35 research outputs found

    A social contract model of ‘disintegrity’ within the dual-process paradigm of moral psychology: Reducing the scope of the ‘belief-behavior incongruity’

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    Explaining why students cheat when it violates their moral beliefs, also called the ‘belief-behavior incongruity’ (BBI), is a difficult challenge most often overcome by referring to neutralization techniques, first described by Sykes and Matza (1957), whereby individuals deceive themselves with specious justifications for ignoring the moral imperative to follow rules. An underlying assumption of the neutralization view, that individuals’ abstract moral beliefs apply automatically to all contexts, is critiqued in the present work. The account of academic dishonesty developed herein is centered on the hypothesis that adolescent students’ felt moral obligation is informed by an intuitive sense of reciprocity between themselves and their learning contexts, which resembles a social contract, or ‘psychological teaching- learning contract’ (PTLC). Students who regard a class context or teacher more negatively are thus expected to feel less moral obligation to follow rules, and to cheat more as a result. The hypothesized PTLC model, which included key variables related to (A) self-concept, (B) achievement goal structure, (C) learning strategies, (D) moral obligation, and (E) social comparison theory, was tested with data from a diverse sample of secondary students in fifteen international schools across Asia, Europe, and Africa. A pilot study (N = 96) of the construct validity of psychometric measures was conducted prior to the Main Study, which included a Time 1 sample of N = 493, a Time 2 sample of N = 297 (spaced by approximately one year), and a longitudinal matched sample of N = 225. Structural equation modeling techniques were used to test the validity and invariance of the measurement model, as well as the structural relations hypothesized between variables. A small degree of gender non-invariance prompted separate analyses of gender-specific models. Results supported the PTLC hypothesis. Moral obligation overwhelmingly mediated the effects of perceived class quality on academic integrity, indicating that students felt morally obliged to be honest in a given class, as a function of their regard for its quality

    Optimising chronic kidney disease management in primary care. Is shared care the answer?

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    Contains fulltext : 111123.pdf (publisher's version ) (Open Access)Radboud Universiteit Nijmegen, 07 juni 2013Promotor : Weel, C. van Co-promotores : Vervoort, G.M.M., Grauw, W.J.C. d

    Generalism in medicine: not by chance but by design

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    Comparing blood pressure measurement methods: differences depend on blood pressure height.

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    Classification of chronic kidney disease 10 years on: what have we learnt in the Netherlands

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    [Acute renal failure due to RAAS-inhibitors combined with dehydration].

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    Contains fulltext : 87414.pdf (publisher's version ) (Closed access)Two men (61 and 81 years old) with mild impaired kidney function developed acute renal failure due to dehydration combined with the use of inhibitors of the renin-angiotensin-aldosterone system (RAAS). After rehydration, correction of hyperkalaemia and stopping RAAS-inhibition and diuretics, they recovered completely. Many patients using RAAS-inhibitors have impaired renal function. In the case of dehydration due to gastroenteritis or prolonged fever they risk developing acute renal failure. The high risk groups are elderly patients, patients with atherosclerosis or heart failure and those with co-medication of diuretics or NSAIDs. The underlying mechanism is that the normal pathways to protect kidney perfusion in case of hypovolaemia are blocked by the use of RAAS-inhibitors or NSAIDs. In the case of dehydration in patients with chronic kidney disease using RAAS-inhibitors, serum creatinine and potassium levels should be monitored. Temporary discontinuation of RAAS-inhibitors or diuretics is often necessary
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