Guidelines orient best practices in medicine, yet, in health care, many real world constraints limit their optimal realization. Since guideline implementation problems are not systematically anticipated, they will be discovered only post facto, in a learning curve period, while the already implemented guideline is tweaked, debugged and adapted. This learning process comes with costs to human health and quality of life. Despite such predictable hazard, the study and modeling of medical guideline implementation is still seldom pursued. In this article we (...) argue that to systematically identify, predict and prevent medical guideline implementation errors is both an epistemic responsibility and an ethical imperative in health care, in order to properly provide beneficence, minimize or avoid harm, show respect for persons, and administer justice. Furthermore, we suggest that implementation knowledge is best achieved technically by providing simulation modeling studies to anticipate the realization of medical guidelines, in multiple contexts, with system and scenario analysis, in its alignment with the emerging field of implementation science and in recognition of learning health systems. It follows from both claims that it is an ethical imperative and an epistemic responsibility to simulate medical guidelines in context to minimize harm in health care, before guideline implementation. (shrink)

For nearly a decade we have taught the history and philosophy of science as part of courses aimed at the professional development of physics teachers. The focus of the history of science instruction is on the stages in the development of the concepts and theories of physics. For this instruction, we designed activities to help the teachers organize their understanding of this historical development. The activities include scientific modeling using archaic theories. We conducted surveys to gauge the impact on the (...) teachers of including the conceptual history of physics in the professional development courses. The teachers report greater confidence in their knowledge of the history of physics, that they reflect on this history for their teaching, and that they use of the history of physics for their classroom instruction. In this paper, we provide examples of our activities, the rationale for their design, and discuss the outcomes for the teachers of the instruction. (shrink)

Philosophy of medicine has traditionally examined two issues: the scientific ontology for medicine and the epistemic significance of the types of evidence used in medical research. In answering each question, philosophers have typically brought to bear tools from traditional analytic philosophy. In contrast, this volume explores medical knowledge from the perspective offered by social epistemology.While many of the same issues are addressed, the approach to these issues generates both fresh questions and new insights into old debates. In addition, the broader (...) purview offered by social epistemology opens up opportunities to address new topics such as the role of consensus conferences, epistemic injustice, the value of medical knowledge, continuing medical education, and industry funding. This article situates and summarizes the contributions to this special issue. (shrink)

Morain and colleagues (Morain et al. 2019) propose two conditions for avoiding role conflicts: if “(A) research participation would not substantially disadvantage the patient as compared with usual...

In Contagious Architecture, Luciana Parisi offers a philosophicalinquiry into the status of the algorithm in architectural and interaction design.

A public health emergency, as the COVID-19 pandemic, may lead to shortages of potentially life-saving treatments. In this situation, it is necessary, justifiable and proportionate to have decision tools in place to enable healthcare professionals to triage and prioritise access to those resources. An ethically sound framework should consider the principles of beneficence and fair allocation. Scientific Societies across Europe were concerned with this problem early in the pandemic and published guidelines to support their professionals and institutions. This article aims (...) to compare triage policies from medical bodies across Europe, to characterise the process of triage and the ethical values, principles and theories that were proposed in different countries during the first outbreak of COVID-19. (shrink)

The present work, elaborated from a theoretical, bibliographical and documentary character, has for objective to develop some theoretical boardings regarding the concept of tolerance of a philosophical point of view, during a historical context that if initiates in the thought of John Locke, in the Modern Age, the scope of the religious wars, when such concept acquires a more rigorous and critical character, going until the contemporaneidade, period where the tolerance starts to acquire a paper of prominence for the understanding (...) of the systems politicians and the societies marked for one raised degree of complexity and pluralism. Authors as Stuart Mill, Bobbio, Adorno and Habermas, among others, present significant contributions from its reflections and questionings for the studies of this thematic one as well as for the confrontation of the patologias that afflict the contemporaneidade. More recently, the fact of the tolerance to have if transformed into consensus and normative landmark, through the elaboration and approval of the World-wide Declaration of the Principles of the Tolerance, in the year of 1995, for the ONU, reflects the importance and the central paper that the tolerance exerts today in the search of the peace and the construction of a world more just and human being. (shrink)

Although in Italy there is currently no effective law on physician-assisted suicide or euthanasia, Decision No. 242 issued by the Italian Constitutional Court on September 25, 2019 established that an individual who, under specific circumstances, has facilitated the implementation of an independent and freely-formed resolve to commit suicide by another individual is exempt from criminal liability. Following this ruling, some citizens have submitted requests for assisted suicide to the public health system, generating a situation of great uncertainty in the application (...) processes. As a matter of fact, shared and defined procedures are lacking as Decision 242/2019 merely added some principles on which the legislature will have to base its future intervention. This paper analyses the advisory role that the Decision attributes to territorial ethics committees with the aim of stimulating discussions on their role in oversight mechanisms. The proposed conclusion is that the envisaged role does not appear consistent with the functions of these bodies and is ultimately substantially undefined and unjustified. (shrink)

As machines have become increasingly smart and have entangled human thinking with artificial intelligences, it seems no longer possible to distinguish among levels of decision-making that occur in the newly formed space between critical reasoning, logical inference and sheer calculation. Since the 1980s, computational systems of information processing have evolved to include not only deductive methods of decision, whereby results are already implicated in their premises, but have crucially shifted towards an adaptive practice of learning from data, an inductive method (...) of retrieving information from the environment and establishing general premises. This shift in logical methods of decision-making does not simply concern technical apparatuses, but is a symptom of a transformation in logical thinking activated with and through machines. This article discusses the pioneering work of Katherine Hayles, whose study of the cybernetic and computational infrastructures of our culture particularly clarifies this epistemological transformation of thinking in relation to machines. (shrink)

1. The fact that Brazil, land of parrots and coffee, is also, by antonomasia, that of cannibals, is a commonplace that we find in the writings of foreigners and natives from the early years of the conquest up until our era of advanced civilization, at the level of anthropological reality (we should like to say anthropophagic) and at that of metaphor. As though, forgetful of the general accusation of anthropophagy launched by the first explorers against the various indigenous peoples of (...) America, beginning with the Caribs/Cannibals of Columbus, the colonizing and evangelizing Old World wanted to transfer to Vera Cruz and its inhabitants the exclusive rights to these “savage customs of a people without justice and law” that the first Western ethnographer, Herodotus, had attributed, in the Eurasia of his time, to the peoples of the Far North, at the other side of the extensive desert lying beyond the land of the Scythians—those who were called the Androphagi. And as if, of all the peoples and communities accused, in various latitudes and epochs of history, of having anthropophagic practices, the Brazilians were the only ones to not just defend themselves against the infamous accusation but to flaunt it as a symbol of their autonomy and originality when confronted with the menace of religious and cultural colonization. (shrink)

A partir da experiência quotidiana do direito, Eric Voegelin penetra pela sua superfície fenome­nal para averiguar da existência de um núcleo ontológico. Fiel à tomista possibilidade do conhe­cimento modesto de coisas supremas, primeiro considera que o direito é mera consequência da sociedade, porquanto a ordem jurídica deriva da ordem da sociedade, para, em seguida, considerar a ordem da sociedade proveniente de um todo maior e anterior à mesma: a ordem do mundo que se identifica com a própria ordem do ser. (...) Em Voegelin, o direito é entendido como tendo por natureza ontológica a estrutura da sociedade cujo direito a sociedade é, e como tendo por critério a relação do homem com o ser tal como nós podemos sabê-lo através da filosofia e da revelação, num exemplo moderno de filosofar ao estilo clássico. (shrink)

Esta pesquisa objetivou investigar o potencial da região do Pampa Gaúcho para o turismo rural. Realizou-se uma pesquisa qualitativa exploratória sobre o potencial turístico dos municípios compreendidos nesta região. Foi realizada uma pesquisa documental inicial seguida de visitas aos municípios. Com base na pesquisa documental e visita aos municípios selecionou-se as atrações potenciais para o turismo regional. As atrações foram separadas em quatro categorias: a)ambiental-paisagístico; b)histórico-arquitetônico; c)econômico-produtivo e, d)sociocultural. Bagé e Caçapava do Sul tiveram o maior número de atrações selecionadas, (...) embora todos os municípios tenham contribuído com pelo menos uma atração. A região do Pampa Gaúcho apresenta grande potencial turístico. O turismo regional mostra-se, dessa forma, como excelente alternativa de geração de renda, empregos, agregação de valor aos produtos e valorização da identidade do gaúcho, constituindo-se em uma forma inovadora de desenvolvimento regional sustentável. (shrink)

En este artículo se analiza la doctrina kantiana de la definición. Se estudia el desarrollo de esa doctrina en las lecciones de lógica del período precrítico, a partir de su comparación con la teoría de las definiciones de Meier. Se sostiene que Kant organiza su estudio a partir de los aspectos escogidos por Meier, pero es crítico de sus tesis.

According to attention-based theories, to explain organizational attention is to explain organizational behavior. In our study, we test the model of situated attention and firm behavior by examining the effects of attention structures and allocation of attention on organizational outcomes. We hypothesize a positive relationship between attention structures and the allocation of organizational attention that, in turn, has an effect on financial performance. Using a unique data set composed of indicators of social responsibility published by 338 Brazilian organizations between 2001 (...) and 2007, we find support for our hypotheses. Our findings suggest that organizational attention to social issues fully mediates the relationship between attention structures and financial performance. (shrink)

Este trabajo presenta un análisis de las obras testimoniales de Jorge Alberto Taiana, Miguel Bonasso y Juan Manuel Abal Medina. El objetivo es observar las diferentes operaciones memorísticas que los autores ponen en juego a la hora de reconstruir la figura y el rol de Juan Domingo Perón durante el proceso abierto con la apertura electoral de mayo de 1971 hasta la muerte del viejo líder tres años después.

The remarks which follow arise from the daily and simultaneous consulting of two literatures and, in a larger sense, of two cultures, Portuguese and Brazilian, both expressed in the same language, Portuguese. They also arise from an attempt to describe and define by categories which are “internal” to literature the differences which exist between the two bodies of writing under discussion. But they are equally inspired by a desire to isolate in the corpus of the texts which conventionally constitute a (...) national literature those thematic and stylistic recurrences which may serve as starting points for an attempt at formalization. (shrink)

La cognition algorithmique joue un rôle central dans le capitalisme contemporain. Depuis la rationalisation du travail industriel et des relations sociales jusqu’à la finance, les algorithmes fondent un nouveau mode de pensée et de contrôle. Dans cette phase du tout-machinique dans l’évolution du capitalisme numérique, il ne suffit plus de se mettre du côté de la théorie critique pour accuser la computation de réduire la pensée humaine à des opérations mécaniques. Comme le théoricien de l’information Gregory Chaitin l’a démontré ; (...) l’incomputabilité et l’aléatoire doivent être conçus comme les conditions de bases de la computation. Si le technocapitalisme est contaminé par l’aléatoire computationnel et le chaos, la critique traditionnelle de la rationalité instrumentale doit elle aussi être remise en question : l’incomputable ne pleut plus être réduit au statut de contraire de la raison. (shrink)

A Revista Internacional de Língua Portuguesa (RILP) tem sido o veículo da expressão da comunidade que se expressa em português, impulsionada pelo movimento associativo universitário dos anos oitenta e noventa do século XX. Dirigida, primeiro, por Maria Helena Mira Mateus, numa série inicial composta por dezassete números, e, depois, coordenada por José--Augusto França, numa segunda série com três exemplares, perfaz hoje vinte e um títulos, o último dos quais abre a terceira série em curso, de cariz institucional e temático. A (...) sua pretensão de divulgação da língua portuguesa, a longevidade e a expressão intercontinental fazem desta revista um caso nacional único de internacionalização, do centro linguístico original para o universo multilateral das culturas associadas, em torno do vector comum da língua, alheia às vicissitudes políticas que o tempo impôs e os poderes engendraram. Neste artigo são revisitadas as várias séries. (shrink)

This book presents a careful blend of conceptual, theoretical and applied research in regards to the relationship between technology and humans, exploring the importance of these interactions, aspects related with trust, communication, data protection, usability concerning organizational change, and e-learning"--Provided by publisher.

Astract Sex investigates the impact of advances in contemporary science and information technology on conceptions of sex. Evolutionary theory and the technologies of viral information transfer, cloning and genetic engineering are changing the way we think about human sex, reproduction and the communication of genetic information. Abstract Sex presents a philosophical exploration of this new world of sexual, informatic and capitalist multiplicity, of the accelerated mutation of nature and culture.

O presente artigo tem por objetivo discutir a relação entre cultura e educação em Friedrich Nietzsche, filósofo conhecido pelo caráter intempestivo de seus escritos e profundo crítico de sua época. Sua abordagem da questão da educação é, na verdade, um profundo questionamento da própria função e do propósito da prática educativa, a qual ele diagnosticou como estando, já em sua época, cada vez mais submissa e atrelada aos interesses de uma economia de mercado, mero adestramento e preparação para o mercado (...) de trabalho. (shrink)

Assumindo que importa ler o direito à luz do pensamento político, enquanto elemento configurador da especulação teórica acerca da política, neste texto, o território complexo do pensamento sobre os direitos humanos, serve de pretexto, para excursos acerca das contribuições filosóficas. A partir do enunciado do artigo primeiro da Declaração Universal dos Direitos do Homem, salientam-se os encontros da linguagem política e da ciência política como exercício de reflexão e indagação acerca dos fundamentos das crenças políticas.

Este trabajo reflexiona críticamente sobre la construcción discursiva de la Patagonia como una distancia intersubjetiva, relativa, polisémica e histórica. En el análisis se distinguen las ideas de la región como territorio, unidad geocultural, geografía imaginaria, domicilio existencial y lugar de enunciación, y se señalan algunas de sus superposiciones y contradicciones conceptuales más frecuentes. Se problematizan las perspectivas esencialistas y folklorizantes de la región y su literatura, así como la inscripción de la Patagonia en las cartografías culturales nacionales y nacionalistas. This (...) work proposes a critical reflection about the discursive construction of the Patagonia as an inter-subjective, relative, polysemic and historical distance. In the present analysis, we distinguish between different ideas of the region, such as territory, geocultural unit, imaginary geography, existential residence and locus of enunciation, and we indicate some of its overlapping and more frequent conceptual contradictions. We criticize the essentialist and folklorist perspectives of the region and its literature, as well as the inscription of the Patagonia in the national and nationalistic cultural cartographies. (shrink)

O conceito de empirismo evoca tanto uma tradição histórica quanto uma rede de questões filosóficas. Ambas frequentemente associadas a nomes como os de Francis Bacon, John Locke, George Berkeley e David Hume. Porém, lembremos que nenhum desses filósofos utilizaram o termo empirismo, e nem compartilharam de uma única escola epistemológica. Do ponto de vista histórico é comum encontrarmos estudos de História e Filosofia da Ciência que relacionam o conceito de ‘empirismo’ com a chamada Escola Empírica Médica, desenvolvida na Grécia Antiga. (...) Porém, mais uma vez, temos que ter cautela com essas simplificações históricas, afinal se por uma Escola médica compreendemos um número de médicos que se reconhecem como pertencentes a um grupo que defendem exatamente as mesmas ideias e conceitos, a Escola Empírica Médica é simplesmente uma invenção histórica. De fato, observaremos alguns elementos comuns dentro dessas escolas, mas não correntes unívocas. Essa postura historiográfica usualmente acarreta sérias consequências. Assim, por exemplo, os estudos que marcam a diferença entre as filosofias do continente europeu e as da Inglaterra do século XVII, distinguindo-a por meio de noções amplas, tais como racionalismo e empirismo, podem cair em reducionismos importantes. Se, por um lado, vincular o empirismo moderno à escola médica antiga acarreta numa compreensão histórica equivocada; por outro lado, aceitar a dicotomia empirismo x racionalismo como a única narrativa possível para compreendermos a gênese da filosofia moderna carrega consigo problemas de cunho epistemológico. Dos vários problemas que surgem dessa perspectiva historiográfica, isto é, de aceitarmos acriticamente a narrativa padrão, dois deles nos importam mais de perto: ela fornece uma ênfase às questões de cunho epistemológico, subestimando, então, a importância dos debates em outras áreas, como filosofia natural, ética e política, por exemplo; e deixa de lado pensadores que combinam elementos das duas correntes e, portanto, não operam stricto sensu com a dicotomia entre razão e experiência. Nesse sentido, objetivamos problematizar e aprofundar essa questão, ao discutir aspectos epistêmicos e metodológicos do chamado “programa baconiano” de conhecimento, bem como alguns de seus desdobramentos, especialmente no âmbito da química e da medicina no século XVII inglês. (shrink)

O plano ampliado e reconfigurado dos fluxos de informação na contemporaneidade sugerem novas condições para que a ação da leitura e da interpretação possa ser estabelecida. Com o objetivo de refletir sobre as implicações que fazem parte destas ações desenvolvemos um exame dialético parcial sobre três obras - Ser e Tempo, de M. Heidegger, Investigações Lógicas, Sexta Investigação: Elementos de uma Elucidação Fenomenológica do Conhecimento, de E. Husserl, e Investigações Filosóficas, de L. Wittgenstein - que, embora não tenham tido o (...) objetivo direto de analisar a leitura e a interpretação, parecem oferecer elementos para refletirmos sobre estes fenômenos na contemporaneidade. Ao final, nos posicionamos a favor da interpretação enquanto uma ação social a priori e discorremos, sinteticamente, sobre a configuração dos atuais sistemas de informação, considerando tal condição. ABOUT THE LIMITS AND SCOPE OF INTERPRETATION: REFLECTIONS FROM HEIDEGGER, HUSSERL AND WITTGENSTEIN AbstractThe expanded and reconfigured plan of information's flow in contemporary can suggest new conditions for the action of interpretation be established. In order to reflect on the implications of this action be part of interpreting process, we have developed a partial dialectical examination of three works - Being and time, of M. Heidegger, Logical Investigations, Sixth Research: Elements of a Phenomenological Elucidation of Knowledge, of E. Husserl, and Philosophical Investigations, of L. Wittgenstein - which, although these works had not the direct interest to address the phenomenon of interpretation, seem to offer the necessary elements to reflect on this phenomenon in the nowadays. In the end, we position ourselves in favor of interpretation while social phenomenon placed a priori, and commented above, briefly, about the configuration of current information systems, considering that condition. (shrink)

Reseña de: Baumgarten, A. G., & Kant, I.. Baumgarten’s Elements of First Practical Philosophy. A Critical Translation with Kant’s Reflections on Moral Philosophy. Edición y traducción: C. D. Fugate y J. Hymers. London, New York: Bloomsbury Academic, 2020. ISBN: 978-1-4742-8265-9, 375 pp.

Reseña de: Marques, António, Lemos, Jõao y Cadilha, Susana, Kant: atitudes, experiências, valore s, Lisboa, IFILNOVA, 2020, 167 pp. ISBN: 978-989-97073-5-1.

El objetivo de este artículo es caracterizar el tratamiento de los conceptos de claridad y oscuridad en los Apuntes de Lecciones de Antropología de la “década silenciosa” de Kant. El estudio tiene tres momentos. En primer lugar, se describen las condiciones de la claridad y la oscuridad de nuestras representaciones. En segundo término, se reconstruye la argumentación por medio de la que Kant cuestionaba el modo como Baumgarten presentaba esas nociones en la parte de la psicología empírica de su Metaphysica. (...) Por último, se exponen dos aspectos pragmáticos de la investigación de esas nociones: permite elucidar algunas condiciones subjetivas para la posibilidad de las ciencias, facilita la comprensión de un aspecto de la naturaleza humana, dando con ello un recurso provechoso para la intervención en la vida mundana. (shrink)

Este trabajo analiza las imágenes del espacio patagónico que pone a rodar la novela La costurera y el viento (1994) de César Aira, así como los procedimientos discursivos con que se construyen dichas imágenes. El libro exhibe a la Patagonia como un cuerpo textual y textualizado complejo, a través del cual se problematiza la construcción literaria de la región, como zona liminal profusa en ficciones de identidades. Desde una ostensible performatividad narrativa, la novela conjuga la invención del espacio con la (...) frecuente referencia a una cartografía histórica y literaria que se actualiza en una dispersión de afiliaciones intertextuales. This work analyzes the images of the Patagonian space putted on display in the novel La costurera y el viento (1994) by César Aira, as well as the discursive procedures with which these images are constructed. The book exhibits the Patagonia as a textual and textualized corpus complex, through which the literary construction of the region, as a liminal zone profuse in fictions of identities, is problematized. From an ostensible narrative performativity, the novel combines the invention of the space and the frequent reference to a historical and literary cartography updated in a dispersion of intertextual affiliations. (shrink)

En este artículo discuto la contribución de Matías Oroño, intitulada “El conceptualismo de Kant y los juicios de gusto”. Esta contribución, en lo esencial, es una crítica a la tesis según la cual es posible encontrar una fundamentación del no-conceptualismo kantiano en el tratamiento de los juicios de gusto. Esta tesis es defendida por Dietmar Heidemann en un artículo que Oroño refuta. En el presente artículo se sostiene que la interpretación de Oroño es acertada, con algunos reparos. Sin embargo, me (...) parece importante señalar que Oroño no cuestiona dos premisas del no-conceptualismo sostenidas por Heidemann que necesitan ser revisadas. Estas premisas son: los elementos no-conceptuales que interesan tienen valor cognitivo, esos elementos son fenoménicos, intencionales, representacionales. (shrink)