Pulmonary rehabilitation has demonstrated patients’ physiological and psychosocial improvements, symptoms reduction and health-economic benefits whilst enhances the ability of the whole family to adjust to illness. However, PR remains highly inaccessible due to lack of awareness of its benefits, poor referral and availability mostly in hospitals. Novel models of PR delivery are needed to enhance its implementation while maintaining cost-efficiency. We aim to implement an innovative community-based PR programme and assess its cost-benefit. A 12-week community-based PR will be implemented in (...) primary healthcare centres where programmes are not available. Healthcare professionals will be trained. 73 patients with CRD and their caregivers will compose the experimental group. The control group will include dyads age- and disease-matched willing to collaborate in data collection but not in PR. Patients/family-centred outcomes will be dyspnoea, fatigue, cough and sputum, impact of the disease, emotional state, number of exacerbations, healthcare utilisation, health-related quality of life and family adaptability/cohesion. Other clinical outcomes will be peripheral and respiratory muscle strength, muscle thickness and cross sectional area, exercise capacity, balance and physical activity. Data will be collected at baseline, at 12 weeks, at 3- and 6-months post-PR. Changes in the outcome measures will be compared between groups, after multivariate adjustment for possible confounders, and effect sizes will be calculated. A cost-benefit analysis will be conducted. This study will enhance patients access to PR, by training healthcare professionals in the local primary healthcare centres to conduct such programmes and actively involving caregivers. The cost-benefit analysis of this intervention will provide an evidence-based insight into the economic benefit of community-based PR in chronic respiratory diseases. The trial was registered in the ClinicalTrials. gov U.S. National Library of Medicine, on 10th January, 2019. (shrink)

Words change meaning, usually in unpredictable ways. But some words’ meanings are revised intentionally. Revisionary projects are normally put forward in the service of some purpose – some serve specific goals of inquiry, and others serve ethical, political or social aims. Revisionist projects can ameliorate meanings, but they can also pervert. In this paper, I want to draw attention to the dangers of meaning perversions, and argue that the self-declared goodness of a revisionist project doesn’t suffice to avoid meaning perversions. (...) The road to Hell, or to horrors on Earth, is paved with good intentions. Finally and more importantly, I want to demarcate what meaning perversions are. This, I hope, can help us assess the moral and political legitimacy of revisionary projects. (shrink)

Concepts stand at the centre of human cognition. We use concepts in categorizing objects and events in the world, in reasoning and action, and in social interaction. It is therefore not surprising that the study of concepts constitutes a central area of research in philosophy and psychology, yet only recently have the two disciplines developed greater interaction. Recent experiments in psychology that test the role of concepts in categorizing and reasoning have found a great deal of variation, across individuals and (...) cultures, in categorization behaviour. Meanwhile, philosophers of language and mind have investigated the semantic properties of concepts, and how concepts are related to linguistic meaning and linguistic communication. A key motivation behind this was the idea that concepts must be shared across individuals and cultures. With the dawn of experimental philosophy, the proposal that the experimental data from psychology lacks relevance to semantics is increasingly difficult to defend. -/- This volume brings together leading psychologists and philosophers to advance the interdisciplinary debate on the role of concepts in categorizing and reasoning, the relationship between concepts and linguistic meaning and communication, the challenges conceptual variation poses to communication, and the social and political effects of conceptual change. (shrink)

Kaplan (1999) argued that a different dimension of expressive meaning (“use-conditional”, as opposed to truth-conditional) is required to characterize the meaning of pejoratives, including slurs and racial epithets. Elaborating on this, writers have argued that the expressive meaning of pejoratives and slurs is either a conventional implicature (Potts 2007) or a presupposition (Macià 2002 and 2014, Schlenker 2007, Cepollaro and Stojanovic 2016). We argue that an expressive presuppositional theory accounts well for the data, but that expressive presuppositions are not just (...) propositions to be added to a common ground. We hold that expressives, including pejoratives and slurs, make requirements on a contextual record governed by sui generis norms specific to affective attitudes and their expressions. (shrink)

The COVID-19 pandemic has changed the landscape of working conditions world-wide, fast tracking the reality of the digital-driven workplace. Concepts such as remote working, working-from-home and hybrid working models are now considered as the “new normal.” Employes are expected to advance, flourish and survive in this digitally connected landscape. Different age and generational groups may experience this new organizational landscape differently and may expect different organizational outcomes in exchange for their inputs. Accordingly, the study investigated differences regarding the value-oriented psychological (...) contract expectations of employes from different generational groups. An ANOVA test for significant mean differences and a post hoc test for multiple comparisons were conducted on a sample of employes in the services industry in Southern Africa and other European countries. The observed generational cohort differences regarding value-orientated psychological contract expectations for job characteristics and work-life balance could be utilized to develop interventions and strategies to promote retention of employes in the post-pandemic digital-orientated workplace. (shrink)

Italian is a well-known exception to the cross-linguistic generalization according to which `belief' predicates are indicative selectors across languages. We newly propose that languages that select the subjunctive with epistemic predicates allow us to see a systematic polysemy between what we call an expressive-`belief' (featuring only a doxastic dimension) and an inquisitive-`belief' (featuring both a doxastic and an epistemic dimension conveying doxastic certainty (in the assertion) and epistemic uncertainty (in the presupposition)). We offer several previously unseen contrasts proving this distinction (...) and offer a new analysis for mood choice cross-linguistically. We argue that the distinction between expressive and inquisitive attitudes is not an idiosyncrasy of non-factive epistemics. We provide novel data, showing that fictional predicates (dream, imagine) license the subjunctive. We explain the indicative/subjunctive alternation by again appealing to epistemic uncertainty and disentangling expressive from inquisitive-fictional meanings. We thus pave the way for a new typology of attitudes relying on this systematic polysemy and propose new criteria to explain mood distribution cross-linguistically. (shrink)

This chapter first analyzes two texts in the tradition of essays which associate museums with the notion of displacement: Moral Considerations on the Destination of Works of Art, by Quatremère de Quincy, and ‘The Origin of the Work of Art’, by Heidegger. Both authors claim that a work of art is not only a material object but also a centre of practices, values, beliefs, traditions, memories, and so on. I argue that, insofar as a work of art can be the (...) centre of this type of network in a museum, the description of art these authors propose defeats their own claims against museums. In the second part, I suggest that Heidegger's and Quatremère's descriptions of the role of art can be articulated with the help of Donald Davidson's understanding of the interconnection between the material world and human concepts. As Davidson sees it, things and people can only be described in relation to the other particular persons, objects, events and places they are connected to. From this perspective, the subjective, the objective and the intersubjective cannot be grasped independently. Museums stage this interconnection and can, therefore, be regarded as philosophical instruments that may help us describe things and, by extension, also ourselves. (shrink)

En el escenario de la pandemia COVID-19 en 2020 y 2021, el ensayo presenta fragmentos narrativos de encuentros con niños y maestros que se basan en el concepto de acontecimiento. En los espacios tiempos presenciales suspendidos, cuando se interrumpe el ir y venir entre el hogar y la escuela, la pregunta es: ¿De qué otras formas podría suceder? Estas novedades abren posibilidades de adentro hacia afuera, a través de las pantallas de computadoras y teléfonos celulares.

This international series publishes outstanding philosophical monographs and edited volumes about Wittgenstein. Publications may focus on his work as a whole or on specific topics. The series also addresses Wittgenstein's life, his sources, and the impact of his works. The volumes are peer-reviewed and present state-of-the-art Wittgenstein research. German-language contributions will be published in the series Über Wittgenstein, and English-language contributions in the series On Wittgenstein.

Doutrina criteriológica de Lenine.--Reflexões a partir do Materialismo e empiriocriticismo.

Introduction to genericity in the nominal, verbal and sentential domain.

Reciprocal sentences display a variety of interpretations, ranging from ‘strong reciprocity’ to ‘inclusive alternative orderings’. In this interpretation, every element in the reference set participates with some other member in the relation provided by the predicate either as the first or second argument. Current reciprocal theories cannot fully explain why some sentences that satisfy these truth conditions are in fact false and unacceptable, such as ‘#the boys are taller than each other’ or ‘#my mother and I procreated each other.’ The (...) core insight of the paper is that reciprocal sentences are true if they describe a relation that is either actually or possibly strong reciprocal over the reference set, insofar as the possibilities are reasonable. A branching time framework is used, in which a notion of reasonability is defined. We focus on permanent relations, for which we provide a new definition in modal terms. We show that whenever the relation is asymmetric and permanent, each other-sentences are unacceptable. We consider cases in which the relation is asymmetric and non-permanent and the each other-sentences are also unacceptable. We introduce a new modal notion of decidedness, and prove that for asymmetric relations, permanency entails decidedness. Showing how (a)symmetry, (non-)decidedness and (non-)permanency interact and proving that the truth of each other-sentences requires the relation to be either non-asymmetric or non-decided, we ensure a large and previously unattained empirical coverage. (shrink)

In this research, we analyse the impact of the inclusion of ethical expressions in the prospectuses of socially responsible (SR) mutual funds on money flows. We contribute to the existing literature by proposing a text-based measure that integrates three attributes that are relevant to whether clients are attracted: exclusiveness, intensity and lexical diversity. We analyse a sample formed of 266 SR US equity mutual funds in the period 1999–2019. Our findings show that both the proposed indicator and other alternative partial (...) proxies based on textual data have a positive impact on the money flows of the SR funds. This effect is more relevant in the case of SR mutual funds belonging to smaller families. Besides, persistence in money flows is more intense for SR mutual funds that are more attractive because of their ethical expressions. Another finding shows that return-chaser behaviour occurs among all SR investors, independently of the level of text attractiveness of the mutual funds in which they invest, revealing that they take into account both financial and non-financial outcomes. Our results indicate that policymakers should control fund prospectus information, given its importance for investors' decisions. In addition, managers should be especially cautious with the information provided in prospectuses because of its impact on investor decisions. (shrink)

This book provides an up-to-date introduction to the study of generics and pursues the enterprise of the influential Generic Book edited by Gregory Carlson and Jeffry Pelletier, which was published in 1995. Genericity is a key notion in the study of human cognition as it reveals our capacity to organize our perceived reality into classes and to describe regularities. The generic can be expressed at the level of a word or phrase (ie the potato in The Irish economy became dependent (...) upon the potato) or an entire sentence (eg in John smokes a cigar after dinner, the generic aspect is a property of the expression, rather than any single word or phrase within it). This book gathers new work from senior and young researchers to reconsider the notion of genericity, examining the distinct contributions made by the determiner phrase (eg the notions of kind/individual) and the verbal predicate (eg the notions of permanency, disposition, ability, habituality, and plurality). Finally, in connection with the whole sentence, the analytic/synthetic distinction is discussed as well as the notion of normality. The book will appeal to both students and scholars in linguistics, philosophy and cognitive science. (shrink)

Business Ethics: A European Review, EarlyView.

Collective Action, Philosophy and Law brings together two important strands of philosophical analysis. It combines general philosophical inquiry into collective agency with analyses of specific questions about plural entities and activities in the legal domain. These are issues of growing interest in areas of philosophy like action theory and social ontology, as well as in philosophy of law. The book contains thirteen original chapters written by an international team of leading philosophers and legal theorists, and is divided into four clear (...) parts: The nature of law and of legislative intention Practical reasoning and duties Causality, blameworthiness, and responsibility Citizens, states, and institutions. These sections cut across, and build on, different accounts to advance the debate on classical and new issues in collective agency. Each part also features legal-philosophical analyses that draw on general accounts of collective agency to cast new light on the law, descriptive as well as normatively. Collective Action, Philosophy and Law is the first major interdisciplinary and multi-authored work bridging legal and philosophical approaches to collective agency. As such, it is essential reading for students and researchers of philosophy of law, ethics, political philosophy, jurisprudence, and legal theory. (shrink)

Changing paradigms about moving forward -- The notion of progress in the past -- The notion of progress today -- Self-leadership and progress -- Toward a moral compass -- The right thing in pre-millennial context -- The right thing in current context -- Defining and polishing our moral compass -- Moving forward while doing the right thing -- About choice and reality -- Five moral pitfalls to avoid -- Moral theories : some pros and cons -- Five moral handles for (...) every type of decision-making. (shrink)

O artigo apresenta reflexões teóricas sobre a atividade de ensino que se torna práxis bem-sucedida. Essa discussão gira em torno de duas categorias teóricas: atividade e afetação. A atividade, categoria teórica de base marxista, é discutida a partir dos aportes da psicologia sócio-histórica. A categoria afetação é aqui analisada com base na filosofia de Baruc de Espinosa. Realizamos este estudo a partir de pesquisa bibliográfica que tem como objetivo refletir sobre o que contribui para que o professor consiga realizar um (...) ensino capaz de afetar com alegria seus alunos levando ao desenvolvimento de uma práxis bem-sucedida. A pesquisa bibliográfica é realizada a partir dos teóricos da psicologia sócio-histórica, sobretudo Vygotsky e Leontiev. Da filosofia de Espinosa pesquisamos a obra Ética. Os resultados revelam que professores e alunos são sujeitos que se constituem historicamente, a partir de múltiplas mediações. Significados, sentidos e afetações são parte das mediações que constituem professores e alunos envolvidos em atividades de ensino consideradas exitosas. O estudo aprofundado acerca dessas categorias poderá contribuir de forma determinante para que o ensino, como atividade social que se realiza entre pessoas, possa tornar-se um encontro alegre, gerador de afetos que potencializem desejos e aumentem a potência de agir e pensar de professores e alunos, fato que contribui para a emancipação humana. Palavras-chave: Atividade de ensinar. Sentido e significado. Encontros alegres. Afetação. (shrink)

We show that actuality entailments arise with goal-oriented modality only and endorse Belnap’s view of that goal-oriented modals use historical accessibility with a fixed past and an open future. This modal-theoretic assumption allows us to spell out the precise modal-temporal configuration in which the actuality entailment arises and our predictions are borne out by the data, cross-linguistically. We also show that, when any assumption about the identity of worlds at branching point is leveled - which appears to be the case (...) with generic deontic and opportunity modals, the actuality entailments disappear. We also predict that the entailment disappears with prospectivity. Finally, we argue that modal sentences giving rise to actuality entailments are informative, insofar as the contribution of the modality survives as a presupposition that the modal base is non-homogeneous. (shrink)

BackgroundDuring a disaster, nurses face complex ethical challenges because of risky situations. It is necessary to identify trends and ethical issues of nurses in disasters to improve the quality...

In recent years, David Plunkett and Tim Sundell have published a series of interesting articles that made an original use of resources from linguistics and philosophy of language to reply to arguments for legal antipositivism, the thesis according to which moral or value facts are part of what determines what the law is in a given jurisdiction at a given time. Plunkett and Sundell’s strategy for resisting antipositivism appeals to the notion of a metalinguistic negotiation, which incorporates the notion of (...) a metalinguistic or context disagreement. Sundell 2011 had argued that metalinguistic disagreements are a possible component of disputes about evaluative matters. A further notion deployed is that of conceptual ethics, an essential component of metalinguistic negotiations. This paper approaches a crucial concern about the deployment of both notions against disagreement-based arguments for legal antipositivism. Metalinguistic negotiations displace disagreements from the semantic to the metalinguistic level, but do not eliminate the appeal to moral or other normative reasons from legal disagreements. Conceptual ethics purports to be a normative activity, engaged with prescribing ways one ought to think and talk. On a broad understanding of legal reasoning and practice, metalinguistic negotiations and conceptual ethics are an integral part of it, and hence are consistent with evaluative and normative facts being essential to, and constitutive of, the law. Or so this paper argues. (shrink)

"All the chapters in this volume somehow and quite diversely, directly or indirectly, address the relation of Wittgenstein's philosophy, or at least of Wittgenstein- inspired philosophical thought, with scepticism, here generally envisaged as a many-sided tradition and not as a uniform and once for all established theoretical posture.".

Este texto realiza uma revisão de literatura em torno dos principais aspectos que envolvem a construção da cena dissensual em Jacques Rancière, evidenciando como a potência fabulativa da racionalidade ficcional produz momentos quaisquer que perturbam os encadeamentos consensuais de ações, gestos, existências e experiências. A partir da produção de intervalos e liminaridades, é possível reconfigurar temporalidades e espacialidades a fim de desestabilizar e desierarquizar as relações de dominação e propor outros imaginários. O momento qualquer suspende a ordem corriqueira do tempo, (...) redispõe o visível, as ações e as formas como as coisas e os seres aparecem, a maneira habitual de ocupar um espaço, a forma de identificar-se como indivíduo e de inscrever-se nas relações. Assim, a cena de dissenso, tomada como singularidade e como operação a partir da qual se pode produzir momentos de rêverie (devaneio fabulador) que fraturam imaginários consensuais, altera o modo como lemos, vemos e ouvimos o outro e o mundo a nosso redor. Argumentamos que a cena realiza uma desmontagem das explicações previsíveis, deslocando consensos e oferecendo um imaginário antihierárquico e no qual coexistem múltiplos tempos, espaços e existências. (shrink)

Sexual assault examinations consist of a medical evaluation and forensic evidence collection. Usually the patient signs a consent form allowing the examination to occur. Occasionally circumstances exist that render a patient unable to give consent for this examination. Such circumstances include young age, mental health disease, cognitive delay, or drug/alcohol ingestion. This article provides suggestions for developing a policy allowing a sexual assault examination to be conducted without patient consent. A sample of such a policy is provided.

Sexual assault cases are challenging for both the patient and provider, particularly given the emotional and logistic overlays in the majority of these cases. In this article we offer sexual assault programs information and areas for consideration when developing a policy addressing sexual assault examinations on patients who are either incapacitated or otherwise unable to consent to examination. This information is based on our experience in creating and implementing such a policy for our program. We also offer the written policy (...) and associated consent form that we designed.The protocol manual for sexual assault medical forensic examinations authored by the Department of Justice actually recommends that each and every sexual assault nurse examiner program have “internal policies based on applicable jurisdictional statutes governing consent for treatment of vulnerable adult patients. In cases of adolescents, the jurisdictional statutes governing consent and access to the exam should be followed.“. (shrink)

Meu objetivo é tratar a correspondência entre a Princesa Elisabeth e Descartes como um dos momentos propulsores do estabelecimento da moral cartesiano. Procuro mostrar por primeiro, como os temas propostos por Elisabeth se inscrevem no cerne mesmo do caetesianismo, na medida em que uma de suas preocupações era o modo de relação entre aIma e o corpo. Em seguida, será visto como se estabelece nesta correspondência uma reflexão moral com traços estoicos, mas que não prescinde de uma técnica médica, realizando, (...) assim, a totalidade do projeto cartesiano, que se quer comparado à sabedoria, que não dispensa a metáfora da árvore com raízes, tronco, galhos e frutos bem determinados. (shrink)

BREVES PONDERAÇÕES ACERCA DO INSTITUTO DA DELAÇÃO PREMIADA APÓS A LEI Nº 12.850/2013.

This article discusses the polarization of information and knowledge, a phenomenon that is increasingly relevant in different spheres of the contemporary socioeconomic dynamics. According to this notion, founded mainly on the works of Karl Marx, information and knowledge are central elements in the contradictions between capital and labour, as well as in the internal contradictions of the working class. The idea of polarization of information and knowledge offers a critical point of view against the authors who, while trying to grasp (...) the socioeconomic dynamics of our times, are captured by the enchantment of the techno-scientific progress. The article also adopts the Marxian concepts of universal labour and general intellect to argue that information, knowledge, and science are social constructions built collectively and should be treated as common goods. However, currently, the emancipatory perspective of the general intellect envisioned by Marx has been replaced by an opposite tendency: the private appropriation of the general intellect. (shrink)

This article argues that environmental ethics can deemphasize environmental problem-solving in preference for a more exemplarist mode. This mode will renarrate what we admire in those we have long admired, in order to make them resonate with contemporary ethical needs. First, I outline a method problem that arose for me in ethnographic fieldwork, a problem that I call, far too reductively, “solution thinking.” Second, I relate that method problem to movements against “quandary ethics” in ethical theory more broadly. Third, I (...) discuss some interpretive work I am engaged in about Henry David Thoreau and how it bears on the methodological issues my fieldwork raised. I argue that some of the most important icons of right relation to environment, especially Francis of Assisi and Thoreau, should be envisioned as far more politically invested than they usually are. They demonstrate to scholars of religious ethics that an exemplarist ethic focused on character need not neglect politics. (shrink)