Objective To evaluate the modes of death and treatment offered in the last 24 h of life to patients dying in 10 Brazilian intensive care units (ICUs) over a period of 2 years. Design and setting Cross-sectional, multicentre, retrospective study based on medical chart review. The medical records of all patients that died in seven paediatric and three adult ICUs belonging to university and tertiary hospitals over a period of 2 years were included. Deaths in the first 24 h of (...) admission to the ICU and brain death were excluded. Intervention Two intensive care fellows of each ICU were trained in fulfilling a standard protocol (κ=0.9) to record demographic data and all medical management provided in the last 48 h of life. The Student t test, Mann–Whitney U test, χ2 test and RR were used for data comparison. Measurements and main results 1053 medical charts were included (59.4% adult patients). Life support limitation was more frequent in the adult group (86% vs 43.5%; p<0.001). A ‘do not resuscitate’ order was the most common life support limitation in both groups (75% and 66%), whereas withholding/withdrawing were more frequent in the paediatric group (33.9% vs 24.9%; p=0.02). The life support limitation was rarely reported in the medical chart in both groups (52.6% and 33.7%) with scarce family involvement in the decision making process (23.0% vs 8.7%; p<0.001). Conclusion Life support limitation decision making in Brazilian ICUs is predominantly centred on the medical perspective with scarce participation of the family, and consequently several non-coherent medical interventions are observed in patients with life support limitation. (shrink)

Psychopathy is a disorder characterized by severe and frequent moral violations in multiple domains of life. Numerous studies have shown psychopathy-related limbic brain abnormalities during moral processing; however, these studies only examined negatively valenced moral stimuli. Here, we aimed to replicate prior psychopathy research on negative moral judgments and to extend this work by examining psychopathy-related abnormalities in the processing of controversial moral stimuli and positive moral processing. Incarcerated adult males (N = 245) completed a functional magnetic resonance imaging protocol (...) on a mobile imaging system stationed at the prison. Psychopathy was assessed using the Hare Psychopathy Checklist–Revised (PCL-R). Participants were then shown words describing three types of moral stimuli: wrong (e.g., stealing), not wrong (e.g., charity), and controversial (e.g., euthanasia). Participants rated each stimulus as either wrong or not wrong. PCL-R total scores were correlated with not wrong behavioral responses to wrong moral stimuli, and were inversely related to hemodynamic activity in the anterior cingulate cortex in the contrast of wrong > not wrong. In the controversial > noncontroversial comparison, psychopathy was inversely associated with activity in the temporal parietal junction and dorsolateral prefrontal cortex. These results indicate that psychopathy-related abnormalities are observed during the processing of complex, negative, and positive moral stimuli. (shrink)

This study examines the leading early nineteenth-century Scottish moral philosopher Dugald Stewart’s discussion of the origin and development of religion. Stewart developed his account in his final work, The Philosophy of the Active and Moral Powers of Man (1828), in an effort to show that the fact that polytheism was the first religion of humankind does not undermine the truth of monotheism. He wrote in response to similar discussions presented in David Hume’s “Natural History of Religion” (1757), which argued for (...) the primacy of polytheism, and Stewart’s old moral philosophy tutor Adam Ferguson’s Principles of Moral and Political Science (1792), which argued for the primacy of monotheism. Stewart accepted the conclusions of the Scots’ enlightened study of religion, which argued for truth of Hume’s account, but aimed to reassert many of the natural theological arguments about the naturalness of religion that the “Natural History” had challenged. Stewart’s discussion acts as a useful way by which we can assess the achievement of the literati’s study of religion. (shrink)

Una obra frecuentemente consultada por Jorge Luis Borges fue Matemáticas e imaginación, de E. Kasner y J. Newman, en la que se discute la teoría de los conjuntos , propuesta por el matemático Georg Cantor , y mediante la cual se crea la aritmética transifinita y se establece un sistema epistémico para representar los diversos niveles del infinito. Así, Cantor le asigna a estas infinitudes la primera letra del alfabeto hebreo, el Aleph, seguido de un determinado número, dependiendo del nivel (...) de infinitud . Borges, de esta manera, teje varias de sus narraciones en las que se trata el tema del infinito y del absoluto; un ejemplo de ello es la colección de relatos bajo el título El Aleph, que abre con el cuento "El inmortal" y cierra con el quele da el título a la colección. Este ensayo tiene el propósito de estudiar "El inmortal" bajo la óptica cantoriana, para hablar de un absoluto en particular: el yo, y sugerir que no es posible establecer un vocabulario final, o una definición definitiva sobre el tema en cuestión. Esta imposibilidad, propone Borges, está dada en parte por la finitud lingüística, mientras que por otro lado la falibilidad de la memoria juega también un papel crucialen todo intento de definición. Sin embargo, como buen ironista, Borges, a través de "El inmortal", es capaz de proveer una redescripción del tema en cuestión mediante un lenguaje transfinito, sin pretender establecer un vocabulario final sobre el tema sino, al contrario, tratando de resolver ciertas paradojas a la vez que revela otras, promoviendo de esta manera el permanente diálogo entre las distintas disciplinas. Aunque este ensayose enfoca en el análisis de "El inmortal", a fin de desarrollar el tema propuesto, también estudia otros relatos contenidos en El Aleph, y utiliza un acercamiento teórico que se enmarca en la filosofía de la lengua. Jorge Luis Borges often consulted Mathematics and Imagination, by E. Kasner and J. Newman, where set theory is addressed . This theory was proposed by Georg Cantor and by it transfinite arithmetic is established and an epistemic system is created to represent different levels of the infinite. This way Cantor labels the different levels of the infinite by assigning to each the first letter of the Hebrew alphabet, the Aleph, followed by a number, depending on level of the infinite he is referring to . Following these ideas, Borges weaves several narratives in which the infinite and the absolute are discussed. An example of such narratives is the collection of stories compiled under the title The Aleph, which opens with "The Immortal" and closes with the story that gives the collection its title. The objective of this paper is to study "The Immortal" under the Cantorian lens to discuss one particular absolute, the self, and to suggest that it is impossible to establish a final vocabulary, or a definite definition, about this topic. This impossibility, Borges proposes, is in part due to the apparent finitude of language while at the same time the fallible attributes of human memory also is crucial when it comes to defining anything. However, as the ironist Borges is, he is capable of providing through "The Immortal" a re-description of these issues by means of a transfinite language that resolves some paradoxes while at the same time reveals others. By this way of writing, I propose, Borges fosters the continuation of the dialogue among the different disciplines. Though I will center my analysis on "The Immortal", to develop these ideas I also revisit other stories contained in The Aleph departing from a theoretical approach rooted in the philosophy of language. (shrink)

Despite All Critique (2014) -- World Politics and Western Reason (1980) -- The Doubled Outsides of the Modern International (2005) -- The Subject of Security (1995) -- The Protection of Nature and the Nature of Protection (2005) -- Social Movements/World Politics (1994) -- Europe is Not Where It is Supposed to Be (2000) -- They Seek it Here, They Seek it There : Looking for Politics in Clayoquot Sound (2003) -- Violence, Modernity, Silence : From Weber to International Relations (1993) (...) -- Hobbes, Origins, Limits (2011) -- War, Terror, Judgement (2002) -- International, Imperial, Exceptional (2005) -- Which Democracy for Which Demos? (2013) -- The Political Theory of Boundaries and the Boundaries of Political Theory : Interview With Raia Prokhovnik (2012). (shrink)

Volume 28, Issue 1, January 2020, Page 202-204.

This study argues that the English-born, Edinburgh-educated and Bath-based physician William Falconer (1744–1824) authored the only stadial history published during the British Enlightenment that analysed the influence of socio-economic context upon religious belief. A survey of the conjectural histories of religion written by the leading literati demonstrates that discussion of religion by the Scottish literati was undertaken separate from the “Scottish narrative” of stadial economic and political progress. We have to turn to Falconer’s Remarks on the Influence of Climate (1781) (...) to see a four-stage history of religion that related belief and practice to wider social and economic developments. While heavily derivative of Montesquieu’s De l’Esprit des Lois (1748), Falconer’s Remarks has some claim to theoretical innovation and used his conjectural history to tell a story of English (not British) religious exceptionalism. Moreover, the work was received as a serious contribution to the late Enlightenment’s science of human nature and society. (shrink)

The jaw movements of speech are most probably derived from jaw movements associated with vocalisation. Cyclicity does not argue strongly for derivation from a cyclic pattern, because it arises readily in any system with feedback control. The appearance of regular repetition as a part of ritualisation of a display may have been important.