Acidity, generated in hypoxia or hypermetabolic states, perturbs homeostasis and is a feature of solid tumors. That acid peripherally disperses lysosomes is a three‐decade‐old observation, yet one little understood or appreciated. However, recent work has recognized the inhibitory impact this spatial redistribution has on mechanistic target of rapamycin complex 1 (mTORC1), a key regulator of metabolism. This finding argues for a paradigm shift in localization of mTORC1 activator Ras homolog enriched in brain (RHEB), a conclusion several others have now independently (...) reached. Thus, mTORC1, known to sense amino acids, mitogens, and energy to restrict biosynthesis to times of adequate resources, also senses pH and, via dampened mTOR‐governed synthesis of clock proteins, regulates the circadian clock to achieve concerted responses to metabolic stress. While this may allow cancer to endure metabolic deprivation, immune cell mTOR signaling likewise exhibits pH sensitivity, suggesting that suppression of antitumor immune function by solid tumor acidity may additionally fuel cancers, an obstacle potentially reversible through therapeutic pH manipulation. (shrink)

BackgroundThe informed consent process in clinical trials has been extensively studied to inform the development processes which protect research participants and encourage their autonomy. However, ensuring a meaningful informed consent process is still of great concern in many research settings due to its complexity in practice and interwined socio-cultural factors.ObjectivesThis study explored the practices and meaning of the informed consent process in two clinial trials conducted by Oxford University Clinical Research Unit in collaboration with the Hospital for Tropical Diseases in (...) Ho Chi Minh City, Vietnam.MethodsWe used multiple data collection methods including direct observervations, in-depth interviews with study physicians and trial participants, review of informed consent documents from 2009 to 2018, and participant observation with patients’ family members. We recruited seven physicians and twenty-five trial participants into the study, of whom five physicians and thirteen trial participants completed in-depth interviews, and we held twenty-two direct observation sessions.ResultsWe use the concept “fragmented understanding” to describe the nuances of understanding about the consent process and unpack underlying reasons for differing understandings.ConclusionsOur findings show how practices of informed consent and different understanding of the trial information are shaped by trial participants’ characteristics and the socio-cultural context in which the trials take place. (shrink)

Objectives: The official implementation of clinical pharmacy in Vietnam has arrived relatively late, resulting in various stressors. This study aims to evaluate job stress level and suggest viable solutions.Methods: A cross-sectional study was conducted on clinical pharmacists in 128 hospitals in Ho Chi Minh City. Job stress questions were derived from the Healthcare Profession Stress Inventory.Results: A total of 197 CPs participated, giving a response rate of 82.4%. Participants were found to have moderate job stress with an overall mean stress (...) score of 1.5 and stress rate of 52.8%. The sample size was statistically adequate and the HPSI was valid and reliable. Patient care responsibility was the main stressor, especially in public hospitals, followed by job conflicts. Lack of experience, low income, and inability to participate in clinical ward rounds caused significant stress to CPs regarding job recognition and job uncertainty. More practice-oriented training programs in bachelor curricula and clinical practice should be applied to help CPs gain more experience, self-confidence, and diminish job stress.Conclusion: CPs in HCMC have moderate stress. More practice-oriented training programs should be prioritized to lessen stress for CPs. (shrink)

Abstractc‐Rel is a proto‐oncogene first identified as the cellular counterpart of the v‐Rel oncogene derived from the avian reticuloendotheliosis retrovirus (REV‐T). It was subsequently discovered that c‐Rel belongs to the NF‐κB/Rel transcription factor family whose members share a common DNA recognition motif and similar signaling pathways. Despite the similarities, however, each NF‐κB/Rel member possesses unique properties with regard to tissue expression pattern, response to receptor signals and target gene specificity. These differences are fairly evident from the non‐redundant phenotypes exhibited by (...) individual NF‐κB/Rel knockout mice. Hence the work described in this review will compare and contrast the various physiological functions of c‐Rel to those of other NF‐κB members, particularly with respect to the regulation of proliferation, survival and effector functions in multiple hematopoietic and immunological cell types. The study of c‐Rel knockout mice in several disease models will also be discussed as they reveal an important role for c‐Rel in response to allergens, auto‐antigens, allo‐antigens and pathogenic infection. BioEssays 25:767–780, 2003. © 2003 Wiley Periodicals, Inc. (shrink)

This article discusses the arguments of chang tsai (1020-1077) against buddhism on the one hand and for reassertion of the confucian ethics on the other, With quotations translated from the chinese texts relevant to the following points: i) chang's criticism of buddhism, Ii) "the western inscription" or hsi ming, Iii) the dual concept of nature or hsing, Iv) man by nature a moral being, V) the problem of evil, Vi) the problem of moral knowledge, And vii) the religious significance of (...) li or rituals. (shrink)

The robustness of the classical tests on means (Z, t, and F) and variances (chi square and F) was investigated by obtaining 30,000 (or, sometimes, 10,000 or 150,000) values of the test statistic under assumption-violating conditions and comparing the actual proportion of Type I errors with the proportion expected when all assumptions are met. The sampling and testing conditions investigated were: population shape (L-shape or bell-shape), relative population variance (1 or 4), sample size (8, 16, or 24), nominal significance level (...) (.05,.01, or.001), and location of rejection region (left-tailed, right-tailed, or two-tailed). All tests on means were nonrobust under most of the investigated conditions, and one was nonrobust under all of them. Both tests on variances were extremely nonrobust under virtually all conditions. The worst nonrobustness of the one- and two-independent-sample Z and t tests rivaled or exceeded that of the notoriously nonrobust chi-square and F tests on variances. (shrink)

Cuprins CONTUR Re-Introducere sau: Dincolo de „teoria şi practica” informării şi documentării – Spre o hermeneutică posibilă şi necesară Proiectul şi Programul PHILOBIBLON( în noua formulare) FOCUS Dana Stana, Omonimia şi paronimia în bibliologie Victoria Frâncu, Profesia de bibliotecar la graniţa dintre spaţiul bibliotecii şi ciberspaţiu Olimpia Curta, Laboratorul de informatică şi profesioniştii săi Ionel Enache, Fundamentele teoretice ale marketingului de bibliotecă Maria Petrescu, Bibliotecile digitale şi impactul lor asupra tinerilor Adriana Szekely, Liana Grigore, Bibliorev – în continuă schimbare István (...) Király V., Proiect în vederea Acreditării ISI al revistei PHILOBIBLON Valeria Salánki, Cultura organizaţională. Propunere de studiu asupra culturii organizaţionale – octombrie 2008 Marian Petcu, Originile faptului divers în presa română Tudor-George Pereverza Expresia bibliografică a Iconografiei eminesciene (Fotografie şi artă plastică, 1939-1989) Vlad A. Codrea, Gabriela-Rodica Morărescu, Forray Erzsébet, Catalogus Raritatum et Benefactorum, un manuscris reprezentativ din perioada de început a Muzeului de Ştiinţele Naturii din Aiud 4 Alin Mihai Gherman, Pornind de la o Bucoavnă necunoscută Roxana Bălăucă, Tipărituri franceze în colecţiile BCU „Lucian Blaga”: secolul al XVIII-lea Maria-Stela Constantinescu-Matiţa, Szabó Károly – bibliotecar, bibliograf şi istoric Roxana Bălăucă, Theodor Aman în Donaţia Sion Margareta Berchez, Îmbogăţirea colecţiilor Bibliotecii Universităţii de Ştiinţe Agricole şi Medicină Veterinară Cluj-Napoca prin schimbul de publicaţii de-a lungul timpului Ioana Rotund, O oază francofonă la Cluj Ilona Okos-Rigó, Biblioteca şi Grădina Botanică Clujeană Gabriela Pop, Institutul de Iudaistică şi Istorie Evreiască „Dr. Moshe Carmilly” şi Biblioteca de Studii Iudaice Mariana Falup, Împrumutul interbibliotecar intern şi internaţional şi livrarea de documente la B.C.U. Cluj-Napoca ORIZONTURI Doru Radosav, Viaţa ca alterego. Petrea Icoanei: travesti şi clandestinitate în mişcarea de rezistenţă anticomunistă Ionuţ Costea, Mitbiografia între propagandă şi memorie Gabriela Morărescu ;Vlad Codrea, Preocupări pentru cunoaşterea şi protecţia naturii în scrierile unui entuziast naturalist al secolului XIX: Basiliu Basiota Alin Mihai Gherman, Vechi lexic bibliotecăresc Raluca Betea, Influenţa artei Renaşterii asupra decoraţiei icoanelor din secolele XVI-XVIII din Transilvania şi Maramureş 5 Monica Mureşan, Căsătoria civilă ca aspect al modernizării societăţii transilvănene la sfârşitul secolului al XIX –lea. – Discurs oficial şi receptare socială reflectate în presa vremii Ancuţa-Lăcrimioara Chiş, Diferenţa şi discriminarea socio-politică a femeii Irina Petraş, Casa, locul vieţii (fragmente) Monica Mureşan Pentru o istorie a morţii în peisajul istoriografic românesc - prezentarea unor contribuţii colective recente: Religiozitate şi atitudini în faţa morţii în spaţiul transilvan din premodernitate până în secolul XX, coord. Mihaela Grancea, 2005 şi Discursuri despre moarte în Transilvania secolelor XVI-XX, coord Mihaela Grancea şi Ana Dumitran, 2006. REFLEXII Olimpia Curta, Reviste electronice. Baze şi perspective de Alice Keller – Recenzie Adrian Grănescu, Arhitectura Clinicilor Universitare din Cluj 1886-1903 Dorina Buia, Itinerar de suflet la Tăul Muced Raluca Soare, De la teoriile ataşamentului la tehnicile de intervenţie în psihoterapie. (Školka Enikő – Teorii explicative, Modele şi Tehnici de intervenţie în psihologie clinică şi psihoterapie) Sidonia Nedeianu Grama, Mitbiografia politică în istoria orală Raluca Soare, Opera bibliothecariorum 1990-2007 – Recenzie Ionuţ Costea, Kovács Mária, A kolozsvári „Lucian Blaga” Központi Egyetemi Könyvtár 19. századi magyar nyelvű kéziratainak katalógusa. Első kötet: történelmi és földrajzi kéziratok/ Catalogul manuscriselor maghiare din secolul al 19-lea din colecţiile Bibliotecii Centrale Universitare „Lucian Blaga” Volumul I: Manuscrise de istorie şi geografie, Editura Argonaut, Cluj-Napoca, 2007, 218 p. – Recenzie 6 Ana Maria Căpâlneanu, Lola Maria Petrescu – Biblioteca şi provocările secolului XXI, Cluj-Napoca: Risoprint, 2007 István Király V, Bibliografia ca instrument al clarificării de sine Kinga Tamás, Viorica Sâncrăian - un coleg şi un bibliotecar de excepţie În colecţia BIBLIOTHECA BIBLIOLOGICA au apărut Revista PHILOBIBLON – Volumele apărute. (shrink)

Defect detection is a major concern in quality control of various products in industries. This paper presents two different machine-vision based methods for detecting defects on periodically patterned textures. In the first method, input defective image is split into several blocks of size same as the size of the periodic unit of the image and chi-square histogram distances of each periodic block with respect to itself and all other periodic blocks are calculated to get a dissimilarity matrix. This dissimilarity matrix (...) is subjected to Ward's hierarchical clustering to automatically identify defective and defect-free blocks. The second method of defect detection is based on Universal Quality Index which is a measure of loss of correlation, luminance distortion and contrast distortion between any two signals. Quality indices of a periodic block with respect to itself and all other periodic blocks are calculated to get a similarity matrix containing quality indices. Specific variances of the periodic blocks are derived from the quality index matrix through orthogonal factor model based on eigen decomposition. These variances are subjected to Ward's hierarchical clustering to automatically identify defective and defect-free blocks. Results of experiments on real fabric images with defects show that the defect detection methods based on chi-square histogram distance and universal quality index yield a success rate of 98.6% and 97.8% respectively. (shrink)

本书采用一图配一文的方式,用白话简明扼要地介绍了孔子及七十二弟子的言行事迹、身份、成就等。.

t. 1. Dialog s V. V. Davydovym -- t. 2. Nereshennye problemy razvivai︠u︡shchego obrazovanii︠a︡.

En el Canto V del Infierno, uno de los pasajes más universalmente conocidos de la Divina Comedia, Dante sugiere la fuerza corruptora de la literatura, desencadenante del adulterio de Paolo y Francesca. Este esquema en que lo literario se convierte en motivo de perdición, reaparece en casos tan conocidos como el de Don Quijote y otros menos conocidos como el dickensiano Nicodemus Boffin de Nuestro común amigo. Estos escritores dejan traslucir en sus obras sus inquietudes respecto a una influencia que (...) simultáneamente buscan y temen sobre los lectores. Sus «libros dentro de los libros» pueden ser interpretados como una vacuna con la que el escritor quiere proveer al lector de las herramientas para protegerse de los efectos perversos de una literatura recibida en clave romántica. Proponemos, siguiendo especialmente a Renato Poggioli, John Freccero o René Girard, una interpretación antirromántica que subraya la actualidad de la arquitectura moral de la Divina Comedia y su ascendencia sobre varios clásicos de la literatura moderna posterior. (shrink)

We argue that the main results of scientific papers may appropriately be published even if they are false, unjustified, and not believed to be true or justified by their author. To defend this claim we draw upon the literature studying the norms of assertion, and consider how they would apply if one attempted to hold claims made in scientific papers to their strictures, as assertions and discovery claims in scientific papers seem naturally analogous. We first use a case study of (...) William H. Bragg’s early 20th century work in physics to demonstrate that successful science has in fact violated these norms. We then argue that features of the social epistemic arrangement of science which are necessary for its long run success require that we do not hold claims of scientific results to their standards. We end by making a suggestion about the norms that it would be appropriate to hold scientific claims to, along with an explanation of why the social epistemology of science—considered as an instance of collective inquiry—would require such apparently lax norms for claims to be put forward. (shrink)

This paper addresses the problem of judgment aggregation in science. How should scientists decide which propositions to assert in a collaborative document? We distinguish the question of what to write in a collaborative document from the question of collective belief. We argue that recent objections to the application of the formal literature on judgment aggregation to the problem of judgment aggregation in science apply to the latter, not the former question. The formal literature has introduced various desiderata for an aggregation (...) procedure. Proposition-wise majority voting emerges as a procedure that satisfies all desiderata which represent norms of science. An interesting consequence is that not all collaborating scientists need to endorse every proposition asserted in a collaborative document. (shrink)

I argue that collaborators do not need to reach broad agreement over the justification of a consensus claim. This is because maintaining a diversity of justifiers within a scientific collaboration has important epistemic value. I develop a view of collective justification that depends on the diversity of epistemic perspectives present in a group. I argue that a group can be collectively justified in asserting that P as long as the disagreement among collaborators over the reasons for P is itself justified. (...) In conclusion, I make a case for multimethod collaborative research and work through an example in the social sciences. (shrink)

In post-Gricean pragmatics, communication is said to be successful when a hearer recovers a speaker’s intended message. On this assumption, proposals for ‘what is said’ – the semantic, propositional meaning of a speaker’s utterance – are typically centred around the content the speaker aimed to communicate. However, these proposals tend not to account for the fact that speakers can be deliberately vague, leaving no clear proposition to be recovered, or that a speaker can accept a hearer’s misconstrual even though the (...) speaker didn’t intend it. In such cases, identifying ‘what is said’ is more contentious, even though communication is arguably no less successful. Building on recent interactionist approaches to meaning, this chapter offers a proposal for ‘what is said’ that can account for cases of ‘imperfect’ communication in which the recovery of a speaker’s intention goes awry. This involves taking ‘what is said’ as the co-constructed meaning that the speaker and hearer jointly agree on, giving ‘grounded meanings’ – those mutually and manifestly accepted into the discourse by speaker and hearer – higher precedence in a theory of communication than simply the speaker’s intended meaning. In such cases, rather than speaker and hearer converging at the level of explicit utterance content, communication is expected to be successful as long as the hearer recovers a proposition which is compatible with the speaker’s higher-order discursive goal. The hearer’s uptake is then allowed to override the content of the speaker’s intended meaning in the process of negotiating ‘what is said’. (shrink)

Though there are many factors that contribute to the perceived legitimacy of business ethics education, this research focuses on one factor that is given great attention both formally and informally in many business schools: student satisfaction with the course. To understand the nature of student satisfaction, the authors draw from multiple theories with central claims relating expectations with satisfaction. The authors then compare student expectations of business ethics courses with instructor objectives and discover that business ethics courses are not necessarily (...) designed to meet student expectations. The authors speculate that this general mismatch between student expectations and instructor objectives has material consequences. As one example, the authors analyze student evaluations from three business schools and identify a “business ethics course effect”: a negative association between business ethics courses and student evaluations. The authors discuss the implications for business ethics education of a situation where pedagogical objectives and market prescriptions point in different directions. (shrink)

Before she became a Buddhist nun in the tradition of Thich Nhat Hanh, Sister Dang Nghiem was a doctor. Born during the Tet Offensive and part of the amnesty for Amerasian children of the late 1970s, Dang Nghiem arrived in this country virtually penniless and with no home. She lived with three foster families, graduated high school with honors, earned two undergraduate degrees, and became a doctor. When the man she thought she'd spend her life with suddenly drowned, (...) Sister Dang Nghiem left medicine and joined the monastic community of Thich Nhat Hanh. It is from this vantage point that Dang Nghiem writes about her journey of healing. Devastated by the diagnosis and symptoms of Lyme Disease, she realized that she was also reliving many of the unresolved traumas from earlier in her life. She applied both her medical knowledge and her advanced understanding and practice of mindfulness to healing. Through meditation she finally came to understand what it means to "master" suffering. In Mindfulness as Medicine Sister Dang Nghiem leads readers through her profound journey of healing and shares step-by-step directions for the techniques she used to transform her suffering. (shrink)

Dream is a state of consciousness characterized by internally-generated sensory, cognitive and emotional experiences occurring during sleep. Dream reports tend to be particularly abundant, with complex, emotional, and perceptually vivid experiences after awakenings from rapid eye movement sleep. This is why our current knowledge of the cerebral correlates of dreaming, mainly derives from studies of REM sleep. Neuroimaging results show that REM sleep is characterized by a specific pattern of regional brain activity. We demonstrate that this heterogeneous distribution of brain (...) activity during sleep explains many typical features in dreams. Reciprocally, specific dream characteristics suggest the activation of selective brain regions during sleep. Such an integration of neuroimaging data of human sleep, mental imagery, and the content of dreams is critical for current models of dreaming; it also provides neurobiological support for an implication of sleep and dreaming in some important functions such as emotional regulation. (shrink)

The resource-based model of self-regulation provides a pessimistic view of self-regulation that people are destined to lose their self-control after having engaged in any act of self-regulation because these acts deplete the limited resource that people need for successful self-regulation. The cognitive control theory, however, offers an alternative explanation and suggests that the depletion effect reflects switch costs between different cognitive control processes recruited to deal with demanding tasks. This account implies that the depletion effect will not occur once people (...) have had the opportunity to adapt to the self-regulatory task initially engaged in. Consistent with this idea, the present study showed that engaging in a demanding task led to performance deficits on a subsequent self-regulatory task only when the initial demanding task was relatively short but not when it was long enough for participants to adapt. Our results were unrelated to self-efficacy, mood, and motivation. (shrink)

This paper aims to bridge the relationship between metalinguistic if you like as a non-propositional discourse marker and its conditional counterparts. This paper claims that metalinguistic if you like is polysemous between a hedge that denotes the speaker’s reduced commitment to some aspect of the main clause, and an optional yet potential conditional reading that interlocutors can legitimately draw on in interaction which is brought about due to the ‘if p, q’ sentence form. That is, although the metalinguistic reading is (...) most likely obtained automatically by default, it also carries an available conditional reading that is akin to other metalinguistic conditional clauses such as if you see what I mean. Next, a semantic representation of metalinguistic if you like is developed that takes on board a characterization of conditionality that departs from lexico-grammatical conventions, such that conditionals of the form ‘if p, q’ no longer bear a one-to-one correspondence with “conditional” truth conditions. Employing a radical contextualist semantic framework in which the unit of truth-conditional analysis is not constrained to the sentence form, utterances employing metalinguistic if you like are given a semantic representation such that the if-clause does not contribute propositional content, yet they also maintain their status as conditionals as the sentence form gives rise to a potential conditional secondary meaning. (shrink)

Büchi, J. R. The monadic second order theory of [omega symbol]₁.--Büchi, J. R. and Siefkes, D. Axiomatization of the monadic second order theory of [omega symbol]₁.

Standard models of adolescent risk taking posit that the cognitive abilities of adolescents and adults are equivalent, and that increases in risk taking that occur during adolescence are the result of socio emotional differences in impulsivity, sensation seeking, and lack of self-control. Fuzzy-trace theory incorporates these socio emotional differences. However, it predicts that there are also cognitive differences between adolescents and adults, specifically that there are developmental increases in gist-based intuition that reflects understanding. Gist understanding, as opposed to verbatim-based analysis, (...) generally has been hypothesized to have a protective effect on risk taking in adolescence. Gist understanding is also an essential element of informed consent regarding risks in medical decision- making. Evidence thus supports the argument that adolescents’ status as mature minors should be treated as an exception rather than a presumption, because accuracy in verbatim analysis is not mature gist understanding. Use of the exception should be accompanied by medical experts’ input on the bottom-line gist of risks involved in treatment. (shrink)

Philosophy & Social Criticism, Volume 47, Issue 9, Page 1104-1131, November 2021. Contemporary workplaces are mostly hierarchical. Intrinsic and extrinsic bads of workplace hierarchies have been widely discussed in the literature on workplace democracy and workplace republicanism. However, a distinctively intrinsic relational bad, epistemic injustice in the workplace, has largely been neglected by both normative theorists of the workplace and theorists of epistemic injustice. This article, by bringing in the insights of Miranda Fricker’s influential conceptualization of epistemic injustice, argues that (...) hierarchical workplaces have contributed to and reinforced both testimonial and hermeneutical injustices in a central activity of most people’s daily lives. This article argues that these injustices are moral wrongs and thus moral injury to the workers. The article concludes by demonstrating that traditional hierarchy is the most epistemically unjust form of hierarchy, while contestatory hierarchy, because of its emphasis on granting the right to the workers to be listened, is less unjust epistemically. (shrink)