ABSTRACT To bring attention to medical ethics and to enhance the quality of health care in Iran, the Ministry of Health and Medical Education has introduced a strategic plan for medical ethics at a national level. This plan was developed through the organization and running of workshops in which experts addressed important areas related to medical ethics. They analysed strengths and weaknesses, opportunities and threats, and outlined a vision, a mission and specific goals and essential activities surrounding medical ethics. The (...) current strategic plan has six main goals that will be reviewed in this paper. Some major activities that were carried out in recent years, and some future plans, will be also reviewed. (shrink)

Educational efforts in bioethics are prevalent, but little is known about their efficacy. Although previous work indicates that courses in bioethics have a demonstrable effect on medical students, it has not examined their effect on health care professionals. In this report, we describe a study designed to investigate the effect of bioethics education on health care professionals. At the Intensive Bioethics Course, a six-day course held annually at Georgetown University, we administered a questionnaire requiring open-ended responses to vignettes both before (...) and after the course. Following the course, respondents defended their responses more carefully and articulated their thoughts more clearly. In addition, after the course respondents seemed to have a more subtle understanding of the relevant issues in the cases and applied theory to these cases more frequently. These findings help to formulate an understanding of the effect of bioethics education on health care professionals. (shrink)

This paper examines whether corporate environmental responsibility is influenced by regional differences in climate change denial. While there is an overwhelming consensus among scientists that climate change is happening, recent surveys still indicate widespread climate change denial across societies. Given that corporate activity causing climate change is fundamentally rooted in individual beliefs and societal institutions, we examine whether local perceptions about climate change matter for firms’ engagement in environmental responsibility. We use climate change perception surveys conducted in the U.S. to (...) compute a novel measure of climate change denial for each U.S. county. We find that firms located in counties with higher levels of climate change denial have weaker environmental performance ratings, are more likely to commit environmental violations, and impose greater environmental costs on society. Regional differences in religiosity, social capital, political leaning, or county-level demographic characteristics cannot explain these results. Furthermore, we document that strong corporate governance mechanisms and corporate culture moderate the negative relationship between climate change denial and corporate environmental responsibility. Overall, our findings offer new insights into how local beliefs and perceptions about climate change may influence firm-level sustainability practices. (shrink)

Next SectionPurpose The importance of recognising patient dignity has been realised in recent years. Despite being a central phenomenon in medicine, dignity is a controversial concept, the definition of which in healthcare centres is influenced by a multitude of factors. The aim of this study was to explore the perspective of Iranian patients on respect for their dignity in healthcare centres. Methods With the use of purposeful sampling, 20 patients were interviewed over an 11-month period in three educational hospitals affiliated (...) with the government. They were questioned about experiences related to respect for their dignity during their hospital encounter. Data were processed by qualitative content analysis. Results Data analysis identified nine categories and four themes. Respondents expressed their expectations and attitudes about dignity by the following themes: seeking a haven; disrespecting privacy; communicating in a vacuum; and disregard for secondary caregivers. They described how respect for their privacy, effective communication, access to facilities, and a regard for the requirements of their companions made them feel that their dignity had been conserved. Conclusions The findings indicate that almost no patient is satisfied with the quality of services with respect to maintenance of their dignity. Regardless of their hospital location and state of health, most participants had common complaints. These findings agree with the literature and confirm that grounds should be provided for conserving dignity in the healthcare system. To reach this goal, healthcare professionals should be aware of the factors that violate or preserve dignity from the patient's perspective. (shrink)

"Si le bel Islam prêche le droit à l'indifférence et à la non-agression mutuelle, il faut croire que l'Homme, lui, est versatile, colérique et impétueux.", constate Malek Chebel. A travers cinq études percutantes, il nous montre à quel point la faute et la transgression sont omniprésentes dans le monde musulman contemporain. Cet Inconscient de l'Islam remonte aux racines de la religion et se nourrit de l'histoire de ses califats, pour mettre en évidence la folie actuelle d'une partie de la (...) communauté. Guerre sainte détournée, exacerbation de la figure du kamikaze, violence symbolique de la relation mère-fils, censure à l'encontre des livres, immolation au nom d'une purification : cette immersion dans le monde complexe des interdits et de leur transgression interroge les liens entre religion, politique et liberté dans le monde arabo-musulman. Plaidoyer autorisé pour la mise à nu d'un inconscient longtemps nié, cet essai percutant révèle les troubles d'un islam aux prises avec ses contradictions. (shrink)

Everybody acknowledges the importance of Socrates’ role and influence on the history of philosophy, as well as on the culture of humanity. He is also considered to be the first martyr of virtue and wisdom in human history. In spite of this, even though most Western commentators recognize the elevated meanings and high level of Socratic wisdom, they refuse to consider it to have a supra-human source and to be divine prophecy. In this article and through the analysis of Socrates’ (...) words and speeches, which can be found in authentic sources such as some of Plato’s writings, the author aims to prove the truth of Socrates’ claim according to which he had the gift of prophecy. By putting together rational proofs and historical clues from his life, we will underline the veracity of such a claim. A part of the article will be dedicated to underlining the fact that our reasoning is based on authentic and historical references of Socrates’ speeches, which are mainly mentioned in Plato’s Apology. By quoting the main and most important commentators’ views in this field, we will therefore endeavor to show that there is a sort of general consensus among most commentators to consider this treatise to be an historical document. The importance as well as main outcome of this article is that if we accept this theory, the general outlook of the history of philosophy will change radically. In addition, the claim that wisdom has a divine source, which is mentioned repeatedly in the content of divine wise men’s words and in some Islamic traditions, will be confirmed. Moreover, the link between spiritual truths and human reasoning will be corroborated and underlined. (shrink)

This paper argues that the informative and persuasive dichotomy of advertising is an empty concept. All advertising messages perform only one function and that function is to persuade. It is pointed out that in a moral appraisal of an advertising message, a distinction between rational and irrational persuasion can be made. Rational persuasion is consistent with the autonomy of the consumer and hence moral. Some forms of irrational persuasion may have an adverse effect on consumer autonomy and, therefore, should be (...) viewed as immoral. (shrink)

Malek Chebel talks to Nicole Albert and Lydia Ruprecht about gender questions in Islam: androgyny, homosexuality, and relations between the sexes in traditional and changing Muslim societies. 198.

ABSTRACT A Third-Person-Based or Third-Personal Judgment-Dependent account of mental content implies that, as an a priori matter, facts about a subject’s mental content are precisely captured by the judgments of a second-person or an interpreter. Alex Byrne, Bill Child, and others have discussed attributing such a view to Donald Davidson. This account significantly departs from a First-Person-Based or First-Personal Judgment-Dependent account, such as Crispin Wright’s, according to which, as an a priori matter, facts about intentional content are constituted by the (...) judgments of the subject herself, formed under certain optimal or cognitively ideal conditions. I will argue for two claims: (1) Attributing a Third-Personal Judgment-Dependent account to Davidson is unjustified; Davidson’s view is much closer to a non-reductionist First-Personal Judgment-Dependent account. (2) Third-Personal accounts rest on a misconstrual of the role of an interpreter in the First-Personal accounts; the notion of an interpreter still plays an essential role in the latter ones. (shrink)

Blackburn and Searle have argued that Quine‘s thesis of the indeterminacy of translation results in a denial of the sort of first-person authority that we commonly concede we have over our mental and semantical content. For, the indeterminacy thesis implies that there is no determinate meaning to know at all. And, according to Quine, the indeterminacy holds at home too. For Blackburn, Quine must constrain the domain of indeterminacy to the case of translation only. Searle believes that Quine has no (...) other choice but to give up on his behaviorism. Hylton, however, has attempted to defend Quine against these objections, by arguing that Quine‘s naturalistic claim that speaking a language is nothing but possessing certain dispositions to act in specific ways would enable him to accommodate first-person authority. I will argue that the objections from Blackburn and Searle, as well as Hylton‘s solution, are all problematic when seen from within Quine‘s philosophy. I will introduce a sort of Strawsonian-Wittgensteinian conception of first-person authority and offer that it would be more than compatible with Quine‘s naturalistic philosophy. (shrink)

ABSTRACTTo extend our understanding of the proximal etiology of personality pathology, this study examined the dynamic, in-the-moment relations between mindfulness and negative affectivity (NA; emo...

Background: Electroconvulsive therapy is one of the most effective treatments for major depressive disorder. Recently, there has been increasing attention to evaluate the effect of ECT on resting-state functional magnetic resonance imaging. This study aims to compare rs-fMRI of depressive disorder patients with healthy participants, investigate whether pre-ECT dynamic functional network connectivity network estimated from patients rs-fMRI is associated with an eventual ECT outcome, and explore the effect of ECT on brain network states.Method: Resting-state functional magnetic resonance imaging data were (...) collected from 119 patients with depression or depressive disorder, and 61 healthy participants, with an age mean of 52.25 years old. The pre-ECT and post-ECT Hamilton Depression Rating Scale were 25.59 ± 6.14 and 11.48 ± 9.07, respectively. Twenty-four independent components from default mode and cognitive control network were extracted, using group-independent component analysis from pre-ECT and post-ECT rs-fMRI. Then, the sliding window approach was used to estimate the pre-and post-ECT dFNC of each subject. Next, k-means clustering was separately applied to pre-ECT dFNC and post-ECT dFNC to assess three distinct states from each participant. We calculated the amount of time each subject spends in each state, which is called “occupancy rate” or OCR. Next, we compared OCR values between HC and DEP participants. We also calculated the partial correlation between pre-ECT OCRs and HDRS change while controlling for age, gender, and site. Finally, we evaluated the effectiveness of ECT by comparing pre- and post-ECT OCR of DEP and HC participants.Results: The main findings include depressive disorder patients had significantly lower OCR values than the HC group in state 2, where connectivity between cognitive control network and default mode network was relatively higher than other states, Pre-ECT OCR of state, with more negative connectivity between CCN and DMN components, is linked with the HDRS changes. This means that those DEP patients who spent less time in this state showed more HDRS change, and The post-ECT OCR analysis suggested that ECT increased the amount of time DEP patients spent in state 2.Conclusion: Our finding suggests that dynamic functional network connectivity features, estimated from CCN and DMN, show promise as a predictive biomarker of the ECT outcome of DEP patients. Also, this study identifies a possible underlying mechanism associated with the ECT effect on DEP patients. (shrink)

The autonomy of chronic patients in Iranian hospitals is challenged by impaired functioning resulting from chronic illness, a negative image in society, and effects related to hospitalization. Comprehensive interviews and observations of 34 patients, nurses, and physicians were performed to assess the autonomy of chronic patients in Iran. Conceptualization, constant comparison, and the combination of data resulted in the identification of 5 main categories related to autonomy: welcoming paternalism, self-expression, self-proof, shared decision making, and self-determination. Authority scrambling was a central (...) category describing chronic patients’ perceptions of their autonomy during hospitalization. These patients sought to maintain their independence despite serious threats to their autonomy. (shrink)

The late Professor Hossein Ziai's interests focused on the Illuminationist (Ishrāqī) tradition. Dedicated to his memory, this volume deals with the post-Avicennan philosophical tradition in Iran, and in particular the Illuminationist school and later philosophers, such as those associated with the School of Isfahan, who were fundamentally influenced by it. The focus of various chapters is on translations, editions, and close expositions of rationalist works in areas such as epistemology, logic and metaphysics rather than mysticism more generally, and also (...) on specific texts rather than themes or studies of individual philosophers. The purpose of the volume is to introduce new texts into the modern canon of Islamic and Iranian philosophy. Various texts in this volume have not been previously translated nor have they been the subject of significant Western scholarship. (shrink)

Covering moral intuition, self-evidence, non-inferentiality, moral emotion and seeming states, Hossein Dabbagh defends the epistemology of moral intuitionism. His line of analysis resists the empirical challenges derived from empirical moral psychology and reveals the seeming-based account of moral intuitionism as the most tenable one. The Moral Epistemology of Intuitionism combines epistemological intuitionism with work in neuroethics to develop an account of the role that moral intuition and emotion play in moral judgment. The book culminates in a convincing argument about (...) the value of understanding moral intuitionism in terms of intellectual seeming and perceptual experience. (shrink)

Although the later Wittgenstein appears as one of the most influential figures in Davidson’s later works on meaning, it is not, for the most part, clear how Davidson interprets and employs Wittgenstein’s ideas. In this paper, I will argue that Davidson’s later works on meaning can be seen as mainly a manifestation of his attempt to accommodate the later Wittgenstein’s basic ideas about meaning and understanding, especially the requirement of drawing the seems right/is right distinction and the way this requirement (...) must be met. These ideas, however, are interpreted by Davidson in his own way. I will then argue that Davidson even attempts to respect Wittgenstein’s quietism, provided that we understand this view in the way Davidson does. Having argued for that, I will finally investigate whether, for Davidson at least, his more theoretical and supposedly explanatory projects, such as that of constructing a formal theory of meaning and his use of the notion of triangulation, are in conflict with this Wittgensteinian quietist view. (shrink)

Ethical reasoning is an integral part of the work of a clinical ethics consultant. Ethical reasoning has a close relationship with an individual’s beliefs and values, which, for religious adherents, are likely to be tightly connected with their spiritual perspectives. As a result, for individuals who identify with a religious tradition, the process of thinking through ethical questions is likely to be influenced by their religious worldview. The connection between ethical reasoning and one’s spiritual perspective raises questions about the role (...) that CECs’ personal religious worldviews should play in their professional lives and their consultative work. This paper offers numerous arguments critiquing the inclusion of a consultant’s own spiritual perspective in her work and has identified only limited circumstances under which such inclusion might be permissible. In particular, these arguments lead to the conclusion that a CEC’s personal beliefs should never influence her ethical analysis or development of a recommendation. Further, religious appeals should not be used in communication during decision-making conversations other than to describe the patient or surrogate’s stated perspective. There may be limited cases in which a CEC may share her spiritual worldview with a patient with the intent of building a collaborative relationship, but such situations should be approached with extreme caution. (shrink)

This article investigates the role of Big Data in situations of psychological stress such as during the recent pandemic caused by the COVID-19 health crisis. Quarantine measures, which are necessary to mitigate pandemic risk, are causing severe stress symptoms to the human body including mental health. We highlight the most common impact factors and the uncertainty connected with COVID-19, quarantine measures, and the role of Big Data, namely, how Big Data can help alleviate or mitigate these effects by comparing the (...) status quo of current technology capabilities with the potential effects of an increase of digitalization on mental health. We find that, while Big Data helps in the pre-assessment of potentially endangered persons, it also proves to be an efficient tool in alleviating the negative psychological effects of quarantine. We find evidence of the positive effects of Big Data on human health conditions by assessing the effect of internet use on mental health in 173 countries. We found positive effects in 110 countries with 90 significant results. However, increased use of digital media and exclusive exposure to digital connectivity causes negative long-term effects such as a decline in social empathy, which creates a form of psychological isolation, causing symptoms of acute stress disorder. (shrink)

Psychological disorders such as depression are common. Many of these disorders can be evaluated and diagnosed, and above all they are preventable. This study was conducted with the aim of determining depression prevalence rate and its related factors among students of Quchan University of Technology, Quchan, Iran. In a cross-sectional study, 359 students were selected by using simple random sampling. Demographic characteristics were gathered and subjects were evaluated by the Beck’s Depression Inventory and the Beck’s Anxiety Inventory. SPSS software was (...) used for statistical analysis and logistic regression, Chi-square and Mann-Whitney tests were utilized for this purpose. The age mean of students was 21.02±2.57. 93 subjects suffer from depression and 266 subjects are not depressed. There is no significant difference between depression and each of these variables: gender, body mass index, marital status, field of study, living in dormitory, and depression ; but there was significant difference between depressed and non-depressed students in terms of salary, anxiety, educational level, and satisfaction with field of study. According to the results, anxiety, educational level, satisfaction with field of study and monthly income impact depression. Improving the students’ consultancy in universities can be helpful to decrease anxiety. In addition, consultants can prepare students for selecting their favorite field of study. Also, it is suggested that university officials provide financial facilities such as interest-free loan for students. (shrink)

Efforts to professionalize the field of bioethics have led to the development of the Healthcare Ethics Consultant-Certified (HEC-C) Program intended to credential practicing healthcare ethics consultants (HCECs). Our team of professional ethicists participated in the inaugural process to support the professionalization efforts and inform our views on the value of this credential from the perspective of ethics consultants. In this paper, we explore the history that has led to this certification process, and evaluate the ability of the HEC-C Program to (...) meet the goals it has set forth for HCECs. We describe the benefits and weaknesses of the program and offer constructive feedback on how the process might be strengthened, as well as share our team’s experience in preparing for the exam. (shrink)

Davidson has famously argued that conceptual relativism, which, for him, is based on the content-scheme dualism, or the “third dogma” of empiricism, is either unintelligible or philosophically uninteresting and has accused Quine of holding onto such a dogma. For Davidson, there can be found no intelligible ground for the claim that there may exist untranslatable languages: all languages, if they are languages, are in principle inter-translatable and uttered sentences, if identifiable as utterances, are interpretable. Davidson has also endorsed the Quinean (...) indeterminacy-underdetermination distinction. The early Quine, as well as the later Quine, believe that the indeterminacy of translation casts serious doubt on the existence of facts of the matter about correct translation between languages. In this paper, I will argue that Quine cannot be the target of Davidson’s argument against conceptual relativism, and that Davidson’s argument is in conflict, among others, with his endorsement of the Quinean indeterminacy-underdetermination distinction. I will show how this conflict results in a radical departure from Quine with respect to the matter of factualism about fine-grained meanings. (shrink)

The aim of this paper is to analyse opinions of Kierkegaard in his famous book, Fear and Trembling, and Heidegger’s points of view in the great work of thought, Being and Time, in order to present a new meaning of human. And these all going to introduce the new aspect of Ethic. Kierkegaard puts the act of the faith against of the virtue ethics according to the tale of Abraham in the Bible. He claims that the act of the faith (...) transcends from general ethic with achieve its individuality. The actor of the faith can not returns to generality, as the actor of tragedy can. He leaves the generality to make decision in a free manner. on the other hand, Heidegger’s existancial analyses leads into that the human determiner is not an ideal essence, but it’s his existance, in other word it’s his ability-to-be. Human is who he can be. So it is obvious that these two great thinkers believe that human is not a predestined being, but he is facilities. And for this reason we can renew our definition of the ethic. (shrink)

Wright’s judgement-dependent account of intention is an attempt to show that truths about a subject’s intentions can be viewed as constituted by the subject’s own best judgements about those intentions. The judgements are considered to be best if they are formed under certain cognitively optimal conditions, which mainly include the subject’s conceptual competence, attentiveness to the questions about what the intentions are, and lack of any material self-deception. Offering a substantive, non-trivial specification of the no-self-deception condition is one of the (...) main problems for Wright. His solution is to view it as a positive presumption, which is violated only if there is strong evidence to the effect that the subject is self-deceived. In this paper, I will argue that the concern about self-deception in Wright’s account is misplaced and generally unmotivated. (shrink)

RésuméJe soutiendrai que la façon dont Davidson rend compte de l'intention pure peut être comprise comme une analyse de l'intention comme étant relative à un jugement dans une perspective en première personne. Selon Davidson, avoir la pure intention de faire A, c'est formuler un jugement tout bien considéré qu'il est désirable de faire A. Dans cette analyse anti-réductionniste, l'intention est traitée comme un état irréductible du sujet. J’établirai une comparaison entre cette analyse et celle de Wright et je montrerai comment (...) la position de Davidson peut être considérée comme une analyse non-réductionniste rapportant l'intention au jugement, selon les directions suggérées par Wright. J'expliquerai ensuite comment cette analyse peut aider à éclaircir diverses difficultés qui se présentent dans la conception que Davidson se fait ultérieurement de la signification et du contenu mental. (shrink)

Davidson has always been explicit in his faithful adherence to the main doctrines of Quine’s philosophy of language, among which the indeterminacy of translation thesis is significant. For Quine, the indeterminacy of translation has considerable ontological consequences, construed as leading to a sceptical conclusion regarding the existence of fine-grained meaning facts. Davidson’s suggested reading of Quine’s indeterminacy arguments seems to be intended to block any such sceptical consequences. According to this reading, Quine’s arguments at most yield the conclusion that there (...) are always different ways of representing the facts about meaning, rather than the sceptical conclusion that there are no such facts. It is, however, puzzling how Davidson can endorse the main premises of Quine’s arguments, i.e. his general physicalistic view and his thesis of the indeterminacy of translation, and yet resist the arguments’ sceptical outcome. I will argue that Davidson’s construal of Quine’s thesis of the indeterminacy of translation is unjustified and faces a problematic dilemma. (shrink)

Freire and Environmentalism: Ecopedagogy, as a compelling addition to the Freire in Focus series, delves into the intersection of Freirean environmental teaching and broader environmentalism. Thoug...

The recent increase in the road transportation necessitates scheduling to reduce the adverse impacts of the road transportation and evaluate the effectiveness of previous actions taken in this context. However, it is impossible to undertake the scheduling and evaluation tasks unless previous information are available to predict the future. The grey model requires a limited volume of data for estimating the behavior of an unknown system. It provides high-accuracy predictions based on few data points. Various grey prediction models have been (...) proposed so far, in which three different approaches are followed to increase the accuracy: (1) data preprocessing, (2) improved equation models, and (3) error improvement or error balancing. In this paper, firstly, a theorem is proposed and proved to recognize the parameters affecting two grey models, namely GM(1, 1) and FGM(1, 1). Then, the effective parameters are adjusted through particle swarm optimization (PSO) to formulate two adjusted models, namely IGM(1, 1) and IFGM(1, 1). According to the simulation results of the proposed models, accuracy of the modeling improved by a minimum of 14.24% and a maximum of 82.39%. Finally, the number of users of a public road transportation system was predicted using the proposed models. The results showed enhanced accuracy (by 7.7%) of the proposed models for predicting the number of users of the public road transportation system. (shrink)

This article explores the possibility that there is a parental duty to use preimplantation genetic diagnosis (PGD) for the medical benefit of future children. Using one genetic disorder as a paradigmatic example, we find that such a duty can be supported in some situations on both ethical and legal grounds. Our analysis shows that an ethical case in favor of this position can be made when potential parents are aware that a possible future child is at substantial risk of inheriting (...) a serious genetic condition. We further argue that a legal case for a duty to use PGD for medical benefit can be made in situations in which potential parents have chosen to conceive through in vitro fertilization and know that any children conceived are at substantial risk of having a serious genetic condition. (shrink)

Background:Ethical conflict is a barrier to decision-making process and is a problem derived from ethical responsibilities that nurses assume with care. Intensive care unit nurses are potentially exposed to this phenomenon. A deep study of the phenomenon can help prevent and treat it.Objectives:This study was aimed at determining the frequency, degree, level of exposure, and type of ethical conflict among nurses working in the intensive care units.Research design:This was a descriptive cross-sectional research.Participants and research context:In total, 382 nurses working in (...) the intensive care units in Iranian hospitals were selected using the random sampling method. Data were collected using the Ethical Conflict in Nursing Questionnaire-Critical Care Version (Persian version).Ethical considerations:This study was approved by the Medical Research Ethics Committee. Ethical considerations such as completing the informed consent form, ensuring confidentiality of information, and voluntary participation were observed.Findings:The results showed that the average level of exposure to ethical conflict was 164.39 ± 79.06. The most frequent conflict was related to “using resources despite believing in its futility,” with the frequency of at least once a week or a month (68.6%, n = 262). The most conflictive situation was violation of privacy (76.9%, n = 294). However, the level of exposure to ethical conflict according to the theoretical model followed was the situation of “working with incompetent staff.” The most frequently observed type of conflict was moral dilemma.Conclusion:The moderate level of exposure to ethical conflict was consistent with the results of previous studies. However, the frequency, degree, and type of ethical conflict were different compared to the results of other studies. Recognizing ethical conflict among intensive care unit nurses can be useful as it allows to consolidate those measures that favor low levels of ethical conflict, design appropriate strategies to prevent ethical conflicts, and improve the nursing work environment. (shrink)

We will show it is consistent with GCH that there is a minimal non-σ-scattered linear order which does not contain any real or Aronszajn type. In particular the assumption PFA+ in the main result of [5] is necessary, and there are other obstructions than real and Aronszajn types to the sharpness of Laver’s theorem in [8].