Poimanje čovjeka kao osobe utječe na neposredno djelovanje, što osobito dolazi do izražaja u skrbi tijekom bolesti i patnje. Iako je medicina stara koliko i čovječanstvo, tijekom posljednja dva stoljeća kao znanost razvija se unutar biomedicinske paradigme koja je obilježena pozitivizmom.Od vremena Florence Nightingale profesija medicinskih sestara pokušava se razviti unutar vlastite paradigme koju obilježavaju četiri koncepta od kojih je osoba središnji koncept. Tek se proteklih pola stoljeća razvijaju jedinstvene zdravstvene njege u kojima se naziru obilježja personalizma. Pokušaji pojedinih teoretičarki (...) da definiraju pojam osobe približili su ga klasičnoj definiciji osobe kakva se nalazi u filozofskoj antropologiji.Činjenica da postoje teorijski modeli koji usmjeravaju praksu od biomedicinskoga preko holističkog prema personalističkome nazoru govori u prilog da sazrijeva misao o važnosti promatranja čovjeka kao osobe sa svim neposrednim pozitivnim učincima takvoga pogleda. (shrink)

Objective To determine the attitudes of Egyptian patients regarding their participation in research and with the collection, storage and future use of blood samples for research purposes. Design Cross-sectional survey. Study population Adult Egyptian patients (n=600) at rural and urban hospitals and clinics. Results Less than half of the study population (44.3%) felt that informed consent forms should provide research participants the option to have their blood samples stored for future research. Of these participants, 39.9% thought that consent forms should (...) include the option that future research be restricted to the illness being studied. A slight majority (66.2%) would donate their samples for future genetic research. Respondents were more favourable towards having their blood samples exported to other Arab countries (62.0%) compared with countries in Europe (41.8%, p<0.001) and to the USA (37.2%, p<0.001). Conclusions This study shows that many individuals do not favour the donation of a blood sample for future research. Of those who do approve of such future research, many favour a consent model that includes an option restricting the future research to the illness being studied. Also, many Egyptians were hesitant to have their blood samples donated for genetic research or exported out of the Arab region to the USA and European countries. Further qualitative research should be performed to determine the underlying reasons for many of our results. (shrink)

The concept of species is one of the core concepts in biology and one of the cornerstones of evolutionary biology, yet it is rife with conceptual problems. Philosophers of biology have been discussing the concept of species for decades, and in doing so they sometimes appeal to the views of biologists. However, their statements as to what biologists think are seldom supported by empirical data. In order to investigate what biologists actually think about the key issues related to the problem (...) of species, we have conducted a survey on the sample of 193 biologists from the population of biologists from over 150 biology departments at universities in the US and the EU. This article presents and discusses the results of the survey. Some results confirm and others falsify the reiterated statements of philosophers of biology as to what biologists think, but all results we obtained should be informative and relevant for future discussions of the problem of species. (shrink)

The notion of interaction and interaction machines, developed by Peter Wegner, includes the comparison between incompleteness of interaction machines and Gödel incompleteness. However, this comparison is not adequate, because it combines different notions and different sources of incompleteness. In particular, it merges syntactic with two senses of semantic completeness, and results about truth with results about provability and their consequences . The comparison also overlooks structural differences in the way diagonalization produces incompleteness. More generally, the comparison is unlikely because interaction (...) incompleteness is supposed to come from a system's involvement with its environment, whereas Gödel incompleteness comes from a system's involvement with itself. (shrink)

This paper proposes a conceptual framework for understanding the implementation process of a complex intervention concerned with professional role change. The proposed framework holds that the intervention must address three interacting systems (socio-cultural, educational and disciplinary) through which a health professional role is evolved. Each system is operationalized by four dimensions (values, methods, actors and targets). As for the implementation, the framework posits that it can be analyzed, by depicting the barriers and facilitators located within the dimensions of the three (...) interacting systems and within the intervention involved in the process through using the “menu of constructs” approach suggested by the Consolidated Framework for Implementation Research (CFIR). The implications of this framework, on theoretical research and practical levels, are reviewed. (shrink)

Guilt and fear today have developed an unexpected quality: they contribute powerfully to the survival of humanity. The feeling of guilt proceeds from an elementary awareness: although the unequaled progress of science and technology in the twentieth century has undoubtedly ameliorated the conditions of human life, it also has given rise to an infernal logic of genocide and crimes against humanity, in which almost all nations, directly or indirectly, have participated and participate still. This awareness is joined to another, which (...) is itself accompanied by a primordial fear: for the first time in history, science and technology have endowed humanity with the power to destroy itself and the planet, without furnishing humans with the means of escaping their destined role as sorcerer's apprentice, for no science can tell us what to do with science. It is this double feeling of guilt and fear that pushes contemporary man to search feverishly for ethical foundations capable of furnishing discreet regulatory principles to underpin decisions and actions. From the point of view of contemporary humanity, ethics must be able to confer meaning and perspective on an existence which apparently has neither: “Now,” writes Hans Jonas, “we shiver in the nakedness of nihilism in which near-omnipotence is paired with near-emptiness, greatest capacity with knowing least for what ends to use it.”. (shrink)

Ten years ago, an issue of the journal L'Homme et la Société was entitled “La Mode des identités.” Most of the articles were about cultural identity, but the basic thrust of the work was “a critique of the ‘fashion’ of identity calling into question the validity of a notion as striking as it is uncertain.” Recently, a special issue of the journal Sciences Humaines, entitled “Identité et identités,” dealt with personal, familial, social, professional identities and only spoke of cultural identity (...) marginally and in a roundabout way. Finally, in a manual of Sociologie politique published by the Presses Universitaires de France, the author takes to task the notion of ethnicity inherent to cultural identity and pushes the critique of the ethnic group to the point of negating its objective existence. Must we think then that the notion of cultural identity is henceforth obsolete, that it has lost all pertinence? (shrink)

Machine generated contents note: 1. Introduction; 2. International law and postcolonial Africa; 3. Violence and conflicts in Africa; 4. Institutional responses to conflicts; 5. Genesis of the African Union; 6. Structures and philosophy of the African Union; 7. The African Union's peacebuilding travails in Burundi; 8. The African Union and peace initiatives in post-state Somalia; 9. Towards an African Union philosophy on peacebuilding?.

Les Enjeux du discours philosophique pour l'Afrique est consacré non pas à l'ethnophilosophie, mais à l'orientation africaine en philosophie ou de la philosophie qui se déploie sous des talents et plumes aussi riches que contradictoires : Placide Tempels, John Mbiti et Alexis Kagame, Nkrumah, Paulin Hountondji, Eboussi Boulaga, Marcien Towa, Niamkey Koffi, Abdou Touré, Yacouba Konaté, Jean-Godefroy Bidima, Augustin Dibi, etc. Ce n'est pas un ouvrage de "philosophie africaine", si l'adjonction de l'épithète africaine devrait trahir la philosophie qui, depuis Platon, (...) est universelle et ses "vérités" indépendantes des limitations géographiques, raciales et nationales. L'Afrique a, certes, ses limites dans tous les sens du substantif, mais la vocation trans-territoriale du discours philosophique demeure. Elle s'incarne dans le pari que prend Les enjeux du discours philosophique pour l'Afrique de redire, dans les termes de la théorie critique, de l'espace africain ce qu'il garderait sous un double voile d'ignorance et d'opulence. Il s'agit des défis rapportés aux langues, aux savoirs et aux orphelins du savoir, aux pouvoirs et aux orphelins du pouvoir, aux sous-développements et aux démocraties du même ordre, aux idéologies, etc. (shrink)

Arithmetical self-reference through diagonalization is compared with self-recognition in a mirror, in a series of diagrams that show the structure and main stages of construction of self-referential sentences. A Gödel code is compared with a mirror, Gödel numbers with mirror images, numerical reference to arithmetical formulas with using a mirror to see things indirectly, self-reference with looking at one’s own image, and arithmetical provability of self-reference with recognition of the mirror image. The comparison turns arithmetical self-reference into an idealized model (...) of self-recognition and the conception(s) of self based on that capacity. (shrink)

Evaluating the usefulness of Davidson's semantics to computational understanding of language requires an examination of the role of a theory of truth in characterizing sentence meaning and logical form, and in particular of the connection between meaning and belief. The suggested conclusion is that the relevance of Davidson's semantics for computational semantics lies not so much in its methods and particular proposals of logical form as in its general orientation towards "desubstantializing" meaning.

Evaluating the usefulness of Davidson's semantics to computational understanding of language requires an examination of the role of a theory of truth in characterizing sentence meaning and logical form, and in particular of the connection between meaning and belief. The suggested conclusion is that the relevance of Davidson's semantics for computational semantics lies not so much in its methods and particular proposals of logical form as in its general orientation towards "desubstantializing" meaning.

The kind of self-reference which Perlis characterizes as strong, as opposed to formal self-reference which he characterizes as weak, is actually already present in standard forms of formal self-reference. Even if formal self-reference is weak because it is delegated, there is no specific delegation of reference for self-referential sentences, and their ‘self’ part is strong enough. In particular, the structure of self-reference in Godel's sentence, with its application of a self-referential process to itself, provides a model of Perlis’ characterization of (...) a self. This structure can also be interpreted visually, in a way relevant to self and consciousness, namely as self-recognition in a mirror. (shrink)

Ethics issues in the areas of science, technology and medicine have emerged during the last few decades. Many countries have responded by establishing ethics committees at the national level. Identification of National Ethics Committees (NECs) in the Eastern Mediterranean (EM) region and the extent of their functions and capacity would be helpful in developing capacity building programs that address the needs of these committees. Accordingly, we conducted a survey to determine the characteristics of existing NECs in the EM region.

Parochial altruism is manifested in the most violent of conflicts. Although it makes evolutionary sense for kin, many non-kin groups also behave parochially altruistically in response to threat from out-groups. It is possible that such non-kin groups share a sense of “fictive” kinship which encourages them to behave parochially altruistically for each other’s benefit. Our findings show that individuals not directly involved in a conflict approved of parochial altruism enacted by an in-group against an out-group more when the out-group posed (...) a threat to the in-group; however, this effect wasgreaterwhen the in-group members expressed fictive kinship by addressing each other using kinship metaphors such as “brothers.” Furthermore, although males approved of parochial altruism more than females, as the male warrior hypothesis would suggest, the effects of threat and kinship metaphor on approval of parochial altruism applied to both genders. These findings were replicated in an honour and non-honour culture. (shrink)

To avoid a clash of civilizations competing traditions must engage in discourse and search for grounds of commonality. Understanding differences and overcoming points of dissonance are essential for peaceful coexistence.

The present revival of interest in the name and work of St. Thomas Aquinas is a fact which is bound to impress even the most superficial observer. In fact, nobody thinks of denying it; but, since it disturbs the set habits of some, the attempt has been made to give it an unfavourable interpretation in order to escape the duty to take an interest in it. It is - so it has been said - a merely artificial return to an (...) obsolete scholasticism, a movement, political-religious rather than strictly philosophical; what has not been alleged and invented to explain a movement of ideas whose depth and vitality are sufficient to disprove so mean an origin! (shrink)

This essay explores seventeenth- and early eighteenth-century programs of natural inquiry where conjecture—an uncertain category of knowledge—played a vital role in the advancement of the sciences. It shows how early modern investigators used conjectures as a bridge between knowledge and ignorance and the process of conjecturing as a way to expand the mental state of inquiry. In publishing their conjectures, they were heeding Francis Bacon’s call to inspire hope and urge fellow experimenters to continue researching complex natural phenomena. Fellow investigators (...) could help to test, verify, revise, invalidate, or propose new inferences in a dialectical, collaborative process. The author argues that, by the eighteenth century, public conjecturing marked a particular kind of broad-minded experimental philosopher. This essay situates conjectures within agnotology—the study of culturally produced ignorance—and Baconian communication of knowledge and ignorance. It explores the philosophical and moral tensions investigators navigated when specifying nature’s unknowns. (shrink)

The Druze movement originated at the beginning of the eleventh century and developed out of the Ismā'īlī faction of Shī'ī Islām. Founded by the Ismā'īlī Ḥamza ibn 'Alī, the Tawḥīd is a philosophical and spiritual path that incorporates the fundamentals of Islam, Christianity, and Judaism referred to in the Qur'ān, together with the ancient philosophies of Pythagoras, Plato, Aristotle, Plotinus, and others. It is a synthesis and a unification of the most contradictory thoughts, a synthesis that leads to the real (...) Tawḥīd or "third course".The specificity of the Tawḥīd consists in establishing a bridge between monotheism and non-dualism. To say that God is One does not merely mean... (shrink)

Ces deux ouvrages qui font la matière de ce volume se complètent parfaitement, c'est pourquoi ils paraissent sous le même titre. L'auteur analyse dans Esquisse d'une esthétique l'activité gratuite de l'artiste. Le procès de la conscience dénonce d'un côté la conscience de l'autre, reconnaît que les religions et les philosophies ne sont que des issues qui permettent de combler le vide d'être que la conscience a creusé en nous.

Should face transplants be undertaken? This article examines the ethical problems involved from the perspective of the recipient, looking particularly at the question of identity, the donor and the donor’s family, and the disfigured community and society more generally. Concern is expressed that full face transplants are going ahead.

Background:Healthcare organizations are now challenged to retain nurses’ generation and understand why they are leaving their nursing career prematurely. Acquiring knowledge about the effect of ethical work climate and level of perceived organizational support can help organizational leaders to deal effectively with dysfunctional behaviors and make a difference in enhancing nurses’ dedication, commitment, satisfaction, and loyalty to their organization.Purpose:This study aims to determine the relationship between ethical work climate, and perceived organizational support and nurses’ organizational commitment, job satisfaction, and turnover (...) intention.Methods:A descriptive correlational research design was conducted in all inpatient care units at three major hospitals affiliated to different health sectors at Alexandria governorate. All nurses working in these previous hospitals were included in the study (N = 500). Ethical Climate Questionnaire, Survey of Perceived Organizational Support, Organizational Commitment Questionnaire, Index of Job Satisfaction, and Intention to Turnover scale were used to measure study variables.Ethical considerations:Approval was obtained from Ethics Committee at Faculty of Nursing, Alexandria University. Privacy and confidentiality of data were maintained and assured by obtaining subjects’ informed consent to participate in the research before data collection.Findings:The result revealed positive significant correlations between nurses’ perception of overall ethical work climate and each of perceived organizational support, commitment, as well as their job satisfaction. However, negative significant correlations were found between nurses’ turnover intention and each of these variables. Also, approximately 33% of the explained variance of turnover intention is accounted by ethical work climate, organizational support, organizational commitment, and job satisfaction, and these variables independently contributed significantly in the prediction of turnover intention.Recommendation:Strategies to foster and enhance ethical and supportive work climates as well as job-related benefits are considered significant factors in increasing nurses’ commitment and satisfaction and decreasing their turnover intention. (shrink)

L’ascension et la chute récentes de la loi islamiste en Égypte appellent une réflexion, non seulement sur le rôle social des idées féministes islamiques, mais aussi sur les raisons des changements politiques, ainsi que sur les questions d’opposition éthique et de principe. Mon approche de ce sujet ne reprend pas l’opposition habituelle entre laïc et islamique, ni la critique du libéralisme laïc, mais propose une critique de tout mouvement féministe, qu’il soit laïc ou islamique, qui s’autorise de lui-même à coopérer (...) ou à être réduit au silence par des régimes politiques corrompus. La première partie de l’article traite de la question des relations fragiles entre les féministes et l’État plus particulièrement dans le contexte égyptien contemporain. La deuxième partie examine les ambiguïtés morales des positions du féminisme islamique. (shrink)

The subtitle of Rousseau as Author refers to Rousseau’s motto, which elegantly describes the gist of Rousseau’s now commonly practiced ideas of authorship and responsibility, and concerns three overlapping issues: Rousseau’s well-known truthtelling in matters public and private, his devotion to a peculiar understanding of philosophy as a way of life, and his singular boldness in making statements that he knew could result in literary and political persecution. As Kelly says, the focus of the book is on the third issue, (...) but ultimately the book’s intention is to “show the preconditions” for a “full treatment of Rousseau’s understanding of philosophy”. (shrink)

Background Nurses are challenged with many situations that require them to solve ethical dilemmas and make moral decisions based on professional values and a sense of accountability and responsibility. To support their decisions, it is important to know how they perceive and relate their ethical ideology, professional values, and clinical accountability in their workplace. Purpose The study’s aim was twofold: to investigate the ethical ideology and perceived importance of professional values and accountability among nurses. Further, explore the relationship between each (...) of ethical ideology and professional values with nurses’ work accountability. Methods A correlational study was conducted in an Egyptian hospital. All nurses were invited to participate = 192, and 150 nurses (78.3%) completed the study questionnaires. The Ethical Position Questionnaire, the Professional Values Scale, and the Clinical Vignettes Assessment for Clinical Accountability were proven to be reliable study measures. Ethical considerations Ethics Committee approval, written informed consent, data privacy and confidentiality, and participants’ right to voluntary participation and withdrawal were maintained. Results Nurses showed good ethical ideology (75 ± 6.2) and are more idealistic while maintaining professional values (108 ± 10.8). Most nurses believed they were accountable for documenting errors, completing incident reports, and calling physicians to discuss or manage the situations. Ethical ideology and the idealism subscale were positively correlated with overall nurses’ professional values (r = 0.321, p < 0.004, r =0.464, p 0.000), respectively. On the other hand, work accountability showed a partial correlation in some areas with ethical ideology and professional values. Discussion Professional values and nurses' accountability appear to be influenced by ethical positions and ideology. Conclusion Healthcare organizations should provide a supportive work environment to help nurses develop self-awareness, and knowledge of their ethical ideologies, which improve professional values and clinical accountability in their practice. Ethical ideology and professional values should be emphasized more in nursing curricula. (shrink)

An important feature of male fertility is the physiological priming of spermatozoa by a multifaceted process collectively referred to as capacitation. The end point of this evasive process is the hyperactivated spermatozoa capable of binding to terminal sugar residues on the egg's extracellular coat, the zona pellucida (ZP), and undergoing acrosomal exocytosis (i.e., induction of the acrosome reaction). The hydrolytic action of acrosomal enzymes released at the site of zona binding, along with the enhanced thrust generated by the hyperactivated beat (...) pattern of the bound spermatozoa, are important factors that regulate the penetration of ZP and fertilization of the egg. Despite many advances in identifying sperm components that promote capacitation, the mechanism underlying the calcium‐triggered process remains elusive. The purpose of this review article is to focus on new advances that have enhanced our understanding of in vivo/in vitro capacitation, a prerequisite event resulting from a dramatic modification and reorganization of the sperm membrane molecules. Special emphasis has been laid on accumulating evidence suggesting potential similarities between the sperm capacitation and early phases of calcium‐triggered membrane fusion (i.e., tethering and docking) during secretory and endocytotic pathways among eukaryotes. BioEssays 26:281–290, 2004. © 2004 Wiley Periodicals, Inc. (shrink)

Should face transplants be undertaken? This article examines the ethical problems involved from the perspective of the recipient, looking particularly at the question of identity, the donor and the donor’s family, and the disfigured community and society more generally. Concern is expressed that full face transplants are going ahead.