BackgroundHigh levels of moral distress in nursing professionals, of which oncology nurses are particularly prone, can negatively impact patient care, job satisfaction, and retention.Aim“Positive Attitudes Striving to Rejuvenate You: PASTRY” was developed at a tertiary cancer center to reduce the burden of moral distress among oncology nurses.Research DesignA Quality Improvement (QI) initiative was conducted using a pre- and post-intervention design, to launch PASTRY and measure its impact on moral distress of the nursing unit, using Hamric’s Moral Distress Scale–Revised (MDS-R.) This (...) program consisted of monthly 60-minute sessions allowing nurses to address morally distressing events and themes, such as clinicians giving “false hope” to patients or families. The PASTRY program sessions were led by certified clinicians utilizing strategies of discussion and mind-body practices.ParticipantsClinical nurses working on an adult leukemia/lymphoma unit.Ethical considerationsThis was a QI initiative, participation was voluntary, MDS-R responses were collected anonymously, and the institution’s Ethics Committee oversaw PASTRY’s implementation.FindingsWhile improvement in moral distress findings were not statistically significant, the qualitative and quantitative findings demonstrated consistent themes. The PASTRY program received strong support from nurses and institutional leaders, lowered the nursing unit’s moral distress, led to enhanced camaraderie, and improved nurses’ coping skills.DiscussionMeasurement of moral distress is innately challenging due to its complexity. This study reinforces oncology nurses have measurable moral distress. Interventions should be implemented for a safe and healing environment to explore morally distressing clinical experiences. Poor communication among multidisciplinary team members is associated with moral distress among nurses. Programs like PASTRY may empower nurses to build support networks for change within themselves and institutions.ConclusionThis QI initiative shows further research on moral distress reduction should be conducted to verify findings for statistical significance and so that institutional programs, like PASTRY, can be created. (shrink)

To test if dreams contain remote or never-experienced motor skills, we collected during 6 weeks dream reports from 15 paraplegics and 15 healthy subjects. In 9/10 subjects with spinal cord injury and in 5/5 with congenital paraplegia, voluntary leg movements were reported during dream, including feelings of walking , running , dancing , standing up , bicycling , and practicing sports . Paraplegia patients experienced walking dreams just as often as controls . There was no correlation between the frequency of (...) walking dreams and the duration of paraplegia. In contrast, patients were rarely paraplegic in dreams. Subjects who had never walked or stopped walking 4–64 years prior to this study still experience walking in their dreams, suggesting that a cerebral walking program, either genetic or more probably developed via mirror neurons is reactivated during sleep. (shrink)

ABSTRACT:Programs aimed at increasing women’s entrepreneurship are a rapidly proliferating class of CSR initiatives across the globe with participation by many of the world’s largest corporations. The gendered nature of this phenomenon suggests that feminist approaches to CSR may offer a particularly salient mode of their analysis. In this article, I argue that insights from feminist economics regarding the historically prevalent—but narrow and gendered—definition of work, which artificially separates production from reproduction, provide fruitful tools for theory building when conceptualizing gender (...) through the lens of CSR. I demonstrate that the gendered separation of production and reproduction is typicallytaken as givenin entrepreneurship, and that mainstream CSR research has not sufficiently challenged this perspective. I present a conceptual framework of what is to be gained by examining the CSR, entrepreneurship, and feminist economics literatures in combination, and demonstrate how researchers might use this framework for future research. (shrink)

Au sein de la science politique les approches sociologiques sont les plus réceptives à la psychologie sociale entendue comme cognition sociale. L'étude du politique a longtemps privilégié des objets institutionnels et l'influence des concepts de la psychologie sociale y est ancienne . Aujourd'hui de nouvelles questions de société et formes de mobilisation, comme l'intégration des minorités ou les rapports de genre, apparaissent. L'analyse des institutions et des objets classiques est renouvelée. Les problématiques font une grande place à la dynamique des (...) représentations, aux modes de raisonnement et d'inférences, aux formes de connaissance, à l'utilisation de l'information par les acteurs. Ainsi la science politique utilise de plus en plus les concepts et méthodes des approches cognitives.Within the field of political science, sociological approaches are more and more akin to social psychology understood as social cognition. The study of politics has long been focused on institutional subjects and influenced by concepts derived from social psychology . Today, new questions about society and new forms of mobilization such as the integration of minorities or gender relationships are emerging. As a result, a renewed analysis of institutions and traditional objects is required. Current problems are more and more centred on the dynamics of representations, on ways of reasoning, on forms of knowledge and on the use of information. Political science is increasingly using the concepts and methods of cognitive approaches. (shrink)

For living beings, information is as fundamental as matter or energy. In this paper we show: a) inadequacies of quantitative theories of information, b) how a qualitative analysis leads to a classification of information systems and to a modelling of intercellular communication.From a quantitative point of view, the application in biology of information theories borrowed from communication techniques proved to be disappointing. These theories ignore deliberately the significance of messages, and do not give any definition of information. They refer to (...) quantities, based upon arbitrarily defined probabilistic events. Probability is subjective. The receiver of the message needs to have meta-knowledge of the events. The quantity of information depends on language, coding, and arbitrary definition of disorder. The suggested objectivity is fallacious. (shrink)

A new approach to information is proposed with the intention of providing a conceptual tool adapted to biology, including a semantic value.Information involves a material support as well as a significance, adapted to the cognitive domain of the receiver and/or the transmitter. A message does not carry any information, only data. The receiver makes an identification by a procedure of recognition of the forms, which activate previously learned significance. This treatment leads to a new significance (or new knowledge).

Cet article a déjà paru dans la Revue des mondes musulmans et de la Méditerranée, n° 136, novembre 2014. Nous remercions la revue de nous avoir autorisé à le reproduire ici. Résumé : Dans une perspective d'étude sur les rythmes urbains, l'article s'attache à analyser les modalités de passage du jour à la nuit à Beyrouth. En appréhendant cette dernière comme un espace-temps multiforme aux limites labiles, l'étude de terrain a mené à l'identification d'une période de transition – la « (...) marche » – entre le jour - Géographie. (shrink)

Le sacramentalisme qu’on s’accorde, depuis longtemps déjà, à reconnaître comme excessif à la fin du Moyen Âge devait conduire Luther puis les autres Réformateurs à dénoncer la « captivité babylonienne » de l’Eglise, notamment sous l’espèce d’une sorte d’emprisonnement de la « Parole de Dieu » dans l’institution sacramentelle, emprisonnement qui fut analogiquement dénoncé, à l’époque moderne, dans l’institution magistérielle de l’Eglise. Cette opposition entre Parole et Sacrement a en outre connu au XXe siècle une sorte de redoublement avec la (...) dichotomie entre la « foi » et la « religion », dichotomie qui a d’ailleurs traversé aussi bien le camp « catholique » que le camp « protestant », la foi étant mise du côté de la Parole, censée être nécessairement plus « pure » que les sacrements, lesquels relèveraient plutôt de la « religion » avec toutes les ambiguïtés que prend alors le terme devenu proche de la « magie ». La donne ayant aujourd’hui considérablement changé, il semble clair que l’on peut, dans la fidélité à la régulation dogmatique de la foi catholique, penser théologiquement les sacrements dans le sillage direct de la Parole.For a long time an agreement to recognize sacramentalism as excessive at the end of the Middle Ages would lead Luther and the other Reformers to denounce the “Babylonian captivity” of the Church, notably as a kind of imprisonment of the “Word of God” in the sacramental institution, imprisonment that was denounced analogically, in modern times, in the magisterial institution of the Church. This opposition between Word and Sacrament has moreover resurfaced in the 20th century, as a dichotomy between “faith” and “religion.” This dichotomy passed through both the “Catholic” and the “Protestant” camps. Faith was allied with the Word, because it was deemed to be necessarily “purer” than the sacraments, which were more a product of “religion” with all its ambiguities, which then takes on a connotation close to “magic.” Perspectives have considerably changed today, so it seems clear that it is possible to remain faithful to the dogmas of the Catholic faith and theologically view the sacraments as flowing directly from the Word. (shrink)

Il s’avère nécessaire d’élaborer une théologie fondamentale de la sacramentalité qui implique une réévaluation de notre rapport à la théologie sacramentaire scolastique et invite à la fois à en mesurer les limites et à s’alimenter de ce qu’elle a de meilleur . Parmi les points qui requièrent une vigilance particulière, l’auteur aborde les sacrements en tant qu’actions de l’Église , le lien intime entre Parole et Sacrement . Il évoque également l’anamnèse eucharistique , l’épiclèse sacramentelle et la dimension eschatologique des (...) sacrements.It would appear necessary to set out a fundamental theology of sacramentality that entails re-evaluating our relationship to scholastic sacramentary theology and incites us both to measure its limits and to take nourishment in the best it has to offer . Among the points that require particular attention, the author examines the sacraments as actions of the Church , the intimate relationship between Word and Sacrament . He also takes up the question of Eucharistic anamnesis , sacramental epiclesis and the eschatological dimension of the sacraments. (shrink)

Ethics is an unconventional field of research for a surgeon, as ethics in surgery owns several specificities and surgery is considered an aggressive specialty. Therefore, the interest of research in medical ethics is sometimes unclear.In this short essay, we discussed the interest of research in medical ethics using a comparison to thermodynamics and mainly, entropy. During the transformation of a figure from one state to another, some energy is released or absorbed; yet, a part of this energy is wasted because (...) of “unordered” reactions: it is Entropy.This “wasted energy” exists in Medical practice and justifies research in Medical ethics. (shrink)

To test whether mental activities collected from non-REM sleep are influenced by REM sleep, we suppressed REM sleep using clomipramine 50 mg or placebo in the evening, in a double blind cross-over design, in 11 healthy young men. Subjects were awakened every hour and asked about their mental activity. The marked REM-sleep suppression induced by clomipramine did not substantially affect any aspects of dream recall . Since long, complex and bizarre dreams persist even after suppressing REM sleep either partially or (...) totally, it suggests that the generation of mental activity during sleep is independent of sleep stage. (shrink)

Chenu, M.-D. Foi, certitude et recherche.--Gilson, É. Réponse à Louis-Marie Régis, On some difficulties of interpretation.--Dubarle, D. Logique et épistémologie du signe chez Aristote et chez les Stoïciens.--Geiger, L.-B. Ce qui est, se dit en plusiers sens.--Owens, J. "Diversificata in diversis."--Cauchy, V. Être et connaître, l'irréductibilité de l'aristotélisme au platonisme.--Joós, E. Maurice Merleau-Ponty, de l'intentio intellectus, à l'intentio rei.--Murin, C. Pour une démystification de la "mort-de-Dieu" nietzschéenne.--Joós, E. Post-scriptum, la nouvelle scolastique de Louis-Marie Régis.--Landry, A.-M. (...) class='Hi'>Louis-Marie Régis, O.P., quelques dates et faits marquants de sa vie.--Lettre d'Henri-Irénée Marrou à Louis-Marie Régis. (shrink)

This article concerns the ways in which authors from various fields conceptualise the ethical issues arising in the conduct of research. We reviewed critically and systematically the literature concerning the ethics of conducting research in order to engage in a reflection about the vocabulary and conceptual categories used in the publications reviewed. To understand better how the ethical issues involved in conducting research are conceptualised in the publications reviewed, we 1) established an inventory of the conceptualisations reviewed, and 2) we (...) critically assessed them. We found that the publications reviewed mostly showed examples of descriptive ethics, in that most authors describe ethical issues without reflecting much on them, which could be explained both by 1) a lack of ethical education in research contexts, and 2) by the fact that we do not know what researchers know (or do not) about ethical issues. Additionally, the definitions identified in the publications are scarce and at times imprecise, but this seems more to point out the ethical vocabulary’s difficulties in certain contexts. Further, very few authors offer proper conceptualisations of the ethical issues arising in conducting research. When dealing with vast arrays of ethical issues to conceptualise, perhaps one ought to remember that some typologies already exist that could guide further reflection and help understand other realities for which the current ethical vocabulary may be lacking. We believe that combining the reviewed typologies, both with other well-developed typologies and critical reflection, could help support better ethical practice in conducting research. (shrink)