Due to the rapid advance of the pandemic caused by COVID-19, several countries perceived that human and material resources would be insufficient to meet the demand of infected patients. The aim of this study is to analyze the knowledge of health professionals working in the pandemic about the application of ethical criteria in decision-making in situations of resource scarcity. This is a cross-sectional, descriptive, and quantitative survey study, conducted from June to December 2020, with health professionals working in the COVID-19 (...) pandemic in Brazil. We applied a questionnaire to assess the professionals’ knowledge about ethical criteria in decision-making in the allocation of scarce resources during the pandemic, containing 14 questions and possible score from 0 to 70, which was developed by researchers from documents and protocols validated by organizations from various countries, available in the first months of the pandemic, a sociodemographic characterization questionnaire and a self-assessment questionnaire regarding knowledge about bioethics. A total of 197 health professionals participated in the study, 37.6% of whom were nurses and 22.8% of whom were physicians, working in the Family Health Unit (28.4%) with a degree at the level of specialization (46.2%). Moreover, (9.5%) of nurses, (18.2%) of dental surgeons and (24.4%) of physicians reported that they have no prior knowledge about bioethics. Physicians and hospital workers scored higher on the knowledge assessment questionnaire. The mean score of the participants was 45.4 (SD = 7.2). Investments in training and professional education in the field of health focused on Bioethics are necessary, considering models and ethical theories that help professionals, managers and society to better position themselves in the face of pandemic contexts. (shrink)

This essay intersects literature and epistemology in order to understand what it means to take “The left hand of darkness”, as proposed by the author Ursula K. Le Guin, as a thought experiment. As we look at Science Fiction as a literary genre and how it relates to the notion of thought experiment, we conclude that Science Fiction authors, through the imaginary displacement they perform as they create people, worlds, political organizations, and explore the relations between subjects within these imaginary (...) structures, also draw thought experiments that are able to deal with important aspects of the human experience. (shrink)

Research involving transgender and gender diverse people (TGD) increased in the last years, mostly concerning healthcare associated to this population. Few studies dedicated their analysis to the impact of parental support on transgender people, even though this is an important aspect in creating a safe environment on which these individuals can build their identity. In addition, the link between family support, TGD identity and homelessness is not completely established. Thus, due to the specificities of the family context of TGD individuals, (...) the aim of this study is to investigate the association between family support and TGD in different moments of the process of gender affirmation. In addition, this study also aims to explore the relationship between a lack of social support and low self-esteem, home abandonment, and dwelling in the street. The survey was designed based on the TransPULSE project and was made available in electronic format. The sample was constituted of 423 TGD residents in two Brazilian states. A Structural Equation Model analysis suggested that the impact of gender affirmation status on homelessness was mediated by parental support, through self-esteem, and the need to move from home. The association between the status of the gender affirmation procedures, family support and self-esteem was significant and indicated that the further TGD individuals advanced in gender affirmation, the more self-esteem and family support they would have. The association between family support and self-esteem indicated that family support was associated with higher self-esteem. Low family support was associated with the willingness to move from home due to one’s TGD status and there was also a significant correlation between low self-esteem and the willingness to move from home due to one’s TGD status. Finally, homelessness was associated with the willingness to move with a large effect size. Limitations include the sample that was constituted by individuals with Internet access and who had more contact with TGD communities. The findings indicate directions for interventions involving TGD people and their families, considering the parental relationship as a critical variable to improve TGD quality of life in the process of gender affirmation. (shrink)

DO RESTABELECIMENTO DO PRAZO DE VALIDADE DOS CRÉDITOS DE CELULARES PRÉ-PAGOS: UMA ANÁLISE DA DECISÃO DO STJ A PARTIR DA LEGISLAÇÃO CONSUMERISTA.

The evaluation of study habits as determinant factors in academic performance is a concern for educational agents because they determine the academic opportunities of students. However, a problem encountered is the accessibility of valid and reliable instruments to evaluate study habits from the students' point of view. In this sense, this paper analyzes the internal structure, reliability, and rating of the study habits perception questionnaire. The results and the practical contribution to the educational community in guiding intervention to improve students' (...) academic opportunities are discussed. (shrink)

IntroductionTranscranial magnetic stimulation is a consolidated procedure for the treatment of depression, with several meta-analyses demonstrating its efficacy. Theta-burst stimulation is a modification of TMS with similar efficacy and shorter session duration. The geriatric population has many comorbidities and a high prevalence of depression, but few clinical trials are conducted specifically for this age group. TBS could be an option in this population, offering the advantages of few side effects and no pharmacological interactions. Therefore, our aim is to investigate the (...) efficacy of TBS in geriatric depression.Clinical trial registration[https://clinicaltrials.gov/ct2/], identifier [NCT04842929]. (shrink)

Este artigo tem como principal objetivo analisar e discutir questões acerca de como à educação muitas vezes acaba por contribuir para o aumento das desigualdades sociais. Desse modo, através dessa análise pretende-se ainda destacar as contribuições e críticas do pensamento de Pierre Félix Bourdieu, Paul- Michel Foucault e Karl Marx sobre os problemas sociais que permeiam a sociedade desde o século XIX até os dias atuais e muitas vezes são fortalecidos pelos sistemas educacionais.

Legal, medical, and public health professionals have been complicit in creating and maintaining systems that drive health inequities. To ameliorate this, current and future leaders in law, medicine, and public health must learn about racism and its impact along the life course trajectory and how to engage in antiracist practice and health equity work.

An efficient assessment of reading and linguistic abilities in school children requires reliable and valid measures. Moreover, measures which include specific test forms for different academic grade levels, that are vertically equated, allow the direct comparison of results across multiple time points and avoid floor and ceiling effects. Two studies were conducted to achieve these goals. The purpose of the first study was to develop tests of reading and listening comprehension in European Portuguese, with vertically scaled test forms for students (...) in the fifth and sixth grades, using Rasch model analyses. The purpose of the second study was to collect evidence for the validity of these tests based on the relationships of test scores with other variables. The samples included 454 and 179 students for the first and second study, respectively. The data from both studies provided evidence for good psychometric characteristics for the test forms: unidimensionality and local independence, as well as adequate reliability and evidence of validity. The developed test forms are an important contribution in the Portuguese educational context as they allow for the assessment of students’ performance in these skills across multiple time points and can be used both in research and practice. (shrink)

Entrevista com Martin Jay (Universidade de Berkeley, Califórnia), por Bruna Della Torre e Eduardo Altheman.

El concepto de empatía (Einfühlung) ha sido estudiado y utilizado por varias disciplinas, marcando una historia conceptual de desacuerdos y discrepancias. En psicología, la empatía ha sido discutida particularmente por investigadores y profesionales en áreas clínicas, sociales y del desarrollo. Entre tantas formas de explicar y comprender este fenómeno, un movimiento que rara vez se emprende es el de retomar el debate filosófico y psicológico sobre la empatía durante las primeras décadas del siglo XX. En este trabajo, a partir de (...) una investigación teórico-bibliográfica, se busca revisar el concepto de empatía, destacando el análisis realizado por la filósofa Edith Stein (1891-1942), quien impulsó un análisis antropológico-fenomenológico de la empatía, analizando este acto como frente a otros actos de pura conciencia, dialogando con autores como Theodor Lipps (1851-1914) y Max Scheler (1874-1928). Finalmente, buscamos contrastar la concepción de empatía de Rogers y los trabajos actuales post-rogerianos de enfoques humanistas-existenciales, con el análisis desarrollado por Stein. Finalmente, en general, la empatía puede entenderse como una experiencia no originaria por su contenido, lo que nos permite tener una experiencia originada en el otro en una presentificación empatizante. (shrink)

La figura del payaso ha pasado por diferentes momentos y lecturas históricas, lo que permite considerarla como una figura arquetípica. Su papel en la sociedad históricamente fue el del ridículo, objeto de risas, pero el payaso no sólo es un ser congruente, auténtico y valiente, sino que también pued..

Este artigo tem como objetivo destacar o impacto da metodologia da pesquisa arqueológica nas obras de Angela Davis (2016) e bell hooks (2023), respectivamente, “Mulher, Raça e Classe”, e “E eu não sou uma Mulher? Mulheres negras e feminismo”, que buscam reexaminar, de modo imersivo, a experiência e luta contra a violência da escravidão na história de mulheres negras. As intelectuais feministas negras estadunidenses abrem as portas para um pensamento científico menos tolerante à misoginia, ao racismo, e outras formas de (...) violências relacionais e institucionais, de modo a romper com a tradição da historiografia positivista. Trata-se de uma pesquisa documental, que contempla a análise crítica das referidas obras, com base no método filosófico pautado na investigação histórica de Michel Foucault (2008). Ressalta-se, então, a importância do reconhecimento dessas literaturas enquanto estimadas representantes e invasoras da arqueologia do saber, e a relevância de novas produções que possibilitem uma representação social coerente com a realidade dos discursos sobre a mulher negra, contribuindo para uma narrativa histórica contada pela pessoa oprimida, no intuito de abrir frestas para o efetivo rompimento com as epistemologias que legitimam e favorecem sistemas de opressão. Por meio de uma arqueologia da escravidão, para além das formações discursivas coloniais das práticas econômicas, políticas e sociais, as filósofas exploram as interconexões entre diferentes narrativas, revelando a complexa teia que sustenta as relações de poder, e como a marginalização é perpetuada. A conclusão direciona para a importância de reconhecer e valorizar as experiências das mulheres negras, destacando a necessidade de dar voz a essas narrativas historicamente silenciadas. (shrink)

The title of the present article underlines the investigation of one of the central theses of Polo about creation, explicitly developed in the first volume of Transcendental Anthropology. Polo’s theory studies the creature regarding its act of being qua created, therefore as distinct from the uncreated Being.

The goal of this study was to evaluate and compare the hygienic-sanitary conditions of two Units of Food and Nutrition (UANs) (A and B) located in two municipalities of the Vale do Taquari, Rio Grande do Sul, by means of Ordinance No. 78/2009, which established the Checklist of Good Practices for Food Services. This legislation composes a checklist with 153 criteria distributed in 12 categories. Each criterion is endowed with the options "Yes", "No" and "NA" (not applicable), which were marked (...) with an "x", being: "NA" when the criterion did not correspond to the UAN reality, "No" when the criteria were not in compliance with the legislation, and "Yes" when UAN met the evaluation criteria legislation. The classification of each UAN followed the scoring criteria established by RDC 275/2002. The a UAN presented a total of 90.85% (n = 129) of compliance and the "B" UAN totaled 88.27% (n = 128) of compliance. Both were classified in Group 1 of DRC 275/2002. The "A" UAN presented 05 nonconforming categories, totaling 13 criteria (9.15%), and Unit B 08 nonconforming categories, totaling 17 criteria (11.72%). Both UANs had good hygienic-sanitary conditions because they met most of the criteria in accordance with the legislation. (shrink)

Thomas Kuhn is mostly known for his contributions to the philosophy of science. However, it was chiefly to investigations in philosophy of language that he dedicated the last part of his career. The aim of this paper is to present a systematic view of Kuhn’s main ideas on this subject. I start by describing his theory of concept, in particular what he says about kind terms. Such terms, acquired in blocks that form contrast sets or “taxonomies,” are learned through ostensible (...) definitions. Next, I analyze Kuhn’s concepts of “meaning” and “truth.” Finally, I discuss a second type of kinds terms, not fully investigated by him, which is learned together with scientific laws. Resumo Thomas Kuhn é conhecido principalmente por suas contribuições para a filosofia da ciência. No entanto, foi em grande medida à filosofia da linguagem que ele dedicou a última parte de sua carreira. O objetivo deste artigo é apresentar uma visão sistemática das principais ideias de Kuhn sobre esse assunto. Começo descrevendo sua teoria do conceito, em particular o que ele diz sobre termos para espécie. Tais termos, aprendidos em blocos que formam conjuntos de contraste ou “taxonomias”, são aprendidos através de definições ostensivas. Em seguida, analiso as concepções de Kuhn de “significado” e “verdade”. Finalmente, discuto um segundo tipo de termo para espécies, não totalmente investigado por ele, que é aprendido junto com as leis científicas. (shrink)

O presente estudo objetivou conhecer as percepções, as expectativas e os conhecimentos de puérperas em relação à experiência do parto normal, assim como os procedimentos utilizados pelos profissionais da saúde para a humanização do parto. Foram entrevistadas 31 puérperas que passaram pela parturição..

Em seu livro Mente e Mundo John McDowell pretende superar a oscilação entre duas abordagens que pretendem mediar à relação entre as mentes e o mundo, de um lado temos o mito do dado dizendo que os pensamentos precisam de uma coerção a partir do mundo exterior, e do outro lado temos o coerentismo que apresenta a ideia de que apenas uma crença pode justificar outra crença. Para defender sua abordagem e naturalizar as capacidades conceituais, situando a espontaneidade na natureza (...) sem reduzi-la no interior do reino da lei. A natureza humana seria então uma segunda natureza que não é só formada a partir das capacidades adquiridas no nascimento, mas que são formadas também a partir da Bildung. Ao lançar mão dessas noções, McDowell traz a discussão das ideias de Han-Georg Gadamer sobre a experiência de abertura para o mundo através da linguagem. Deste modo, a intenção do presente artigo é de discutir sobre as implicações das noções de Bildung e segunda natureza na obra de McDowell buscando um maior esclarecimento a partir da influência e das interpretações de Gadamer. (shrink)

Increased technological and pharmacological interventions in patient care when patient outcomes are uncertain have been linked to the escalation in moral and ethical dilemmas experienced by health care providers in acute care settings. Health care research has shown that facilities that are able to attract and retain nursing staff in a competitive environment and provide high quality care have the capacity for nurses to process and resolve moral and ethical dilemmas. This article reports on the findings of a systematic review (...) of the empirical literature (1980 — February 2007) on the effects of unresolved moral distress and poor ethical climate on nurse turnover. Articles were sought to answer the review question: Does unresolved moral distress and a poor organizational ethical climate increase nurse turnover? Nine articles met the criteria of the review process. Although the prevailing sentiment was that poor ethical climate and moral distress caused staff turnover, definitive answers to the review question remain elusive because there are limited data that confidently support this statement. (shrink)

ABSTRACT In this research, adopting a qualitative and descriptive approach, the aim is to investigate the possible meaning’s effect associated with the image of Female-Exu using the theoretical framework of Materialist Discourse Analysis. The mythologies surrounding this entity are linked to her power at crossroads and her potential to open paths, providing her followers new ways of understanding life. Additionally, the image of this entity updates meanings related to eroticism. Considering the hegemony of Christian ideologies, the representation of the Female-Exu (...) leads to interpretations other than those which associate the erotic with sin. Therefore, unlike the Christian ideology, such as the image of the devil and/or satan, in addition to negative/pejorative erotic aspects associated with the entity by non-Candomblé and Umbanda practitioners, the research proposal is also to investigate possible erotic meanings in the lyrics “Maria Padilha” by Bixarte. (shrink)

Background The practice of health advocacy in nursing has been defined as a process aimed at promoting the independence and autonomy of users of health services, in addition to providing information on healthcare decision-making and offering support for decisions taken. Ethical considerations Ethics approval was not required to conduct this review. Aim This integrative review aims to synthesize evidence in the literature on health advocacy in professional nursing practice. Methods An integrative review methodology guided by Whittemore and Knalf was used. (...) Studies were identified by conducting searches on PubMed, Scopus, Web of Science, CINAHL, and LILACS databases. Of 2179 records, 34 studies matched the inclusion criteria. Results The main aspects involved in the practice of health advocacy by professional nurses are related to the ethical principles of the nursing profession, such as protecting patients seeking autonomy and care. Furthermore, the practice of health advocacy by nurses requires an empathetic attitude, responsibility, and assertive communication. Conclusion The diverse possibilities for the practice of advocacy synthesized in this study allow nurses to approach and become familiarized with the topic, being able to acquire and complement knowledge that will reflect on their professional practice in different work environments such as the educational field, in hospital practice, or basic health care. (shrink)

Displayed on school walls during holidays, attached to floats and triumphal arches in processions, emblems played a part in all public events organized by the Jesuits in the 17th century. These verbal-iconographic compositions, which were used to illustrate the principal themes of the ceremony, were not a mere period detail or an ornamental device but constituted a means of expression which, by virtue of the particular relations governing the association of text and image, mobilized complex rhetorical, moral, and spiritual elements (...) simultaneously. By associating an image - seen as the “body” - with a textual element (inscriptio et subscriptio) - the “soul” - the emblem-maker sought to achieve a unity of meaning in which the two forms of communication complemented each other: it is precisely the way in which the two elements are connected, and the laws that regulate their composition, that constitutes the foundation of the language of the emblem. This language, which is used in a corresponding manner in a variety of other symbolic compositions (devices, hieroglyphs, symbols, coats of arms, medals, etc.), is based on the rhetorical operations of the metaphor, applied here as a model both for the word, with its mimetic properties, and for figurative codes. However, the metaphor, as a product of human ingenuity, is not only situated at the crossroads of a system of thought crystallized in a great number of inventions, but also bears witness to an ornamental aesthetic, typical of the 17th century's aristocratic culture and social rituals. While there does exist a vast bibliography of materials on the function and role of metaphor in Baroque culture, questions nevertheless remain about the numerous cultural practices to which the Baroque gave rise and the particular processes that the 17th century brought into play. My intention here is not to resolve all such questions but rather to provide an analytical framework by focusing my observations on emblematic compositions produced in the scholastic milieu of the Society of Jesus. (shrink)

The paper focuses on conceptual images of the market built on the core idea of equilibrium. It argues that logical difficulties and dead ends were encountered in building equilibrium models of the market. A heavy toll was paid in loss of realism, failure to understand history, and ineptitude in addressing relevant problems. Equilibrium economics is marked by the exclusion of a wide range of economic phenomena, with a codified lack of attention to change, transition and learning. The loss of relevance (...) involved was a consequence of the primitive idea of conceiving of the market within the semantic field of equilibrium. The most evident failure of the equilibrium imagery was in understanding economic development as a process of social and structural change in history. The paper argues that is time to free economic theory from the obsessive centrality of the equilibrium idea. Attention should shift to the market economy as a complex network of rules, organizations and institutions, which make viable economic change. This approach invites scholars in economics to a fruitful dialogue with other fields of knowledge, to understand both crises and successes in processes of economic change.L’article traite des images conceptuelles du marché construites à partir de l’idée d’équilibre. Il est suggéré que la construction des modèles d’équilibre du marché a souffert de difficultés logiques et a aboutit à des impasses. Il en a résulté une perte de réalisme, et une incapacité à comprendre l’histoire et à aborder les questions pertinentes. L’économie de l’équilibre est caractérisée par l’exclusion d’un grand nombre de phénomènes économiques mais aussi par un manque d’attention au changement, à la transition, et à l’apprentissage. Le manque de pertinence qui en découle est le résultat de l’idée primitive de concevoir le marché dans le champ sémantique de l’équilibre. L’échec le plus évident de l’image d’équilibre réside dans la compréhension du développement économique comme un processus du changement social et structurel au cours de l’histoire. L’article suggère qu’il est temps de libérer la théorie économique de cette idée obsessionnelle d’équilibre. Il faut plutôt concevoir le marché comme un réseau complexe de règles, d’organisations et d’institutions qui rendent le changement économique viable. Cette approche invite l’économie à un dialogue fructueux avec les autres domaines de la connaissance pour comprendre à la fois les crises et les réussites des processus de changement économique. (shrink)

This volume is about the notion of 'defeat' in philosophy. The idea is that someone who has some knowledge, or a justified belief, can lose this knowledge or justified belief if they acquire a 'defeater' - evidence that undermines it. The contributors examine the role of defeat not just in epistemology but in practical reasoning and ethics.

This book argues that the major traditions in the philosophy of language have mistakenly focused on highly idealized linguistic contexts. Instead, it presents a non-ideal foundational theory of language that contends that the essential function of language is to direct attention for the purpose of achieving diverse social and political goals. Philosophers of language have focused primarily on highly idealized linguistic contexts in which cooperative agents are working toward the shared goal of gaining information about the world. This approach abstracts (...) away from important issues like power, ideology, social position, and diversity of goals which are crucial to explaining linguistic phenomena both at the semantic and pragmatic levels. This book begins by examining the work of some of the pioneers of this tradition--primarily David Lewis, Paul Grice, and Robert Stalnaker. The author shows that various problems have their source in idealizations made at the foundational level of linguistic theory and proposes to rebuild from the ground-up. She presents a non-ideal foundational theory of language which retains the major insights of traditional frameworks while rejecting the social idealizations that guide them. Then, she explores the social and political applications of her account to issues such as dog whistling, propaganda, slurs and racist speech, silencing, and manipulation. Non-Ideal Foundations of Language will appeal to researchers and advanced students in philosophy of language who are interested in the social and political applications of language, as well as traditional metasemantic theory. (shrink)

According to the naïve, pre-theoretic conception, lying seems to be characterized by the intent to deceive. However, certain kinds of bald-faced lies appear to be counterexamples to this view, and many philosophers have abandoned it as a result. I argue that this criticism of the naïve view is misplaced; bald-faced lies are not genuine instances of lying because they are not genuine instances of assertion. I present an additional consideration in favor of the naïve view, which is that abandoning it (...) comes at an extremely high price; alternative accounts which eschew the intent-to-deceive condition on lying have difficulty distinguishing lies from non-literal speech. (shrink)

Questo volume su Metafore dello spazio, che fa seguito al primo dedicato a La politica e gli spazi, fa parte della serie dedicata ad illustrare i risultati di un gruppo di studio interdisciplinare, promosso da Lea Campos Boralevi, Vittore Collina e Bruna Consarelli, docenti di Storia delle Dottrine politiche, intitolato Figure dello spazio, politica e società, che mira ad indagare i grandi temi politici e sociali dell'età moderna e contemporanea dal punto di vista degli spazi e della loro produzione.

A core principle of modern science holds that a scientific explanation must not attribute will or agency to natural phenomena.The Restless Clock examines the origins and history of this, in particular as it applies to the science of living things. This is also the story of a tradition of radicals—dissenters who embraced the opposite view, that agency is an essential and ineradicable part of nature. Beginning with the church and courtly automata of early modern Europe, Jessica Riskin guides us (...) through our thinking about the extent to which animals might be understood as mere machines. We encounter fantastic robots and cyborgs as well as a cast of scientific and philosophical luminaries, including Descartes and Leibnitz, Lamarck and Darwin, whose ideas gain new relevance in Riskin's hands. The book ends with a riveting discussion of how the dialectic continues in genetics, epigenetics, and evolutionary biology, where work continues to naturalize different forms of agency.The Restless Clock reveals the deeply buried roots of current debates in artificial intelligence, cognitive science, and evolutionary biology. (shrink)

The term "fake news" ascended rapidly to prominence in 2016 and has become a fixture in academic and public discussions, as well as in political mud-slinging. In the flurry of discussion, the term has been applied so broadly as to threaten to render it meaningless. In an effort to rescue our ability to discuss—and combat—the underlying phenomenon that triggered the present use of the term, some philosophers have tried to characterize it more precisely. A common theme in this nascent philosophical (...) discussion is that contemporary fake news is not a new kind of phenomenon, but just the latest iteration of a broader kind of phenomenon that has played out in different ways across the history of human information-dissemination technologies. While we agree with this, we argue that newer sorts of fake news reveal substantial flaws in earlier understandings of this notion. In particular, we argue that no deceptive intentions are necessary for fake news to arise; rather, fake news arises when stories which were not produced via standard journalistic practice are treated as though they had been. Importantly, this revisionary understanding of fake news allows us to accommodate and understand the way that fake news is plausibly generated and spread in a contemporary setting, as much by non-human actors as by ordinary human beings. (shrink)

A number of examples of studies from the field ‘The Philosophy of Mathematical Practice’ (PMP) are given. To characterise this new field, three different strands are identified: an agent-based, a historical, and an epistemological PMP. These differ in how they understand ‘practice’ and which assumptions lie at the core of their investigations. In the last part a general framework, capturing some overall structure of the field, is proposed.