BackgroundEthics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs), and nurses at our urban academic medical center which might contribute to underutilization.MethodsThis was a cross-sectional single-health system, anonymous written online survey, which was developed by the UCSD Health Clinical Ethics Committee and distributed by Survey Monkey. We compare responses between physicians, APPs, and nurses using standard parametric and non-parametric statistical (...) methods. Satisfaction with ethics consult and likelihood of calling Ethics service again were assessed using a 0–100 scale using a 5-likert response structured (0 being “not helpful at all” to 100 being “extremely helpful”) and results presented using box plots and interquartile ranges (IQR).ResultsFrom January to July 2019, approximately 3800 surveys were sent to all physicians, APPs and nurses with a return rate of 5.5—10%. Although the majority of respondents had encountered an ethical dilemma (85–92.1%) only approximately half had ever requested an Ethics consult. The primary reason for physicians never having requested a consult was that they never felt the need for help (41%). For APPs the primary reasons were not knowing an Ethics consult service was available (33.3%) or not knowing how to contact Ethics (27.8%). For nurses, it was not knowing how to contact the Ethics consult service (30.8%) or not feeling the need for help (26.2%). The median satisfaction score (IQR) for Ethics consult services rated on a 0–100 scale, from physicians was 76 (29), for AAPs 89 (49), and nurses 70 (40) (p = 0.62). The median (IQR) of likelihood of consulting Ethics in the future also on a 0–100 scale was 71 (47) for physicians, 69 (45) for APPs, and 61 (45) for nurses (p = 0.79). APP’s and nurses were significantly more likely than physicians to believe that the team did not act on the Ethics consult’s recommendations.ConclusionsBased on the results presented, we were able to identify actionable steps to better engage healthcare providers—and in particular APPs and nurses—and scale up institutional educational efforts to increase awareness of the role of the Ethics consult service at our institution. Actionable steps included implementing a system of ongoing feedback that is critical for the sustainability of the Ethics service role. We hope this project can serve as a blueprint for other hospital-based Ethics consult services to improve the quality of their programs. (shrink)

A sociedade foi construída a partir de relações de poder que trataram de segregar e marginalizar alguns grupos. A escola, coexistindo nesse contexto, pode mover-se para a ruptura das desigualdades. Dessa maneira, viabilizar a temática de gênero e sexualidade no cotidiano escolar colabora com uma educação transformadora, voltada ao respeito, à valorização das inúmeras vivências de gênero e sexualidade e ao combate à violência. Frente à possibilidade de intervenção e sem adotar uma postura ingênua de que a instituição escolar é (...) capaz de mudar toda uma sociedade, pode-se afirmar que ela detém poder de transformação na vida dos indivíduos? Para fundamentar essa discussão, contamos com o apoio teórico de autores como Louro, Freire, Hooks, Moreno, entre outros. A fim de alcançar os objetivos desta investigação, foi realizada uma pesquisa de caráter qualitativo, por meio de livros, artigos e dados. Entre outras questões, a pesquisa evidenciou a historicidade presente nos assuntos de gênero e sexualidade nas escolas brasileiras e no currículo formativo, refletindo sobre a responsabilidade do fazer educacional diante do compromisso de uma educação não discriminatória e transformadora. (shrink)

Recent studies of political attitudes have documented increasing support for women political candidates among college students and adults. This study examined junior and senior high school student's attitudes toward women in politics and analyzed the effect of gender and race on their attitudes. We found that adolescent girls had very positive and optimistic views of the role of women in politics; adolescent boys, particularly blacks, had more negative and pessimistic views.

国家社会科学基金项目获“高等学校优秀青年教师教学科研奖励计划资助”(TRAPOYT).

1. Sae sidae rŭl yŏrŏ gan saramdŭl -- 2. Ŏdum ŭi sidae.

Mal ŭi him -- Kŏjinmal ch'ammal kŭrigo ch'immuk.

Dissertação de Mestrado. OLIVEIRA, Cássia Cristina Costa de. Se Deus não existe tudo é permitido? Niilismo e religião. Estudo a partir de Dostoievski e Nietzsche. 2012. 144 folhas. Dissertação (Mestrado) – Pontifícia Universidade Católica de Minas Gerais, Programa de Pós-graduação em Ciências da Religião, Belo Horizonte. Palavras-chave : Niilismo. Religião. Nietzsche. Dostoiévski. Key words : Nihilism. Religion. Nietzsche. Dostoiévski.

Geography and religion -- Landscape of anxiety and fear -- Chinese cosmic space and places -- European sacred space and places -- A comparison with American Indian world-view -- Similar, yet different -- Apartness -- Order -- Wholeness and completion -- Sacred state -- Violence -- Ironies of piety -- God and morality -- From amoral energy to power for good -- Rise and fall of place specificity -- Traders and pilgrims -- Religious geography; or just human geography -- The (...) aesthetic sublime : vastness, place, and space -- Space vs. local place and custom -- Unbounded vastness and placelessness -- The aesthetic sublime : transiency and the eternal -- The ethical sublime : Buddhism -- The ethical sublime : Christianity -- Falling standard -- Geography and religion : fundamental questions -- From architectural and ritual to storytelling -- Community, self, and selflessness -- Placelessness and ethereality -- Religion of fear and privilege -- True religion -- Progress -- The ultimate test. (shrink)

Xunzi's philosophy provides a rich resource for understanding how ethical relationships between humans and nature can be articulated in terms of harmony. In this paper, I build on his ideas to develop the concept of reciprocal harmony, which requires us to reciprocate those who make our lives liveable. In the context of the environment, I argue that reciprocal harmony generates moral obligations towards nature, in return for the existential debt that humanity owes towards heaven and earth. This can be used (...) as a normative basis for an environmental ethic that enables humanity and nature to flourish together. (shrink)

Plausible principles on truth seem to yield contradictory conclusions about paradoxical sentences such as the Strengthened Liar. Those who take the contextualist approach, such as Parsons and Burge, attempt to justify the seemingly contradictory conclusions by arguing that the natural reasoning that leads to them involves some kind of contextual shift that makes them compatible. This paper argues that one cannot take this approach to give a proper treatment of infinite descending chains of semantic attributions. It also examines a related (...) approach taken by Gaifman and argues that it has the same problem. (shrink)

O artigo traz uma discussão acerca da utilização do conceito de identificação por Adorno. A partir disso procuramos dar ênfase para o tema da crítica e da negação da cultura possibilitadas pela apropriação da psicanálise realizada pelo autor. A aplicação do conceito permite analisar o processo de assimilação do indivíduo no capitalismo tardio. Uma vez que a cultura é transformada em mercadoria, e assim absorve o ritmo idêntico e repetitivo da produção mecanizada, que transmite aos indivíduos através dos produtos que (...) consomem e das celebridades com as quais se identificam. Nesse contexto, cresce o sentimento de impotência individual gerado por um modelo de organização social que dissimula suas contradições a partir da identidade do indivíduo com a cultura. E revela a união entre progresso e barbárie que promove o declínio do indivíduo como foi exposto na Dialética do Esclarecimento. Como sugere Adorno, diante da irracionalidade da cultura moderna, cabe à educação a tarefa de autorreflexão crítica e de esclarecimento dos indivíduos. De maneira a convidá-los a pensar na falsa realidade em que estão inseridos e de contrapor impotência com autonomia. (shrink)

A plurality or plural object is a single object that is also many, and pluralitism is the thesis that there is such an object. This paper argues that pluralitism and closely related theses (e.g., the many-one identity thesis and the composition as identity thesis) violate logic. To do so, it formulates an approach to the logic and semantics of plural constructions that results in plural logic and relates treatments of plural constructions to accounts of natural number. And it gives a (...) critical examination of Frege’s views of numbers and plural constructions, and sketches the view of plural constructions as devices for talking about the many (as such), and an account of natural numbers as properties of a special kind, plural properties. (shrink)

BackgroundAging and type 2 diabetes mellitus are important risk factors for the development of cognitive deterioration and dementia. The objective of this research was to investigate the effects of an exercise intervention on cognitive function in older T2DM patients.MethodsEight literature databases were searched from inception to 20 January 2022. The researchers examined randomized controlled trials that evaluated the impact of exercise on the cognitive performance of older T2DM patients. The Cochrane risk-of-bias tool for RCTs was used to assess each study. (...) The quality of evidence was assessed using the GRADE approach. The mini-mental state examination, Modified MMSE, and Montreal cognitive assessment were used to evaluate the cognitive outcomes. We performed a subgroup analysis with stratification according to exercise intervention modality, duration, and cognitive impairment.ResultsFive trials were eligible, with a total of 738 T2DM patients. The combined findings revealed that exercise improved global cognitive function significantly. In the studies that were included, no relevant adverse events were reported.ConclusionExercise is beneficial in improving global cognitive function in older adults with T2DM. Studies with bigger sample sizes and higher quality are additionally expected to draw more definite conclusions.Systematic Review Registration[https://www.crd.york.ac.uk/PROSPERO/#recordDetails], identifier [CRD42022296049]. (shrink)

The underlying aim of this study was to investigate the impact of interpersonal injustice on emotional exhaustion and the three main facets of knowledge hiding, i.e., evasive knowledge hiding, playing dumb, and rationalized knowledge hiding. This study also investigates the moderating role of high-performance work stress in the relationship between interpersonal injustice and emotional exhaustion. A questionnaire was adopted to obtain data from 539 employees working in the telecom sector of China. The Smart-PLS software was used to analyze the data (...) through the aid of a structural equation modeling technique. The results revealed that interpersonal injustice had a positive and significant relationship with evasive knowledge hiding, playing dumb, and rationalized knowledge hiding. Interpersonal injustice also had a positive relationship with emotional exhaustion, and it was found that emotional exhaustion had a positive relationship with evasive knowledge hiding, playing dumb, and rationalized knowledge hiding. The results also revealed that emotional exhaustion mediated the relationship between interpersonal injustice and knowledge hiding. Moreover, it was also observed that high-performance work stress significantly but negatively moderated the relationship between interpersonal injustice and emotional exhaustion. Theoretically, this study made a valuable contribution by examining the impact of interpersonal injustice on knowledge hiding behavior. In terms of practical implications, this study would certainly aid the organizations to support a fair and just workplace culture that encourages knowledge sharing. (shrink)

布伦塔诺哲学博大精深。其主题可由“存在”、“心灵”、“价值”贯通。布氏把“内知觉明证性”原则引入“实在”的分层，将亚里士多德哲学中“存在”的多义性推进到“实在”的多层性。布氏的“心灵学”是对亚氏“灵魂 论”的扬弃，其创发之处是对“心灵现象”的厘清和类型划分。布氏以“内在价值”为核心的价值伦理思想是对前人相关思想的重大突破，他以“明智的经验主义”与“真实的个体主义”为尊严、平等和仁爱等重要的普世价值奠 基。布氏哲学是对以“认识你自己”为鹄的的哲学的实质性推进。.

황우석 교수 사건을 종합적으로 분석한 책이 나왔다. 『황우석의 나라』는 황 교수 사태가 요동칠 때 에서 기자생활을 한 이성주가 현장을 지켜보고 이를 분석한 책이다. 저자는 7년 동안 의학팀장을 맡았고 2004년 8월부터 1년 동안 미국 존스홉킨스대에서 연수를 하고 귀국한 뒤 4개월 동안 과학 및 의학 분야의 곁에서 황 교수 사태가 요동치는 현장을 지켜보았다. 이 책은 황우석 사건 보도와 관련해 알려지지 않은 언론계의 현장 이야기, 과학계의 분위기, 황우석의 로비 실태 등을 생생하게 보여준다. 또 이번 사태가 발생하기 이전의 각종 기사를 분석해 언론이 무비판적으로 보도한 (...) 황 교수의 업적이 얼마나 허점투성이인지 설득력 있게 제시하고 있다. 동시에 19세기 말 프랑스를 뒤흔들었던 ‘드레퓌스 사건’과 마찬가지로 언론이 줄기세포처럼 똬리를 틀고 있다고 진단하고 언론의 본질과 역할에 대해 문제를 제기한다. 저자는 제2의 황우석 사건을 예방하기 위해 연구비 심사제도 개선, 연구비에서 간접비의 비중 강화, 언론의 에디터제 도입 등 세세한 대안도 내놓고 있다. (shrink)

ḥeleḳ 1. Kolel azharot ṿe-liḳuṭe dinim neḥutsim mi-Shu. ʻa. ṿe-aḥaronim ... -- ḥeleḳ 2. Ka-n.l. be-hosafat harbeh segulot le-yirʼat Shamayim ule-farnasah ... .

The paper studies the nature of understanding in condensed matter physics (CMP), mediated by the successful employment of its models. I first consider two obvious candidates for the criteria of model-based understanding, Van Fraassen's sense of empirical adequacy and Hacking's instrumental utility , and conclude that both are unsatisfactory. Inspired by Hasok Chang's recent proposal to reformulate realism as the pursuit of ontological plausibility in our system of knowledge, we may require the model under consideration to be understood (or intelligible) (...) before claiming model-based understanding. Here the understanding of a model typically consists of the following: figuring out at least one plausible (preferably realistic) physical mechanism for the model, determining the theoretical consequences of the model by mathematically probing it and developing our physical intuitions about the model. I consider the q-state Potts model to illustrate. After having understood a model, we may employ the model to understand its target phenomena in the world. This is done by matching one of the interpretative models of the model with the central features of the phenomena. The matching should be motivated (ideally both theoretically and empirically) in the sense that we have good reason to believe that the central features of the phenomena can be thought of as having more or less the same structure as postulated by the interpretative model. In conclusion, I propose a two-stage account of model-based understanding in CMP: (1) understanding of a model and (2) matching a target phenomenon with a well-motivated interpretative model of the model. Empirical success and instrumental utility both play their roles in the evaluation of how successful the model is, but are not the essential part of model-based understanding. (shrink)

This study examines whether human gaze lacking the confounding factor of eye whites can be processed unconsciously and explores the critical aspects for such process. Utilizing the continuous flash suppression paradigm, a schematic face—with direct or averted gaze, and with neutral, fearful or happy expressions—was presented to one eye while dynamic masks rendered it invisible to the other eye. Schematic faces were used to avoid unwanted influence from salient eye whites. Participants’ detection time of anything other than the masks was (...) used as an index of unconscious processing time. Faster detection was found for faces with direct gaze than those with averted gaze. However, there was no difference between detection times for different facial expressions and upright-face, inverted-face, and eyes-only conditions . These results confirm that, with schematic faces, gaze can be processed unconsciously regardless of facial expression, and eyes alone are sufficient for such process. (shrink)

In this essay, I develop the concept of episodic value, which describes a form of value connected to a particular object or individual expressed and delivered through a narrative. Narrative can bestow special kinds of value on objects, as exemplified by auction articles or museum collections. To clarify the nature of episodic value, I show how the notion of episodic value fundamentally differs from the traditional axiological picture. I extend my discussion of episodic value to argue that the notion of (...) episodic value readily incorporates the role of narratives into the construction of identity in personal and social contexts. My main contentions are twofold. First, events or experiences from our personal narratives are episodically valuable insofar as they contribute to shaping our narrative identities. Second, when engaged in a collective action, we write a joint narrative with other participants that confers special meanings on the actions of each participant. (shrink)