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The evaluation of students in online education poses a notable challenge, primarily due to the potential violation of academic integrity caused by various forms of cheating during online examinations. This study aims to explore the perspectives of English as a Foreign Language (EFL) learners on the reasons for online exam cheating. The study was conducted using a mixed-methods approach and included 27 participants from three different educational contexts: universities, institutes, and schools. The qualitative phase of the study involved conducting comprehensive discussions using the Google Meet app, allowing participants to explore the factors contributing to online exam cheating. The results of qualitative analysis revealed three broad categories of reasons for online exam cheating: student-related factors, teaching-related factors, and assessment-related factors, each with sub-themes. Followed by this, a ranking scale was administered to the participants to determine the perceived significance of these categories. The implications of this study can guide the development of interventions and strategies targeting these different categories of reasons, ultimately fostering a culture of academic honesty among EFL learners in online exam settings. Also, this study contributes to understanding the reasons for online exam cheating among EFL learners and provides insights for promoting integrity in online assessments. [ABSTRACT FROM AUTHOR]

Several philosophers have proposed Knowledge-Based Decision Theories (KDTs)—theories that require agents to maximize expected utility as yielded by utility and probability functions that depend on the agent's knowledge. Proponents of KDTs argue that such theories are motivated by Knowledge-Reasons norms that require agents to act only on reasons that they know. However, no formal derivation of KDTs from Knowledge-Reasons norms has been suggested, and it is not clear how such norms justify the particular ways in which KDTs relate knowledge and rational action. In this paper, I suggest a new axiomatic method for justifying KDTs and providing them with stronger normative foundations. I argue that such theories may be derived from constraints on the relation between knowledge and preference, and that these constraints may be evaluated relative to intuitions regarding practical reasoning. To demonstrate this, I offer a representation theorem for a KDT proposed by Hawthorne and Stanley (2008) and briefly evaluate it through its underlying axioms. [ABSTRACT FROM AUTHOR]

Background: The use of complementary and alternative medicine (CAM) has increased substantially around the world; various global studies have documented the use of CAM by surgical patients in the preoperative period, with rates of herbal medications and other nonherbal treatments ranging from 12 to 69%. This study aimed to identify the prevalence of CAM and its patterns of use among surgical patients. Methods: From December 2020 to April 2021, a descriptive cross-sectional study was undertaken in Palestine. A face‒to-face interview questionnaire was used. The participants were asked questions regarding sociodemographics, clinical information, CAM usage, reasons for its use, and opinions on its efficacy. Results: Among the 300 surgical patients who were interviewed in this study, 252 (84.0%) reported that they had ever used CAM, while a total of 122 (48.4%) had used CAM before their surgery, 81.7% of the respondents used herbal methods, and 64.7% of them used nonherbal methods. CAM use among our study population was not linked to specific demographics or other characteristics, except health insurance (p = 0.004). The most commonly used herbs among surgical patients are Salvia officinalis L. (Sage) (84.1%) and Pimpinella anisum L. (Anise) (75.5%). The highest percentage was found among patients with university qualifications (73.2%), who used more than three methods (p < 0.001). In addition, 59.4% of the females used more than three therapies, whereas 45.9% of the males did (p = 0.032). Conclusions: The herbal methods used are common among surgical patients in Palestine and are consistent with the enormous increase in the use of CAM. Therefore, awareness should be raised among the public regarding the risks and benefits of CAM use. [ABSTRACT FROM AUTHOR]

The primary objective of this study was to explore the stories and experiences of English teachers shifting careers. The study was conducted in Davao de Oro. A multiple case study was employed and purposive sampling was utilized in selecting the three participants. Moreover, the researcher adhered to the following criteria: (a) Who are willing to share their stories (b) Who graduated as BSED English major (c) Who are passers of LET (d) Who shifted careers. As part of the ethical consideration, the identities of the three participants were kept confidential and anonymous. The findings of the study revealed that the experiences encountered by the participants related to teaching were Worthwhile, Enjoyable, and Tricky and complicated. The challenges encountered by the participants related to teaching were Time management, and Catching students' Interest. The reasons of moving away from English teaching were Health Condition, Salary Wise, and to have stable job. The insights they developed were to Teaching the Noblest Profession, Finding it Necessary for Further Education, and Establish Understanding with Others. [ABSTRACT FROM AUTHOR]

This research is a study of an issue related to the causes and motivations behind doctrinal differences. It is titled: "The Causes of Doctrinal Differences: Greek Philosophy and Heritage as a Model." It is an attempt to identify some of the causes of these differences and the emergence of various sects among Muslims, and to try to explain many of the logical questions about the motivations and reasons that led to doctrinal differences and the influence of Greek philosophy on this. This study aims to identify the most important causes of doctrinal differences and the underlying reasons behind these differences, as well as the extent of the influence of Greek philosophy and heritage in directing these differences. The study reached at a number of results, Greek philosophy entered the Muslim world in general through the translation of ancient sciences into the Arabic language. The causes of disagreement and the occurrence of differences and divisions are many, some of which are due to malice, the extreme exaggeration in belief, the following one's desires, the spread of innovations, the interpretation of texts, the use of common and ambiguous terms, the malice of the enemies of Islam, as well as the influence of foreign cultures as a result of the translation of the sciences of other nations, such as the sciences of the Greeks, Indians, Persians, and others, which had a great impact on the emergence of a number of sects affiliated with Islam.. The speakers benefited from the methods and approaches of philosophy and used them in debate and in stating their views. Imam Fakhr al-Din al-Razi tried to establish a kind of coexistence between philosophy and Kalam, and Imam Ibn Hazm is considered one of those who defended Aristotelian logic and one of those who said that it is necessary to adopt it. The influence of philosophy (the Greek heritage) appeared in the disagreement on some issues through the logical or philosophical rational premises that were used by those who said something contrary to what the people of the Sunnah and the Jama'ah had stated. [ABSTRACT FROM AUTHOR]

There are reasons for many things. For instance, we can have reasons to watch our favorite movie and believe that it will live up to the hype. These are cases of reasons for beliefs and actions. We can also have reasons for affective attitudes: we can have reasons to be excited the movie is releasing, to fear that our friends won't like it as much as we do, and to be relieved that they did. Barry Maguire has recently argued against the claim that there are reasons for affective attitudes. If he is right, it would have serious consequences in metaethics. Several projects in metaethics are committed to the existence of reasons for affective attitudes. These views are doomed if Maguire is right. Other projects have run into serious difficulties in trying to account for the existence of reasons for attitudes. Their prospects are seriously improved if Maguire is right. I hope to show we should not accept these consequences: the existence of reasons for attitudes can be defended against Maguire's attack. [ABSTRACT FROM AUTHOR]

Childfreeness remains a largely unexplored subject in Poland. We provide insights into the scale of childlessness by choice and the motivations and characteristics of childfree people in the country. We conducted a quantitative study (national stratified random sample, n = 665, age 18–50 (M = 34.14, SD = 9.22), October 2021) and a qualitative exploration (n = 461, age 18–58 (M = 29.07, SD = 7.01), May 2020–January 2021). The quantitative analyses revealed that 14.89% of adult Poles of reproductive age did not have children and were not planning to have them. The decision not to have children was significantly predicted by lower age and left-wing political and liberal social beliefs. The qualitative analyses showed that the most common reasons for being childfree were lack of parental instinct (I do not feel the maternal instinct), not liking children (I cannot stand children) and desire for autonomy (I want to be independent). The results suggest that the Polish childfree population is substantial and diverse in their reasons for not wanting to have children. [ABSTRACT FROM AUTHOR]

Avicenna holds that since God has existed from all eternity and is immutable and impassible, he cannot come to have an attribute or feature that he has not had from all eternity. He also claims for the simultaneous causation. A puzzle arises when we consider God's creating this world. If God is immutable and impassible, then his attributes associated with his creating this world are unchanging. So, God must have been creating the world from all eternity. But then God's creative act, one might object, seems to be no different from a matter of natural necessity. This is a threat to divine freedom, for God would then have no choice concerning his creative action. Anthony Ruffus and Jon McGinnis argue that this puzzle can be solved in such a way that Avicenna can consistently affirm divine freedom along with divine simplicity. They suggest that Naṣīr al-Dīn Ṭūsī's interpretation might help to show that it is false that Avicenna's God cannot choose absolutely. For it is still open to him to choose either to create eternally or to refrain from creating anything at all. Ruffus and McGinnis argue that since creating or not creating anything at all do not correspond to two distinct concepts, Avicenna's account of divine simplicity, which denies any multiplicity in divine mind, is safeguarded along with divine freedom. I claim that God's omnirationality requiring that he always acts for reasons is a serious threat to such an interpretation. [ABSTRACT FROM AUTHOR]

I argue that the logical perspective—the study of arguments as products—is not well integrated into pragma-dialectics. I show that the Validity Rule and the Argumentation Scheme Rule, despite being procedural rules, are, in a certain sense, "logical" rules. Subsequently, I distinguish and review three successive periods in the development of the logical dimension of pragma-dialectics: conventionalist, inferentialist and dualist, to reveal that none of them is completely satisfactory. I contend that, given the assumptions and conceptual apparatus of pragma-dialectics, the integration of the logical perspective, and especially of a suitable account of counterargumentation, requires the adoption of a conception of logic as a theory of reasons, as opposed to the traditional conception of logic as a theory of inferences. Understanding logic as a theory of the dialogical construction of reasons enables us to approach the study of the relationships between arguments and the weighing of opposing arguments. [ABSTRACT FROM AUTHOR]

Copyright of Jurisprudence Faculty Journal / Magallaẗ Kulliyyaẗ Al-fiqh is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background The use of complementary and alternative medicine (CAM) has increased substantially around the world; various global studies have documented the use of CAM by surgical patients in the preoperative period, with rates of herbal medications and other nonherbal treatments ranging from 12 to 69%. This study aimed to identify the prevalence of CAM and its patterns of use among surgical patients. Methods From December 2020 to April 2021, a descriptive cross-sectional study was undertaken in Palestine. A face‒to-face interview questionnaire was used. The participants were asked questions regarding sociodemographics, clinical information, CAM usage, reasons for its use, and opinions on its efficacy. Results Among the 300 surgical patients who were interviewed in this study, 252 (84.0%) reported that they had ever used CAM, while a total of 122 (48.4%) had used CAM before their surgery, 81.7% of the respondents used herbal methods, and 64.7% of them used nonherbal methods. CAM use among our study population was not linked to specific demographics or other characteristics, except health insurance (p = 0.004). The most commonly used herbs among surgical patients are Salvia officinalis L. (Sage) (84.1%) and Pimpinella anisum L. (Anise) (75.5%). The highest percentage was found among patients with university qualifications (73.2%), who used more than three methods (p

Abstract Background In health care, two in three users of complementary therapies (CT) stay silent about their CT use. Disclosure of CT use to physicians is important for patient safety, participation, and shared decision-making. Common reasons for CT nondisclosure include patients´ expectations of physicians’ unaccepting response to disclosure, physicians not asking, and patients believing it is unnecessary. This study aimed to increase understanding of patient silence. We investigated how the reasons for nondisclosure of CT use reported by CT users were associated with the frequency of CT disclosure and how these associations and reported justifications to keep silent reflect patient silence among the study participants. Methods This mixed-methods study used existing data from the non-probability-based online survey (n = 6802) targeted to CT users among the general population in Finland. A qualitative structured tabular thematic analysis was conducted for the selected 342 brief texts describing the reasons and justification for not telling physicians about CT use. The associations between the frequency of CT disclosure and the reasons for CT nondisclosure were analysed by crosstabulations and binary logistic regression analysis with SPSS (v28). Results Three types of patient silence were revealed. Avoidant silence illustrates the respondents coping with the fear of unwanted response from a physician and avoiding the expected negative consequences of CT disclosure. Precautionary silence exemplifies respondents striving to prevent the reoccurrence of previously experienced frustration of wishes to be seen and heard as CT users. Conditional silence portrays the self-confidence of respondents who assessed their need to disclose CT use to physicians on a case-by-case basis. Conclusions Silence, for some patients, may serve as a way of warding off past and possible future fears and frustrations related to CT disclosure. It is important to recognise different types of patient silence related to CT disclosure to enhance patient participation and shared decision-making in health care. Efforts are needed to provide health policy decision-makers with information about CT users’ lived experiences with CT communication in health care.

Abstract This study aimed to assess the prevalence and reasons for nonadherence to cotrimoxazole prophylaxis therapy. A cross-sectional study was conducted among people living with HIV attending Ayder Comprehensive Specialized Hospital. Data were collected through interviews and reviews of medical records. Binary logistic regression was employed to analyze factors associated with CPT nonadherence. Approximately two-thirds (65.5%) of the participants were non-adherent to co-trimoxazole prophylaxis therapy. The main reasons for non-adherence were side effects, pill fatigue and forgetfulness. Strategies to improve adherence to co-trimoxazole prophylaxis therapy should focus on the combined patient, clinical and medication related issues of people living with HIV.

Background: Close supervision of HIV infected infants is necessary because of the rapid progression of immune deterioration that may occur in the first months of life. Objectives: To determine the loss to follow-up rate, reasons and associated risk factors among mother-infant pairs in a routine PMTCT programme. Methods: This was a case control study that involved mother-infant pairs enrolled within 72 hours of delivery for follow-up in a PMTCT programme. Loss to follow-up was deemed to have occurred where more than two consecutive visits to the clinic had been missed. The defaulting mother-infant pairs were traced through telephone calls and home visits, where possible. Results: One hundred and seventy-eight mother-infant pairs were enrolled between August 2002 and February 2005, out of which 18 were excluded. Fifty-eight (36.25 percent) of the remaining 160 were lost to follow-up. Among the 58 defaulters, 28 (48.27 percent) could not be traced as a result of false contact addresses. The most common reason for loss to follow up among the 30 mother-infant pairs traced, was apparent good health in the babies. After tracking and counseling, 18 (60 percent) resumed regular follow-up. The mean ages of mothers and babies at the time of default were 28.87 years (SD+4.52 years) and 15.31 weeks (SD+14.05 weeks), respectively. Attainment of post-secondary education, non-membership in a support group and lack of partner notification were associated with increased risk of default. Conclusions: The high loss to follow-up rate from this study highlights the need to improve on the postnatal follow-up of HIV-exposed babies.

Abstract Background The Democratic Republic of Congo (DRC) has one of the highest numbers of un and under-vaccinated children as well as number of refugees and internally displaced persons (IDPs) in the world. This study aims to determine and compare the proportion and characteristics of zero-dose (ZD) and under-vaccinated (UV) children among refugees and IDPs in the DRC, as well as the reasons for incomplete vaccination schedules. Methods Data from a rolling vaccination coverage survey conducted from September 10, 2022, to July 03, 2023, among refugees and IDPs in 12 provinces of the DRC. ZD was defined as a child aged 12–23 months who had not received any dose of pentavalent vaccine DTP-Hib-Hep B (by card or recall) and UV as a child who had not received the third dose of pentavalent vaccine. The proportions of non and under-vaccination and the associated factors using a logistic regression model are presented for ZD and UV children. The reasons for non-vaccination of these children are described using the WHO-Immunization behavioral and social-drivers-conceptual framework and compared using Pearson’s Chi2 test. Results Of 692 children aged 12 to 23 months included in the analysis, 9.3% (95% CI: 7.2–11.7%) were ZD and 40.9% (95% CI: 95%: 37.2–44.6%) UV. The Penta1/Penta3 drop-out rate was 34.9%. After adjustment, ZD children had a significant history of home or road birth. And UV children were significantly associated with mothers/caregivers being under 40, uneducated, farmers, ranchers, employed, rural residents, as well as with home or road births. Reasons linked to people’s perceptions and feelings were cited much more often for ZD (50.0%) than for UV (38.3%). Those related to social reasons were cited much more often by ZD (40.6%) than by UV (35.7%). Reasons related to “programmatic and practical issues” were cited less for ZD (90.5%) than for UV (97.1%). Conclusions ZD and UV children represent significant proportions in refugee and IDPs sites in the DRC. However, the proportion of ZD is less than for the entire country, while the proportion of UV is comparable, reflected in a very high drop-out rate. Similarly to studies in the general population in DRC, the reasons for ZD children were mainly linked to challenges in caregiver motivation to vaccinate, while for UV children, they were more often linked to pro-grammatic and practical problems of the health system.

The paper presents and defends a new account of reasoning. Reasoning is essentially subject to a constitutive norm, the norm of following sufficient normative reasons. Instead of rule-following, following normative reasons is essential. After clarifying the view, three arguments in its support will be presented. They concern the scope of (correct) reasoning, the value of (correct) reasoning, and the relation between reasoning and treating a consideration as a reason. Two objections – concerning the knowledge norm of belief and cases of improperly treating a consideration as a reason – will be dealt with. [ABSTRACT FROM AUTHOR]

Background: In health care, two in three users of complementary therapies (CT) stay silent about their CT use. Disclosure of CT use to physicians is important for patient safety, participation, and shared decision-making. Common reasons for CT nondisclosure include patients´ expectations of physicians' unaccepting response to disclosure, physicians not asking, and patients believing it is unnecessary. This study aimed to increase understanding of patient silence. We investigated how the reasons for nondisclosure of CT use reported by CT users were associated with the frequency of CT disclosure and how these associations and reported justifications to keep silent reflect patient silence among the study participants. Methods: This mixed-methods study used existing data from the non-probability-based online survey (n = 6802) targeted to CT users among the general population in Finland. A qualitative structured tabular thematic analysis was conducted for the selected 342 brief texts describing the reasons and justification for not telling physicians about CT use. The associations between the frequency of CT disclosure and the reasons for CT nondisclosure were analysed by crosstabulations and binary logistic regression analysis with SPSS (v28). Results: Three types of patient silence were revealed. Avoidant silence illustrates the respondents coping with the fear of unwanted response from a physician and avoiding the expected negative consequences of CT disclosure. Precautionary silence exemplifies respondents striving to prevent the reoccurrence of previously experienced frustration of wishes to be seen and heard as CT users. Conditional silence portrays the self-confidence of respondents who assessed their need to disclose CT use to physicians on a case-by-case basis. Conclusions: Silence, for some patients, may serve as a way of warding off past and possible future fears and frustrations related to CT disclosure. It is important to recognise different types of patient silence related to CT disclosure to enhance patient participation and shared decision-making in health care. Efforts are needed to provide health policy decision-makers with information about CT users' lived experiences with CT communication in health care. [ABSTRACT FROM AUTHOR]

Many authors assume that we are rationally required to be somewhat moved by any recognized reason. This assumption turns out to be unjustified if not false, both in general and under any non-trivial restriction. Even its most plausible forms are contradicted by the possibility of exclusionary reasons. Some have doubted the latter's possibility. But these doubts are also shown to be unfounded, and exclusionary reasons' pervasive role in normative theorizing is defended. [ABSTRACT FROM AUTHOR]

The article presents an analysis of the book "Normative Reasons: Between Reasons and Explanation" by Artūrs Logins, which seeks to reconcile views about the nature of reasons that seem to be in opposition. Topics discussed include the reconciling projects in the book, factor that makes something normative reason for Logins, and desiderata/constraints that Logins articulated for a theory of normative reasons.

Copyright of Secretary (16742354) is the property of Secretary Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte is the property of Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this paper, I draw attention to the phenomenon of warranted epistemic blame in order to pose a challenge for most forms of epistemic instrumentalism, which is the view that all of the demands of epistemic normativity are requirements of instrumental rationality. Because of the way in which the instrumentalist takes the force of one’s epistemic reasons to derive from one’s own individually held ends, the instrumentalist faces unique difficulties in explaining our standing to blame one another for violations of epistemic norms. In many cases, it is unclear why, according to the instrumentalist, we might be entitled to others’ adherence to epistemic norms at all. This is a serious problem. The upshot is that theorists of epistemic normativity should be prepared reject most forms of epistemic instrumentalism. [ABSTRACT FROM AUTHOR]

Background: Nurses play an important role in the prevention and management of delirium episodes. However, some studies have reported that not all interventions recommended are applied due to time and resource constraints, resulting in patients receiving less care than required because other patients and/or interventions are prioritised. The concept of prioritization is part of the broader concept of decision-making as the ability to choose between two or more alternatives to ensure patient safety. Understanding the reasons influencing the prioritization process in patients at risk or with delirium may inform interventions to prevent and/or minimise the unfinished nursing care. Aim: The purpose of this study was to explore the reasons that inform the prioritisation process among nurses when they are challenged to make decisions for patients at risk and with delirium. Methods: A descriptive qualitative study performed according to the COnsolidated criteria for Reporting guidelines, in 2021. An intentional sample of nurses working full-time with older patients in medical, geriatric, and post-acute care facilities affiliated with the National Health System was involved. Semi-structured interviews were conducted and narratives thematic analysed. Results: A total of 56 nurses (55.4% in internal medicine, 26.8% in geriatrics and 17.8% in post-acute/intermediate care) participated with an average age of 31.6 years. The reasons informing the prioritisation process while providing preventive or managerial interventions towards a patient at risk of or with delirium are set at three levels: (1) unit level, as reasons belong to the inadequacy of the 'Environment', the 'Human Resources', and the 'Organisation and Work Processes', (2) nurse's level, as issues in 'Competencies' and 'Attitudes' possessed, and (3) patient level, due to the 'Multidimensional Frailty'. Conclusion: Nurses caring for patients at risk of and with delirium face several challenges in providing care. To prioritise preventive and managerial interventions, it is essential to implement multilevel and multifaced organizational and educational strategies. [ABSTRACT FROM AUTHOR]

AbstractBioethics has dedicated itself to exploring and defending both reasons for and against certain aspects of clinical care, biomedical research and health policy, including what decisions must be made, who should make them, and how they should be made. In pediatrics, it’s widely acknowledged that parents’ reasons may matter pragmatically; attending to parents’ reasons is important if we want to work with families. Yet the conventional view in pediatric ethics is that parents’ reasons are irrelevant to whether a decision is permissible or impermissible according to accepted ethical standards. In this paper, we explore whether parents’ reasons matter ethically and, if so, in what way and for whom. First, we clarify what we mean by ‘reasons.’ Second, we provide an overview of how reasons are typically treated in medical decision-making and pediatric ethics. Third, we analyze a hypothetical pediatric case to illustrate how changing reasons can transform ethical analyses, including by contributing to where and how clinicians and ethicists draw the boundaries intrinsic to common pediatric ethical frameworks. We push back against the conventional view and argue that parents’ reasons matter ethically in several ways. We call for further research on the role of parents’ reasons in clinical ethics deliberation. [ABSTRACT FROM AUTHOR]

There is a lack of research regarding dietary supplement (DS) use among Gay, Bisexual, Transgender, Two-Spirit, Queer (GBT2Q) men and non-binary individuals, despite the higher prevalence of body image issues and societal pressure within this community. This study aimed to investigate patterns and predictors of DS use in this population, including types of DS used, sources of information, and reasons for DS use. A validated and anonymous online questionnaire was completed by 204 participants (52.5% men, 43.1% gay, mean age 29.34 + 6.77 years) across Canada, who were consuming DS at the time of the study. Analyses included descriptive statistics to characterize the sample based on gender, sexuality, age, ethnicity, and other demographic attributes, using Pearson's chi-square tests and multi-way cross-tabulation analyses. Additionally, regression analyses, including binary and logistic regressions, were employed to identify predictors of DS use. Data analysis concluded that vitamins/minerals (92.2%), proteins (84.3%) and carbohydrates (75.5%) were the most consumed types of supplements. Identifying as certain genders and sexualities was significantly associated with supplement preferences, such that men reported higher use of amino acids (p = 0.033) and non-vitamins/mineral antioxidants compared to individuals identifying as other genders (p = 0.006). Moreover, bisexual participants consumed amino acids (p = 0.043) and carbohydrates (p = 0.026) more frequently when compared to non-bisexual participants. The most listed reason for DS use was to improve immunity (60.3%), with health care professionals being listed as the source of information by most participants (51.0%). Findings from this study can serve as a foundation for further research in this area and can guide the formulation and implementation of adequate policies targeting this underserved population. [ABSTRACT FROM AUTHOR]

This study aimed to assess the prevalence and reasons for nonadherence to cotrimoxazole prophylaxis therapy. A cross-sectional study was conducted among people living with HIV attending Ayder Comprehensive Specialized Hospital. Data were collected through interviews and reviews of medical records. Binary logistic regression was employed to analyze factors associated with CPT nonadherence. Approximately two-thirds (65.5%) of the participants were non-adherent to co-trimoxazole prophylaxis therapy. The main reasons for non-adherence were side effects, pill fatigue and forgetfulness. Strategies to improve adherence to co-trimoxazole prophylaxis therapy should focus on the combined patient, clinical and medication related issues of people living with HIV. [ABSTRACT FROM AUTHOR]

The DSM-5 characterizes mental disorders as significant disturbances in cognition, emotion, or behavior. But what might unite the disturbances on this list? We hypothesize that mental disorders can all be meaningfully characterized as failures of attention. We understand these as failures to distribute attention in the way one has most reason to, and we include both failures of tendency and of ability. We discuss six examples of mental disorders and offer a preliminary gloss of how to recast each as centrally involving a failure of attention. We close by highlighting theoretical and practical upshots of our proposal. [ABSTRACT FROM AUTHOR]

Knowledge, certainty, and understanding are all plausible candidates for constituting aims and setting the norms for genuine inquiry. However, a mere pluralist account of aims and norms of inquiry that lacks a more fundamental theoretical motivation might strike us as ad hoc. The aim of this paper is to provide further motivation for a pluralist approach. The key to the solution is to regard finding sufficient reasons to believe as a more general, indeed unifying, aim of theoretical inquiry. [ABSTRACT FROM AUTHOR]

Background: The Democratic Republic of Congo (DRC) has one of the highest numbers of un and under-vaccinated children as well as number of refugees and internally displaced persons (IDPs) in the world. This study aims to determine and compare the proportion and characteristics of zero-dose (ZD) and under-vaccinated (UV) children among refugees and IDPs in the DRC, as well as the reasons for incomplete vaccination schedules. Methods: Data from a rolling vaccination coverage survey conducted from September 10, 2022, to July 03, 2023, among refugees and IDPs in 12 provinces of the DRC. ZD was defined as a child aged 12–23 months who had not received any dose of pentavalent vaccine DTP-Hib-Hep B (by card or recall) and UV as a child who had not received the third dose of pentavalent vaccine. The proportions of non and under-vaccination and the associated factors using a logistic regression model are presented for ZD and UV children. The reasons for non-vaccination of these children are described using the WHO-Immunization behavioral and social-drivers-conceptual framework and compared using Pearson's Chi2 test. Results: Of 692 children aged 12 to 23 months included in the analysis, 9.3% (95% CI: 7.2–11.7%) were ZD and 40.9% (95% CI: 95%: 37.2–44.6%) UV. The Penta1/Penta3 drop-out rate was 34.9%. After adjustment, ZD children had a significant history of home or road birth. And UV children were significantly associated with mothers/caregivers being under 40, uneducated, farmers, ranchers, employed, rural residents, as well as with home or road births. Reasons linked to people's perceptions and feelings were cited much more often for ZD (50.0%) than for UV (38.3%). Those related to social reasons were cited much more often by ZD (40.6%) than by UV (35.7%). Reasons related to "programmatic and practical issues" were cited less for ZD (90.5%) than for UV (97.1%). Conclusions: ZD and UV children represent significant proportions in refugee and IDPs sites in the DRC. However, the proportion of ZD is less than for the entire country, while the proportion of UV is comparable, reflected in a very high drop-out rate. Similarly to studies in the general population in DRC, the reasons for ZD children were mainly linked to challenges in caregiver motivation to vaccinate, while for UV children, they were more often linked to pro-grammatic and practical problems of the health system. Plain English summary: The Democratic Republic of Congo (DRC) has one of the highest numbers of un and under-vaccinated children as well as number of refugees and internally displaced persons (IDPs) in the world. This study aims to determine and compare the proportion and characteristics of zero-dose (ZD) and under-vaccinated (UV) children among refugees and IDPs in the DRC, as well as the reasons for incomplete vaccination schedules. Data from a rolling vaccination coverage survey conducted from September 10, 2022, to July 03, 2023, among refugees and IDPs in 12 provinces of the DRC. ZD was defined as a child aged 12–23 months who had not received any dose of pentavalent vaccine DTP-Hib-Hep B (by card or recall) and UV as a child who had not received the third dose of pentavalent vaccine. The proportions of non and under-vaccination, the associated factors and reasons for non-vaccination are presented for ZD and UV children. Of 692 children aged 12 to 23 months included in the analysis, 9.3% (95% CI: 7.2–11.7%) were ZD and 40.9% (95% CI: 95%: 37.2–44.6%) UV. The Penta1/Penta3 drop-out rate was 34.9%. After adjustment, ZD children had a significant history of home or road birth. And UV children were significantly associated with mothers/caregivers being under 40, uneducated, farmers, ranchers, employed, rural residents, as well as with home or road births. Reasons linked to people's perceptions and feelings were cited much more often for ZD (50.0%) than for UV (38.3%). Those related to social reasons were cited much more often by ZD (40.6%) than by UV (35.7%). Reasons related to "programmatic and practical issues" were cited less for ZD (90.5%) than for UV (97.1%). ZD and UV children represent significant proportions in refugee and IDPs sites in the DRC. However, the proportion of ZD is less than for the entire country, while the proportion of UV is comparable, reflected in a very high drop-out rate. Similarly to studies in the general population in DRC, the reasons for ZD children were mainly linked to challenges in caregiver motivation to vaccinate, while for UV children, they were more often linked to pro-grammatic and practical problems of the health system. [ABSTRACT FROM AUTHOR]

Pure voluntarism is the claim that we have the same voluntary control over intentions as we do decisions. The Toxin Puzzle is often taken to challenge pure voluntarism by supporting a reasons constraint on intentions. According to this constraint, one cannot voluntarily intend to do something that one lacks a practical reason to do. We present the results of three experiments stemming from this puzzle demonstrating that the concept does not support a reasons constraint and suggests that intentions are regarded as voluntary to the same degree that decisions are. [ABSTRACT FROM AUTHOR]

Several theorists maintain that a consideration is a reason to ϕ (where ϕ-ing is an act-type) if and only if that consideration is a reason to intend to ϕ, and some hold as well that a consideration is a reason not to ϕ if and only if that consideration is a reason to intend not to ϕ. The claims often stem from views about what it is to be a practical reason. Here it is argued that both equivalence claims are false. Although no view of practical reasons is advanced, views that imply either equivalence claim are shown to be mistaken. [ABSTRACT FROM AUTHOR]

Copyright of Religación: Revista de Ciencias Sociales y Humanidades is the property of Religacion: Revista de Ciencias Sociales y Humanidades and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Jurisprudence Faculty Journal / Magallaẗ Kulliyyaẗ Al-fiqh is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: This cross-sectional survey aimed to explore the reasons for receiving the HPV vaccination among eligible adults in Italy. Methods: The survey was conducted from July 2023 to April 2024 in Naples, Southern Italy. Results: A total of 282 questionnaires were collected. The majority of the respondents (73.2%) was aware that HPV vaccination was recommended and this was more likely among women, healthcare workers (HCWs) or students in health sciences, and those who had acquired information from physicians. The most frequently cited reasons for vaccinating were self-protection from the infection (77.6%) and from cervical/oral/penile/anal cancer (68.9%), knowing that the vaccination was free of charge (46.2%), awareness of the severity of the HPV disease (43%), to protect their partner (42.6%), and perception of being at risk (24.2%). Being HCWs or students in health sciences, believing that HPV infection could cause a serious disease, and having a higher number of oral intercourse experiences in the last year were significant predictors of the perception of being at risk. Female and Italian respondents were more likely to receive the HPV vaccination because it was effective in preventing cancer. Conclusions: Targeted educational programs and health interventions should be developed to ensure enhancing knowledge and fostering positive attitudes toward the HPV vaccination. [ABSTRACT FROM AUTHOR]

David Lewis is widely regarded as the philosopher who introduced the concept of common knowledge. His account of common knowledge differs greatly from most later accounts in philosophy and economy, with the central notion of his theory being 'having reason to believe' rather than 'knowledge'. Unfortunately, Lewis's account is rather informal, and the argument has a few gaps. This paper assesses two major attempts to formalise Lewis's account and argues that these formalisations are missing a crucial aspect of this account. Therefore, a new reconstruction is proposed, which explicitly discusses 'reasons' and uses a logic inspired by justification logic. [ABSTRACT FROM AUTHOR]

AbstractBackground Fear of birth is common and complex, caused by a variety of reasons. The aim was to investigate the prevalence of pre-established reasons in relation to fear, and to identify profiles of women based on their reported reasons behind fear of birth.Methods A cross-sectional Swedish study of women with self-reported fear of birth who completed an online survey. Descriptive statistics, chi-square test, crude and adjusted odds ratios with 95% confidence intervals were used in the analysis of pre-established reasons in relation to self-reported severe fear. A Kappa-means cluster analysis was performed in order to group reasons, that were further investigated in relation to women’s background variables.Results A total of 1419 women completed the survey. The strongest reason behind fear of birth was to be forced to give birth vaginally. Four clusters were identified and labeled: minor complexity (reference group), relative minor complexity, relative major complexity, and major complexity. Cesarean section preference, previous mental health problems, being younger, primiparity, and exposure to domestic violence were factors related to cluster grouping.Conclusions Women with fear of birth have various reasons and diverse complexities behind their fear. Health care providers need to investigate these reasons and support pregnant women with childbirth fear, based on their needs.

A joke is amusing if and only if its fitting to be amused by it; an act is regrettable if and only if its fitting to regret it. Many philosophers accept these biconditionals and hold that analogous ones obtain between a wide range of additional evaluative properties and the fittingness of corresponding responses. Call these the fit-value biconditionals. The biconditionals give us a systematic way of recognizing the role of fit in our ethical practices; they also serve as the bedrock of various metaethical projects, such as fitting-attitude analysis of value and the fittingness first approach. Yet despite the importance of the biconditionals, there is very little discussion of their proper interpretation. This paper argues that any plausible interpretation of the fit-value biconditionals must disarm several kinds of apparent counterexample. For instance, that an achievement is pride-worthy doesnt imply it is fitting for me to take pride in it because the achievement might not be mine or that of anyone close to me; that a joke is amusing doesnt imply it is fitting for me to be amused by it for six straight months; and that a person is loveable doesnt imply it is fitting for me to love him romantically because that person might be my sibling. We consider possible responses to such counterexamples and develop what we consider the most promising interpretation of the biconditionals. The upshot is that certain widespread assumptions about fit and its relation to value and reasons should be reconsidered.

Abstract Background Research on cannabis use motives has focused on youth. Little is known about motives among working adults, including how work may play a role. This study aimed to describe cannabis use motives and their connection to work, and identify the personal and work correlates of work-related motives among a sample of workers. Methods A national, cross-sectional sample of Canadian workers were queried about their cannabis use. Workers reporting past-year cannabis use (n = 589) were asked their motives for using cannabis and whether each motive was related to work or helped them manage at work (i.e., work-related). Multinomial logistic regression analyses were conducted to estimate the associations of personal and work characteristics with work-related cannabis use motives (no work-related motives,

Introduction: Operation theaters (OTs) are one among the core functionalities in a health care institution that require a considerable amount of 5 Ms—man, machine, money, material, and management. Any idle time or underutilization in the OT creates a huge loss of these resources and is also inconvenient to patients and those on the waiting list. Thus, a planned and well-conceived operational method has to be followed to reduce the cancelations of scheduled cases and to optimally utilize the OTs so that they become more efficient. This study has been done to understand the basic reasons for the cancelation of elective surgeries at a tertiary care hospital and to effectively tackle them by suggesting suitable solutions to overcome these challenges. Objectives: Primarily, to understand the reasons for the cancelation of surgeries in OTs, and secondarily, to put forward suggestions for optimal usage of OTs. Materials and Methods: This was a retrospective study, with Pareto analysis and root cause analysis (RCA) as the tools. Records were obtained from the Central Scheduling Department of the Hospital between January 2020 and November 2022 (35 months). Results: During the study period, 53,177 surgeries were performed in the main OTs. There were 2289 (4.3%) cancelations. Nearly 84% of canceled surgeries were canceled within 24 h. Cancelations were 63% in males and 37% in females. Seventy-nine percent were of Indian nationality, and the rest were of various nationalities. Conclusion: The reasons for the cancelation of elective surgeries were multifactorial. Controlling these, and thus preventing cancelations, is imperative in the effective functioning of the institution as a whole. We recommend thorough evaluation, early preanesthetic checkup (PAC) and well-planned scheduling without haste as some of the measures to reduce the chances of cancelation.

Background and Aim: Food item that has little nutritive value, high fat, and sugar content with little to no fiber content is labeled as junk food. The objective of the study is to assess the patterns of consumption of junk food among young adults and to explore the reasons for junk food consumption among young adults. Materials and Methods: Mixed method study consisting of quantitative phase involving interviews with 116 students from a Medical College using a semi-structured, validated questionnaire circulated through Google Forms followed by an depth interview of 10 participants for qualitative phase. Results: In the study, it was observed that (62.2%) eat junk food during snack time. Students staying with friends (35.3%) consumed more junk food compared to the ones staying with family (13.8%). The most common reasons for junk food consumption were its good taste (77.6%) and (68.1%) convenience. It is observed that maximum consumption of junk food is seen when meeting their friends (70.7%) and on special occasions (61.2%). French fries (69.8%) were the most common junk food consumed although (76.7%) felt that junk food is unhealthy. The qualitative interview also supported the findings that the most common reasons for junk food consumption were craving, inexpensive, taste, and poor taste of hostel food. Conclusion: The above study concluded that majority of the students consumed junk food when staying with friends and due to its good taste and convenience and to spend quality time with their family and on special occasions. Participants were aware that junk food is unhealthy but consume it because it is delicious while being pocket friendly.

The paper argues that action explanations of the form ‘because p’ do not indicate that reasons are non-psychological facts or propositions. ‘Because p’ has two different uses: In the explanatory use, ‘because’ operates on the alleged fact that p. In the reason-giving use, however, ‘because’ operates not on p, but on the agent’s belief that p: she does not describe but express her reason. I conclude that a proper analysis of reason-giving ‘because’-utterances suggests that reasons are mental states. [ABSTRACT FROM AUTHOR]

Background: Research on cannabis use motives has focused on youth. Little is known about motives among working adults, including how work may play a role. This study aimed to describe cannabis use motives and their connection to work, and identify the personal and work correlates of work-related motives among a sample of workers. Methods: A national, cross-sectional sample of Canadian workers were queried about their cannabis use. Workers reporting past-year cannabis use (n = 589) were asked their motives for using cannabis and whether each motive was related to work or helped them manage at work (i.e., work-related). Multinomial logistic regression analyses were conducted to estimate the associations of personal and work characteristics with work-related cannabis use motives (no work-related motives, < 50% of motives work-related, ≥ 50% of motives work-related). Results: Use for relaxation (59.3%), enjoyment (47.2%), social reasons (35.3%), coping (35.1%), medical reasons (30.9%), and sleep (29.9%) were the most common motives. Almost 40% of respondents reported one or more of their cannabis use motives were work-related, with coping (19.9%) and relaxation (16.3%) most commonly reported as work-related. Younger age, poorer general health, greater job stress, having a supervisory role, and hazardous work were associated with increased odds of reporting at least some cannabis use motives to be work-related, while work schedule and greater frequency of alcohol use were associated with reduced odds of motives being primarily work-related. Conclusions: Cannabis use motives among workers are diverse and frequently associated with work. Greater attention to the role of work in motivating cannabis use is warranted. [ABSTRACT FROM AUTHOR]

Dietary supplement use is common among US adults. We aimed to investigate the quantity, duration, adherence, and reasons for supplement use in individuals who take supplements. Data from 2011 to 2018 from the National Health and Nutrition Examination Survey (NHANES) dataset were analyzed. Four cycles of data were combined to estimate these outcomes. Results are presented as overall group and by subgroups. All analyses were weighted to be nationally representative. The Taylor Series Linearization approach was used to generate variance estimates. A total of 12,529 participants were included. Over 70% of these individuals reported taking more than one unit of dietary supplements daily. Notably, approximately 40% had been taking supplements for more than five years and about 67% were highly adherent to at least one supplement. However, only 26.9% of these supplements were taken following a doctor's recommendation. The primary reasons for dietary supplements intake included improving overall health (37.2%), maintaining health (34.7%), bone health (21.4%), and diet supplementation (20.3%). Our findings indicate that most participants proactively used multiple dietary supplements focused on self-managed health and prevention, with substantial dedication to long-term use and high adherence. Healthcare professionals should play a more active role in guiding such behaviors to optimize the health outcomes of dietary supplement users across the United States. [ABSTRACT FROM AUTHOR]