Healthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practi...

BackgroundHealthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.MethodsThis was a cross sectional study conducted among resident doctors and ward nurses in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer’s V value was assessed to (...) ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05.ResultsOur study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath, Nuremberg code and Helsinki Declaration. A high percentage of respondents said that their major source of information on healthcare ethics were lectures, books, and journals. Attitude of doctors and nurses were significantly different in 9 out of 22 questions pertaining to different aspects of healthcare ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula,paternalistic attitude of doctor was disagreed more by doctors. Notably, only few doctors stood in support of physician-assisted dying.ConclusionsSignificant proportion of doctors and nurses were unaware of three major documents on healthcare ethics which are the core principles in clinical practice. Provided that a high percentage of respondents had motivation for learning medical ethics and asked for inclusion of medical ethics in the curriculum, it is imperative to avail information on medical ethics through subscription of journals and books on ethics in medical libraries in addition to lectures and training at workplace on medical ethics which can significantly improve the current paucity of knowledge on medical ethics. (shrink)

Community engagement is increasingly recognized as a critical element of medical research, recommended by ethicists, required by research funders and advocated in ethics guidelines. The benefits of community engagement are often stressed in instrumental terms, particularly with regard to promoting recruitment and retention in studies. Less emphasis has been placed on the value of community engagement with regard to ethical good practice, with goals often implied rather than clearly articulated. This article outlines explicitly how community engagement can contribute to ethical (...) global health research by complementing existing established requirements such as informed consent and independent ethics review. The overarching and interlinked areas are respecting individuals, communities and stakeholders; building trust and social relationships; determining appropriate benefits; minimizing risks, burdens and exploitation; supporting the consent process; understanding vulnerabilities and researcher obligations; gaining permissions, approvals and building legitimacy and achieving recruitment and retention targets. (shrink)

The aim of this paper is to bring out the effect of economic reforms introduced in India on the direction of virtual water trade. The study also identifies the dual role that virtual water has in an economy. It is a source of export earnings, but at the same time there is a loss of virtual water through agricultural trade. The study is novel in the sense that it not only identifies the trade-off between benefits and costs of virtual water (...) trade for India, but also tries to capture the impact of phases of globalisation on the trade-off. The cost side has serious implications on sustainability and territorial equity. In order to address the issues more coherently, we have to introduce a concept of virtual water miles. Then we argue with intuitive reasoning about the possible effects of virtual water trade on sustainability as well as on territorial equity. (shrink)

In this paper we propose a formal theory of metaphors called Constrained Semantic Transference [CST]. We start from the assumptions that metaphors are characterized by the description of one domain, called the target domain, in terms of another domain, called the source domain; and that a metaphor works by transferring a set of structural relationships from the source domain to the target domain coherently.Starting from these assumptions, we formally define the concept of T-MAPs which are partial coherent mappings from the (...) source domain to the target domain. We also define two operators, called Augmentation and Positing Structure that extend a given T-MAP by adding new structure to the target domain. (shrink)

Both mainstream and art comics often use various flourishes surrounding characters’ heads. These so-called “pictorial runes” help convey the emotional states of the characters. In this paper, using panels from Western and Indian comic albums as well as neutral emoticons and basic shapes in different colors, we focus on the following two issues: whether runes increase the awareness in comics readers about the emotional state of the character; and whether a correspondence can be found between the types of runes and (...) specific emotions. Our results show that runes help communicate emotion. Although no one-to-one correspondence was found between the tested runes and specific emotions, it was found that droplets and spikes indicate generic emotions, spirals indicate negative emotions, and twirls indicate confusion and dizziness. (shrink)

In this paper we start from the assumption that in a metaphor, or an analogy, some terms belonging to one domain (source domain) are used to refer to objects other than their conventional referents belonging to a possibly different domain (target domain). We describe a formalism, which is based on the First Order Predicate Calculus, for representing the knowledge structure associated with a domain and then develop a theory of Constrained Semantic Transference [CST] which allows the terms and the structural (...) relationships of the source domain to be transferred coherently across to the target domain. We show how metaphors and analogies can be characterized in CST in such a way that many of their cognitive properties con be explained.We then propose a theory of Approximate Semantic Transference [AST] which is a computational version of CST and is derived from it by replacing the coherency requirement with approximate coherency. We show how AST can be used as a basis for designing models of cognitive processes involved in comprehending metaphors and analogies. (shrink)

This paper begins with a rigorous critique of David Stove''s recent bookThe Rationality of Induction. In it, Stove produced four different proofs to refute Hume''s sceptical thesis about induction. I show that Stove''s attempts to vindicate induction are unsuccessful. Three of his proofs refute theses that are not the sceptical thesis about induction at all. Stove''s fourth proof, which uses the sampling principle to justify one particular inductive inference, makes crucial use of an unstated assumption regarding randomness. Once this assumption (...) is made explicit, Hume''s thesis once more survives.The refutation of Stove''s fourth proof leads to some observations which relate Goodman''s grue paradox with randomness of a sample. I formulate a generalized version of Goodman''s grue paradox, and argue that whenever a sample, no matter how large, is drawn from a predetermined smaller interval of a population that is distributed over a larger interval, any conclusion drawn about the characteristics of the population based on the observed characteristics of the sample is fatally vulnerable to the generalized grue paradox. (shrink)

This paper explores changing production relations in agriculture in context of increasingly widespread and longer-duration male outmigration, as against previous, short-duration and seasonal migration. It investigates how de facto women-heads of households (WHHs) are changing a resilient crop-sharing system in absence of adequate access to productive assets, formal training or experience in farming, and while contributing labour to farming and coping with gendered demands on their time. Based on qualitative inquiry in one of the poorest parts of South Asia, the (...) Eastern Gangetic Plains, the paper shows that a section of WHHs are replacing sharecropping arrangements with fixed-value rental arrangements that resemble commercial contracts. The paper ends with a discussion on the implications of this emerging development. (shrink)

Despite a decade of diversity policy plans, a wave of student rallies has ignited debates across western European university campuses. We observe these debates from a situated call for anti-racism in Belgian higher education institutions, and critically reflect on the gap between diversity policy discourse and calls for anti-racism. The students’ initiatives make a plea for racial literacy in the curriculum, to foster a critical awareness on how racial hierarchies have been educated through curricula and institutional processes. Students rethink race (...) as a matter to be (un)learned. This pedagogical question, on racial literacy in the curriculum, is a response to diversity policies often silent about race and institutionalised racisms. Students request a fundamental appeal of knowledgeability in relation to race; diversity policy mostly envisions working on (racial) representation, as doing anti-racist work. This article argues how racial literacy might offer productive ways to bridge the disparities between students’ calls for anti-racism and the institutional (depoliticised) vocabulary of diversity. We implement Stuart Hall’s critical race theory and Jacques Rancière’s subjectification as key concepts to study and theorise these calls for anti-racism as a racial literacy project. This project can be built around engagement as educational concept. We coin possibilities to deploy education as a forum of engagement and dialogue where global asymmetries such as race, gender and citizenship can be critically addressed. (shrink)

A metaphor can often create novel features in an object or a situation. This phenomenon has been particularly hard to account for using amodal symbol systems: although highlighting and downplaying can explain the shift of focus, it cannot explain how entirely new features can come about. We suggest here that the dynamism of perceptual symbol systems, particularly the notion of simulator, provides an elegant account of the creativity of metaphor. The elegance lies in the idea that the creation of new (...) features by a metaphor proceeds in the same way as the creation of regular features in a perceptual symbol. (shrink)

Focusing on the mirror system and imitation, I examine the role of metaphor and projection in evolutionary neurolinguistics. I suggest that the key to language evolution in hominid might be an ability to project one's thoughts and feelings onto another agent or object, to see and feel things from another perspective, and to be able to empathize with another agent.

Considerations from an interaction-based approach to the evolution of language and the role of word-sentences therein show that the object-attribute ontology is arrived at a much later stage. Therefore, Hurford's arguments, by focusing on the predicate-argument structure, seem to miss out on most of the interesting aspects of the early stages in language evolution.

Neo-Nyaya treatise on verbal testimony, presenting semantic approaches to Sanskrit case and suffix; includes seven Sanskrit commentaries and exhaustive introduction in English.

Violations of women’s sexual and reproductive health and rights are frequent all over the world. Women’s sexual and reproductive health is related to multiple human rights. The term ‘rights-based’ has become increasingly linked to the concept of a more comprehensive approach to sexual and reproductive rights of women around the globe. The rights-based perspective is derived from the treaties, pacts and other international commitments that recognize and reinforce human rights, including the sexual and reproductive rights of women. We conducted an (...) extensive review of the guidelines, frameworks, research reports and published articles that have been cited as informing the rights-based approach. The findings of the review highlights what is meant by sexual and reproductive health and rights by the stakeholders, why this matter is important, and what can be done. It demands more partnerships with human rights, women’s and other civil society organizations, increased number of successful national policies, initiatives and/or legislative changes, increased budget and other resources at national and/or local community level, mass communication and engagement of men to promote and advance women’s sexual and reproductive health and rights. Achievement of gender equality is very crucial, because it is a human right that advances women’s empowerment; and is interlinked with sexual and reproductive health and rights. (shrink)

Research papers on the fundamentals of Indic philosophy.

A large class of problems deals with temporal data. Identifying temporal patterns in these datasets is a natural as well as an important task. In recent times, researchers have reported an algorithm for finding calendar-based periodic pattern in time-stamped data without considering the purchased quantities of the items. However, most of the real-life databases are nonbinary, and therefore, exploring various calendar-based patterns with their purchased quantities may discover information useful to improve the quality of business decisions. In this article, a (...) technique is proposed to extract calendar-based periodic patterns from nonbinary transactions. In this connection, the concept of certainty factor has been introduced by incorporating transaction frequency for overlapped intervals. Algorithms have been designed to mine frequent itemsets along with intervals and quantity. In addition to that, we have designed an algorithm to find the periodicity of the pattern. The algorithm is tested with real-life data, and the results are given. (shrink)

. Many large companies transact from multiple branches. It results in generating multiple databases, since local transactions are stored locally. The number of multi-branch companies as well as the number of branches of a multi-branch company is increasing over time. Thus, it is important to study data mining on multiple databases. Global exceptional patterns describe interesting individuality of few branches. Therefore, it is interesting to identify such patterns. In this paper, we propose type I and type II global exceptional frequent (...) itemsets in multiple databases by extending the notion of global exceptional frequent itemset. Also, we propose the notion of exceptional sources for a type II global exceptional frequent itemset. We propose type I and type II global exceptional association rules in multiple databases by extending the notion of global exceptional association rule. We propose an algorithm for synthesizing type II global exceptional frequent itemsets. Experimental results are presented on both real and synthetic databases. We compare the proposed algorithm with the existing algorithm theoretically as well as experimentally. The experimental results show that the proposed algorithm is effective and promising. (shrink)

Does public condemnation or shaming of human rights abuses by the United Nations influence foreign aid delivery calculus across Western donor states? I argue that countries shamed in the United Nations Human Rights Council encourage donor states to channel more aid via international and local non-governmental organizations. Furthermore, I find this effect to be more pronounced with increased media coverage. The findings of this paper suggest that international organizations do influence advanced democracies’ foreign policy. Moreover, the paper also finds that (...) donor governments do not punish recipient leaders by scaling back on government-to-government aid, which is more fungible, despite public condemnations of their human rights practices owing largely to strategic concerns. These results are robust to a number of alternative data and estimation techniques. (shrink)

Youth constitute one third of total population in Nepal. This paper looks at the work and motivation of youth volunteers in disaster management in Nepal in order to evaluate how these ideas and values among the youth played roles in the re-construction of the Nation from the 2015 Earthquake. The study used primary data through group interviews with volunteers of Youth’s UNESCO Club in Kathmandu city who were actively involved in disaster-relief programs at Sindhupalchowk, Kathmandu, Bhaktapur and Ramechhap districts, together (...) with key informant interviews and case studies. Findings from the study shows most youth joined in the volunteer program on their own initiative. They are concerned about issues including personal safety, quality and appropriate training, coordination, wrong attitudes, gender inequality and media coverage. People engaging in similar acts may have different underlying motivations for doing so. Findings from the study shows that mostly, the volunteers are motivated based on their values which are welfare of others or unselfishness. Other underlying motives include opportunity to learn, career prospects, social pressure, to reduce feelings of guilt and enhance one‘s self-esteem. Activities for taking forward their work includes ensuring quality and appropriate training and appropriate gears and tools for search and rescue work, awareness raising, recognition and visibility of their work. Psychosocial counseling is important after rescue operations, as it is important to heal the psychological wounds after an emergency or a critical event. The study suggests involving volunteers in all stages of disaster management planning process. It is a matter of combined responsibility that volunteers are recognized for the contributions and their needs are ensured for them to accomplish their efforts successfully. (shrink)

The present study examines the relationship between pictorial similes and hybrid pictorial metaphors. The results suggest that hybrid pictorial metaphors are perceived more strongly than pictorial similes when they are presented on their own and in corrective convention but not when they are verbalized. We argue that hybrid pictorial metaphors have transformational effects as the fusion of two concepts allow the reader to see one thing in terms of another. Juxtaposition in a pictorial simile merely suggests a search for similarity, (...) which is not explicit. Results also showed that verbalized metaphor (X is Y) or the simile (X is like Y) forms are often used to convey a similar meaning and strength for pictorial simile and pictorial metaphor. However, in corrective scenarios participants are forced to reassess visual features: in this situation, pictorial metaphors are considered more strongly than pictorial similes even when they are verbalized. (shrink)

The aim of this paper is to bring out the effect of economic reforms introduced in India on the direction of virtual water trade (through trade of agricultural products). The study also identifies the dual role that virtual water has in an economy. It is a source of export earnings (benefit side), but at the same time there is a loss of virtual water (cost side) through agricultural trade. The study is novel in the sense that it not only identifies (...) the trade-off between benefits and costs of virtual water trade for India, but also tries to capture the impact of phases of globalisation on the trade-off. The cost side has serious implications on sustainability and territorial equity. In order to address the issues more coherently, we have to introduce a concept of virtual water miles. Then we argue with intuitive reasoning about the possible effects of virtual water trade on sustainability as well as on territorial equity. (shrink)

The role of figurative languages such as metaphor and metonymy in creativity has been studied in cognitive linguistics. These methods can also be applied to analyze non-linguistic data such as pictures and gestures. In this paper we analyze fashion design by focusing on visual metaphor and metonymy. The nature of creativity in fashion design is not fully studied from a cognitive perspective compared to other related fields such as art. We especially focus on the aspect of fashion design as a (...) communication tool between the designer and the audience to convey designer’s image of human. Photos from two fashion shows are analyzed. We carried out an experiment to compare how human images in two shows are interpreted by those who are familiar with fashion and those who are not. We got three results: (1) As far as figurative (metaphorical and metonymic) interpretations of human image are concerned, two groups with different familiarity to fashion have significantly different patterns of responses to two shows. (2) For non-figurative interpretations (such as physical or personal attributes), no significant difference in the pattern of response to the show was observed between two groups. The participants as a whole, however, responded to the two shows differently. (3) In addition for non-figurative interpretation, fashion experts found significantly more attributes in human images than the others. The results show that the analysis of figurative interpreations is effective in seeing how the familiarity to fashion affects the mode of seeing fashion shows. (shrink)

Cognitive dysfunction in Alzheimer’s disease is caused by disturbances in neuronal circuits of the brain underpinned by synapse loss, neuronal dysfunction and neuronal death. Amyloid beta and tau protein cause these pathological changes and enhance neuroinflammation, which in turn modifies disease progression and severity. Vagal nerve stimulation, via activation of the locus coeruleus, results in the release of catecholamines in the hippocampus and neocortex, which can enhance synaptic plasticity and reduce inflammatory signalling. Vagal nerve stimulation has shown promise to enhance (...) cognitive ability in animal models. Research in rodents has shown that VNS can have positive effects on basal synaptic function and synaptic plasticity, tune inflammatory signalling, and limit the accumulation of amyloid plaques. Research in humans with invasive and non-invasive VNS devices has shown promise for the modulation of cognition. However, the direct stimulation of the vagus nerve afforded with the invasive procedure carries surgical risks. In contrast, non-invasive VNS has the potential to be a broadly available therapy to manage cognitive symptoms in early AD, however, the magnitude and specificity of its effects remains to be elucidated, and the non-inferiority of the effects of non-invasive VNS as compared with invasive VNS still needs to be established. Ongoing clinical trials with healthy individuals and patients with early AD will provide valuable information to clarify the potential benefits of non-invasive VNS in cognition and AD. Whether invasive or non-invasive VNS can produce a significant improvement on memory function and whether its effects can modify the progression of AD will require further investigation. (shrink)