BackgroundOrgan donation following brain death has become an important way of supplying organs for transplantation in many countries. This practice is less common in Iran for different reasons. Therefore, this study aims to explore the obstacles to organ donation following brain death in Iran.MethodsThis qualitative research was conducted following the conventional content analysis method. The study population consisted of individuals with a history of brain death among their blood relatives who refused to donate the organs. Snowball sampling was employed to (...) select the participants. In-depth semi-structured interviews were conducted for data gathering. Theoretical saturation was achieved through 20 interviews. Data analysis was done following the steps proposed by Graneheim and Lundman. Lincoln and Guba’s criteria were used to ensure data rigor and transferability of the study.ResultsData analyses revealed 185 codes, 23 categories, and seven themes including, poor knowledge about brain death and organ transplantation from a dead body, cultural beliefs, religious beliefs, deficiencies of requesting process, fear and concerns, inability to make a decision, and social learning.ConclusionThere were several factors in families’ reluctance to donate organs of a brain-dead patient. Through improving knowledge and changing cultural beliefs in society, it is possible to take large steps towards promoting organ donation from brain-dead patients. (shrink)

L’article décrit la pluralité des mouvements de la contestation féministe qui exigent la transformation des structures sociales en Iran. Tout en passant en revue les origines du mouvement féministe en Iran, avant et après la révolution, l’auteur – qui est l’une des fondatrices du mouvement Un million de signatures (2005-2012) – étudie la campagne qui visait à changer les lois discriminatoires en Iran. Elle analyse de manière critique la configuration organisationnelle et les méthodes utilisées par les féministes dans le contexte (...) sociopolitique de l’époque. Au cours de la dernière décennie, des mouvements aux multiples facettes et des soulèvements à plusieurs voix se sont multipliés malgré la dure répression. (shrink)

GraphicalExercise, neurotransmitters, growth factors, myokines, and potential effects on the brain.As human life expectancy increases, cognitive decline and memory impairment threaten independence and quality of life. Therefore, finding prevention and treatment strategies for memory impairment is an important health concern. Moreover, a better understanding of the mechanisms involved underlying memory preservation will enable the development of appropriate pharmaceuticals drugs for those who are activity limited. Exercise training as a non-pharmacological tool, has been known to increase the mean lifespan by maintaining (...) general body health and improving the cardiovascular and nervous systems function. Among different exercise training protocols, aerobic exercise has been reported to prevent the progression of memory decline, provided adequate exertion level, duration, and frequency. Mechanisms underlying exercise training effects on memory performance have not been understood yet. Convergent evidence suggest several direct and indirect mechanisms at molecular and supramolecular levels. The supramolecular level includes improvement in blood circulation, synaptic plasticity and neurogenesis which are under controls of complex molecular signaling of neurotransmitters, neurotrophic factors, exerkines, and epigenetics factors. Among these various factors, irisin/BDNF signaling seems to be one of the important mediators of crosstalk between contracted skeletal muscles and the brain during exercise training. This review provides an affordable and effective method to improve cognitive function in old ages, particularly those who are most vulnerable to neurodegenerative disorders. (shrink)

This article challenges the widespread and influential claim – made by many liberals and non‐liberals – that cultural membership is a prerequisite of individual autonomy. It argues that liberals like Joseph Raz and Will Kymlicka, who ground autonomy in culture, underestimate the complex and internally diverse nature of the self, and the extent to which individual agents will often be shaped by many different attachments and memberships at once. In ‘selectively elevating’ one of these memberships (culture) as the most important (...) to one’s autonomy or identity, culturalist liberals present a skewed and simplistic account of individual autonomy and, hence, of liberalism. Instead, autonomy should be seen as arising not out of any particular membership or attachment, but out of the interaction between those different memberships which shape the individual’s understanding of themselves and the world in which they live. This alternative account holds important implications for liberal theory, particularly the tensions between ‘political’ and ‘comprehensive’ liberals about the scope of liberal principles and the nature of public reasoning about justice. (shrink)

Changing patterns of political participation observed by political scientists over the past half-century undermine traditional democratic theory and practice. The vast majority of democratic theory, and deliberative democratic theory in particular, either implicitly or explicitly assumes the need for widespread citizen participation. It requires that all citizens possess the opportunity to participate and also that they take up this opportunity. But empirical evidence gathered over the past half-century strongly suggests that many citizens do not have a meaningful opportunity to participate (...) in the ways that many democratic theorists require, and do not participate in anything like the numbers that they believe is necessary. This paper outlines some of the profound changes that have been experienced by liberal democratic states in the 20th and early 21st Centuries, changes which are still ongoing, and which have resulted in declines in citizens participation and trust, the marginalisation of citizens from democratic life, and the entrenchment of social and economic inequalities which have damaged democracy. The paper challenges the conventional wisdom in rejecting the idea that the future of democracy lies in encouraging more widespread participation. The paper takes seriously the failure of the strategies adopted by many states to increase participation, especially among the poor, and suggests that instead of requiring more of citizens, we should in fact be requiring less of them. Instead of seeking to encourage more citizen participation, we should acknowledge that citizens will probably not participate in the volume, or in the ways, many democratic theorists would like, and that therefore we need an alternative approach: a regime which can continue to produce democratic outcomes, and which satisfies the requirements of political equality, in the absence of widespread participation by citizens. (shrink)

Purpose This study aims to analyze how English-language versions of e-newspapers in the first two countries affected, China and Japan, which are non-English-speaking countries and have different socio-economic and political settings, have highlighted Coronavirus disease 2019 pandemic news and informed the global community. Design/methodology/approach A text-mining approach was used to explore experts’ thoughts as published by the two leading English-language newspapers in China and Japan from January to March 2020. This study analyzes the Opinion section, which mainly comprises editorial and (...) the op-ed section. The current study groups all editorial discussions and highlights into ten major aspects, which cover health, economy, politics, culture and others. Findings Within the first three months, the media in both China and Japan shifted their focus from health and preparedness to the economy, politics and social welfare. Governance and social welfare were key concerns in China’s news media, while, in contrast, global politics received the highest level of attention from experts in Japan’s news media. Environment and technologies aspects did not receive much attention by the expert’s columns. Originality/value At the initial stage of a world crisis, how leading nations and initially affected nations deal with the problem, how media play their role and guide mass population with experts’ thoughts are highlighted here. The understanding developed in this study can provide guidance to news media in other countries in playing effective roles in the management of this health crisis and catastrophes. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Mullā Ṣadrā and Metaphysics: Modulation of BeingLatimah-Parvin Peerwani ArlingtonMullā Ṣadrā and Metaphysics: Modulation of Being. By Sajjad H. Rizvi. Culture and Civilization in the Middle East Series, edited by Ian Richard Netton. London and New York: Routledge, 2009. Pp. xii + 222. Hardcover $135.00.In Mullā Ṣadrā and Metaphysics: Modulation of Being, Sajjad H. Rizvi focuses on tashkīk (modulation), variously translated as the systematic ambiguity, analogical gradation, or just (...) gradation of being from the perspective of Mullā Ṣadrā, comparing it with classical Islamic philosophy and contemporary Western philosophy. He states that he makes two major claims in this study. First, he argues that modulation is a hermeneutic concept that describes the threefold division of being and its gradation. Second, gradation and modulation occur in each mode of being. Each mode of being refers to a branch of Ṣadrā's philosophy: mental being is a discussion of epistemology and psychology; 'being-in-language' is critical to Sadrian semantic theory; being in re focuses on 'traditional metaphysics.' But the philosophy of Ṣadrā is not compartmentalized; being cuts across these fields and unites them. Each mode of being as modulated shares features of intensification. According to Rizvi, Ṣadrā has extended the normal understanding of modulation and of being beyond the simple division of the two realms of mental and concrete existence to bring out the semantics of being. This aspect of Islamic philosophy, according to Rizvi, has often been neglected (p. 3). [End Page 278]This study consists of an Introduction and two parts. In the Introduction, Rizvi states the problem of tashkīk as the central hermeneutic of Ṣadrian ontology. An analysis of this critical concept, according to Rizvi, facilitates our understanding of Ṣadrā's position on a wide variety of important philosophical issues such as predication, the problem of reconciling unity and plurality in being, and God-world relationship. It provides an answer to the age-old problem of the One and the many, and the median way between the ontological monism of Ibn ʿArabi and the metaphysical pluralism of Avicenna. Rizvi says that according to Ṣadrā there are four levels of being: the concept of being, its reality, its uttered manifestation (sound), and its written manifestation.Part 1 consists of two chapters. In the first chapter Rizvi outlines his methodology and some of his assumptions about the cultural history of the period and the context of Ṣadrā. The significant contention, according to Rizvi, is that a proper understanding of Ṣadrā's philosophy requires an appreciation of philosophy in the Neoplatonic traditions "as a way of life" that is often closely related to spiritual practice and religious commitment. The aim of philosophical inquiry for Ṣadrā, according to Rizvi, is therapy for the rational soul and its perfecting and development in its path of return to its origins in the One.Four methodological approaches are utilized in this study. (1) Tashkīk is seen as the central hermeneutic of Ṣadrian metaphilosophy, and not ontology; Rizvi argues that tashkīk is a central guiding principle in Ṣadrā's metaphilosophy and permeates all branches of his philosophical system. (2) The aporetic method is used in analyzing Ṣadrā's philosophy. (3) Rizvi maintains that Ṣadrā's philosophy is processual, for it represents a shift from substance to process metaphysics. (4) Ṣadrian hikmat (philosophy, wisdom) is approached as a metaphilosophical inquiry. Metaphysics is a foundational science for Ṣadrā, instrumental in the possibility of acquiring knowledge and in the construction of definitions and meaningful discourse. Hikmat, according to Rizvi, is doubly transcendent, (1) as a higher synthesis of Avicennan, Illuminationist, Sufi, and esoteric Shiʿite systematic thought, and (2) as a prophetic philosophy that claims to be derived from direct 'revelation.'The second chapter introduces the tashkīk (modulation) of being. Rizvi traces its historical development from the Aristotelian pros hen homonym to Avicenna, Nasir al-Din Tusi, and Ibn ʿArabi, and offers an account of an intensifying scale of being toward a hierarchy of being that is singular but with multiple degrees defined by their intensity, that is, in terms of scales of intensification and deliberation. He makes explicit the Neoplatonic logic of being that this implies and examines how... (shrink)

COVID-19 is a disease that affects the quality of life in all aspects. However, the government policy applied in 2020 impacted the lifestyle of the whole world. In this sense, the study of sentiments of people in different countries is a very important task to face future challenges related to lockdown caused by a virus. To contribute to this objective, we have proposed a natural language processing model with the aim to detect positive and negative feelings in open-text answers obtained (...) from a survey in pandemic times. We have proposed a distilBERT transformer model to carry out this task. We have used three approaches to perform a comparison, obtaining for our best model the following average metrics: Accuracy: 0.823, Precision: 0.826, Recall: 0.793 and F1 Score: 0.803. (shrink)

Inefficiency or inadequateness of Western liberal democracy at home is not the problematic of the rest because they have not experienced it yet! ‘Minimal democracy’ is the problematic of the reside...

Having scandalous unethical research practices in the mid and late 20th century, study protocols of biomedical research reviewed by the Ethics Committee (EC) has become the accepted international standard. The Declaration of Helsinki uniformly requires that all biomedical research involving human participants, including research on identifiable human material or data, should be approved by the EC. Today, concerns over the quality of the EC functions worldwide. There are research globally in this regard but no data are available from Bangladesh. Hence, (...) we conducted a questionnaire based pilot study on knowledge and attitude of EC members on bioethics and structure & function of EC in Bangladesh. (shrink)

Publisher's Note: Written by Phil Parvin and Clare Chambers, who are current political philosophy lecturers and leading researchers, Political Philosophy - The Essentials is designed to give you everything you need to succeed, all in one place. It covers the key areas that students are expected to be confident in, outlining the basics in clear jargon-free English, and then providing added-value features like summaries of key thinkers, and even lists of questions you might be asked in your seminar or exam. (...) The book's structure follows that of most university courses on political philosophy, by looking at the essential concepts within political philosophy (freedom, equality, power, democracy, rights, the state, political obligation), and then looking at the ways in which political philosophers have used these fundamental concepts in order to tackle a range of normative political questions such as whether the state has a responsibility to alleviate inequalities, and what interest liberal and democratic states should take in the cultural or religious beliefs of citizens. (shrink)

Volume 14 in the Major Conservative and Libertarian Thinkers series focuses on Karl Popper, An important and controversial thinker of the 20th century.

I explore various claims about the nature of phenomenal concepts and isolate two recurring intuitions. The first involves the epistemological role of phenomenal concepts: a phenomenal concept is supposed to be a concept of a type of experience that must be possessed by a subject who knows what it is like to have an experience of the type in question. The second involves the importance of experience: a phenomenal concept is supposed to be a concept of a type of experience (...) that can be possessed only by a subject who has had an experience of the type in question. Most accounts of phenomenal concepts have stipulations designed to satisfy both these conditions. I argue, however, that they cannot jointly be satisfied. We thus face a choice: either we can possess phenomenal concepts of types of experiences we haven't had, or a phenomenal concept is not required for phenomenal knowledge. I argue that the latter is unacceptable, as the idea of a phenomenal concept is inextricably tied to issues involving the relationship between phenomenal knowledge and non-phenomenal knowledge. I defend a recognitional account of phenomenal concepts, whereby a subject possesses a phenomenal concept partly in virtue of being able to recognize an experience as being of a certain type and which does not require having had an experience of the type in question. I consider and reject the rival "quotational" account, which holds that a phenomenal concept actually contains its referent as a proper part. The latter part of my dissertation is an analysis of some prominent antiphysicalist arguments through the lens of phenomenal concepts. I consider, especially, a theme that runs through them, which is what Brian Loar calls 'the semantic premise', and which Stephen White has recently argued for: the claim that any true identity statement that involves noncontingent modes of presentation on both sides of the identity must be a priori. (shrink)

Changing patterns of political participation observed by political scientists over the past half-century undermine traditional democratic theory and practice. The vast majority of democratic theory, and deliberative democratic theory in particular, either implicitly or explicitly assumes the need for widespread citizen participation. It requires that all citizens possess the opportunity to participate and also that they take up this opportunity. But empirical evidence gathered over the past half-century strongly suggests that many citizens do not have a meaningful opportunity to participate (...) in the ways that many democratic theorists require, and do not participate in anything like the numbers that they believe is necessary. This paper outlines some of the profound changes that have been experienced by liberal democratic states in the 20th and early 21st Centuries, changes which are still ongoing, and which have resulted in declines in citizens participation and trust, the marginalisation of citizens from democratic life, and the entrenchment of social and economic inequalities which have damaged democracy. The paper challenges the conventional wisdom in rejecting the idea that the future of democracy lies in encouraging more widespread participation. The paper takes seriously the failure of the strategies adopted by many states to increase participation, especially among the poor, and suggests that instead of requiring more of citizens, we should in fact be requiring less of them. Instead of seeking to encourage more citizen participation, we should acknowledge that citizens will probably not participate in the volume, or in the ways, many democratic theorists would like, and that therefore we need an alternative approach: a regime which can continue to produce democratic outcomes, and which satisfies the requirements of political equality, in the absence of widespread participation by citizens. (shrink)

This article evaluates Karl Popper's contribution to analytic philosophy, and outlines some of the contradictions in his work which make it difficult to locate in any particular tradition. In particular, the article investigates Popper's own claims to be a member of the rationalist tradition. Although Popper described himself as a member of this tradition, his definition of it diverged quite radically from that offered by other supporters of rationalism, like, for example, Mach, Carnap, and the logical positivists of the Vienna (...) Circle. The reason for this was that Popper believed the rationalist tradition, if it were to remain coherent and relevant, needed to overcome the dilemma posed by Hume's problem of induction. Popper believed that this problem rendered conventional understandings of rationalism, science, and inductive reasoning incoherent. This article suggests that Popper's principal contribution to modern philosophy was to reconfigure the rationalist tradition in such a way as to circumvent the problem of induction while preserving the rationalist commitment to reason, rational debate, and objective knowledge. Popper's reconfiguration of the epistemological bases of the rationalist tradition challenged dominant understandings of rationalist and analytic philosophy, and may be appropriately understood as part of a wider move among philosophers like Quine and Putnam to challenge conventional understandings of analytic philosophy, and of what philosophy itself could and could not achieve. It also informed a vision of social and political life (and of the social and political sciences) as rooted in principles of freedom, equality, and rational debate, but which cannot be fit within the traditional ideological landscape. (shrink)

This paper claims that a focus on gender as a source of controversy, and on feminism as a theoretical and practical approach, prompts a rethinking of the role of dialogue away from the liberal constitutionalist focus of deliberative democracy and towards a more fluid, reflexive approach.

In this article, we evaluate the capacity of liberal egalitarianism to rebut what we call the libertarian challenge of charity. This challenge states that coercive redistributive taxation is neither needed nor justified, since those who endorse redistribution can give charitably, and those who do not endorse redistribution cannot justifiably be coerced. We argue that contemporary developments in liberal political thought render liberalism more vulnerable to this libertarian challenge. Many liberals have, in recent years, sought to recast liberalism such that it (...) is more hospitable to cultural, religious, and ethnic diversity. This move has resulted in increased support for the claim that liberalism should be understood as a political rather than comprehensive doctrine, and that liberal institutions should draw their legitimacy from agreements made among members of an appropriately conceived deliberative community, rather than from controversial liberal principles like individual autonomy. We argue that, while this move may indeed make liberalism more compatible with cultural diversity, it also makes it more vulnerable to the libertarian challenge of charity. Not all versions of liberalism are troubled by the challenge, but those that are troubled by it are increasingly dominant. We also discuss G.A. Cohen's claim that liberal equality requires an ‘egalitarian ethos’ and argue that, if Cohen is right, it is difficult to see how there can be an adequate response to the libertarian challenge of charity. In general, our argument can be summarised as follows: the more that liberalism is concerned accurately to model the actual democratic wishes and motivations of the people it governs, the less it is able to justify coercively imposing redistributive principles of justice. (shrink)

To provide basic health care services in rural areas is one of the major challenges for developing countries like Bangladesh because of lack of infrastructures and unavailability of qualified medical doctors in the villages. Telemedicine viewed as a new way of offering health care services that has the potential to overcome this problem. Author is a member of extended group at Dhaka University (DU) which has been developing telemedicine equipment and data acquisition software to promote telemedicine practice in Bangladesh. PC (...) based ECG equipment, Digital stethoscope, Digital microscope, Digital X-ray view box and some other essential medical equipment was developed for telemedicine services. The data acquisition software establishes an easy and appropriate patients to doctor interaction through a trained operator in a remote center that involve management and arrangement of consultation of a chosen and agreeing doctor by a patient. Upon establishing audio-visual connection between patient and doctor relevant physiological data from different diagnostic instruments will be uploaded securely in a dedicated web server which can be viewed real time using unique patient/doctor ID and password. Recently the Telemedicine group of DU and a local NGO named SAMAMA with support from Service innovation fund (SIF) of Prime Minister Office (PMO) of Bangladesh took the initiative to establish eight rural telemedicine centers and one expert center for the field trial of telemedicine in Bangladesh. The aim of this paper is to examine the ethical challenges of such health care system and our effort to overcome those problem before starting the field trial. (shrink)

BackgroundSexual harassment in the workplace has many negative consequences for nurses and the delivery of patient care. Appropriate policies and strategies can help to create a safe work environment for nurses. Therefore, the present study aimed to investigate Iranian nurses’ strategies for preventing sexual harassment in the workplace.Materials and methodsThis qualitative descriptive-explorative study used conventional content analysis to investigate how Iranian nurses cope with sexual harassment. Participants were selected using a purposeful sampling method. Data was collected through in-depth, semi-structured interviews (...) from September 2020 to April 2021. In order to obtain rich information, maximum variation was considered. The Guba and Lincoln criteria were used to increase the study’s trustworthiness, while the Graneheim and Lundman approach was used to analyze the content.ResultsOne hundred and twelve codes, one main category, four categories, and 12 subcategories were extracted. The main category, strategies to prevent sexual harassment among nurses in the workplace, includes four categories: behavioral response, working conditions adjustment, informing, and performance of hospital security guards. The most common strategy used by nurses was behavioral response.ConclusionBasic measures are required to prevent sexual misconduct against nurses, which is an obvious part of the professional organizational culture. Managers and policymakers should develop workplace ethics, legal accountability, and safety. They should also develop training programs and prevention strategies to help nurses improve their coping skills. Further quantitative and qualitative research in other healthcare groups is required to confirm the findings of this study. (shrink)

Bioethics is a vital part of a sustainable development. In this paper we discuss why developed country incorporate bioethics along with development of science and technology; and why bioethics decision-making is important to long term development of Bangladesh.

Peer review process helps in evaluating and validating of research that is published in the journals. U.S. Office of Research Integrity reported that data fraudulence was found to be involved in 94% cases of misconduct from 228 identified articles between 1994–2012. If fraud in published article are significantly as high as reported, the question arise in mind, were these articles peer reviewed? Another report said that the reviewers failed to detect 16 cases of fabricated article of Jan Hendrick Schon. Superficial (...) peer reviewing process does not reveals suspicion of misconduct. Lack of knowledge of systemic review process not only demolish the academic integrity in publication but also loss the trust of the people of the institution, the nation, and the world. The aim of this review article is to aware stakeholders specially novice reviewers about the peer review system. Beginners will understand how to review an article and they can justify better action choices in dealing with reviewing an article. (shrink)

With technical sophistication and innovation in the field of medical science, a considerable proportion of medical diagnosis now rely on laboratory analyses, which emphasises the crucial role of laboratory physicians in patient care. Sustaining high ethical standards remains crucial in both clinical biochemistry and laboratory medicine, and several ethical dilemmas are faced by laboratory physicians in day-to-day practice. In a low-resource country like Bangladesh, formal ethics education or ethical framework in laboratory practice is still absent; ethics has not received that (...) much attention it this field. This paper has considered ethical issues encountered during the daily routine work of laboratory physicians and specially focused on the ethical issues encountered during the pre-analytical, analytical and post-analytical phases of laboratory medicine practice and discuss those issues in light of ‘The Belmont Report’ (1978) perspective. It is not intended to be a comprehensive one, rather it aims to complement existing guidelines and documents that are available in some institutions and to offer a framework for addressing ethical issues encountered in the practice of clinical biochemistry and laboratory medicine in Bangladesh. (shrink)

The central issue in this work is self-knowledge. The human soul is created in the Image of God with a purpose.

In Bangladesh due to improved quality of life the number of people over 60 years is increasing rapidly. This should be seen as an emerging challenge as the elderly will have special needs and require different care-giving services. Since Bangladesh does not have a social welfare system there will be competition for inadequate resources specially health and medical services. It is envisaged that due to more elderly population the demographic structure will undergo a slow change from the present pyramid structure. (...) The growing trend towards nuclear family or where children live abroad will put the elderly parents in a dilemma-the financial and social support that is essential for them has not yet emerged. The nutrition and health status of elderly people depend on adequate food safe water, proper sanitation facilities and maintaining hygienic standards. To provide special medical care for the elderly there is a need to establish WHO recommended Age-Friendly Primary Health Care centers and separate wards /units are to be set up in the hospitals. To reduce vulnerability of older women there is a need to distribute assets and properties according to the law.. Our new generations have to be responsive, informed and attentive about their duties and responsibilities towards the elderly people. Taking proper care of the elderly is our ethical duty and responsibility. (shrink)

20th Asian Bioethics conference has been organized by Bangladesh Bioethics Society incooperation with SSRC, Planing Division, Ministry of Planning; PMR, DGHS, Ministry of Health &Family Welfare, Bangladesh Medical Research Council (BMRC), Asian Bioethics Association (ABA) and Eubios Ethics Institute on Friday, 22 Nov, 2019 at NEC Auditorium, Planning Ministry, Agargoan, Dhaka. M. A. Mannan MP, Honorable Minister, Ministry of Planning, Government of the People's Republic of Bangladesh has kindly consented to grace the occasion as the Chief Guest. Dr. Md. Murad (...) Hassan MP, Honorable State Minister, Ministry of Information, Government of the People's Republic of Bangladesh; Md. Nurul Amin, Secretary, Planning Division, Ministry of Planning; Prof Dr Abul Kalam Azad, DG, Directorate General of Health Services, Ministry of Health & Family welfare (MOH&FW) will present as Special Guests. Drlegates from 40 couuntries will attend the ABC 20 at Dhaka. (shrink)