n this paper, a non-classical axiomatic system was introduced to classify all moods of Aristotelian syllogisms, in addition to the axiom "Every a is an a" and the bilateral rules of obversion of E and O propositions. This system consists of only 2 definitions, 2 axioms, 1 rule of a premise, and moods of Barbara and Datisi. By adding first-degree propositional negation to this system, we prove that the square of opposition holds without using many of the other rules of (...) classical logic (including double negation elimination). We then show that the Propositional Substructural Logic SLe is the best logic to study Aristotelian Syllogisms. Also, based on the IFLe square of opposition, the rules of conversation and the rules of negation are completely proved in Muzaffar's logic. For this purpose, we used the monadic first-order logic with the same standard deductive apparatus of quantifiers in classical logic, plus the axioms of "some a is an a" and "some not-a is a not-a". Finally, to show that there is no existential commitment to general terms in categorical logic, the Strong Four-Valued Relevant-classical Logic KR4 was used. With the same existential interpretation of the quantifiers and the standard translation of the quarter quantified. (shrink)

To examine how different ownership structures, varying from diverse ownership bases to narrow ownership bases, influence the extent of corporate social responsibility (CSR) reporting by companies in emerging market. The motivation for this study is the reported inconsistent results for this association in developing countries and the lack of research in emerging markets. Eight hundred observations of 80 nonfinancial sector listed companies in the Amman Stock Exchange for the period 2006 to 2015 were used for a content analysis to assess (...) the extent of CSR reporting. Ordinary least square multiple regression analysis was undertaken to examine the association between five different ownership structures and their extent of CSR reporting. The results reveal three separate associations between the types of ownership and the extent of CSR reporting. First, the two types of ownership (foreign and government) have a significant and positive influence on the extent of CSR reporting. Second, another two types of ownership (Family and managerial) have a significantly negative association. Finally, institutional ownership has an insignificant and negligible influence on the extent of CSR reporting. These findings provide insights into how ownership structure influences the CSR reporting extent by emerging market companies such as Jordan. These findings suggest that policy makers, regulatory bodies, companies, and investors should increase their awareness about how different concentration of company ownership influences the extent companies voluntarily disclose CSR reporting. The evidence adds to the limited body of knowledge about different ownership groups' influence on the extent of CSR reporting in a developing country because few empirical studies have undertaken such a comprehensive analysis of this association. (shrink)

The paper depicts the blueprint of an electronic wise indicating system for demonstrating learning French to understudies to overcome the inconveniences they go up against. The fundamental idea of this structure is a proficient introduction into learning French. The system shows the purpose of learning French and coordinates thusly made issues for the understudies to clarify. The system is logically balanced at run time to the understudy’s individual progress. The system gives unequivocal help to adaptable presentation to learners.

In lieu of an abstract, here is a brief excerpt of the content:Finding PartnershipThe Benefit of Sharing and the Capacity for ComplexityMichaela Amering (bio)Keywordsrecovery, empowerment, trialog, user involvement, schizophreniaIs There Ignorance and Arrogance? In Psychiatry? In Medicine?Adding insight to injury' is the paraphrase psychiatrist Pat McGorry (1992) coined for his reproach of 'pushing for "insight" or "acceptance of diagnosis"' without carefully taking into account the complexities of the individual situation, context, and needs. That must be about the kind of behavior (...) Marga Reimer has in mind in her paper on treatment adherence in the absence of insight, which depicts mental health professionals characterized by arrogance against the common sense of motivating compliance by perceived or anticipated benefits on different everyday life levels, but instead trying to get people to believe in a mental illness such as schizophrenia and wishing them to want treatment for that in the form of medication.In addition, Reimer presents examples from general medicine to make her point that adherence follows perceived or anticipated benefits instead of being a result of insight into a medical model of illness and McGorry (1992) also suggests that disregard for the active role that patients may play as reflected in psychiatry in terms such as 'case management' and 'compliance' "is a failing which extends to mainstream medicine and probably to most systems of human service delivery." On the other hand, Bill Anthony (2006), one of the most eminent experts on psychiatric rehabilitation and recovery in a personal report on his own medical illness, multiple sclerosis—MS, and the assistance he has been receiving in connection with it, describes the 'MS-Community' as exemplary with respect to instilling courage and hope, continually providing information and opportunities for exchange, and for never questioning a person's ultimate freedom of choice. In contrary, in mental health care he does not experience the medical profession as acting with full respect and support for its patients and suggests a great deal more work and transformation—especially concerning coercive treatments—ahead to follow this example. Similarly, it has been suggested that psychiatry should be better integrated into medicine to overcome stigma and discrimination of psychiatric health problems and interventions. A pertinent example of an initiative in this direction is the proposal of a fusion of mental health and incapacity legislation to arrive at ethically consistent legal situations with regard to involuntary [End Page 77] treatment across medicine (Dawson and Szmukler 2006).Is There Something Called Schizophrenia? and How Much Longer?Reimer's main example—schizophrenia—is the diagnosis that poses some of the greatest problems to the field and to the recognition of psychiatry as a scientific medical discipline. The current concept as well as the term 'schizophrenia' will probably not be around much longer; 'a century of schizophrenia is enough' (Kelly and Murray 2002). Suggested solutions for the problems of the diagnosis of schizophrenia concern the urgent complement of the categorical with a dimensional approach (Allardyce et al. 2007), a change also put forward as one of the essential remedies to undermine the stigma of mental illness that is often exacerbated by clinical diagnosis (Corrigan 2007). Such a move would also clearly help against the still prevalent experiences of users of services and their families and friends, whose hopes and dreams have been crushed and whose resilience has been undermined by clinical situations, which in times of psychotic crises, not only forced diagnoses but also prognoses—often scientifically unfounded—on them (Amering and Schmolke 2009).Is There a Solution? Can We Use Our Talents? And Those of People With a Lived Experience of Mental Health Problems and Care?Clinicians as well as scientists know that health, illness, and recovery occur in complex ways and contexts. People faced with mental health problems clearly realize the complexities of their situation and are especially motivated to appreciate the variety of factors and interactions that need to be integrated to arrive at a valid assessment. Ideally, the therapeutic relationship—essentially a partnership—holds a formidable chance of sharing efforts and creating the wisdom for finding and facing the truths necessary to develop solutions that can uphold and work in line with the complexities of human life.I would argue that psychiatric professionals are certainly part... (shrink)

Policies to promote the usage of energy-saving vehicles, such as electric vehicles and hybrids, were introduced and implemented in many countries due to increasing awareness of the potential benefits of such vehicles on environmental and energy conservation. However, despite consumers’ claims of their concerns and positive attitudes toward environmental issues, those claims have not been translated into energy-saving vehicles’ purchasing behavior. Prior studies neglected the interrelationship between consumer ethnocentrism, perceived value, and consumer knowledge in influencing consumer behavior, including pro-environmental behavior. (...) This study examines the relationship between CE, PV, CK, perceived usefulness, perceived ease of use, attitude and intention to purchase domestic energy-saving vehicles. A total of 396 completed questionnaires were collected through convenience sampling in Xuzhou, China. The survey data were subjected to descriptive analysis and analysis of variance using SPSS. In addition, confirmatory factor analysis and structural equation modeling were utilized for the hypotheses testing. The results revealed that CE positively influenced PV and CK; PV and CK positively influenced PU and PEU. CK positively influenced PV, while PU and PEU positively influenced attitude and intention, and PEU was shown to influence PU. Furthermore, attitude was shown to significantly influence intention to purchase domestic energy-saving vehicles. Lastly, the theoretical and practical implications of the outcomes were discussed, including the limitations of the research. (shrink)

Our daily lives unfold continuously, yet our memories are organised into distinct events, situated in a specific context of space and time, and chunked when this context changes (at event boundaries). Previous research showed that this process, termed event segmentation, enhances object-context binding but impairs temporal order memory. Physiologically, peaks in pupil dilation index event segmentation, similar to emotion-induced bursts of autonomic arousal. Emotional arousal also modulates object-context binding and temporal order memory. Yet, these two critical factors have not been (...) systematically studied together. To address this gap, we ran a behavioural experiment using a paradigm validated to study event segmentation and extended it with emotion manipulation. During encoding, we sequentially presented greyscale objects embedded in coloured frames (colour changes defining events), with a neutral or aversive sound. During retrieval, we tested participants’ memory of temporal order memory and object-colour binding. We found opposite effects of emotion and event segmentation on episodic memory. While event segmentation enhanced object-context binding, emotion impaired it. On the contrary, event segmentation impaired temporal order memory, but emotion enhanced it. These findings increase our understanding of episodic memory organisation in laboratory settings, and potentially in real life with perceptual changes and emotion fluctuations constantly interacting. (shrink)

Contrary to what is stated in Lemma 7.1 of [8], it is shown that some Boolean algebras of finitary logic admit finitely additive probabilities that are not σ-additive. Consequences of Lemma 7.1 are reconsidered. The concept of a C-σ-additive probability on B (where B and C are Boolean algebras, and $\mathscr{B} \subseteq \mathscr{C}$ ) is introduced, and a generalization of Hahn's extension theorem is proved. This and other results are employed to show that every S̄(L)-σ-additive probability on s̄(L) can be (...) extended (uniquely, under some conditions) to a σ-additive probability on S̄(L), where L belongs to a quite extensive family of first order languages, and S̄(L) and s̄(L) are, respectively, the Boolean algebras of sentences and quantifier free sentences of L. (shrink)

Companies that have joined the United Nations Global Compact are required to submit a Communication on Progress, which is an environmental, social, and governance report, to the UNGC every year. If they fail to do so, they are marked and listed as non-communicating on the UNGC website. Using the event study methodology, this study shows that a company that fails to report to the UNGC is penalized in the financial markets with an average cumulative abnormal return of −1.6% over a (...) period of 5 trading days around the event. Although a major critique against the UNGC is that the initiative’s voluntary nature and its lack of external monitoring and sanction mechanisms render it ineffective in terms of the business participants’ implementation of the UNGC principles into their operations, this result suggests that investors may be able to pressure UNGC business participants to increase their compliance with the UNGC requirements and to “walk the talk.”. (shrink)

Alzheimer’s disease is the most common form of dementia which is estimated to impact 350,000 people over 65 years of age in Canada. The lack of effective treatment and the growing number of people who are expected to be diagnosed with Alzheimer’s disease in the near future are compelling reasons why continued research is in this area is necessary. With additional research, there needs to be greater recognition of the complexity of seeking ongoing informed consent from those with Alzheimer’s disease. (...) This complexity is because the impairment of memory and cognitive ability does not diminish in a linear manner, but rather fluctuates between periods of impairment and relatively normal cognitive lucidness. There is limited discussion in the guidelines of those progressing from early stages of Alzheimer’s disease who have intermittent cognitive function. Guidelines to research and Research Ethics Boards require further development to facilitate researcher including those with Alzheimer’s disease while protecting this growing pool of potential participants. (shrink)

For first order languages with no individual constants, empty structures and truth values (for sentences) in them are defined. The first order theories of the empty structures and of all structures (the empty ones included) are axiomatized with modus ponens as the only rule of inference. Compactness is proved and decidability is discussed. Furthermore, some well known theorems of model theory are reconsidered under this new situation. Finally, a word is said on other approaches to the whole problem.

En étudiant la diversité des cultures, les « modernes » ont voulu transformer des traditions qu’ils supposaient cruelles, à l’image du sacrifice. Ces traditions, ils les disent encore archaïques notamment lorsqu’elles apparaissent comme « religieuses ». Les réformer semble encore faire partie d’une volonté de libération du monde. La critique de l’impérialisme pose une question clef à l’anthropologie. Pourquoi le mot de tradition est-il toujours synonyme de réaction, d’immobilisme voire de violence? Faut-il réellement voir dans la critique des dimensions impériales (...) et coloniales de la « modernité » une menace de la démocratie et des droits fondamentaux des hommes et des femmes? Cet article montre que ce que nous nommons « tradition » peut être défini comme un processus. Ce processus est indissociable de l’exercice du pouvoir : de l’autorité mais aussi de sa critique. La tradition est donc saisie comme un mouvement (auto)-critique qui atteste l’existence d’une justice. Ce qui échappe au modernisme comme au traditionalisme est la critique interne de la tradition. C’est de l’intérieur de la philosophie africaine que les linéaments d’une telle critique sont dessinés. (shrink)

Cet article montre que l’anthropologie religieuse est le point aveugle du marxisme. Il renvoie dos-à-dos l’athéisme communiste et les théologies de la révolution en les saisissant comme deux faces d’une même hégémonie biblique s’exerçant sur le langage des luttes d’émancipation. Il analyse ensuite la façon dont la construction croisée des concepts de religion et d’aliénation limite la critique du capitalisme et de l’État. La critique terrestre devrait donc être refondée si l’anthropologie qui la soutenait s’écroule.

Consideration of reference systems for semivalues leads us to a global representation of the action of a semivalue on a game. Using this representation, we show how to modify semivalues to take account of coalition structures on the player set. The players' allocations according to a semivalue, including a modified semivalue, can be computed by means of products of matrices obtained from the multilinear extension of the game.

Consideration of reference systems for semivalues leads us to a global representation of the action of a semivalue on a game. Using this representation, we show how to modify semivalues to take account of coalition structures on the player set. The players' allocations according to a semivalue, including a modified semivalue, can be computed by means of products of matrices obtained from the multilinear extension of the game.

In this note we give an interpretation of cylindric algebras as algebras of sentences of first order logic. We show that the isomorphism types of such algebras of sentences coincide with the class of neat reducts of cylindric algebras. Also we show how this interpretation sheds light on some recent results. This is done by likening Henkin's Neat Embedding Theorem to his celebrated completeness proof.

In this note we give an interpretation of cylindric algebras as algebras of sentences of first order logic. We show that the isomorphism types of such algebras of sentences coincide with the class of neat reducts of cylindric algebras. Also we show how this interpretation sheds light on some recent results. This is done by likening Henkin's Neat Embedding Theorem to his celebrated completeness proof.

This article explores Amartya Sen’s understanding of freedom, and performs two central functions, one classificatory and the other substantive in nature. First, I situate his reflections within canonical understandings of liberty, finding an irreducible pluralism incorporating positive liberty in ‘capability’ alongside negative and republican liberty in ‘process’, which is subsequently unified in the notion of ‘comprehensive outcomes’. Secondly, I attempt to find a normative referent for the intrinsic value of choice, and thereby indirectly that of freedom, in his account. In (...) contrast to the liberal subjectivity one might – I believe, mistakenly – attribute to Sen’s deployment of neoclassical economic frameworks, I instead argue for a re-interpretation of his account, inspired by the sociological literature on embodiment. Here, an ‘encumbered’ subject must inherit and transcend a normative totality to become an agent in the fullest sense. (shrink)

We examine the effects of leader–member exchange differentiation on team members’ outcomes by using team moral disengagement as a psychological mechanism mediating this relationship and LMX differentiation bases moderating the relationship. Analysis of multilevel data collected from 289 frontline employees organized into 76 finance-related customer service teams shows that LMX differentiation significantly reduced team moral disengagement only when the performance basis was high, and that the negative relationship between LMX differentiation and team moral disengagement was significant only when the personal (...) liking basis was low. Furthermore, we found that the LMX bases moderated the indirect effect of LMX differentiation on team members’ outcomes through team moral disengagement. The findings advance team moral disengagement as a novel mechanism for cross-level relationship between LMX differentiation and team members’ outcomes at the individual level, and project differentiation bases as a condition under which LMX differentiation unpacks the reasons for team members’ favorable or unfavorable responses. They reveal LMX differentiation as a complex and multifaceted phenomenon, whose essence can only be understood if examined from multiple levels. We also contribute to the literature by revealing the cognitive pathway through which LMX differentiation may be associated with team members outcomes. (shrink)

ABSTRACT he paper examines the digital practices and discourses of the Islamic State when exploiting Social Media Communication environments to propagate their jihadist ideology and mobilise specific audiences. It draws on insights from Social Media Critical Discourse Studies, observational approaches, and visual content/semiotic analysis. The paper maintains the complementary nature of technological practice and discursive content in the process of meaning-making in digital jihadist discourse. The study shows that digital practices of strategic sharing, distribution and campaigns to re-upload textual materials (...) are made possible by exploiting SMC communicative affordances. As for the analysis of discursive content, the paper focuses on YouTube and highlights strategic patterns and covert references in an IS-produced flagship video. It illustrates how IS discourse constructs its envisaged in-group/outgroup by symbolising current events within historical, political and ideological conflict scenarios, i.e. the incessant resistance and legitimacy of forces of virtue vs evil. By foregrounding symbolic references to military outgroup actors, IS legitimises its own violence and projects a powerful self-identity against a global hegemony. The paper shows how the combination of a technologically savvy operation and a resistant, anti-hegemonic narrative, embedded in a strategically framed symbolism of Islam, may resonate with global -diasporic digital consumers. (shrink)

The risk of cigarette smoking plays a pivotal role in increasing the incidence rates of lung cancer. This paper sheds new light on modeling the impact of cigarette smoking on lung cancer evolution, especially genetic instability and the number of gene mutations in the genome of stem cells. To handle this issue, we have set up stochastic multi-stage models to fit the data set of the probabilities of current and former smokers from the Nurses’ Health Study cohort of females and (...) the Health Professionals Follow up Study cohort of men. Throughout this paper, we consider both mutation rates and clonal expansion rates as parameters in each compartment. For current and former smokers, three-driver mutations are most likely to take place in the progression of lung cancer under smoking risk. For current smokers, our findings reveal that two to sixteen gene mutations are required to obtain a cancerous cell among men and women in US. Moreover, two to six cancer-mutations are available in the pathway to lung cancer among former smokers who have quit smoking for more than ten years for both male and female patients. This highlights that cigarette smoking stimulates the number of driver mutations during lung tumorigenesis in both sexes. It is very crucial to examine the role of cigarette smoking in determining whether genomic instability is an early stage or late stage in the process of lung carcinogenesis. (shrink)

It is important to design digital infrastructure that can better accommodate multicultural and pluralistic views from its foundations. It is insufficient to look at only the responses and influences of culture on technology without considering how the technology can be adapted in anticipation of, and to support, pluralistic multicultural perspectives in its original design. This goes beyond the simple act of supporting multiple languages and interfaces, but should include the ability of digital and data infrastructure to capture and accommodate pluralistic (...) views, supporting multiple perspectives in the representation and processing of the data itself. In this work, we look at how rethinking the representation of data can allow us to more directly tackle domains that are typically hampered due to intercultural differences, and their inevitable losses in translation, particularly losses of valuable information like context and intention. When we refer to a loss of context and intention, we are referring to the loss of semantic information when practices such as referencing and citation are hard-coded to a particular set of cultural norms. We show that it is possible to expand the way in which we track referential data to capture richer semantic information regarding the contexts and intentions of the creators of this data, and thereby better serve the varied needs of those who consume, study, and refer to such data. We demonstrate this concept through a prototype system for a multicultural digital infrastructure, which we have namedMultiVerse, and discuss its ethical implications from the perspectives of ‘multistability’, Intercultural Information Ethics framework, and poststructuralism. (shrink)

Internet-of-Things (IoT) creates a significant impact in spectrum sensing, information retrieval, medical analysis, traffic management, etc. These applications require continuous information to perform a specific task. At the time, various intermediate attacks such as jamming, priority violation attacks, and spectrum poisoning attacks affect communication because of the open nature of wireless communication. These attacks create security and privacy issues while making data communication. Therefore, a new method autoencoder deep neural network (AENN) is developed by considering exploratory, evasion, causative, and priority (...) violation attack. The created method classifies the transmission outcomes used to predict the transmission state, whether it is jam data transmission or sensing data. After that, the sensing data is applied for network training that predicts the intermediate attacks. In addition to this, the channel access algorithm is used to validate the channel for every access that minimizes unauthorized access. After validating the channel according to the neural network, data have been transmitted over the network. The defined process is implemented, and the system minimizes different attacks on various levels of energy consumption. The effectiveness of the system is implemented using TensorFlow, and the system ensures the 99.02% of detection rate when compared with other techniques. (shrink)

L’article cherche à produire la généalogie de l’injonction faite aux musulmans de réformer l’islam pour s’intégrer aux sociétés laïques européennes. L’hypothèse défendue consiste à montrer que cette injonction s’enracine dans certains aspects de l’histoire coloniale. Ce sont des conseillers de l’Empire français qui considéraient une réforme laïque de l’islam comme la condition sine qua non de l’acquisition de la citoyenneté. La réforme de l’islam était alors censée rendre l’indigène digne d’être citoyen. L’article tente de conceptualiser les résurgences actuelles de cette (...) injonction à la réforme comme le retour d’un spectre qui est plus impérial que colonial. (shrink)

Une dizaine de thèses contre la liquidation sommaire des « religions » opérée par les descendants de Feuerbach aident à réinterpréter l’Anthropocène comme étant un Sécularocène. Et si le Ciel qui menace désormais de brûler notre planète était celui-là même que nous avons cru pouvoir enterrer trop insolemment? Et si le rapport actuel de la République à l’islam illustrait dramatiquement cette insolence?

En essayant d’imposer à la Terre entière son modèle de développement fondé sur les énergies fossiles, l’Europe a contribué fortement au réchauffement de la planète. Dès 1844 en Allemagne, l’Union des pays d’Europe, plutôt de langue allemande, a été perçue comme indispensable à la colonisation concertée du monde. L’Allemagne se voyait comme le centre de cet Empire, auquel la Grande-Bretagne ne pourrait que se rallier. Le premier acte de cet empire européen serait la destruction de l’empire ottoman. Mais l’Union euro-impériale (...) à l’échelle mondiale a été rendue impossible par la dissémination coloniale. Le fantasme impérial n’en continue pas moins de hanter les esprits européens. (shrink)

L’article, pensé « à chaud » après la tragédie qui a commencé à Paris le 7 janvier 2015, cherche à substituer un vocabulaire alternatif d’analyse des événements aux proclamations de certains politiques – souvent vides et hypocrites – appelant à « éviter l’amalgame ». Il montre qu’il est nécessaire de pluraliser et de complexifier notre lexique pour désigner des phénomènes qui relèvent avant tout du politique et des crises d’un monde commun et profane. L’article s’achève en ouvrant une perspective d’analyse (...) socio-historique sur la façon dont la racialisation de l’« islam » et du « religieux » rejoue un refoulé colonial. (shrink)

This article sketches an archaeology of the racial divide between North Africa and “Black Africa” by examining how it belongs to the emergence of modern geography during the nineteenth century. It argues that the de-Africanization of North Africa is inseparable from the racial identi????ication of “Africa proper”—to quote Hegel’s word—with a dehumanizing concept of Blackness. The second part of the article tries to move beyond archaeology in order to analyze counter-geographies of decolonization. It does so by focussing on the ways (...) in which the continental Pan-Africanism of the Algerian revolution has deployed a practical criticism of the divide between North and Black Africa through Fanon. (shrink)

Radiography images are widely utilized in the health sector to recognize the patient health condition. The noise and irrelevant region information minimize the entire disease detection accuracy and computation complexity. Therefore, in this study, statistical Kolmogorov–Smirnov test has been integrated with wavelet transform to overcome the de-noising issues. Then the cat swarm-optimized deep belief network is applied to extract the features from the affected region. The optimized deep learning model reduces the feature training cost and time and improves the overall (...) disease detection accuracy. The network learning process is enhanced according to the AdaDelta learning process, which replaces the learning parameter with a delta value. This process minimizes the error rate while recognizing the disease. The efficiency of the system evaluated using image retrieval in medical application dataset. This process helps to determine the various diseases such as breast, lung, and pediatric studies. (shrink)

Although informed consent is an integral part of clinical practice, its current doctrine remains mostly a matter of law and mainstream ethics rather than empirical research. There are scarce empirical data on patients’ perceived purpose of informed consent, which may include administrative routine/courtesy gesture, simple honest permission, informed permission, patient-clinician shared decision-making, and enabling patient’s self decision-making. Different purposes require different processes.

BackgroundOrgan donation has become one of the most effective ways to save lives and improve the quality of life for patients with end-stage organ failure. No previous studies have investigated the preferences for the different consenting options for organ donation in Egypt. This study aims to assess Egyptians’ preferences regarding consenting options for posthumous organ donation, and measure their awareness and acceptance of the Egyptian law articles regulating organ donation.MethodsA cross sectional study was conducted among 2743 participants over two years. (...) Each participant was required to rank eleven consenting options from 1 to 11, and to report his awareness and acceptance of the seven articles of the Egyptian law of organ donation.Results47% of the participants expressed willingness to donate their organs after death. This percentage increased to 78% when consenting options were explained to participants. “Informed consent by donor only” was the most preferred type of consent for one third of respondents. Awareness of the law articles regulating organ donation was relatively low ranging from 56% to 23%.ConclusionCurrently, around half of the Egyptian population agree to posthumous organ donation. This percentage could be increased significantly by raising the awareness about how the process of donation could be regulated and how the patient’s right of decision could be protected. (shrink)