Globalization challenges the state-centric realist view of space and authority within International Relations. Using multifaceted concepts of territoriality and non-territoriality, this article goes into three versions of current territorial fragmentation or connectivity – deterritorialization, extraterritorialization and reterritorialization. They are to enable us to reveal the proliferation of globally relevant social and power dynamics above, below and within the state domain. At the same time, they are to illuminate the ambivalent role of states played in an era of global interconnectedness.

BackgroundContemporary medical practice is complicated by many dilemmas requiring ethical sensitivity and moral reasoning.ObjectiveTo investigate physicians’ experience in ethical decision-making and their attitude towards ethics consultation.MethodsIn a cross-sectional survey 126 physicians representing the main clinics of Pleven University hospital were investigated by a self-administered questionnaire. The following variables were measured: occurrence, nature and ways of resolving ethical problems; physicians’ attitudes towards ethics consultation; physicians’ opinions on qualities and skills of an ethics consultant, and socio-demographic characteristics. Data analysis included descriptive statistics, (...) χ2 and t-test.ResultsResponse rate was 88.9% (n = 112). Men and women were equally represented (48.2%–51.8%). The sample consisted of experienced physicians: 42.9% had 11–20 years experience, and 33% had 21–30 years. According to 84.8% of respondents, ethical problems have been discussed in their specialty. Predominant dilemmas included relationships with patients and relatives (76.8%) and team work (67.6%). Over ¾ of physicians needed an advice in solving ethical problems. Ninety six percent responded positively to ethics consultation. They would mainly request it for resolving conflicts (72.5%), and in case of concern for the rightness of their decisions (52.7%). The image of an ethics consultant was built of clinical competence (70.9%), ability to deal with conflicts (59.1%), communication skills (58.2%), tolerance for different views (55.4%), and a special qualification in ethics (52.7%).ConclusionsThe study underlined that Pleven University hospital physicians face similar ethical dilemmas as their colleagues in other countries do. The expressed positive attitudes to ethics consultation should serve as a basis for further research and development of ethics consultation services. (shrink)

Although clinical ethics consultation has existed for more than 40 years in the USA and Europe, it was not available in Bulgaria until recently. In introducing clinical ethics consultation into our country, the Modular, Ethical, Treatment, Allocation of resources, Process methodology has been preferred because of its potential to be used in resource-poor settings and its strong educational function. This paper presents the results of a METAP evaluation in a hospital palliative care ward in the town of Vratsa. The evaluation (...) was based on Beauchamp and Childress’ four principles of biomedical ethics and involves implementation of specific instruments for clinical ethics decision-making. Research tasks emphasised analyses of ethics meetings in the ward. Data were processed by SPSS v.24 using descriptive statistical analysis. Altogether, 32 ethics meetings of an average duration 20.63 min were conducted on cases involving critically ill patients. Most of the participants expressed satisfaction with the ethics process. The principlist approach supported resolution of conflicts between autonomous patients and their relatives, clarified definitions of “medical benefit” and “social good,” and enabled assessments of the risk of unequal treatment. Even as the specific research tasks were achieved, further participant follow-up is necessary to identify any improvement in healthcare personnel’s ethical competence. METAP worked well in end-of-life care settings. Participants experienced several benefits, including improved team communication, better understanding of patient preferences, and confidence in the correctness of decisions. Despite the significant educational potential of METAP, the need for additional and ongoing ethics training of health professionals should not be underestimated. (shrink)

BackgroundOver the years, Bulgarian bioethics has been mainly an academic enterprise and fallen short of providing health professionals with skills for ethical decision-making. Clinical ethics support (CES) was piloted by the author through two bottom-up models – METAP (Modular, Ethical, Treatment, Allocation of resources, Process) and MCD (Moral Case Deliberation).AimsThis paper aims to present and analyse developments in the area of clinical ethics and the first experiences in CES in Bulgaria.MethodologyThe project reported here included a review of relevant literature on (...) CES methods and evaluation and a documentary review of data from two CES pilot projects: METAP and MCD.ResultsMost of the 69 METAP ethics meetings reviewed were first time meetings (88,4%); the average duration was 36 min and the average number of participants was four (44,9%). The meetings were organized in response to cases of severely or critically ill patients. The ethical dilemmas included choice of treatment (31,9%) and conflicts with the patient or their relatives (23,2%). Consensus was achieved in 34,8% of the cases. The situation was clarified with the patient (27,5%) and within the team (15,9%). The rights and obligations of both sides were discussed in 7,2% of the cases. The experience of the members of the Bulgarian Association of Bioethics and Clinical Ethics (BABCE) with MCD was also presented to justify the inference about the applicability of the two CES models in a Bulgarian context.ConclusionAmong Eastern European countries Bulgaria has made progress in CES. Both METAP and MCD have been found to be useful methods. (shrink)

For a non-zero natural number n, we work with finitary $$\Sigma ^0_n$$ -formulas $$\psi (x)$$ without parameters. We consider computable structures $${\mathcal {S}}$$ such that the domain of $${\mathcal {S}}$$ has infinitely many $$\Sigma ^0_n$$ -definable subsets. Following Goncharov and Kogabaev, we say that an infinite list of $$\Sigma ^0_n$$ -formulas is a $$\Sigma ^0_n$$ -classification for $${\mathcal {S}}$$ if the list enumerates all $$\Sigma ^0_n$$ -definable subsets of $${\mathcal {S}}$$ without repetitions. We show that an arbitrary computable $${\mathcal {S}}$$ (...) always has a $${{\mathbf {0}}}^{(n)}$$ -computable $$\Sigma ^0_n$$ -classification. On the other hand, we prove that this bound is sharp: we build a computable structure with no $${{\mathbf {0}}}^{(n-1)}$$ -computable $$\Sigma ^0_n$$ -classifications. (shrink)

In this article, I will look at violence from a different perspective – that is, violence regarded as beautiful. For too long, this perspective has been neglected, considered taboo, and it is precisely due to the controversial character of what the word represents, and to the double standards used when considering it. Namely that, violence can also be a means of expression in art and sports, emphasizing the qualities of the artist or athlete, as well as having an aesthetic and (...) ethical significance. Such violence, of course, needs to be kept within certain limits and subjected to rules. And, as it turns out, sports rules legitimize violence and make it “beautiful”. (shrink)

Cet article étudie les moyens d’argumentation dans les lettres familières rédigées par les apprenants sinophones du français langue étrangère de niveau B2. Les lettres sont contrastées à celles des francophones et des sinophones natifs représentant un groupe de contrôle. Les résultats montrent certains contrastes entre les groupes des natifs. Quant aux apprenants, on voit qu’ils utilisent en partie les mêmes stratégies argumentatives que les francophones, mais on atteste également des influences de leur langue maternelle dans le choix des procédés persuasifs.

This paper aim is to compare the different policies regarding women in sports and their criticism from the so-called “sporting feminismˮ. In sports, as a miniature world, we can clearly see the inconsistencies between political goals and the philosophical theories behind them. The study traces chronologically the emergence of different feminist views that emerged in response to existing policies policies purporting to be pro-women.. There are polices for the inclusion of women in the so-called “maleˮ professions, and in sports as (...) well. But this inclusion is reduced to carrying out hard and low-paid activities, often excluding women from being able to make independent decisions in their own professional environment. Through the methods of the philosophy of sport, which is an interdisciplinary direction, the article looks for problems, benefits and opportunities regarding the better realization of female athletes. (shrink)