This study examined why intensive care unit (ICU) nurses experience difficulties in respecting the wishes of patients in end-of-life care in Japan. A questionnaire survey was conducted with ICU nurses working in Japanese university hospitals. The content of their narratives was analyzed concerning the reasons why the nurses believed that patients' wishes were not respected. The most commonly stated reason was that patients' wishes were impossible to realize, followed by the fact that decision making was performed by others, regardless of (...) whether the patients' wishes were known, if the death was sudden, and time constraints. Many nurses wanted to respect the wishes of dying patients, but they questioned how patients die in ICUs and were therefore faced with ethical dilemmas. However, at the same time, many of the nurses realized that respecting patients' wishes about end-of-life care in an ICU would be difficult and that being unable to respect these wishes would often be unavoidable. The results thus suggest that there has been insufficient discussion about respecting the wishes of patients undergoing intensive care. (shrink)

By drawing on service encounter data in Japanese, this paper analyzes a previously undocumented request action initiated by a service provider to a client as a necessary step to provide the service. The service provider and their client, both exercising respective deontic rights, collaboratively construct a request turn in particular ways. In this case, due to the Japanese SOV word order, the service provider takes advantage of segmenting their request turn to allow the recipient clients to begin compliance, who thereby (...) acquiesce to the service provider’s deontic authority at the earliest point. By bringing the request turn to completion after the client’s compliance while reflexively showing their deontic and beneficiary stances in the turn final component, the service provider displays commitment to balancing out their relative deontic status to the client. (shrink)

Previous studies have found that serum lipid levels independently associate with mental health problems in adulthood. However, little is known about the association between serum lipid levels and positive aspects of mental health such as resilience and self-esteem, which develop in adolescence. The aim of this study is to examine the association between serum lipid levels and resilience and self-esteem in Japanese adolescents. Data were pooled data from the Adachi Child Health Impact of Living Difficulty study in 2016 and 2018, (...) a school-based, cross-sectional study in Adachi City, Tokyo, Japan. Resilience of the child was assessed by caregivers, and self-esteem was self-identified via questionnaires. Serum lipid levels [total cholesterol, low-density lipoproteins, and high-density lipoproteins ] were assessed in school health checkup, in addition to height and weight measurements. Multiple linear regression was applied to investigate the association between standardized serum lipid levels and resilience and self-esteem. LDL showed inverse association with resilience [β = −1.26, 95% confidence interval = −2.39 to −0.14] after adjusting for child’s BMI, month of birth, sex, absence of parent, household income, caregiver’s mental health, and lifestyle. We also found an inverse association of total cholesterol and higher LDL cholesterol with self-esteem. HDL cholesterol was not associated with resilience and self-esteem. Among Japanese adolescent, total and LDL cholesterol may be biomarkers of resilience and self-esteem. (shrink)

朱子がめざした新たな学問とはどのような歴史的背景を踏まえ、何を追究したのか?歴史の現場に降り立ち、侵略や飢餓などに苦しむ人々の日常に直面した民政官たち、母権としての「母皇」が国政の中枢において「国権」 を簒奪しようとする深刻な危機感、これらの現実に向き合って営まれた苦心と創意が、政治を本源とする経学の形成過程にいかに織り込まれていったか。民政官、母権、馴致、現実をキータームにして、著者は思想の誕生す る姿を広範な文献を駆使して生き生きと描出し、中国思想研究に新しい地平を切り開いた。皇帝専制、家父長制的支配、家産官僚という学術用語は「皇帝―吏」関係を絶対的な命令者と服従者として捉え、そこには独自の内 面性を有する皇帝や吏は存在しえない。自己の馴致を核心にし、物事についての知の精度を磨き、民生の現場の安寧に取り組むことを通して学へと高まっていく中国思想の本質に迫る。.

Child poverty leads to various negative consequences, including low self-esteem, which is a risk factor for mental illness, suicide, or poor academic achievement. However, little is known about why child poverty leads to low self-esteem. We aimed to elucidate the association of child poverty and low self-esteem based on the ecological model, which includes family-level, school-level, and community-level factors. Data were obtained from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study in 2016, and participants included 1,652 children in (...) fourth grade (534 pairs), sixth grade (530 pairs), and eighth grade (588 pairs) living in Adachi City, Tokyo. A questionnaire survey was implemented to assess child poverty, parental mental health, parental involvement with children, parental social capital by caregivers, and self-esteem and school social capital by children. The structural equation model was applied to elucidate the association between child poverty and low self-esteem, using family-level (parental mental health and parental involvement with children), school-level (school social capital), and community-level (parental social capital) factors. Child poverty was associated with low self-esteem. Child poverty leads to poor parental involvement, which can be indirectly associated with poor parental mental health and poor parental social capital, and poor parental involvement was directly or indirectly associated with low self-esteem through poor school social capital. To mitigate the impact of child poverty on low self-esteem, comprehensive health policies targeting family-level (parental mental health and parental involvement with children), school-level (school social capital), and community-level (parental social capital) factors may be effective. (shrink)

This paper considers the process of how the image of Mount Sumeru, the axis mundi of the Indian Buddhist cosmology, was transmitted from the Indo-Iranian cultural sphere to the Chinese cultural sphere in the fifth and sixth centuries. The research focus is mainly on the representations of Mt. Sumeru in the wall paintings of two monumental Buddhist sites from this period, the Kizil Grottoes (Kucha) and the Mogao Grottoes (Dunhuang), with reference to a relevant image in the Yungang Grottoes (Datong). (...) As the monks of Kucha were in direct intellectual contact with contemporaneous India via the Sanskrit language, it is a purely Indian Buddhist cosmological worldview that is reflected in early Kizil paintings. In Dunhuang, on the other hand, the earliest-extant Sumeru representation clearly shows the visual syncretism of Buddhist and Taoist cosmologies. These visual symbols of the “World” are composites of multiple historical factors, such as languages, geopolitical situation of regional powers, and ideological trends of the regions. (shrink)

Understanding employee stress has become a key issue for top management for corporate growth and risk reduction. So far, annual employee satisfaction surveys have been conducted to assess the soundness of an organization. However, since it is difficult to collect questionnaires quantitatively and continuously, there is a need for a practical method that can be used to frequently measure group stress levels with a small burden on employees. We propose such a method and evaluated four combinations of approaches, using activity/rest (...) duration distributions from body motion data and generating estimation models on an individual/group basis. The optimal result was obtained when modeling was made on a group basis by using the activity duration distribution, making it possible to assess the degree of the stress of employees quantitatively and easily, and this showed the possibility of this method being useful as a management guide for companies. (shrink)

This paper examines how Japanese leading politicians cope with the communication problems posed during televised political interviews. Based on data gathered during the year 2012 equivocation, thereby to also assess the significance of these talk shows in the broader context of political communication in Japan.

This paper considers the process of how the image of Mount Sumeru, the axis mundi of the Indian Buddhist cosmology, was transmitted from the Indo-Iranian cultural sphere to the Chinese cultural sphere in the fifth and sixth centuries. The research focus is mainly on the representations of Mt. Sumeru in the wall paintings of two monumental Buddhist sites from this period, the Kizil Grottoes (Kucha) and the Mogao Grottoes (Dunhuang), with reference to a relevant image in the Yungang Grottoes (Datong). (...) As the monks of Kucha were in direct intellectual contact with contemporaneous India via the Sanskrit language, it is a purely Indian Buddhist cosmological worldview that is reflected in early Kizil paintings. In Dunhuang, on the other hand, the earliest-extant Sumeru representation clearly shows the visual syncretism of Buddhist and Taoist cosmologies. These visual symbols of the “World” are composites of multiple historical factors, such as languages, geopolitical situation of regional powers, and ideological trends of the regions. (shrink)

Iron Eyes: The Life and Teachings of Obaku Zen Master Tetsugen Doko, Helen J. Baroni, pp. ix+259, ISBN 0-7914-6892-5.

We agree with Frost that the variety of orthographies in the world's languages complicates the task of Frost suggests that orthographic processing must therefore differ between orthographies. We suggest that the same basic orthographic processes are applied to all languages. Where languages differ is in what the reader must do with the results of orthographic processing.

My title question as it stands is ambiguous, and is in want of some initial clarification. Does the question ask how the explanandum is logically related to the explanans? Or does it ask about the details of the dynamics of the explanation speech-act? Or does it ask how the linguistic ambiguities of explanation questions and answers should properly be unpacked? Or does it ask yet some other question? The ways of studying explanation, like the ways of understanding the world, are (...) many and varied. By this, I mean more than that the phenomenon of explanation can be studied as it arises in the different disciplines of biology, physics, the social sciences, and the like. Rather, I mean that there are varied disciplines of explanation-study itself. For example, the Hempelian tradition has largely focused on the logic of explanation, and others have focused on the linguistic, psychological, social, and epistemological angles of explanation. Thus, it is not appropriate for me to begin by arguing that explanation is a set of logically related statements or a speech-act , but appropriate instead to begin by specifying the explanatory discipline within which I ask my title question. (shrink)

ABSTRACT This paper explores how specific Mahāyāna ethics, namely the interpretation of the Lotus Sūtra by Zhiyi (536–597), Nichiren (1222–1282) and Sōka Gakkai (1930–), can relate to core principles of international humanitarian law (IHL). In particular, it also assesses and discusses how Sōka Gakkai’s three key doctrines (the dignity of life, the variability of life and the interconnectedness of life) are congruent with some IHL principles. The paper then analyses how Buddhist organisations today can be advocates of IHL and specifically (...) looks at how Sōka Gakkai agrees with – and commits to – IHL in terms of the humanitarian impact of the use of nuclear weapons. (shrink)

As most work on flower foraging focuses on bees, studying Lepidoptera can offer fresh perspectives on how sensory capabilities shape the interaction between flowers and insects. Through a combination of innate preferences and learning, many Lepidoptera persistently visit particular flower species. Butterflies tend to rely on their highly developed sense of colour to locate rewarding flowers, while moths have evolved sophisticated olfactory systems towards the same end. However, these modalities can interact in complex ways; for instance, butterflies’ colour preference can (...) shift depending on olfactory context. The mechanisms by which such cross‐modal interaction occurs are poorly understood, but the mushroom bodies appear to play a central role. Because of the diversity seen within Lepidoptera in terms of their sensory capabilities and the nature of their relationships with flowers, they represent a fruitful avenue for comparative studies to shed light on the co‐evolution of flowers and flower‐visiting insects. (shrink)

Dienes & Perner's analysis provides a clear theoretical justification for using a demonstration of volitional control as a criterion for conscious awareness. However, in memory tasks, the converse does not hold: A phenomenological awareness of a memory episode can arise involuntarily, even when the task does not require retrieval of the episode. The varying amounts of volitional retrieval required by different memory tasks need to be recognized.