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A scoping review of risk prediction models for postoperative delirium in patients with intracranial tumors
No full textObjective: To conduct a scoping review of risk prediction models for postoperative delirium in patients undergoing craniocerebral tumor surgery, providing references for clinical nursing practice and future research. Methods: Five English databases (PubMed, Embase, Web of Science, Cochrane Library, CINAHL) and four Chinese databases (CNKI, Wanfang, VIP, and China Biomedical Literature Database) were searched for relevant literature on the construction or validation of risk prediction models for postoperative delirium in patients with craniocerebral tumors. The search period was from the establishment of the databases to March 1, 2026. Information on the applicable population, incidence of postoperative delirium, methodological approaches to model construction, predictive factors, and performance was extracted. The risk of bias in the studies was evaluated using the Clinical Prediction Model Bias Risk Assessment Tool. The included literature was analyzed and discussed
Themplate of the R project folder
No full textA directory expected to use a R renv project folder. The qmd and styles.css files and the data directory "Final_MPG" are included, but the renv folders and files are not included
Current Trends and Learning Outcomes of Gamification and Serious Games in Emergency Medicine and Critical Care Training: A Scoping Review Protocol
No full textThe effect of personality similarity on helping
No full textAltruistic behavior enhances the fitness of group members while simultaneously reducing the fitness of the individual who enacts the behavior. The multilevel selection framework, derived from the Price equation, posits that the evolution of altruistic traits is facilitated when variance between groups is maximized and variance within groups is minimized. The nonrandom aggregation of individuals with similar trait values, such as altruism, is commonly referred to as positive assortment. Empirical research conducted in naturalistic community settings has demonstrated that communities characterized by a social climate in which members actively emulate one another’s prosocial traits exhibit elevated levels of intragroup altruism, as well as stronger feelings of belonging and higher overall member satisfaction. The propensity to emulate others’ positive traits is closely associated with the personality dimension of Agreeableness within the Five-Factor Model. Accordingly, this perspective yields the hypothesis that individuals are more likely to preferentially favor and assist others who possess similar levels of Agreeableness.
In contrast, prior research examining the association between the frequency of everyday altruistic behavior and the Big Five personality traits has demonstrated that Openness and Extraversion are significant predictors of altruistic behavior toward strangers (Oda et al., 2014; Oda & Matsumoto-Oda, 2022). The present study aims to examine the extent to which four of the Big Five personality traits (excluding Neuroticism) in both helpers and recipients, as well as the interactions among these traits, influence helping intentions. Neuroticism was excluded because it is the only negatively valenced dimension among the five personality traits. Although high emotional stability could be considered as a conceptual counterpart, previous research involving Japanese undergraduate students indicated that hypothetical individuals characterized by high emotional stability were difficult to distinguish from those representing other personality traits, rendering emotional stability unsuitable as an experimental stimulus (Matsuki & Matsumoto, 2021)
Bunbak NΦ Theory: A Foundational Theory of the Finite Positional Structure of a Beat Applicable to Korean Traditional Music and AI Music
No full textThis project publicly documents the Bunbak NΦ Theory,
a structure-centered foundational theory of rhythm.
The theory defines a single beat as a finite positional structure
consisting of N distinguishable positions,
from which the complete state space {0,1}^N is logically derived.
This upload establishes the formal disclosure
and theoretical framework of the Bunbak NΦ Theory
Mapping the Effects of Putatively Preventive Media Portrayals on Suicide-Related Outcomes: A Scoping Review of Empirical Studies Published 2010–2025
No full textMedia representations have the power to influence suicidality, either through harmful (i.e.., Werther effect) or even preventive effects (i.e., Papageno effect). The empirical evidence addressing preventive media effects appears highly heterogeneous in terms of methodology, studied populations, media characteristics, and outcomes. Therefore, this scoping review aims to synthesize and map the current empirical research landscape to identify patterns, gaps, and future directions for studying preventive effects of media portrayals. By doing so, it focuses on media portrayals related to suicide prevention intended to reduce suicide risk and their associations with suicide-related outcomes, regardless of whether effects are protective, null, or unintendedly harmful
Perceived Harm of Labels: A Scale Validation (S1)
No full textThe following study will examine people's thoughts and feelings about labeling and categorizing other people. The goal of this study is to determine (a) if people harbor attitudes about labeling and categorizing others, and (b) whether these attitudes load onto distinct factors
Ethical Resilience: Building Moral Systems in Chaotic Times
No full textIn an era characterized by accelerating uncertainty, systemic disruption, and complex socio-political crises, the question of moral guidance has never been more urgent. Global interconnectedness, technological acceleration, and environmental volatility have converged to create conditions where traditional ethical frameworks often appear insufficient or fragmented. Against this backdrop, Yoesoep Edhie Rachmad (YER) introduces the concept of Ethical Resilience, a paradigm that reimagines moral systems as adaptive, robust, and contextually responsive. This framework is not merely prescriptive; it is conceptually novel, emphasizing the integration of cognitive, social, and technological dynamics into a cohesive approach to ethics capable of navigating the unpredictabilities of contemporary life.
Ethical resilience, as proposed by YER, transcends conventional moral philosophy. It is a multidimensional construct that synthesizes normative ethics, applied moral reasoning, and systemic adaptability. Traditional ethical systems often assume stability, predictability, and hierarchical consistency conditions increasingly absent in the twenty-first century. By contrast, Ethical Resilience frames morality as a dynamic, emergent capacity, responsive to situational complexity, uncertainty, and the interdependent challenges of modern societies. In this model, ethical reasoning is understood not as static adherence to rules but as a continuously adaptive process, informed by reflective judgment, collective intelligence, and context-sensitive discernment.
At the heart of this framework lies a profound recognition: human action is embedded within layered systems cultural, technological, ecological, and institutional that shape choices and constrain agency. YER emphasizes that cultivating Ethical Resilience requires integrating individual cognitive reflection with systemic awareness, allowing moral actors to navigate tension between personal values, collective responsibilities, and structural constraints. This perspective is particularly urgent in chaotic contexts, where rapid shifts in social norms, political instability, and technological mediation challenge traditional moral certainty. By conceptualizing ethical systems as resilient structures, YER offers a roadmap for sustaining principled action even when conventional moral anchors are destabilized.
A second cornerstone of Ethical Resilience is the deliberate incorporation of feedback loops between reflection, action, and evaluation. In chaotic environments, decision-making cannot rely solely on pre-established rules; it requires continuous monitoring, iterative adjustment, and anticipatory assessment. This approach resonates with contemporary research in cognitive science, behavioral ethics, and complex systems theory, yet YER advances the discourse by situating these insights within a humanistic framework, emphasizing moral reflection, empathy, and responsibility as integral to adaptive ethical capacity. In doing so, Ethical Resilience emerges as both practical and principled, offering actionable strategies for individuals, organizations, and communities facing instability.
Technological acceleration adds both complexity and opportunity to the cultivation of Ethical Resilience. Algorithms, AI-driven decision support, and networked information systems can either amplify ethical blind spots or serve as scaffolds for reflective judgment. YER foregrounds the necessity of critical engagement with technological mediators, underscoring that ethical resilience is not outsourced to machines but remains a distinctly human endeavor augmented, but not replaced, by computational tools. In this sense, Ethical Resilience embodies a synergy of human discernment and technological facilitation, where ethical principles are preserved, contextualized, and operationalized in environments shaped by rapid information flow and digital mediation.
Moreover, Ethical Resilience is inherently multi-scalar. It addresses moral development at the level of the individual, collective, and institutional. Individuals cultivate inner moral strength and reflective judgment, while communities and organizations develop structural supports that reinforce principled behavior, mitigate harm, and promote accountability. By linking cognitive, social, and institutional layers, YER presents a holistic approach to ethics capable of sustaining moral coherence amid fragmentation, conflict, and unpredictability.
In conclusion, the framework of Ethical Resilience as articulated by Yoesoep Edhie Rachmad (YER) represents a conceptually innovative synthesis of traditional ethical theory, contemporary cognitive insights, and systemic adaptability. It is designed for the realities of chaotic times, offering a path toward moral coherence, principled decision-making, and ethically responsive action. By bridging individual reflection, collective responsibility, and systemic awareness, Ethical Resilience provides a robust moral compass for navigating uncertainty, ensuring that human agency remains ethically anchored even in the face of complexity, disruption, and ambiguity.
Through this lens, Ethical Resilience is more than a theoretical proposition; it is an imperative for contemporary life, a blueprint for cultivating moral systems capable of withstanding chaos, and a call to action for leaders, citizens, and scholars committed to principled engagement in an unpredictable world.
The twenty-first century is a period defined by paradox: unprecedented technological and social advancement coexists with uncertainty, systemic disruption, and ethical complexity. The accelerating pace of globalization, artificial intelligence, digital networks, and ecological instability challenges not only institutional stability but also the very frameworks through which human beings make moral decisions. In such a context, traditional ethical paradigms often predicated on stability, predictability, and linear reasoning prove increasingly insufficient. It is precisely within this environment that the concept of Ethical Resilience, as developed in this work by Yoesoep Edhie Rachmad (YER), emerges as both a theoretical and practical imperative, offering a roadmap for cultivating moral systems capable of enduring, adapting, and flourishing amid chaos.
Chapter 1 – Introduction: The Necessity of Moral Systems in Uncertain Times
The opening chapter situates the concept of Ethical Resilience within the contemporary landscape of social, technological, and ecological volatility. YER frames the discussion by highlighting the inadequacy of traditional ethical systems in chaotic, unpredictable environments. This chapter presents the rationale for reimagining morality as adaptive and resilient, introduces the concept of dynamic moral systems, and establishes the theoretical and practical significance of Ethical Resilience. Foundational ideas such as reflective judgment, adaptive reasoning, and human-centered systemic awareness are introduced, setting the stage for the subsequent chapters.
Chapter 2 – Theoretical Foundations of Ethical Resilience
Here, YER develops the conceptual scaffolding of Ethical Resilience. Drawing from normative ethics, cognitive science, complexity theory, and systems thinking, the chapter explicates how moral systems can be restructured to withstand instability. Core principles include dynamic moral frameworks, cognitive-affective integration, systemic feedback loops, and context-sensitive ethical reasoning. The chapter provides the academic grounding for the book, demonstrating conceptual novelty by synthesizing traditional ethics with emergent interdisciplinary insights.
Chapter 3 – Individual Moral Agency and Reflexive Judgment
This chapter examines the cultivation of ethical resilience at the individual level. YER emphasizes the importance of attentional sovereignty, reflective capacity, and moral imagination in navigating uncertainty. Strategies for fostering individual resilience include scenario-based simulations, reflective journaling, and cognitive-affective integration. The chapter highlights the humanistic dimension of ethics, arguing that principled action arises not only from rules or codes but from the interplay of reflection, empathy, and situational discernment.
Chapter 4 – Collective Ethical Resilience: Communities and Networks
YER extends the framework to social and organizational levels, emphasizing how communities, teams, and institutions develop resilient ethical systems. This chapter explores collective reflection, consensus-building, and structural mechanisms that support principled action. Ethical resilience at this level is characterized by transparent governance, iterative adaptation, and alignment between individual and collective moral norms. Conceptual novelty arises from treating moral coherence as a distributed, emergent property rather than a top-down imposition.
Chapter 5 – Navigating Complexity: Chaos, Uncertainty, and Moral Decision-Making
Chaotic environments present ethical dilemmas that traditional frameworks cannot resolve. This chapter focuses on decision-making under uncertainty, integrating complexity theory, scenario analysis, and adaptive moral reasoning. YER illustrates how resilient ethical systems enable agents to anticipate, evaluate, and respond to emergent crises, whether technological, political, or ecological. Emphasis is placed on iterative feedback loops, multi-scalar ethical awareness, and situational adaptability, highlighting the practical applicability of the framework.
Chapter 6 – Technology, AI, and the Ethics of Mediation
Technology both facilitates and complicates ethical practice. YER examines the dual role of AI, predictive analytics, and digital networks in shaping moral behavior. Ethical Resilience requires critical engagement with technological systems, ensuring that algorithmic decision-making supports, rather than undermines, principled action. This chapter provides practical guidance for human-centered integration of AI, emphasizing that ethical responsibility cannot be outsourced to machines and must remain anchored in reflective human judgment.
Chapter 7 – Multi-Scalar Moral Systems: Integrating Individual, Collective, and Institutional Ethics
Here, YER presents a holistic model of Ethical Resilience, bridging the individual, organizational, and systemic scales. The chapter demonstrates how coherence is maintained across multiple layers of ethical action, ensuring alignment between personal judgment, institutional practices, and societal norms. Conceptual innovation lies in framing ethics as a nested, adaptive network, capable of absorbing shocks, mitigating moral failure, and sustaining collective well-being in chaotic environments.
Chapter 8 – Operationalizing Ethical Resilience: Frameworks, Tools, and Applications
This chapter translates theory into practice, offering actionable frameworks for cultivating resilient moral systems. YER discusses tools such as reflective assessment matrices, ethical scenario simulations, feedback-driven adaptation processes, and collaborative decision-making protocols. Case studies illustrate implementation across diverse contexts, from corporate governance and digital policy design to community-based crisis response. The chapter emphasizes practical efficacy without sacrificing normative depth, reinforcing the humanistic authority of the Ethical Resilience paradigm.
Chapter 9 – Conclusion: Toward a Future of Principled Action and Moral Adaptability
The concluding chapter synthesizes insights from the preceding chapters, highlighting the interconnectedness of cognitive, ethical, and systemic dimensions. YER reiterates the necessity of Ethical Resilience for navigating twenty-first-century uncertainty, emphasizing that moral systems must be adaptive, reflective, and human-centered. The chapter articulates a forward-looking vision, offering guidance for policymakers, educators, technologists, and individuals committed to sustaining ethical coherence in chaotic times. It closes by reaffirming the book’s humanistic imperative: that principled, reflective, and adaptive moral action is both possible and essential, even amidst the most turbulent global challenges.
Ethical Resilience is neither a narrow doctrine nor a set of rigid prescriptions. Rather, it is a dynamic, integrative framework that reconceptualizes morality as an emergent capacity one that combines reflective judgment, adaptive reasoning, ethical imagination, and systemic awareness. YER advances a fundamental argument: in chaotic and unpredictable contexts, moral systems must be flexible, contextually sensitive, and cognitively robust, without relinquishing principled commitment to human dignity, justice, and responsibility. This vision situates Ethical Resilience at the intersection of normative ethics, behavioral science, cognitive theory, and complex systems analysis, producing a conceptually novel synthesis that is both intellectually rigorous and practically oriented.
1. The Necessity of Ethical Resilience
The modern era presents moral actors with challenges unprecedented in scale and complexity. Social, technological, and environmental turbulence manifests in multiple forms: algorithmically mediated decision-making, geopolitical instability, climate-induced crises, and rapid cultural transformations. In each case, moral uncertainty is compounded by the acceleration of information flows, the opacity of complex systems, and the increased interdependence of global communities. Ethical Resilience addresses this landscape by providing a framework in which moral reasoning becomes adaptive, reflective, and contextually grounded.
At its core, Ethical Resilience recognizes that human moral capacity is inseparable from cognitive, emotional, and relational dimensions. Resilient ethical systems require:
1. Reflective Depth – the ability to critically assess values, intentions, and consequences in rapidly shifting contexts.
2. Adaptive Capacity – the capability to revise moral strategies in response to emergent challenges without compromising foundational principles.
3. Systemic Awareness – understanding the interplay between individual actions, institutional frameworks, and socio-technical networks.
4. Collective Coordination – fostering ethical coherence across communities, organizations, and transnational networks.
Through this multidimensional approach, Ethical Resilience extends beyond traditional moral philosophy to bridge theory with practice, enabling actionable insights in both personal and collective decision-making.
2. Conceptual Foundations and Novelty
YER’s framework introduces several conceptually novel dimensions that distinguish Ethical Resilience from prior ethical paradigms:
• Dynamic Moral Systems: Ethical Resilience reframes moral principles as adaptive structures rather than static rules. Principles are applied contextually, continuously evaluated, and refined in response to changing circumstances.
• Cognitive-Behavioral Integration: Resilient ethical systems integrate cognitive reflection, emotional intelligence, and behavior, recognizing that decision-making is both rational and affectively mediated.
• Systemic Feedback Loops: Ethical Resilience emphasizes iterative assessment, wherein moral actions are continuously monitored, evaluated, and adapted in light of outcomes, emergent patterns, and societal feedback.
• Human-Technology Symbiosis: Acknowledging the pervasive role of digital mediation, the framework situates technology as a tool that can either enhance or distort ethical judgment. YER underscores that while AI and algorithmic systems offer analytical precision, human judgment, ethical imagination, and moral responsibility remain indispensable.
Through these innovations, Ethical Resilience establishes a framework that is simultaneously theoretically rigorous, empirically grounded, and ethically robust, suitable for the complexities of contemporary life.
3. Individual Ethical Resilience
Ethical Resilience begins at the level of the individual, where reflective judgment, moral imagination, and adaptive reasoning are cultivated. YER emphasizes the development of attentional sovereignty, the capacity to focus, deliberate, and respond ethically amidst distraction, misinformation, and social pressure. Techniques for fostering individual ethical resilience include:
• Reflective Journaling: Recording moral dilemmas, decisions, and rationales to deepen understanding and self-awareness.
• Scenario Simulation: Engaging with hypothetical or real-world complex scenarios to practice adaptive ethical reasoning.
• Cognitive-Affective Integration: Developing the ability to harmonize rational deliberation with empathetic understanding, ensuring that ethical decisions are both reasoned and humane.
By cultivating these capacities, individuals develop moral agility, enabling them to navigate ethically ambiguous, high-stakes, or chaotic environments without compromising integrity or foundational values.
4. Collective and Institutional Ethical Resilience
Ethical Resilience extends beyond the individual to encompass communities, organizations, and institutions. YER conceptualizes moral systems as distributed networks, in which coherence emerges through shared principles, iterative dialogue, and adaptive governance. Institutions capable of sustaining ethical resilience exhibit:
• Transparent Decision-Making: Ensuring that choices are visible, accountable, and subject to reflective scrutiny.
• Responsive Governance: Adapting policies and practices in response to emergent ethical challenges while maintaining core values.
• Collective Reflection: Engaging stakeholders in ongoing deliberation to align individual and organizational moral orientation.
Through these practices, organizations cultivate moral infrastructures that support principled action, prevent systemic ethical failure, and enable adaptive responses to crises.
5. Navigating Ethical Complexity in Chaotic Contexts
Modern crises whether technological, environmental, or social are characterized by uncertainty, interdependence, and rapid change. Ethical Resilience provides strategies for navigating such complexity:
1. Contextual Sensitivity – Understanding the situational variables that influence moral outcomes.
2. Scenario Planning – Anticipating multiple potential futures and preparing ethically coherent responses.
3. Iterative Reflection – Continuously evaluating the consequences of actions and revising moral reasoning accordingly.
4. Cross-Scale Integration – Coordinating ethical principles across individual, organizational, and systemic levels to prevent fragmentation.
YER’s framework thus equips moral agents to act decisively, responsibly, and adaptively, even when conventional guidance fails or moral ambiguity dominates.
6. The Role of Technology in Ethical Resilience
Technology is both an opportunity and a challenge for ethical resilience. AI, predictive analytics, and algorithmically mediated communication can support ethical reasoning by providing clarity, pattern recognition, and decision support. Yet these same systems can introduce bias, narrow moral perspectives, or amplify unethical behaviors if left unchecked. YER emphasizes a human-centered approach: technology should augment ethical judgment without replacing reflective responsibility. Ethical Resilience requires constant vigilance, critical assessment of algorithmic influence, and the cultivation of moral imagination to anticipate unintended consequences.
7. Implications for Global Society
Ethical Resilience has implications that extend far beyond individual or institutional practice. In an interconnected, rapidly changing world, resilient moral systems are necessary for:
• Global Governance: Coordinating ethical norms across borders and diverse cultural contexts.
• Sustainable Development: Aligning economic, environmental, and social policies with principled ethical frameworks.
• Digital Societies: Ensuring that algorithmic governance, AI deployment, and digital networks promote fairness, transparency, and accountability.
• Crisis Management: Equipping leaders and communities to respond adaptively to pandemics, climate crises, and political instability.
By emphasizing adaptive, context-sensitive, and ethically grounded frameworks, Ethical Resilience provides a comprehensive approach to moral action in contemporary society.
8. Humanistic Authority and Conceptual Synthesis
A distinctive feature of YER’s work is the integration of humanistic authority into the discourse on ethical resilience. Moral systems are not abstract constructs; they are lived, enacted, and experienced through reflection, judgment, and engagement. By synthesizing insights from ethics, cognitive science, complexity theory, and organizational behavior, YER presents a framework that is:
• Conceptually innovative, offering a new paradigm for understanding adaptive morality.
• Practically actionable, providing strategies for individual, collective, and institutional resilience.
• Ethically anchored, preserving human dignity, responsibility, and reflective depth amidst chaotic conditions.
This synthesis ensures that Ethical Resilience is both academically rigorous and deeply human-centered, bridging theory and practice in a manner suitable for high-impact international scholarship.
9. Conclusion: Towards a Future of Moral Robustness
Ethical Resilience, as articulated by Yoesoep Edhie Rachmad (YER), is more than a theoretical contribution it is a call to action. In a world defined by uncertainty, complexity, and rapid transformation, the cultivation of resilient moral systems is imperative. Through reflective practice, adaptive reasoning, systemic awareness, and the strategic use of technology, in