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)

Molodtsov introduced 1999 the concept of soft set as a new mathematical tool for dealing with uncertainties that is free from the difficulties that have troubled the usual theoretical approaches. In this paper we apply the notion of soft sets by Molodtsov to ordered semigroups. The notions of soft ordered semigroup, soft ordered subsemigroup, soft left ideal, and left idealistic soft ordered semigroup are introduced, and various related properties are investigated.

Disoriented animals from ants to humans reorient in accord with the shape of the surrounding surface layout: a behavioral pattern long taken as evidence for sensitivity to layout geometry. Recent computational models suggest, however, that the reorientation process may not depend on geometrical analyses but instead on the matching of brightness contours in 2D images of the environment. Here we test this suggestion by investigating young children's reorientation in enclosed environments. Children reoriented by extremely subtle geometric properties of the 3D (...) layout: bumps and ridges that protruded only slightly off the floor, producing edges with low contrast. Moreover, children failed to reorient by prominent brightness contours in continuous layouts with no distinctive 3D structure. The findings provide evidence that geometric layout representations support children's reorientation. (shrink)

In this collection of writings drawn from Jonathan Edwards’s essays and topical notebooks, the great American theologian deals with key Christian doctrines including the Trinity, grace, and faith. The volume includes long-established pieces in the Edwards canon, newly reedited from the original manuscripts, as well as documents that have never before been published and that in some cases reveal new aspects of his theology.

Drawing on conservation of resources theory, this study examined the moderating role of ethical leader behavior in the effects of daily perceived job insecurity on work outcomes the next day (i.e., work engagement and customer-directed helping) through occupational regret the next morning among frontline service employees working in adverse work situations (i.e., the coronavirus disease pandemic). Using experience sampling method, data were collected from 135 frontline service employees across five consecutive workdays. The results showed that daily perceived job insecurity had (...) a negative indirect effect on work engagement and customer-directed helping the next day through (increased) occupational regret the next day in the morning. In addition, ethical leader behavior moderated the negative indirect effect of daily perceived job insecurity on next-day work engagement and customer-directed helping through next-morning occupational regret. Specifically, these negative effects were especially stronger among employees who had observed low levels of ethical leader behavior the previous day. The theoretical implications of the present findings for researchers and their practical implications for managers are discussed. (shrink)

Daseok is a thinker who spent his whole life in searching out the principle of life for all the global citizens’ living together peacefully freed from the ‘absolute’ centripetal force of Europe. We are now at a juncture of drawing up a new grammar of life for living together in a pluralistic age where all kinds of ideologies and world religions should coexist intermingling with each other. Daseok, as a early thinker of the global village period, tried to search out (...) an alternative and integrative thought encompassing the thoughts of Daoism, Buddhism, Confucianism, and Christianity throughout his whole life. He thought that a clue for solvingsuch a problem on a world philosophy level can be found in the spiritual mind and heart, the nature‐friendly lifestyle, and the integrative thinking structure of Korean people, and in the convivial [mutually vivifying] grammar of Korean language. In his youth, Daseok felt the mystery of life within his own body and spirit. He came to know that ‘I’ as the body is connected to all the life forms and even to all the lifeless forms till now as one unity with them all, the very present ‘I’ being a frontier [an end point] of the cosmological life event. Then, he became awakened to the truth that this ‘I’ should become firewood of the life event for the continuation of the cosmological life cord, in one of whose threads being transmitted even to ‘myself’ without interruption. Afterwards, he came to interpret thephenomenon of life as “an event for the achievement of heavenly commandment through the burning up of one’s own body.” In such an achievement, according to him, we can and should become cosmological persons living a cosmological life of vivifying and serving everything between heaven and earth in communication with the transcendent and yet omnipresent Spirit of heaven. (shrink)

What I pay attention to in this article is the relationship between Su-wun (水雲) and Da-seok (多夕) in their thoughts. As is generally known, Dong-hak (東學) has been recognized as an independent national religion which rediscovered the forgotten God of Korean People. It is indicated by the fact that Dong-hak is a system of thought which has inherited and developed the theory of three foundations (三才) as the worldview of Cheonbugyeong. In this paper, what I find to be missing in (...) Da-seok's thought is that he did not mention Su-wun's Dong-hak. Given the fact that Da-seok had much interest not only in Buddhism and Confucianism butalso in Cheonbugyeong, it is more or less unexpected that he took Donghak, which was closely related to the scripture, out of the question in his writing. For this reason, the main task of this article is to correlate Su-wuns' Dong-hak and Daseok's thoughts (Understanding of Christianity) in the framework of the idea three foundations (三才) originating from Cheonbugyeong. In order to make these points clear, I will discuss the following in order: First, the theory of three foundationsproclaimed in Cheonbugyeong as the fundamental framework of both Dong-hak and Da-seok's thoughts. Second, the fundamental feature of Da-seok's understanding of Christianity. Third, comparison of Da-seok's understanding of Christianity and Dong-hak in term of their fundamental structure. Lastly, the encounter between Da-seok's Christianity and Dong-hak and its implications for the world history and theology of life. (shrink)

Although disoriented young children reorient themselves in relation to the shape of the surrounding surface layout, cognitive accounts of this ability vary. The present paper tests three theories of reorientation: a snapshot theory based on visual image-matching computations, an adaptive combination theory proposing that diverse environmental cues to orientation are weighted according to their experienced reliability, and a modular theory centering on encapsulated computations of the shape of the extended surface layout. Seven experiments test these theories by manipulating four properties (...) of objects placed within a cylindrical space: their size, motion, dimensionality, and distance from the space’s borders. Their findings support the modular theory and suggest that disoriented search behavior centers on two processes: a reorientation process based on the geometry of the 3D surface layout, and a beacon-guidance process based on the local features of objects and surface markings. Ó 2010 Elsevier Inc. All rights reserved. (shrink)

This study investigates how collective corruption appears, using a computational method. Specifically, acknowledging that the characteristics of collective corruption process are analogous to percolation phenomena, we illuminate that collective corruption is formed by ongoing social interactions in an organizational boundary. By formulating a percolation-based system dynamics model, we consider the behavioral characteristics of collective corruption in terms of individuals’ corruption preferences governed by personal attributes on corruption. We also propose and examine scenarios regarding the formation of collective corruption.

Thesis (Ph. D.)--University of Hawaii at Manoa, 1995.

For many centuries, philosophers and scientists have pondered the origins and nature of human intuitions about the properties of points, lines, and figures on the Euclidean plane, with most hypothesizing that a system of Euclidean concepts either is innate or is assembled by general learning processes. Recent research from cognitive and developmental psychology, cognitive anthropology, animal cognition, and cognitive neuroscience suggests a different view. Knowledge of geometry may be founded on at least two distinct, evolutionarily ancient, core cognitive systems for (...) representing the shapes of large-scale, navigable surface layouts and of small-scale, movable forms and objects. Each of these systems applies to some but not all perceptible arrays and captures some but not all of the three fundamental Euclidean relationships of distance (or length), angle, and direction (or sense). Like natural number (Carey, 2009), Euclidean geometry may be constructed through the productive combination of representations from these core systems, through the use of uniquely human symbolic systems. (shrink)

Advances in digital technology are changing the methods of teaching and learning. In the course of this stream of changes, the emergence of artificial intelligence (AI) has become a topic of great interest and concern. The development of teaching AIs (artificial intelligences that teach), which can provide adaptive and personalized dialogue with students, has shifted the relationship between teachers and students, and has raised new questions regarding the role of teachers. The purpose of this paper is to rethink the meaning (...) of the act of teaching, without denying its variety, and to reflect on the role of teachers in the relatively unfamiliar situation created by the emergence of AI teaching machines. To this end, I attempt, first, to re-examine the nature of teaching by considering two possible orientations: teaching as a return to homogeneity and teaching as exposure to heterogeneity. My purpose is to consider the characteristics and limitations of the teaching implemented by AI and to discuss the role of human teachers in overcoming these limitations. Second, I seek to reveal what it is for the teacher to speak, which is often understood as the most important aspect of teaching, again by way of two characterizations: the closed conversation, which converges on a conclusion, and the open conversation, oriented towards ethical responsibility. In doing this, I shall examine critically some characteristics of language used by AI teaching machines and suggest alternatives that might constitute openness to an ethical conversation. In furtherance of this, I shall consider the account of teaching that is central to the philosophy of Emmanuel Levinas. (shrink)

This book demonstrates the originality and coherence of Jonathan Edwards' philosophical theology using his dynamic reconception of reality as the interpretive key. The author argues that what underlies Edwards' writings is a radical shift from the traditional Western metaphysics of substance and form to a new conception of the world as a network of dispositions: active and abiding principles that possess reality apart from their manifestations in actions and events. Edwards' dispositional ontology enables him to restate the Augustinian-Calvinist tradition in (...) theology in a strikingly modern philosophical framework. A prime example of Edwards' innovative reconstruction in philosophical theology is his conception of God as both eternal actuality and a disposition to repeat that actuality within God and also through creation. This view is a compelling alternative to the traditional Western doctrine of God as changeless actuality, on the one hand, and the recent process theologians' excessive stress on God's involvement in change, on the other. Edwards' achievement was that he saw dynamic movement as essential to God's own life without compromising the traditional Christian tenets of God's prior actuality and transcendence. The author of this volume also explicates the way in which Edwards' dynamic reconception of reality informs his theories of imagination, aesthetic perception, the knowledge of God, and the meaning of history. This expanded edition includes a new preface and a new appendix titled "Jonathan Edwards on Nature.". (shrink)

In this study, we investigate, both theoretically and empirically, the impact of language gender marking on gender wage inequality and country income inequality. We find that nations with a higher level of gender marking in their dominant language have a higher wage gap between genders. Using an instrumental variable approach, we also find that gender marking has an indirect impact on country income inequality via gender wage inequality. Furthermore, we find evidence that the income inequality of a society as a (...) whole is affected by gender wage inequality. Finally, we document that linguistic gender marking outperforms survey-based cultural gender dimensions as a predictor of both gender wage inequality and country income inequality. (shrink)

Diese Untersuchung wendet sich gegen die verbreitete Interpretationstendenz, Platons Anamnesislehre als Lehre von einer Art gelingender Identifikation auszulegen. Dabei wird behauptet, Platon habe geglaubt, der Mensch besitze auf eine mythisch unerklärliche Weise die Begriffe aller Dinge apriori in sich und brauche sich beim Anblick eines konkreten Einzeldings nur an diesen vorgeburtlichen Besitz zu erinnern, um dieses Ding begrifflich richtig zu identifizieren. Durch eine sorgfältige, dem Wortlaut im einzelnen folgende Interpretation zeigt Lee, daß der Mensch nach Platon lediglich in der Lage (...) ist, die allgemeinen Kriterien und Prinzipien des Denkens analytisch aufzudecken. Erst die methodische Erschließung und Anwendung dieser - apriorischen, d.h. in jeder Erfahrung vorausgesetzten - Kriterien ermöglicht ein Fortschreiten des Erkennens auch in Bezug auf Einzeldinge. Die Anamnesislehre erweist sich dadurch als eine immer noch bedenkenswerte kritische Reflexion auf die Bedingungen der Sicherheit des Erkennens. (shrink)

Since service providers directly conduct emotional labor to customers, it is important to identify the factors influencing emotional labor of service providers. Even though the studies identifying the predisposing factors influencing emotional labor are taking place, there is no empirical evidence confirming how relationship bonds, which have been established between corporations and service providers, are related to emotional labor. This study examined the influences of relationship bonds on emotional labor through person-organization fit (P-O fit) and the moderating effects of collectivism (...) between P-O fit and emotional labor. Analysis was conducted by performing questionnaire surveys targeting 365 employees in the financial industry. As a result of the analysis, it has been found that financial bonds, social bonds, and structural bonds enhanced P-O fit and P-O fit improved deep acting. In addition, this study identified that collectivism of service providers strengthened the influence of P-O fit toward deep acting. This study not only suggested the empirical evidence identifying the process of relationship bonds influencing emotional labor but also expanded the scope of study by examining moderating roles of collectivism in cultural psychology aspect. (shrink)

I have spent 20 years preparing for the translation of Heidegger’s Being and Time. In these 20 years, I spent 10 years in Germany writing the master and doctoral thesis on Heidegger in order to understand Heidegger’s thoughts properly. Later on I spent other 10 years teaching Heidegger’s philosophy at university while translating Being and Time into Korean. At that time, there were already 4 different translations of Being and Time in Korean. But because these translations were based on Japanese (...) translations, many concepts and terms were ungraspable by ordinary Korean people. Impressed with Heidegger’s use of the ordinary words as important philosophical concepts, I also did my best to translate Being and Time using ordinary Korean words. (shrink)