Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter. (shrink)

This article discusses the notion of justice from a capabilities approach. We undertake an empirical analysis of the concepts of justice held by healthcare personnel, gleaned from a qualitative analysis of interviews on the subject of ethical dilemmas in everyday practice. The article states that Justice undoubtedly presents a work in progress, which implicates the link between justice as capability and human dignity.We empirically found a contrast between the views of justice based on the patient's own perceptions and those based (...) on the perceptions of healthcare personnel. We establish the kind of actions, communication skills and justice required to build a stronger relationship between patients and healthcare professionals, which would improve prognosis, treatment efficiency and therapeutic adhesion. (shrink)

This article discusses the notion of justice from a capabilities approach. We undertake an empirical analysis of the concepts of justice held by healthcare personnel, gleaned from a qualitative analysis of interviews on the subject of ethical dilemmas in everyday practice. The article states that Justice undoubtedly presents a work in progress, which implicates the link between justice as capability and human dignity. We empirically found a contrast between the views of justice based on the patient's own perceptions and those (...) based on the perceptions of healthcare personnel. We establish the kind of actions, communication skills and justice required to build a stronger relationship between patients and healthcare professionals, which would improve prognosis, treatment efficiency and therapeutic adhesion. (shrink)

IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

The purpose of this study is to determine empirically the state of the art of the medical care, when healthcare personal is confronted with ethical dilemmas related with the care they give to the geriatric population. An observational, longitudinal, prospective and qualitative study was conducted by analyzing the correlation between healthcare personnel–patient relationship, and ethical judgments regarding dilemmas that arise in daily clinical practice with geriatric patients. Mexican healthcare personnel with current active practices were asked to write up an ethical (...) dilemma that arose frequently or that had impacted their medical practice. From the narrative input, we were able to draw up a database with 421 dilemmas, and those corresponding to patients 60 years and older were selected (n = 54, 12.8 %). The axiological analysis of the narrative dilemmas of geriatric patients was made using dialectical empiricism. The axiological analysis values found most frequently were classified into three groups: the impact of healthcare, the roles of the physician, and refusal of therapy; the healthcare role of educator, caring for the patients’ life and the risk of imminent death where the values found more often. The persistence and universality of certain dilemmas in geriatrics calls for awareness and requires a good training in the ethical discernment of these dilemmas. This would help to improve substantially the care and the life quality of this population. (shrink)

O ensaio tem como objeto o estudo das estratégias ficcionais presentes na correspondência da poetisa, missivista e tradutora Ana Cristina César, com o intuito de dar visibilidade aos espaços públicos e privados na literatura da contemporaneidade. Como fonte de pesquisa dos novos limiares existentes entre esses espaços foi escolhida a obra Correspondência incompleta, de 1999. De uma perspectiva historicizada, o ensaio traça o percurso teórico-crítico de definição desses espaços. Analisa alguns exemplos, tomados das cartas, para apresentar o entrecruzamento desses espaços, (...) oferecendo o ponto de vista da literatura. (shrink)

Music is a stimulus capable of triggering an array of basic and complex emotions. We investigated whether and how individuals employ music to induce specific emotional states in everyday situations for the purpose of emotion regulation. Furthermore, we wanted to examine whether specific emotion-regulation styles influence music selection in specific situations. Participants indicated how likely it would be that they would want to listen to various pieces of music (which are known to elicit specific emotions) in various emotional situations. Data (...) analyses by means of non-metric multidimensional scaling revealed a clear preference for pieces of music that were emotionally congruent with an emotional situation. In addition, we found that specific emotion-regulation styles might influence the selection of pieces of music characterised by specific emotions. Our findings demonstrate emotion-congruent music selection and highlight the important role of specific emotion-regulation styles in the selection of music in everyday situations. (shrink)

Focusing on the interactions between people suffering from neuromuscular diseases and their wheelchairs, the author raises the question of action: how is action made possible for people suffering from neuromuscular diseases? Starting with actor-network theory, the author shows that action not only results from distribution and delegation to heterogeneous entities but emerges from hard and lengthy work that makes the relation between them possible and transforms the entities involved. The author describes this work, called the process of adjustment, as work (...) on the links making a person, his or her body, and his or her world. Through this work, new possibilities of action emerge for the person, but also new abilities; the person’s identity is transformed and shaped. This analysis leads to a particular conception of the person as made up through his or her relations to other entities. (shrink)

O tema dos estágios da existência perpassa toda a produção de Kierkegaard. Ele teve sempre o cuidado de mostrar que estético, ético e religioso não são etapas que acontecem apartadas uma da outra, como num modelo sistemático, mas acontecem ao mesmo tempo, uma vez que se dão na existência e se realizam enquanto existência. Mas, em termos da construção de um pensamento clínico em psicologia, o que seria importante ainda se entender acerca dos estágios? Que relação ainda podemos fazer entre (...) as caracterizações e personificações, às quais Kierkegaard, sob pseudônimo ou não, lança mão para apresentar os estágios? E, finalmente, como essa questão perpassa um pensamento clínico ou um pensamento existencial em psicologia? Nosso objetivo com este texto é responder a estas questões. Começaremos por esclarecer o sentido de comunicação indireta no projeto de Kierkegaard. Em seguida, apresentaremos as caracterizações dos diferentes estágios para, então, esclareceremos o sentido de tarefa por meio da apresentação de algumas personificações dos estágios. Por fim, pensaremos as repercussões para um pensamento clínico em psicologia. Veremos que Kierkegaard recorre aos estágios e suas personificações ambicionando tirar o leitor de seu modo confortável de pensar e agir. (shrink)

El propósito de este trabajo es ofrecer un análisis de la discusión sobre el canibalismo y los sacrificios humanos de los indígenas en el contexto de la controversia entre Las Casas y Sepúlveda. Dicho análisis es muy relevante, en tanto que permite observar las raíces más remotas del actual derecho de intervención y de la doctrina de los derechos humanos. Para tal fin, el autor empieza con una rápida descripción de los motivos que condujeron a la disputa de Valladolid, al (...) tiempo que enuncia los cuatro puntos en discusión. En segundo lugar, realiza una descripción más o menos detallada del cuarto argumento de la controversia, que trata en concreto sobre los sacrificios humanos y el canibalismo indígena. Y concluye mostrando que, al justificar estas prácticas, Las Casas busca ante todo la integración de las culturas indígenas en el marco general del conocimiento histórico universal. (shrink)

Current approaches to cyber-security are not working. Rather than producing more security, we seem to be facing less and less. The reason for this is a multi-dimensional and multi-faceted security dilemma that extends beyond the state and its interaction with other states. It will be shown how the focus on the state and “its” security crowds out consideration for the security of the individual citizen, with detrimental effects on the security of the whole system. The threat arising from cyberspace to (...) (national) security is presented as possible disruption to a specific way of life, one building on information technologies and critical functions of infrastructures, with relatively little consideration for humans directly. This non-focus on people makes it easier for state actors to militarize cyber-security and (re-)assert their power in cyberspace, thereby overriding the different security needs of human beings in that space. Paradoxically, the use of cyberspace as a tool for national security, both in the dimension of war fighting and the dimension of mass-surveillance, has detrimental effects on the level of cyber-security globally. A solution out of this dilemma is a cyber-security policy that is decidedly anti-vulnerability and at the same time based on strong considerations for privacy and data protection. Such a security would have to be informed by an ethics of the infosphere that is based on the dignity of information related to human beings. (shrink)

La sexualité préoccupe le Moyen Âge occidental : miroir de la nature peccamineuse de l’homme, elle en révèle le meilleur (tempérance, renoncement) et le pire (appétit, violence). Envisagée dans le seul mariage chrétien, elle est hors de ce cadre adultère, condamnée (juridiquement, judiciairement) et expose les individus à la vindicte populaire. Les lettres de rémission (grâce royale des crimes) des xiv e et xv e siècles témoignent de façon originale de l’impact que le type de conjugalité vécu peut avoir sur (...) les violences sexuelles faites aux femmes. Si les sources sont muettes et absentes sur les violences matrimoniales, isolement, célibat laïc, séparation et adultère exposent les femmes médiévales au viol. Mariée, la femme est appropriée, son corps territorialisé, gardé ; seule ou concubine, elle est mal famée et son corps à prendre. C’est dans ce paradigme que la question du couple et des violences sexuelles se pose alors. (shrink)

La sexualité préoccupe le Moyen Âge occidental : miroir de la nature peccamineuse de l’homme, elle en révèle le meilleur (tempérance, renoncement) et le pire (appétit, violence). Envisagée dans le seul mariage chrétien, elle est hors de ce cadre adultère, condamnée (juridiquement, judiciairement) et expose les individus à la vindicte populaire. Les lettres de rémission (grâce royale des crimes) des xiv e et xv e siècles témoignent de façon originale de l’impact que le type de conjugalité vécu peut avoir sur (...) les violences sexuelles faites aux femmes. Si les sources sont muettes et absentes sur les violences matrimoniales, isolement, célibat laïc, séparation et adultère exposent les femmes médiévales au viol. Mariée, la femme est appropriée, son corps territorialisé, gardé ; seule ou concubine, elle est mal famée et son corps à prendre. C’est dans ce paradigme que la question du couple et des violences sexuelles se pose alors. (shrink)

Avec sa succession de bouleversements institutionnels, le dix-septième siècle anglais fut un fabuleux terrain d'expérimentation et de réflexion politique d'où surgirent les grandes théories modernes. A cette période, philosophes et acteurs engagés tentèrent de penser, avec une acuité particulière liée aux événements (guerres civiles, régicide, république, dictature), les tensions inhérentes au pouvoir, tout à la fois perçu comme contraignant, tyrannique et libérateur. Quatre d'entre eux ont été retenus : Thomas Hobbes (1588-1679), le théoricien de l’absolutisme, James Harrington (1611-1677), le républicain (...) classique, Algernon Sidney (1623-1683), le martyr whig, John Locke (1632-1704), le père du libéralisme. Le propos de l’ouvrage est de montrer que, par-delà leurs différences, ces quatre penseurs partagent une approche qui constitue le socle commun d’une théorie de l’Etat moderne. Leur doctrine s’affranchit de l’exercice utopique comme de la théorie de la raison d’Etat et se conçoit comme une anatomie du corps politique. Par un examen minutieux des textes, l’auteur cherche à s’écarter de l' interprétation trop « idéologique » sans doute accentuée par les combats de l’histoire. Elle met en évidence un objet philosophique commun aux quatre auteurs, que l’on retrouve au cœur de toute conception moderne du pouvoir. (shrink)

Le tragique n'est pas uniquement à l'Age classique une catégorie théâtrale ; il est également un concept philosophique, et si pour des auteurs comme Corneille ou Racine, il est une donnée littéraire reçue de l'Antiquité, il est chez des philosophes comme Descartes, Pascal ou Spinoza, un concept à construire ou à élaborer. Cette relation idéale entre hommes de théâtre et philosophes a un enjeu important : quelles solutions apporter au tragique?

Les figurations diverses de la rationalité dans la correspondance de Spinoza n’ont pas qu’une valeur pédagogique ; paraissent-elles singulières, ce sont autant de déclinaisons du spinozisme. On y ressaisit les difficultés que le système a rencontrées auprès de publics divers; difficultés qu’illustrent les postures irrationnelles de bien des correspondants. La correspondance, en marge de l’œuvre, expose la définition spinoziste de la philosophie et en souligne l’originalité ; ne perdant jamais de vue l’idée d’adéquation, elle noue de façon unique les rapports (...) entre spinozisme, tradition et cartésianisme, entre le philosophe et la cité. La rationalité produite dans les lettres conduit à réexaminer des questions traitées dans l’œuvre : la définition intervient comme un élément important du dispositif rationnel et le présage s’y donne comme n’étant pas dénué non plus de rationalité. Le dynamisme et la force de cette philosophie rendent raison d’échanges souvent inféconds et violents, comme ceux avec Burgh, Blyenbergh et Boxel : ils nous confrontent à un Spinoza intransigeant sur ses principes rationnels et qui ne pouvait composer ni avec les dogmes de la religion ni avec l’opinion. (shrink)

El texto de Oscar Robledo nos transporta hacia un París muy distinto de aquel de las postales, donde convive la miseria del mundo con la opulencia de los “exitosos”. Una ciudad hermosa y brillante, donde polulan también los cuerpos semiproletarizados de los estudiantes latinoamericanos y tantos otros inmigrantes; los mismos que viven en 12 metros cuadrados y que combaten la soledad, el hambre y la precariedad mediante el calor de sus cuerpos y los encuentros sexuales casi frenéticos. Más allá de (...) los lugares comunes y los estereotipos, la descripción de la vida de estos seres insertos en una de las ciudades más ricas del mundo, es una crónica del subdesarrollo en el corazón del país que inventó el lujo. Es la historia de tantos soñadores ávidos de una cultura que apenas los recibe con la indiferencia de quien se siente parte de una civilización “superior”. (shrink)

Résumé La littérature hétérolingue serait-elle susceptible de contribuer à une poétique du traduire? Notre investigation, qui nous fera quitter la linguistique pour les théories de l’énonciation puis aborder l’analyse rhétorique en termes d’ ethos, s’achèvera sur l’étude d’une phrase extraite d’ Hijo de hombre, roman guarani-hispanophone du Paraguayen Augusto Roa Bastos (1917-2005). Les trois versions françaises étayeront l’hypothèse selon laquelle chaque traduction est un acte de ré-énonciation où se rejoue le rapport à l’altérité linguistique.

IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

Despite the expansion of the regulatory state, we continue to witness widespread unethical practices across society. This paper addresses these challenges of ethical failure, misalignment, and dissonance by developing a conceptual framework that provides an explicit basis for understanding virtuousness and the common good directed toward the goal of eudaimonia or human flourishing. While much of the literature on virtuousness has focused on the organization, this paper uses a more comprehensive understanding that also incorporates the agent and the economy examined (...) through their relational order. The common good provides direction for guiding behavior of all the various stakeholders and the context for understanding virtuousness, while it is through virtuousness that the common good is effectively realized. Virtuousness and the common good are therefore in effect ‘two sides of the same coin.’ This paper develops a virtuousness–common good conceptual framework which explores the basis for harmonizing the goals of the individual, organization, and the economy. (shrink)

Introduction: Globally, vitamin D deficiency is one of the most common deficiencies, affecting nearly half the world's population. The objective of this survey was to assess and compare the knowledge about vitamin D and the perceived state of health in Emirati and international tourist female students in Dubai, UAE. Methods: This is a cross-sectional study that took place in universities in Dubai, UAE. This survey consisted of 17 multiple choice questions. The first part of the survey assessed levels of supplementation, (...) diet and UV exposure. Another section evaluated the participants’ self-assessed state of health regarding vitamin D testing, symptoms related to vitamin D deficiency and general welbeing. The collected data were statistically analyzed using SPSS statistics for windows version 26.0 (SPSS Inc., Chicago, IL). Statistical significance was set at P<0.05. Results: 105 respondents were Emiratis and 65 were international students. The average age was 21, with an average BMI 23.3. Almost one-third of each group reported using Vitamin D supplements once weekly. The majority of both groups reported rarely getting tanned. Almost all participants reported regular consumption of Vitamin-D rich foods. In both groups, more than half reported consuming milk and cheese regularly and up to one-third reported consuming fish in a regular manner. Although more than half of the students rated their health as good; more than two-thirds reported experiencing muscle pain; only half reported having their blood Vitamin D levels measured once; half reported experiencing problems with concentration and more than three-quarters reported experiencing bad mood in the past month. The prevalence of these symptoms was almost similar across different categories of vitamin D supplementation, tanning habits, dietary intake, or nationality. No statistically significant differences were noted between the 2 groups. Conclusion: more Emirati students were aware of the association between vitamin D and osteoporosis than International tourist students (40% vs. 21.9%, respectively; p<0.05). On the other hand, both groups had lower knowledge about the relationship between vitamin D deficiency and depression, Rheumatoid Arthritis and Hypertension, and the optimal vitamin D level; however, no statistically significant differences were noted regarding this knowledge of Emiratis and international students. (shrink)

Huit mois après le dépôt du rapport de la Commission Charbonneau, nous avons souhaité explorer les défis liés à la mise en place des recommandations. Avec un regard constructif, nous nous questionnons sur le fait de savoir à qui incombe le suivi d’un rapport de cette envergure ainsi que les obligations légales liées à cette question et nous nous permettons d’émettre certaines idées liées à une vision globale en matière de reddition de comptes. Tout en partageant nos réflexions inspirées des (...) bonnes pratiques en matière de gestion du risque de fraude, nous présentons la complexité de la mise en place d’une recommandation tels le soutien et la protection des lanceurs d’alerte. (shrink)

More and more frequently, the organisation of design fits into a project organisation where different designers have to cooperate with flexibility and reactivity. In order to help these cooperative design processes, we have to respond to new types of needs: a relatively unformalised coordination that requires permanent mutual adjustment, the fact that members of the team are geographically distant, the difficulty of building a shared reference via design documents and technical and organisational decisions that structure the project. In order to (...) provide computer support for these needs, asynchronous Group Ware is often recommended. However, the efficiency of these tools depends on the models that structure the work processes and the knowledge exchanged. In this paper, we present ABRICo, a new Design Rationale formalism that permits the recording of cooperative decision-making processes in complex design situations. We describe the formalism and explain how we intend to use it to specify cooperative design tools usable via an Intranet for computing projects. (shrink)

PURPOSE/OBJECTIVES: To examine differences in nursing care received by patients with breast cancer enrolled in clinical trials and those not enrolled in clinical trials. DESIGN: Retrospective review of clinic charts. SETTING: Oncology outpatient department of a tertiary-care hospital. SAMPLE: 90 women with early stage breast cancer. The mean age of the women was 53 years. More than half of the women (51 of 90) were treated in a clinical trial. METHODS: Retrospective chart review of all the nurse-patient clinic encounters for (...) a six-month period from date of cancer diagnosis. The content of each encounter was coded using a modified version of the Nursing Action Classification System. MAIN RESEARCH VARIABLES: Nursing interventions (i.e., assessment, medical scheduling, psychosocial scheduling, reassurance, and teaching) and phone calls. FINDINGS: Women enrolled in clinical trials had more phone interactions with nursing staff (p = 0.003) and received teaching (p < 0.001) and reassurance (p = 0.005) from nursing staff more often than women not enrolled in clinical trials. Controlling for age and stage of disease, teaching (p < 0.001), and reassurance (p = 0.10) were the primary differences in nursing care between the patients enrolled in clinical trials and those not enrolled. CONCLUSION: Differences in nursing care received exist between patients with breast cancer enrolled in clinical trials and those not enrolled. IMPLICATIONS FOR NURSING PRACTICE: Both teaching and reassurance are important components of caring for patients with cancer and are associated with treatment compliance. If the results of this study are confirmed, measures must be employed to ensure that all patients receive optimal care. (shrink)

This volume addresses current issues in the semantics and the pragmatics of discourse and dialogue. Collected papers aim at providing insights on different theoretical approaches, all of them in the dynamic semantics tradition, such as Dynamic Predicate Logic (DPL), Discourse Representation Theory (DRT), and Segmented Discourse Representation Theory (SDRT). They reflect the current move of formal semantics from short multisentential texts towards structured discourses and dialogues, accounting for more and more phenomena at the semantics-pragmatics interface (e.g., subtleties of anaphora and (...) presupposition, the role of temporal connectives in discourse or the establishment of common references in dialogue). (shrink)

Este artículo se concentrará en las estrategias impulsadas por la Dirección Provincial de Educación Secundaria de la provincia de Buenos Aires, destinadas a impulsar la participación estudiantil y la convivencia, entre los años 2020 y 2021. Se presenta la experiencia de trabajo en soporte digital llevada adelante desde las líneas de trabajo “Construir Ciudadanía” y “Lenguajes contemporáneos” en el marco del ASPO y DISPO producto de la pandemia.