logistics and distribution, and solve the problem of the last mile of the city. (shrink)

Given i, j, k ∈ {1,2,3,4}, the notion of -length neutrosophic subalgebras in BCK=BCI-algebras is introduced, and their properties are investigated. Characterizations of length neutrosophic subalgebras are discussed by using level sets of interval neutrosophic sets. Conditions for level sets of interval neutrosophic sets to be subalgebras are provided.

Interest in sustainability is increasing, and research on ESG management continues. The first issue to be discussed in the present situation is the environment. The study between the environment and internationalization was conducted around two conflicting arguments. First, the pollution haven hypothesis states that multinational corporations move to countries with looser regulations depending on environmental regulation. Next is the Porter Hypothesis, which argues that well-designed environmental regulations offset the cost of compliance and ultimately help firms gain a competitive advantage through (...) innovation that enhances performance. However, the two arguments have not yet reached a consensus conclusion. In addition, studies on the national level and studies considering the distance between countries, an important factor in international management, are lacking. This manuscript aims to revisit the relationship between the strength of environmental regulation and foreign direct investment in the context of increasing environmental concerns. Differences between countries are an important field of international management, but research on environmental regulations is lacking. The purpose of this study is to examine the relationship between existing environmental regulations and FDI and to discuss how the distance between countries can affect existing theories. (shrink)

In our study, we examine the association between hedge fund activism and a target firm’s corporate social responsibility (CSR) activities and whether activists can promote socially responsible investments while upholding shareholders’ interests. Using different matched samples, we find a strong positive association between the target firm’s CSR in the year before it is targeted by activists and its probability of being targeted by a hedge fund. Classifying hedge fund activists into socially and non-socially responsible funds based on their objectives, we (...) find that both give similar level of consideration to a firm’s CSR activities when initiating campaigns. Similar to DesJardine and Durand (DesJardine and Durand, Strategic Management Journal 41:1054–1082, 2020), we demonstrate that hedge funds have, on average, a negative impact on target firms’ CSR in the years following the initial investments. Complementary to DesJardine and Durand (DesJardine and Durand, Strategic Management Journal 41:1054–1082, 2020), we compare the two types of hedge funds and find an asymmetric effect of the hedge funds’ campaigns. Socially responsible hedge fund campaigns are associated with a large _increase_ in their target’s CSR, whereas non-socially responsible hedge funds _decrease_ this measure in their target. Finally, we find that target firms exhibit a long-term improvement in future stock returns and profitability. These findings provide evidence that certain types of activists, such as socially responsible funds, promote both _stakeholder_ and _shareholders’_ long-term interests. (shrink)

In recent years much scholarly work has explored the topic of John Chrysostom as an ancient “psychagogue”. In these recent studies, however, relatively little attention has been devoted to Chrysostom’s approach to almsgiving in relation to the cure of the soul. This article looks closely at Chrysostom’s view of almsgiving and soul therapy within the context of ancient philosophical therapy. Analyzing Chrysostom’s Homilies on Matthew, it demonstrates that for Chrysostom almsgiving is a crucial remedy for healing the sick soul.

During the eighteenth century, cabinetmakers in Canton (Guangzhou) produced a large quantity of hardwood furniture for European consumers. This essay examines the knowledge culture of these cabinetmakers, focusing on epistemic negotiations and adaptations in the process of making export furniture. While export furniture was made in European styles, cabinetmakers did not parrot European techniques of carpentry but creatively mobilized their own craft knowledge. Juxtaposing material evidence from extant pieces and the carpentry manual The Classic of Lu Ban, the essay argues (...) that the knowledge of joinery formed the basis of a practice of artisanal translation that was material and syntactic. Offering modular rubrics for spatial handling, joinery allowed cabinetmakers to restructure and reinvent furniture with a European appearance. Tracing the interaction between an indigenous knowledge system and global trade commodities, the essay underlines the social and epistemic realignments of locally rooted craft in the achievement of innovation. (shrink)

Purpose: The purpose of this study was to verify the long-term effect of adverse childhood experiences, school disengagement, and the reasons for leaving school on adolescent delinquency while adjusting for sex.Methods: Data were collected from 663 teenagers [male 368, female 295; mean age = 16.81 ; age range = 13–19 years] through a Longitudinal Survey and Support Plan for Dropouts.Results: Multivariate latent growth modeling demonstrated that ACEs and school disengagement are positively associated with delinquency and the mediating effect of school (...) disengagement on association between ACEs and delinquency was verified. Teenagers who quit school for personal reasons reported fewer instances of delinquent behavior than adolescents who left because of school reasons.Conclusion: This study suggests that researchers and teachers need to consider ACEs and school disengagement as a warning index for delinquency with school dropout. In addition, the reason for leaving school should be considered to clarify the effect of school dropout on delinquency in adolescents who dropout. (shrink)

Nineteenth century hygiene might be a confusing concept. On the one hand, the concept of hygiene was gradually becoming an important concept that was focused on cleanliness and used interchangeably with sanitation. On the other hand, the classical notions of hygiene rooted in the Hippocratic teachings remained influential. This study is about two attempts to newly theorise such a confusing concept of hygiene in the second half of the century by Edward. W. Lane and Thomas R. Allinson. Their works, standing (...) on the borders of self-help medical advice and theoretical treatises on medical philosophies, were not exactly scholarly ones, but their medical thoughts - conceptualised as _hygienic medicine_ - show a characteristically holistic medical view of hygiene, a nineteenth-century version of the reinterpretation of the nature cure philosophy and vitalism. However, the aim of this study is to properly locate their conceptualisations of hygienic medicine within the historical context of the second half of the nineteenth century rather than to simply introduce the medical ideas in their books. Their views of hygiene were distinguished not only from the contemporary sanitary approach but also from similar attempts by contemporary orthodox and unorthodox medical doctors. Through a chronological analysis of changes in the concept of hygiene and a comparative analysis of these two authors’ and other medical professionals’ views of hygiene, this paper aims to help understand the complicated picture of nineteenth-century hygiene, particularly during the second half of the century, from the perspective of medical holism and reductionism. (shrink)

This study delves into the philosophy, aesthetics, and educational components of somaesthetics to highlight the art of living by practicing body awareness. Specifically, this study focuses on ‘educ...

This article examines distinctive American political institutions that contribute to explaining the continued use of the death penalty. In the light of wide popular support for capital punishment, strong political leadership is considered to be a principal channel for the abolition of capital punishment. The dilemma of the US death penalty, however, lies in populist features of political structures that greatly limit the political leverage and possibilities available to leaders. The institutional arrangements in the United States allow public support for (...) the death penalty to influence political decision making more directly than it can in the European counterpart. A strong receptiveness of US political leaders to the public also implies that once public opinion changes, political leaders are likely to respond to the public’s new attitude. Unlike most countries, which abolished the death penalty through political initiatives that were counter-majoritarian, the United States may abolish it only after a change in public opinion. (shrink)

PurposeThis study aimed to examine the long-term association between social activity, physical function decline and cognitive function, as well as verify the long-term mediating effect of physical function decline on the relationship between social activity and cognitive function.MethodsData from the Korean Longitudinal Study of Aging that was collected over 10 years was analyzed. The sample included 10,240 adults aged 45–93 years. Multivariate latent growth modeling was applied to verify the long-term effect of social activity and physical function on cognitive function.ResultsThe (...) results revealed that social activity had a positive impact on cognitive function and negative impact on physical function decline after controlling for age and education level. Additionally, physical function decline negatively influenced cognitive function. Finally, social activity indirectly affected cognitive function through physical function decline.ConclusionThe contribution of this study was to test the long-term effect social activity on physical and cognitive function. (shrink)

Based on the hesitant fuzzy set theory which is introduced by Torra in the paper [12], the notions of Inf-hesitant fuzzy subalgebras, Inf-hesitant fuzzy ideals and Inf-hesitant fuzzy p-ideals in BCK/BCI-algebras are introduced, and their relations and properties are investigated. Characterizations of an Inf-hesitant fuzzy subalgebras, an Inf-hesitant fuzzy ideals and an Inf-hesitant fuzzy p-ideal are considered. Using the notion of BCK-parts, an Inf-hesitant fuzzy ideal is constructed. Conditions for an Inf-hesitant fuzzy ideal to be an Inf-hesitant fuzzy p-ideal are (...) discussed. Using the notion of Inf-hesitant fuzzy ideals, a characterization of a p-semisimple BCI-algebra is provided. Extension properties for an Inf-hesitant fuzzy p-ideal is established. (shrink)