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

Consumer buying behavior is an important aspect in every marketing strategy to produce maximum output from the market. This study aims to determine how advertisement affects consumer buying behavior and brand loyalty by considering a mediator between brand awareness and the moderating role of perceived quality. For this purpose, this study targets the rising cosmetics industry. This study used the purposive sampling technique to collect data from 300 respondents with the help of an online survey method via Google doc. The (...) partial least squares structural equation modeling PLS-SEM was applied to verify the hypotheses relationships. The findings have confirmed that advertisements substantially predicted brand awareness, brand loyalty, and consumer buying behavior. Furthermore, brand awareness partially mediated the association of advertisement with brand loyalty and consumer buying behavior. Also, perceived quality is significantly moderated on the association of brand awareness with brand loyalty and consumer buying behavior. Based on such findings, this study has contributed to the literature and provided new insights into the practical implications alongside the future roadmap of the survey. (shrink)

Twitter is a virtual social network where people share their posts and opinions about the current situation, such as the coronavirus pandemic. It is considered the most significant streaming data source for machine learning research in terms of analysis, prediction, knowledge extraction, and opinions. Sentiment analysis is a text analysis method that has gained further significance due to social networks’ emergence. Therefore, this paper introduces a real-time system for sentiment prediction on Twitter streaming data for tweets about the coronavirus pandemic. (...) The proposed system aims to find the optimal machine learning model that obtains the best performance for coronavirus sentiment analysis prediction and then uses it in real-time. The proposed system has been developed into two components: developing an offline sentiment analysis and modeling an online prediction pipeline. The system has two components: the offline and the online components. For the offline component of the system, the historical tweets’ dataset was collected in duration 23/01/2020 and 01/06/2020 and filtered by #COVID-19 and #Coronavirus hashtags. Two feature extraction methods of textual data analysis were used, n-gram and TF-ID, to extract the dataset’s essential features, collected using coronavirus hashtags. Then, five regular machine learning algorithms were performed and compared: decision tree, logistic regression, k-nearest neighbors, random forest, and support vector machine to select the best model for the online prediction component. The online prediction pipeline was developed using Twitter Streaming API, Apache Kafka, and Apache Spark. The experimental results indicate that the RF model using the unigram feature extraction method has achieved the best performance, and it is used for sentiment prediction on Twitter streaming data for coronavirus. (shrink)

Breaking bad news (BBN) to parents whose newborn has a major disease is an ethical dilemma. In Saudi Arabia, BBN about newborns is performed according to the parental preferences that have been reported from non-Arabic/non-Islamic countries. Saudi mothers' preferences about BBN have not yet been studied. Therefore, we aimed to elicit the preferences of Saudi mothers about BBN concerning newborns. We selected a convenience sample of 402 Saudi mothers, aged 18-50 years, who had no previous experience with BBN. We selected (...) them via a simple number-randomization scheme from the premises of a level III Saudi hospital between October of 2009 and January of 2011. We used a hypothetical situation (BBN about trisomy 21) to elicit their preferences about BBN concerning newborns via a structured verbal questionnaire composed of 12 multiple-choice questions. We expressed their preferences as percentages (95% confidence interval), and we used the Kendall's W test (W) to assess the degree of agreement in preferences. The Saudi mothers preferred that BBN be conducted with both parents together (64% [60-69]), albeit with weak levels of agreement (W = 0.29). They showed moderate agreement in their preferences that BBN should be conducted early (79% [75-83], W = 0.48), in detail (81% [77-85], W = 0.52), in person (88% [85-91], W = 0.58), and in a quiet setting (86% [83-90], W = 0.53). With extremely weak agreement, they preferred to have a known person present for support during BBN (56% [51-61], W = 0.01), to have close bodily contact with their babies (66% [61-70], W = 0.10), and to have no another patients present (64% [59-68], W = 0.08). They showed moderate levels of agreement in their desires to detail, in advance, their preferences about process of BBN by giving a reversible, written informed consent that could be utilized for guidance, if needed (80% [76-84], W = 0.36). In our experience, Saudi mothers' preferences about BBN concerning newborns are varied, suggesting that a "one-size-fits-all" approach is inappropriate. A reversible, written informed consent detailing their preferences about BBN that would be kept in their medical records and utilized for guidance, if needed, may be the best solution, given this level of diversity. These findings merit further study. (shrink)

BackgroundPsychological distress/morbidity is amongst the primary reason for the cause of pain at multiple sites, its progression, and recovery. Though still not very clear if physical pain in the neck or the back may predict psychological morbidities or not. Thus, we investigated the association between combined neck or back pain and psychological distress/morbidity.MethodsA cross-sectional study was conducted in Al-Kharj, Saudi Arabia, including 1,003 individuals. The questionnaire comprised of General Health Questionnaire-12 and some questions about neck and back pain. Data analysis (...) was done using statistical software SPSS version 26.0.ResultsThe results of the multivariate analysis revealed a significant positive association between neck/back pain status and total GHQ score. Having neck/back pain had almost a 2.5 times greater risk of psychological distress/morbidity. Further, females were more likely to have a higher risk of psychological distress/morbidity than males while adjusting for sociodemographic and clinical characteristics.ConclusionThe combination of neck and back pain was significantly associated with the Saudi population’s psychological problems. Therefore, the Saudi government needs to devise high-risk strategies and allocate adequate resources to the cause so that at-risk people can be shielded from the adverse complications arising from this condition in the long run. (shrink)

In The Art of Living, Alexander Nehamas argues that Michel de Montaigne, Friedrich Nietzsche, and Michel Foucault undertook a particularist art of living—a unique project of self‐construction. In so doing, argues Nehamas, they based their lives on the life of Socrates, that quintessentially ironic character. To this list of self‐fashioning philosophers, I add Fernando Pessoa, the twentieth‐century Portuguese writer. I argue that Pessoa, via the writings of his heteronyms, also took Socrates as the model for constructing a self. Moreover, Pessoa (...) employed all three kinds of irony that Nehamas argues is present in Plato’s writing, and did so not just to investigate the nature of the self, but to question its very existence. This is Pessoa’s formulation of the problem of the self. But Pessoa also borrowed from Nietzsche’s views on multiplicity, redeploying them in order to fabricate multiple selves. Pessoa’s solution to the problem of the self thus consists in the heteronymic device, which acts as a deus ex machina, unifying the disparate fictional voices and establishing Pessoa as a new, authentic self. Accordingly, Pessoa borrows from both Platonism and anti‐Platonism, distinguishing himself from both, so as to contrive—and simultaneously exemplify—an original art of living. (shrink)

Modal agnosticism is the view that we must be agnostic about whether things could have turned out differently. I argue that claims about unrealised possibilities are not justified by our modal intuitions, nor are they justified by any of the means proposed by philosophers. It follows that we do not have merely metaphysical modal knowledge, and that we must adopt modal agnosticism.

The fault ride-through capability and fault current issues are the main challenges in doubly fed induction generator- based wind turbines. Application of the bridge-type fault current limiter was recognized as a promising solution to cope with these challenges. This paper proposes a nonlinear sliding mode controller for the BFCL to enhance the FRT performance of the DFIG-based WT. This controller has robust performance in unpredicted voltage sag level and nonlinear features. Theoretical discussions, power circuit, and nonlinear control consideration of the (...) SMC-based BFCL are conducted, and then, its performance is verified through time-domain simulations in the PSCAD/EMTDC environment. To reduce the chattering phenomenon and decrease the reaching time, it used the exponential reaching law for designed SMC. Also, the SMC-based BFCL performance is compared with the conventional and PI controller-based BFCL for both symmetrical and asymmetrical short-circuit faults. Simulation results reveal that the SMC-based BFCL provides better performance compared with the conventional and PI controller-based BFCL to enhance the FRT. (shrink)

This study presents the fundamental concepts and technical details of a U-model-based control system design framework, including U-model realisation from classic model sets, control system design procedures, and simulated showcase examples. Consequently, the framework provides readers with clear understandings and practical skills for further research expansion and applications. In contrast to the classic model-based design and model-free design methodologies, this model-independent design takes two parallel formations: it designs an invariant virtual controller with a specified closed-loop transfer function in a feedback (...) control loop and it determines the real controller output by resolving the inverse of the plant U-model. It should be noted that this U-control provides a universal control system design platform for many existing linear/nonlinear and polynomial/state-space models and it complements many existing design approaches. Simulation studies are used as examples to demonstrate the analytically developed formulations and guideline for potential applications. (shrink)

According to the World Health Organization, female genital cutting affects millions of girls and women worldwide, particularly on the African continent and in the Middle East. This paper presents a plausible, albeit hypothetical, clinical vignette and then explores the legal landscape as well as the ethical landscape physicians should use to evaluate the adult patient who requests re-infibulation. The principles of non-maleficence, beneficence, justice, and autonomy are considered for guidance, and physician conscientious objection to this procedure is discussed as well. (...) Analyses of law and predominant principles of bioethics fail to yield a clear answer regarding performing female genital cutting or re-infibulation on an adult in the United States. Physicians should consider the patient’s physical, mental, and social health when thinking about female genital cutting and should understand the deep-rooted cultural significance of the practice. (shrink)

There is a growing interest in non-invasive stimulation interventions as treatment strategies to improve functional outcomes and recovery after spinal cord injury. Repetitive transcranial magnetic stimulation is a neuromodulatory intervention which has the potential to reinforce the residual spinal and supraspinal pathways and induce plasticity. Recent reviews have highlighted the therapeutic potential and the beneficial effects of rTMS on motor function, spasticity, and corticospinal excitability modulation in SCI individuals. For this scoping review, we focus on the stimulation parameters used in (...) 20 rTMS protocols. We extracted the rTMS parameters from 16 published rTMS studies involving SCI individuals and were able to infer preliminary associations between specific parameters and the effects observed. Future investigations will need to consider timing, intervention duration and dosage that may depend on the stage, the level, and the severity of the injury. There is a need for more real vs. sham rTMS studies, reporting similar designs with sufficient information for replication, to achieve a significant level of evidence regarding the use of rTMS in SCI. (shrink)

The primary objective of this research is to examine the potential influence of environmental, social, and governance (ESG) disclosure on cash holdings. Additionally, the study explores the role of earnings management (EM) practices as a mediating factor in this relationship. The sample comprises 797 companies listed on financial markets across 19 European countries, and the data spans from 2013 to 2019. The outcomes indicate a significant negative correlation between ESG disclosure and cash holdings, implying that ESG performance can be used (...) by management to resolve disputes with stakeholders. The outcomes further indicate that the existence of EM practices partially mediates the link between ESG disclosure and cash holdings. Moreover, they are robust by substitute cash holdings specification, three distinct initiatives of ESG disclosure (i.e., environment, social, and governance), and a two-stage least squares assessment. Therefore, the findings document that nonfinancial reporting in the form of ESG disclosure can assist in controlling agency conflict, leading to better valuations of company performance by stakeholders. (shrink)

One of the highly contraversial discussions in philosophy of mind is equivalence of human being mind and machines. Here we show that no one could prove that, in certain he is a machine.

It is hypothesized that iron from biological tissues, liberated during decay, may have played a role in inhibiting loss of anatomical information during fossilization of extinct organisms. Most tissues in the animal kingdom contain iron in different forms. A widely distributed iron‐bearing molecule is ferritin, a globular protein that contains iron crystallites in the form of ferrihydrite minerals. Iron concentrations in ferritin are high and ferrihydrites are extremely reactive. When ancient animals are decaying on the sea floor under anoxic environmental (...) conditions, ferrihydrites may initialize the selective replication of some tissues in pyrite FeS2. This model explains why some labile tissues are preserved, while other more resistant structures decay and are absent in many fossils. A major implication of this hypothesis is that structures described as brains in Cambrian arthropods are not fossilization artifacts, but are instead a source of information on anatomical evolution at the dawn of complex animal life. (shrink)

BackgroundClinical genomic professionals are increasingly facing decisions about returning incidental findings (IFs) from genetic research. Although previous studies have shown that research participants are interested in receiving IFs, yet there has been an argument about the extent of researcher obligation to return IFs. We aimed in this study to explore the perspectives of clinical genomics professionals toward returning incidental findings from genomic research.MethodsWe conducted a national survey of a sample (n = 113) of clinical genomic professionals using a convenient sampling. (...) A self-administered questionnaire was used to explore their attitudes toward disclosure of IFs, their perception of the duties to return IFs and identifying the barriers for disclosure of IFs. A descriptive analysis was employed to describe participants' responses.ResultsSixty-five (57.5%) respondents had faced IFs in their practice and 31 (27.4%) were not comfortable in discussing IFs with their research subjects. Less than one-third of the respondents reported the availability of guidelines governing IFs. The majority 84 (80%) and 69 (62.7%) of the study participants indicated they would return the IFs if the risk of disease threat ≥ 50% and 6–49%, respectively and 36 (31.9%) reported they have no obligation to return IFs.ConclusionClinical genomics professionals have positive attitudes and perceptions toward the returning IFs from genomic research, yet some revealed no duty to do so. Detailed guidelines must be established to provide insights into how genomics professionals should be handled IFs. (shrink)

Teachers of science-based education in Malaysian secondary schools, especially those in the field of physics, often find their students facing huge difficulties in dealing with conceptual ideas in physics, resulting thus in a lack of interest towards the subject. The aim of this study was to assess the effectiveness of the Brain-Based Teaching Approach (henceforth BBTA) in dealing with the issues of the conceptual understanding of Newtonian physics of Form Four students in secondary science schools in the state of Kedah, (...) situated in the northern region of Peninsular Malaysia, and also their learning motivation towards the subject of physics. The BBTA is based on the Brain-Based Learning Principles, where detailed attention is given to seven main steps: (1) activation; (2) clarify the outcome and paint big picture of the lesson; (3) making connection; (4) doing the learning activity; (5) demonstrate student understanding; (6) review for student recall and retention/closure; and (7) preview the new topic. The effectiveness of the BBTA within the targeted context was then assessed in a quasi-experimental research approach involving 100 Form Four students from two secondary science schools. Data collected using the Test of Conceptual Understanding of Newtonian Physics and the Questionnaire of Physics Learning Motivation were then analysed descriptively and inferentially. The results obtained revealed that the BBTA was in fact exceedingly effective in dealing with the problems aforementioned. It was found that students who received physics education taught using the BBTA possessed a better conceptual understanding of Newtonian physics and also a higher learning motivation in the subject of physics, compared to students who received physics education taught using conventional teaching methods. (shrink)

Argumentation has remained under-researched in studies analyzing academic journal publications despite its importance in academic writing. This paper reports a study in which we investigated stereotypical argumentative trends, lexico-grammatical features, and interactional metadiscourse markers in 354 research article free-standing discussion sections from the journal of ESP over forty years. The field of ESP was chosen because of its maturity, which has given substance to a dynamic ground for arguments. We drew on the pragma-dialectical approach to analyzing argumentations in the corpus. (...) Findings indicated that due to the argumentative nature of the discussion section, certain argumentative trends recurred more often. The analysis of the lexico-grammatical features and metadiscourse markers of the standpoints also showed patterns of variability over time. The study concludes that it is imperative to incorporate relevant facets from various argumentation models to construct a comprehensive argumentation theory and gain deeper insights into argumentation in academic writing. (shrink)

The purpose of this research is to formulate a theory of self-transformation based on Avicenna’s psychology. The research method used is descriptive qualitative analysis. Self-transformation is the process of changing the soul quality as to produce better changes in perception and behavior. The background of the research includes the weaknesses of the existing self-transformation methods; Avicenna’s psychology directs the soul to perfect the transformation; Avicenna’s psychology does not discuss his self-transformation theory explicitly; Avicenna has a better formulation of self-transformation theory (...) than Aristotle implicitly; and it provides alternative self-transformation method. (shrink)

With the advancement of artificial intelligence and humanoid robotics and an ongoing debate between human rights and rule of law, moral philosophers, legal and political scientists are facing difficulties to answer the questions like, “Do humanoid robots have same rights as of humans and if these rights are superior to human rights or not and why?” This paper argues that the sustainability of human rights will be under question because, in near future the scientists (considerably the most rational people) will (...) be the biggest critics of the human rights. Whereas to make artificial intelligence sustainable, it is very important to reconcile it with human rights. Above all, there is a need to find a consensus between human rights and robotics rights in the framework of our established legal systems. (shrink)

The current study examined how the level of perceived stress among women living in Dhaka varies by their degree of social capital and illustrated the relative significance of some of their sociodemographic statuses, such as employment status, marital status, education, and income level, with those variables of interest. In this cross-sectional study, data were collected from a total of 485 women, 243 formally employed (having a tax identification number), and 242 non-employed (50 students and 192 homemakers). Apart from the demographic (...) information, the questionnaire includes statements from Cohen’s perceived stress scale (PSS) and the Internet Social Capital Scale (ISCS). Results indicate that social capital substantially reduces perceived stress, with the effect being particularly apparent among non-employed and unmarried women. While unmarried women experience higher levels of stress compared to married ones, it appears that women’s perceived stress levels do not differ by employment status, education, or income. In addition, there is no significant variation in social capital by marital status or income level; however, it is observed that working women possess higher social capital compared to unmarried women. The study concludes that women’s employment can contribute to their social well-being by enhancing their social capital, but their perceived stress levels may not differ substantially because of their formal employment. (shrink)

The research addresses the effect of sense of control on perceived stress by controlling for the intervening effects of Religiosity and Materialism. A total of 609 emerging adults living in Dhaka city participated in the survey; surveyors used a 48-item structural closed-ended questionnaire to collect the responses. The elicited responses were quantified, and structural equation models were formulated to identify any associations among the variables of interest. The findings suggest that sense of control is a strong determinant of perceived stress; (...) neither religiosity nor materialism mediate the association. The study advances the transactional model of stress and coping. (shrink)

Employing Constructive Type Theory Constructive Type Theory, we provide a logical analysis of[aut]Ibn SīnāIbn Sīnā’sIbn Sīnā descriptional propositions. Compared to its rivals, our analysis is more faithful to the grammatical subject-predicate structure of propositions and can better reflect the morphological features of the verbs that extend time to intervals. We also study briefly the logical structure of some fallacious inferences that are discussed by Ibn Sīnā. The CTT-framework makes the fallacious nature of these inferences apparent.

On philosophy of religion and religious pluralism.

English summary: What is color? Are colors real properties of the world around us, or are they the secondary effects on our senses by the objects around us. Christophe Al-Saleh explores this contemporary philosophical debate over colors, objectivism, and subjectivism. French description: Il existe un ecart entre la conception familiere et commune des couleurs et la conception scientifique, la premiere y voyant spontanement des proprietes reelles du monde qui nous entoure, la seconde mettant en doute cette realite: les couleurs (...) ne seraient jamais que des effets secondaires consecutifs a l'affection de notre sensibilite par les objets qui nous entourent. C'est dans ce contexte que s'inscrit le debat philosophique contemporain sur les couleurs, entre l'objectivisme (les couleurs sont des proprietes presentes dans le monde) et le subjectivisme (les couleurs sont des productions subjectives). (shrink)

In MacIntyre’s view, the agent in order to have a consistent identity should be able to narrate a story about her life, which relates the different episodes of her life together. This story should explain the transition between these episodes. This story is based on the notion of the good of human beings. A notion of the good should be present in the agent’s life to give a direction to her life. This integrity forms an identity for the agent. We (...) intend to challenge this narrative view of identity in this paper. We will argue in this paper that though identity is formed in the eye of others, it does not need to be constituted in a unified narrative form, i.e., the agent does not need to place all episodes of her life in narrative order and have a consistent and unified account of her life, which includes her life from birth to death. Rather, shorter-term episodes of time suffice for identity formation. We will appeal to some findings of empirical psychology and neuroscience to support our claim. (shrink)

In MacIntyre’s view, the agent in order to have a consistent identity should be able to narrate a story about her life, which relates the different episodes of her life together. This story should explain the transition between these episodes. This story is based on the notion of the good of human beings. A notion of the good should be present in the agent’s life to give a direction to her life. This integrity forms an identity for the agent. We (...) intend to challenge this narrative view of identity in this paper. We will argue in this paper that though identity is formed in the eye of others, it does not need to be constituted in a unified narrative form, i.e., the agent does not need to place all episodes of her life in narrative order and have a consistent and unified account of her life, which includes her life from birth to death. Rather, shorter-term episodes of time suffice for identity formation. We will appeal to some findings of empirical psychology and neuroscience to support our claim. (shrink)

Leading scholars representing the world's five great religious traditions--Buddhism, Hinduism, Judaism, Christianity, and Islam--discuss fundamental philosophical questions on revelation and religious experience; analysis of faith; science and religion; the foundation of morality; and life and the afterlife.

Summary Background The principle of maximization, which roughly means that we should save more lives and more years of life, is usually taken for granted by the health community. This principle is even more forceful in crises like the COVID-19 pandemic, where we have scarce resources which can be allocated only to some patients. However, the standard consequentialist version of this principle can be challenging particularly when we have to reallocate a resource that has already been given to a patient. (...) -/- Methodology Engaging in thought experiments, conceptual analysis, providing counterexamples, and appealing to moral intuitions, we challenge the standard consequentialist version of the maximization principle and make a case for adopting an alternative deontological version. -/- Discussion In certain cases, the standard consequentialist version of the maximization principle is shown to yield intuitively immoral results. The deontological version of this principle is preferable because it can retain the merits of the standard consequentialist version without falling prey to its problems. -/- Conclusion Compared to the standard consequentialist version, the deontological version of the maximization principle can better guide the ethical decisions of the health community, even in cases where we face a scarcity of resources. (shrink)