In the last decade Robert Barnard and Joseph Ulatowski have conducted a number of experimental studies in order to better understand the ordinary notion of truth. In this paper I critically engage their ecological approach to the study of truth, and argue for a wider perspective on how truth should be empirically studied: in addition to the experimental data that they emphasize and collect, there should also be a substantial observational element to conceptual ecology. I then critically evaluate the conclusions (...) they draw from their data, as they relate to correspondence, pluralism, and objectivity. Along the way, I offer suggestions for future lines of research for a more expansive and effective ecological exploration of truth. (shrink)

This paper discusses logical accounts of the notions of consistency and negation, and in particular explores some potential means of defining consistency and negation when expressed in modal terms. Although this can be done with interesting consequences when starting from classical normal modal logics, some intriguing cases arise when starting from paraconsistent modalities and negations, as in the hierarchy of the so-called cathodic modal paraconsistent systems (cf. Bueno-Soler, Log Univers 4(1):137–160, 2010). The paper also takes some first steps in exploring (...) the philosophical significance of such logical tools, comparing the notions of consistency and negation modally defined with the primitive notions of consistency and negation in the family of Logics of Formal Inconsistency (LFIs), suggesting some experiments on their expressive power. (shrink)

Do experiences with nature –– from wilderness backpacking to plants in a preschool to a wetland lesson on frogs, promote learning? Until recently, claims outstripped evidence on this question. But the field has matured, not only substantiating previously unwarranted claims but deepening our understanding of the cause-and-effect relationship between nature and learning. Hundreds of studies now bear on this question, and converging evidence strongly suggests that experiences of nature boost academic learning, personal development, and environmental stewardship. This brief integrative review (...) summarizes recent advances and the current state of our understanding. The research on personal development and environmental stewardship is compelling although not quantitative. Report after report –– from independent observers as well as participants themselves –– indicate shifts in perseverance, problem-solving, critical thinking, leadership, teamwork, and resilience. Similarly, over fifty studies point to nature playing a key role in the development of pro-environmental behavior, particularly by fostering an emotional connection to nature. In academic contexts, nature-based instruction outperforms traditional instruction. The evidence here is particularly strong, including experimental evidence; evidence across a wide range of samples and instructional approaches; outcomes such as standardized test scores and graduation rates; and evidence for specific explanatory mechanisms and active ingredients. Nature may promote learning by improving learners’ attention, levels of stress, self-discipline, interest, and enjoyment in learning, and physical activity and fitness. Nature also appears to provide a calmer, quieter, safer context for learning; a warmer, more cooperative context for learning; and a combination of “loose parts” and autonomy that fosters developmentally beneficial forms of play. It is time to take nature seriously as a resource for learning — particularly for students not effectively reached by traditional instruction. (shrink)

We review the use of introspective and phenomenological methods in experimental settings. We distinguish different senses of introspection, and further distinguish phenomenological method from introspectionist approaches. Two ways of using phenomenology in experimental procedures are identified: first, the neurophenomenological method, proposed by Varela, involves the training of experimental subjects. This approach has been directly and productively incorporated into the protocol of experiments on perception. A second approach may have wider application and does not involve training experimental subjects in phenomenological method. (...) It requires front-loading phenomenological insights into experimental design. A number of experiments employing this approach are reviewed. We conclude with a discussion of the implications for both the cognitive sciences and phenomenology. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Experimenting with Islam:Nietzschean Reflections on Bowles’s AraplainaIan AlmondIn a letter to his friend Köselitz dated March 13 1881, Nietzsche wrote: "Ask my old comrade Gersdorff whether he'd like to go with me to Tunisia for one or two years.... I want to live for a while amongst Muslims, in the places moreover where their faith is at its most devout; this way my eye and judgement for all things (...) European will be sharpened."1 Various motifs in the work of Paul Bowles—a fascination with cruelty, an obsession with destruction, a predilection for abysses (metaphorical and literal) in the landscapes of his stories—invite some kind of reference to Nietzsche, however brief. Nietzsche's desire to live in the most intense pocket of Islam he could find had, one suspects, less to do with Islam than with his desire for a "trans-European eye"2 —four years after his remarks on Tunisia, Nietzsche would say the same thing about Japan in a letter to his sister.3 Nietzsche's proposed trip to Tunisia would lead to a better understanding of Europe, not Islam, and would provide him with an outside perspective on the European disease of modernity—a different set of lenses for his Kantian spectacles. This conception of Islam was, therefore, a means to self-knowledge, a handy instrument for diagnosing one's own illness, and a useful mirror to observe with greater clarity the more unattractive elements in one's own features. Most of Nietzsche's references to Islam and Islamic culture—and there are well over a hundred and fifty of them in the Gesamtausgabe—become clearer when one keeps this functional, almost anthropological, approach to the Islamic Other in mind.Although there is nothing new about this idea of the Orient as a tool of European self-awareness—as early as the 1780s, Sir William Jones was [End Page 309] already hoping the study of Sanskrit and Arabic would offer a "more extensive insight into the human [read "European"] mind"4 —an awareness of the genealogy of such Western interest in Arabs and Mohammedaner certainly helps us better understand Bowles's own eerie fascination with the faith. The parodies of missionaries, academics, and policemen which we find in stories such as "The Time of Friendship" and "A Distant Episode" confirm the distance Bowles attempted to put between his own texts and those Orientalist traditions of both Christian (i.e., Islam as a pool of potential believers) and Imperialist (Muslims as potential human resources) provenance. In attempting to escape such vocabularies and textual traditions, Bowles ultimately replicates and reshapes their original representations, producing an irony of delicate complexities, which is the object of this article.Near the beginning of Bowles's witty, though somewhat caustic autobiography Without Stopping, a moment takes place that gives an insight into the way, in later years, the narrator would approach different cultures with the intention of constructing new worlds. At age five, Bowles relates how he often found himself alone in his parents large upstate New York house. Abandoned to his own devices, the young narrator began to entertain himself by fabricating and mapping out new countries with his own imagination: "Soon I invented a planet with landmasses and seas. The continents were Ferncowland, Lanton, Zaganokworld and Araplaina. I drew maps of each and gave them mountain ranges, rivers, cities and railways."5 The image is captivating not only for its visual appeal, of a five-year-old Bowles, future author of Sheltering Sky, sitting on the carpet, crayoning out his map of Araplaina. It also suggests the presence, very early on, of what will always be a central motivation in Bowles's fascination with the world of Islam: a desire for novelty, for the really new, as an escape from boredom. Bowles's Tangiers would later provide the very Araplaina he had been seeking all along.In the world of Bowles's North African short stories, a number of common features seem to unite the otherwise disparate collection of tales found in The Time of Friendship and The Delicate Prey. Probably the foremost of these is cruelty. In "The Delicate Prey," the Moungari traveler... (shrink)

‘Interactional expertise’ is developed through linguistic interaction without full scale practical immersion in a culture. Interactional expertise is the medium of communication in peer review in science, in review committees, and in interdisciplinary projects. It is also the medium of specialist journalists and of interpretative methods in the social sciences. We describe imitation game experiments designed to make concrete the idea of interactional expertise. The experiments show that the linguistic performance of those well socialized in the language of a specialist (...) group is indistinguishable from those with full blown practical socialization but distinguishable from those who are not well socialized. The imitation game can also be used to indicate whether an individual can enter an esoteric domain and master the interactional expertise, a skill required by interpretative sociologists of science, anthropologists, ethnographers, and the like.Keywords: Expertise; Interactional expertise; Imitation game; Turing test; Colour blindness; Interpretative methods. (shrink)

BackgroundThe potential contribution of community engagement to addressing ethical challenges for international biomedical research is well described, but there is relatively little documented experience of community engagement to inform its development in practice. This paper draws on experiences around community engagement and informed consent during a genetic cohort study in Kenya to contribute to understanding the strengths and challenges of community engagement in supporting ethical research practice, focusing on issues of communication, the role of field workers in 'doing ethics' on (...) the ground and the challenges of community consultation.MethodsThe findings are based on action research methods, including analysis of community engagement documentation and the observations of the authors closely involved in their development and implementation. Qualitative and quantitative content analysis has been used for documentation of staff meetings and trainings, a meeting with 24 community leaders, and 40 large public and 70 small community group meetings. Meeting minutes from a purposive sample of six community representative groups have been analysed using a thematic framework approach.ResultsField workers described challenges around misunderstandings about research, perceived pressure for recruitment and challenges in explaining the study. During consultation, leaders expressed support for the study and screening for sickle cell disease. In community meetings, there was a common interpretation of research as medical care. Concerns centred on unfamiliar procedures. After explanations of study procedures to leaders and community members, few questions were asked about export of samples or the archiving of samples for future research.ConclusionsCommunity engagement enabled researchers to take account of staff and community opinions and issues during the study and adapt messages and methods to address emerging ethical challenges. Field workers conducting informed consent faced complex issues and their understanding, attitudes and communication skills were key influences on ethical practice. Community consultation was a challenging concept to put into practice, illustrating the complexity of assessing information needs and levels of deliberation that are appropriate to a given study. (shrink)

Books were materially and metaphorically botanical in the early modern period. This article uses The Garden of Cyrus, Thomas Browne’s wide-ranging philosophical tract, to illustrate how the often self-conscious links between books and gardens could operate in epistemologically significant ways. It argues that Browne’s repeated positioning of his book as a garden creates a productive model for aesthetic, theological and scientific experimentation and innovation. The framework of the garden constructs a space in which the foremost, apparently contradictory, models of knowledge (...) associated with the seventeenth-century garden—the analogical approach of the doctrine of signatures and the empirical approach associated with the “new science”—can coexist. Extrapolating from the book of nature to suggest the inherently discursive and rhetorical forms of Browne’s knowledge as well as its limitations, the article concludes by proposing a new spatial model for this kind of coterminous literary and experimental approach: the elaboratory. (shrink)

Perceptual experiences seem to in some sense have singular contents. For example, a perceptual experience of a dog as fluffy seems to represent some particular dog as being fluffy. There are important phenomenological, intuitive, and semantic considerations for thinking that perceptual experiences represent singular contents, but there are also important phenomenological, epistemic, and metaphysical considerations for thinking that they do not. This paper proposes a two-tier picture of the content of singular perceptual experiences that is based on phenomenal intentionality theories (...) of intentionality combined with self-ascriptivism about derived representation, a combination of views that allows mental states to have two types of contents: phenomenal contents and derived contents. On the proposed picture, singular perceptual experiences represent singular phenomenal contents, which do not involve worldly objects, as well as singular derived contents, which do involve worldly objects. This picture accommodates and reconciles the considerations for and against thinking that perceptual experiences have singular contents. (shrink)

In this article, I analyse line-rendering techniques in drawing and choreography, based on a Deleuzian framework. This pragmatic approach for understanding affect emerges in three distinct formulations. The first engages the coincidence of drawing and choreography at the limit of reach; the second investigates how trace and movement generate different yet mutually resonant versions of semblance. The third framework considers the potential for improvisation in the irreconcilability of contour and surface in the weighted line. These three framings generate an experimental (...) milieu in which I articulate the co-emergence of thought and feeling in relation to relevant concepts of the body and affect. In activating affective intensity in different line-rendering operations, this analysis traces the way that affects help to modulate tendencies of moving, feeling and thinking over a series of operations. (shrink)

The COVID-19 pandemic has inspired numerous opportunities for telehealth implementation to meet diverse healthcare needs, including the use of virtual communication platforms to facilitate the growth of and access to clinical ethics consultation (CEC) services across the globe. Here we discuss the conceptualization and implementation of two different virtual CEC services that arose during the COVID-19 pandemic: the Clinical Ethics Malaysia COVID-19 Consultation Service and the Johns Hopkins Hospital Ethics Committee and Consultation Service. A common strength experienced by both platforms (...) during virtual delivery included improved ability for local practitioners to address consultation needs for patient populations otherwise unable to access CEC services in their respective locations. Additionally, virtual platforms allowed for enhanced collaboration and sharing of expertise among ethics consultants. Both contexts encountered numerous challenges related to patient care delivery during the pandemic. The use of virtual technologies resulted in decreased personalization of patient-provider communication. We discuss these challenges with respect to contextual differences specific to each service and setting, including differences in CEC needs, sociocultural norms, resource availability, populations served, consultation service visibility, healthcare infrastructure, and funding disparities. Through lessons learned from a health system in the United States and a national service in Malaysia, we provide key recommendations for health practitioners and clinical ethics consultants to leverage virtual communication platforms to mitigate existing inequities in patient care delivery and increase capacity for CEC globally. (shrink)

How do speakers learn the social meaning of different linguistic variants, and what factors influence how likely a particular social–linguistic association is to be learned? It has been argued that the social meaning of more salient variants should be learned faster, and that learners' pre‐existing experience of a variant will influence its salience. In this paper, we report two artificial‐language‐learning experiments investigating this. Each experiment involved two language‐learning stages followed by a test. The first stage introduced the artificial language and (...) trained participants in it, while the second stage added a simple social context using images of cartoon aliens. The first learning stage was intended to establish participants' experience with the artificial language in general and with the distribution of linguistic variants in particular. The second stage, in which linguistic stimuli were accompanied by images of particular aliens, was intended to simulate the acquisition of linguistic variants in a social context. In our first experiment, we manipulated whether a particular linguistic variant, associated with one species of alien in the second learning phase, had been encountered in the first learning phase. In the second experiment, we manipulated whether the variant had been encountered in the same grammatical context. In both cases we predicted that the unexpectedness of a new variant or a new grammatical context for an old variant would increase the variant's salience and facilitate the learning of its social meaning. This is what we found, although in the second experiment, the effect was driven by better learners. Our results suggest that unexpectedness increases the salience of variants and makes their social distribution easier to learn, deepening our understanding of the role of individual language experience in the acquisition of sociolinguistic meaning. (shrink)

Debates about expanding newborn screening with whole genome sequencing are fueled by data about public perception, public opinion, and the positions taken by public advocates and advocacy groups. One form of evidence that merits attention as we consider possible uses of whole‐genome sequencing during the newborn period is parents’ (and children's) diverse experiences with existing expanded screening protocols. What do we know about this experience base? And what implications might these data have for decisions about how we use whole genome (...) sequencing and how we assess its impact in the future? Although the broader literature on genetic susceptibility testing suggests that testing usually does not have adverse effects on children's psychosocial well‐being, certain newborn screening results have been demonstrated to cause distress, alter behavior, and even to influence the formation of new parental and family identities. (shrink)

Service learning provides many challenges and opportunities for the instructor who wishes to test its potential. This paper looks at some of the promise for service learning in the undergraduate Business Ethics course and describes one experience with this project. Quotations from student journals and reflective papers are utilized to present the student's perspective on the project. Some suggestions are offered for insuring effective service learning in courses like Business Ethics.

Conditional perfection is the phenomenon in which conditionals are strengthened to biconditionals. In some contexts, “If A, B” is understood as if it meant “A if and only if B.” We present and discuss a series of experiments designed to test one of the most promising pragmatic accounts of conditional perfection. This is the idea that conditional perfection is a form of exhaustification—that is a strengthening to an exhaustive reading, triggered by a question that the conditional answers. If a speaker (...) is asked how B comes about, then the answer “If A, B” is interpreted exhaustively to meaning that A is the only way to bring about B. Hence, “A if and only if B.” We uncover evidence that conditional perfection is a form of exhaustification, but not that it is triggered by a relationship to a salient question. (shrink)

Research on elders’ acceptance of virtual technologies is much needed. Here we studied the user experience of elders (N = 10, mean age = 88.2 years) during virtual biking, an exergame where participants pedal on a cycle ergometer and wear a Head-Mounted Display that provides them an immersive experience of a bike ride. We tested the effects of augmented gaze on user experience. Augmented gaze is a condition in which horizontal head turns yield amplified visual shifts, which is assumed to (...) facilitate visual exploration. User experience was measured by asking participants to rate satisfaction, motivation, sense of presence and sense of safety. We found a very good acceptance of virtual biking and no signs of negative effects of augmented gaze. These preliminary observations suggest that augmented gaze may be a viable optimization of elders’ experience with certain virtual reality applications. (shrink)

Experiences of substitute decision-makers with requests for consent to non-therapeutic research participation during the dying process, including to what degree such requests are perceived as burdensome, have not been well described. In this study, we explored the lived experiences of family members who consented to non-therapeutic research participation on behalf of an imminently dying patient. We interviewed 33 family members involved in surrogate research consent decisions for dying patients in intensive care. Non-therapeutic research involved continuous physiological monitoring of dying patients (...) prior to and for 30 min following cessation of circulation. At some study centres participation involved installation of bedside computers. At one centre electroencephalogram monitoring was used with a subset of participants. Aside from additional monitoring, the research protocol did not involve deviations from usual end-of-life care. Thematic analysis of interviews suggests most family members did not perceive this minimal-risk, non-therapeutic study to affect their time with patients during the dying process, nor did they perceive research consent as an additional burden. In our analysis, consenting for participation in perimortem research offered families of the dying an opportunity to affirm the intrinsic value of patients’ lives and contributions. This opportunity may be particularly important for families of patients who consented to organ donation but did not proceed to organ retrieval. Our work supports concerns that traditional models of informed consent fail to account for possible benefits and harms of perimortem research to surviving families. Further research into consent models which integrate patient and family perspectives is needed. All data relevant to the study are included in the article. (shrink)

In the early twentieth century, Tatsuo Aida in Japan, Øjvind Winge in Denmark, Richard Goldschmidt in Germany, and Calvin Bridges in the United States all developed different experimental systems to study the genetics of sex reversal. These locally specific experimental systems grounded these experimenters’ understanding of sex reversal as well as their interpretation of claims regarding experimental results and theories. The comparison of four researchers and their experimental systems reveals how those different systems mediated their understanding of genetic phenomena, and (...) influenced their interpretations of sex reversal. (shrink)

In the late seventeenth century, traditions in anatomy and chymistry came together to ground new theoretical and experimental approaches to understanding the animal body. The researches of Dutch experimenters Reinier de Graaf and his mentor Franciscus Sylvius provide keen insight into the ways experiments were constructed, negotiated, and thought about by leading anatomists and physicians of the time. The objects and approaches de Graaf used in the laboratory—ligature, inflation, injection, tubes, vessels, tasting—were derived from broadly Harveian anatomical and Helmontian chymical (...) traditions. Experimental traditions and a comprehensive and materialistic chymical theory of acid-alkali interactions unified the artificial and the natural and allowed de Graaf to create and use hybrid animal-apparatus constructions as tools to collect and assay the key ingredients of digestion and disease. (shrink)

Beyond the well‐known ethical issues involved in medical experimentation on human subjects, experimenting with embryos raises unique and particularly hard problems. Beside the psychological obstacles connected with the fear of ‘‘playing God" and the awe with which we hold the process of the creation of human beings, there are three philosophical problems which are the main subject of the article:1. The logical problem of circularity: the morality of experimenting on embryos is dependent on the status of the embryo, which in (...) turn is partly decided by experimentation.2. The metaphysical problem: experiments are justified by the benefits they bring to human subjects; but it is doubtful whether an early embryo is a ‘‘subject" and whether coming into being is a ‘‘benefit".3. The moral problem: the standard constraint on medical experiments is that they benefit either the individual subject or at least members of a relevantly defined group of patients suffering from the same syndrome. But embryo experimentation is often associated with potential cure to people of a completely different category .Finally, the article discusses the limits of the force of philosophical arguments in the formation of actual policies for regulating such practices as experimenting with embryos. The widely‐shared fourteen‐day limit is shown to be a sound practical compromise despite the difficulties in justifying it philosophically. (shrink)

Can one reject copyright law and be a qualified observer of its dispositives? This question was taken up by Bertolt Brecht in an intriguing essay concerning the litigation surrounding the film adaptation ofThe Threepenny Opera(1928). Brecht here develops an experimental observation around the nature of film adaptation and cultural production in copyright. While an experimental approach to law was in itself a subversive gesture, the specific legal process enabled him to expose the paradoxical ways in which the copyright system worked.

This chapter contains sections titled: Two Concepts of Experience The Matrix of Experience The Work of Thought Re‐Making Experience References.

Beyond the well‐known ethical issues involved in medical experimentation on human subjects, experimenting with embryos raises unique and particularly hard problems. Beside the psychological obstacles connected with the fear of ‘‘playing God" and the awe with which we hold the process of the creation of human beings, there are three philosophical problems which are the main subject of the article:1. The logical problem of circularity: the morality of experimenting on embryos is dependent on the status of the embryo, which in (...) turn is partly decided by experimentation.2. The metaphysical problem: experiments are justified by the benefits they bring to human subjects; but it is doubtful whether an early embryo is a ‘‘subject" and whether coming into being is a ‘‘benefit".3. The moral problem: the standard constraint on medical experiments is that they benefit either the individual subject or at least members of a relevantly defined group of patients suffering from the same syndrome. But embryo experimentation is often associated with potential cure to people of a completely different category.Finally, the article discusses the limits of the force of philosophical arguments in the formation of actual policies for regulating such practices as experimenting with embryos. The widely‐shared fourteen‐day limit is shown to be a sound practical compromise despite the difficulties in justifying it philosophically. (shrink)

BackgroundHospitals face a disclosure dilemma when large-scale adverse events affect multiple patients and the chance of harm is extremely low. Understanding the perspectives of patients who have received disclosures following such events could help institutions develop communication plans that are commensurate with the perceived or real harm and scale of the event.MethodsA mailed survey was conducted in 2008 of 266 University of Washington Medical Center (UWMC) patients who received written disclosure in 2004 about a large-scale, low-harm/low-risk adverse event involving an (...) incomplete endoscope cleaning process. The survey measured patients’ satisfaction with this disclosure, their concerns about healthcare outcomes, and their recommendations for future communication, given similar circumstances.ResultsSurveys were received from 127 of 266 (48 percent) of eligible respondents; 98 percent thought that UWMC was right to inform them about this event, and mean satisfaction with the disclosure was 7.7 on a 0 to 10 scale. Of the 127 respondents, 64 percent were somewhat or very concerned that the endoscope cleaning problem might cause them health problems; 60 percent reported their impressions of UWMC’s honesty and integrity had increased; 31 percent said their perceptions of the quality of care had increased; 94 percent agreed that institutions should tell patients about any error in their care, even when the risk of harm was low, although 28 percent agreed that such notifications would make them anxious. Respondents who reported concern that the event could cause them health problems were less likely to be satisfied with the institution’s disclosure. Patients cited their right to know information material to their own health and healthcare as an important reason for disclosure.ConclusionRecipients of disclosure of a large-scale, low-harm/low-risk event overwhelmingly supported being told of the event and endorsed notification of patients for similar events in the future. Although informing patients may cause concern for some, institutions should ensure their disclosure policies and procedures reflect their patients’ preferences. (shrink)

We provide an overview of the characteristics of those who have gained insurance coverage due to the ACA as well as the characteristics of the remaining uninsured. We also describe the implications for the broader sharing of health care risks required under the law, and how they vary by individuals' health status. Finally, we assess the implications of state decisions to expand or not expand Medicaid eligibility under the law, how those decisions affect state finances, health care providers, residents, and (...) how the effects may vary for those states using waivers to expand eligibility using strategies designed to be more broadly politically acceptable. (shrink)

The Covid-19 virus appeared very fast around the globe and caused many damages to all of us. It caused many troubles in different fields such as: economics, business, factories, education etc. Many institutions around the world faced challenges and tried to find solutions. But the most difficult challenge was about online teaching; most of the countries suggested many strategies and methods to teach students and learners through distinctive materials and online platforms. It was suggested to use online programs as Google (...) Classroom, Google Meet, Skype, Zoom and many other technological tools in order to help learners to continue with their studies. Using online platform in our country was very demanding because of many factors that influenced all of us. Although many teachers from different schools used many devices during the pandemic, ZOOM was the main one. Teachers had different experiences and challenges during their teaching process through online platforms. They had many problems especially in the assessment and evaluation part; it was very difficult to evaluate learners through technology instruments and grading them correctly. This study is about teachers’ experience with the ZOOM platform, to discover if teachers had difficulties with online teaching during the pandemic. This case study's outcomes present valuable information to the teachers and future researches because there is a limited number of studies in this field. (shrink)

Background Equitable care is a fundamental value in the nursing profession. Healthcare workers have both a moral and professional duty to ensure that they do not discriminate. Aim This study aimed to explore how patients perceive equitable nursing care. Research design, participants, and research context This descriptive phenomenological qualitative research study used purposeful sampling to select 17 patients from various departments of a general hospital in southern Iran. The participants were then interviewed using a semi-structured in-depth interview format, which aimed (...) to delve into their experiences with equitable nursing care. The collected data were analyzed using Colaizzi's seven-step method and MAXQDA20 software. Ethical considerations Oral and written information about the study was provided before the participants gave their written consent. The transcribed interviews were de-identified. The study was approved by the Ethics Committee of Jiroft University of Medical Sciences. Findings The data analysis of the study identified three main themes and six subthemes that were related to the experiences of patients with equitable nursing care. The first theme, equitable care, encompassed subthemes such as nurses’ dedicated efforts to facilitate patient recovery and adherence to ethical behavior. The second theme, unconscious causes of inequitable nursing care, included subthemes such as unintentional discrimination stemming from organizational constraints and unconscious biases resulting from a lack of knowledge and skills. The third theme, discriminatory care, comprised subthemes such as deliberate discrimination based on personal traits and selective discrimination. Conclusion The study findings indicate that achieving equitable nursing care requires a multifaceted approach. This includes effective hospital management, organizational reforms, and regulatory enhancements. Additionally, it is crucial to pay close attention to the needs of patients, enhance nurses’ theoretical and practical skills in providing equitable care, fostering a culture of equality within healthcare settings, and consider the personality dimensions and moral characteristics of nurses. (shrink)

This article is about recent attempts by scholars, database practitioners, and curators to experiment in theoretically interesting ways with the conceptual design and the building of databases, archives, and other information systems. This article uses the term ‘‘archive’’ as an overarching category to include a diversity of technologies used to inventory objects and knowledge, to commit them to memory and for future use. The category of ‘‘archive’’ might include forms as diverse as the simple spreadsheet, the species inventory, the computerized (...) database, and the museum. Using this protean concept, this study suggests that we are currently witnessing a time where close convergences are occurring between social theory and archive construction. It identifies a ‘‘move’’ toward exposure of the guts of our archives and databases, toward exposing the contingencies, the framing, the reflexivity, and the politics embedded within them. Within this move, the study examines ways in which theories of performance and emergence have begun to influence the way that archives of different kinds are conceived and reflects on the role of Science and Technology Studies scholars in their construction. (shrink)

Este artículo trata de investigar si es posible que se produzca una emoción partiendo solo de su expresión, y no de un estímulo. Para ello se analizarán algunos trabajos de autores como William James, Francisco Alcayde y Vilar o la psicóloga chilena Susana Bloch. Todos ellos han tratado de demostrar que la expresión de una emoción puede conducir al sujeto a experimentarla. Sin embargo, estas tesis cometen el error de abolir el pensamiento del sujeto, otorgándole una especial importancia a la (...) parte física que diferencian de la que podríamos llamar la parte mental. This article intends to investigate whether an emotion can be born from their expression, and not of an external stimulus. For this reason, I will analyze some works of authors such as William James, Francisco Alcayde and Vilar and Susana Bloch. All of them have tried to show that the expression of an emotion leads a person to experience that emotion. However, these theories are not correct because they invalidate the thinking of the self, and they give special importance to the physical part which they distinguish from what we might call the mental part. (shrink)

Gestational surrogacy as a treatment for infertility is being practised in some well-known medical institutions in Tehran and some other cities in Iran. While the majority of Muslims in the world are Sunni, the majority of Iranians are Shiite. Most Sunni scholars do not permit surrogate motherhood, since it involves introducing the sperm of a man into the uterus of a woman to whom he is not married. Most Shiite scholars, however, have issued jurisprudential decrees (fatwas) that allow surrogate motherhood (...) as a treatment for infertility, albeit only for legal couples. They regard this practice as transferring an embryo or fetus from one womb to another, which is not forbidden in Shiite jurisprudence. Nevertheless, there are some controversies concerning some issues such as kinship and inheritance. The main ethical concern of Iran’s experience with gestational surrogacy is the monetary relation between the intended couple and the surrogate mother. While monetary remuneration is practised in Iran and allowed by religious authorities, it seems to suffer from ethical problems. This article proposes that this kind of monetary relation should be modified and limited to reimbursement of normal costs. Such modification requires new legislation and religious decrees. (shrink)

Psychologists’ relationship with introspection is much like that between men and women: it is on again, off again and psychologists often feel they can neither live with introspection nor without it. In their often compelling article, Jack and Roepstorff argue that the fertility of the field depends on psychologists reuniting with the practice of introspection [1]. They suggest that, although reluctant to admit it, psychologists have been carrying on a surreptitious relationship with introspection that they should come clean and admit. (...) Although mindful that challenges exist, Jack and Roepstorff suggest that psychologists can safely embrace introspection and spawn important new insights. I am sympathetic to Jack and Roepstorff ’s attempt to mend the divisions.. (shrink)

This chapter explores how perspectives on science drawn from Indian experiences can contribute to the interface between history and philosophy of science (HPS) and science education (SE). HPS is encoded in science texts in the various presuppositions that underlie both the content and the way the content is presented. Thus, a deeper engagement with contemporary work in HPS will be of great significance to science teaching. By drawing on the notion of multicultural origins of science as well as redefining the (...) nature of science debate by invoking the Indian engagement with science, this chapter aims to make both HPS and SE more sensitive to other cultural understandings of science and scientific method. The last two sections describe ways of drawing on the Indian philosophical traditions that could be relevant for contemporary debates, such as constructivism and teaching critical thinking, in science education. (shrink)

Critical care society guidelines recommend that ethics committees mediate intractable conflict over potentially inappropriate treatment, including Do Not Resuscitate status. There are, however, limited data on cases and circumstances in which ethics consultants recommend not offering cardiopulmonary resuscitation despite patient or surrogate requests and whether physicians follow these recommendations. This was a retrospective cohort of all adult patients at a large academic medical center for whom an ethics consult was requested for disagreement over DNR status. Patient demographic predictors of ethics (...) consult outcomes were analyzed. In 42 of the 116 cases, the patient or surrogate agreed to the clinician recommended DNR order following ethics consultation. In 72 of 74 of the remaining cases, ethics consultants recommended not offering CPR. Physicians went on to write a DNR order without patient/surrogate consent in 57 of those cases. There were no significant differences in age, race/ethnicity, country of origin, or functional status between patients where a DNR order was and was not placed without consent. Physicians were more likely to place a DNR order for patients believed to be imminently dying. The median time from DNR order to death was 4 days with a 90-day mortality of 88.2%. In this single-center cohort study, there was no evidence that patient demographic factors affected ethics consultants’ recommendation to withhold CPR despite patient/surrogate requests. Physicians were most likely to place a DNR order without consent for imminently dying patients. (shrink)

Is there anything like an experiment in mathematics? And if this is the case, what would distinguish a mathematical experiment from a mathematical thought experiment? In the present paper, a framework for the practice of mathematics will be put forward, which will consider mathematics as an experimenting activity and as a proving activity. The relationship between these two activities will be explored and more importantly a distinction between thought-experiments, real experiments, quasi experiments and proofs in pure mathematics will be provided. (...) To do so, three examples of experimenting with triangles will be introduced and discussed. (shrink)