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BackgroundAlthough the Life-Sustaining Treatment (LST) Decision Act was enforced in 2018 in Korea, data on whether it is well established in actual clinical settings are limited. Hospital-acquired pneumonia (HAP) is a common nosocomial infection with high mortality. However, there are limited data on the end-of-life (EOL) decision of patients with HAP. Therefore, we aimed to examine clinical characteristics and outcomes according to the EOL decision for patients with HAP.MethodsThis multicenter study enrolled patients with HAP at 16 referral hospitals retrospectively from (...) January to December 2019. EOL decisions included do-not-resuscitate (DNR), withholding of LST, and withdrawal of LST. Descriptive and Kaplan–Meier curve analyses for survival were performed.ResultsOf 1,131 patients with HAP, 283 deceased patients with EOL decisions (105 cases of DNR, 108 cases of withholding of LST, and 70 cases of withdrawal of LST) were analyzed. The median age was 74 (IQR 63–81) years. The prevalence of solid malignant tumors was high (32.4% vs. 46.3% vs. 54.3%, P = 0.011), and the ICU admission rate was lower (42.9% vs. 35.2% vs. 24.3%, P = 0.042) in the withdrawal group. The prevalence of multidrug-resistant pathogens, impaired consciousness, and cough was significantly lower in the withdrawal group. Kaplan–Meier curve analysis revealed that 30-day and 60-day survival rates were higher in the withdrawal group than in the DNR and withholding groups (log-rank P = 0.021 and 0.018). The survival of the withdrawal group was markedly decreased after 40 days; thus, the withdrawal decision was made around this time. Among patients aged below 80 years, the rates of EOL decisions were not different (P = 0.430); however, mong patients aged over 80 years, the rate of withdrawal was significantly lower than that of DNR and withholding (P = 0.001).ConclusionsAfter the LST Decision Act was enforced in Korea, a DNR order was still common in EOL decisions. Baseline characteristics and outcomes were similar between the DNR and withholding groups; however, differences were observed in the withdrawal group. Withdrawal decisions seemed to be made at the late stage of dying. Therefore, advance care planning for patients with HAP is needed. (shrink)

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The boundaries of social categories are frequently altered to serve normative projects, such as social reform. Griffiths and Khalidi argue that the value-driven modification of categories diminishes the epistemic value of social categories. I argue that concerns over value-modified categories stem from problematic assumptions of the value-free ideal of science. Contrary to those concerns, non-epistemic value considerations can contribute to the epistemic improvement of a scientific category. For example, the early history of the category infantile autism shows how non-epistemic value (...) considerations can contribute to delimiting and establishing infantile autism as a distinct category in mainstream psychiatry. In the case of infantile autism, non-epistemic considerations have led to a new interpretation of existing data, the expansion of research to include biology, and the creation of diagnostic criteria that further contribute to collecting relevant data. Given this case study, it can be argued that non-epistemic values can improve our knowledge of scientific categories. (shrink)

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“God created, Linnaeus organized.” This remark Linnaeus liked to say captures the common idea that the proper task of scientists in classification is to discover and systematize features of the world without being committed to individual perspectives, values, and interests. However, it is rarely the case that scientists passively read nature or carve nature at its joints. My thesis investigates how scientific classification is laden with values and explores its implication. I hope to temper the influence of the ideal of (...) value-free science on the discussion of natural kinds. Contrary to the blossoming scholarship in the values and science literature, there has been little discussion about the role of values in scientific classification. Defined as groupings that correspond to real divisions in nature, natural kinds are considered to exist independently from human values and interests. I demonstrate how the assumptions behind scientific classification endorse the idea of value-free science. Using case studies, I argue that incorporating social, moral, and political values can lead to the epistemic improvement of the category. If values are ineliminable from science, then the question arises, what or whose values, in what ways, can legitimately influence science? I critically examine recently developed criteria for proper uses of values in science. I advocate evaluating values in terms of epistemic benefits. The task of assessing epistemic benefits requires scrutinizing a research program’s social and historical context. Finally, the last part of this dissertation explores how values uniquely influence natural kind terms via social entrenchment. Many philosophers identify projectibility as a defining feature of natural kinds. I look at whether social and cultural practices influence projectibility. I investigate whether these practices affect which kind terms get socially entrenched. I argue that the projectibility of natural kind terms substantially depends on our norms and values. (shrink)

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Cho Jihoon’s aesthetics is based on the Confucian literati’s spirit, choesado, and on the Buddhist idea of non-duality. He presented the theory of meot, meaning taste originally, as a Korean-specific aesthetic category in his Study of Meot, where he synthesized the previously discussed theories of other scholars into twelve elements. Discussing the formal characteristics of works that have the aesthetic quality of meot, he took unrefinedness as basic, and cited diversity, eurhythmy, and curvature as its subtraits. Discussing the compositional power (...) or method of expression that provokes meot, he took hyperstandard as basic, and the subtraits include maturity, distortion, and playfulness. Furthermore, he discussed meot as an emotion or idea that Koreans live with, where the most basic one is otiosity (impracticality), and assimilation, moderation, and optimism are its subtraits. Finally, he identified meot as the ultimate aesthetic state with pungryu, a lifestyle in harmony with Nature, which is originated from the ancient Silla period. (shrink)

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Challenging the new political-economic “mainstream” that considers trade unions to be “complicit” in labor market dualization, this article’s analysis of union strategies in Italy and South Korea, most-different union movements perceived as unlikely cases for the pursuit of broader social solidarity, shows that in both countries unions have successively moved away from insider-focused strategies and toward “solidarity for all” in the industrial relations arena as well as in their social policy preferences. Furthermore, unions explored new avenues of political agency, often (...) in alliance with civil society organizations. This convergent trend toward a social model of unionism is ascribed to a response of unions to a “double crisis”: that is, a socioeconomic crisis, which takes the form of a growing periphery of the labor market associated with growing social exclusion, and a sociopolitical crisis, which takes the form of an increasing marginalization of the unions from the political process. (shrink)

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A complete, high‐quality reference sequence of a dog genome was recently produced by a team of researchers led by the Broad Institute, achieving another major milestone in deciphering the genomic landscape of mammalian organisms. The genome sequence provides an indispensable resource for comparative analysis and novel insights into dog and human evolution and history. Together with the survey sequence of a poodle previously published in 2003, the two dog genome sequences allowed identification of more than 2.5 million single nucleotide polymorphisms (...) within and between dog breeds, which can be used in evolutionary analysis, behavioral studies and disease gene mapping.1 © 2005 Wiley Periodicals, Inc. BioEssays 28: 569–573, 2006. © 2006 Wiley Periodicals, Inc. (shrink)

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Children are vulnerable to adverse effects of food advertising. Food commercials are known to increase hedonic, taste-oriented, and unhealthy food decisions. The current study examined how promoting resilience to food commercials impacted susceptibility to unhealthy food decision-making in children. To promote resilience to food commercials, we utilized the food advertising literacy intervention intended to enhance cognitive skepticism and critical thinking, and decrease positive attitudes toward commercials. Thirty-six children aged 8–12 years were randomly assigned to the food advertising literacy intervention or (...) the control condition. Eighteen children received four brief intervention sessions via video over 1 week period. In each session, children watched six food commercials with interspersed embedded intervention narratives. While watching food commercials and narratives, children were encouraged to speak their thoughts out loud spontaneously (“think-aloud”), which provided children's attitudes toward commercials. Eighteen children in the control condition had four control sessions over 1 week, and watched the same food commercials without intervention narratives while thinking aloud. The first and last sessions were held in the laboratory, and the second and third sessions were held at the children's homes. Susceptibility to unhealthy food decision-making was indicated by the decision weights of taste attributes, taste perception, food choices,ad libitumsnacking, and cognitive and affective attitudes toward food commercials. As hypothesized, the intervention successfully decreased susceptibility to unhealthy food decision-making evidenced by reduced decision weights of the taste in food decisions, decreased tasty perception of unhealthy foods, and increased cognitive skepticism and critical thinking toward food commercials. In addition, as children's opinions assimilated to intervention narratives, their cognitive skepticism and critical thinking toward commercials increased. The aforementioned results were not shown in the control condition. However, this brief intervention was not enough to change actual food choices or food consumption. Results of this study suggest that promoting resilience to food commercials by enhancing cognitive skepticism and critical thinking effectively reduced children's susceptibility to unhealthy food-decision making. (shrink)

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The microstructures of Ru-excess SrRuO 3 films, which were grown epitaxially on SrTiO 3 substrates by ion-beam sputtering, were studied by transmission electron microscopy. The excess Ru can be accommodated by forming extended defects on the {100} planes, faulted dislocation loops, by making RuO 2 double layers. However, the most stable crystalline phase of the excess Ru in SrRuO 3 film was metallic Ru with a hexagonal structure. The orientation relationship between the Ru precipitates, the SrTiO 3 substrate, and the (...) SrRuO 3 film can be described as follows: Ru // STO // SRO and [100] Ru //[110] STO //[110] SRO where the subscripts STO and SRO indicate SrTiO 3 and SrRuO 3 respectively. Owing to the difference between the crystal symmetries of Ru and SrTiO 3 , the precipitates showed different in-plane alignments along two perpendicular directions on the substrate and accordingly different anisotropic growth morphologies. The precipitates degrade the film surface by making deep trenches and act as sources for defect generation. (shrink)

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Der glänzende Siegeszug der spekulativen Dialektik Hegels kann darüber hinwegtäuschen, dass seine Behandlung der modernen Tragödie auf eine völlig neue und eigenständige Dimension verweist. Hegel hat seine systematische Philosophie entwickelt, um die durch die klassische Tragödie aufgeworfene Problematik zu überwinden. Jedoch ist seine nachtragische Philosophie nicht in der Lage, die moderne Tragödie zu begreifen. Dies ist nicht darauf zurückzuführen, dass das vernünftige Selbstbewusstsein in einem aporetischen Widerspruch befangen ist, da dieser Widerspruch, der in der klassischen Tragödie ausgedrückt ist, durch Hegels (...) spekulative Dialektik "aufgehoben" wird. Vielmehr liegt der Grund darin, dass das, was durch diese systematisierende Dialektik nicht immanent wird, keine adäquate Form findet. (shrink)

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Background Frontline nurses who care for patients with COVID-19 work in stressful environments, and many inevitably struggle with unanticipated ethical issues. Little is known about the unique, ethically sensitive issues that nurses faced when caring for patients with COVID-19. Aim To better understand how frontline nurses who care for patients with COVID-19 experience ethical issues towards others and themselves. Methods Systematic review of qualitative evidence carried out according to the Preferred Reporting Items for Systematic reviews and Meta-analyses on ethical literature (...) (PRISMA-Ethics). The electronic databases PubMed, Embase, Cinahl, Web of Science, Philosopher's Index, and Scopus were queried to identify candidate articles. Articles appearing from March 1, 2020 to December 31, 2022 were considered if they met the following inclusion criteria: (1) Published qualitative and mixed method studies and (2) ethical issues experienced by nurses caring for patients with COVID-19. We appraised the quality of included studies, and data analysis was guided by QUAGOL principles. Findings Twenty-six studies meeting our inclusion criteria for how nurses experience ethical issues were characterised by two key themes: (1) the moral character of nurses as a willingness to respond to the vulnerability of human beings and (2) ethical issues nurses acted as barriers sometimes, impeding them from responding to requests of vulnerable human beings for dignified care. Conclusion Our review provides a deeper understanding of nurses’ experiences of ethically sensitive issues, while also highlighting the critical need for adjustments to be made at organisational and societal levels. Ethical issues that emerged in situations where organisational and situational constraints impeded nurses' ethical responses to patients’ appeals suggests that early practical support should be made available to resolve ethical issues recognised by nurses. Such support contributes to protecting and promoting not only the dignity of patients with COVID-19 but also of fellow humans in need during crisis. (shrink)

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Greening Philosophy of Religion: Process, Ecology, and Ethics develops fruitful avenues for the theory and practice of greening philosophy of religion. Collected with a pluralistic conception of both philosophy and religion, the chapters in this volume address pressing and timely issues that involve imagining ecological democracy as an ideal horizon for facing climate catastrophe, with a radical hope and sober vision for realizing a more sustainable planetary economy that places a high value on food sovereignty, an ethic of trust, and (...) inter-religious conversations. Edited by Jea Sophie Oh and John Quiring, this book offers a vital contribution to the fields of philosophy of religion, environmental ethics, religion and ecology, comparative philosophy, and ecotheology-all tuned to the note of process thinking and a deep ecological sensibility. (shrink)

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In E-Co-Affectivity, Marjolein Oele explores the deep connectivity and relational entanglements of plants, animals, humans, and the soil as elemental components of a co-affective community. Her deconstructive reading of the Aristotelian conception of degrees of three souls, with such hierarchy of humans-animals-vegetables via what she calls "categorical contamination,” is a brilliant example of how re-reading the western canon can cast important interpretive light upon contemporary ethico-political questions. Oele’s work shows how it is crucial to foreground (eco)feminist re-interpretations of the writings (...) of major figures in the western philosophical traditions. It is reconstruction and construction of feminist hermeneutics so that it is not a mere interpretation, but a transformation of old traditions into planetary cosmo-centric new-becomings. Through my reading of E-Co-Affectivity, I focus on the coherence of the crucial themes of the middle voice, precarity, and e-co-affectivity, from my comparative ecofeminist perspective. The Korean concept of jeong, which can be a healing mechanism in the midst of our planetary crises, I will suggest, resonates profoundly with e-co-affectivity. (shrink)

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Nurses are frequently confronted with ethical dilemmas in their nursing practice. As a consequence, nurses report experiencing moral distress. The aim of this review was to synthesize the available quantitative evidence in the literature on moral distress experienced by nurses. We appraised 19 articles published between January 1984 and December 2011. This review revealed that many nurses experience moral distress associated with difficult care situations and feel burnout, which can have an impact on their professional position. Further research is required (...) to examine worksite strategies to support nurses in these situations and to develop coping strategies for dealing with moral distress. (shrink)

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Thema dieses Buches ist die umstrittene Erforschung des durch Klontechniken erzeugten menschlichen Embryos und seine damit einhergehende Zerstörung. Es wird diskutiert, dass Biotechniken, darunter die menschliche Klonforschung, nicht nur unter dem Aspekt der Richtigkeit der Anwendung, sondern auch unter ethischen Gesichtspunkten betrachtet werden müssen.

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Common experiences of mothering offer profound critiques of maternal ethical norms found in both Christianity and Islam. The familiar responsibilities of caring for children, assumed by the majority of Christian and Muslim women, provide the basis for reassessing sacrificial and selfless love, protesting unjust religious and political systems, and dismantling romanticized notions of childcare. As a distinctive category of women's experience, motherhood may offer valuable perspectives necessary for remedying injustices that afflict mothers and children in particular, as well as for (...) developing cross-cultural understandings of justice in general. (shrink)

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In this paper, I engage with the debate between John Rawls and Charles Mills. In the first part, relevant works by Rawls and Mills are mainly examined. To this end, I first begin by examining Rawls’s ideal theory of justice and its relevance to the issue of racism. I then consider Mills’s non-ideal critique of Rawls and supplement it with the help of the notion of social norms. Whereas Rawls’s view can deal with racial injustice as discrimination, in my view, (...) I argue that Mills’s theory is mostly concerned with racist injustice as oppression. Between racial injustice as discrimination and racist injustice as oppression, however, there are varying degrees of race-related wrongs, which can be elucidated by harmful social norms. As a result, I conclude that Mills’s point can be shown without supposing that the Rawlsian basic structure is inherently racist. (shrink)

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For many, anger has been seen as irrationality, even as illness. But it seems that anger-related disorder and its culture-relatedness have not receive much attention in psychiatry. Like backward-looking ressentiment, hwabyeong 火病can be literally translated into anger disorder. In this paper, I examine the notion of anger and culture with the help of considering the case of hwabyeong as a Korean culture-bound syndrome (hereafter, CBS). Drawing on historical changes in the DSM (Diagnostic and Statistical Manual of Mental Disorders) and cases (...) of hwabyeong as CBS, I will argue that the social and cultural aspects of mental disorder are indispensable parts. Additionally, it will be suggested that the rigid distinction between CBS and mental disorders is questionable. First, I begin by examining Jarome Wakefield’s harmful dysfunction analysis and Ian Hacking’s social constructionism on mental disorder. Next, given that the illness is common among poor old women who suffered from patriarchal social structures, I question whether hwabyeong is really a culturally specific illness. Moreover, hwabyeong cannot be properly understood without considering unequal power relations and extremely limited ranges of one's agency. Thus, calling it culture- bound may be due to WEIRD-ish (Western, Educated, Industrialized, Rich, and Democratic), culturally stereotypical prejudice as well as misogynic thinking concerning hwabyeong. In present times, it's worth noting that, despite common biases, hwabyeong or han (恨) is no longer solely a Korean phenomenon, thanks to recent societal advancements. In conclusion, I show that curing hwabyeong or anger management is not just medical but sociopolitical matters. (shrink)

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In the paper, I first consider how his theory of social norms is connected to his theory of social evolution by examining the importance of learning in his theory of both social norms and social evolution. Then I turn to David Owen and Amy Allen's critiques of Jürgen Habermas. My aim is to develop their critique of Habermas by elucidating an important but neglected distinction between the developmental logic and the developmental dynamics in Habermas's theory of social evolution. Drawing on (...) this distinction, I claim that Habermas's theory is problematic in that he underestimates the importance of the developmental dynamics. By introducing the distinction between individual learning and social learning, I also question his account of progress as accumulative experience of learning. This is because, unlike cumulative culture at the level of phylogenesis, individuals ontogenetically experience a kind of non‐cumulative social learning. Unlike cumulative culture, each individual has to undergo a kind of non‐cumulative social learning. The problem is that Habermas conceives the learning process too narrowly such that learning does not guarantee social evolution. (shrink)

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In Engraving Virtue , Young Kyun Oh investigates the publishing history of the Samgang Haengsil-to , a moral primer of Chosŏn , and traces the ways in which woodblock printed books contributed to shaping premodern Korea.

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While the effect of top executives' social networks on their compensations has received substantial scholarly attention, little effort has been made to integrate segmented views to offer more complete understanding of this effect. In this paper, we propose an integrative two-stage model by taking both economic and socio-political views into account. We theorise that some characteristics of top executive's outside social ties are positively related to firm performance, and those relationships are conditioned by external and internal strategic contexts, such as (...) environmental uncertainty, strategic relevance, and tie strength. We also theorise that firm performance leads to executives' compensations, but this linkage is moderated by the socio-political dynamics among executives (within-group dynamics) as well as between executives and a board of directors (between-group dynamics) inside the firm. Based on our integrative framework, this paper provides the comprehensive understanding of how executives' compensations are determined and highlights the importance of executive's social ties and their implications. (shrink)

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The main objective of this book is to present the theory of general relativity in a direction that will be intelligible, informative, and interesting to the individual reader. Many of the texts about general relativity are either too thin on detail or too narrow in scope; this book was written with the aim of rectifying these shortcomings.

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The purpose of this study is to re-assess Karl Barth's use of the Kierkegaardian “infinite qualitative distinction between God and man”. It juxtaposes Kierkegaard's qualitative dialectic and Karl Barth's own complementary dialectic respectively. Then it compares and contrasts their similarities and dissimilarities in various contexts that would lead us to a more balanced assessment of Barth's use of Kierkegaardian diastasis and a better understanding of the ultimate purpose for holding fast to the bipolar but relational God-man unity of the Incarnation. (...) In contrast to Hegelian synthesis, the article contends that the dynamics of the dialectics of Kierkegaard and Barth should be understood in the manner of a complementary synthesis of two opposites. (shrink)

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Binaural pitch fusion is the perceptual integration of stimuli that evoke different pitches between the ears into a single auditory image. This study was designed to investigate how steady background noise can influence binaural pitch fusion. The binaural fusion ranges, the frequency ranges over which binaural pitch fusion occurred, were measured with three signal-to-noise ratios of the pink noise and compared with those measured in quiet. The preliminary results show that addition of an appropriate amount of noise can reduce binaural (...) fusion ranges, an effect called stochastic resonance. This finding increases the understanding of how specific noise levels can sharpen binaural pitch fusion in normal hearing individuals. Furthermore, it elicits more pathways for research to explore how this benefit can practically be used to help improve binaural auditory perception. (shrink)

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이 논문의 목적은 인간학이 칸트 철학에서 갖는 지위의 문제에 주목하면서 칸트의 인간학을 근저에서 떠받치고 있는 근본 이념이 무엇인지 드러내는 것이다. 이 논문에서 논자는 칸트의 인간학은 자연 목적론이 역사 목적론으로 확장되고, 미래에 이루어질 인류의 도덕적 완성과 관련된 역사 목적론적 이론이 다시 자연 목적론의 토대 위에서 개진되는 이중의 목적론에 정초되어 있다고 주장한다. 논자는 우선 칸트의 세계지(Weltkenntnis) 개념을 분석하면서 인간학이 실용적 지식이라는 칸트의 정의의 핵심은 인류에 대한 세계시민적 이해가 세계 전체에 대한 우주론적 고찰을 경유하여 성취되는 관점의 확장에 있다고 주장한다. 이에 이어 논자는 자연과 (...) 인간의 연속성을 전제하는 이 관점의 전환이 「목적론적 판단력 비판」에서 자연목적론의 역사 목적론에로의 확장이라는 형태로 수행된다고 주장하고 어떻게 그러한지 분석한다. 논자는 여기에서 더 나아가 비사교적 사교성 개념을 분석하면서 ｢목적론적 판단력 비판｣에 제시된 역사 목적론은 자연은 아무 것도 헛되이 함이 없다는 또 다른 자연목적론적 관념에 정초되어 있다는 것을 밝힌다. 그리고 마지막으로 인간 사명(Bestimmung) 개념에 주목하면서 어떻게 칸트의 자연 목적론의 토대 위에서 역사 목적론을 개진하는지를 고찰한다. (shrink)

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