scholarly journals French Swiss physicians' attitude toward palliative sedation: Influence of prognosis and type of suffering

2013 ◽  
Vol 12 (5) ◽  
pp. 345-350 ◽  
Author(s):  
M. Beauverd ◽  
M. Bernard ◽  
T. Currat ◽  
S. Ducret ◽  
R.A. Foley ◽  
...  
Keyword(s):  
Pilot Study ◽  
Terminally Ill ◽  
General Linear Model ◽  
Palliative Sedation ◽  
Independent Variables ◽  
Clinical Vignettes ◽  
Existential Suffering ◽  
Physical Suffering ◽  
Two Independent Variables ◽  
Intolerable Suffering

AbstractObjective:Palliative sedation is a last resort medical act aimed at relieving intolerable suffering induced by intractable symptoms in patients at the end-of-life. This act is generally accepted as being medically indicated under certain circumstances. A controversy remains in the literature as to its ethical validity. There is a certain vagueness in the literature regarding the legitimacy of palliative sedation in cases of non-physical refractory symptoms, especially “existential suffering.” This pilot study aims to measure the influence of two independent variables (short/long prognosis and physical/existential suffering) on the physicians' attitudes toward palliative sedation (dependent variable).Methods:We used a 2 × 2 experimental design as described by Blondeau et al. Four clinical vignettes were developed (vignette 1: short prognosis/existential suffering; vignette 2: long prognosis/existential suffering; vignette 3: short prognosis/physical suffering; vignette 4: long prognosis/physical suffering). Each vignette presented a terminally ill patient with a summary description of his physical and psychological condition, medication, and family situation. The respondents' attitude towards sedation was assessed with a six-point Likert scale. A total of 240 vignettes were sent to selected Swiss physicians.Results:74 vignettes were completed (36%). The means scores for attitudes were 2.62 ± 2.06 (v1), 1.88 ± 1.54 (v2), 4.54 ± 1.67 (v3), and 4.75 ± 1.71 (v4). General linear model analyses indicated that only the type of suffering had a significant impact on the attitude towards sedation (F = 33.92, df = 1, p = 0.000).Significance of the results:The French Swiss physicians' attitude toward palliative sedation is more favorable in case of physical suffering than in existential suffering. These results are in line with those found in the study of Blondeau et al. with Canadian physicians and will be discussed in light of the arguments given by physicians to explain their decisions.

scholarly journals The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland

2014 ◽  
Vol 13 (4) ◽  
pp. 839-847 ◽  
Author(s):  
Serge Dumont ◽  
Danielle Blondeau ◽  
Véronique Turcotte ◽  
Gian Domenico Borasio ◽  
Thierry Currat ◽  
...  
Keyword(s):  
Assisted Suicide ◽  
Qualitative Content Analysis ◽  
Palliative Sedation ◽  
Wilcoxon Test ◽  
Physician Assisted Suicide ◽  
Existential Suffering ◽  
Physical Suffering ◽  
French Speaking ◽  
Long Term Prognosis

AbstractObjective:Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares the attitudes of French-speaking physicians practicing in the Quebec and Swiss environments, where different laws are in place regarding physician-assisted suicide.Method:Data were drawn from two prior studies, one by Blondeau and colleagues and another by Beauverd and coworkers, employing the same two-by-two experimental design with length of prognosis and type of suffering as independent variables. Both the effect of these variables and the effect of their interaction on Swiss and Quebec physicians' attitudes toward sedation were compared. The written comments of respondents were submitted to a qualitative content analysis and summarized in a comparative perspective.Results:The analysis of variance showed that only the type of suffering had an effect on physicians' attitudes toward sedation. The results of the Wilcoxon test indicated that the attitudes of physicians from Quebec and Switzerland tended to be different for two vignettes: long-term prognosis with existential suffering (p = 0.0577) and short-term prognosis with physical suffering (p = 0.0914). In both cases, the Swiss physicians were less prone to palliative sedation.Significance of results:The attitudes of physicians from Quebec and Switzerland toward palliative sedation, particularly regarding prognosis and type of suffering, seem similar. However, the results suggest that physicians from Quebec could be slightly more open to palliative sedation, even though most were not in favor of this practice as an answer to end-of-life existential suffering.

New generalized 2D Ostrowski type inequalities on time scales with k2 points using a parameter

Filomat ◽  
2018 ◽  
Vol 32 (9) ◽  
pp. 3155-3169 ◽  
Author(s):  
Seth Kermausuor ◽  
Eze Nwaeze
Keyword(s):  
Numerical Analysis ◽  
Time Scales ◽  
Type Inequality ◽  
Dimensional Case ◽  
Multiple Points ◽  
Quantum Calculus ◽  
Independent Variables ◽  
Ostrowski Type Inequality ◽  
Two Independent Variables

Recently, a new Ostrowski type inequality on time scales for k points was proved in [G. Xu, Z. B. Fang: A Generalization of Ostrowski type inequality on time scales with k points. Journal of Mathematical Inequalities (2017), 11(1):41-48]. In this article, we extend this result to the 2-dimensional case. Besides extension, our results also generalize the three main results of Meng and Feng in the paper [Generalized Ostrowski type inequalities for multiple points on time scales involving functions of two independent variables. Journal of Inequalities and Applications (2012), 2012:74]. In addition, we apply some of our theorems to the continuous, discrete, and quantum calculus to obtain more interesting results in this direction. We hope that results obtained in this paper would find their place in approximation and numerical analysis.

Explaining Peaceful Change in Central and Eastern Europe

2020 ◽  
Author(s):  
Alexander Tabachnik ◽  
Benjamin Miller
Keyword(s):  
Eastern Europe ◽  
Central And Eastern Europe ◽  
State Capacity ◽  
The State ◽  
National Identities ◽  
Great Power ◽  
Soviet System ◽  
The Balkans ◽  
Independent Variables ◽  
Two Independent Variables

This chapter explains the process of peaceful change in Central and Eastern Europe following the demise of the Soviet system. It also explains the failure of peaceful change in the Balkans and some post-Soviet countries, such as the Ukrainian conflict in 2014. The chapter accounts for the conditions for peaceful change and for the variation between peaceful and violent change by the state-to-nation theory. The two independent variables suggested by the theory are the level of state capacity and congruence—namely the compatibility between state borders and the national identities of the countries at stake. Moreover, according to the theory, great-power engagement serves as an intervening variable and in some conditions, as explained in the chapter, may help with peaceful change.

scholarly journals New dynamic Hilbert-type inequalities in two independent variables involving Fenchel–Legendre transform

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
A. A. El-Deeb ◽  
Saima Rashid ◽  
Zareen A. Khan ◽  
S. D. Makharesh
Keyword(s):  
Time Scales ◽  
Legendre Transform ◽  
Independent Variables ◽  
Hilbert Type ◽  
Two Independent Variables ◽  
New Inequalities

AbstractIn this paper, we establish some dynamic Hilbert-type inequalities in two independent variables on time scales by using the Fenchel–Legendre transform. We also apply our inequalities to discrete and continuous calculus to obtain some new inequalities as particular cases. Our results give more general forms of several previously established inequalities.

Online viewers’ choices over advertisement number and duration

2020 ◽  
Vol 14 (2) ◽  
pp. 215-238
Author(s):  
Stephen Nettelhorst ◽  
Laura Brannon ◽  
Angela Rose ◽  
Whitney Whitaker
Keyword(s):  
Exposure Time ◽  
Design Methodology ◽  
Persuasive Messages ◽  
Content Type ◽  
Independent Variables ◽  
Research Designs ◽  
Total Exposure Time ◽  
Online Simulations ◽  
Independent Variable ◽  
Two Independent Variables

Purpose The purpose of this study is to investigate online viewers’ preferences concerning the number and duration of video advertisements to watch during commercial breaks. The goal of the investigations was to assess whether online viewers preferred watching a fewer number of advertisements with longer durations or a greater number of advertisements with shorter durations. Design/methodology/approach Two studies used experimental research designs to assess viewers’ preferences regarding advertisements. These designs used two independent variables and one dependent variable. The first independent variable manipulated the type of choice options given to online viewers (e.g. one 60 s or two 30 s advertisements). The second independent variable manipulated when the choice was given to online viewers (i.e. at the beginning of the viewing experience or in the middle of the experience). The dependent variable measured viewers’ choices concerning their preferred advertisement option. Findings The results across both studies found that participants made choices that minimized total advertisement exposure time when possible. When minimizing total exposure time was not possible, participants made choices that minimized the number of exposures instead. Originality/value These investigations extend the literature on advertisement choice by examining online viewers’ preferences about the format of their advertising experience rather than the content of the persuasive messages themselves. In addition, these investigations provide value by investigating viewers’ responses to stimuli within realistic online simulations rather than abstract hypotheticals.

Institutional Misconducts and Anxiety Levels Among Jailed Inmates

1980 ◽  
Vol 7 (2) ◽  
pp. 203-214 ◽  
Author(s):  
James L. Bonta ◽  
Geoff Nanckivell
Keyword(s):  
Anxiety Level ◽  
Demographic Differences ◽  
Independent Variables ◽  
History Of ◽  
Anxiety Levels ◽  
Two Independent Variables

The present investigation reports upon various aspects of incarceration within a jail setting. In the first study, variables that were associated with the occurrence of institutional misconducts were documented by comparing a group of inmates committing misconducts with inmates having no history of misconducts. A number of personal and demographic differences were observed between the groups, but no relationship between crowding and the occurrence of a misconduct was found. The second study investigated the effect of incarceration and sentencing upon the inmates' anxiety level. Sixty-one inmates formed four groups varying on two independent variables: pretest and sentence. Significant effects due to incarceration and sentencing were absent.

Individualism and Collectivism: What Differences between Portuguese and Romanian Adolescents?

2009 ◽  
Vol 12 (2) ◽  
pp. 555-564 ◽  
Author(s):  
Laura Ciochinã ◽  
Luísa Faria
Keyword(s):  
Cultural Context ◽  
Cultural Factors ◽  
Educational Systems ◽  
Cultural Dimension ◽  
Cultural Contexts ◽  
Independent Variables ◽  
Anonymous Questionnaire ◽  
Confirmatory Factor ◽  
Individualism And Collectivism ◽  
Two Independent Variables

This article presents the results of a series of preliminary comparisons, between the Portuguese and Romanian cultural contexts, on the individualism-collectivism (IND/COL) cultural dimension. The IND/COL was evaluated with the Individualism-Collectivism Questionnaire – ICQ –, constructed in New Zealand by Shulruf, Hattie and Dixon (2003, Anonymous Questionnaire of Self-Attitudes –AQSA), and adapted to the Portuguese and Romanian contexts by Ciochină and Faria (2007), using studies of confirmatory factor analysis. The ICQ composed by 26 items, 15 evaluating the IND scale– with three subscales (Uniqueness, Competition and Responsibility) –, and 11 evaluating the COL scale – with two subscales (Harmony and Advice) –, was administered to 395 subjects, 200 Portuguese and 195 Romanian, 10th and 12th graders. On the whole, in the Portuguese and Romanian samples, the multivariate and univariate statistical analyses evidenced the existence of two independent variables – gender and cultural context –, with significant effects, main and of interaction, on the scales and subscales of the ICQ. The results were discussed taking into consideration the specificities of the educational systems in the two cultural contexts, which are inevitably shaped by socio-cultural factors characteristic of the two countries considered in the present study – Portugal and Romania.

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