Common Consent Research Articles

An ethnobotanical survey of medicinal plants used by diabetes patients attending the Teaching Hospital, Jaffna, Sri Lanka

The scope of this study is to describe the ethnobotany of medicinal plants used in the management of diabetes mellitus (DM) among diabetic patients attending the Teaching Hospital, Jaffna. A cross-sectional descriptive study was conducted among 388 patients attending the medical clinic of Teaching Hospital, Jaffna, using systematic sampling technique. Data were collected using a validated structured interviewer-administered questionnaire and were analysed to generate the summary of the percentages using descriptive statistics. Family Important Value (FIV) and Related Frequency Citation (RFC) were calculated to quantitatively determine the common consent between the informants on the use of endemic medicinal plants in the division. A total of 59 species belonging to 33 families were reported by 329 diabetic patients with the response rate of 100%. Among them Moringa oleifera Lamk. (142) was stated as the species with the highest RFC value, followed by Gymnema sylvestre (105), Momordica charantia Linn. (104). Moringaceae was the most dominant family with FIV 43.16. The value of RFC of the plants mentioned in this survey varied from 0.003 to 0.432. Moringa oleifera Lamk. showed the highest RFC value (0.432). In this study, 29 plant species used for DM management were reported for the first time in Sri Lanka. Further, antidiabetic property of Achyranthus polygonoides, Argyreia pomacea Wall. ex Choisy and Cassia tomentosa are yet to be investigated. These findings facilitate the documentation and the conservation of medicinal plants used for DM by the patients in Teaching Hospital, Jaffna, Sri Lanka. Moreover this study open doors for phytochemical screening and identification of new antidiabetic active compounds.

Die begrippe ‘gemeen akkoord’ en ‘buite kerkverband plaas’ in kerkregtelike perspektief

The concepts ‘mutual concensus’ and ‘exclusion from the church community’ in Church Polity: Ecclesiastical decisions about the calling and ordination of women in the offices in local congregations became a burning issue in Reformed Churches world-wide and even resulted in divisions and schisms. This is currently also the case in the community of the Reformed Churches in South Africa (RCA) (Gereformeerde Kerke in Suid-Afrika [GKSA]). The 2009 General Synod of the RCA resolved that women may not be ordained in the offices of ministers and elders. Subsequent Synods re-affirmed this decisions by a mere majority of votes according to Article 31 of the Church Order of the RCA. Despite these resolutions of various Synods, some local churches proceeded with the ordination of women in the applicable offices. Two of these local churches were subsequently excluded from the community of Reformed Churches within the RCA, by two classes with the argument that they disregarded the ‘common concent’ underlying the official synodical decisions. This study focuses on the question: what is ‘common consent’ within the context of Reformed Church polity and does this polity enable major assemblies to exclude local churches form the church community merely by way of a motion, just because they cannot reach concensus about a synodical resolution? The central-theoretical argument of the study is that the concepts ‘mutual consent’, as well as ‘exclusion from the church community’, should be revisited, because the current ‘application of these ideas in the RCA results in irresponsible collective church discipline, leads to schism in the church community, the binding of consciences and the violation of the rights of called church officials’.Contribution: This article proposes a responsible code of conduct in the RCA regarding the matter of local congregations that cannot, as a matter of conscience and after many petitions of protest, adhere to the synodical decisions about the prohibiting of the ordination of women in local churches. ‘Mutual consent’ cannot be understood in an absolute sense and ‘exclusion of the church community’ is a hierarchical action that runs against the core principles of Presbyterial church polity. A more responsible code is of the utmost importance.

Endoscopic Endonasal total Removal of a Suprasellar, Preinfundibular Retro Chiasmatic Craniopharyngioma: A Surgical Case Report

Craniopharyngiomas are benign tumors (WHO Grade I), seen in children and adults. Because of their location, they can require challenging clinical and surgical management. In fact, often, because of the presence of calcifications, of a capsule very strongly adherent to neurovascular structures, of the relationship with hypophysis, pituitary stalk, chiasm, carotids, the circle of Willis, basilar artery, and third ventricle, risk of mortality and morbidity is still mandatory. Various surgical techniques have been proposed: transcranial, transsphenoidal, and supraorbital approaches for surgical resection and treatment of craniopharyngiomas. Still, there is no common consent, but often the endonasal transsphenoidal extended procedures are considered the gold standard in many cases. We present a surgical technique of a case of complete surgical removal of an infundibular and retro chiasmatic craniopharyngioma, via an endoscopic endonasal transphenoidal transplanum approach.

Propelling High-quality Development of Education: The Promotive Role of Educational Research

Education, by common consent, is a sophisticated endeavor. As human society advances, people impose increasingly high standards for the quality of education. Educational research has been instrumental in driving educational development and optimizing the function of education. In its broad sense, educational research spans investigations, observations, experiments, systematic discourse and comparative analyses of all phenomena, issues, technologies, strategies, and paradigms arising in the field of education as well as cross-disciplinary studies that relate to education. In its narrow sense, educational research is mainly concerned with education and teaching activities at all levels of schooling (Wang, 1999).

Comorbidity of impulse control disorders and major depression in Parkinson’s disease with multiple stressogenic factors: An intensive multimodal complex therapy.

Parkinson’s disease (PD) is a neurodegenerative disorder that is characterized by symptoms that impact both motor and non-motor domains [1]. The disease causes a range of movement symptoms such as balance and gait control disturbance as well as tremor. PD with comorbid major depression and impulse control disorder (ICDs) associated with various stressors not only negatively influence the overall course of disease and treatment but also lead to disability. Whereas there is a well-established treatment guideline for PD, there is no common consent protocol for an effective depression and ICDs therapy in PD Patients.

Alternative avatars of the plagiarist, or, an embarrassment of glitches

ABSTRACT What is the relation between plagiarism and embarrassment? What unspoken rules dictate our responses to improper literary behaviour? Addressing these questions against the backdrop of South African author Willem Anker’s substantial ‘borrowings’ from Samuel Beckett, this article proposes three alternative avatars – the catfish, hacker, and emperor – to displace Martial’s archetypal plagiarius or enslaver. The catfish is an impostor, an appropriator and aggregator of identities who aims to seduce. The hacker is a digital bandit whose daring encroachments are as much admired as feared. And the emperor is that cipher either clothed by common consent or stripped at the cost of our own exposure. Whatever their vices, these figures have the virtue of nudging discussion of plagiarism away from rights and ownership towards identity, trust and exposure. Where the enslaver tends to ringfence the wronged and the wrong-doer, the alternative avatars open towards the reader. They ask us to consider our role in constituting, condoning or condemning acts of literary deceit, to mark the connections between our moral judgements and our affective responses, and, ultimately, to reflect on our position as hypocrites lecteurs when confronted with plagiarism.

Corporate Social Responsibility and Capital Structure

Objective: We analyze the effects of capital structure influence on corporate social responsibility (CSR) performance, represented by the ESG score. Prior studies have investigated distinct factors to settle CSR adoption. Nonetheless, corporate social responsibility literature has not yet achieved common consent. Method: This study uses a quantitative research approach. We used a sample of listed companies from the United States of America, China, Japan, Germany, India, the United Kingdom, France, Italy, Brazil, and Canada. Three estimators were applied in the regression model, OLS pooled, IV 2SLS, and GMM 2SLS. Results: Our findings indicate a positive and significant relationship between Capital Structure and CSR. Furthermore, we understand that the positive and statistically significant findings in the relationship between market value and corporate social responsibility index are because corporate social responsibility has an intangible asset in its constitution: the corporate reputation. Therefore, these results converge into accepting these practices, which generate a firm’s value, justifying the positive and significant association. Finally, it is essential to highlight that the variations found between countries, especially companies from nations with higher GDP, need a more substantial capital structure than smaller ones to obtain a positive CSR index. Contributions: The paper argues that the capital structure can be introduced related to adopting corporate social responsibility. It is worth noting that this research aims not to provide an optimal set of factors that affect corporate social responsibility practices but to highlight the intangible effect of corporate reputation generated by the capital structure that other studies can investigate.

Mothers' Perceptions About Childbirth Preparation Classes: A Qualitative Study.

Childbirth preparation classes are designed for better adaptation of couples to physiological and psychological changes related to pregnancy and childbirth. Therefore, we aimed to explore the mothers' perceptions about childbirth preparation classes. A qualitative study was conducted using the conventional qualitative content analysis method from May to August 2022. Eighteen women who had given birth in the last six months in one of the hospitals in Tehran and at least 20 days had passed since their delivery were included in the study; also, five husbands, two midwives, and two obstetricians were interviewed. The participants were purposefully selected according to the inclusion criteria. Sampling continued until data saturation. Data were collected through individual, in-depth, and semi-structured interviews and analyzed by the MAXQDA version 10 software. Mothers' age ranged from 17 to 37 years. 128 primary codes, 7 sub-sub themes, 3 sub-themes, and one theme were extracted. The sub-themes included satisfaction from the choice (perception forming for better choices, common consent), making the wait pleasant (dignity-oriented professional care, adaptation to change, feeling of empowerment), and good termination (free and conscious choice for birth mode, self-control during delivery process). Finally, a theme called "making motherhood pleasant" was extracted. Making motherhood pleasant can be a meaningful achievement of childbirth preparation classes. Paying more attention to improving the quality of these classes can help improve family health. Therefore, policymakers should implement strategies to facilitate women's access to these classes.

CORRELATION BETWEEN BLOOD PRESSURE RESPONSE TO SUB MAXIMAL EXERCISE AND LEFT VENTRICULAR HYPERTROPHY

Objective: Currently, there is no common consent on what constitutes a normal increase in blood pressure (BP) during physical activity and, consequently, what constitutes an exaggerated increase in BP response to exercise. At this stage, the processes, and clinical consequences of hypertensive response to exercise (HRE) remain unknown. Even in those who do not have hypertension or other cardiovascular disorders, a hypertensive response to exercise (HRE) is common. An increased blood pressure response to exercise is a legitimate risk marker for future hypertension, as previous research has demonstrated. HRE has among its contributors the endothelial dysfunction and an increase in afterload. in terms of neurohormonal aspects Excess sympathetic nervous system activation and an increase in angiotensin II appear to be crucial mechanisms in HRE, according to studies. Design and method: Of the 84 eligible participants, men (n 46) women (n 38) with I and II degree hypertension (n 32) and pre hypertension (n 22). The study analysis included the subjects with an age range of 18-64 years (mean age 42.1±12.7 years) With or without left ventricular hypertrophy (LVH) described as normal, Concentric hypertrophy, Eccentric hypertrophy, concentric remodeling. Results: For most of the subjects on the initial evaluation, we discovered echocardiographic evidence of concentric hypertrophy. Among the resting and exercise BP indices, submaximal SBP was the strongest correlate of LV mass (r = 0.40, P<0.04). In multivariate analysis, maximal SBP was independently associated with LV mass and concentric LV hypertrophy, after adjustment for lean body mass and gender. Submaximal exercise SBP is a modest but still independent predictor of LV remodeling (grade and type of LV geometry) in population with prehypertension, I and II grade hypertension. Conclusions: More frequent clinical control of resting BP, an echocardiogram, a 24-hour BP ambulatory monitoring as a more dynamic test, and at least annual repetition of the exercise test, to follow up the same abnormal response, as more studies are needed and a consensus regarding the abnormal response of the BP during exercise. Our study can be of clinical importance to prevent future adverse events linked to hypertension induced organ damage.

Self-perceived role and knowledge of community pharmacists in organ donation.

Although a majority of North Americans is in favor of organ donation, registration remains challenging. Community pharmacists are highly accessible frontline health care professionals that could contribute to a new common registration donation consent system. The objective of the study was to assess self-perceived professional role and organ donation knowledge of community pharmacists in Quebec. We designed a telephone interview survey using a three round modified Delphi process. Following questionnaires testing, we randomly sampled 329 community pharmacists in Quebec. Following administration, we validated the questionnaire by conducting an exploratory factorial analysis using principal component followed by a varimax rotation and rearranging domains and items accordingly. A total of 443 pharmacists were contacted, 329 provided answers to the self-perception role and 216 of them completed the knowledge questionnaire. Overall, community pharmacists of Quebec had a positive view on organ donation and demonstrated interest in acquiring knowledge. Respondents have identified lack of time and high pharmacy attendance as non-limiting barriers to implementing the intervention. The average score on the knowledge questionnaire was 61.2%. With the implementation of an appropriate education program to address this knowledge gap, we believe that community pharmacists could be key players in registered organ donation consent.

Patient Perspectives and Preferences for Consent in the Digital Health Context: State-of-the-art Literature Review.

The increasing integration of digital health tools into care may result in a greater flow of personal health information (PHI) between patients and providers. Although privacy legislation governs how entities may collect, use, or share PHI, such legislation has not kept pace with digital health innovations, resulting in a lack of guidance on implementing meaningful consent. Understanding patient perspectives when implementing meaningful consent is critical to ensure that it meets their needs. Consent for research in the context of digital health is limited. This state-of-the-art review aimed to understand the current state of research as it relates to patient perspectives on digital health consent. Its objectives were to explore what is known about the patient perspective and experience with digital health consent and provide recommendations on designing and implementing digital health consent based on the findings. A structured literature search was developed and deployed in 4 electronic databases-MEDLINE, IEEE Xplore, Scopus, and Web of Science-for articles published after January 2010. The initial literature search was conducted in March 2021 and updated in March 2022. Articles were eligible for inclusion if they discussed electronic consent or consent, focused on the patient perspective or preference, and were related to digital health or digital PHI. Data were extracted using an extraction template and analyzed using qualitative content analysis. In total, 75 articles were included for analysis. Most studies were published within the last 5 years (58/75, 77%) and conducted in a clinical care context (33/75, 44%) and in the United States (48/75, 64%). Most studies aimed to understand participants' willingness to share PHI (25/75, 33%) and participants' perceived usability and comprehension of an electronic consent notice (25/75, 33%). More than half (40/75, 53%) of the studies did not describe the type of consent model used. The broad open consent model was the most explored (11/75, 15%). Of the 75 studies, 68 (91%) found that participants were willing to provide consent; however, their consent behaviors and preferences were context-dependent. Common patient consent requirements included clear and digestible information detailing who can access PHI, for what purpose their PHI will be used, and how privacy will be ensured. There is growing interest in understanding the patient perspective on digital health consent in the context of providing clinical care. There is evidence suggesting that many patients are willing to consent for various purposes, especially when there is greater transparency on how the PHI is used and oversight mechanisms are in place. Providing this transparency is critical for fostering trust in digital health tools and the innovative uses of data to optimize health and system outcomes.

Book Notices

Michael Harold Hyer. Saints at War in the Philippines: Latter-day Saints in WWII Prison Camps. Provo, UT: Religious Studies Center, 2021. xvi + 271 pp. Illustrations, maps. Hardcover: $25.99.Reading about war can sometimes be an academic exercise if a book only lists battles, soldiers, and results. It becomes the terrible experience it really is when the writings describe in detail all of the suffering and pain that takes place. It can also be just the story of the winners and losers. It shows the complex reality when it explains the cultural reasons why soldiers react to battle. This study of twenty-nine Latter-day Saints who fought for the United States during World War II in the Philippines shows the horrors of the war by telling the men's personal stories of the Bataan Death March and the Japanese prisoner of war camps. Only twelve survived. The book goes beyond just explaining the nightmare though and explains the difference between American and Japanese culture that helps explain how the Japanese responded to the prisoners. The author is an attorney and a nephew of 1st Lt. George Robin (Bobby) Brown, one of the prisoners of war that he discusses in the book.Warner Woodworth. Radiant Mormonism: Using Our Faith in Christ to Power World-Changing Service. Newburgh, IN: By Common Consent Press, 2022. 358 pp. Photographs, appendix. Paperback: $14.95.Radiant Mormonism provides a model of how the teachings of Joseph Smith and other leaders of the Church of Jesus Christ of Latter-day Saints can help the poor throughout the world. As a Brigham Young University professor and entrepreneur, Warner Woodworth has used his faith and management skills to create and support NGOs (non-government organizations) worldwide. Journal of Mormon History readers will appreciate his references to Latter-day history. They will also learn about the role of Woodworth and other Latter-day Saints in creating organizations worldwide. The book is a combination autobiography, history, and how-to-do manual.

Wyzwanie – możliwości – powiązania – wymiary uczestnictwa rodziców w przestrzeni szkolnej z uwzględnieniem kontekstu zróżnicowania kulturowego

School is an institution seen through the lens of its openness to relationships with the environment, with its partners, including the students’ parents. A desirable type of relationship between school and the family involves the families’ participation in school activities. In view of the above, this paper is focused on the determinants of parental involvement in the school life. They are structured by reference to the three dimensions of the Triangle of Participation model, which includes challenge (important matters, benefits), capacity (parents’ own abilities and circumstances), connection (the support provided). They offer a starting point for thinking about promoting and supporting parents’ participation in joint activities with teachers, accommodating for the cultural diversity of the parent community. They also make it possible to see the importance of consciously initiating and maintaining these subjects’ participation in school activities, which are adapted to suit the parents’ resources and capabilities, and the importance of showing support for their own initiatives, subject to common consent and legal regulations. Viewing parental involvement in the school life through the lens of these dimensions of participation is in line with the thinking of ‘school as a space of recognition’.

Addressing mangrove degradation in Littoral Bintan, Indonesia by applying the common consent principle: An education for Littoral states

Mangroves, referred to as green belts, have the potential to minimize environmental damage. Mangrove degradation causes marine environmental degradation, such as coastal erosion, which impacts both the coastal conditions and its users. This research employs empirical research methods and it is discovered that national data indicates that in the Kepulauan Riau Province, the mangrove forest is spread across an area of 68,417 hectares. However, approximately 37,000 hectares of the forest have been damaged or destroyed.The amount of damage inflicted is undoubtedly staggering, with the destruction of the mangrove forest region in the Riau Archipelagic Province exceeding half 55% of the total spread of mangrove forests. One of the locations most heavily impacted by damage to mangrove forests can be found on Bintan Island. Should this situation persist, it will lead to degradation of the marine environment, adversely affecting not only the coastal nation but also the end user. Thus, it is imperative to implement the principle of mutual agreement. Ramsar Convention 1971, UNCED 1992 which is part of the World Heritage Convention.

Atrial function analysis after percutaneous umbrella device and suture-mediated patent fossa ovalis closure: a prospective study

Abstract Background Suture-mediated patent fossa ovalis (PFO) closure is a new technique, achieving closure of the PFO by means of a simple suture. The difference between traditional occluders and a simple suture might have different impact on atrial structure, geometry and function. Purpose Aim of this study was to evaluate bi-atrial function after closure of PFO by direct suture and traditional occluders. Methods We studied 40 age and sex matched patients, 20 undergoing PFO closure by device and 20 by suturing. Only patients with no residual right-to-left shunt, assessed by contrast-enhanced echocardiography, were included. Left and right atrial function was evaluated by using speckle-tracking analysis assessing the following parameters: strain values of the reservoir (r-ED), conduit (cd-ED) and contraction phase (ct-ED). All patients underwent transthoracic echocardiographic examination the day before and 1 year after the procedure. All exams and measurements were conducted by two echocardiographers and validated with common consent by two other expert operators. Results Compared with values baseline PFO closure, at one year follow-up, patients underwent occluder implantation had significantly worst indices of left (LA) and right (RA) atrial reservoir function (LA r-ED p<0.001; RA r-ED p<0.001), conduit function (LA cd-ED p<0.001; RA cd-ED p<0.001) and contraction function (LA ct-ED p<0.05; RA ct-ED p<0.05). In patients underwent suture-mediated PFO closure, no significant differences were observed in the same indices of reservoir (LA r-ED p=0.848; RA r-ED p=0.183), conduit (LA cd-ED p=0.156; RA cd-ED p=0.419) and contraction function (LA ct-ED p=0.193; RA ct-ED p=0.375). Conclusions Suture-mediated PFO closure does not alter atrial function. Conversely, PFO closure by metallic occluders is associated with worse atrial function. This detrimental effect on atrial function could favor the development of atrial arrhythmias. Funding Acknowledgement Type of funding sources: None.

How to Fail to Debunk Animism

Perry Hendricks argues that my common consent argument for animism fails. The failure, he argues, comes down to the fact that there is widespread agreement in non-animism. Were animism correct, then it is improbable, argues Hendricks, that animism would ever be unpopular. Hendricks’ argument is premised on several problematic assumptions, which I attempt to address. Once these assumptions are exposed, it is clear that Hendricks’ argument is weaker than it first appears, leaving my position relatively unscathed.

EFFECTIVITY OF PUBLIC INTERNATIONAL LAW

Last century was significant for the public international law, which has developed rapidly, bringing some improvements regarding protecting human right despite the fact, it faces huge challenges regarding its effectivity. Through descriptive, normative and critical methods of research the article attempts to show, that there is a need for paradigm change in order to make public international law more effective. But what should be a new paradigm? What can increase the effectivity of the public international law? To answer these questions, the detailed inspection of the term of effectivity, as well as creation and the enforcement processes of the public international law norms is needed. Research shows common consent of states, legitimate constitutive act, authority as well as appropriate enforcement are pillars, based on which the public international law can uphold its effect. However, it will take some time.

Проблема войны в политической философии Ф. Бэкона

The article brings the analysis of Bacons’ ideas on war and political violence in general. Military activities of a state and military foundations of statecraft were of a particular interest for Bacon both from legal & bureaucratic and philosophical perspective. Both perspectives merged in his writings on colonization of Virginia and Ireland, military affairs with Spain, legal issues of union of England and Scotland and on the principles of policy-making. Bacon believed violence – organized, well-armed and successful – was a mighty factor uniting communities into a state. No one state in the world had been able to emerge without an oppression of the ruled by those who rule. The later stages of a state-building required something except mere force – a set of common habits and laws and a consent to be governed as well. The pursuit of common interest requires nowadays the use of an armed force. The reason for it is the contest between the rival states. The balance of powers, the colonial policy, the control of lands and populations are never available for a state lacking military power. Although a successful colonization, a proper use of lands and an effective government could never be achieved by such a means. These goals require a legitimate rule based upon a common consent, a respect for the law and a peaceful labor. A conquered population should be naturalized rather than forced to recognize a new government. A wise ruler will use armed force moderately even for such purposes like suppression of seditions and wrong religions. Analyzing war from a pragmatic, Machiavellian perspective, Bacon had escaped the aestheticisation of martial virtue and art of waging wars typical for Machiavelli.

Willingness to share anonymised routinely collected clinical health data in Switzerland: a cross-sectional survey.

Routinely collected health data (or real-world data) from hospitals is becoming increasingly important to advance medical progress. Anonymisation of these data facilitates data sharing processes. This allows stakeholders of the healthcare system to compliantly access this anonymised data to address epidemiological questions, advance precision medicine, support drug development or address other medical needs. As the willingness of the general Swiss population to share anonymised health data has been uncertain, a survey was conducted to better understand their perception of sharing such data for research purposes. The present survey focused on the re-use (secondary use) of hospital-derived health data in anonymised form. A cross-sectional survey was conducted in a representative random sample (n = 1006) of the general Swiss population. The general population was contacted by phone between 14 September and 3 October 2020. The survey was also conducted in an additional population with chronic disease (n = 225) via an online panel. An independent research organisation (gfs-zürich) was commissioned to conduct the survey. The survey participation was anonymous and voluntary. The demographic composition of the interviewed participants from the general population was specifically constructed to be representative of the 18+-year-old French- and German-speaking population of Switzerland, according to the quota features gender, age and language region. Representativeness of the chronic disease population is unclear. 71% of the general population and 81% of the chronic disease group reported that they would share their anonymised health data for medical research. The drivers were mainly of an altruistic nature. Hurdles concern mainly data protection issues, potential misuse or disadvantages, e.g., by health insurers. About 56% of the general population would like to be better informed about the use of their personal health data, and 69% spontaneously reported health authorities as the stakeholder responsible for providing such information. The survey showed that the Swiss population is willing to share anonymised health data given that some key concerns are addressed. Our findings underline that a better understanding of the standards and processes around health data privacy and transparent data usage is important to build trust in the public eye. An open dialogue is required to develop a common consent on data governance for Switzerland, which would allow health data sharing with third parties. This open dialogue should involve all stakeholders of the healthcare system, so as to strive towards both a more personalised and a more sustainable Swiss healthcare system.

Reconsenting paediatric research participants for use of identifying data

When a minor research participant reaches the age of majority or the level of maturity necessary to be granted legal decision-making capacity, reconsent can be required for ongoing participation in...