The patient's order as a separate manifestation of his will

The article analyzes the issues of the patient's will in medical relations, it is proved that it is due to the expression of will to the proposed treatment (consent or refusal) that the patient is a full active participant in this relationship. However, his inability to express his will, temporary or irreversible, caused by the development of the disease, the peculiarity of its course may be an obstacle to determining his real desire for future treatment, medical intervention and jeopardize the violation or inability to exercise the patient's right to consent or refuse medical intervention. To avoid this, there is a certain legal institution in the legislation of a number of countries around the world, through which it is possible to plan your treatment in advance, to refuse it, in case of inability to do so in the future. In some legal systems, this institution has different names - "wishes made earlier", "medical will", "patient's will", "power of attorney to make decisions on health care", "patient orders" and so on. The paper analyzes the content of this institute, considers the views of scholars on it, made a comparative analysis with the legal construction of the "testament" and concluded that there are significant differences between these constructions, which makes it impossible, from the author's point of view, to call this will "testament". . It is proposed to consider such a will as one of the patient's rights - "patient order", which is made in writing by an adult - the patient, regardless of the type and stage of the disease in case of possible future inability to consent to medical examination, intervention or treatment. The patient has at his disposal not only his will for the future (list of medical procedures that are allowed to be performed in relation to his health, which are not), but also the case when it can be used (for example, coma, autonomic state). It is impossible to conclude it through a representative, because in this case the will of the patient is unknown. This order is executed by proxies (relatives, close persons, representatives, doctors, etc.). Despite the fact that in Ukraine today this legal institution is absent, the main directions of recoding of civil legislation indicate the possibility of its appearance in the updated legislation

How to plan for the progression of dementia

As your loved one begins to experience more problems with thinking and memory, they will need help managing their health care, finances, and other aspects of daily living. They may need to leave their home in order to receive the amount or type of care they require. Preparing legal documents such as a will, power of attorney, and health care proxy is an important step in planning for the future. Having conversations with your loved one early after a diagnosis ensures that they can participate in future planning as much as possible, easing your burden as increased care is required. Even if they don’t want to participate, you can still explore options so you will be ready when a crisis occurs.

Self-Management Skills and Student Achievement – A Pilot Study

The adaptation pressure of youths to a labor market with a low predictability degree determines the necessity of developing certain competences which can be easily transferrable and which can ensure the personal and professional success. We have considered non cognitive abilities (attitudes, emotions, behaviours) which proved to be significant predictors of success and mental health (Heckman, 2008) and which contribute significantly to a rise in emotional strength and to a wide range of adaptative strategies imposed by contemporary society (Opre et al., 2018). The speciality literature confirms the importance of non-cognitive abilities in the students’ / pupils’ academic success (Heckman et al., 2006; Heckman, 2008; Deming, 2015; Balica et al., 2016). The predictability degree of diverse non cognitive abilities over academic success is different as most studies do not supply relevant data about abilities such as self-efficacy, growth mindset or social awareness (Claro & Loeb, 2019), while abilities like self-management defined as the ability to regulate one’s emotions, thoughts, and behaviors in different situations (Duckworth & Carlson, 2013) represents a good predictor of academic achievement (Blair & Raver, 2015; Riggs et al., 2016). We consider self-management as being that umbrella construct which refers to abilities such as self-control, self-regulation, self-discipline, will power and self-power (Duckworth & Kern, 2011). Under the circumstances in which students with major risk abandonment participate in specific activities to develop personal, socio-emotional and learning management abilities, our study proposes to examine the variation of self-management abilities of students who participated in these activities and of students who did not participate in the activities and who are not prone to risk abandonment. Also, we wish to investigate if there is a relation between students’ self-management abilities and student achievement.

Nietzsche's Pelagianism: Dionysus versus the Crucified

When Nietzsche writes in Ecce Homo: “Theologically speaking - listen closely, for I rarely speak as a theologian - it was God himself who at the end of his days work lay down as a serpent under the tree of knowledge: thus he recuperated from being God. - He had made everything too beautiful. - The devil is merely the leisure of God on that seventh day.” (Ecce Homo, “Beyond Good and Evil,” §2) He is insinuating an alliance with an uncited source - Pelagianus Hereticus who believed there was no ‘original sin’ but that the will power of human beings could bring humanity to salvation. A method that bears stark affinities with Nietzsche’s writings on will to power in the sense that human will power wills a transcendence to what is, rather than the metaphysics of a transcendent God providing grace to those in need of salvation from above. This marks an interesting detour in church orthodoxy, a path not taken and one has to wonder that given Nietzsche’s reputation as a well read historian of ideas and theology whether he was writing a sort of theological exegesis through ressentiment. A history of ideas for the future through the eyes of those who lost as a kind of error, a kind of pathos. In this paper, I try to explore this treatment of Nietzsche’s work to bring a new interpretation onto his work, one that is hidden in plain sight in lieu of his work on pushing ethics beyond good and evil, his views on phantasmagoria, and the penultimate writings at the end of his productive years where he describes his writings as “Dionysus versus the Crucified.”

Multi-Objective Energy Management Strategy for PV/FC Hybrid Power Systems

In this paper, a new control of the DC–DC power converter that interfaces the fuel cell (FC) system with the DC bus of the photovoltaic (PV) power system is proposed to increase the battery lifespan by its operating in charge-sustained mode. Thus, the variability of the PV power and the load demand is compensated by the FC power generated considering the power flows balance on the DC bus. During peak PV power, if the PV power exceeds the load demand, then the excess power on the DC bus will power an electrolyzer. The FC system operation as a backup energy source is optimized using a new fuel economy strategy proposed for fueling regulators. The fuel optimization function considers the fuel efficiency and electrical efficiency of the FC system to maximize fuel economy. The fuel economy obtained in the scenarios considered in this study is compared with reference strategies reported in the literature. For example, under scenarios considered in this paper, the fuel economy is between 4.82–20.71% and 1.64–3.34% compared to a commercial strategy based on static feed-forward (sFF) control and an advanced strategy recently proposed in the literature, respectively.

Barriers to being physically active: An exploratory study among medical students

: The health benefits of physical activity are well established. In India, it is estimated that overall, 392 million individuals are physically inactive. This is a staggering figure and implies a huge population, which is at risk for developing diabetes and other non-communicable diseases. Identification of barriers for physical activity among youngsters would help in development of plans for boosting physical activity among young population. The present study is an attempt to explore various barriers for being active among medical undergraduates. : The study was conducted at a medical college in Uttar Pradesh. Sample was drawn using convenience sampling. The data collection was done based on “CDC questionnaire on barriers to being active” using self-administered questionnaire. All the participants fulfilling inclusion criteria were asked to fill the forms honestly by choosing the best option describing their barrier for physical activity against each question in the proforma. A total of 203 MBBS students participated in the study, comprising of 108 males 95 females. The mean age of the participants was 22.02 years (Range 18 years-26 years). The factor which was perceived as the most significant determinant for physical inactivity was “lack of willpower”. Other significant contributors were “lack of resources”, “lack of energy”, “social influence”, “lack of skills” and “fear of injury” in decreasing order of importance. The sum scores of seven barriers studied were significantly correlated (p<0.01) to each other with strong correlations. The highest correlations were noted between “Lack of will power and Social Influence” (0.682) and “Lack of skills and Social influence” (0.630) and weakest correlation was noted between “Fear of Injury” and Lack of will power” (0.218).

Stigmatization of Fat Characters, a power play of Discourse and Hegemony: an Investigation in to the Truth

Though the fat person in the eighteenth and nineteenth century culture usually represented wealth and prosperity, or by extension, either literally or metaphorically, greed and avarice, there was one situation in which fat people themselves were mocked and shamed. Extremely fat people were seen as a form of human grotesquery. They serve as a spectacle of oddity in fairs, circuses, vaudeville and most recently on television programs such as ‘The Biggest Loser’. In all this the fat man suffers the greatest humiliation. His body is at once exposed and undignified. The negative effect that these freaks shows had on viewers who themselves were fat, or those who feared becoming fat, or certainly on those who were themselves the object of ridicule. The stigma in this case, however, is one of oddity and uniqueness. What is clear from the historical documents, however, is that the connotations of fatness and of the fat person- lazy, gluttonous, greedy, immoral, uncontrolled, stupid, ugly, lacking in will power, primitive- preceded and then intertwined with explicit concern about health issues. Fat bodies as Foucault would say, is considered as hegemonic knowledge or stereotypes which are enforced by the authorities. Thus body size and weight can be seen and explored as a set of social meanings. The desire to raise one’s social status is a key motivational force for dieting. Creation of hegemonic understanding of fatness as a problem and discursive and other practices that aim at determining normalcy can be justifiably seen along the lines Foucault’s notion of power and specifically those of Biopower and Biopolitics. According to Foucault these power works through discourses and hegemonic knowledge.

The Power of Will to Survive: A Case Report

The will to survive is very essential for someone to keep himself struggle until he survives a dreadful situation. This perfectly matches with a case of a man surviving an accident. A 35 year old man met with an accident and fell into a ditch with his motorbike on top of him and the handle of the motorbike pressed his vocal cord. Nobody noticed him falling into the ditch nor could he shout for help. He was all alone by himself in an isolated area where no help will arrive unless somebody sees him. He fell on the ground where the area of the soil under his head was raised which made even harder for him to move his head and free his vocal cord. To save himself he dug out the soil under his head so that he could move his head by creating some space by reducing the bumpiness of the soil. After digging out the soil for several hours he finally could move his head and free his vocal cord too. He shouted for help and soon some people gathered there who took him to the hospital. The victim suffered cervical injury, bruises and cuts on his body along with psychological trauma. Keywords: will power, survival, struggle, accident, dreadful situation.

‘Green’ tech will power industrial commodity prices

Demand will surge for the minerals for low-carbon technologies, but supply is concentrated and will lag, raising prices

How to plan for the progression of dementia

As your loved one begins to experience more problems with thinking and memory, they will need help managing their health care, finances, and other aspects of daily living. They may need to leave their home in order to receive the amount or type of care they require. Preparing legal documents such as a will, power of attorney, and health care proxy is an important step in planning for the future. Having conversations with your loved one early after a diagnosis ensures that they can participate in future planning as much as possible, easing your burden as increased care is required. Even if they don’t want to participate, you can still explore options so you will be ready when a crisis occurs.