To determine the attitude of general practitioners towards continuing medical education and reasons motivating or hindering them from attending CME procedures, we conducted a cross-sectional survey from November 2013 to April 2014 in Karachi. Three hundred general practitioners who possessed a medical license for practice in Pakistan filled a pre-designed questionnaire consisting of questions pertaining to attitudes towards CME. Data was entered and analyzed using SPSS v16.0. 70.3% of the participants were males. Mean age was 47.75 ± 9.47 years. Only (...) 67.33% knew about CME and only 52% had attended a CME session. Reasons for attending CME procedures reported were: need for updating knowledge, skills and competencies, opportunity to meet colleagues and presenting scientific papers. Mean Likert score was 1.67 for those who thought CME is worthwhile and 1.44 for those who consider their clinical duties as the major hurdle in attending CME procedures. Most common cause for not attending CME was lack of knowledge followed by time constraint. Most physicians were not sufficiently informed about the potential benefits of CME and had never attended a CME session. Most common reason for attending CME procedures reported was need for updating knowledge, skills and competencies while reasons hindering physicians from attending CME were lack of knowledge and time constraint. (shrink)

Examining the quality perceptions of consumers has often been recommended as an international research paradigm. This study is grounded in the Pakistani consumer market to evaluate the impact of food packaging cues on perceived product quality. The moderating effect of consumer knowledge was also taken into consideration in the study. A signaling theory was used in the study for its established predictive power in consumer behavior, marketing, and various fields of research. Based on the essence of the signaling theory, this (...) study hypothesized that food packaging cues cast a positive impact on perceived product quality and consumer knowledge moderates these relationships. By using the sample of 504 consumers, data were gathered using the mall intercept method following a multi-stage sampling technique. The responses were analyzed using Statistical Package for Social sciences and Smart Partial Least Square. The findings of this study unveil that the extrinsic cues' brand name, price, nutritional labels, and precautionary labels were positively and significantly related to the perceived product quality. However, the country of origin cast no impact on the perceived product quality. Consumer knowledge reflected a moderation effect on the relationships between brand name and country of origin with the perceived product quality whereas it exerted no moderation impact on the relationships of price, nutritional labels, and precautionary labels with the perceived product quality. As the results exhibit that Pakistani consumers rely on food packaging cues for perceiving a product, hence it is recommended that marketers and policymakers develop appropriate marketing strategies focused on the significance of food packaging cues. (shrink)

Research studies have identified various different mechanisms in the effects of nature engagement on well-being and mental health. However, rarely are multiple pathways examined in the same study and little use has been made of first-hand, experiential accounts through interviews. Therefore, a semi-structured interview was conducted with seven female students who identified the role of nature engagement in their well-being and mental health. After applying thematic analysis, 11 themes were extracted from the data set, which were: “enjoying the different sensory (...) input,” “calm nature facilitates a calm mood,” “enhancing decision making and forming action plans,” “enhancing efficiency and productivity,” “alleviating pressure from society's expectations regarding education,” “formation of community relations,” “nature puts things into perspective,” “liking the contrast from the urban environment,” “feel freedom,” “coping mechanism,” and “anxious if prevented or restricted.” The results indicate complementary mechanisms for how nature-related activities benefit mental health and well-being that may occupy different levels of experience within a hierarchical framework informed by perceptual control theory. (shrink)

Journalistic ethics and freedom of the press according to Islam in Indonesia.

If you are kind to me, I am likely to reciprocate and doing so feels fair. Many theories of social exchange assume that such reciprocity and fairness are well aligned with one another. We argue that this correspondence between reciprocity and fairness is restricted to interpersonal dyads and does not govern more complex multilateral interactions. When multiple people are involved, reciprocity leads to partiality, which may be seen as unfair by outsiders. We report seven studies, conducted with people from the (...) United States, in which participants were asked to evaluate situations involving resource distribution in contexts such as economic games, government, and the workplace. Specifically, we find that equal resource distribution in multilateral interactions is seen as more fair than engaging in reciprocity. We also find that negative reciprocity is seen as more fair than positive reciprocity in these multilateral situations because positive reciprocity is perceived as based in favoritism. We rule out alternative explanations and demonstrate that there are contexts where favoritism is not viewed as unfair. These findings are important for theories of fairness and reciprocity as they demonstrate the central role of perceived partiality in the evaluation of multi‐party resource allocation. (shrink)

An accessible introduction to the profound experience of enlightenment—with instructions on how to wake up to, and feel confident about, our true nature We can realize the highest truth in each moment when we learn to see through the illusion of the self. Anam Thubten, in remarkably easy-to-understand language, provides teachings for doing exactly that, based on the wisdom of the Buddhist traditions. He illuminates the path of going beyond the misconceptions of the ego to experience the reality of (...) our true nature, which is already enlightened. He communicates with clarity, humor, and refreshing honesty, lighting the way to a life full of love, compassion, and true satisfaction. (shrink)

This longitudinal study analyzed university students’ cognition in learning an English for young learners course. A qualitative method was used to get the data from 28 students who took the tiered EYL courses, EYL 1, EYL 2, and EYL 3, at a private university by giving them open-ended questionnaires for three semesters, or one and a half years. Semi-structured interviews with those 28 students were also used as the triangulation data at the end of each semester. The findings indicate a (...) very extreme change in pre-service teachers’ cognition, such as motivation, perception, and belief. At the end of their lecture, students initially interested in learning English for young learners did not want to become EYL teachers. On the other hand, students who enrolled in the EYL course for non-academic reasons wanted to have a profession as an EYL teacher after completing the EYL courses. It proves that students’ interest in teaching English to young learners and the length of time spent studying EYL teaching knowledge do not assure those pre-service teachers are increasingly convinced to have a teaching profession. (shrink)

BackgroundThe U.S. Food and Drug Administration traditionally has kept confidential significant amounts of information relevant to the approval or non-approval of specific drugs, devices, and biologics and about the regulatory status of such medical products in FDA’s pipeline.ObjectiveTo develop practical recommendations for FDA to improve its transparency to the public that FDA could implement by rulemaking or other regulatory processes without further congressional authorization. These recommendations would build on the work of FDA’s Transparency Task Force in 2010.MethodsIn 2016-2017, we convened (...) a team of academic faculty from Harvard Medical School, Brigham and Women’s Hospital, Yale Medical School, Yale Law School, and Johns Hopkins Bloomberg School of Public Health to develop recommendations through an iterative process of reviewing FDA’s practices, considering the legal and policy constraints on FDA in expanding transparency, and obtaining insights from independent observers of FDA.ResultsThe team developed 18 specific recommendations for improving FDA’s transparency to the public. FDA could adopt all these recommendations without further congressional action.FundingThe development of the Blueprint for Transparency at the U.S. Food and Drug Administration was funded by the Laura and John Arnold Foundation. (shrink)

The da’wah [invitation to Islamic teachings] movement of Ahl al-Sunnah wa al-Jama’ah al-Nahdhiyah, abbreviated as ASWAJA al-Nahdhiyah, formerly centred around elderly, rural, and traditional populations, has now expanded its influence to encompass the millennial demographic. The evolving landscape of time and technological advancements present novel challenges in effectively communicating the da’wah message to a generation deeply immersed in the digital era. Millennials exhibit distinct communication preferences and characteristics compared to previous generations, necessitating tailored approaches to disseminate da’wah content that resonates (...) with their context and needs. This research aimed to achieve two primary objectives: firstly, to identify emerging forms of new traditions within the ideological reinforcement of ASWAJA al-Nahdhiyah among millennials, and secondly, to analyse the underlying factors contributing to these novel traditions within the millennial context. Employing a qualitative approach, this study utilised nethnography as its methodological framework, seeking to understand cultural experiences encompassing traces, practices, networks, and social media systems. By combining various research approaches for data collection, analysis, and interpretation, the study shed light on the reinforcement efforts that give rise to diverse new traditions. The findings highlighted that the reinforcement endeavours, including the appropriation of media platforms and the emphasis on education, cadre development, and intensive mentorship within millennial domains, significantly contribute to the acceptance and affiliation towards ASWAJA al-Nahdhiyah. Moreover, these efforts serve as a counterforce against the proliferation of radical ideologies, safeguarding the traditional religious views amid the rapid globalisation of religious understanding and transnational da’wah movements in Indonesia.Contribution: This article advanced our understanding of the evolving dynamics within the ASWAJA al-Nahdhiyah movement, particularly its adaptation to contemporary communication channels and its strategic engagement with young audiences amid the changing religious landscape in Indonesia. (shrink)

This study determined the effects of techno-stressors on employees' well-being. It also determined the moderating role of technostress inhibitors in techno-stressors and employees' well-being. We employed a time-lagged design and self-administered survey method to collect data from banking employees. We retrieved 355 usable responses. The results showed that techno-stressors significantly and negatively affected employees' well-being. Technostress inhibitors significantly and positively affected the employee's well-being. The moderating effects of techno-stressors and technostress inhibitors showed that six of nine moderating effects were significant (...) and positive. The results implied that technostress inhibitors help to improve employees' well-being. In the end, we present some implications for theory and practice. (shrink)

Substance use disorders (SUDs) constitute a growing global health crisis, yet many limitations and challenges exist in SUD treatment research, including the lack of objective brain-based markers for tracking treatment outcomes. Electroencephalography (EEG) is a neurophysiological technique for measuring brain activity, and although much is known about EEG activity in acute and chronic substance use, knowledge regarding EEG in relation to abstinence and treatment outcomes is sparse. We performed a scoping review of longitudinal and pre-post treatment EEG studies that explored (...) putative changes in brain function associated with abstinence and/or treatment in individuals with SUD. Following PRISMA guidelines, we identified studies published between January 2000 and March 2022 from online databases. Search keywords included EEG, addictive substances (e.g., alcohol, cocaine, methamphetamine), and treatment related terms (e.g., abstinence, relapse). Selected studies used EEG at least at one time point as a predictor of abstinence or other treatment-related outcomes; or examined pre- vs. post-SUD intervention (brain stimulation, pharmacological, behavioral) EEG effects. Studies were also rated on the risk of bias and quality using validated instruments. Forty-four studies met the inclusion criteria. More consistent findings included lower oddball P3 and higher resting beta at baseline predicting negative outcomes, and abstinence-mediated longitudinal decrease in cue-elicited P3 amplitude and resting beta power. Other findings included abstinence or treatment-related changes in late positive potential (LPP) and N2 amplitudes, as well as in delta and theta power. Existing studies were heterogeneous and limited in terms of specific substances of interest, brief times for follow-ups, and inconsistent or sparse results. Encouragingly, in this limited but maturing literature, many studies demonstrated partial associations of EEG markers with abstinence, treatment outcomes, or pre-post treatment-effects. Studies were generally of good quality in terms of risk of bias. More EEG studies are warranted to better understand abstinence- or treatment-mediated neural changes or to predict SUD treatment outcomes. Future research can benefit from prospective large-sample cohorts and the use of standardized methods such as task batteries. EEG markers elucidating the temporal dynamics of changes in brain function related to abstinence and/or treatment may enable evidence-based planning for more effective and targeted treatments, potentially pre-empting relapse or minimizing negative lifespan effects of SUD. (shrink)

Cardiovascular disease is a major complication of type 2 diabetes mellitus. In addition to traditional risk factors, psychological determinants play an important role in CVD risk. This study applied Deep Neural Network to develop a CVD risk prediction model and explored the bio-psycho-social contributors to the CVD risk among patients with T2DM. From 2017 to 2020, 834 patients with T2DM were recruited from the Department of Endocrinology, Affiliated Hospital of Harbin Medical University, China. In this cross-sectional study, the patients' bio-psycho-social (...) information was collected through clinical examinations and questionnaires. The dataset was randomly split into a 75% train set and a 25% test set. DNN was implemented at the best performance on the train set and applied on the test set. The receiver operating characteristic curve analysis was used to evaluate the model performance. Of participants, 272 were diagnosed with CVD. The developed ensemble model for CVD risk achieved an area under curve score of 0.91, accuracy of 87.50%, sensitivity of 88.06%, and specificity of 87.23%. Among patients with T2DM, the top five predictors in the CVD risk model were body mass index, anxiety, depression, total cholesterol, and systolic blood pressure. In summary, machine learning models can provide an automated identification mechanism for patients at CVD risk. Integrated treatment measures should be taken in health management, including clinical care, mental health improvement, and health behavior promotion. (shrink)

Artificial Immune Systems (AIS) are intelligent algorithms derived on the principles inspired by human immune system. In this research work, electroencephalography (EEG) signals for four distinct motor movement of human limbs are detected and classified using Negative Selection Classification Algorithm (NSCA). For this study, a widely studied open source EEG signal database (BCI IV - Graz dataset 2a, comprising 9 subjects) has been used. Mel Frequency Cepstral Coefficients (MFCCs) are extracted as selected feature from recorded EEG signals. Dimensionality reduction of (...) data is carried out by applying two hidden layered stacked auto-encoder. Genetic Algorithm (GA) optimized detectors (Artificial Lymphocytes) are trained using Negative Selection Algorithm (NSA) for detection and classification of four motor movements. The trained detectors consist of four sets of detectors, each set is trained for detection and classification of one of the four movements from the other three movements. The optimized radius of detector is small enough not to mis-detect the sample. Euclidean distance of each detector with every training dataset sample is taken and compared with optimized radius of detector as a non-self detector. Our proposed approach achieved a mean classification accuracy of 86.39% for limb movements over 9 subjects with a maximum individual subject classification accuracy of 97.5 % for subject number eight. (shrink)

The objective of this study is to review the performance of business students in ethics assessments and suggest enhancements to the ethics curriculum. Data triangulation method was used to gather the data. First, data was gathered from ethics assessments that tested the performance of students. Then a faculty focus group discussion was held to gather their thoughts on the future of the ethics education. Incorporating these thoughts, 389 students were surveyed to understand their perspectives on the future of ethics education. (...) The results show that the faculty members believe the student performance needs improvement. In addition, the faculty and the students make detailed recommendations to enhance the ethics curriculum at the introductory and advanced levels. Their recommendations include that code of conduct should be a part of ethics education, and faculty members with work experience related to ethical dilemmas should deliver the ethics education. Both groups opined on the possibility of teaching ethics in a stand-alone course versus imbedding it in select courses. The details of the findings and implications are discussed. (shrink)

Nyāyadarśanam.--Vaiśeṣikadarśanam.--Sāṅkhyadarśanam.--Yogadarśanam.--Mīmāṃsādarśanam.- -Vedāntadarśanam.

Treatise, with three Sanskrit commentaries, on the basic tenets of the Vaiśeṣika school in Hindu philosophy.

Study on the philosophy of Vedas and Upanishads.

Study on the philosophy of Vedas and Upanishads.

Viewpoints advocating the thesis that Indic philosophy had encompassed, and continues to encompass and be enriched by, Marxist philosophy; papers presented at a 1992 seminar, organized by the Dept. of Sanskrit, University of Calicut.

Study of Cārvāka, an exponent of the materialistic school in Indian philosophy.

Aphoristic work, with autocommentary, on realization of truth; includes refutation of some basic concepts in Indic philosophy and author's lectures on Vedanta philosophy.

Ontology as presented in the Advaita works of Vācaspatimiśra, fl. 976-1000, Hindu philosopher.

Life and works of Vācaspatimiśra, fl. 976-1000, Hindu philosopher; with special reference to his contribution to the Advaita school.

Bangladesh experienced a massive surge in humanitarian crises after the 1971 Liberation War due to the systematic use of violence at both public and private spheres. Fictional accounts of the post-conflict period depict women as subjected to institutionalised sexism and aggravated physical and mental violence. Critical studies on such narratives often reiterate a stereotypical and essentialising discourse surrounding women’s identity, characterising them as helpless and passive victims of discrimination and exploitation. Drawing upon Judith Butler’s notions of precarity and agency, we (...) argue that the Bangladeshi-born British writer Tahmima Anam’s The Good Muslim transcends victimhood narratives by creating a more nuanced image of woman as vulnerable victims and resisting subjects at the same time. The novel is preoccupied with notions of vulnerability, violence, religious zealotry, and family estrangement. The findings reveal that the precariousness of women in the post-war period is caused and aggravated by violence and oppression perpetrated at political, social, and religious spheres. Female characters like Maya and Piya are presented as empowered agents of transformation when it comes to vulnerable situations that render them as insignificant and precarious. The study concludes that the novel contests and alters the stereotypical representations of women embedded in normalising and hegemonic discourses. (shrink)

Biography of Aurobindo Ghose, 1872-1950, Indian philosopher.

Three treatises Candrikāmaṇḍana of Satyatīrtha, Candrikākhaṇḍana of Rāmasubbāśāstrī and Candrikāprakāśaprasāra of Gauḍagerī Veṅkaṭaramaṇācārya, deals with the justification and interpretation of some points in Tātparyacandrikā of Vyāsatīrtha, work on Dvaita(Vedanta) philosophy.

In support of Tātparyacandrikā of Vyāsatīrtha, 1460-1539, supercommentary on Tattvaprakāśikā of Jayatīrtha, d. 1268, commentary of the 1st and 2nd chapters in Bādarāyaṇa's Brahmasūtra, presenting the Dvaita point of view in Hindu philosophy.