Darstellung des Noema in 12 Thesen.\nverwendete Textstellen: Ideen 1: S. 203, 22-23; S. 204, 20-21; S. 357, 19-20: Handlungen sind zielgerichtet. Dabei bedarf eines keines physischen Objekts. Husserl setzt and diese Stelle das Noema. Somit wird auch zielgerichtetes Handeln aufgrund einer Halluzination m{ö}glich, Zielgerichtet zu sein bedeutet ein Noema zu haben.\n1. Follesdal´sche These: Noema ist eine intensionale Entit{ä}t, eine Generalisierung des Begriffs Sinn/Bedeutung.\n2. These: Das Noema hat zwei Bestandteile, a) der noematische Sinn, der allen thetischen Handlungen (erinnern, sich vorstellen usw.) (...) gem{ä}{ß} desselben Objekts mit denselben Eigenschaften in derselben Gerichtetheit gemeinsam ist und b) die Gegebenheitsweise (hat auch Sinncharakter), die sich unterscheidet in Handlungen mit verschiedenem thetischen Charakter.\n3. These: Der noematische Sinn ergibt sich aus der Art und Weise, wie Bewu{ß}tsein zum Objekt in Relation steht.\n!! 4. These: Das Noema einer Handlung ist nicht das Objekt dieser Handlung\n5. These: Das Objekt einer Handlung ist eine Funktion des noematischen Sinns, d.h. mit einem bestimmten Noema kann nur ein Objekt korrespondieren.\n6. These: Jedoch k{ö}nnen mit einem bestimmten Objekt verschiedene Noemata korrespondieren. (z.B. kann ein Objekt das Ziel verschiedener thetischer Handlunge sein, etwa erinnern, wahrnehmen, daher:)\n6. These a): Mit einem bestimmten Objekt korrespondieren verschiedene noematische Sinne.\n7. These: Jede Handlung besteht aus nur einem Noema. Sie wird durch dieses Noema charakterisiert. (Umgekehrt trifft dies nicht zu.)\n8. These: Noemata sind abstrakte Entit{ä}ten. (Sinne sind nicht real. Sie sind bezogen auf Handlungen in tempor{ä}ren Intervallen.)\n9. These: Noemata werden nicht durch unsere Sinnesorgane wahrgenommen.\n10. These: Noemata gelangen durch ph{ä}nomenologische Reflektion ins Bewu{ß}tsein.\n11. These: Eine ph{ä}nomenologische Reflektion kann iterativ geschehen (ann{ä}herungsweise; in Schritte gegliedert). Dies ist so, weil schon die Korrespondenz zwischen Sinn und Objekt wieder ein Objekt ergibt. Es folgt ein unendlicher Regress.\nPhysische Objekte sind transzendent in dem Sinne, dass sie unendlich viele Noemata haben. Sinn kann sie nie ersch{ö}pfend erfassen.\nNoemata k{ö}nnen andererseits ein physisches Objekt repr{ä}sentieren in der Form, dass mehr intendiert wird als gesehen wird. So denkt man sich etwa bei einem Stuhl, von dem man nur zwei Beine sieht, die beiden {ü}brigen hinzu.\n12. These: Diese Muster der Vorherbestimmung bilden zusammen mit den Gegebenheitsweisen das Noema (s. These 2). (shrink)

The necessity of the study of mistakes of bilingual students in the use of nominal parts of speech is grounded in the article, it provides valuable material for scientific and methodological conclusions, as these mistakes reflect linguistic, psychological and pedagogical aspects that affect the ability of schoolchildren to learn peculiarities of using nominal parts of speech of Russian language. In this regard, ascertaining experiment with pupils of schools with native teaching language was held. Students were offered the tasks based on (...) formation of the four types of competence: language, linguistic, communicative and cultural. The results of the experiment made possible to reveal numerous mistakes in using nominal parts of speech in oral speech and in writing of students. These mistakes are a consequence of the complexity of semantic and grammatical nature of the names in the Russian language, of interfering influence of the native language and as well are explained by the imperfection of the content and methods of teaching nominal parts of speech at school. (shrink)

The low commitment and meaning of life can be caused by many, but they potentially occur because people in an institution do not know what they get from their work other than just money; people become unhappy with their work, then get bored and uncomfortable at work, apathetic, and ultimately unproductive. An institution that implements workplace spirituality will make people feel connected and meaningful at work. The purpose of this study is to explain how the values of WS can increase (...) staff’s commitment and meaning of life at the institutions. The results of this study indicate that the WS can increase the commitment and meaning of the life of employees in the institution's through several things. First, the value which can increase work commitment is value of togetherness, responsibility, justice, trust, sincerity, integrity, innovative, and professional. Second, the meaning of work for them is a moral call, a form of gratitude, fulfillment, worship, self-actualization, the command of Allahswt, and doing the main duty. Third, the efforts made by the staff are: to build a working atmosphere with workplace culture and climate, improve the quality of institutions by making research and recruiting qualified lecturers,conducting useful activities, adding infrastructure to support activities, friendly communication, social media as means of socialization, religious or coaching and motivation training, oblige Zuhur prayers in congregation, and cooperate with others. Fourth, the impact of workplace spirituality for employees is to feel proud of their institution, to feel comfortable and to have intimacy, to have well self-actualization, to be more productive in their work, to maintain altitude, leadership that refers to the pattern of politics alone will decrease the quality of the institution, mutual visit and sharing information or giving advise, positive activities coloring each institution, and adding enthusiasm to work. (shrink)

Airway mucin secretion is important pathophysiologically and as a model of polarized epithelial regulated exocytosis. We find the trafficking protein, SNAP23, selectively expressed in secretory cells compared with ciliated and basal cells of airway epithelium by immunohistochemistry and FACS, suggesting that SNAP23 functions in regulated but not constitutive epithelial secretion. Heterozygous SNAP23 deletant mutant mice show spontaneous accumulation of intracellular mucin, indicating a defect in baseline secretion. However mucins are released from perfused tracheas of mutant and wild-type mice at the (...) same rate, suggesting that increased intracellular stores balance reduced release efficiency to yield a fully compensated baseline steady state. In contrast, acute stimulated release of intracellular mucin from mutant mice is impaired whether measured by a static imaging assay 5 min after exposure to the secretagogue ATP or by kinetic analysis of mucins released from perfused tracheas during the first 10 min of ATP exposure. Together, these data indicate that increased intracellular stores cannot fully compensate for the defect in release efficiency during intense stimulation. The lungs of mutant mice develop normally and clear bacteria and instilled polystyrene beads comparable to WT mice, consistent with these functions depending on baseline secretion that is fully compensated. (shrink)

As the aging population, including frail older people, continues to grow in Mainland China, quality of life and end-of-life care for frail older people has attracted much attention. Advance care planning is an effective way to improve end-of-life care for people with advanced diseases, and it is widely used in developed countries; however, it is a new concept in Mainland China. The effects of advance care planning and its acceptability in Mainland China are uncertain because of its culture-sensitive characteristics. The (...) objective of this article is to discuss the serious social issue of caring for frail older people and illustrate the possibility of implementing advance care planning in nursing homes in Mainland China through a review of relevant literature, which will focus on legislation, healthcare system engagement, public engagement, and cultural issues. Recommendations to promote and implement advance care planning include choosing nursing homes as a proper setting, establishing an ethical climate, and enhancing public awareness. (shrink)

Background: Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China. Research objective: (...) This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people. Research design: This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach. Participants and research context: A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China. Ethical considerations: The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059. Findings: The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care. Discussion: This study promoted the participants’ autonomy and broke through the inherent custom of avoiding talking about death in China. Conclusion: The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society. (shrink)

BackgroundEthically challenging critical events and decisions are common in nursing homes. This paper presents nursing home doctors’ descriptions of how they include the patient and next of kin in end-of-life decisions.MethodsWe performed ten focus groups with 30 nursing home doctors. Advance care planning; aspects of decisions on life-prolonging treatment, and conflict with next of kin were subject to in-depth analysis and condensation.ResultsThe doctors described large variations in attitudes and practices in all aspects of end-of-life decisions. In conflict situations, many doctors (...) were more concerned about the opinion of next of kin than ensuring the patient’s best interest.ConclusionsMany end-of-life decisions appear arbitrary or influenced by factors independent of the individual patient’s values and interests and are not based on systematic ethical reflections. To protect patient autonomy in nursing homes, stronger emphasis on legal and ethical knowledge among nursing home doctors is needed. (shrink)

Background: Expanded newborn screening generates incidental results, notably carrier results. Yet newborn screening programmes typically restrict parental choice regarding receipt of this non-health serving genetic information. Healthcare providers play a key role in educating families or caring for screened infants and have strong beliefs about the management of incidental results. Methods: To inform policy on disclosure of infant sickle cell disorder (SCD) carrier results, a mixed-methods study of healthcare providers was conducted in Ontario, Canada, to understand attitudes regarding result management (...) using a cross-sectional survey (N = 1615) and semistructured interviews (N = 42). Results: Agreement to reasons favouring disclosure of SCD carrier results was high (65.1%–92.7%) and to reasons opposing disclosure was low (4.1%–18.1%). Genetics professionals expressed less support for arguments favouring disclosure (35.3%–78.8%), and more agreement with arguments opposing disclosure (15.7%–51.9%). A slim majority of genetics professionals (51.9%) agreed that a reason to avoid disclosure was the importance of allowing the child to decide to receive results. Qualitatively, there was a perceived “duty” to disclose, that if the clinician possessed the information, the clinician could not withhold it. Discussion: While a majority of respondents perceived a duty to disclose the incidental results of newborn screening, the policy implications of these attitudes are not obvious. In particular, policy must balance descriptive ethics (ie, what providers believe) and normative ethics (ie, what duty-based principles oblige), address dissenting opinion and consider the relevance of moral principles grounded in clinical obligations for public health initiatives. (shrink)