BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)

It is evident, in the face of the COVID-19 pandemic that has physicians confronting death and dying at unprecedented levels along with growing data suggesting that physicians who care for dying patients face complex emotional, psychological and behavioural effects, that there is a need for their better understanding and the implementation of supportive measures. Taking into account data positing that effects of caring for dying patients may impact a physician’s concept of personhood, or “what makes you, ‘you’”, we adopt Radha (...) Krishna’s Ring Theory of Personhood (RToP) to scrutinise the experiences of physicians working in intensive care units (ICU) using a fictional scenario that was inspired by real events. The impact of death and dying, its catalysts, internal constituents, external factors, dyssynchrony, and buffers, specific to ICU physicians, were identified and explored. Such a framework allows for ramifications to be considered holistically and facilitates the curation of strategies for conflict resolution. This evaluation of the RToP acknowledges the experience and wide-ranging effects it has on ICU physicians. As such, our findings provide insight into their specific needs and highlight the importance of support on a personal and organisational level. Although further research needs to be conducted, the RToP could serve as the basis for a longitudinal assessment tool supported by the use of portfolios or mentorship due to their provision of personalised, appropriate, specific, timely, accessible and long-term support. (shrink)

Background Supporting physicians in Intensive Care Units s as they face dying patients at unprecedented levels due to the COVID-19 pandemic is critical. Amidst a dearth of such data and guided by evidence that nurses in ICUs experience personal, professional and existential issues in similar conditions, a systematic scoping review is proposed to evaluate prevailing accounts of physicians facing dying patients in ICUs through the lens of Personhood. Such data would enhance understanding and guide the provision of better support for (...) ICU physicians. Methods An SSR adopts the Systematic Evidenced Based Approach to map prevailing accounts of caring for dying patients in ICUs. To enhance the transparency and reproducibility of this process, concurrent and independent use of tabulated summaries, thematic analysis and directed content analysis is adopted. Results Eight thousand three hundred fifty-eight abstracts were reviewed from four databases, 474 full-text articles were evaluated, 58 articles were included, and the Split Approach revealed six categories/themes centered around the Innate, Individual, Relational and Societal Rings of Personhood, conflicts in providing end of life care and coping mechanisms employed. Conclusion This SSR suggests that caring for dying patients in ICU impacts how physicians view their personhood. To resolve conflicts within individual concepts of personhood, physicians use prioritization, reframing and rely on accessible, personalized support from colleagues to steer coping strategies. An adapted form of the Ring Theory of Personhood is proposed to direct timely personalized, appropriate and holistic support. (shrink)

성리학의 이기론을 체계화한 16세기 학자 율곡 이이 의 생애와 사상, 학문을 살핀 저서.

Both Carnap and Quine made significant contributions to the philosophy of mathematics despite their diversed views. Carnap endorsed the dichotomy between analytic and synthetic knowledge and classified certain mathematical questions as internal questions appealing to logic and convention. On the contrary, Quine was opposed to the analytic-synthetic distinction and promoted a holistic view of scientific inquiry. The purpose of this paper is to argue that in light of the recent advancement of experimental mathematics such as Monte Carlo simulations, limiting mathematical (...) inquiry to the domain of logic is unjustified. Robustness studies implemented in Monte Carlo Studies demonstrate that mathematics is on par with other experimental-based sciences. (shrink)

The main purpose of this paper is to show that under globalization many traditional concepts are no longer acceptable, and may be preconceived. In Vietnam, the system of values Jriend-enemy, success-failure, chance-risk, endogenous-exotic has somehow changed in globalization. Globalization in se marks a new trend, a new change for humankind. A considerable difference in the consumption of goods exists between population strata. The "world of things" owned by the poor has become distant from that owned by the rich to such (...) an extent that no dialogue is possible. But the difference in the consumption of cultural values has to merit concern. This paper displays these value changes in Vietnam in the process of globalization: (a) the value of studiousness and the emphasis on education does not decline, but deviates; (b) the value of "diligence" tends to increase; (c) The value of family and community" tends to diminish. The process of globalization can only be understood in the context of the search for new values, and a critique of globalization is possible if one investigates the very root of the human search for new values: values are values only when they still generate their contributions to solving human problems. (shrink)

The main purpose of this paper is to show that under globalization many traditional concepts are no longer acceptable, and may be preconceived. In Vietnam, the system of values Jriend-enemy, success-failure, chance-risk, endogenous-exotic has somehow changed in globalization. Globalization in se marks a new trend, a new change for humankind. A considerable difference in the consumption of goods exists between population strata. The "world of things" owned by the poor has become distant from that owned by the rich to such (...) an extent that no dialogue is possible. But the difference in the consumption of cultural values has to merit concern. This paper displays these value changes in Vietnam in the process of globalization: (a) the value of studiousness and the emphasis on education does not decline, but deviates; (b) the value of "diligence" tends to increase; (c) The value of family and community" tends to diminish. The process of globalization can only be understood in the context of the search for new values, and a critique of globalization is possible if one investigates the very root of the human search for new values: values are values only when they still generate their contributions to solving human problems. (shrink)

Metacognitive training (MCT) was developed to promote awareness of reasoning biases among patients with schizophrenia. While MCT has been translated into 31 languages, most MCT studies were conducted in Europe, including newer evidence recommending an individualized approach of delivery. As reasoning biases covered in MCT are separable processes and are associated with different symptoms, testing the effect of selected MCT modules would help to develop a targeted and cost-effective intervention for specific symptoms and associated mechanisms. This study tested the efficacy (...) of a 4-session metacognitive training for delusions, MCTd (in Traditional Chinese with cultural adaptations, provided individually), as an adjunct to antipsychotics in reducing severity and conviction of delusions, jumping to conclusions bias and belief inflexibility. Forty-four patients with delusions were randomized into the MCTd or the wait-list control condition. Patients on wait-list received the same MCTd after four weeks of treatment as usual. Assessment interviews took place before and after the treatment, and at 4-week follow-up. There was an additional baseline assessment for the controls. Jumping to conclusions and belief flexibility were measured by the beads tasks and the Maudsley Assessment of Delusions Scale. Attendance rate of the MCTd was satisfactory (84.5%). Compared to treatment as usual, there was a greater reduction in psychotic symptoms, delusional severity and conviction following MCTd. There was a large treatment effect size in improvement in belief flexibility. Improvement in reaction to hypothetical contradiction predicted treatment effect in positive symptoms and delusions. Jumping to conclusions bias was reduced following MCTd, although the treatment effect was not significantly larger than TAU. Our results support the use of process-based interventions that target psychological mechanisms underlying specific psychotic symptoms as adjuncts to more conventional approach. (shrink)

This book is a crystallization of author Chong Ho Yu's contemplation on the meaning of quantitative methods from the perspectives of history and the philosophy of science. Emphasizing the importance of a data analyst 'always knowing where the numbers come from,' Yu broadens the search to include a gamut of questions exploring the foundations of quantitative research. This informative book is written for readers with an intermediate knowledge of statistics and philosophy.

The problem of cultural environment is not new, but the use of the theory on cultural environment is clearly a new approach to the consideration of familiar questions. That is the problem, is it true that the context has become such that man, as an individual, is becoming increasingly smaller, weaker, more tightly defined and restrained, in a society which is steadily developing in the direction of becoming multi-dimensional and ambiguous with its “logic of imposition”? As for the cultural environment, (...) is it true that the part in it where man has no right to choose, the part which he is compelled to adapt to, will grow bigger and bigger than the part each individual, each community can create, build, and amend? More concretely, is it true that the European rationalist and anthropological culture has become too “classical” and “secular,” now getting replaced by a “fast-food culture” or “stewing-pot culture”? Or is it only a “superficial choice” of globalization times? Is the present philosophy too weak, leaving society to the mercy of less-than-clairvoyant logics of life, in which “such environment, such man” is only one of many behavioral logics which are not too bad in modern social relation? Or has the role of philosophy itself changed - the “Flat world” philosophy now deprived of the responsibility to control, regulate, and, as necessary, determine the context, as it was in the past? Base upon reliable qualitative and quantitative datas, thepaper prover that: 1. If natural environment is the regrouping of factors outside the social-human system making conditions necessary for this system to exist and develop, then cultural environment is regrouping of factors inside the social-human system making sufficient conditions for each subsystem of this system to identify itself and progress. 2. Never in the past has the cultural environment in Vietnam been so rich and varied, so dynamic and positive, so encouraging and attractive, with so many opportunities and challenges as is now the case. The degree of richness and diversity, the dynamic and active rhythm of Vietnam’s cultural environment are now enough to foster good ideas and stimulate discovery and creation. But on the flip side, there are still many challenges andattractions, so hopefully every individual, family, and community will become vigilant before the risk of losing the way or making a mistake. (shrink)

On aesthetics intelligence of Hanoi people in Vietnam.

As a domain of philosophical enquiry that examines what it means to be, existentialism is a moral project that is centered on the self. While a few have applied the precepts of existentialism to the philosophical implications of homicide offenders, one question that has been overlooked in previous literature is 'what is the offspring attempting to do by killing his/her parent(s)'? Using historical work on nineteenth century parricides in America, this paper examines parricide as an identity project.

PurposeThis study aims to describe the adverse events following immunization of SARS-CoV-2 vaccination in cancer patients/survivors associated with their psychological distress.MethodsA cross-sectional study was conducted to assess AEFIs after the receipt of SARS-CoV-2 vaccines in cancer patients/survivors attending a university hospital in Malaysia. Psychological distress was measured using the Hospital Anxiety and Depression Scale before and after the first and second doses of COVID-19 vaccine.ResultsA total of 217 complete responses were received. Compared with before vaccination, both HADS Anxiety and HADS (...) Depression scores were significantly reduced after the first and second dose of the SARS-CoV-2 vaccine. Most of the participants had mild-or-moderate systemic and local AEFIs, with the most common being pain at the injection site, tiredness, and headache for both the first and second doses of the vaccine. Positive correlations between the total AEFI score and HADS-A and HADS-D scores were observed after the first dose of the SARS-CoV-2 vaccine. Similarly, positive associations were observed between the total AEFI score and HADS-A and HADS-D scores after the second dose of the SARS-CoV-2 vaccine.ConclusionMild-to-moderate AEFIs found in this study help address vaccine hesitancy in cancer patients/survivors. Receiving the SARS-CoV-2 vaccine had a positive effect on decreasing psychological distress in cancer patients/survivors. High severity of an AEFI was associated with higher anxiety and depressive symptoms. (shrink)

Background Residual dried blood spots (rDBS) from newborn screening programmes represent a valuable resource for medical research, from basic sciences, through clinical to public health. In Hong Kong, there is no legislation for biobanking. Parents’ view on the retention and use of residual newborn blood samples could be cultural-specific and is important to consider for biobanking of rDBS. Objective To study the views and concerns on long-term storage and secondary use of rDBS from newborn screening programmes among Hong Kong Chinese (...) parents. Methods A mixed-method approach was used to study the views and concerns on long-term storage and secondary use of rDBS from newborn screening programmes among Hong Kong Chinese parents of children 0–3 years or expecting parents through focus groups (8 groups; 33 participants) and a survey (n = 1012, 85% mothers) designed with insights obtained from the focus groups. We used framework analysis to summarise the themes as supportive factors, concerns and critical arguments for retention and secondary use of rDBS from focus group discussion. We used multiple logistic regression to assess factors associated with support for retention and secondary use of rDBS in the survey. Results Both in focus groups and survey, majority of parents were not aware of the potential secondary use of rDBS. Overall secondary use of rDBS in medical research was well accepted by a large proportion of Hong Kong parents, even if all potential future research could not be specified in a broad consent. However parents were concerned about potential risks of biobanking rDBS including leaking of data and mis-use of genetic information. Parents wanted to be asked for permission before rDBS are stored and mainly did not accept an “opt-out” approach. The survey showed that parents born in mainland China, compared to Hong Kong born parents, had lower awareness of newborn screening but higher support in biobanking rDBS. Higher education was associated with support in rDBS biobanking only among fathers. Conclusion Long-term storage and secondary use of rDBS from newborn screening for biomedical research and a broad consent for biobanking of rDBS are generally acceptable to Hong Kong parents given their autonomy is respected and their privacy is protected, highlighting the importance of an accountable governance and a transparent access policy for rDBS biobanks. (shrink)

The coronavirus disease pandemic fundamentally disrupted humans’ social life and behavior. Public health measures may have inadvertently impacted how people care for each other. This study investigated prosocial behavior, its association well-being, and predictors of prosocial behavior during the first COVID-19 pandemic lockdown and sought to understand whether region-specific differences exist. Participants from eight regions clustering multiple countries around the world responded to a cross-sectional online-survey investigating the psychological consequences of the first upsurge of lockdowns in spring 2020. Prosocial behavior (...) was reported to occur frequently. Multiple regression analyses showed that prosocial behavior was associated with better well-being consistently across regions. With regard to predictors of prosocial behavior, high levels of perceived social support were most strongly associated with prosocial behavior, followed by high levels of perceived stress, positive affect and psychological flexibility. Sociodemographic and psychosocial predictors of prosocial behavior were similar across regions. (shrink)

Background Care homes have been disproportionately affected during the COVID-19 pandemic. Practical challenges of enacting infection control measures in care home settings have been widely reported, but little is known about the ethical concerns of care home staff during the implementation of such measures.. Objectives To understand the ethical challenges perceived by care home staff during the early months of the COVID-19 pandemic. Research design An exploratory qualitative study. Participants and research context A purposive sample of 15 care home staff (...) in different roles and ranks in Hong Kong was recruited to take part in semi-structured interviews between June and August 2020. Ethical considerations Ethical approval for this study was obtained. Participation was voluntary and anonymous. Participants had the right to withdraw from the study at any time without reprisal. Findings Three themes were identified: unclear legitimacy regarding infection control measures, limited autonomy in choices over infection control measures and inevitable harms to residents’ well-being. While the participants expected that they would have legitimated power to implement infection control measures, they were resistant when their right to self-determination of testing and vaccination was infringed. They also felt trapped between ethical duties to protect care home residents from infection risk and the anticipated detrimental effects of infection control measures. Conclusions The findings of this study reveal tensions among the ethical obligations of care home staff in response to a public health emergency. They highlight the importance of strengthening ethical sensitivity and ethical leadership in identifying and resolving the challenges of pandemic responses. (shrink)

Parce que toute justification du pouvoir politique échoue si elle ne présuppose pas l'existence d'un droit supra-positif, et parce que la juridicité des droits de l'homme exige la médiation du droit positif de l'État, la réflexion philosophique doit savoir, tout ensemble, en appeler à l'idée indifférenciée et abstraite des droits de l'homme et en rejeter une conception qui serait purement européocentriste. Cette double exigence est nécessaire si l'on veut retrouver la véritable signification des « droits de l'homme » : celle (...) d'un échange transcendantal entre des intérêts diversifiés qui sont constitutifs d'identités particulières.C'est précisement à cette tâche que se consacrent Quentin Skinner, Simone Goyard-Fabre, François Schröter et Jean-Christophe Merle en contribuant à la redéfinition des concepts du droit et des droits et c'est elle que poursuivent Benezet Bujo, Jean-Yves Goffi, Otfried Höffe, Pierre Laberge, Terry Pinkard, Gehrard Seel et Lucas Sosoe en questionnant les rapports entre « universalisme juridique » et « relativisme culturel ». (shrink)

1. Yŏn'gyŏngjae Sŏng Hae-ŭng. "Yŏn'gyŏngjae chŏnjip", innŭn sasil ŭl kŭdaero kirok hada -- 2. P'ungsŏk Sŏ Yu-gu. "Imwŏn kyŏngjeji", hŭlkuk kwa chongittŏk in hangmun ŭn anŭrira -- 3. Oju Yi Kyu-gyŏng. "Ojuyŏn munjang chŏnsan'go", pakhak kwa kojŭnghak ŭro modŭn kŏt ŭl pyŏnjŭng hara -- 4. Tasan Chŏng Yag-yong. "Mongmin simsŏ", sidae rŭl ap'ahago paeksŏngdŭl ŭi pich'am han sam e punno haeya handa -- 5. Ch'ujae Cho Su-sam. "Ch'ujae chip", nara ka mangharyŏmyŏn pandŭsi yomul i naonda -- 6. Nakhasaeng Yi (...) Hak-kyu. "Yŏngnam akpu", mal hanŭn cha nŭn choe ka ŏpta -- 7. Kuhwajae Hong Sŏng-mo. "Tongguk sesigi", sot e kadŭkhan kuk ŭl han sutkal ro mat poda -- 8. Hosan Cho Hŭi-ryong. "Sŏgu mangnyŏllok", hanŭl arae kajang t'ongk'wae han il ida -- 9. Sŏp'a Yu Hŭi. "Munt'ong", ilsaeng ŭl nŭl sibi sok esŏ saranne -- 10. Hyegang Ch'oe Han-gi. "Kihak", taedong ilt'ong ŭi isang segye rŭl kuhyŏn hada -- 11. Kosanja Kim Chŏng-ho. "Taedong yŏjido", chido ro ch'ŏnha ŭi hyŏngse rŭl salp'il su itta -- 12. Paegun Sim Tae-yun. "Pongni chŏnsŏ", mani ilgŭlsurok pongni ka tŏuk manajinda -- 13. Suun Ch'oe Che-u. "Tonggyŏng taejŏn", hangmun ŭro marhajamyŏn 'tonghak' irago haeya handa -- 14. Tongmu Yi Che-ma. "Kyŏkch'igo", i ch'aek i ch'ŏllima ka toeji ank'ennŭn'ga? (shrink)

Los ensayos de Otfried Hffe reunidos en El proyecto politico de la modernidad giran en torno a temas fundamentales de la etica, la filosofia politica, la filosofia del derecho y la antropologia filosofica, que se encuentran en el centro del debate contemporaneo. Las reflexiones desarrolladas a lo largo de los trabajos se inscriben en un dialogo productivo y continuo tanto con Aristoteles como con Kant. Asi, analiza si la etica aristotelica es una filosofia practica o un arte de vivir y (...) comprende la filosofia practica kantiana como capaz de ofrecer un parametro normativo no etnocentrico, multicultural, capaz de elucidar el estado del derecho y la democracia en el mundo globalizado actual. (shrink)

Las teorías de la pena se ocupan del cuestionamiento acerca de si la pena criminal puede ser justificada. Castigar estatalmente significa una carga considerable tanto para el autor que es sancionado como para la generalidad, los cuales deben asumir los costos. Su justificación requiere de una fundamentación cuidadosa que considere del mismo modo los intereses de las víctimas y de la generalidad, y que tenga en cuenta la necesidad de legitimación frente a los castigados.

Resumen: Los profesores universitarios ocupamos mucho tiempo en ofrecer retroalimentación oral o escrita a los trabajos de los estudiantes. Sin embargo, una de las preocupaciones que surge es saber qué hacen los estudiantes con dichas sugerencias ¿Las siguen? ¿Las omiten? El objetivo de esta investigación es presentar los resultados del análisis de las acciones ejecutadas por estudiantes universitarios a partir de los 434 comentarios escritos ofrecidos por dos profesores guías a un total de 6 borradores durante el desarrollo de una (...) investigación final de grado. Para ello, adaptamos la taxonomía de Faigley y Witte para analizar las acciones realizadas por escritores a partir de la retroalimentación recibida. Analizamos, a partir del texto terminado, las acciones realizadas por los estudiantes en términos de adopción, no adopción o supresión de las sugerencias ofrecidas para mejorar el escrito. Los resultados demuestran que los estudiantes adoptan prácticamente todas las sugerencias ofrecidas. Básicamente lo que más hacen es consolidar y sustituir en el escrito. Asimismo se reporta que existe alguna relación entre la manera como se ofrecen los comentarios y las acciones que realizan los escritores. Si bien se trata de un estudio de caso, es interesante notar una cierta relación entre la oferta de órdenes y la adición, y entre preguntas con reformulaciones en el escrito.: We, university teachers, invest most of our time in offering written or oral feedback to the student’s assignments. However, one of the issues is to know what students do with these comments. Do they follow them? Do they omit them? The aim of this research is to present the results of the analysis carried out about the actions that students perform based on 434 written comments provided by 2 supervisors teachers in total of 2 drafts produced in the development of the final undergraduate research. To analyze the actions carried out by the writers from the feedback received, Faigley and Witte taxonomy was adapted. These actions were analyzed in terms of adoption, non adoption or suppression of the suggestions offered to improve the text. The results show that students adopt almost all the suggestions offered. Basically, what they do the most is to consolidate and substitute. Likewise, it is possible to report that there is a relation between the way comments are offered and the actions the writers carry out. While, this is a case study, it is interesting to notice a certain relation between offering order and the text addition and questions with the text modifications. (shrink)