Background: Dementia care at home often involves decisions in which the caregiver must weigh safety concerns with respect for autonomy. These dilemmas can lead to situations where caregivers provide care against the will of persons living with dementia, referred to as involuntary treatment. To prevent this, insight is needed into how family caregivers of persons living with dementia deal with care situations that can lead to involuntary treatment. Objective: To identify and describe family caregivers’ experiences regarding care decisions for situations (...) that can lead to involuntary treatment use in persons living with dementia at home. Research design: A qualitative descriptive interview design. Data were analysed using the Qualitative Analysis Guide of Leuven. Participants and research context: A total of 10 family caregivers providing care for 13 persons living with dementia participated in in-depth semi-structured interviews. Participants were recruited by registered nurses via purposive sampling. Ethical consideration: The study protocol was approved by the Ethics Committee of the University Hospitals Leuven and the Medical Ethical Test Committee Zuyderland. Findings: Family caregivers experience the decision-making process concerning care dilemmas that can lead to involuntary treatment as complicated, stressful and exhausting. Although they consider safety and autonomy as important values, they struggle with finding the right balance between them. Due to the progressive and unpredictable nature of dementia, they are constantly seeking solutions while they adapt to new situations. Family caregivers feel responsible and experience social pressure for the safety of persons living with dementia. They may be blamed if something adverse happens to the persons living with dementia, which increases an already stressful situation. Their experience is influenced by characteristics of the care triad such as practical and emotional support, knowledge, and previous experiences. Discussion and conclusion: To prevent involuntary treatment, professionals need to proactively inform family caregivers, and they need to support each other in dealing with complex care situations. (shrink)

Agroecology has been proposed as a key building block for food sovereignty. This article examines the meaning, practices and potentials of ‘transformative agroecology learning’ as a collective strategy for food system transformation. Our study is based on our qualitative and action research with the European Coordination of Via Campesina to develop the European Agroecology Knowledge Exchange Network. This network is linked to the global network of La Via Campesina and builds on the strong experiences and traditions of popular education in (...) Latin American peasant movements. Rather than focusing on agroecology education as a process of individual learning, we analyse how a transformative agroecology education can be strengthened as a critical repertoire of action used by social movements to advance food sovereignty. Our analysis contributes a new theory of transformative agroecology learning based on four key characteristics or qualities: horizontalism; diálogo de saberes ; combining practical and political knowledge; and building social movement networks. While these different elements of transformative agroecology learning were present across EAKEN, they were unevenly developed and, in many cases, not systematized. The framework can help to strategically and reflexively systematize and strengthen a transformative agroecology learning approach as a key building block for food sovereignty. (shrink)

BackgroundThe ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines are widely endorsed but compliance is limited. We sought to determine whether journal-requested completion of an ARRIVE checklist improves full compliance with the guidelines.MethodsIn a randomised controlled trial, manuscripts reporting in vivo animal research submitted to PLOS ONE (March–June 2015) were randomly allocated to either requested completion of an ARRIVE checklist or current standard practice. Authors, academic editors, and peer reviewers were blinded to group allocation. Trained reviewers performed outcome adjudication (...) in duplicate by assessing manuscripts against an operationalised version of the ARRIVE guidelines that consists 108 items. Our primary outcome was the between-group differences in the proportion of manuscripts meeting all ARRIVE guideline checklist subitems.ResultsWe randomised 1689 manuscripts (control: n = 844, intervention: n = 845), of which 1269 were sent for peer review and 762 (control: n = 340; intervention: n = 332) accepted for publication. No manuscript in either group achieved full compliance with the ARRIVE checklist. Details of animal husbandry (ARRIVE subitem 9b) was the only subitem to show improvements in reporting, with the proportion of compliant manuscripts rising from 52.1 to 74.1% (X2 = 34.0, df = 1, p = 2.1 × 10−7) in the control and intervention groups, respectively.ConclusionsThese results suggest that altering the editorial process to include requests for a completed ARRIVE checklist is not enough to improve compliance with the ARRIVE guidelines. Other approaches, such as more stringent editorial policies or a targeted approach on key quality items, may promote improvements in reporting. (shrink)

Este trabajo intenta iluminar desde un punto de vista fenomenológico las crisis ecológicas que han afectado a nuestro planeta y al mundo circundante de la vida en el siglo veintiuno, y en particular, la devastadora pandemia global que se desató el año 2020. Primero abordo ciertos aspectos histórico-críticos que preceden a la pandemia del 2020, y que se relacionan a la visión mecanicista moderna en las ciencias y la cultura. Luego, situada en la actitud natural, parto de esta ecocrisis actual (...) como un “hilo conductor” para la interrogación retrospectiva que conduce a las raíces experienciales de todo sentido y validez objetiva, asumiendo la perspectiva de la primera persona y contratastándola con aspectos de una nueva y unificada visión sistémica de la vida. A continuación, destacando la paradoja del sujeto-en-el-mundo y el sujeto-para-el-mundo, examino la estructura del mundo de la vida como un camino o vía hacia el campo de la experiencia trascendental—aquel de la correlación entre la vida humana (encarnada, intersubjetiva e histórico-temoral) y el mundo, es decir, la estructura noético-noemática, con el objeto de mostrar cómo no es reductible a una auto-afección pasiva, sino que es la fuente originaria de una virtud espiritual y capacidad transformativa: la de la responsabilidad. (shrink)

Este artigo recorda os principais aspectos e motivações da Expedição Langsdorff, missão de reconhecimento do interior do Brasil iniciada em 1821, composta pelo cônsul russo barão Langsdorff, o pintor alemão Moritz Rugendas, Aimé-Adrien Taunay, Nicolas-Antoine Taunay, o polígrafo Hercules Florence e o especialista em mapas Néster G. Rubtsov. Busca diferenças entre esta expedição e iniciativas outras, a título de exemplo, as dos bandeirantes e jesuítas, bem como a expedição indigenista de Rondon, e propõe o aprofundamento das investiga­ções. Apresenta atributos resgatados (...) pela poesia brasileira contemporânea e elementos cons­titutivos da identidade cultural brasileira presentes na Expedição Langsdorff, os quais os auto­res sugerem ser relevantes para pesquisadores do tema e para a inserção do Brasil no contexto internacional político, diplomático e econômico nos tempos hodiernos. (shrink)

“ S pace, K no w l edge and P o w e r ” , en tr ev i s t a r ea l i z a d a en 1982 y pub li cada en P aul R ab i no w , The Foucau l t R eade r , N ueva Y o r k, 1984. A quí se pub li ca de acue r do a l a ve r s i ón f r (...) ancesa, t r aduc i da por P ab l o Bli t s t e i n y Tadeo L im a. (shrink)

Understanding of organizational ethics phenomena requires complex understanding of organizational practices in their real world contexts. We can try to understand and build theory about these complex real world practices from the points of view of: a traditional deductive, ethics literature-based, literature gap formulation approach; or, an inductive, practitioner-based literature gap formulation approach. This consideration of inductive, practitioner-based versus deductive, literature-based literature gap formulation is related to the discussion concerning “engaged scholarship” and relationships and gaps between theory and practice in (...) organization studies [Van De Ven, 2007, Engaged Scholarship: A Guide for Organizational and Research Knowledge ]. However, there is an important difference with respect to the key issue of ethics literature versus practitioner-based literature gap formulation. This article offers examples of the two different approaches and makes comparisons between them. Implications for practice-based organizational ethics theory building, Ph.D. education, and public intellectual work are considered. (shrink)

Pancreatitis is a complex, progressively destructive inflammatory disorder. Alcohol was long thought to be the primary causative agent, but genetic contributions have been of interest since the discovery that rare PRSS1, CFTR and SPINK1 variants were associated with pancreatitis risk. We now report two associations at genome-wide significance identified and replicated at PRSS1-PRSS2 and X-linked CLDN2 through a two-stage genome-wide study. The PRSS1 variant likely affects disease susceptibility by altering expression of the primary trypsinogen gene. The CLDN2 risk allele is (...) associated with atypical localization of claudin-2 in pancreatic acinar cells. The homozygous CLDN2 genotype confers the greatest risk, and its alleles interact with alcohol consumption to amplify risk. These results could partially explain the high frequency of alcohol-related pancreatitis in men. © 2012 Nature America, Inc. All rights reserved. (shrink)

This w ork distinguishes bet w een violence used to attain a speci f ic purpose and violence intended or practice for itself. C r uelty is characterised as violence for violenc e' sa k e. Th e aim is to try to f ind an e xplanation for that c r uelty w hich can be described as absolute violence. F or that reason, reference is made to a series of books that h a v e dealt with the (...) subject that, in spite of allusions to other types of cruel t y , end b y speaking of militar y cr uelt y . An attempt to determine the 'functio n ' of c r uelty leads to an understanding of the conditions that ma k e it possi b le: impuni t y , fear and the culture of hate. F inal l y , the human being does not appear to be c r uel per se , but as someone w ho feels compelled to be so b y 'p o w er'. (shrink)

RésuméL'objet du présent article est de dégager la signification philosophique des différents théoriémes de métamathématique relatifs à la puissance des formalisations. Ces théorèmes représentent la partie de l'épistémologie qui peut être exposée dans la forme technique de la science elle‐même et rassemblant les éléments d'une réflexion autocritique de la pensée mathématique sur elle‐même. Au‐delà, ils invitent à comprendre l'acte de la pensée mathématique comme déploiement d'un projet pensant supposant à la fois une initiative volontaire de la pensée, un champ intuitif (...) absolument indéfini et une exigence logique régulatrice, et amènent la philosophie de la science à se demander si, telles qu'ellcs sont, les mathématiques sont l'unique forme de synthèse rigoureuse possible entre ces trois moments de la pensée. (shrink)