Climate change is a threat to food system stability, with small islands particularly vulnerable to extreme weather events. In Puerto Rico, a diminished agricultural sector and resulting food import dependence have been implicated in reduced diet quality, rural impoverishment, and periodic food insecurity during natural disasters. In contrast, smallholder farmers in Puerto Rico serve as cultural emblems of self-sufficient food production, providing fresh foods to local communities in an informal economy and leveraging traditional knowledge systems to manage varying ecological and (...) climatic constraints. The current mixed methods study sought to document this expertise and employed a questionnaire and narrative interviewing in a purposeful sample of 30 smallholder farmers after Hurricane María to identify experiences in post-disaster food access and agricultural recovery and reveal underlying socioecological knowledge that may contribute to a more climate resilient food system in Puerto Rico. Although the hurricane resulted in significant damages, farmers contributed to post-disaster food access by sharing a variety of surviving fruits, vegetables, and root crops among community members. Practices such as crop diversification, seed banking, and soil conservation were identified as climate resilient farm management strategies, and smallholder farmer networks were discussed as a promising solution to amass resources and bolster agricultural productivity. These recommendations were shared in a narrative highlighting socioecological identity, self-sufficiency, community and cultural heritage, and collaborative agency as integral to agricultural resilience. Efforts to promote climate resilience in Puerto Rico must leverage smallholder farmers’ socioecological expertise to reclaim a more equitable, sustainable, and community-owned food system. (shrink)
BackgroundObtaining informed consent for intravenous thrombolysis in acute ischemic stroke can be challenging, and little is known about if and how the informed consent procedure is performed by neurologists in clinical practice. This study examines the procedure of informed consent for intravenous thrombolysis in acute ischemic stroke in high-volume stroke centers in the Netherlands.MethodsIn four high volume stroke centers, neurology residents and attending neurologists received an online questionnaire concerning informed consent for thrombolysis with tissue-type plasminogen activator. The respondents were asked (...) to report their usual informed consent practice for tPA treatment and their considerations on whether informed consent should be obtained.ResultsFrom the 203 invited clinicians, 50% completed the questionnaire. One-third of the neurology residents and 21% of the neurologists reported that they always obtain informed consent for tPA treatment. If a patient is not capable of providing informed consent, 30% of the residents reported that they start tPA treatment without informed consent. In these circumstances, 53% of the neurologists reported that the resident under their supervision would start tPA treatment without informed consent. Most neurologists and neurology residents obtained informed consent within one minute. None of the respondents used more than five minutes for informed consent. Important themes regarding obtaining informed consent for treatment were patients’ capacity, and medical, ethical and legal considerations.ConclusionThe current practice of informed consent for thrombolysis in acute ischemic stroke varies among neurologists and neurology residents. If informed consent is obtained, most clinicians stated to obtain informed consent within one minute. In the future, a shortened information provision process may be applied, making a shift from informed consent to informed refusal, while still considering the patient’s capacity, stroke severity, and possible treatment delays. (shrink)
The present study investigated whether individual differences between psychologists in thinking styles are associated with accuracy in diagnostic classification. We asked novice and experienced clinicians to classify two clinical cases of clients with two co-occurring psychological disorders. No significant difference in diagnostic accuracy was found between the two groups, but when combining the data from novices and experienced psychologists accuracy was found to be negatively associated with certain decision making strategies and with a higher self-assessed ability and preference for a (...) rational thinking style. Our results underscore the idea that it might be fruitful to look for explanations of differences in the accuracy of diagnostic judgments in individual differences between psychologists (such as in thinking styles or decision making strategies used), rather than in experience level. (shrink)
ABSTRACTIn everyday situations, people regularly receive information from large groups of people and from single experts. Although lay opinions and expert opinions have been studied extensively in isolation, the present study examined the relationship between the two by asking how many laypeople are needed to counter an expert opinion. A Bayesian formalisation allowed the prescription of this quantity. Participants were subsequently asked to assess how many laypeople are needed in different situations. The results demonstrate that people are sensitive to the (...) relevant factors identified for determining how many lay opinions are required to counteract a single expert opinion. People's assessments were fairly good in line with Bayesian predictions. (shrink)
L'exposition Berthe Morisot organisée conjointement par le Palais des Beaux-Arts de Lille et la fondation Pierre Gianadda, à Martigny, ainsi que son catalogue peuvent être regardés comme un véritable événement. D'abord, saluons la fondation suisse qui fait un travail de fond remarquable depuis de nombreuses années en exposant (avec catalogue) des artistes françaises comme Camille Claudel, Suzanne Valadon, Marie Laurencin, en collaboration avec des musées de province. Notons ensuite que..
Dans ce livre richement illustré et documenté, Marie-Jo Bonnet s'interroge sur la symbolique du couple de femmes dans l'art, en privilégiant l'exemple français, et ressuscite des figures d'artistes oubliées, comme Louise Janin, ou méconnues, telles Louise Abbéma ou Claude Cahun. Tribades, précieuses, amazones et garçonnes sont conviées à livrer leurs secrets : Marie-Jo Bonnet s'intéresse à la mise en scène du désir, longtemps orchestrée en fonction des attentes du spectateur masculin, ..
Background People who are at elevated risk of suicide stand to benefit from internet-based interventions; however, research in this area is likely impacted by a range of ethical and practical challenges. The aim of this study was to examine the ethical issues and practical barriers associated with clinical studies of internet-based interventions for suicide prevention. Method This was a mixed-methods study involving two phases. First, a systematic search was conducted to identify studies evaluating internet-based interventions for people at risk of (...) suicide, and information pertaining to safety protocols and exclusion criteria was extracted. Second, investigators on the included studies were invited to complete an online survey comprising open-ended and forced-choice responses. Quantitative and qualitative methods were used to analyse the data. Results The literature search identified 18 eligible studies, of which three excluded participants based on severity of suicide risk. Half of the 15 suicide researchers who participated in the survey had experienced problems obtaining ethics approval, and none had encountered adverse events attributed to their intervention. Survey respondents noted the difficulty of managing risk in online environments and the limitations associated with implementing safety protocols, although some also reported increased confidence resulting from the ethical review process. Respondents recommended researchers pursue a collaborative relationship with their research ethics committees. Conclusion There is a balance to be achieved between the need to minimise the risk of adverse events whilst also ensuring interventions are being validated on populations who may be most likely to use and benefit from them. Further research is required to obtain the views of research ethics committees and research participants on these issues. Dialogue between researchers and ethics committees is necessary to address the need to ensure safety while also advancing the timely development of effective interventions in this critical area. (shrink)
BackgroundThe interRAI 0–3 Early Years was recently developed to support intervention efforts based on the needs of young children and their families. One aspect of child development assessed by the Early Years instrument are motor skills, which are integral for the maturity of cognition, language, social-emotional and other developmental outcomes. Gross motor development, however, is negatively impacted by pre-term birth and low birth weight. For the purpose of known-groups validation, an at-risk sample of preterm children using the interRAI 0–3 Early (...) Years was included to examine correlates of preterm risk and the degree of gross motor delay.MethodsParticipant data included children and families from 17 health agencies in Ontario, Canada. Data were collected as part of a pilot study using the full interRAI 0–3 Early Years assessment. Correlational analyses were used to determine relationships between prenatal risk and preterm birth and bivariate analyses examined successful and failed performance of at-risk children on gross motor items. A Kruskal-Wallis test was used to determine the mean difference in gross motor scores for children born at various weeks gestation.ResultsCorrelational analysis indicated that prenatal and perinatal factors such as maternal nicotine use during pregnancy did not have significant influence over gross motor achievement for the full sample, however, gross motor scores were lower for children born pre-term or low birth weight based on bivariate analysis. Gross motor scores decreased from 40 weeks’ gestation, to moderate to late preterm, and to very preterm, however extremely preterm performed comparably to very preterm.InterpretationThe interRAI 0–3 was evaluated to determine its efficacy and report findings which confirm the literature regarding delay in gross motor performance for preterm children. Findings confirm that pre-term and low birth weight children are at greater risk for motor delay via the interRAI 0–3 Early Years gross motor domain. (shrink)
Abstract The present field experiment was designed to explore the effectiveness of social learning and structural developmental prescriptions for moral pedagogy in a summer sports camp. Eighty?four children, aged five to seven years, were matched on relevant variables and randomly assigned to one of three classes: (a) social learning, (b) structural developmental, or (c) control. Each of the classes shared similar curricula and was taught by two trained instructors for a six?week period. Educators is the experimental conditions implemented theoretically grounded (...) instructional strategies in their weekly emphasis on specific moral themes. Analyses indicated significant pre?to?post gains on a Piagetian intentionality task and a measure of distributive justice within both experimental groups, but MANCOVA results indicated differences between the experimental and control conditions only approached significance. (shrink)
Tradicionalmente el discurso narrativo, poético o mítico ha servido de vehículo para trasmitir contenidos de orden teológico y metafísico. Es decir, el concepto necesita de la representación para un mejor y más profundo desarrollo temático. Un caso ejemplar de este fenómeno lo encontramos en el llamado swedenborgismo literario, esto es, en la utilización de la figura de Emanuel Swedenborg como motivo y argumento en poetas y novelistas. La pregunta es si el swerdenborgismo literario es tan solo un pretexto estilístico o (...) bien obedece a razones de mayor calado filosófico o religioso. J. L. Borges se nos presenta como modelo de este planteamiento. (shrink)
L’article évoque les interrogations nouvelles autour de la responsabilité dans le domaine médical. Le caractère intolérable de la fragilité, le mouvement de médicalisation, l’individualisation de la perception des risques, l’évolution de la relation médecin-malade, etc., ont grandement complexifié la prise de décision et l’évaluation éthique en médecine et, plus largement, dans les questions relatives à la santé. L’Église catholique, comme toutes les institutions touchant de près ou de loin à la santé, ne manque pas d’être interrogée. La réflexion voudrait le (...) montrer à partir de l’épidémie de sida. Finalement, la responsabilité moderne ne se meut-elle pas nécessairement dans l’ambiguïté ? (shrink)
The article focuses in a particular way on two Jesuits of the XVII Century, Philips van Winghe e Jean l'Heureux . It describes their active participation in the scientific life of their time, as well as their own contributions to science.
The target article by Locke & Bogin (L&B) focuses on the evolution of language as a communicative tool. They neglect, however, that from infancy onwards humans have the ability to go beyond successful behaviour and to reflect upon language (and other domains of knowledge) as a problem space in its own right. This ability is not found in other species and may well be what makes humans unique.
L'attenzione dell'A. si concentra sull'opposta concezione della distinzione tra essenza ed esistenza che per Egidio è reale, mentre per Enrico è solo intenzionale. In modo analogo, i due autori dissentono rispetto al tipo di realtà da ascrivere alle relazioni divine. Dopo avere dedicato un breve paragrafo al contesto dottrinale trinitario, l'A. passa ad esaminare in modo sistematico il pensiero dei due autori.
John Locke, Marylène Delbourg-Delphis. (56) — SIC COGITAVIT DE INTELLECTU HUMANO JO LOCKE AN 1671. INTELLECTUS HUMANUS CUM COGNITIONIS CERTITUDINE, ET ASSENSUS FIRMITATE. § 1. 1° J'imagine que toute ...
This volume presents the first comprehensive survey of the entire corpus of John Dewey’s work—almost one thousand items—and groups all these writings in twelve logical categories, so that the user can gain insight into_ _interrelationships among areas of Dewey’s thought and into Dewey’s total contribution to American letters. By arranging and analyzing_ _the complete body of Dewey’s published writings within the twelve areas, each with an introductory essay and bibliography, the book thus combines a thorough study of Dewey’s thought with (...) valuable reference material. The distinguished scholars contributing essays to the volume are: Herbert W. Schneider, Lewis E. Hahn, Gail Kennedy, Darnell Rucker, Wayne A. R. Leys, Bertram Morris, S. Morris Eames, Horace L. Friess, William W. Brickman, George E. Axtelle, Joe R. Burnett, Max H. Fisch, and Ou Tsuin-chen. (shrink)