Personal Integrity Research Articles

Perceived health system facilitators and barriers to integrated management of hypertension and type 2 diabetes in Kenya: a qualitative study

ObjectiveUnderstanding the facilitators and barriers to managing hypertension and type 2 diabetes (T2D) will inform the design of a contextually appropriate integrated chronic care model in Kenya. We explored the...

Hebrews Articulating Hypostatic Union with Christ

Hypostatic is derived from the original language of Scripture (Heb. 1:3) which brought the essential person of Jesus in his human and divine natures. Hebrews describes Jesus as superior to all other beings and all other claims. The doctrine of the hypostatic union teaches that our Lord’s divine nature and His human nature were united forever. He is different from the rest of humanity in that He is God and sinless and his unique theanthropic person of the universe. Despite the various opposing objections that attempt to criticize or disprove Jesus Christ’s two natures (divine and human) his obedience to God’s will even to the point of death shows Jesus’ divinity and humanity working together in perfect harmony. The basic idea that Christ is hypostatically communicating with both divine and human energies is also experienced by believers when their humanity is energized by the Holy Spirit and able to speak to God. In conclusion, the explanation of the anthropic unity of the person of Jesus Christ is quite clear that Jesus has both a divine will and a human will. The union of Christ’s divine and human natures are related to His acts as an incarnate person through His experience as a result of his person of Christ.

Preface: Proceedings of the XVIth International Conference on Ephemeroptera and XXth International Symposium on Plecoptera

Because of uncertainty about hosting an international, in-person conference in mid-2021, our meeting was postponed until summer 2022. Uncertainty continued into 2022. We could not wait longer, so The Joint Meeting of the XVI International Conference on Ephemeroptera and XX International Symposium on Plecoptera was a virtual affair hosted from the University of Illinois Urbana Champaign, U.S.A. The conference occurred daily, 0600–0900 hrs Chicago time, 26–29 July 2022. Despite the virtual venue, 41 oral (video) and 26 poster presentations were given by a total of 133 authors, representing 28 countries. At least 196 unique persons attended the 12 hrs of conference. It was a surprisingly successful meeting. The meeting program and links to all presentations are available from Plecoptera Species File. There were no Lifetime Achievement Awards bestowed upon our members during this meeting. A proposal for a meeting in 2024 in Turin, Italy was presented and accepted. In the weeks following the conference, we learned of the tragic death of our good friend and colleague Dr. Boris C. Kondratieff. We dedicate this volume to his memory and provide an obituary in this volume.

Coronary Artery Occlusion Detection Using 3-Lead ECG System Suitable for Credit Card-Size Personal Device Integration

BackgroundEarly coronary occlusion detection by portable personal device with limited number of electrocardiographic (ECG) leads might shorten symptom-to-balloon time in acute coronary syndromes. ObjectivesThe purpose of this study was to compare the accuracy of coronary occlusion detection using vectorcardgiographic analysis of a near-orthogonal 3-lead ECG configuration suitable for credit card-size personal device integration with automated and human 12 lead ECG interpretation. MethodsThe 12-lead ECGs with 3 additional leads (“abc”) using 2 arm and 2 left parasternal electrodes were recorded in 66 patients undergoing percutaneous coronary intervention prior to (“baseline”, n = 66), immediately before (“preinflation”, n = 66), and after 90-second balloon coronary occlusion (“inflation”, n = 120). Performance of computer-measured ST-segment shift on vectorcardgiographic loops constructed from “abc” and 12 leads, standard 12-lead ECG, and consensus human interpretation in coronary occlusion detection were compared in “comparative” and “spot” modes (with/without reference to “baseline”) using areas under ROC curves (AUC), reliability, and sensitivity/specificity analysis. ResultsComparative “abc”-derived ST-segment shift was similar to two 12-lead methods (vector/traditional) in detecting balloon coronary occlusion (AUC = 0.95, 0.96, and 0.97, respectively, P = NS). Spot “abc” and 12-lead measurements (AUC = 0.72, 0.77, 0.68, respectively, P = NS) demonstrated poorer performance (P < 0.01 vs comparative measurements). Reliability analysis demonstrated comparative automated measurements in “good” agreement with reference (preinflation/inflation), while comparative human interpretation was in “moderate” range. Spot automated and human reading showed “poor” agreement. ConclusionsVectorcardiographic ST-segment analysis using baseline comparison of 3-lead ECG system suitable for credit card-size personal device integration is similar to established 12-lead ECG methods in detecting balloon coronary occlusion.

Personal integrity and faking in the workplace: when competition matters

Despite the fact that employee faking or intentional response distortion is a critical concern in many workplace processes, the antecedents of this behavior are poorly understood. Based on signaling theory describing faking behavior as a strategic adaptation to competitive signals, this study examines the influence of personal integrity and perceived competition on faking. An online between-subjects experiment was carried out on a sample of teachers from elementary schools in selected regions of the Czech Republic (N = 470). The experimental group was subjected to competition-inducing instructions during the administration of the Occupational Integrity Scale (OIS) and the Balanced Inventory of Desirable Responding (BIDR-CZ), as an indicator of faking (impression management). Findings provided support for the moderating role of perceived competition on the link between impression management and personal integrity. Those who scored lower in reliability and moral sense (factors of OIS) exposed to competition-inducing instructions scored significantly higher on impression management than respondents in the control group, supporting the critical role of competition manipulation against excessive score inflation. Findings suggested that if organizations are not sure of the level of integrity of employees, they should not utilize competitive cues since individuals with low integrity tend to fake their responses to increase the person-organization fit. The managerial implications of these findings were discussed.

Contradictions of law, theory and judicial practice on certain issues of qualifying murder, violent sexual crimes, crimes against freedom and personal integrity

This article shows some of the problems and contradictions that arise in law, theory and judicial practice at the highest level on certain issues of qualifying murder, violent sexual crimes, crimes against freedom and personal integrity. The authors position on their resolution is substantiated, in particular, guided by practical expediency, the opinion is defended that the term conjugated from the criminal law should be excluded. For the purpose of uniform understanding of criminal law and a more precise qualification, the opinion is defended that the legislators approach to describing the feature use of violence, taking into account its intensity and means of influence in crimes against freedom and personal integrity, should be the same: in the main composition with the use of violence, not dangerous to life or health, or the threat of violence; in the qualified with the use of violence dangerous to life or health; for the same purposes, in its resolution of December 4, 2014, the Plenum of the Supreme Court of the Russian Federation On judicial practice in cases of crimes against sexual integrity and sexual freedom of the individual, it is advisable to give a more complete interpretation of the concept of another person, and also show: in what cases, the use of violence or the threat of its use against another person is covered by Part 1 of Article 131.132 of the Criminal Code of the Russian Federation, and in which goes beyond the specified articles of the criminal law.

Dampak Pernikahan dibawah Umur Terhadap Keharmonisan Rumah Tangga di Desa Badegan Kecamatan Badegan Kabupaten Ponorogo

Marriage is a sacred bond between a man and a woman as husband and wife with the aim of forming a sakinah family, so that marriage towards a sakinah family requires not only physical and mental preparation but also socio-economic, emotional and responsibility readiness. Thus limiting the age of marriage is one of the important principles because the Marriage Law is already regulated and clear. However, in Badegan Village, Badegan District, Ponorogo Regency, there are still many underage marriages which will have an impact on the harmony of a household. With a qualitative descriptive approach, this journal will describe some of the data obtained from the field, both by interviews, observation, and documentation as a data collection method, then proceed with the process of data reduction, data presentation and drawing conclusions using data analysis methods. In addition, the data analysis process is also supported by literature review as a reference to strengthen data obtained from the field. From the results of this study it can be concluded that the factors that cause underage marriages in Badegan Village, Badegan District, Ponorogo Regency are pregnancies outside of marriage which are influenced by the lack of parental supervision and the willingness of the child itself. So that underage marriages have a great impact on household harmony because maturity and personal integrity are not stable in resolving existing problems. Some of the impacts of underage marriages are the increased burden on parents, lack of independence and divorce.

Advocate for children receiving medical care: A study on pediatric care and children’s rights

Background: Advocacy for children is an essential part of pediatric medical practice. The rights of children receiving medical care should be protected while accommodating each individual’s attributes. The current study aimed to identify the policies and practices on medical care and children’s rights based on a survey conducted at 907 hospitals and clinics in 2016 by the Kanto Bar Association.Methods: The survey results were analyzed with the approval of the Kanto Bar Association. This research focused on the rights of children receiving medical care to make their own decisions and psychosocial factors involved in medical practice.Results: Explanation was actively provided to children receiving medical care. Moreover, support was found to be important in providing children with easy-to-understand explanations, assuring that consent was obtained from children, and assessing psychosocial factors affecting decision-making. Improving the physical and human environment can promote and enable the voluntary participation of children. That is, information about the right to voluntary participation among children should be disseminated, medical staffs must be educated, medical fees should be evaluated, and professionals must be trained.Conclusions: This study recommends to protect the personal integrity and dignity of children receiving medical care by respecting them as individuals and ensuring their right to express opinion and self-determination.

Characterization of different types of anxiety disorders in relation to structural integration of personality and adverse and protective childhood experiences in psychotherapy outpatients – a cross-sectional study

BackgroundCurrent research has emphasized the role of structural integration of personality and childhood experiences for the understanding of anxiety disorders. In this study, we examined the relationship between anxiety disorders (generalized anxiety disorder vs. panic disorder vs. phobic disorders), the level of structural integration of personality, and negative and protective childhood experiences at the beginning of outpatient psychodynamic psychotherapy treatment. Differences were characterized in comparison to patients with no anxiety disorders.MethodsThe sample included a total of 1646 outpatient psychodynamic psychotherapy treatments, of which 695 treatments included the diagnosis of at least one anxiety disorder. Levels of structural integration of personality were assessed according to the Operationalized Psychodynamic Diagnosis (OPD-2) system. Self-reported negative and protective childhood experiences were examined by using the Questionnaire for the Assessment of Adverse and Protective Childhood Experiences (APC). Associations were tested using single factor ANOVAs.ResultsPatients with anxiety disorders showed lower levels of structural integration of personality and reported more adverse childhood experiences than patients with no anxiety disorders. Regarding the subscales of structural integration of personality, phobic disorders were associated with impaired external communication, whereas for generalized anxiety disorder, an (uncorrected) association with impaired self-regulation was found. Also, generalized anxiety disorder was associated with sexual abuse and other traumatization (accidents etc.) during childhood, while panic disorder and phobic disorders were associated with emotional neglect, abuse, and fewer protective childhood experiences.ConclusionsOur findings emphasize the need of considering structural integration of personality and childhood experiences in order to understand and treat various types of anxiety disorders.

Three joint temperament-character configurations account for learning, personality and well-being: normative demographic findings in a representative national population.

A common practice in research and clinical practice is to use data considered representative of a target population to compare and understand the personality characteristics of specific groups or specific individuals. To this end, numerous studies have presented normative data for the temperament and character traits outlined in Cloninger's psychobiological model of personality. However, recent genomic evidence demonstrates that human personality is organized as a complex hierarchy that ascends beyond the individual traits to multi-trait profiles that regulate emotional reactivity (temperament profiles) or goals and values (character profiles), and then to three phenotypic networks, which integrate temperament profiles and character profiles, that regulate learning. Given this recent understanding, our aim was to provide a novel and more comprehensive description of personality features at a societal level (using a stratified sample representative of the Portuguese population) by considering personality at its higher levels of complexity. Toward this goal, a stratified sample of 2,443 Portuguese adults responded to the Revised Temperament and Character Inventory (TCI-R). We summarize the prevalence of (a) temperament profiles, (b) character profiles, and (c) integrated temperament-character networks within the whole sample, as well as for men vs. women and different age groups separately. Independent of age and education, women were more likely to be capable of resourceful productivity and helpful cooperation combined with being more intuitive, meditative and creative than men. Independent of age and gender, individuals with a degree were also more likely to present these biopsychosocial features. We also found that the organized character profile was most typical of adults in their 40s. Finally, the distribution of personality profiles across age differed as a function of gender: for men the oldest individuals had the most coherent personalities while high personality integration was most prevalent for women in their 30s. These results have strong implications for research and intervention. In particular, these results are relevant for understanding the epidemiology of interactions between personality, mental health and well-being, including their expressions in a national population as a function of demographic characteristics.

Provider perspectives on patient-centredness: participatory formative research and rapid analysis methods to inform the design and implementation of a facility-based HIV care improvement intervention in Zambia.

Implementation of patient-centred care (PCC) practices in HIV treatment depends on healthcare workers' (HCWs) perceptions of the acceptability, appropriateness and feasibility of such practices (e.g. use of intentional, metric-driven activities to improve patient experiences). We applied rapid, rigorous formative research methods to refine a PCC intervention for future trial. In 2018, we conducted focus group discussions (FGDs) with 46 HCWs purposefully selected from two pilot sites. We elicited HCW perceptions of HIV service delivery, HCW motivation and perceived value of patient experience measures intended to improve PCC. FGDs utilized participatory methods to understand HCW responses to patient-reported care engagement challenges and Scholl's PCC Framework principles (e.g. seeing a patient as a unique person), enablers (e.g. care coordination) and activities (e.g. patient involvement). Our rapid analysis used analytic memos, thematic analysis, research team debriefs and HCW feedback to inform time-sensitive trial implementation. While HCWs nearly universally identified with and supported principles of PCC in both facilities, they raised practical barriers given the practice environment. HCWs described motivation to help patients, attached value to seeing positive health outcomes and the importance of teamwork. However, HCWs reported challenges with enablers needed to deliver PCC. HCWs cited a work culture characterized by differential power dynamics between cadres and departments restricting HCW autonomy and resource access. Barriers included inflexibility in accommodating individual patient needs due to high patient volumes, limited human resources, laboratory capacity, infrastructure and skills translating patient perspectives into practice. HCW motivation was negatively influenced by encounters with "difficult patients," and feeling "unappreciated" by management, resulting in cognitive dissonance between HCW beliefs and behaviours. However, the enactment of PCC values also occurred. Results suggested that PCC interventions should reduce practice barriers, highlighting the value of mentors who could help HCWs dynamically engage with health system constraints, to facilitate PCC. While HCWs perceived PCC principles as acceptable, they did not think it universally appropriate or feasible given the practice environment. Participatory and rapid methods provided timely insight that PCC interventions must provide clear and effective systems enabling PCC activities by measuring and mitigating relational and organizational constraints amenable to change such as inter-cadre coordination.

In Stanisław Lem's Orbit

In Stanisław Lem's Orbit

Youth and Abuse of Substances

The following comprehensive and thorough literature review focuses on Youth and Abuse of Substances. More specifically, this study describes in twenty first century youth are more into abuse of substances, the types of substances described in the currently available literature, the various existing prevention and treatment programs, factors which have been attributed to youth and abuse of substances, and focuses on areas in this field that need further research. More complaint of this study is to focuses on youth mental health and motivation towards abuse of substances. Secondary sources were utilized, providing a complete picture of the ever-growing challenge of youth and abuse of substances. This study shall then conclude with the author’s personal integration of this information, and how this information can potentially benefit professionals working with peripheral population.

THE ORETICAL FOUNDATIONS OF COMPARATIVE TEACHING OF ABAY'S ENGLISH TRANSLATIONS

The article studied and considered in detail the prerequisites that led to the translation of the work of Abai, a classic of Kazakh literature, into other languages. The heritage of Abai, the main Kazakh poet, occupies a special place not only in Kazakh, but also in world literature. The reason is that Abai is a unique person who did not remain within the framework of one nation, but rose to the spiritual heights of all mankind. The issues raised in the works of Abai are relevant not only for the Kazakh people, but also for representatives of other nations. The poet's works discussed the values ​​inherent in the human race, and his reflections on the nature of life were well received by foreign readers. Interest in Abai is growing every year. The work of translating the works of the poet, which began with translation into the languages ​​of neighboring countries, and then in 1995, when the entire world community celebrated the 150th anniversary of Abai, expanded under the auspices of UNESCO. The article shows the implementation of the task of translating Abai into ten languages ​​of the world, undertaken under the leadership of the head of state Kassym-Jomart Tokayev, as a major innovation in the propaganda of Abai abroad. The purpose of the study was to consider the issue of translating Abai's works into foreign languages ​​as a result of increasing interest in Kazakh literature and culture.

A Comprehensive Theory of Spirituality: Humanistic, Theist, and Theotic

Especially among the Abrahamic religions, quite regularly spirituality implies a relationship with God or else some other supposed “sacred” entities or forces. This starting point precludes a fully psychological explanation of spirituality since appeal to God exceeds the methodology of the social or human sciences: Psychology is not theology. In contrast, a traditional Christian axion holds that "grace builds on nature." Accordingly, recognize that a dimension of the human mind itself—consciousness or human spirit—is first and foremost the source and object of spiritual experiences. Then the natural becomes fundamental, theoretically the essential, and at its roots spirituality lies within the competence of human study, and religious accounts are further elaborations. This proposition is the thesis of this article. Following the trenchant analyses of Bernard Lonergan, this account recognizes human consciousness or spirit as a dynamic dimension of the mind, self-present, out-going, self-transcending, open-ended, geared to reality, and normative: These requisites inherent in consciousness orient a person toward the true and the good. Then personal integration and spiritual growth coincide—in this way: Psychotherapeutic healing frees the spirit to increasingly take the lead and guide one’s living, constituting one as “a spiritual person.” The specification of consciousness/spirit contrasts with other mental content—emotions, memory, imagery—and suggests a tripartite human model (organism, psyche, and consciousness) in place of the standard bipartite model (body and mind). Such a naturalistic starting point easily supports religious elaboration, seeing God as Creator (theology) and envisioning union with God (theotics). This theory foresees the collaboration of the world's religions in acknowledging a common spiritual foundation for themselves and for our pluralistic secular society.

H02 The Foundling-Chapel brawl 1804: Robert and Mary Willan, trial by social media

Abstract The social media of the late 18th and early 19th centuries was no less humorous, critical and potentially personally destructive than now, despite its form, distribution and time frame being quantitatively different. Cartoons and prints, broadsheets, leaflets and pamphlets were widely distributed by hand for sale cheaply, being passed on for maximal effect. Gillray, Rowlandson and the Cruikshanks were the masters of these media, but others were prolific and no less accomplished at targeting royalty, religions, politicians and individuals of particular merit, such as physicians. One such satirical caricaturist and pamphleteer was James Sayers (1748–1823), a favourite of Prime Minister William Pitt. In 1804, he wrote a verse satire, attacking Dr Robert Willan (1757–1812) and his wife Mary (1770–1844) after an incident in the Chapel at The Foundling Hospital (Nichols RH, Wray FA. History of the Foundling Hospital. Oxford: Oxford University Press, 1935), where his sister Elizabeth was in dispute with them over the occupancy of a pew (pews were rented by the hospital governors on an annual basis). They were both subjected to a clever—not always subtle—diatribe for some 2 years about their personal and professional integrity, including their religion. Willan was described as a ‘learned leech’, with the implication that this successful physician was not just bleeding patients therapeutically, but also financially. His patients were ‘scabby’ and therefore detestable, and he was a lesser man because he was no longer a Quaker. For Mary, there were intimations about her temperament, her motives for marriage and her personal hygiene. The recently married couple had moved from 14 Bloomsbury Square to nearby number 10, with her two daughters by her previous marriage. There, their son Richard was born in 1802. Robert Willan withdrew from his work at the Carey Street Dispensary in 1803. Re-reading this rare publication by Sayers, which may seem a negative satire, inadvertently provides clues to the personal and social context of the Willan’s early married life.

Experiences of transition to adulthood and transfer to adult care in young adults with type 1 diabetes: A qualitative study.

To explore young adults' experiences of living with type 1 diabetes in the transition to adulthood, including experiences of the transfer from paediatric to adult care. A qualitative approach was used. Ten young adults, six women and four men, aged 19-29 years, participated. Participants were recruited at their regular diabetes clinic from spring 2021 to spring 2022. Semi-structured interviews were transcribed and analysed using qualitative content analysis. Dreaming of being nurtured towards self-reliance was the overarching theme. Personal experiences of the transition to adulthood, including the transfer from paediatric to adult care, were described in terms of struggling to find balance in daily life, dealing with feelings of being different, being gradually supported to achieve independence, and wishing to be approached as a unique person in healthcare. In healthcare, it is important to emphasize not only diabetes-related factors but also emotional and psychosocial aspects of life connected to the transition to adulthood, including the transfer to adult care. The young adults wished to be seen as unique persons in healthcare during their emerging adulthood and should therefore be supported to achieve self-reliance through personal preparations for new challenges and for the consequences of transitioning to adulthood. Specialist nurses can provide appropriate knowledge and leadership. These findings can guide nurse specialists in support for emerging adults to achieve self-reliance and indicate the importance of person-centred care when experiencing transition and transfer. The study adhered to EQUATOR guidelines, and the COREQ checklist for qualitative studies was used as the reporting method.

Dominant Leadership Themes in the Pauline Epistles

Paul’s writings in the Bible, although primarily intended to serve spiritual ends, were found to also contain practical leadership wisdom long before these concepts were developed and formalized in secular leadership literature. Seven leadership themes emerged out of this conceptual study, namely: concepts of authority, responsibility, and accountability; the need for personal integrity among leaders, the need to build ethical organizations, situational leadership, fostering unity in diversity, the teaching role of leaders, and ensuring organizational continuity and organizational growth. This paper will benefit leadership theory along the line of increasing confidence in the use of the Bible as a source of leadership knowledge. It will also support leadership practice by providing a model of how effective leadership can be practiced despite operating in a turbulent ancient environment devoid of the resources, systems, and technologies of today’s post-modern organizations. Although the contexts in Paul’s epistles were churches, the leadership lessons they contained can be applied to business organizations, government entities, educational institutions, and society in general.

Concept of Unified Russian State in Works of Ivan Alexandrovich Ilyin: Philosophical and Legal Considerations (Dedicated to 100 Year Anniversary of Russian Intellectuals’ Exile from the Soviet Russia ‘Philosophy Steamer’)

The article is devoted to the idea of the unity of the Russian state, which is currently relevant due to well-known events, which the author revealed through the works of the great Russian philosopher and lawyer Ivan Alexandrovich Ilyin. The idea of the unity of the Russian state is considered in this article through its following components: national brotherhood, racial synthesis of the peoples of Russia, the spiritual integrity of the Russian person, religious identity, geographical unity, unity and uniformity in parliament, the unitarity of the Russian state, etc. The article also reflects criticism of I. A. Ilyina on the implementation in Russia of the following ideas: federalism, egalitarianism, the rule of law, constitutional monarchy and democracy. The author of the article analyzes and systematizes the ideas of I. A. Ilyin, gives them a historical and ideological assessment with an eye to the possibility and impossibility of their further application. In addition, the article formulates and summarizes the views of I. A. Ilyin in real proposals for the construction of the coming Russia.

Precautionary Principle as a Criterion of Accusation in the Criminal Liability of Crimes against the Environment

This research involves a documentary review regarding different theoretical and doctrinal postulates, according to which the affinity and interference of the precautionary principle as a criterion for imputing criminal liability for environmental damage in Colombia are gauged. In order to elaborate on this topic, it was necessary to make a theoretical assessment of a risk society and how the legal doctrine has valued risk as a criterion of criminal accusation. In this research, we provided a description and legal analysis of the precautionary principle in environmental matters and defined the parameters under which this principle is measured. In addition, the development and configuration of the environment as a protected legal right, its classification as a fundamental right, and its interference with the right to life and personal integrity are briefly described. In short, it was necessary to assess and question the scope of malice and its components within the accusation of criminal titles in the scenarios of a risk society and its link with the environmental precautionary principle. All these issues were addressed using descriptive and bibliographic research with a qualitative approach. The criminal liability of those who transgress the principle described above and put the protected legal assets related to the environment at potential risk was analyzed from an objective legal point of view. Likewise, we conducted an in-depth evaluation of the constitutional environmental protection category and the state duties concerning this constitutional mandate.