Within the research community, it is generally accepted that consent processes for research should be culturally appropriate and tailored to the context, yet researchers continue to grapple with what valid consent means within specific stakeholder groups. In this study, we explored the consent practices and attitudes regarding essential information required for the consent process within hospital-based trial communities from four referral hospitals in Vietnam. We collected surveys from and conducted semi-structured interviews with study physicians, study nurses, ethics committee members, and (...) study participants and family members regarding their experiences of participating in research, their perspectives toward research, and their views about various elements of the consent process. In our findings, we describe three interrelated themes related to the consent process: words and regulation; reimbursement, suspicions, and joining; and responsibilities. In general, stakeholders had highly varied perspectives of nghiên cứu and researchers used varying levels of detail regarding all aspects of the study in the consent process to build trust with and/or promote potential research participants’ choices about taking part in research. Findings additionally highlight how researchers felt that offering financial reimbursements in a hospital setting, where payment for services was routine, would be unfamiliar to participants and could raise suspicions about the research. Participants, however, focused their discussions on reimbursement or alternative reasons for joining the study, such as health related benefits or altruism. Finally, participants often relied on their physician to help them decide about joining a study or not. Further research is needed to understand how researchers and participants make sense of and practice consent, and how that impacts participants’ decision-making about research participation. To promote valid consent within this context, it is important to engage with hospital-based trial communities as a whole. The data from this study will inform future research on consent, guide the revisions of consent related policies within our research sites and point to several larger issues surrounding researcher-participant expectations, communication, and trust. (shrink)

Given that health systems research involves different aims, approaches, and methodologies as compared to more traditional clinical trials, the ethical issues present in HSR may be unique or particularly nuanced. This article outlines eight pertinent ethical issues that are particularly salient in HSR and argues that the ethical review process should be better tailored to ensure more efficient and appropriate oversight of HSR with adequate human protections, especially in low- and middle-income countries. The eight ethical areas we discuss include the (...) nature of intervention, types of research subjects, units of intervention and observation, informed consent, controls and comparisons, risk assessment, inclusion of vulnerable groups, and benefits of research. HSR involving human participants is necessary to ensure health systems strengthening and quality of care and to guide public policy intelligently. Health systems researchers must carefully define their intent and goals and openly clarify the values that may influence the premises and design of protocols. As new types of population-level research activities become more commonplace, it is critical that institutional review board and research ethics committee review processes evolve to evaluate these research protocols in ways that address the nuanced features of these studies. (shrink)

Medical students’ mask-making can provide valuable insights into personal and professional identity formation and wellness. A subset of first- and second-year medical students attending a medical school wellness retreat participated in a mask-making workshop. Faculty-student teams examined student masks and explanatory narratives using visual and textual analysis techniques. A quantitative survey assessed student perceptions of the experience. We identified an overarching theme: “Reconciliation/reclamation of authentic identity.” The combination of nonverbal mask-making and narrative offers rich insights into medical students’ experience and (...) thinking. This activity promoted reflection and self-care, while providing insight regarding personal and professional development. (shrink)

The notion of optimality is often invoked informally in the literature on metacognitive control. We provide a precise formulation of the optimization problem and show that optimal time allocation strategies depend critically on certain characteristics of the learning environment, such as the extent of time pressure, and the nature of the uptake function. When the learning curve is concave, optimality requires that items at lower levels of initial competence be allocated greater time. On the other hand, with logistic learning curves, (...) optimal allocations vary with time availability in complex and surprising ways. Hence there are conditions under which optimal strategies will be relatively easy to uncover, and others in which suboptimal time allocation might be expected. The model can therefore be used to address the question of whether and when learners should be able to exercise good metacognitive control in practice. (shrink)

The authors would like to correct a misspelling in the name of one of the authors due to a typographical error. The name should read Atur Turakhia, not Artur Turakhia. This does not change the conclusions or interpretations presented.

The 1981 Uniform Determination of Death Act (UDDA) established the validity of both cardio-respiratory and neurological criteria of death. However, many religious traditions including most forms of Haredi Judaism (ultra-orthodox) and many varieties of Buddhism strongly disagree with death by neurological criteria (DNC). Only one state in the U.S., New Jersey, allows for both religious exemptions to DNC and provides continuation of health insurance coverage when an exception is invoked in its 1991 Declaration of Death Act (NJDDA). There is yet (...) no quantitative or qualitative data on the frequencies of religious exemptions in New Jersey. This study gathered information about the frequency of religious exemptions and policy in New Jersey that was created out of respect for religious beliefs. Literature and internet searches on topics related to religious objections to DNC were conducted. Fifty-three chaplains and heads of bioethics committees in New Jersey hospitals were contacted by phone or email requesting a research interview. Respondents answered a set of questions about religious exemptions to DNC at the hospital where they worked that explored the frequency of such religious exemptions in the past five years, the religious tradition indicated, and whether any request for a religious exemption had been denied. This study was approved by the Northeastern University Institutional Review Board (IRB #: 16–03-15). Eighteen chaplains and bioethics committee members participated in a full research interview. Of these, five reported instances of religious exemptions to DNC occurring at the hospital at which they worked for a total of approximately 30–36 known exemptions in the past five years. Families sought religious exemptions because of faith in an Orthodox Judaism tradition and nonreligious reasons. No failed attempts to obtain an exemption were reported. Religious exemptions to DNC in New Jersey do occur, although very infrequently. Prior to this study, there was no information on their frequency. Considering religious exemptions do occur, there is a need for national or state policies that addresses both religious objections to DNC and hospital resources. More information is needed to better understand the impact of granting religious exemptions before new policy can be established. (shrink)

The purpose of this paper is to diagnose and analyze the gap between philosophy of technology and engineering ethics and to suggest bridging them in a constructive way. In the first section, I will analyze why philosophy of technology and engineering ethics have taken separate paths so far. The following section will deal with the so-called macro-approach in engineering ethics. While appreciating the initiative, I will argue that there are still certain aspects in this approach that can be improved. In (...) the third, fourth, and fifth sections, I will point out three shortcomings of engineering ethics in terms of its macro-level discourse and argue that a number of certain insights taken from the study of philosophy of technology could be employed in overcoming those problems. In the concluding section, a final recommendation is made that topics of philosophy of technology be included in the curriculum of engineering ethics. (shrink)

In this article I analyze how journalistic codes of ethics in the United States wrestle with the matter of leaks. After assessing how leaks-particularly from government sources-can compromise journalistic independence, I discuss strengths and weakness of ethics codes. Four research questions are explored via a systematic analysis of 47 codes. Although leaks are never explicitly addressed in these codes, the treatment of confidential sources and the need to maintain journalistic independence are addressed.

Culture is a concept that is claimed these days as the last authority for appeal in most discussions on human affairs and as the ultimate cause of important differences among people: “[C]ulture is the sole source of the validity of a moral right or rule”1 Only culture seems to be conclusive for almost all of what men are and what they do. Culture is what we collectively create but, at the same time, what we are determined by; we are our (...) own masters and at the same time slaves of our own creations. The culture that is so decisive today, however, is not a universal culture common to everyone but the concrete culture of each society2 here and now. Thus the culture that is concretely relevant to us today is plural. Pluralism in the present understanding may not necessarily trouble Christians, but the relativism that accompanies it does. More alarming, however, is cultural determinism that seriously discourages Christian efforts for evangelism and, especially, foreign mission. (shrink)

For Pyun, Minjung theology is a "religion-neglect" and indigenization theology or han philosophy is "politics-neglect." However, he conceded that ...

The purpose of this paper is to investigate the implications of globalization for philosophy of technology. Various themes in philosophy of technology can be seen under a different light when globalization is understood in terms of modern technology. Among them is the conflict between methodologies of the classical philosophy of technology and the empirical turn. It is argued that once the phenomenon of globalization challenges the empirical turn approach in terms of (i) its focus on individual technologies; (ii) the importance (...) of normative aspect of philosophy of technology, and; (iii) theories of democratizing technology. This is followed by five suggestions concerning how the insights of the classical philosophy of technology can benefit current discourses on globalization and technology. (shrink)

Even though many people have been looking for the origin of human beings, we still don’t know how human beings came into existence. So far, there are two major theories to explain human beings’ starting point – creationism and the theory of evolution. These theories are so abstract that it is hard to accept either one.This essay presents a new theory which explains how human beings and all beings come into existence and carries implications bearing on human conduct. The theory (...) is called “The Principle of Human Essence,” and it was first proposed by Hungduk Bokyoung Son. He points out everything in the world was created by human beings, for nothing can be mentioned or described without them. Then he asks what the human being is, and defines it as a living thing which thinksand speaks. Next, he tries to determine where human consciousness came from, and shows that language is the source of consciousness. Finally, he explains that language can exist only where it is formed between at least two people, and that consciousness is the ability to discern words. Through his unique concept, summed up in the maxim “Words and Earth are simultaneous existence,” Hungduk shows that two living things become human beings through communication, that mind and body exist simultaneously, and that human beings and space exist at the same time. If words are the origin of thoughts, and none of us can possess language without communication with other people, it follows that no one can be a human being by himself or herself. For this reason, Hungduk claimseach person is the cause of each other’s being, so people exist as mutual causations at the same time. I think that, through his metaphysical principle, he offers clear reasons why we must trust each other, solve conflicts between people, and make a world where people live well together, so I hope to introduce his philosophy to other philosophers around the world. (shrink)

This article is a critical review of The Technological Bluff, the last book on technology by Jacques Ellul. Although this work has attracted little attention, the concept oftechno-logical bluff1 provides a new perspective to understand contemporary technological society. After presenting Ellul’s exposition of the concept of techno-logical bluff, its original contribution to technology studies is emphasized. It is also examined how the analysis of techno-logical bluff is connected with other major Ellulian notions such as autonomous technique and the efficiency principle. (...) This is followed by a suggestion that the analysis of techno-logical bluff could function as a basis for a constructive dialectic relationship between classical and more recent discourses on technology. The last section is devoted to the Ellulian solution for the technological society suggested in this work, namely, the paradox of nonfreedom. (shrink)

In his recent essay, Mark Wenman highlighted parallels between Connolly’s theory of pluralism and earlier iterations of pluralism in the postwar period and the early twentieth century. Focusing on his account of postwar pluralism and especially his interpretation of Dahl, I argue that Dahl’s vision of democracy as polyarchy is fundamentally at odds with Connolly’s. A close reading of Dahl’s text and a consideration of the historical context suggest that Dahl’s theory effectively creates a depoliticized world where citizens are unresponsive (...) to claims about alternative possibilities of democratic life. (shrink)

In this paper, we discuss the weakness of current action languages for sensing actions with respect to modeling domains with multi-valued fluents. To address this problem, we propose a language with sensing actions and multi-valued fluents, called AMK, provide a transition function based semantics for the language, and demonstrate its use through several examples from the literature. We then define the entailment relationship between action theories and queries in AMK, denoted by ⊧AMK, and discuss some properties about AMK.

In her recent essay, Jessica Whyte has challenged the tendency to repurpose Friedrich Hayek’s thought for a progressive and participatory politics. Objecting to such thinkers as Michel Foucault and William Connolly who find inspiration in Hayek’s critique of the monolithic political sovereign and his defense of spontaneous order, Whyte contends that his neoliberalism is actually predicated on the cultivation of politically submissive subjectivity and the curtailment of democratic politics. While agreeing with her substantive conclusions, I suggest that her conceptual frame (...) centered on the themes of invisibility and providentialism is limited in explaining Hayek’s ideas and, more generally, the operation of neoliberalism. Pace Whyte, I argue that Hayek’s neoliberalism does not simply stave off political challenges by obfuscation, but wages an active and highly visible campaign to recruit and interpellate individuals as market subjects. (shrink)

Why hasn’t democracy been promoted by nor ICT been controlled by democratic governance? To answer this question, this research begins its investigation by comparing knowledge acquisition systems throughout history: orality, literacy, hyperlink, and hyperlead. “Hyperlead” is a newly coined concept to emphasize the passivity of people when achieving knowledge and information via algorithmic recommendation technologies. Subsequently, the four systems are compared in terms of their epistemological characteristics and political implications. It is argued that, while literacy and hyperlink contributed to the (...) furthering of democracy, hyperlead poses a fundamental challenge to it, undermining human autonomy to make decisions and aggravating vertical and lateral polarizations. In addition, the similarity between orality and hyperlead is addressed. Finally, suggestions to improve or to advert the current trend are provided. What happened during the transition period from orality to literacy and subsequently to hyperlink could be a reference for an alternative to hyperlead. Some technical adjustments and appropriate regulations requiring more transparency in algorithmic recommendation systems would help us to overcome hyperlead and preserve human autonomy. (shrink)

셸링의『인간자유의 본질에 관한 철학적 탐구』는 자유에 대한 혁신적인 규정을 통해 인간행위의 본성에 대한 연구에서 획기적 전기를 마련했고, 악을 선 못지않게 적극적인 것으로 규정함으로써 악에 대한 새로운 성찰의 가능성을 제공하였다. 셸링은 신이 자신의 본질을 구분하여 세계를 생성하는 과정을 역동적으로 그려내며 지성과 근거의 두 원리가 다양한 피조물을 형성하는 원리를 밝혀냈고 이러한 신의 자기계시는 인간에게서 그 정점에 달하는데, 정신으로서의 인간은 이 두 원리를 구분하여 분리할 수 있는 독특한 능력을 부여받은 것으로 묘사된다. 인간의 자유는 개별의지와 보편의지로 표현되는 두 원리 사이의 위계질서를 조정하는 능력으로 이해된다. (...) 본래적 질서는 근거의 개별의지가 지성의 보편의지 아래에 놓여있는 것인 반면, 인간은 자신의 개별의지를 보편의지보다 상위에 두는 ‘악’을 감행할 수 있는 유일한 존재가 된다. 이를 통해 계시의 존재론적 구조는 이러한 악이 가능하도록 돼 있고, 그런 의미에서 악은 신의 자기계시에 필연적이라는 이해가 가능하다. 하지만 악을 허용하는 것을 넘어서서 계시에 필요한 것으로 만드는 것은 신의 정당성과 완전함을 훼손하는 일이라는 비판이 있어왔다. 이에 본 논문은 셸링의 이론이 이러한 비판을 효과적으로 반박하고 악의 주체는 어디까지나 인간이라는 점을 밝히고자 한다. 하지만 악을 선택하고, 또한 극복하는 진정한 원인에 관한 물음에서는 셸링의 답변이 부족함을 또한 지적할 것이다. 이를 통해 윤리적 관점에서 악의 주체를 밝히는 작업의 성공적인 결과와는 달리 악에 대한 최종 결정과 해방에 있어서는 무기력하고 신에게 기대야 하는 인간의 모습을 그리는 셸링 이론의 한계가 드러날 것이다. (shrink)