Respecting patients’ rights is a fundamental aspect of providing quality healthcare. The present investigation attempts to explore the awareness among patients about their rights in a coastal township in India. A questionnaire-based cross-sectional study was carried out among 215 patients admitted to the wards of a tertiary care teaching hospital in Mangalore. Awareness among patients regarding their rights varied for various issues and ranged between 48.4 and 87.4 %. Awareness about patients’ rights was independent of gender, socio-economic and educational status. (...) Doctors were found to be the most common source of information for patient’s about their rights in the study. Doctors must conform to the relevant legislations and involve patients in all aspects of healthcare. There is a need to increase awareness among patients about their rights to ensure informed decisions and better health care services. (shrink)

Maintenance decision errors can result in very costly problems. The 4th industrial revolution has given new opportunities for the development of and use of intelligent decision support systems. With these technological advancements, key concerns focus on gaining a better understanding of the linkage between the technicians’ knowledge and the intelligent decision support systems. The research reported in this study has two primary objectives. To propose a theoretical model that links technicians’ knowledge and intelligent decision support systems, and to present a (...) use case how to apply the theoretical model. The foundation of the new model builds upon two main streams of study in the decision support literature: “distribution” of knowledge among different agents, and “collaboration” of knowledge for reaching a shared goal. This study resulted in the identification of two main gaps: firstly, there must be a greater focus upon the technicians’ knowledge; secondly, technicians need assistance to maintain their focus on the big picture. We used the cognitive fit theory, and the theory of distributed situation awareness to propose the new theoretical model called “distributed collaborative awareness model.” The model considers both explicit and implicit knowledge and accommodates the dynamic challenges involved in operational level maintenance. As an application of this model, we identify and recommend some technological developments required in augmented reality based maintenance decision support. (shrink)

For human interaction, it is important to understand what emotional state others are in. Especially the observation of faces aids us in putting behaviours into context and gives insight into emotions and mental states of others. Detecting whether someone is nervous, a form of state anxiety, is such an example as it reveals a person’s familiarity and contentment with the circumstances. With recent developments in computer vision we developed behavioural nervousness models to show which time-varying facial cues reveal whether someone (...) is nervous in an interview setting. The facial changes, reflecting a state of anxiety, led to more visual exposure and less chemosensory (taste and olfaction) exposure. However, experienced observers had difficulty picking up these changes and failed to detect nervousness levels accurately therewith. This study highlights humans’ limited capacity in determining complex emotional states but at the same time provides an automated model that can assist us in achieving fair assessments of so far unexplored emotional states. (shrink)

The most important parent of the idea of property in the person is undoubtedly John Locke. In this article, we argue that the origins of this idea can be traced back as far as the third century BCE, to classical Stoicism. Stoic cosmopolitanism, with its insistence on impartiality and the moral equality of all persons, lays the foundation for the idea of self-ownership, which is then given support in the doctrine of oikeiosis and the corresponding belief that nature had made (...) all human beings equal, self-preserving, and self-regarding. On the Stoic account, self-ownership is a natural correlate and consequence of oikeiosis, the natural urge to self-preservation, proprioception, and the individuation that came with it. In recognising that people are separate and individual, and entrusting each individual’s welfare to herself, Zeus appears to make everyone a ‘self-guardian’. We uniquely argue that Locke was directly inspired by these Stoic ideas, which he then develops and incorporates into his own theory. (shrink)

The principle of informed consent, codified in the Declaration of Helsinki, has been widely seen as fundamental to bio-medical and research ethics. The importance of informed consent is increasing in procedures regulating the acquisition, possession and use of personal information, including genetic and medical information. Informed consent, it is believed, ensures that patients and research subjects can decide autonomously whether to permit or refuse actions that affect them. In response to this assurance, there are numerous guidelines at local, national and (...) international levels that recognise the importance of informed consent, especially in research related to healthcare in developing countries. However, complications arise in applying these guidelines to a particular situation, especially under conditions that are prevalent in developing societies, for instance in India. This article discusses common forms of impediments or hindrances encountered while exercising the principles of informed consent in the context of genetic and genomics related research among the tribal and rural caste communities in India. These hindrances include: illiteracy, poverty, paternalistic attitudes, socio-cultural barriers, ineffective regulatory mechanism and procedural inconsistency among others. The data used in this article is based on an ethnographic study conducted between December 2006 and May 2007 using social-science qualitative research techniques. We observe that three areas require attention: first, the ways in which informed public debate on bioethical issues can be held, and how the application of genetics and genomics in Indian society can be discussed; second, the readiness with which researchers, IRB members and the state appreciate and wish to map the genetic diversity in Indian society; and, third, the risks associated with the application of bioethical principles at a micro-level. (shrink)

There is scepticism regarding the role of values in business. Values are at best implemented as checklists and codes of conduct and not as a fundamental way of enhancing stakeholder well-being, including employees, customers, vendors and the larger ecosystem. Organizations take note of values only when instances of ethical malpractices surface—be it financial, gender-based, intellectual property and so on. Values bring out the best in individuals, teams and the organization by establishing a strong foundation for actions and interactions. Right from (...) improving the effectiveness of day-to-day meetings to creating a culture of creativity and innovation, values form the substratum for every aspect and functioning of the organization. This book establishes a strong rationale for instilling values in business organizations by demonstrating how values are the foundation for excellence, productivity, creativity, quality and for creating a stress-free work environment. By presenting experiences, challenges, inspirations and conflicts regarding values, the book will help employees at all levels strengthen their conviction regarding values at the workplace. Addressing managers at all levels and the leadership, the book pragmatically discusses how to build and nurture a values-based culture in the organization. The authors examine the subject of values from the point of view of each individual’s personal journey, and finally delve into the crucial topic of values-based leadership, which is indispensable for a culture of values. (shrink)

Post-modernism and its influence in Sri Lanka.

Using speech act theory from the Philosophy of Language, this paper attempts to develop an ethical framework for the phenomenon of speech processing. We use the concepts of the illocutionary force and the illocutionary content of a speech act to explain the ethics of speech processing. By emphasizing the different stages involved in speech processing, we explore the distinct ethical issues that arise in relation to each stage. Input, processing, and output are the different ethically relevant stages under which a (...) spoken item or a speech navigates within the range of speech-processing modules. Employing the illocutionary force-content distinction, we specify and characterize the input-related ethical issues, the output-related ethical issues, and the processing-related ethical issues involved in speech processing. Together with illocutionary force-content distinction, we employ the data-information distinction to characterize the stage-wise ethical issues in the phenomenon of speech processing as the ethics of collecting (speech) data, the ethics of contextualizing (speech) data/information, and the ethics of releasing the con-textualized information (processed speech). Immediate ethical issues that arise from the range of speech processing modules are distinguished from distant ethical issues. We also indicate the nature of ethical issues that arise from Speaker Independent speech technologies. (shrink)

A child’s death is a profound loss for mothers and affects hundreds of thousands of women. Mothers report inconsolable and progressive grief that is distinct from depression and impacts daily emotions and functions. The brain mechanisms responsible for this relatively common and profound mental health problem are unclear, hampering its clinical recognition and care. In an initial exploration of this condition, we used resting state functional MRI (fMRI) scans to examine functional connectivity in key circuits, and task-based fMRI to examine (...) brain network activity in grieving mothers in response to pictures of their deceased child and as well as recognizable deceased celebrities and unfamiliar individuals. We compared nine mothers who had lost an adult child and aged-matched control mothers with a living child of a similar age. Additionally, we collected diffusion imaging scans to probe structural connectivity and complemented the imaging studies with neuropsychological assessments. Increased functional activation in Ventral Attention/Salience Networks accompanied by a reduced activation in the medial prefrontal cortex in response to the deceased child’s picture robustly distinguished the grieving mothers from controls. Heightened resting-state functional connectivity between the paraventricular thalamic nucleus (PVT) and the amygdala distinguished the grieving mothers from the controls and correlated with subjective grief severity. Structurally, maternal grief and its severity were associated with alterations in corticolimbic white matter tracts. Finally, grieving mothers performed worse than controls on neuropsychological tests of learning, memory, and executive function, linked with grief severity. Reduced activation in cortical regions inhibiting emotions and changes in the PVT circuitry—a region involved in long-term emotional memories and decision making under conflict—distinguish grieving mothers from controls. Notably, the magnitude of neurobiological changes correlates with the subjective severity of grief. Together, these new discoveries delineate a prevalent and under-recognized mental health syndrome and chart a path for its appreciation and care. (shrink)

BackgroundStudies on different methods to supplement the traditional informed consent process have generated conflicting results. This study was designed to evaluate whether participants who received group counseling prior to administration of informed consent understood the key components of the study and the consent better than those who received individual counseling, based on the hypothesis that group counseling would foster discussion among potential participants and enhance their understanding of the informed consent.MethodsParents of children participating in a trial of nutritional supplementation were (...) randomized to receive either group counseling or individual counseling prior to administration of the informed consent. To assess the participant's comprehension, a structured questionnaire was administered approximately 48-72 hours afterwards by interviewers who were blinded to the allocation group of the respondents.ResultsA total of 128 parents were recruited and follow up was established with 118 (90.2%) for the study. All respondents were aware of their child's participation in a research study and the details of sample collection. However, their understanding of study purpose, randomization and withdrawal was poor. There was no difference in comprehension of key elements of the informed consent between the intervention and control arm.ConclusionsThe results suggest that the group counseling might not influence the overall comprehension of the informed consent process. Further research is required to devise better ways of improving participants' understanding of randomization in clinical trials.Trial RegistrationClinical Trial Registry - India (CTRI): CTRI/2009/091/000612. (shrink)

The ritual tympanum of the god Mithra has no clear interpretation to date. In particular, the animals under the bull remain mysterious. If they have been considered as representations of certain constellations, this esoteric hypothesis remains disputed. Could the god Mithra, symbol of the Roman army, be attracted by the stars? Another hypothesis is to consider this religion as pragmatic. These small animals would be familiar to the Romans. They would symbolise trust. To understand Mithra, don't we (...) have to change our way of seeing the Roman mentality? (shrink)

Mithras—Miθra—Mitra: Der römische Gott Mithras aus der Perspektive der vergleichenden Religionsgeschichte. By Jaan Lahe. Kasion, vol. 3. Münster: Zaphon, 2019. Pp. 271, 30 pls. €88.

This paper examines several passages in which Nietzsche considers burgeoning Christianity’s relationship to the secretive “mystery cults” that flourished alongside the official state religions of ancient Rome. The purpose of this paper is four-fold. i) To shed light on an unexplored aspect of Nietzsche’s philosophy. ii) To explore the intellectual reality behind some of his specific charges concerning Pauline Christianity’s indebtedness to the ancient Mithras cult. iii) To assess the validity of several of Nietzsche’s accusations in this area in light (...) of more recent scholarship. iv) To contrast the middle-period Nietzsche’s treatment of this theme with several of his end-of-career ruminations. I make the case that while some of his later claims concerning this topic are indeed exaggerated, they nonetheless reveal remarkable insight into a fascinating aspect of late antiquity. (shrink)

Name der Zeitschrift: Klio Jahrgang: 96 Heft: 1 Seiten: 183-217.

The traditional grand narrative correlating the decline of Graeco-Roman religion with the rise of Christianity has been under pressure for three decades. This book argues that the alternative accounts now emerging significantly underestimate the role of three major cults, of Cybele and Attis, Isis and Serapis, and Mithras. Although their differences are plain, these cults present sufficient common features to justify their being taken typologically as a group. All were selective adaptations of much older cults of the Fertile Crescent. It (...) was their relative sophistication, their combination of the imaginative power of unfamiliar myth with distinctive ritual performance and ethical seriousness, that enabled them both to focus and to articulate a sense of the autonomy of religion from the socio-political order, a sense they shared with Early Christianity. The notion of 'mystery' was central to their ability to navigate the Weberian shift from ritualist to ethical salvation. (shrink)

Name der Zeitschrift: Zeitschrift für Religionswissenschaft Jahrgang: 25 Heft: 2 Seiten: 233-262.

A paperback reprint of the work in which Cumont shows "how and why a certain Mazdean sect failed under the Caesars to become the dominant religion of the empire."--A. C. P.

This paper challenges the notion that there is a complete continuity between the thought of Nāgārjuna and the thought of Candrakīrti. It is shown that there is strong reason to doubt Candrakīrti’s gloss of Mūla-madhyamaka-kārikā (MMK) 2.1, and that Candrakīrti’s peculiar reading of this verse causes him to alter the context of the discussion in the four cases in which Nāgārjuna quotes MMK 2.1 later in the text—MMK 3.3, 7.14, 10.13 and 16.7. The innovation produced by Candrakīrti is next contrasted (...) to Nāgārjuna’s style of argument, and it is shown that these two author’s notions of emptiness, as well as their particular implementation of Madhyamaka logic, significantly diverge from each other. Finally, Candrakīrti’s reading of these verses is compared with his commentary on MMK 15 so as to suggest a possible subtle metaphysical position that is at the base of his thinking. (shrink)