There is wide consensus among bioethicists about the importance of autonomy when determining whether or not a patient has the right to refuse life-saving treatment (LST). In this context, autonomy has typically been understood in terms of the patient\'s ability to make an informed decision. According to the traditional view, decision-making capacity (DMC) is seen as both necessary and sufficient for the right to refuse LST. Recently, this view has been challenged by those who think that considerations of authenticity and putative counterexamples should lead us to revise the traditional account. In this paper, we respond to these revisionist arguments, and we defend the traditional view according to which we have autonomy-based reasons to respect a patient\'s decision to refuse LST if and only if she has DMC.

Combining a philosophical approach with empirical psychology, this essay investigates the relationship between \"profilicity,\" the formation of identity in orientation to profiles, and gender identity. We discuss empirical research that indicates a significant difference between transgender identity in traditional (collectivist) and modern (individualist) societies. We suggest that this difference is due to a shift in the formation of gender identity away from gender roles and toward gender profiles. To substantiate this claim, we first outline a basic theoretical terminology of identity and gender. Then, we critically analyze the representation of gender, including transgender, in contemporary popular culture. Finally-with a descriptive, but not therapeutic intention-we discuss several case studies of identity formation of transgender people. We conclude that theoretical problems arising from historical shifts in gender identity formation, including transgender identity formation, are best conceptualized in terms of profilicity rather than in the still prevailing semantics of authenticity.

Does self-control express or suppress our true selves? This article reviews the emerging body of literature on the effect of self-control on authentic self-expression from the actors\' (self-signaling) and the observers\' (other-signaling) perspective. While actors can experience self-control as either expression or suppression of the self, individual differences in decision-making or personal values can predict when self-control is more likely to be experienced in one way or the other. Self-control also signals to observers both positive (e.g., competent, trustworthy, powerful) and negative (e.g., inauthentic, robotic, less warm) identities, with specific inferences depending on the context (e.g., work vs. fun). Overall, the relationship between self-control and self-expression is more nuanced than earlier research suggested, and several open questions await further investigation.

The authentication of the entomological origin of honey is a widespread concern, necessitating the prompt establishment of an effective approach for distinguishing between Apis cerana cerana honey (ACH) and Apis mellifera ligustica honey (AMH). Hydroxy fatty acids (HFAs) found in honey are bee-derived components synthesized by the mandibular glands of worker bees. We previously discovered significant variations in the hydroxy fatty acid composition between ACH and AMH, suggesting their potential as indicators for identifying the authenticity of the entomological origin of honey. Herein, we identified differentially expressed genes associated with HFA synthesis by conducting transcriptome sequencing of the mandibular glands of AC and AM honeybees. Subsequently, we proposed a method for the relative quantitative analysis of bee-derived RNA components using real-time fluorescence quantitative polymerase chain reaction, which was supplemented by multivariate statistical analysis to further discern differences in HFA synthesis-related mRNA between ACH and AMH. The results showed that the mRNAs of FAXDC2 (fatty acid hydroxylase domain-containing protein 2) and FAS (fatty acid synthase) may serve as indicators to discern the entomological origin of honey. This study presents two novel biomarkers for detecting mislabeling of the entomological origin in ACH and AMH based on variations in bee-derived components.

The paper addresses the issue of ensuring the authenticity and copyright of medical images in telemedicine applications, with a specific emphasis on watermarking methods. While several systems only concentrate on identifying tampering in medical images, others also provide the capacity to restore the tampered regions upon detection. While several authentication techniques in medical imaging have successfully achieved their goals, previous research underscores a notable deficiency: the resilience of these schemes against unintentional attacks has not been sufficiently examined or emphasized in previous research. This indicates the need for further development and investigation in improving the robustness of medical image authentication techniques against unintentional attacks. This research proposes a Reversible-Zero Watermarking approach as a solution to address these problems. The new approach merges the advantages of both the reversible and zero watermarking techniques. This system is comprised of two parts. The first part is a zero-watermarking technique that uses VGG19-based feature extraction and watermark information to establish an ownership share. The second part incorporates this ownership share into the image in a reversible manner using a combination of a discrete wavelet transform, an integer wavelet transform, and a difference expansion. Research findings confirm that the suggested watermarking approach for medical images demonstrates substantial enhancements compared to current methodologies. Research findings indicate that NC values are often around 0.9 for different attacks, whereas BER values are close to 0. It demonstrates exceptional qualities in being imperceptible, distinguishable, and robust. Additionally, the system provides a persistent verification feature that functions independently of disputes or third-party storage, making it the preferred choice in the domain of medical image watermarking.

Numerous studies show that perceived authenticity is a reliable predictor of mental health outcomes. To expand on these studies, we examined whether such relations could be due to perceived authenticity\'s confounding with both self-esteem and executive functioning. A representative sample of US participants (N = 446; Mage = 46.10; 51.1% female; 78.0% White) completed measures of perceived authenticity, self-esteem, executive functioning, and various indicators of mental health (e.g., subjective wellbeing, depression). At the bivariate level, perceived authenticity had a positive, large correlation with a mental health composite. However, after controlling for self-esteem and executive functioning, this relationship became nonsignificant and trivial in size. The findings extend basic understanding of how self-relevant constructs contribute to mental health and suggest advice for individuals looking to capitalize on evidence linking perceived authenticity to mental health benefits: Build a strong base of self-worth and exercise agency.

Although it is clear that religious beliefs can motivate family rejection among sexual and gender minorities (SGMs), ultimately harming their mental health, researchers have not examined the direct link between religiously based family expectations and mental health. In the present study, we first developed the Religiously Based Family Expectations Scale. The scale demonstrated good reliability and factor structure. It evidenced convergent and divergent validity with other measures of religiousness and sexual identity, as well as incremental validity in predicting mental health outcomes above and beyond these measures. Next, we examined how religiously based family expectations related to depression in a sample of 534 SGMs with a conservative religious background (raised as part of the Church of Jesus Christ of Latter-day Saints). We found that religiously based family expectations were positively related to depression but that this relationship was moderated by authenticity such that religiously based family expectations exerted a much stronger relationship with depression among SGMs who evidenced less authenticity.

In general (i.e. in heteronormative and cisgendered samples), authenticity appears protective against threats to well-being. Authenticity may also, in part, protect well-being against the minority stressors experienced by sexually minoritized (LGB; lesbian, gay, and bisexual) individuals. In this scoping review, we examined the relation between authenticity and well-being in LGB samples experiencing minority stress. We hypothesized that (i) LGB minority stress relates to decreased authenticity (i.e. inauthenticity), (ii) authenticity relates to increased well-being, and (iii) authenticity influences the relation between LGB minority stress and well-being. We identified 17 studies (N = 4,653) from systematic searches across Medline, ProQuest, PsycINFO, and Scopus using terms related to sexual identity, minority stress, authenticity, and well-being. In almost all studies, proximal (but not distal) stress was associated with inauthenticity, and inauthenticity with decreased well-being. In all but one study, the association between proximal stress and well-being was associated with inauthenticity. Although these results are consistent with our hypotheses, the included studies were limited in scope and heterogenous in their methods, instruments, and samples, restricting conclusions regarding mediation or moderation. The results require replication, well-powered direct comparisons between LGB and non-LGB samples, and consideration of the varied ways authenticity can be conceptualized and measured.

Adulteration of high-value agricultural products is a critical issue worldwide for consumers and industries. Discrimination of the geographical origin can verify food authenticity by reducing risk and detecting adulteration. Between agricultural products, beans are a very important crop cultivated worldwide that provides food rich in iron and vitamins, especially for people in third-world countries. The aim of this study is the construction of a map of the locally characteristic isotopic fingerprint of giant beans, \"Fasolia Gigantes-Elefantes PGI\", a Protected Geographical Indication product cultivated in the region of Kastoria and Prespes, Western Macedonia, Greece, with the ultimate goal of the discrimination of beans from the two areas. In total, 160 samples were collected from different fields in the Prespes region and 120 samples from Kastoria during each cultivation period (2020-2021 and 2021-2022). The light element (C, N, and S) isotope ratios were measured using Isotope Ratio Mass Spectrometry (IRMS), and the results obtained were analyzed using chemometric techniques, including a one-way ANOVA and Binomial logistic regression. The mean values from the one-way ANOVA were δ15NAIR = 1.875‱, δ13CV-PDB = -25.483‱, and δ34SV-CDT = 4.779‱ for Kastoria and δ15NAIR = 1.654‱, δ13CV-PDB = -25.928‱, and δ34SV-CDT = -0.174‱ for Prespes, and showed that stable isotope ratios of C and S were statistically different for the areas studied while the Binomial logistic regression analysis that followed correctly classified more than 78% of the samples.

Saffron, renowned for its aroma and flavor, is susceptible to adulteration due to its high value and demand. Current detection methods, including ISO standards, often fail to identify specific adulterants such as safflower or turmeric up to 20% (w/w). Therefore, the quest continues for robust screening methods using advanced techniques to tackle this persistent challenge of safeguarding saffron quality and authenticity. Advanced techniques such as time-of-flight secondary ion mass spectrometry (TOF-SIMS), with its molecular specificity and high sensitivity, offer promising solutions. Samples of pure saffron and saffron adulterated with safflower and turmeric at three inclusion levels (5%, 10%, and 20%) were analyzed without prior treatment. Spectral analysis revealed distinct signatures for pure saffron, safflower, and turmeric. Through principal component analysis (PCA), TOF-SIMS effectively discriminated between pure saffron and saffron adulterated with turmeric and safflower at different inclusion levels. The variation between the groups is attributed to the characteristic peaks of safflower and the amino group peaks and mineral peaks of saffron. Additionally, a study was conducted to demonstrate that semi-quantification of the level of safflower inclusion can be achieved from the normalized values of its characteristic peaks in the saffron matrix.