Objective: Previous research suggests a positive association between pain, depression and sleep. In this study, we investigate how sleep correlates with varying levels of pain and depression in nursing home patients with dementia.Materials and methods: Cross-sectional study with sleep-related data, derived from two multicenter studies conducted in Norway. We included NH patients with dementia according to the Mini-Mental State Examination from the COSMOS trial and the DEP.PAIN.DEM trial whose sleep was objectively measured with actigraphy. In the COSMOS trial, NH patients (...) were included if they were ≥65 years of age and with life expectancy >6 months. In the DEP.PAIN.DEM trial, patients were included if they were ≥60 years and if they had depression according to the Cornell Scale for Depression in Dementia. In both studies, pain was assessed with the Mobilization-Observation-Behavior-Intensity-Dementia-2 Pain Scale, and depression with CSDD. Sleep parameters were total sleep time, sleep efficiency, sleep onset latency, wake after sleep onset, early morning awakening, daytime total sleep time and time in bed. We registered use of sedatives, analgesics, opioids and antidepressants from patient health records and adjusted for these medications in the analyses.Results: Mean age was 86.2 years and 76.3% were female. Hierarchical regressions showed that pain was associated with higher TST and SE, less WASO and more DTS. More severe dementia was associated with more WASO and TiB. More severe depression was associated with less TST, less DTS and less TiB. Use of sedative medications was associated with less TiB.Conclusion: When sleep was measured with actigraphy, NH patients with dementia and pain slept more than patients without pain, in terms of higher total sleep time. Furthermore, their sleep efficiency was higher, indicating that the patients had more sleep within the time they spent in bed. Patients with more severe dementia spent more time awake during the time spent in bed. Furthermore, people with more severe depression slept less at daytime and had less total sleep time Controlling for concomitant medication use did not affect the obtained results. (shrink)

The essay attempts to delineate how Maurice Merleau-Ponty’s phenomenology of perception can be applied to theories of sign processes, and how it reworks the framework of the phenomenalist conception of communication. His later philosophy involved a reformulation of subjectivity and a resolution of the subject/object dualism. My claim is that this non-reductionist theory of perception reveals a different view of nature as we experience it in an expressive and meaningful interaction. The perspective that another living being has and communicates entails (...) a form of depth, the invisible dimension of the visible or audible. These two aspects of perception and dialogue are intertwined in a dialectic of presence and absence, so that sense arises in the perceptual field rather than in subjectivity. This, I argue, is the most fundamental result of his theory. The origination of meaning in the workings of the chiasm of visible and invisible in perception opens up an objective sense of intersubjective nature. The essay also deals with the role of the phenomenological reduction; a suspension of beliefs and existence claims in experience. The reduction enables us to take a step back and look more closely at our understanding of nature in light of the historical and cultural influence on our thinking. (shrink)

Slavery, which is thought to have existed since the appearance of mankind in stage of history, has developed in parallel with the civilization progress of mankind. The altering conditions, particularly the developments in production relations that are based on economic activities, have also shaped slavery. In the Early Ages, slaves were used only in agricultural production, but later on, they were begun to be used in various areas. The developments experienced throughout the history in slavery have followed different courses in (...) every society and every civilization. Slavery, which has possessed differences in geographical context, was shaped by social values and belief systems. Scientific and intellectual developments since 18th century, which is also known as the Age of Enlightenment, have influenced many institutions of societies and caused a change in the institution of slavery as well. The modern and libertarian ideological movements, which developed in the West, spread to the Ottoman State in the 19th century and led to significant shifts in the life of the state and society. Ottoman State followed modern developments in the slavery system and took some measures to ban slavery in its territory, particularly since the Tanzimat era. One of the regions where these measures were taken is the Middle East. Archival documents were used for this study which includes the initiatives of the Ottoman State that tried to terminate the slave trade in the region with various instructions and firmans. According to documents there was an intense effort to block this trade in the Middle East where was an important slave trade area with regard to Ottoman geography. However, despite these hard efforts, it is seen that a complete success regarding blocking slave trade in the Middle East could not be achieved. (shrink)

BackgroundFollowing several landmark rulings and increasing public support for physician-assisted death, in 2016, Canada became one of a handful of countries legalising medical assistance in dying (MAiD) with Bill C-14. However, the revised Bill C-7 proposes the specific exclusion of MAiD where a mental disorder is the sole underlying medical condition (MAiD MD-SUMC).AimThis review explores how some persons with serious and persistent mental illness (SPMI) could meet sensible and just criteria for MAiD under the Canadian legislative framework.MethodsWe review the proposed (...) Bill C-7 criteria (capacity, voluntariness, irremediability and suffering) as well as the nuances involved in separating a well-reasoned request for assisted suicide from what might be solely a manifestation of a SPMI.FindingsIn this paper, we argue against the absolute exclusion of patients with SPMIs from accessing MAiD. Instead, we propose that in some circumstances, MAiD MD-SUMC may be justifiable while remaining the last resort. Conducting MAiD eligibility assessments removes the need to introduce diagnosis-specific language into MAiD legislation. Competent psychiatric patients who request MAiD should not be treated any differently from other eligible candidates. Many individuals with psychiatric disorders will be incapable of consenting to MAiD. The only ethical option is to assess eligibility for MAiD on an individual basis and include as legitimate candidates those who suffer solely from psychiatric illness who have the decisional capacity to consent to MAiD. (shrink)

Data-intensive science comes with increased risks concerning quality and reliability of data, and while trust in science has traditionally been framed as a matter of scientists being expected to adhere to certain technical and moral norms for behaviour, emerging discourses of open science present openness and transparency as substitutes for established trust mechanisms. By ensuring access to all available information, quality becomes a matter of informed judgement by the users, and trust no longer seems necessary. This strategy does not, however, (...) take into consideration the networks of professionals already enabling data-intensive science by providing high-quality data. In the life sciences, biological data- and knowledge bases managed by expert biocurators have become crucial for data-intensive research. In this paper, I will use the case of biocurators to argue that openness and transparency will not diminish the need for trust in data-intensive science. On the contrary, data-intensive science requires a reconfiguration of existing trust mechanisms in order to include those who take care of and manage scientific data after its production. (shrink)

It will be a wrong judgment to consider grave stones as an ordinary tradition. When it is viewed in terms of history, art and culture, it can be seen that especially Turkish grave stones are record drawings that include many types of arts and artists’ labor, shed our culture and history and that is precious and unique. Grave stones are the documents that transfer not only the national culture but also transfer people’s beliefs, problems, fears, sadness and different feelings, who (...) breathe the same air and live in the same places. Because of this reason, grave stones are the cultural features that are shaped according to the differences in culture and decorated with life styles. Of course, Of course, having been applied plenty of traditional Turkish plastic arts on the tombstones, have all contributed to the diversity of tombstones in terms of composition and motifs. Rich craftsmanship of gravestones and sarcophagus in the second Bayezid graveyard is almost like an open air museum that shows Turkish motifs. While scarping was used for making gravestones are scarping, and painting were used as the main decoration tecnique is seen on foot stone with the painting technique, inscriptions of stones were coloured. Most of the inscriptions and decorations are relieved. Decoration subjects seen on gravestones are phytomorphic, geometric, objective and calligraphic. On the other side, these tombstones include wide knowledge about the socio-economic, cultural and regional headgears. When evaluating the information on the inscriptions, it can be obtained knowledge about the health conditions or epidemics in that period. Adolf Ebeling, article titled “Turkish cemeteries” in the 1882 the year Gartenlaube journal, when talking about the importance given to the graves by Turks, to say that the Turkish burial tomb can be an example to the world is no need to say more about it. The thomstones as the verbal means service to rebuilt the material world where the man has saved so far and the culture developing in accordance with this. The written tombstones which were formed by the individuals’ cherishing and remembering desires that the cultural, religious and traditional ones shaped, are the carrier elements of the values wich will provide to understand the sterotype requirements and ideologies within the cultural structure. Looking at the overall structure of the Turkish tombstones form shows major differences in male and female gravestones. In the Turkish tombstone tradition, women's elegance, finesse and beauty is reflected as a form of artwork. In fact, women in the Ottoman Empire, although excluded from the social life in very marginalized, especially in women flashy decorations tombstones, can be considered as an indication value which is given to women but unspoken. Since the tombstones have dates, they hold the distinction of being a document for ethnographic and art works. Moreover, inscribed tombstones are living evidences in order to prove that Turkish people lived in this land and also they have ethnographic value. Therefore, tombstones are important while the histories of cities, villages or boroughs are preparing. In short, tombstones are the common products of the environment that are built, religious beliefs, traditions, art, natural, social and economic conditions of the century. In this case they hold key for our culture history in addition to our art history. In this study, besides the effects of Turkish grave stones on our beliefs and daily lives, fruit patterns on the stones are also examined. The reflections traditional architectural and handicrafts motifs and the religious believes on the Turkish ornament art are explained by the examples chosen among gravestones in İstanbul II. Beyazıt Cemetery. In the colloquial language what fruit motifs mean in folk songs ang manias and how it is reflected on the ornaments of grave stones are investigated. (shrink)

La 4e de couv. indique : "Les réflexions philosophiques se sont relativement peu penchées sur le concept de monde. Hegel et Heidegger ont été influencés par la conception kantienne du monde. Pour différencier le monde de la nature, ils mettent l'accent sur l'aspect historial du monde. Pour Hegel, le monde est d'abord un monde hérité, un ensemble de valeurs morales déjà réalisées, c'est-à-dire que le monde est un « héritage ». Ce monde est, pour Heidegger, le monde ambiant, et pour (...) Hegel, le monde engendré ou la « seconde nature ». Pour tous deux, ce monde est historial. Cependant, bien que le monde engendré soit créé par la société, la politique, la religion, le monde ambiant est un monde du Dasein quotidien.". (shrink)

Consists of a description of a multitude of imagery techniques that have been loosely grouped into four major categories: hypno-behavioral, cognitive-behavioral, psychodynamic/humanistic and humanistic/transpersonal.

The Game of Thrones Tapestry is a hand-woven and hand-embroidered tapestry which depicts key moments from the HBO TV series Game of Thrones in the style of the Bayeux Tapestry. By analysing particular aspects of its imagery and materiality, the article states that the Game of Thrones Tapestry confirms the way that the Middle Ages are also depicted in the TV series as a time of brutality, barbarism and permeable grotesque bodies, or in short, as the contrast to Modernity. With (...) reference to Art historian Hans Belting’s image theory, it is suggested that one way in which the tapestry confirms this idea of the Middle Ages is through the properties of its medium because as a symbolic body it resembles the Grotesque Body by being permeable and transformable. Because of the tapestry’s ability to mediate the conception of the Middle Ages that characterises the fictional world of Game of Thrones in general, the article proposes that the tapestry can be regarded as a very suitable medium for the images of Game of Thrones which may also explain why this tapestry was created. (shrink)

There is a growing recognition that victims of injustice may have privileged access to knowledge about the injustices they experience, and that injustices are perpetuated through silencing victims by taking them to be less credible, and through denying them the platform and capacity to speak. However, these are not ideas that political philosophers tend to engage with in a sustained manner, to the extent that they alter methodological approaches to be systematically attentive to victim testimony. In this article, I provide (...) two arguments in favour of political philosophers attending to victim testimony, one moral, one epistemic, and demonstrate that the moral case has little purchase, but that the epistemic case is more successful. Then, I present the strongest case against including victim testimony in political philosophy, and I argue that it does not hold up to scrutiny. In so doing, I demonstrate how methodological practices in political philosophy could be improved through drawing on feminist social epistemology; attending to victim testimony can enrich political philosophy in epistemically acceptable ways, and it also corrects for a range of potential biases. (shrink)

In this paper I present a problem for the Marxist idea of false consciousness, namely how it is vulnerable to accusations of dogmatism. I will argue that the concept must be further developed if it is to provide a plausible tool for systematic social analysis. In the second half of the paper I will show how this could be done if the account of false consciousness incorporates Shaun Gallagher’s theory of the socially extended mind. This is a theory that explores (...) how the mind expands towards external objects and systems. I will conclude that it helps to reinstate false consciousness as a reliable tool for the analysis of cognitive dynamics within power structures. (shrink)

In recent years, there have been an increasing number of attempts by analytic philosophers to engage with key insights of Critical Theory. While this has had some success within feminist philosophy, and in epistemology, with the emergence of political epistemology as a significant and productive subfield, analytic political philosophers have generally not explored what lessons can be learnt from attempting to bridge the disciplinary divide. In this chapter, I provide what I take to be the clearest explanation for this, namely (...) the dominance of Rawlsianism within analytic political philosophy. Moreover, I argue that in its refusal to engage with core tenets of Critical Theory, Rawlsian political philosophy can be exploited as the mouthpiece of dominant ideologies. However, this is not a charge against analytic political philosophy in general, insofar as analytic political philosophers are willing to engage with Critical Theory, at the cost of dismissing Rawlsianism. -/- . (shrink)

EMBARGOED - expected end date 20.05.2024.

Les discours de la morale à l’époque moderne exigent d’être pensés aux confins d’une anthropologie des moeurs, de l’histoire et de la philosophie, de l’épistémologie et de la littérature. C’est ce qu’ont mis en lumière les recherches contemporaines portant aussi bien sur l’histoire des mentalités et sur les rapports entre anthropologie et littérature que sur la dimension éthique des pratiques artistiques et la pensée morale. Dans ce contexte, comment aborder la réflexion morale sous l’Ancien Régime sans s’intéresser à ses fondements (...) philosophiques, aux différentes définitions dont elle fait l’objet ou à ses prolongements artistiques et littéraires? Théologiens, philosophes, moralistes, artistes, hommes et femmes de lettres sont autant de figures de la République des Lettres qui prennent la plume pour interroger la topique des vices et des vertus, qui échappent progressivement au domaine religieux pour investir celui de la philosophie et devenir ainsi l’objet d’un questionnement général sur l’homme et sur l’idée d’humanité. Ces actes du onzième colloque « Jeunes chercheurs du CIERL « proposent un regard critique sur la frontière entre vice et vertu : d’une laïcisation à une relativisation de la morale, elle semble se faire de plus en plus ténue et poreuse, donnant ainsi à voir les effets de tension qui parcourent la réflexion morale, et ce, dès la Renaissance. (shrink)

This article is about the signs during the creative stage of one’s self-development. With the acceptance of the creative act as an existential phenomenon, the research considers the creative process as a genuine expression that has been actualized during one’s search for his/her existence. An artist reflects his/her existential being through his/her work to construct an original self, by facing the world and within the struggle to construct the new self that stands beyond confusion. Tarasti’s philosophical approach to “existential semiotics” (...) will be applied to the existential being of the artist Alev Ebuzziya Siesbye, and her creative act will be analyzed by means of the modalities, the semiotic square of being/doing, and the sign processes evident in the field of art. Siesbye’s existential personality and creative acts have been discussed by looking at what she has done in terms of her attitude on clay; her position in the contemporary art world and her artistic interrogations has been discussed in the existential being of the artist with the existential signs. (shrink)

Vivemos num mundo marcado por divisões de ordem religiosa, política, geográfica, cultural, de gênero, social e de outras naturezas inúmeras. A vida humana se dá nesse universo dividido. O ecumenismo consiste numa disposição de aproximação e caminhada conjunta entre diferentes Igrejas a fim de que diferenças não tenham que ser sinônimo de divisão, mas de pluralidade e fonte de riqueza para quem se dispõe a construir a Unidade. Palavras-chave: Ecumenismo; Cristianismo; Diálogo; Unidade; Pluralidade; Igrejas. ABSTRACT We live in a world (...) marked by divisions of a religious, political, geographical, cultural, gender and social order, to mention a few. Human life takes place in this divided universe. Ecumenism consists of a willingness of various Faiths to approach each other and march together so that differences do not mean division, but plurality and a source of richness to those who wish to construct Unity. Key words: Ecumenism; Christianity; Dialogue; Unity; Plurality; Churches. (shrink)

Human security is being threatened as a consequence of climate change. However, the human security paradigm still needs to be addressed as a cause and effect of environmental degradation. Therefore, this article aims to comprehend the impacts of climate change in fragile states regarding food security and human development. The article is a comparative case study of the five most vulnerable countries in Africa: Somalia, South Sudan, Central African Republic, Sudan, and Congo (Dem. Republic). This research contends that climate change (...) is detrimental to the agricultural sector and effects economic growth and basic human needs. Moreover, it is threatening human development due to food and water shortages. This scenario also triggers conflicts among the vulnerable populations of fragile states, disrupting food availability and people’s access. This article suggests that international measures connecting environmental degradation and human security must be implemented in order to improve the quality of life in Africa. Also, long-term nation-building is required to address human security issues present in all five countries. (shrink)

The three Ōtani Expeditions (1902–1914) constitute the first non-Western attempt to carry out systematic research in Central Asia. The mastermind behind these Japanese enterprises was Ōtani Kōzui, the 22nd lord-abbot of the Western Honganji temple in Kyoto and the patriarch of the Honpa Honganji denomination of the Jōdo Shinshū sect, which was and remains the largest Buddhist community in Japan. Kōzui’s position as a monk during the period the expeditions were carried out reveals his religious motivation as the planner and (...) sponsor of these research trips. Inspired by the 7th century traveler-monk Xuanzang, the main purpose of the Ōtani Expeditions was therefore to find the routes through which Buddhism had passed before reaching Japan. This is what makes them unique when compared with other exploration missions. (shrink)

The three Ōtani Expeditions (1902–1914) constitute the first non-Western attempt to carry out systematic research in Central Asia. The mastermind behind these Japanese enterprises was Ōtani Kōzui, the 22nd lord-abbot of the Western Honganji temple in Kyoto and the patriarch of the Honpa Honganji denomination of the Jōdo Shinshū sect, which was and remains the largest Buddhist community in Japan. Kōzui’s position as a monk during the period the expeditions were carried out reveals his religious motivation as the planner and (...) sponsor of these research trips. Inspired by the 7th century traveler-monk Xuanzang, the main purpose of the Ōtani Expeditions was therefore to find the routes through which Buddhism had passed before reaching Japan. This is what makes them unique when compared with other exploration missions. (shrink)

The first aim of the study was to identify when deliberate self-harm behavior ceased in patients with borderline symptoms undergoing dialectical behavioral treatment. The second aim was to compare patients who ceased their self-harm behavior early or late in the course of treatment, with regard to demographics, comorbidity, and symptom severity. The study used a naturalistic design and included 75 treatment completers at an outpatient DBT clinic. Of these 75 patients, 46 presented with self-harming behavior at pre-treatment. These 46 participants (...) where split into two groups, based on median amount of time before ceasing self-harm behavior, termed early and late responders. Treatment duration varied from 16 to 160 weeks. Patients were assessed pre- and post-treatment using measures of depression, hopelessness, personality traits, quality of life, and global assessment of symptoms and functioning. The majority ceased their self-harming within the first year, and the average number of weeks was 15.5. Twenty-five percent of patients ceased their DSH behavior during the first week of treatment. For the remaining patients, the cessation of DSH continued gradually across a 1 year period. We found no differences between early and late responders with respect to demographics, comorbidity, symptom severity, or treatment outcome. None of the patients committed suicide. The findings indicate that self-harming behavior decreases gradually across the first year after starting DBT. (shrink)

This article seeks the possibility of a genuine ethical dialogue based on Gadamer’s notion of a “fusion of horizons”. For Gadamer, the human being is blessed with the unique ability to understand, and understanding is modelled on the act of conversation in which we engage with others. The fact that different points of view of dialogue partners merge in the process of understanding leads them to a better and mutual understanding, which is a fusion of horizons. For some of Gadamer’s (...) critics, in the fusion, the more dominant horizon assimilates the other, which is why Gadamer’s notion of understanding seems to be unethical. To avoid this misinterpretation of the process of understanding, I will interpret Gadamer’s notion of understanding as the fusion of horizons based on his analysis of the concepts of “dialogue” and “play” (Spiel). By doing that, I aim at showing that Gadamer’s notion of the fusion of horizons is a dynamic process and that the latter requires an “openness” of participants to each other, which leads their encounter toward a genuine ethical dialogue. (shrink)

Bu makalede 16. yüzyılın sonlarında Osmanlı hareminde güçlü bir konuma gelen Kethüdâ Canfedâ Hatun’un inşa ettirdiği mimari eserler ele alınmıştır. III. Murad döneminde (1574-1595) haremin en etkin kadın banilerinden birisi olan Canfedâ Hatun’un İstanbul ve İzmit’te cami, sıbyan mektebi, hamam, çeşme, köprü, su sarnıcı gibi farklı türden yapılar inşa ya da ihya ettirdiği görülmektedir. Canfeda Hatun’un ihya ettirdiği Mimar Ayas Camii ve inşa ettirdiği Saraçhane Sebili günümüze ulaşamamıştır. Gedikpaşa’daki çeşme ise ikinci bir bani tarafından yeniden inşa edilmiştir. Makalede Canfedâ Hatun’un (...) inşa ettirdiği eserlerin mevcut durumları, mimari ve süsleme özellikleri, zaman içerisindeki değişimleri ve geçirdikleri onarımlar fotoğraflar, çizimler ve arşiv belgeleriyle ortaya konulmaya çalışılmıştır. Yapılar benzer örneklerle karşılaştırılarak mimari ve süsleme unsurları açısından değerlendirilmiştir. Bu amaç doğrultusunda öncelikle Canfedâ Hatun’un hayatına ve Osmanlı Mimarisi’nde kadın bânilere dair bilgiler verilmiştir. (shrink)