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)

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...

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)

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)

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)

O desenvolvimento das TDVs possibilita a ampliação dos espaços de relação e interação entre os seres humanos, modificando, assim, a forma de viver e conviver em espaços digitais virtuais, fazendo emergir outra cultura. A cultura emergente é construída por homens e mulheres que configuram o pensar, as ações e reflexões das novas gerações. Nesse sentido, a educação tem como comprometimento qualificar o processo de reflexão, a fim de que as novas gerações tenham consciência sobre o seu pensar e o seu (...) agir, nos espaços digitais virtuais. O MDV3D é uma das TDVs mais significativas para propiciar os processos de interação e relação na construção do conhecimento, potencializando o ensinar e o aprender. O viver e o conviver implicam o fato de seres humanos estarem em congruência com o meio; neste sentido, é fundamental compreender as possibilidades e limitações do MDV3D para a construção da cultura emergente. (shrink)

Este trabalho tem como objetivo apresentar e discutir a filosofia da experiência de John Dewey, enfatizando suas concepções sobre experiência, experiência educativa e propósito. Além disso, apresentar e discutir como os projetos de programação desenvolvidos por crianças no Scratch podem ser entendidos como um propósito no contexto de sua filosofia, o que nos levou a relacionar o conceito de propósito construído por Dewey à ideia de projeto pessoal desenvolvida por Papert, no âmbito do construcionismo. Tal relação se torna importante para (...) ampliar as investigações que tratam problemáticas relacionadas ao ensino de programação na educação básica. A fim de exemplificar as possíveis relações, apresentamos um projeto de programação desenvolvido por um aluno do quinto ano do ensino fundamental, reconhecendo nele os pressupostos teóricos da teoria de Dewey discutidos no texto, relacionando-os às ideias de Papert. (shrink)

En el presente artículo buscamos sistematizar algunas contribuciones del filósofo Walter Benjamin con la intención de pensar las infancias y la educación de la clase trabajadora en el contexto en que se formulan proyectos de ley, como Escuela Sin Partido, en Brasil. Son proyectos elaborados en los últimos años, que guardan un fuerte cuño conservador y de control ideológico. Buscamos en Benjamin la noción de experiencia y cómo ésta entra en relación con la infancia y el área de la educación, (...) así como sus contribuciones en lo que se refiere a la educación popular o proletaria. A partir de dichas nociones de la filosofía benjaminiana, analizamos propuestas educativas y proyectos de ley, como el mencionado, indagando sobre las concepciones de infancia, historia, experiencia y política que atraviesan ese debate. La intención aquí es pensar bajo una óptica benjaminiana el crecimiento de las ideas que orientan el proyecto Escuela sin Partido y su influencia en la educación de los niños pequeños, en especial, de los niños de la clase trabajadora. Con ese fin, apelamos a escritos del autor como: Experiencia, Experiencia y Pobreza, La vida de los estudiantes, Teatro Infantil Proletario, Pedagogía Comunista, El narrador y sus narrativas radiofónicas presentadas en radios de Berlín y Frankfurt, en las que se destaca la cultura y la vida cotidiana de los niños berlineses. Para empezar a recorrer los caminos de este estudio, que se inscribe en una investigación de doctorado en curso, también se recurre a las publicaciones como Gaudencio Frigotto y Jorge Larrosa Bondía, considerando el proyecto de ley federal nº 193/2016 (Escuela Sin Partido) como documento legal analizado. (shrink)

En este artículo se trata de investigar qué tipo de relación conceptual es posible determinar entre la noción de poder y la noción de libertad en los últimos trabajos Michel Foucault. La propuesta es mostrar que determinados textos de Foucault permiten establecer un vínculo especulativo entre ambos términos, entendiendo por ello que éstos sólo tienen lugar en su mutua interrelación y no existen fuera de ella. Esto supone, a su vez, señalar las limitaciones de aquellas interpretaciones que o bien se (...) centran en la noción de poder o bien en la noción de libertad. Mientras que las primeras desembocan en una lectura demasiado unilateral de la noción de poder, las segundas, en cambio, desatienden las posibilidades políticas que se desprenden del concepto de libertad. Por tanto, una lectura especulativa que atienda a ambas nociones a la vez puede ser capaz de abrir una vía de problematización a explorar. (shrink)

In Western countries, a social trend toward delaying childbearing has been observed in women of reproductive age for the last two decades. This delay is due to different factors related to lifestyle, such as the development of a professional career or the absence of the right partner. As a consequence, women who defer childbearing may find themselves affected by age-related infertility when they decide to conceive. Fertility preservation techniques are, therefore, proposed as a solution for these women. Among all possible (...) solutions, social freezing is an alternative strongly discussed from a scientific, social and ethical point of view.A survey among 930 female students at the University of Padova (Italy) investigated their knowledge and attitudes on social egg freezing and their potential intentions regarding this procedure. To our knowledge, this is the first study to examine the level of awareness of age-related infertility in Italian young women and their attitudes regarding acceptable indications for elective oocyte freezing, their potential personal use, the circumstances in which they would then decide to use cryopreserved eggs, and their attitudes towards cost coverage and oocyte donation.Data collected in this study revealed some important points about young women and their knowledge about social oocyte freezing in Italy as compared to other European countries and the United States.Overall, 34.3% of the students reported having heard about the possibility of oocyte cryopreservation for non-medical reasons and being aware of the meaning of this procedure; only 19.5% were in favour of social egg freezing and 48.4% thought that the cost for this procedure should be borne entirely by the woman herself. Regarding egg donation, the majority of students (64.9%) would not accept donating their eggs to a known woman or couple and 42.5% would instead accept donating to a biobank.Our study shows that young Italian women are significantly less aware of age-related decline in fertility and the possibility of using social egg freezing compared to their similarly situated counterparts in other Western countries. (shrink)

What is considered ugly, grotesque or unpleasant by the fashion world? The first collection presented by Rei Kawakubo in Paris was classified as offensive to Western aesthetic standards, for it questioned the French ideal of beauty and elegance. Through silhouettes covered in frayed, perforated and monochromatic fabrics, Kawakubo disrupted the established notion of the beautiful body, stripping it of the clichés of femininity, explicit sexuality and glamour. Under the lens of Vilém Flusser’s philosophy, the Japanese fashion designer created the new, (...) the beautiful, that which is capable of expanding the parameters of the real. (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.

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)

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

Resumen: En el presente artículo buscaremos analizar los diversos tratamientos que Walter Benjamin ha realizado a lo largo de su obra acerca de la crítica como temática eminentemente filosófica. Para ello abordaremos, en primer lugar, su acercamiento a la poesía del Romanticismo alemán, luego a la poesía barroca y, finalmente, a la obra de Baudelaire con el objetivo de justificar que una comprensión acabada de la crítica implica necesariamente para el filósofo alemán recuperar la actualización como clave de lectura de (...) la historia. En efecto, si actualizar presupone para Benjamin la asunción de la no coincidencia del tiempo consigo mismo, esto es, la supervivencia del pasado en el presente y el potencial significante de sus emergencias, buscaremos mostrar cómo la noción de crítica benjaminiana descansa en ese diferencial temporal y encuentra allí su fuente de sentido.: In this article we intend to analyze the different considerations that Walter Benjamin carried out in his work on the problem of critique as an eminently philosophical subject. To do this, we will address, first, his approach to German romantic poetry, then baroque poetry and, finally, Baudelaire’s work, in order to explain how a full comprehension of critique means, for the German philosopher, to recover the idea of “actualization” as a key for reading History. In fact, if the actualization presupposes, for Benjamin, the assumption of the non-coincidence of time with itself, that is, the survival of the past within the present and its potentiality to signify, we try to show how Benjamin’s notion of criticism rests on that temporal difference and finds there its source of meaning. (shrink)

Historicamente os estudos da informação se relacionam diretamente com os estudos da linguagem. Recentemente, entra nesse cruzamento, a tecnologia. Procurando identificar caminhos que possam servir aos estudos informacionais para refletir e construir suas estruturas de linguagem para mediação do conhecimento, é desenvolvido um ensaio sobre qual seria o lugar da linguagem na obra “Ensaio sobre a origem dos conhecimentos humanos” (1746), de Étienne Bonnot de Condillac (1715 – 1780). Procura-se, ao final, defender as perspectivas do filósofo como um dos pontos (...) de partida prévios que poderiam também ser assumidos pela Ciência da Informação para distinguir aquilo que atualmente concebemos como linguagem, conhecimento e uso da informação. (shrink)

Montaigne, no "De l'art de conferer", discute critérios que permitem distinguir os homens segundo suas capacidades (suffisances). A "maneira" de discursar ocupa o centro desta questão e entre suas qualidades se destaca a "ordem", que nos é apresentada, sobretudo, a partir dos desvios da "tolice" (sottise) e "obstinação" (opiniastreté), símbolos do dogmatismo e de uma errônea lide com os saberes que se apoiam na memória. Procura-se mostrar que a ordem se funda na assimilação e penetração do julgamento nas matérias que (...) garantem o nexo necessário para o desenvolvimento adequado da conversação (conference). Montaigne, in "De l'art de conferer", discusses the criteria to distinguish men according to their capabilities (suffisances). The "manner" of discussing is central to this issue and among its qualities "order" distinguishes itself. The "order" is presented to us by the exposition of its deviations: foolishness ("sottise") and obstinacy ("opiniastreté"). These inadequacies represent both dogmatism and an erroneous way of using knowledge based on memory. We intend to show how order is founded on a kind of judgment which assimilates and penetrates matters and subjects - being it the only way to assure the necessary connection to adequately develop the conversation ("conference"). (shrink)

Quaestio, Volume 20, Issue, Page 523-526, January 2020.

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)

Este artigo se propõe a discutir a estética de Jean-François Lyotard a partir de dois eixos principais: 1) sua concepção de cultura de massa e 2) sua concepção de arte. Mediante a interpretação de algumas das principais obras de Lyotard, objetivamos mostrar como, ao longo da produção teórica de Lyotard sobre o pós-moderno, encontra-se uma valorização do novo, do exótico e do multiculturalismo que coloca o filósofo em dificuldades para definir cultura de massa e arte. A hipótese que norteia este (...) artigo é a de que Lyotard por vezes deliberadamente confunde os dois domínios, de modo que seu pensamento deixa de ser crítico em relação às produções culturais capitalistas, tornando-se conivente com o consumismo presente nas sociedades contemporâneas. (shrink)

Este artigo tem como objetivo principal analisar a relação entre utopia negativa e catástrofe na Estética de Adorno. O filósofo argumenta que a arte moderna é associada a um tipo de utopia que não é uma representação positiva do que a sociedade deveria ser. A utopia negativa apenas mostra o que a sociedade não deveria ser. A obra de arte está então carregada de contradições de uma sociedade não reconciliada. Tal explica por que a arte moderna e nova é tão (...) recorrentemente caracterizada pelo feio, o repulsivo, o negro e o catastrófico. Na formulação de Adorno, a obra de arte se constitui como negação determinada da sociedade administrada. Como tal, a obra de arte é também negação determinada da cultura administrada, isto é, sua constituição é dada pela negação determinada dos padrões da Indústria Cultural e da tradição artística. (shrink)

Kristen Ghodsee continue avec cet ouvrage la récupération de l’héritage historique de l’activisme international des femmes du bloc de l’Est, thème qu’elle avait lancé en 2015 avec The Left Side of History: World War II and the Unfulfilled Promise of Communism in Eastern Europe. Elle y ajoute un nouveau volet : l’expérience de l’Afrique postcoloniale et la lutte de ses militantes politiques pour les droits des femmes pendant la Décennie des Nations Unies pour la femme, 1975‑1985. K. Ghodsee co...