BackgroundMeasuring the outcomes of palliative care plays an important role to improve the quality, efficiency, and availability of these services in patients with cancer. Using valid, reliable, and culturally appropriate tools has a considerable role to measure these outcomes. This study aimed to assess the psychometric properties of the translated version of the Palliative care Outcome Scale.MethodsThis methodological study was conducted in two outpatient clinics related to Shohada Tajrish and Baqiyatallah hospitals in Tehran in 2019–2020. The translation was done using (...) the Forward-Backward approach after gaining permission from the developer. Face validity was tested with 10 patients with cancer through cognitive interviewing, as well as content validity with four experts. Construct validity was performed by exploratory factor analysis and confirmation. To assess the reliability, internal consistency was assessed by using Cronbach's alpha coefficient, and relative stability was assessed using the interclass correlation coefficient. Furthermore, interpretability and ceiling and floor effects were assessed.ResultsA total of 353 patients with cancer under palliative care were included in the study. Then, three psychological, physical, and social factors with a cumulative variance of 54.34% were extracted in exploratory factor analysis. Confirmatory factor analysis showed that the model has a good fit of information. Cronbach's alpha coefficient for scale was 0.719. Furthermore, the ICC was 0.812. The scale was interpretable, and ceiling and floor effects were 0%.ConclusionPersian version of the POS was evaluated as a valid and reliable tool. Therefore, it can be used by the clinician to monitor the consequences of palliative care in Iranian cancer patients. (shrink)

In the chapter “Information and Content” of their Impossible Worlds, Berto and Jago provide us with a semantic account of information in deductive reasoning such that we have an explanation for why some, but not all, logical deductions are informative. The framework Berto and Jago choose to make sense of the above-mentioned idea is a semantic interpretation of Sequent Calculus rules of inference for classical logic. I shall argue that although Berto and Jago’s idea and framework are hopeful, their definitions (...) do not capture what is intended. This is so because the definitions are solely based on the logical complexity of an argument and they fail to capture the richness of the non- logical content of that argument. Then I will suggest some amendments to address this problem. Finally, I will extend the application of the definitions to first-order logic. It shall be observed that in some classical deductions, applying contraction may lead to hiding some epistemic impossibilities. This happens when formulae which contribute different propositions to the proof get contracted at the quantified level. (shrink)

Therapeutic landscapes encapsulate healing and recovery notions in natural and built environmental settings. Tourists’ perceptions determine their decision making of health and wellness tourism consumption. Researchers struggle with the conceptualization of the term ‘therapeutic landscapes’ across disciplines. Drawing on extant literature searched in nine databases, this scoping review identifies different dimensions of therapeutic landscapes. Out of identified 178 literature sources, 124 met the inclusion criteria of identified keywords. We review the contribution and the potential of environmental psychology in understanding tourist (...) behavior to promote health and wellness tourism destinations in a post COVID-19 context. We develop and propose a conceptual framework comprising: perceived goodness of therapeutic landscapes, health and wellness consumption, COVID-19 pandemic perceived health and wellness risk, place attachment, and re-visitation. We propose measurement scales and discuss implications and major issues in the immediate and post the COVID-19 pandemic to inform future research. (shrink)

This is a contribution to the idea that some proofs in first-order logic are synthetic. Syntheticity is understood here in its classical geometrical sense. Starting from Jaakko Hintikka’s original idea and Allen Hazen’s insights, this paper develops a method to define the ‘graphical form’ of formulae in monadic and dyadic fraction of first-order logic. Then a synthetic inferential step in Natural Deduction is defined. A proof is defined as synthetic if it includes at least one synthetic inferential step. Finally, it (...) will be shown that the proposed definition is not sensitive to different ways of driving the same conclusion from the same assumptions. (shrink)

Several novel approaches have been proposed to resolve the problem of time by relating it to change. We argue using quantum information theory that the Hamiltonian constraint in quantum gravity cannot probe change, so it cannot be used to obtain a meaningful notion of time. This is due to the absence of quantum Fisher information with respect to the quantum Hamiltonian of a time-reparametization invariant system. We also observe that the inability of this Hamiltonian to probe change can be related (...) to its inability to discriminate between states of such a system. However, if the time-reparametization symmetry is spontaneously broken due to the formation of quantum cosmological time crystals, these problems can be resolved, and it is possible for time to emerge in quantum gravity. (shrink)

AbstractIslam's Quantum Question by Nidhal Guessoum offers a sophisticated approach to reconciling the results of modern science with Islamic tradition. The book provides a valuable critique of existing literature on Islam and science and advocates the promotion of good science and science education in the Muslim world. A central tension in the book revolves around Guessoum's efforts to promote a version of theistic science, while at the same establishing a clear boundary for science and scientific methodology. Although the latter works (...) very well, the project of theistic science presented in the book is, at the very least, contentious. However, Islam's Quantum Question is a milestone in the literature on Islam and science and should be valuable for anyone interested in the search for meaning in both science and religion. (shrink)

In this paper, the covariance control algorithm for nonlinear stochastic systems using covariance feedback is studied. Covariance control of nonlinear systems scenario involves the theory of covariance control based on the idea of the covariance feedback. Therefore, the proposed covariance control algorithm is derived for our case, firstly by applying the covariance control method and linear approximation of nonlinear systems, and then it is achieved by adopting this method for a class of nonlinear stochastic systems by using feedback linearization idea (...) and a covariance feedback controller. The effectiveness of the proposed covariance feedback algorithm is studied using numerous simulations concerning different nonlinear case studies. (shrink)

This paper draws on the mystical thought of Ibn al-‘Arabī (d. 1240) in order to explicate Plato’s account of the relationship between intelligible Forms and sensible objects. The author considers attempts by scholars to solve the difficulties that are inherent in the relationship between sensible objects and their essences—difficulties raised in the Parmenides—by reference to the notion of “immanent characters” of the Phaedo. He examines Ibn al-‘Arabī’s notion of “Specific Faces,” which in the author’s opinion correspond to Plato’s immanent characters. (...) Comparing Ibn al-‘Arabī’s thought with Plato’s reflections on the theory of Forms in the Republic and the Symposium, the author reaches the conclusion that the notion of immanent characters or Specific Faces cannot be offered as a rational account of the relationship between sensible objects and their essences. (shrink)

This thesis is about how deduction is analytic and, at the same time, informative. In the first two chapters I am after the question of the justification of deduction. This justification is circular in the sense that to explain how deduction works we use some basic deductive rules. However, this circularity is not trivial as not every rule can be justified circularly. Moreover, deductive rules may not need suasive justification because they are not ampliative. Deduction preserves meaning, that is, the (...) meaning of non-logical vocabulary of any theory which is developed by deductive reasoning remains unchanged. It means that deduction adds no information to what we already had in our premises. This is why deduction is analytic. -/- However, there are many ways deduction can be informative. In the next three chapters, I will pick a specific kind of deductive reasoning, namely arithmetical reasoning, and will attempt to understand the nature of information we obtain by this kind of reasoning. There is a difference between simple deductive moves such as inferring `Socrates is mortal' from `All human are mortal' and `Socrates is human', and inferring that a relation is reflexive given that it is directed, symmetric and transitive. The latter is more complicated and not as easy to prove as the former. Therefore it is informative and the proof we construct to prove it puts us in an epistemic position that we were not in before having the proof. To be more specific, I show that concepts we need to confirm the conclusion are made in the process of proving the conclusion. (shrink)

The novel coronavirus is an infectious disease that spread across the world, bringing with it serious mental health problems for men and women. Women in Pakistan are infected with COVID-19 at a much lower rate than men, yet report worse mental health. To explain this paradox, we surveyed 190 participants shortly following the country lockdown, focusing on perceptions of the COVID-19 impact and positive adjustment. Measures used in this study included the Warwick-Edinburgh Mental Well-being Scale and Distress Tolerance Scale. Factor (...) analysis revealed five distinct areas related to COVID-19, which did not differ by sex. However, men reported higher levels of both distress tolerance and well-being than women. High endorsement of actions to protect against COVID-19 was related to lower distress tolerance scores, but in different ways for men and women. Men, but not women, who endorsed more protective measures to stop the pandemic reported higher DTS absorption scores, and therefore being more consumed by distress; women who endorsed more protective measures to stop the pandemic reported less acceptance of distress than men, as reflected in DTS appraisal scores. An in-depth analysis of women’s beliefs and behaviors related to COVID-19 is warranted to understand why Pakistani women who are infected with COVID-19 at lower rates than men show more mental health symptoms. (shrink)

This book explores how Iban al-'Arabi (1165-1240) used the concept of barzakh (the Limit) to deal with the philosophical problem of the relationship between God ...

Offers a new interpretation of medieval Islamic philosophy, one informed by Platonic mysticism.

The article attempts to define the change ; explores the reasons behind the resistance to change; to analyse the typology, the advantages and disadvantages of comprehensive and partial changes, and the methodologies of its enforcement. Moreover, it shows that the state bureaucracy almost in all societies enjoys a leading role in planning, supervision, coordination and even in the execution of developmental change processes. It tresspasses all existing institutions, groups and individuals in power, organization, legal and financial weapons, freedom of choices (...) and maneuverability.In searching for a convenient methodology of change in the developing societies; the article stresses that since these societies entirely differ in their material and human resources ; politica! stability ; standards ofhealth and education ; and above all in their mentality and emotional reactions, the determination of whichever change - immediate or incremental - to be followed, would certainly be out of question.However, incremental partial change may seem to be more practicable in the majority of these states. (shrink)

Medical professionals providing humanitarian aid in times of crisis face complicated ethical and clinical challenges. Today, humanitarian aid is given in accordance with existing guidelines developed by international humanitarian organizations and defined by international law. This paper considers the ethical aspects and frameworks of an atypical humanitarian project, namely one that provides medical support through an Israeli civilian hospital to Syrian Civil War casualties. We explore new ethical questions in this unique situation that pose a serious challenge for the medical (...) community and conventional ethical norms, a challenge Israeli medical staff meet on a daily basis. Before discussing the ethical challenges, we give a description of the project and its unique status. (shrink)

Arrogance as a specific constellation of affect, fantasy, and behavior has received little attention in psychoanalysis. This is striking in light of the enormous amount of literature accumulated on the related phenomenon of narcissism. Rectifying this omission, the book in your hands addresses arrogance from multiple perspectives. Among the vantage points employed are psychoanalysis, evolutionary psychology, cross-cultural anthropology, fiction, as well as clinical work with children and adults. The result is a harmonious gestalt of insight that is bound to enhance (...) the clinician's attunement to the covert anguish of those afflicted with arrogance. (shrink)

The contributors to the book discuss the depth-psychological concepts of amae and wa, the Ajase complex, and the filial piety complex, underscoring the ...

Background: The castor bean is a large grassy or semi-wooden shrub or small tree. Any part of the castor plant parts can suffering from a disease that weakens the ability to grow and eliminates its production. Therefore, in this paper will identify the pests and diseases present in castor culture and detect the symptoms in each disease. Also images is showing the symptom form in this disease. Objectives: The main objective of this expert system is to obtain appropriate diagnosis of (...) the disease. Methods: In this paper, the expert system is designed for the ability of agricultural engineers to detect and diagnose disease of castor like as: seeding blight, alternaria blight, cercospora leaf spot, powdery mildew and wilt. This system presents the disease symptoms, survival and spread, favorable conditions and image for each disease. Clips and Delphi expert system languages are used for designing and implementing the proposed expert system. Results: The expert system in the diagnosis of castor diseases was assessed by farmers and agricultural engineers and they were satisfied and accepted with its quality of performance. Conclusions: The expert system is easy for farmers and people have experience in the plant of castor to detect and diagnosis the symptoms that may face this plant from several disease. (shrink)

203 surveys were considered complete and were included in the analysis. Written consent was not used by nearly 40% of the researchers.

Well-known for his contribution to the juristic world, Professor Ronald Dworkin was an outstanding legal philosopher of his generation. This volume celebrates the thoughts of Ronald Dworkin on dignity. The contributors have critically engaged with different perspectives of Dworkin's thoughts on dignity. The aim is to shed light on juridical and moral contemporary conundrums such as the role of dignity in constitutional contexts in India, and the understanding of dignity as either a foundation of human rights or as a supra (...) value that illuminates other values and rights. (shrink)

In India, judicial review is not a static phenomenon. It has ensured that the Constitution is the supreme law of the land, and in situations when a law impinges on the rights and the liberties of citizens, it can be pruned or made void. This is a collection of scholarly essays demonstrating the different facets of judicial review based on the vast area of comparative constitutional law. Importantly, it honours the body of work of Upendra Baxi, legal scholar and author, (...) whose contributions have shaped our understanding of legal jurisprudence and expanded the scope of social transformation in India. This volume recognizes his role as an Indian jurist. Various constitutional law experts come together to reflect on his expositions on the role of the apex court, judicial activism, accountability of judiciary, laws on surrogacy and adultery and so on. (shrink)

Visual cryptography is a cryptographic technique that allows visual information to be encrypted so that the human optical system can perform the decryption without any cryptographic computation. The halftone visual cryptography scheme (HVCS) is a type of visual cryptography (VC) that encodes the secret image into halftone images to produce secure and meaningful shares. However, the HVC scheme has many unsolved problems, such as pixel expansion, low contrast, cross-interference problem, and difficulty in managing share images. This article aims to enhance (...) the visual quality and avoid the problems of cross-interference and pixel expansion of the share images. It introduces a novel optimization of color halftone visual cryptography (OCHVC) scheme by using two proposed techniques: hash codebook and construction techniques. The new techniques distribute the information pixels of a secret image into a halftone cover image randomly based on a bat optimization algorithm. The results show that these techniques have enhanced security levels and make the proposed OCHVC scheme more robust against different attacks. The OCHVC scheme achieves mean squared error (MSE) of 95.0%, peak signal-to-noise ratio (PSNR) of 28.3%, normalized cross correlation (NCC) of 99.4%, and universal quality index (UQI) of 99.3% on average for the six shares. Subsequently, the experiment results based on image quality metrics show improvement in size, visual quality, and security for retrieved secret images and meaningful share images of the OCHVC scheme. Comparing the proposed OCHVC with some related works shows that the OCHVC scheme is more effective and secure. (shrink)

ABSTRACT Introduction: Informed consent has been recognized as an important component of research protocols and procedures of disclosure and consent in collaborative research have been criticized, as they may not be in keeping with cultural norms of developing countries. This study, which is part of a larger project funded by the United States National Bioethics Advisory Commission, explores the opinions of developing country researchers regarding informed consent in collaborative research. Methods: A survey of developing country researchers, involved in human subject (...) research, was conducted by distributing a questionnaire with 169 questions, which included questions relating to informed consent. In addition, six focus group discussions, eight in‐depth interviews and 78 responses to open‐ended questions in the questionnaire provided qualitative data. Results: 203 surveys were considered complete and were included in the analysis. Written consent was not used by nearly 40% of the researchers in their most recent studies. A large proportion of respondents recommended that human subject regulations should allow more flexibility in ways of documenting informed consent. 84% of researchers agreed that a mechanism to measure understanding should be incorporated in research studies as part of the process of informed consent. Discussion: This paper is an empirical step in highlighting the ethical issues concerning disclosure. Health researchers in developing countries are well aware of the importance of consent in health research, and equally value the significance of educating human subjects regarding study protocols and associated risks and benefits. However, respondents emphasize the need for modifying ethical regulations in collaborative research. (shrink)

The number of edges in a shortest walk from one vertex to another vertex of a connected graph G is known as the distance between them. For a vertex x and an edge e = a b in G, the minimum number from distances of x with a and b is said to be the distance between x and e. A vertex x is said to distinguish two distinct edges e 1 and e 2 if the distance between x and (...) e 1 is different from the distance between x and e 2. A set X of vertices in a connected graph G is an edge metric generator for G if every two edges of G are distinguished by some vertex in X. The number of vertices in such a smallest set X is known as the edge metric dimension of G. In this article, we solve the edge metric dimension problem for certain classes of planar graphs. (shrink)

Spam electronic mails (emails) refer to harmful and unwanted commercial emails sent to corporate bodies or individuals to cause harm. Even though such mails are often used for advertising services and products, they sometimes contain links to malware or phishing hosting websites through which private information can be stolen. This study shows how the adaptive intelligent learning approach, based on the visual anti-spam model for multi-natural language, can be used to detect abnormal situations effectively. The application of this approach is (...) for spam filtering. With adaptive intelligent learning, high performance is achieved alongside a low false detection rate. There are three main phases through which the approach functions intelligently to ascertain if an email is legitimate based on the knowledge that has been gathered previously during the course of training. The proposed approach includes two models to identify the phishing emails. The first model has proposed to identify the type of the language. New trainable model based on Naive Bayes classifier has also been proposed. The proposed model is trained on three types of languages (Arabic, English and Chinese) and the trained model has used to identify the language type and use the label for the next model. The second model has been built by using two classes (phishing and normal email for each language) as a training data. The second trained model (Naive Bayes classifier) has been applied to identify the phishing emails as a final decision for the proposed approach. The proposed strategy is implemented using the Java environments and JADE agent platform. The testing of the performance of the AIA learning model involved the use of a dataset that is made up of 2,000 emails, and the results proved the efficiency of the model in accurately detecting and filtering a wide range of spam emails. The results of our study suggest that the Naive Bayes classifier performed ideally when tested on a database that has the biggest estimate (having a general accuracy of 98.4%, false positive rate of 0.08%, and false negative rate of 2.90%). This indicates that our Naive Bayes classifier algorithm will work viably on the off chance, connected to a real-world database, which is more common but not the largest. (shrink)

Value Co-Creation plays a major role in engaging knowledgeable individuals in a community via innovation, problem solving, and new service/product development. This study investigates the personal factors that influence individuals’ engagement in value co-creation in Higher Education Institutions through the use of online platforms. Some higher education institutions have successfully established or used appropriate online platforms, such as online forums, web applications, and mobile applications to engage their community in ideation or crowdsourcing as a part of the value co-creation process. (...) On the other hand, some HEIs have failed to engage their community in value co-creation activities, and even if they managed to engage some individuals in value co-creation once, they failed to sustain these individuals’ engagement in value co-creation using online platforms. Using the Stimulus Organism Response framework, this study examines the relationship between relevant personal factors and other motivational factors that provide perceived benefits with value co-creation engagement. Data was collected from 308 respondents at five Malaysian research universities. The software analysis tool Smart PLS is used for data analysis and validation. The results demonstrate that personal factors and perceived benefits as a motivational factor has a significant effect on individual engagement in value co-creation. However, the significance of these findings varies from one individual to another. The implications of these findings are discussed. (shrink)

The existing research aims to seek the herding effects on stock returns at the industry level in Pakistan Stock Exchange. Moreover, the relationship between stock returns and herding has been studied by taking some macroeconomic and fundamental control variables. Herding is actually imitating other’s behaviour. This phenomenon indicates a situation where the investors follow the crowed and ignores their personal information, despite knowing the correctness of their information. Herd behaviour may drive from fundamental factors leading to efficient markets. However, it (...) may not be associated with fundamental information causing unstable prices. The stock price data of PSX listed companies from 1999 to 2017 have been the point of focus. The underlying herding measure was the cross-sectional absolute deviation, proposed by Chang et al.. The significant analysis technique facilitating the current research is pooled mean group /panel autoregressive distributed lag approach. Findings revealed that some sectors are evident for positive effect of herding on stock returns, whereas some others are witnessed for its negative effects on stock returns, in both long run and short run. As far as the control variables are concerned, they demonstrated both significant and insignificant effects on stock returns in different sectors of PSX. The study has important implications for policymakers. (shrink)

In this paper, we present an approach to collaborative multi-disciplinary teaching as a method of integrating ethical reasoning into an applied science curriculum. Bringing together two faculty—one from computer engineering and one from science, technology, and society—to co-teach a two-semester upper-level sequence on holistic problem solving focused on “privacy in a connected world,” we model ethical reasoning as a habit of mind. We argue that this practice of modeling through multi-disciplinary teaching demonstrates for students that ethical reasoning is an intrinsic (...) part of addressing complex sociotechnical problems. Through such modeling, we guide students toward developing ethical reasoning as a habit of mind that is relevant and important in their technical work. Drawing on analysis of student work, we show the evolution of two student groups across two semesters as they learn how to address and integrate ethics into their analysis of sociotechnical problems and solutions. (shrink)

This article outlines procedures for the feedback of individual research data to participants. This feedback framework was developed in the context of a personalized medicine research project in Canada. Researchers in this domain have an ethical obligation to return individual research results and/or material incidental findings that are clinically significant, valid and actionable to participants. Communication of individual research data must proceed in an ethical and efficient manner. Feedback involves three procedural steps: assessing the health relevance of a finding, re-identifying (...) the affected participant, and communicating the finding. Re-identification requires researchers to break the code in place to protect participant identities. Coding systems replace personal identifiers with a numerical code. Double coding systems provide added privacy protection by separating research data from personal identifying data with a third "linkage" database. A trusted and independent intermediary, the "keyholder", controls access to this linkage database. (shrink)

Acts of violence arising from hatred, racism, and bigotry have no place in a world of civility. The brutal attacks on Muslim worshippers at two mosques in Christchurch, New Zealand, leaving 51 dead and 49 injured, can never be justified. Through adopting Van Dijk's ideological square of 'Us. vs. Them' [3], the present study uncovers the impact statements of the attacks' survivors and victims' families, denouncing the severity of the event and expressing the shattering effects of the attacks on self, (...) society, and humanity at large. Over a period of three days, about 90 people delivered their statements in the High Court in Christchurch. The data were compiled through YouTube videos and news articles that reported the testimonies. The findings showed that the overall discursive strategy used in the impact statements is that of positive self-presentation and negative other-presentation. Such presentations are realized by focusing on the positive aspects of the ingroup members represented by the attacks' survivors, victims' families, and people of New Zealand on the one hand, and the negative characteristics of the out-group members represented by the terrorist, on the other. As the paper sends a strong message for accepting 'otherness' and rejecting antagonism, it is of significance to readers and researchers in inter-faith dialogue, human rights, equality, freedom, and justice. (shrink)

The Walking Dead is a popular TV series depicting a catastrophic and violent world. After a pandemic that turns humans into zombies, we witness the collapse of civilization with all its institutions, the depletion of the resources, and the struggle to build a new world in the middle of the wars between surviving groups. It illustrates a world of literal and metaphorical homo homini lupus. Some people choose sheer survival, and others try to build a moral, civil world. In this (...) article, I propose a reading of this series from a Kantian perspective by employing his interrelated ideas on history, ethics, and politics. I claim that The Walking Dead represents the state of nature and the violence it contains, and illustrates the course of history toward a civil society as defined by Kant. (shrink)

Background There is a need for clearer guidance for pharmacists regarding their responsibilities when selling complementary medicines. A recently published ethical framework provides guidance regarding the specific responsibilities that pharmacists need to meet in order to fulfil their professional obligations and make a positive contribution to health outcomes when selling complementary medicines. Objective Evaluate the acceptability and feasibility of a new ethical framework for the sale of complementary medicines in community pharmacy. Methods Australian community pharmacists were invited to participate in (...) online focus groups and interviews. Participants were recruited via multiple methods, including social media and the professional networks of pharmacy groups. Participants were provided the ethical framework prior to the discussion. Discussions were transcribed verbatim and analysed using thematic analysis. Results Seventeen community pharmacists participated in the study. There was good representation among participants in terms of gender, years of practice, pharmacy location and script volume. Participants differed in how proactive they were in relation to selling and providing advice on complementary medicines, how they interpreted evidence in relation to complementary medicines, and how they navigated their practice within the retail environment of community pharmacy. The majority of participants found the framework was acceptable for practice and was feasible for implementation with targeted support. Participants identified two important areas for targeted support in implementing the framework: improved access to evidence-based information resources on complementary medicines and independent evidence-based education and training on complementary medicine for pharmacists and pharmacy support staff. Conclusion The ethical framework addresses an important gap in providing specific professional guidance to pharmacists when selling complementary medicines. The results of the study suggest that the framework may be acceptable to community pharmacists and be feasible to implement with targeted support. (shrink)