Clinical trials for acute conditions such as myocardial infarction and stroke pose challenges related to informed consent due to time limitations, stress, and severe illness. Consent processes shou...

Volume 20, Issue 8, August 2020, Page W12-W13.

Nurse philosopher Sally Gadow (1999) has proposed the relational narrative between patient and nurse as a ‘postmodern turn’ for nursing ethics. She has conceptualized this moral approach as the construction by patient and nurse of a coauthored narrative describing the good they are seeking, as well as the means to achieve this good. The purpose of this article is to provide an elaboration of Gadow's seminal conceptualization of relational narrative based on her writings and those of other philosophers. The article (...) will further develop relational narrative's foundations in relationship and narrative and will explore engagement as a dimension essential to its creation and growth. The elaboration first builds on the notion of relationship as foundational to this postmodern moral perspective. Narrative then is advanced as being at the heart of the patient–nurse relationship and their relational narrative, based on an exploration of narrative's role in the moral realm as an epistemology for patient and nurse. Finally, the dialogic and embodied engagement expressed by a relational narrative is developed as a critical element of the ethic. (shrink)

The art of stained glass: metaphor for the art of nursingThe aesthetic is a way of knowing the meaning of and the meaning in the art of nursing. The art of creating stained glass offers a personal metaphor for nursing's essence; the art of caring. Both arts aim to fulfil the potential of their subjects to achieve a harmony that goes beyond their individual components. Stained glass artistry and caring in nursing require technical expertise, yet technical skill and knowledge are (...) not the substance of either art. Both transcend space and time, and the art of stained glass and the art of nursing are influenced by the artist's/nurse's personal, social and cultural history. Just as die artisan transforms the glass and lead and is transformed in the creative moment, so does the caring transaction transform both patient and nurse. This personal reflection explores the nature of caring in nursing as mirrored by the author's work with stained glass. (shrink)

According to Marr, a computational-level theory consists of two elements, the what and the why. This article highlights the distinct role of the Why element in the computational analysis of vision. Three theses are advanced: that the Why element plays an explanatory role in computational-level theories, that its goal is to explain why the computed function is appropriate for a given visual task, and that the explanation consists in showing that the functional relations between the representing cells are similar to (...) the “external” mathematical relations between the entities that these cells represent. (shrink)

El presente artículo presenta las grandes líneas de la hermenéutica agustiniana de Is 10,23 LXX en sermones ad populum de Agustín de Hipona. En su predicación aparece este locus exegético de la Patrística que se remonta a autores como Ireneo de Lyon y Orígenes de Alejandría. Brevemente veremos cómo aparece la mención y exégesis del texto de Isaías a lo largo de la producción agustiniana, para luego detenernos en la utilización del texto por parte de Agustín en contexto homilético. Nociones (...) de retórica clásica y elementos teológicos mostrarán la finalidad y la riqueza de la ratio interpretandi agustiniana. (shrink)

The article presents the main aspects of the art of accompaniment inspired by the augustinian exegesis of Lk 24:13-35, not without resorting, when necessary, to other relevant texts of the Bishop of Hippo. For this purpose, after a brief introduction which shows the actuality of the theme in the ecclesial sphere, it is briefly presented how Augustine interprets the life of the human being based on the metaphor of the journey and the pilgrimage, and how he conceives them to be (...) a time and a path of harmonious growth. This serves as a framework to offer Augustinian orientations for the art of accompaniment based on his interpretation of Lk 24:13-35. It is shown that Augustine has been little explored as a relevant figure for the Christian tradition of accompaniment. (shrink)

The quality of working conditions have a direct impact on the individuals’ quality of life and level of well-being. Attention to well-being in work environments has become a matter of great interest for legislators. However, the well-being concept has not yet found a legal definition. The first commitment to achieve a global well-being strategy was made by the World Health Organisation. The European Union claims that a positive relationship between work and well-being is a necessary factor to reach greater economic (...) and social progress, since full and quality employment is one of the main elements of economic stability and social cohesion in a country. The Italian regulatory framework consists of various legislative provisions: the importance of the workers’ good health and quality of life has generated a complex regulatory system. In the digital society the potential health risks associated with the use of IT tools and the risk of an increased overlapping between work and personal life should not be overlooked. (shrink)

En la controversia donatista la exégesis de algunos textos bíblicos constituyó el corazón de las discusiones. Los salmos, en particular, no dejaron de ser invocados para defender posiciones teológicas, especialmente las eclesiológicas. El artículo ofrece un estudio sobre el uso polémico del salmo 49 en escritos de Optato de Milevi y de Agustín de Hipona, no sin antes aludir brevemente a los antecedentes que encontramos en Cipriano de Cartago. El artículo presenta una visión panorámica de la exégesis católica del salmo (...) 49 durante la controversia para mostrar las constantes temáticas que se presentan, así como una evolución en los acentos teológicos de dicha exégesis a partir de la producción antidonatista agustiniana. (shrink)

Besides indicating the fundamental themes of the various contributions that come together in this monographic section, the purpose of this introduction is to recall the main features of the Hobbesian concept of power, starting from the belief that Hobbes’ philosophy is above all a phi-losophy of power. Based on a radical materialistic ontology, the Hobbesian semantics of power takes on different variations in the particular discursive fields it crosses, which in turn significantly influence its movement. The double dependence on the (...) authority of the sovereign and on the opinion of the people ultimately highlights the aporetic character of the Hobbesian notion of power. (shrink)

Taking cues from Michel Foucault’s late work on ancient cultures of self-care, this article argues that the success of neoliberalism is bound up with an epistemological critique of modernity forged by the movement’s founding theorists. This critique takes aim at three distinct intellectual currents – the socialist, the rationalist, and the pastoral – and thus marks a tripartite break from modern techniques of power and subjectivation. I contend that a Hellenistic model of self-cultivation – exemplified especially in Epicurean, Cynic, and (...) Stoic discourses and scrutinized meticulously by Foucault in his late lectures – becomes reactivated in late twentieth-century American economic and social thought. The second half of the article considers modes of digital writing as “technologies of the self.” Taking the case of “fake news” as my central reference point, I argue that common practices of social media “sharing” constitute an emerging practice of curatorial self-writing that makes one an especially favorable target for neoliberal strategies of social control. (shrink)

Starting from a distinction between global and globalised and a definition of the concept of global threat for future generations, this paper aims to identify cognitive, moral and emotional phenomena that hinder to the adoption of effective policies against global warming. The main thesis of this paper is that it is difficult to reduce emissions of greenhouse gases mainly because the unlimited economic growth is the imperative of our company and the continuous increase of material goods and personal consumption is (...) what is closest to our idea of happiness and wellbeing. (shrink)

Biomarkers can be powerful tools to guide diagnosis, treatment, and research. However, prudent use of biomarkers requires formal validation efforts. Although the data needed for biomarker validation has traditionally been hard to access, new research initiatives can ease this process.

Even though theistic philosophers and scientists agree that God created, sustains, and providentially governs the physical universe and even though much has been published in general regarding divine action, what is needed is a fine-grained, conceptually coherent account of divine action, causation, dispositions, and laws of nature consistent with divine aseity, satisfying the widely recognized adequacy conditions for any account of dispositions.1 Such an account would be a basic part of a more comprehensive theory of divine action in relation to (...) the fundamental concepts of science and of mathematics. Our aim in this article is simply to present such a theory. (shrink)

Perhaps the greatest challenge faced by Thomistic thinkers today is to approach the contemporary intellectual scene in a way they could anticipate their master approaching it. With the enormous growth of empirical knowledge since the thirteenth century, and the multiplication of diverse and often rival conceptual schemes to understand and explain the reality disclosed by our increasingly broad experience of the world, this is indeed a daunting task.

The FDA's new table of surrogate endpoints used for drug approvals is an important step forward for overseeing the use of biomarkers in clinical trials. Nevertheless, we present several ways in which the table can be improved.

Der Band verzeichnet erstmals sämtliche Werke und Noten aus Nietzsches persönlicher Bibliothek (BN) bis Anfang Januar 1889. Er listet sowohl die Bestände der Herzogin Anna Amalia Bibliothek als auch die des Goethe- und Schiller-Archivs in Weimar auf. Die kritische Analyse anderer Bestandslisten ermittelte zudem zahlreiche heute nicht mehr vorhandene Titel. Ferner wurden sämtliche Bücherrechnungen und -quittungen von Buchhändlern und Buchbindern ausgewertet, die im Goethe- und Schiller-Archiv aufbewahrt werden. Neben den ca. 2.200 Titeln aus Nietzsches rekonstruierter Bibliothek enthält der Band auch (...) ein Verzeichnis sämtlicher 'Lesespuren' Nietzsches (ca. 20.000), z.B. Anmerkungen, Unterstreichungen und Eselsohren. Ergänzt durch zahlreiche Faksimile-Reproduktionen sowie durch philosophische, historische und bibliographische Einführungen, stellt der Band ein unverzichtbares Arbeitsinstrument jeder zukünftigen Nietzsche-Forschung dar. (shrink)

In order to accommodate for the present shortage of oocyte donors, oocyte-donation programs place ads in college newspapers and provide large monetary compensation to encourage participation. Large compensation acts as a strong incentive for young women to undergo the potentially risky procedure of donation. In this enticing situation, it is particularly important for programs to fully inform prospective donors of the risks of the procedure so that they can accurately weigh the costs and benefits of donating. However, because oocyte-donor programs (...) must alleviate the shortage of donors if they wish to maintain a financially viable business, there is reason to fear that they may minimize or misrepresent risks when recruiting egg donors. In this pilot study, the risk information provided by programs (n=19) to prospective oocyte donors in a preliminary phone call inquiry was investigated. The majority of the programs provided incomplete and/or inaccurate risk information. Policy changes are recommended to reduce the potential for undue influence and to standardize and regulate the risk information provided to prospective egg donors. (shrink)

Theoretical Perspective on Smell is the first collection of scholarly articles to be devoted exclusively to philosophical research on olfaction. The essays, published here for the first time, bring together leading theorists working on smell in a format that allows for deep engagement with the emerging field, while also providing those new to the philosophy of smell with a resource to begin their journey. The volume’s 14 chapters are organized into four parts: -/- I. The Importance and Beauty of Smell (...) II. Smell in Time and Space III. What We Perceive through Smell IV. Smell and Other Senses -/- The collection solidifies the area as an important emerging branch of perceptual philosophy by presenting the cutting edge research being done by innovative early career researchers, as well as by those more senior and established within the field. -/- Table of Contents 1. Introduction Andreas Keller and Benjamin Young -/- Part I: The Importance and Beauty of Smell -/- 2. The Role of Smell in Consciousness Barry C. Smith -/- 3. The metacognitive gap: Why we both trust and mistrust our sense of smell Ophelia Deroy -/- 4. Perfumes and the Aesthetic Appreciation of Nature Chiara Brozzo -/- 5. Aesthetics, Olfaction, & Environment Michael Aaron Lindquist -/- Part II: Smell in Time and Space -/- 6. Smell and the Space Between Us Clare Batty -/- 7. The Temporal Structure of Olfactory Experience Keith A. Wilson -/- Part III: What We Perceive through Smell -/- 8. How Biology Perceives Chemistry: A Causal Analysis of the Stimulus in Olfaction and its Implications for Scientific and Philosophical Theorizing Ann-Sophie Barwich -/- 9. The Accuracy Conditions of Olfactory Perception Andreas Keller -/- 10. Maybe We Don't Smell Molecular Structure Benjamin D. Young -/- 11. Stuff & Nonsense: Against Mizrahi on Olfaction Harry Sherwood -/- 12. The Layering of Smell William G. Lycan -/- Part IV: Smell and the Other Senses -/- 13. From Odors to Flavors: Perceptual organization in the chemical senses Becky Millar -/- 14. Seeing and hearing flavors Błażej Skrzypulec -/- 15. Smelling Gustatory Qualities Louise Richardson. (shrink)

Although vision is the de facto model system of consciousness research, studying olfactory consciousness has its own advantages, as this collection of articles emphatically demonstrates. One advantage of olfaction is its computational and phenomenological simplicity, which facilitates the identification of basic principles. Other researchers study olfactory consciousness not because of its simplicity, but because of its unique features. Together, olfaction's simplicity and its distinctiveness make it an ideal system for testing theories of consciousness. In this research topic, the results of (...) recent research into olfactory consciousness are presented. (shrink)

Our sense of smell pervasively influences our most common behaviors and daily experience, yet little is known about olfactory consciousness. Over the past decade and a half research in both the fields of Consciousness Studies and Olfaction has blossomed, however, olfactory consciousness has received little to no attention. The olfactory systems unique anatomy, functional organization, sensory processes, and perceptual experiences offers a fecund area for exploring all aspects of consciousness, as well as a external perspective for re-examining the assumptions of (...) contemporary theories of consciousness. It has even been suggested that the olfactory system may represent the minimal neuroanatomy that is required for conscious processing. Here, we seek contributions that should serve as the foundation for future research concerning consciousness using olfaction as a model. -/- Given the variegated nature of research on consciousness, we seek original papers including review articles, original research, and theoretical contributions concerning the nature of olfactory consciousness. The scope of the special edition widely incorporates olfaction as it relates to Consciousness, Awareness, Attention, Phenomenal- or Access-Consciousness, and Qualia. Research concerning olfaction and cross-modal integration as it relates to conscious experience is also welcome. -/- As the initial foray into this uncharted area of research, we welcome contributions from across all disciplines contributing to cognitive neuroscience, including neurobiology, neurology, psychology, philosophy, linguistics, and computer sciences. It is our hope that this special edition will serve as the impetus for future interdisciplinary research on olfaction and consciousness. (shrink)

The Sphere Model of Consciousness (SMC) delineates a sphere-shaped matrix that aims to describe the phenomenology of experience using geometric coordinates. According to SMC, an experience of overcoming of the habitual self and the conditioning of memories could be placed at the center of the matrix, which can be then called the Place of Pre-Existence (PPE). The PPE is causally associated with self-determination. In this context, we suggest that silence could be considered as an intentional state enabling self-perception to be (...) focused on the “here and now,” which in turn improves perception of one’s own body in space. To investigate these hypotheses grounded in the model, the current preliminary study examined the Place of Pre-Existence Technique (PPEt), in which practitioners are guided to focus on a self-defined aim; reach a state of detachment from the habitual self; envision the future. 481 volunteers PPEt practitioners completed self-report questionnaires before and after an intensive 3-day meditative training. We analyzed the possibly relationship between subjective experiences related to physical, emotional, mental, temporal, and spatial aspects, as well as self-determination and silence, before and after training. The results indicated a shift from a prevailing influence of mental dimension on the other aspects of experience, to a prevailing influence of spatial dimension. Silence was reported more often following the training, and predominantly related to the mental and emotional experiences. The results are discussed in relation to the shift from Narrative to Minimal Self and to increased balance among the considered dimensions. (shrink)