Hilden and Gammelgaard's comments on the evaluation and application of statistical trials and on informed consent lead to the same conclusion that there are special circumstances when clinical trials are performed in emergency situations.The decision to comment on the work that H&G responded to was motivated by the wish to manifest the need to reach a consensus on modifying the conditions in which clinical trials should be performed in special circumstances.One unquestionable fact must first be addressed: clinical trials are necessary (...) for acquiring new knowledge and consequent improvements in health care services. At the same time, patient participation should be encouraged under conditions that respect patients' decision making capability.Are these conditions being met at present? An answer to this is given below. (shrink)

Advances in medicine are closely linked to clinical research, but certain study procedures may be in conflict with the fundamental principles of ethics and codes of conduct in medicine. Following an analysis of two studies involving treatments for acute myocardial infarction (AMI), the admissibility of continuing a study was questioned after the initial results for two types of treatment showed that one was significantly better than the other. Also considered doubtful was the information provided to patients with the object of (...) obtaining their informed consent. (shrink)

The problem of non-compliance with treatment and its repercussions on the clinical evolution of different conditions has been widely investigated.1–4 Non-compliance has also been shown to have significant economic implications, not only as a result of product loss but also indirectly through the complication of disease management and its subsequent healthcare and social costs.5–7Non-compliance as a health problemThe term “non-compliance” might be taken to refer both to the failure to follow a drug regimen and to the failure to adopt other (...) measures that contribute to improvement in health—for example, changes in lifestyle or diet. This letter focuses on the former.Non-compliance with a drug regimen can be the result of a number of different factors9–11 and a variety of techniques have been developed in an attempt to control it.12,13 Of these, the few techniques that have been shown to be effective have only managed to solve the problem in specific situations over short periods of time. The use of such techniques to control non-compliance, particularly where these are effective, raises interesting ethical questions about the extent to which their application constitutes an infringement of the patient’s right to decide on how to manage their own health.8 Here we suggest that in some cases one factor that leads to non-compliance is the tendency to provide extensive and exhaustive information on side effects in …. (shrink)

RESUMENTras analizar sucintamente las conseciencias científicas y filosóficas de la identidad mente-cerebro, se señalan argumentos a favor y en contra de mantener el debate mente.cerebro. En particular se consideran las nuevas técnicas de exploración del cerebro como argumento en contra de tal debate. las deficiencias e insuficiencias de tales técnicas aconsejan mantener el debate mente-cerebro y no asumir el materialismo. PALABRAS CLAVEMENTE-CEREBRO - EXPLORACIÓN DEL CEREBRO- RMF-TEPABSTRACTAfcter a brief analysis of the scientific and philosophical consequences of the mind-brain identify thesis, (...) arguments for and against the maintenance of the mind.brain debate are pointed out. Particularly the recent techniques to explore the brain are considered as an argument against this maintenance. the shortcomings and lacks found in theses techniques recommend the maintenance of the mind.brain debate and not to assume materialism.KEYWORDSMIND-BRAIN - BRAIN IMAGING- FMR- PET. (shrink)

¿Llegarán los ordenadores a sustituir a los seres humanos? Lo que hasta hace unas décadas parecía una pregunta de ciencia-ficción, es ahora defendido con seriedad por algunos especialistas en inteligencia artificial. El presente articulo dibuja las más importantes líneas de investigación en este campo y las posiciones más relevantes respecto de la relación hombre-maquina pensante. La conclusión que propone el autor supone una decidida apuesta por un humanismo en el que quepa integrar el desarrollo tecnológico sin perder de vista sus (...) innegables implicaciones éticas. (shrink)

RESUMENEn primer lugar, se analiza la teoría clásica, tal como la formuló Aristóteles, de los seres humanos como animales racionales. En segundo lugar, se presenta la caracterización del hombre como no animal e irracional que ofrece Martinho da Vila. En tercer lugar, se consideran las tesis freudianas sobre la mezcla de racionalidad e irracionalidad en los humanos. En cuarto lugar, se señalan algunos puntos de vista recientes, debidos a Simon así como a la psicología y neurociencia actuales, sobre la limitación (...) de la razón humana y su relación con las emociones. Finalmente se argumenta que ni Aristóteles ni Martinho da Vila describen bien la condición humana.PALABRAS CLAVERACIONALIDAD-CONDICIÓN HUMANA-ARISTÓTELES-FREUDABSTRACTFistly the classical theory, as put forward by Aristotle, about the human beings as rational animals is analysed. Secondly the description of man as no animal and irrational offered by Martnho da Vila is presented. Thirly the Freudian thseses on the mixture os rational and irrational aspects in humans are considered. Forurthly some recent points of view, by Simon and the current psychology and neurosciencie, about the limitation of human reason and irs relation with emotions are pointed out. Lastly it is argued that neithert Aristotle nor Martinho da Vila decribe well the human nature.KEYWORDSRATIONALITY-HUMAN NATURE-ARISTOTLE-FREUD. (shrink)

BackgroundA combination of theoretical and practical approaches is required to learn and acquire ethical competencies in caring. Occasionally, reflection on practical action differs from theoretica...

This paper examines the association between board characteristics and the ethical reputation of financial institutions. Given the pivotal governance role of the board of directors and the value-relevance of ethical corporate behavior, we postulate a positive relationship between ethical reputation and board features that foster more effective monitoring and oversight. Using a sample of large financial institutions from 13 different countries, we run several alternative panel regressions of ethical reputation on board characteristics and firm-specific controls. Our results demonstrate that the (...) ethical reputation of financial institutions is positively associated with board size, gender diversity, and CEO duality, while being negatively related to the busyness of the board members and a composite index reflecting poor monitoring. Nevertheless, inconsistent with our hypothesis, we also document that financial institutions with less frequent board meetings have better ethical reputation. Overall, our empirical findings suggest that stronger board oversight may promote ethical behavior in the financial industry. (shrink)

Do firms gain environmental legitimacy when they conform to external expectations regarding the natural environment? Drawing on institutional logic and signaling theory, we investigate sources of heterogeneity in the impacts of environmental actions on environmental legitimacy. Longitudinal data about 325 publicly traded U.S. firms in polluting industries support the notion that environmental actions help firms gain environmental legitimacy. However, some actions instead can harm this legitimacy if environmental performance deteriorates and the firm is subject to intense scrutiny from nongovernmental organizations. (...) Thus, an important contribution of this research is to identify conditions under which greenwashing can backfire. (shrink)

We theoretically discuss and empirically show how CEO power based on environmental expertise and formal influence over executives and directors, in the absence and presence of shareholder activism, spurs firms toward greener strategies. Our results support the idea that CEOs with informal power, grounded in expertise, reduce corporate environmental impact and this relationship is amplified when the CEO also enjoys formal power over the board of directors. Additionally, we found that any source of CEO power, whether informal or formal, is (...) a good catalyst for transforming shareholder activism into corporate greening. However, in the absence of such activism, only CEOs’ informal environmental expert power acts as a determinant of firm environmental performance. (shrink)

In this article, we empirically assess the impact of corporate ethical identity (CEI) on a firm's financial performance. Drawing on formulations of normative and instrumental stakeholder theory, we argue that firms with a strong ethical identity achieve a greater degree of stakeholder satisfaction (SS), which, in turn, positively influences a firm's financial performance. We analyze two dimensions of the CEI of firms: corporate revealed ethics and corporate applied ethics. Our results indicate that revealed ethics has informational worth and enhances shareholder (...) value, whereas applied ethics has a positive impact through the improvement of SS. However, revealed ethics by itself (i.e. decoupled from ethical initiatives) is not sufficient to boost economic performance. (shrink)

In Scotland, residents have fought open-net salmon farms and their toll on human and nonhuman bodies for decades. This paper recollects seven years of work in Skye and Raasay, two islands off the northwest coast of the country, developing strategies to divest away from salmon aquaculture. Addressing the contemporary wave of underwater clearances created by UK’s top food export industry, it unpacks the implementation of a transition into alternative horizons by embracing the legacies of toxicity inherited from salmon extractivist industries. (...) CLIMAVORE, a framework developed as a research-led artistic practice by the authors, investigates how to eat in the new seasons of the climate crisis. In a season of marine dead zones, it facilitates new approaches to aquaecology and coastal care that cultivate coastal livelihoods. CLIMAVORE began with a new public forum, shaped as a multispecies intertidal table, established in Skye in 2017 to envision environmentally regenerative and socially reparative forms of food production based on metabolic interactions between humans and depleted landscapes that benefit a plethora of species. CLIMAVORE’s site responsive methodology relies on a socially-engaged art practice, consisting of fieldwork, interviews, working groups, oral histories, performative meals, cooking and building apprenticeships, tidal gardening, material testing and public art installations. Ongoing collaboration with residents, scientists, and policymakers critically explores ways of living not only on but with the coast. This new holistic approach to coastal nourishment provides methodologies for ecological praxis as well as a platform for researchers and the general public to imagine an alternative ecological future: the tidal commons. (shrink)

Mucho se ha escrito para analizar y dar sentido a dos términos que vienen intrínsecamente unidos, el nacionalismo y la nación. La principal consecuencia positiva de esto ha sido un vasto debate teórico sobre el nacionalismo y la nación que indudablemente los enriquece. La principal consecuencia negativa, por su parte, es que el desarrollo del propio debate, y cómo se ha ido formando, ha recibido poca atención. El objetivo de este artículo es exponer cómo este debate se ha sido desarrollado (...) alrededor de los cuatros paradigmas clásicos del nacionalismo. Para ello, se aplica el esquema kuhniano para saber cuándo, cómo, y por qué se articularon estos paradigmas clásicos en torno a estos dos términos. Con esto se pretende profundizar en la explicación histórica de Moreno Almendral (2015), pero desde la filosofía de la ciencia, desarrollando una visión mucho más detallada del debate en torno al nacionalismo y la nación. (shrink)

In this paper I want to do the following things. First I want to show that in the part of the Theaetetus where the relationship between knowledge and perception is examined, the concept of knowledge that is in question is very clearly characterized. We are left in no doubt as to what is to count as knowing. Secondly I want to unravel in some detail the case that Socrates puts on Protagoras’ behalf where he draws on what Protagoras actually wrote (...) (151 E-152C); as opposed to what he may have taught secretly to his pupils (152C-160D). Thirdly I wish to argue that if we let the dialogue speak for itself, it is manifest that this case put up on Protagoras’ behalf at 151 E-152C is not overthrown; it is not even shaken. (shrink)