A vallásosság szerepe az intenzív osztályon dolgozó orvosok és ápolók véleményének kialakításában az életvégi döntések meghozatalakor

Összefoglaló. Bevezetés: A haldoklást minden korban kulturális és vallási szabályok vették körül, melyek a mai napig hatnak a társadalomban. A 21. században számos beteg a kórházban, az intenzív osztályon fejezi be életét, ahol nem ritkán kerülhet sor életvégi döntés meghozatalára. Célkitűzés: Vizsgálatunk célja annak feltárása volt, milyen hatással van az orvosok és ápolók vallásossága a kezeléskorlátozással kapcsolatos döntésekre az intenzív osztályon. Módszer: Magyarországi intenzív osztályokon dolgozó orvosok és szakdolgozók körében végeztünk kérdőíves felmérést a vallás életvégi döntésekre gyakorolt hatásáról. 189 orvos és 105 ápoló által anonim módon kitöltött kérdőívet elemeztünk. Eredmények: Az intenzív osztályra történő betegfelvételre nem volt hatással a vallásosság, azonban a szabad ágyak száma a vallásos orvosokat erősebben befolyásolta, mint az ateista és választ nem adó orvosokat (<0,0001). A vallásukat gyakorló orvosok szignifikánsan jobban figyelembe vették a hozzátartozó kérését, mint az ateisták (p = 0,0002). A vallásos ápolók gyakrabban folytatnák a beteg kezelését a hozzátartozó kérése ellenére is, ha még látnának esélyt a gyógyulásra, mint a nem vallásosak. Következtetés: Vizsgálatunk alátámasztotta, hogy a világnézet befolyásolja az orvosokat és ápolókat az élet végéről hozott döntésekben. A kezeléskorlátozásról hozott döntés összetett, elengedhetetlen megismerni hozzá a beteg és családjának haldoklással kapcsolatos vallási szokásait, mivel jó életvégi döntés a világnézeti szempontok figyelembevétele nélkül nem hozható. Orv Hetil. 2021; 162(51): 2047–2054. Summary. Introduction: Death has always been surrounded by habits in all ages, influenced by cultural and religious differences. Many patients finish their lives at intensive care units where end-of-life decisions are the part of everyday practice in the 21th century. Objective: The goal of our study was to assess how the religious beliefs of physicians and nurses affect their decision on therapy restriction. Method: We have performed questionnaire-based enquiries among physicians and nurses working at intensive care units on how religion affects end-of-life decisions. We have analyzed the anonymous questionnaires filled out by 189 physicians and 105 nurses. Results: Our results have confirmed the hypothesis that religion affects decision making about therapy restriction. Patients’ admissions were not affected by religious beliefs, but the number of available patient beds influenced the religious physicians more than the atheists ones or the non-responders (<0.0001). Actively religious physicians complied significantly better with the relatives than atheists (p = 0.0002). Religious nurses would continue patient treatment even against the will of relatives more often than atheists if they see a chance for recovery. Conclusion: The study supports that religion influences physicians and nurses in their end-of-life decisions. Decisions on therapy restriction are complex; it is important to find out religious beliefs and perception of death among patients and families because good end-of-life decision cannot be made disregarding religious considerations. Orv Hetil. 2021; 162(51): 2047–2054.

Wiara a sympatie polityczne Albrychta Stanisława Radziwiłła

Faith and Political Sympathies of Abrycht (Albert) Stanisław Radziwiłł In his distinctly private opinions, Albrycht Stanisław Radziwiłł evaluated people according to their religious preferences. He took a similar approach when looking at distant international policy. This attitude changed when his close relatives or political issues of interest were at hand. In such a situation, pride for relatives’ achievements and successes took precedence regardless of religious affiliation. The same criteria were applied to foreign policy of the Polish-Lithuanian Commonwealth, always prioritizing the state and its security. Religious considerations vanished. He also applied this approach to personal matters, supporting the advance of Protestants when the interests of the state were at stake. However, at the same time he did not ignore the Catholic Church and its commandments.

Wood Identification of Ancient Temple Structures in Ladakh, Located in the Western Himalayas

Microscopic wood identifications were performed on five Buddhist temple structures, three vernacular houses, two stupas, and two holy trees located in Ladakh, a region in the Indian state of Jammu and Kashmir in the Western Himalayas. Leh is Ladakh’s capital and is located along the Indus River, the backbone of Ladakh. The vernacular buildings, stupa, and holy trees are located in Leh. Ladakh is a high-altitude desert with extremely scarce vegetation. Natural vegetation occurs mostly along the watercourses. The temples are located in villages along the upper Indus river valley, or along confluent rivers. From the 110 wood samples, 4 wood species were identified: poplar, willow, juniper, and pine. Building type, local availability, specific physical and mechanical properties of the wood species, and religious considerations were apparently the leading criteria for timber selection.

Factors Associated With University Students’ Attitude Toward Euthanasia

Although euthanasia has been practiced for thousands of years, a wide controversy still exists around it. This study aimed to assess the attitude of university students toward euthanasia and its associated factors. The study included an online self-administered survey. Survey questions consisted of demographic information, psychological condition, and attitude toward euthanasia. A total of 1,188 students participated in the study. Approximately only one-third of the respondents (34.1%) viewed euthanasia as a moral practice, and just one-quarter (25.3%) supported legalizing it. The main reason for not supporting euthanasia was religious considerations (72.2%), followed by moral considerations (46.5%). Factors that predicted a positive attitude toward euthanasia (p < .05) included undefined religion, being male, feeling lonely, or having suicidal thoughts. Conclusively, the negative attitude toward euthanasia is primarily driven by religious beliefs. Furthermore, gender and psychological status play critical roles in students’ attitudes toward euthanasia.

Perinatal Palliative Care: Cultural, Spiritual, and Religious Considerations for Parents—What Clinicians Need to Know

For perinatal palliative care (PPC) to be truly holistic, it is imperative that clinicians are conversant in the cultural, spiritual and religious needs of parents. That cultural, spiritual and religious needs for parents should be sensitively attended to are widely touted in the PPC literature and extant protocols, however there is little guidance available to the clinician as to how to meet these needs. The objective of this review article is to report what is known about the cultural, spiritual and religious practices of parents and how this might impact neonates who are born with a life-limiting fetal diagnosis (LLFD). The following religions will be considered—Islam, Buddhism, Hinduism, Judaism, and Christianity—in terms of what may be helpful for clinicians to consider regarding rituals and doctrine related to PPC. Data Sources include PubMed, Ovid, PsycInfo, CINAHL, and Medline from Jan 2000–June 2020 using the terms “perinatal palliative care,” “perinatal hospice,” “cultur*,” and “religiou*.” Inclusion criteria includes all empirical and research studies published in English that focus on the cultural and religious needs of parents who opted to continue a pregnancy in which the fetus had a life-limiting condition or had received perinatal palliative care. Gray literature from religious leaders about the Great Religions were also considered. Results from these sources contributing to the knowledge base of cultural, spiritual and religious dimensions of perinatal palliative care are considered in this paper.

Ethics and Practice in the Excavation, Examination, Analysis, and Preservation of Historical Mummified Human Remains

European perspectives on the study of human remains, particularly mummified individuals with associated material culture, highlight the multidisciplinary research potential of these rare discoveries. The diverse evidence associated with mummified remains offers unique potential to consider how the deceased was experienced over time. Scientific analyses reveal the complex taphonomic processes leading to the selective survival of tissue and cultural items. Medical approaches to mummies have been long established, but historical examples can combine cultural and historical sources with the palaeopathological to develop more nuanced understandings of disease and lifestyle, identifying both individual biographies and wider cultural trends in mortuary practice. Study of mummies raises ethical considerations similar to those for skeletonized remains, but given the greater recognition of their humanity, further social and religious considerations are relevant. Investigation needs to be set against the local legislation and the feelings of the mummies’ gatekeepers and, in some cases, their descendant communities.

Kajian Motif Pemilihan Skema Pembiayaan LKMA PUAP di Jawa Tengah

The objective of this research is to explore the motif election financing scheme Rural Agribusiness Development (PUAP), knowing what factors affect the performance PUAP, and test whether performance sharia PUAP different from conventional PUAP in Central Java in 2008-2011. The study was conducted in the District of Banjarnegara, Banyumas, Jepara, Kendal and Kendal during the period from July to December 2012 Using qualitative and quantitative methods with a dummy variable multiple regression approach, the manager LKMA PUAP 185 respondents of this study with purposive sampling approach. From about 2267 LKMA PUAP in Central Java, the majority (87.25%) chose to operate with conventional financing scheme and only 289 (12.75%) which apply sharia scheme or the principle of profit sharing (profit sharing). Research shows PUAP sharia been selected for the motive of religious considerations (40.6%), while the conventional PUAP been LKMA practical reasons (35.3%) and the economy (30.2%). In the perception of respondents, LKMA PUAP sharia is considered more appropriate to the creed, manifestations of worship, fields expectation of reward, blessing and benefit. PUAP LKMA conventionally considered more practical, safe, and familiar with the daily habits of members. Statistical analysis showed motif election financing scheme LKMA significantly affected by the financing scheme (Sharia), education level (Educate), and regional differences (Kab). Motif scheme selection is also different between the respondent and the respondent voters LKMA sharia conventional LKMA voters.

The Pink Tank in the Room: The Role of Religious Considerations in the Discussion of Women’s Combat Service—The Case of the Israel Defense Forces

Women serve in diverse roles in the 21st century militaries of the world. They are no longer banned from combat. The presence of women on the battlefield has raised religious arguments and considerations. What role do religious arguments play in the discussion regarding women’s military service? Using media, internal publications, as well as academic articles, the current paper examined this question in the context of the Israel Defense Forces (IDF): a conscription-based military that conscripts both men and women, religious and secular, for both combat and noncombat postings. Using the case of the pilot program in the IDF attempting to integrate women in the Israeli tank corps, as well as gauging the way religious men view this change, the paper argues that religious considerations serve the same purpose as functional considerations and can be amplified or lessened, as needed.

The Pink Tank in the Room: The Role of Religious Considerations in the discussion of Women’s Combat service – The Case of the Israel Defense Forces

Women serve in diverse roles in the 21st century militaries of the world. They are no longer banned exclusively from combat. The presence of women on the battlefield has raised religious arguments and considerations. What role do religious arguments play in the discussion regarding women’s military service? The current paper examines this question in the context of the Israel Defense Forces (IDF): a conscription-based military that conscripts both men and women, religious and secular, for both combat and non-combat postings. Using the case of the pilot program in the IDF attempting to integrate women in the Israeli tank corps, the paper argues that religious considerations serve the same purpose as functional considerations and can be amplified or lessened, as needed.