This article reviews the development of a new set of practices within modern medicine that can generally be called “cosmetic medicine,” practices that include cosmetic surgery, cosmetic dermatology, and cosmetic gynecology. I argue that the development of such fields indicates a fundamental change in the practice of medicine. After reviewing the possible explanations proposed for such developments, in order to indicate the social and cultural origin of the driving forces, I discuss the implications of these revolutionary changes for the perceived (...) goal of medicine. Of particular importance is the development of beauty as the main goal in cosmetic medicine. The development of the new fields supports the idea that... (shrink)

In Bioethics and Secular Humanism: The Search for a Common Morality, Tristram Engelhardt examines various possibilities of finding common ground for moral discourse among people from different traditions and concludes their futility. In this paper I will argue that many of the assumptions on which Engelhardt bases his conclusion about the impossibility of a content-full secular bioethics are problematic. By starting with the notion of moral strangers, there is no possibility, by definition, for a content-full moral discourse among moral strangers. (...) It means that there is circularity in starting the inquiry with a definition of moral strangers, which implies that they do not share enough moral background or commitment to an authority to allow for reaching a moral agreement, and concluding that content-full morality is impossible among moral strangers. I argue that assuming traditions as solid and immutable structures that insulate people across their boundaries is problematic. Another questionable assumption in Engelhardt’s work is the idea that religious and philosophical traditions provide content-full moralities. As the cardinal assumption in Engelhardt’s review of the various alternatives for a content-full moral discourse among moral strangers, I analyze his foundationalist account of moral reasoning and knowledge and indicate the possibility of other ways of moral knowledge, besides the foundationalist one. Then, I examine Engelhardt’s view concerning the futility of attempts at justifying a content-full secular bioethics, and indicate how the assumptions have shaped Engelhardt’s critique of the alternatives for the possibility of content-full secular bioethics. (shrink)

Bioethics mediation is increasingly used as a method in clinical ethics cases. My goal in this paper is to examine the implicit theoretical assumptions of the bioethics mediation method developed by Dubler and Liebman. According to them, the distinguishing feature of bioethics mediation is that the method is useful in most cases of clinical ethics in which conflict is the main issue, which implies that there is either no real ethical issue or if there were, they are not the key (...) to finding a resolution. I question the tacit assumption of non-normativity of the mediation method in bioethics by examining the various senses in which bioethics mediation might be non-normative or neutral. The major normative assumption of the mediation method is the existence of common morality. In addition, the four-principle formulation of the theory articulated by Beauchamp and Childress implicitly provides the normative content for the method. Full acknowledgement of the theoretical and normative assumptions of bioethics mediation helps clinical ethicists better understand the nature of their job. In addition, the need for a robust philosophical background even in what appears to be a purely practical method of mediation cannot be overemphasized. Acknowledgement of the normative nature of bioethics mediation method necessitates a more critical attitude of the bioethics mediators towards the norms they usually take for granted uncritically as valid. (shrink)

There is an assumption in virtue epistemology that epistemic virtues are the same in different times and places. In this paper, however, I examine this assumption in the practice of medicine as a paradigm example. I identify two different paradigms of medical practice, one before and the other after the rise of bioethics in 1960s. I discuss the socially defined role and function of physicians and the epistemic goals of medical practice in these two periods to see how these elements (...) affect the necessary epistemic virtues for physicians. I conclude that epistemic virtues of medical practice differ in these two periods according to the differing epistemic goals and the socially defined function of physicians. In the end, I respond to the possible objections to my thesis based on the distinction between skill and virtue. (shrink)

Advocating a sociological explanation of scientific knowledge, David Bloor protests against the adherents of the autonomy of knowledge; i.e., those who asymmetrically explain the credibility of theories in the history of science. These philosophers and historians regard the credibility of true and rational theories due to their proper reasons, while accounting for the acceptance of false or irrational beliefs by citing social causes. Bloor assumes that the credibility of all beliefs is socially influenced, and therefore considers all in need of (...) sociological explanation. To substantiate this claim, he argues that all epistemic factors that are appealed to in explaining true or rational beliefs are really social. However, this argument aligns rational entities with social factors, and thus, undermines the ground of this division. Therefore, his prior complaint of the autonomy of knowledge would be invalidated. Hence, there is a conflict between Bloor’s objection to the asymmetrical explanation of scientific theories and his account of the social construction of epistemic reasons. In this paper, we reveal this concealed conflict and attempt to suggest ways to resolve it. (shrink)

In a recent article in this journal, Stump argues that pragmatism distances itself from absolutism due to its assent to fallibilism while it rejects relativism at the same time because of its insistence on experience. Therefore, pragmatism can provide a third position between relativism and absolutism. I argue in this note that his argument is profoundly inadequate for both claims. Fallibilism is compatible with both relativism and absolutism, and accordingly cannot be considered as the middle ground. Furthermore, the experience itself (...) and the way it is inferred from is the subject of the relativists’ debates, not a response. (shrink)

A human being is the simultaneous composite of several different levels of being, from atomic and subatomic to the level of complex social interaction, and these levels are nested within the individual hierarchically (lower levels giving rise to higher levels, etc.). One of the most important and influential approaches developed in the history of science has been that of systems theory and systemic thinking, in which the different levels of the hierarchy, and the interactions between those levels, are considered simultaneously. (...) Although this model provides a comprehensive view of biological being, the transition from one level to the other is not well defined in it. Uexküll and Pauli (Advances: Journal of the Institute for 417 the Advancement of Health 3:158–174, 1986) suggested that semiosis is the translator of the events from one level to the other. From a psychological point of view, a myriad of semiotic events happen inside an individual, and it has been suggested that among other semiotic events, inner speech plays an important role in mediating personal agency. Dialogical theories of the self, Jungian psychology and hypnosis research evidence show that there is a semiotic multiplicity in human agency and consciousness, and that these multiple streams are all converge to a central semiotic singularity. I argue in this paper that by taking a biosemiotic point of view, human ‘agency’ may be defined as the ability of an individual to direct the incoming and internal streams of semioses and the ability to create an integrative and superordinate new stream of semiosis in addition to the upwardly and downwardly component ones, and how such a view might open a new door for research into the concept of human ‘personality’ and ‘agency’. (shrink)

The debate on Islam and human rights is roughly 50 years old. During this time a vast literature has been produced analyzing the relationship between the religion of Islam, Muslims societies and international human rights norms. What have we learned during this time that can further an understanding of this topic among students, scholars and members of the general public? What analytical framework is optimal? Is the crisis of human rights in Muslims societies a function of internal conditions, external factors (...) or are they to be located within the framework of Islamic doctrine, traditions, the shariah in particular? This article grapples with these questions by looking back over the past five decades. The objective of this essay is to advance an objective framework of analysis for understanding the debate on Islam and human rights. A historical and comparative approach is adopted. Key moments that have shaped the debate on Islam and human rights are recalled. Significant political developments that have shaped the contours of the debate are examined such as the legacy of colonialism, the rise of political Islam, the role of Western policy and the failure of the post-colonial state in the Arab-Islamic world. The contributions of influential scholars and activists who have advanced the struggle for human rights in Muslims societies are also recognized in this article. (shrink)

Doris Lessing, the Persian-born, African-raised and London-residing novelist enjoys a writing career which has spanned more than 50 years. Critics have labeled her as Marxist, feminist, Sufist and even psycho-analyst. It is my contention to prove that latent Sufi characteristics are inherent in her works, and this premise marks a difference between my study and other research on Lessing. To prove that even Lessing’s early works contain Sufi characteristics, this paper looks at her early fictions which lend themselves to Sufistic (...) interpretation. The theoretical framework used in this paper proves the manifestations of Sufism in her early works which involve different Sufistic concepts. The methodology appropriated entails tracing some of these concepts in these novels which are overtly Sufistic. I would also show how Lessing invites a Sufi reading of her novels and whether there are direct signs or changes in her choices of genre, mode, and style that suggest a new vision and a changed worldview and outlook. By revisiting her writing life to show that Sufism has always been present in her works, I depart from other critics and researchers who examine Lessing’s works in more general terms. This departure is significant because the use of a non-western perspective actually enriches our understanding of Lessing who is mainly read from eurocentric points of view. (shrink)

Background:The concept of patient advocacy is still poorly understood and not clearly conceptualized. Therefore, there is a gap between the ideal of patient advocacy and the reality of practice. In order to increase nursing actions as a patient advocate, a comprehensive and clear definition of this concept is necessary.Research objective:This study aimed to offer a comprehensive and clear definition of patient advocacy.Research design:A total of 46 articles and 2 books published between 1850 and 2016 and related to the concept of (...) patient advocacy were selected from six databases and considered for concept analysis based on Rodgers’ evolutionary approach.Ethical considerations:This study was approved by the Research Ethics Committee of Tarbiat Modares University.Findings:The attributes of patient advocacy are safeguarding (track medical errors, and protecting patients from incompetency or misconduct of co-workers and other members of healthcare team), apprising (providing information about the patient’s diagnosis, treatment, and prognosis, suggesting alternatives of healthcare, and providing information about discharge program), valuing (maintaining self-control, enabling patients to make decisions freely, maintaining individualization and humanity, maintaining patient privacy, and acting in the patients’ values, culture, beliefs, and preferences), mediating (liaison between patients, families, and healthcare professionals, being patients’ voice, and communicate patient preferences and cultural values to members of the healthcare team), and championing social justice in the provision of healthcare (confronting inappropriate policies or rules in the healthcare system, identifying and correcting inequalities in delivery of health services, and facilitating access to community health services and health resources).Discussion and conclusion:The analysis of this concept can help to develop educational or managerial theories, design instruments for evaluating the performance of nurses in patient advocacy, develop strategies for enhancing patient advocacy, and improve the safety and quality of nursing care in the community and healthcare system. (shrink)

We prove a model theoretic generalization of an extension of the Keisler-Morley theorem for countable recursively saturated models of theories having a K-like model, where K is an inaccessible cardinal.

Hopfield neural network is considered as an artificial model derived from the brain structures and it is an important model that admits an adequate performance in neurocomputing. In this article, we solve a dynamical model of 3D HNNs via Atangana–Baleanu fractional derivatives. To find the numerical solution of the considered dynamical model, the well-known Predictor-Corrector method is used. A number of cases are taken by using two different sets of values of the activation gradient of the neurons as well as (...) six different initial conditions. The given results have been perfectly established using the different fractional-order values on the given derivative operator. The objective of this research is to investigate the dynamics of the proposed HNN model at various values of fractional orders. Nonlocal characteristic of the AB derivative contains the memory in the system which is the main motivation behind the proposal of this research. (shrink)

We completely characterize the logical hierarchy of subsystems of open induction introduced by Boughattas [1].

Suppose L = { <,...} is any countable first order language in which < is interpreted as a linear order. Let T be any complete first order theory in the language L such that T has a κ-like model where κ is an inaccessible cardinal. Such T proves the Inaccessibility Scheme. In this paper we study elementary end extensions of models of the inaccessibility scheme.

Keisler in [7] proved that for a strong limit cardinal κ and a singular cardinal λ, the transfer relation κ → λ holds. We analyze the λ -like models produced in the proof of Keisler's transfer theorem when κ is further assumed to be regular. Our main result shows that with this extra assumption, Keisler's proof can be modified to produce a λ -like model M with built-in Skolem functions that satisfies the following two properties: M is generated by a (...) subset C of order-type λ. M can be written as union of an elementary end extension chain 〈Ni: i < δ 〉 such that for each i < δ, there is an initial segment Ci of C with Ci ⊆ Ni, and Ni ∩ = ∅. (shrink)

Many theorists, in their search for a better explanation of the dynamics of structure and agency, have expressed the need for a theory in which reflexivity and habitus are reconciled. In this article, we argue that a dissociative theory of mind can provide the essential framework in which habitual routines and reflexivity function in parallel. This is explored using the examples of athletic training and hypnosis, where the interplay between conscious and unconscious mechanisms is displayed. In both settings, there is (...) evidence to show that conscious reflexiveness and intersubjective and unconscious automatic processes are necessary to reach the desired outcome. We conclude that a dissociative theory of mind can shed new light on the relationship between habitus and reflexivity. (shrink)

The present study aimed at investigating the status of cheating on exams in the Iranian EFL context. One hundred thirty two university students were surveyed to this end. They were selected through convenient sampling. The results indicated that cheating is quite common among the Iranian language students. The most important reasons for this behavior were found to be “not being ready for the exam”, “difficulty of the exam”, “lack of time to study” and “careless and lenient instructors”. The study also (...) indicated that the most common methods of cheating are “talking to the adjacent individuals”, “copying from others' test papers”, and “using gestures to get the answers from others”. It was also found that the student’s field of study, academic level, and occupational status had a significant effect on cheating whereas gender and marital status had no effect in this regard. Furthermore, it became clear that field of study and occupational status had a significant effect on students’ attitude toward cheating whereas gender, academic level and marital status had no effect. Finally, the study indicated that age significantly correlated with cheating and attitude toward cheating. (shrink)

Hymenoplasty, practiced in societies wherein a woman's virginity signifies honour, is a controversial surgery raising a multitude of ethical issues. There is a dearth of research uncovering the views of physicians who perform hymenoplasty, especially in sexually conservative cultures, such as Iran. Interviews were conducted with five Iranian physicians who perform hymenoplasty to determine their ethical views on the surgery. The interview findings suggest that Iranian physicians risk punitive consequences if they are discovered to be offering hymenoplasty. However, some continue (...) to cautiously perform the procedure out of a moral obligation to protect the welfare of women seeking it, even if they are personally conflicted about the surgery. (shrink)

The present study was an attempt to shed light on the status of plagiarism in the Iranian academic context. It tried to survey the EFL learners’ perceptions of and reasons for different types of plagiarism. To this end, 132 EFL learners from different Iranian universities took part in the study. The data were collected through using a questionnaire specifically designed to gather information on plagiarism. The results indicated that plagiarism is quite common in the Iranian EFL context as different types (...) of plagiarism are employed by the students. Many students were found not to have a negative attitude toward plagiarism. The results also indicated that gender, marital status and occupational status did not have a significant effect on plagiarism, whereas academic level, field of study, and age played a significant role in this regard. (shrink)

Spirituality in medical education is an abstract multifaceted concept, related to the healthcare system. As a significant dimension of health, the importance and promotion of this concept has received considerable attention all over the world. However, it is still an abstract concept and its use in different contexts leads to different perceptions, thereby causing challenges. In this regard, the study aimed to clarify the existing ambiguities of the concept of spirituality in medical education. Walker and Avant concept analysis eight-step approach (...) was used. After an extensive review of online national and international databases from 2000 to 2015, 180 articles and 3 books in English and Persian were retrieved for the purposes of the study. Analysis revealed that the defining attributes of spirituality in medical education are: teaching with all heart and soul, Life inspiring, ontological multidimensional connectedness, religious-secular spectrum, and socio-cultural intricacies. Moreover, innate wisdom, skillful treatment, transcendent education, and environmental requirements were antecedents to this concept, with the health of body and soul, intrapersonal development and elevation, and responsive treatment and education being its consequences. The defining attributes provided in this study can assist physicians, instructors, and professors to develop and implement evidence-based, health based and comprehensive education plans according to the guidelines of professional ethics and qualification of using spirituality in practice. The clarification of the noted concept facilitates further development of medical knowledge, research, and research instruments. (shrink)

This article examines how migrant ‘illegality’ is experienced in the Swedish context. How do ‘illegal‘ migrants manage work, housing, healthcare, safety and a family life in the absence of access to formal provisions? What are their survival strategies? I use direct quotations from undocumented migrants themselves to build a multifaceted picture of migrant ‘illegality’. Following Willen's (2007) call for a ‘critical phenomenology of illegality’, I move beyond the socio-political situation of undocumented migrants to their embodied experiences of being ‘illegal’. I (...) conclude that undocumented migrants are not excluded but are excepted; they have not been thrown out, but neither are they considered participants. Undocumented migrants are included in society without being recognised as members. (shrink)

Background: Compassion fatigue and professional quality of life are important in health and professional ethics. Aim: This study aimed to determine the relationship between compassion satisfaction, compassion fatigue, secondary traumatic stress, and moral injury in nurses. Research design: This research is a cross-sectional descriptive-analytical study. The research community of this research was all the nurses of the teaching hospitals of Ardabil city. Three questionnaires on demographic characteristics, the Professional Quality of Life Scale (ProQOL), and the Moral Injury Events Scale were (...) used to collect data. SPSS (version 22) software was used for data analysis. Participants and research context: The study recruited 297 nurses randomly selected from five teaching hospitals in Ardabil city. Ethical considerations: Ethical approval was obtained from the Ardabil University of Medical Sciences ethics committee (with the code of ethics IR.ARUMS.REC.1401.198). Informed consent was obtained from the participants. Results: The results showed that the mean compassion satisfaction score of this study’s participants was 37.61 ± 8.86, the mean compassion fatigue score of this study’s participants was 28.73 ± 7.04, and the mean secondary traumatic stress score of this study’s participants was 29.95 ± 7.84. The mean score of moral injury among nurses was 31.19 ± 8.54. The results showed a negative significant relationship between compassion satisfaction and moral injury ( p < 0.001). Also, there is a positive significant relationship between compassion fatigue and secondary traumatic stress with moral injury ( p < 0.001). Conclusion: The results of this study show a negative relationship between compassion satisfaction and moral injury. According to the results of the present study, nurse managers should implement educational interventions, create ethical processes, and clear ethical guidelines to reduce moral injury and increase compassion satisfaction. (shrink)

The realization of dwindling fossil fuel supplies and their adverse environmental impacts has accelerated research and development activities in the domain of renewable energy sources and technologies. Global energy demand is expected to rise during the next few decades, and the majority of today's energy is based on fossil fuels. Alternative energy sources and technologies can play a vital role in lowering or eliminating our reliance on fossil fuels. However, such a transition will require a large investment and will not (...) be reversible. The benefits of hydrogen and other liquid fuels as transportation fuels are not marginal, but the real urgency in greenhouse gas reductions and fossil fuel replacement should not be translated into an energy infrastructure based on unsustainable sources in the long run. It is wise to examine each option thoroughly and objectively now and discard those with little potential so our focus and effort may be placed elsewhere. (shrink)

Greenhouse gas emissions are adversely affecting the earth’s climate, a global common and a public good. The contribution of individual countries has a limited effect on the biosphere, implying that only globally coordinated efforts may result in significant climate improvements. The Rio Earth Summit (1992) and Kyoto Protocol (1997) are manifestations of international efforts to achieve sustainable development through efficient use of energy and incorporating more renewable sources in global economy. In this article, the author examines the energy-related emissions of (...) greenhouse gases and the utilization of renewable energy sources in Canada with respect to Agenda 21 commitments. An overview of the results of Canada’s policies on climate change since Rio in terms of energy consumption, various sources of energy, and emission rates of greenhouse gases is also presented. It is concluded that the current plans of the Canadian government to deal with greenhouse gas emissions have not been effective. (shrink)

Anthropology in psychology under the title of "personality theories" has been able to be effective in the field of behavioral studies and interpersonal relationships. The need to explain and analyze the true nature of man in the field of "being" - contrary to psychological personality theories that generally identify human nature in the field of "appearance" - caused this article based on Sadra's anthropological opinions and view According to Allport's trait theory, which is one of the pioneers of the trait (...) approach, it should be organized by descriptive-analytical method. The individualistic approach based on traits is the main feature of Allport's and Mulla Sadra's personality theory. The foundation of personality in both theories is based on the most profound characteristics of person; However, in the analysis of Mulla Sadra's philosophical texts, the quality of the appearance of these traits and why they influence the structure of personality and, accordingly, human behavior, have been explained. "Self" or ego, contrary to its abstract concept in Alport's view, is a real and existential thing in Sadrai's system. The dynamism and unity of Alporti's personality can be rationally explained by the rule of "unity of the known and the known" and "intrinsic volitional movement". (shrink)

Peter Sloterdijk maintains that modern institutions and their fundamental ethos, namely self-discipline, training and the orientation to achievement, can be traced back to spiritual self-mastery and ancient ascetic models, exemplified in Christian monastic life. This article examines the bases of this claim and argues that Sloterdijk’s theory empties ascetic formations of their concrete content and removes them from their historical context. The ambition to derive the main features of modern society from a single matrix necessarily produces abstractions and self-serving definitions (...) with very little explanatory value. (shrink)

Patient advocacy has been a topic of much discussion in the nursing literature for a number of decades. Ambiguities remain, however, concerning definitions of advocacy in nursing. This qualitative grounded theory-type study aimed to inquire into the meaning of patient advocacy from Iranian nurses' perspective. A purposive sample of 24 nurses (staff nurses, head nurses and supervisors) working in a large university hospital in Tehran was used. Data were collected using in-depth semistructured interviews and reflective diaries kept by the participants. (...) The data were analyzed using elements of Strauss and Corbin's' approach. Advocacy was defined by the participants as: informing and educating; valuing and respecting; supporting; protecting; and promoting continuity of care for patients. The participants also believed that advocacy could take place only if there was respect for patients' individuality and their inherent human dignity. Many of the descriptions given by the participants are consistent with previous research in this area and represent a comprehensive account of their perceptions of patient advocacy. (shrink)

In this article, we study set mappings on 4-tuples. We continue a previous work of Komjath and Shelah by getting new finite bounds on the size of free sets in a generic extension. This is obtained by an entirely different forcing construction. Moreover, we prove a ZFC result for set mappings on 4-tuples. Also, as another application of our forcing construction, we give a consistency result for set mappings on triples.

Reviving the works of Persian Empire’s writers and grandees, both in terms of the newly discovered points in books and discourses and also including indications of their era’s social, political and cultural state, is highly essential and valuable; so much so that if no efforts are made on their correction and restoration, a vast part of this extremely rich cultural heritage will be buried among the manuscripts. It is incumbent on the scientific community to take steps, however brief, in order (...) to stimulate such precious works which in turn represent a cultural legacy.One of these works is Bayani Kermani’s Monsha’at, dated back to Iran’s Timurid and early Safavid period. Since he was a Timurid court clerk later becoming the Chancellor and has mentioned many important literary and political figures in his work, the correction of this book greatly contributes to the recognition the individuals and understanding the social culture and customs of the Timurid era.This paper briefly introduces Bayani, his works, and the remaining manuscripts of Monsha’at, hoping for it to be of some benefit. (shrink)

Ladyman and Presnell have recently argued that the Hole argument is naturally resolved when spacetime is represented within homotopy type theory rather than set theory. The core idea behind their proposal is that the argument does not confront us with any indeterminism, since the set-theoretically different representations of spacetime involved in the argument are homotopy type-theoretically identical. In this article, we will offer a new resolution based on ZFC set theory to the argument. It neither relies on a constructive-intuitionistic form (...) of mathematics, as used by Ladyman and Presnell, nor is foundationally problematic, such as the existing set-theoretic suggestions. (shrink)

Background: Past research has highlighted the role of trauma in social adjustment problems, but little is known about the underlying process. This is a barrier to developing effective interventions for social adjustment of traumatized individuals. The present study addressed this research gap through a cognitive model.Methods: A total of 604 young adults from different backgrounds were assessed through self-report questionnaires. The data were analyzed through path analysis and multivariate analysis of variance. Two path analyses were conducted separately for migrant and (...) Australian groups.Results: Analyses indicated that cognitive avoidance and social problem solving can significantly mediate the relation between trauma and social adjustment. According to the model, reacting to trauma by cognitive avoidance can disturb the cognitive capacities that are required for social problem solving. Consequently, a lack of effective social problem solving significantly hinders social adjustment. There were no significant differences among the Australian, non-refugee immigrant and refugee participants on the dependent variables. Moreover, the hypothesized links between the variables was confirmed similarly for both migrant and Australian groups.Conclusion: The findings have important implications for interventions targeting the social adjustment of young individuals. We assert that overlooking the processes identified in this study, can hinder the improvement of social adjustment in young adults with a history of trauma. Recommendations for future research and practice are discussed. (shrink)