Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force

Abstract

The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient’s ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.     

What do academics know and do about plagiarism? An interview study with Chinese university teachers of English

Previous research on plagiarism has increased awareness and knowledge of the various aspects of this issue, such as contributing factors to plagiarism, students’ and teachers’ perceptions of plagiarism, and institutional policies and regulations on plagiarism. Yet much of this research, especially on the latter two aspects, has been conducted in Anglo-American contexts or English-as-a-second-language (ESL) settings (where English is an official or important language in the larger societal context), while the diversity of English-as-a-foreign-language (EFL) contexts (where English as a foreign language is largely used only in the language classroom) remains relatively under-researched. Of those studies that did focus on EFL contexts, the majority were based on survey data that were limited in the depth of information collected. To address this relative lack of in-depth understanding of how plagiarism is understood and acted against in EFL contexts, this paper reports on an interview study with 13 EFL teachers from 12 universities in mainland China. The study focused on the teachers’ knowledge and attitudes concerning plagiarism, plagiarism-related pedagogical practices, as well as perceived stances and expectations of their institutions in plagiarism prevention. Its findings contribute to the current knowledge base of EFL academics’ views and practices regarding plagiarism, add to our understanding of EFL teachers’ experiences concerning plagiarism in specific educational settings, and inform institutions’ efforts to develop and improve strategies and policies for preventing plagiarism.     

COVID in NYC: What We Could Do Better

Abstract

New York City hospitals expanded resources to an unprecedented extent in response to the COVID pandemic. Thousands of beds, ICU beds, staff members, and ventilators were rapidly incorporated into hospital systems. Nonetheless, this historic public health disaster still created scarcities and the need for formal crisis standards of care. These were not available to NY clinicians because of the state’s failure to implement, with or without revision, long-standing guidance documents intended for just such a pandemic. The authors argue that public health plans for disasters should be well-funded and based on available research and expertise. Communities should insist that political representatives demonstrate responsible leadership by implementing and updating as needed, crisis standards of care. Finally, surge requirements should address the needs of both those expected to survive and those who will not, by expanding palliative care and other resources for the dying.     

异步异构分层并行演化算法及其在串并系统可靠性优化中的应用(英文)

本文提出了一种新的并行演化算法――异步异构分层并行演化算法(AHHPGA),用于求解串并系统可靠性分配的多目标优化问题(RAP)。AHHPGA采用分层结构,上层由粗粒度模型构成,下层由细粒度模型构成。在AHHPGA的每个子种群中,采用不同的全局/局部搜索度和拓扑结构,构成异构模型。AHHPGA的迁移方式包括异步接收和异步迁出。采用基于模型的复杂系统可靠性评价工具(HiP-HOPS),以克服可靠性框图方法(RBD)的缺点。仿真结果表明,基于异步异构分层并行演化算法和HiP-HOPS工具的串并系统可靠性分配的多目标优化方法,优于传统的基于遗传算法的优化方法。     

What the State Owes ‘Bastards’: A Modest Critique of Modest One-Child Policies

This essay criticises ‘modest’ one-child policies, which would impose sanctions upon parents who create multiple children. Specifically, this article considers what the state owes individuals who would be born (illegally) beneath restrictive procreative policies and argues that such policies would fail to show due respect to second- or third-born individuals created beneath them. First, I argue that modest procreative restrictions (like sanctions) are likely to generate only modest compliance. I then suggest it is reasonable to think a one-child policy fails to demonstrate due respect to existing second and third children. I argue that such a policy generates an undue burden on any second or third children who would be born beneath them, before concluding by considering whether the state might be able to avoid effectively reinscribing ‘bastardy’ into its law by locating responsibility for the effects of such a policy entirely on the parents, rather than on children.     

Attentional engagement during syllable discrimination: The role of salient prosodic cues in 6- to 8-month-old infants

Prosodic cues drive speech segmentation and guide syllable discrimination. However, less is known about the attentional mechanisms underlying an infant's ability to benefit from prosodic cues. This study investigated how 6- to 8-month-old Italian infants allocate their attention to strong vs. weak syllables after familiarization with four repeats of a single CV sequence with alternating strong and weak syllables (different syllables on each trial). In the discrimination test-phase, either the strong or the weak syllable was replaced by a pure tone matching the suprasegmental characteristics of the segmental syllable, i.e., duration, loudness and pitch, whereas the familiarized stimulus was presented as a control. By using an eye-tracker, attention deployment (fixation times) and cognitive resource allocation (pupil dilation) were measured under conditions of high and low saliency that corresponded to the strong and weak syllabic changes, respectively. Italian learning infants were found to look longer and also to show, through pupil dilation, more attention to changes in strong syllable replacement rather than weak syllable replacement, compared to the control condition. These data offer insights into the strategies used by infants to deploy their attention towards segmental units guided by salient prosodic cues, like the stress pattern of syllables, during speech segmentation.     

Support for rejection and reception policies toward asylum seekers in Italy: The role of conservative ideologies and legitimizing myths

ABSTRACT

Based on Social Dominance Theory (SDT), this study investigates the relationships between ideologically conservative attitudes (social dominance orientation, SDO; right-wing authoritarianism, RWA), legitimizing myths (false belief in asylum seekers as bogus; perception of in-group threats), and citizens’ support for restricted reception and rejection of asylum policies. A sample of 539 people living in Italy filled in an anonymous questionnaire administered using a cross-sectional design. The results support the expectations, showing that people high in SDO and RWA were more likely to hold the belief that asylum seekers are making false claims and to perceive that the latter pose a threat to the in-group, which in turn increased support for both of restrictive policies. Findings suggest that conservative ideologies can positively affect citizens’ support for restrictive asylum seeker policies based on both rejection and restricted reception by supplying ideological justification for not accommodating them in the host society.     

Resource allocation for visual metaphor processing: A study of political cartoons

ABSTRACT

This paper is a study of visual metaphor processing in political cartoons, while secondary task reaction time was used to assess resource allocation when processing three types of visual metaphors, namely juxtapositions, fusions and replacements. Participants viewed a series of visual metaphors. At various intervals, they were invited to push a button whenever a probe appeared. Reaction times to detect the probes were recorded. Subsequently, participants performed recall and recognition tasks. Results showed that participants reacted faster to each successive probe, while metaphor type had no influence on reaction times. Concerning the recall task, the percentage of correctly recalled items was significantly lower for juxtapositions compared to replacements; results for fusions were in between the two. Recognition scores for juxtapositions and fusions were lower than those for replacements. These findings are discussed in the framework of visual metaphors literature, thus providing empirical support to visual metaphor processing.