O presente artigo argumenta em duas direções. De um lado, sustenta que a teoria da justiça como equidade, de John Rawls, e em particular o princípio da diferença, antes de representar uma concepção igualitária da justiça, cumpre um objetivo inverso: o de dissociar a justiça social das exigências da igualdade econômica. A desigualdade econômica, na justiça como equidade, surge como um tipo de bem, desde que possa melhorar a posição de todos e em particular a dos menos favorecidos. Para sustentar (...) esta tese, Rawls apela às ideias de pluralismo social e de convergência dos padrões de vida, no âmbito do que chama de uma sociedade bem-ordenada. De outro lado, o artigo sustenta que a teoria pode ser melhor entendida quando desvinculada da adesão a modelos institucionais e de regulação econômica historicamente situados. Uma distinção apropriada entre este sentido ético, dado pelo modo de fundamentação filosófico da teoria, e seus possíveis desdobramentos institucionais, é o melhor caminho para uma teoria que se propõe a servir como ponto de encontro entre as múltiplas visões do bem que competem em nossa tradição democrática. Palavras-chave: Rawls. Modelos econômicos. Princípio da diferença. (shrink)

El pensamiento ético y bioético es una de las áreas de conocimiento recurrentes en el ejercicio reflexivo del profesional de la salud en Cuba; sin embargo, se detectan insuficiencias relacionadas con imprecisiones y falta de claridad en el pensamiento ético-moral por parte de este personal, según se observa en materiales evaluados para su publicación, en los ejercicios para el proceso de obtención de categorías docentes y en la presentación de las evaluaciones de posgrados. El artículo tiene el objetivo de argumentar (...) precisiones teórico- metodológicas para la elaboración de trabajos en ética y bioética. The ethical and bioethical thought is one of the recurrent areas of knowledge in the reflexive exercise of health professionals in Cuba. However, according to the observations of evaluated materials for their publication, in the exercises for the process of obtaining educational categories and in the presentation of postgraduate evaluations, inadequacies related with imprecision and lack of clarity are detected in the ethical-moral thought on the part of health professionals. The article has the objective of arguing theoretical- methodological precisions for the elaboration of works in ethics and bioethics. (shrink)

In this article I suggest that in arguing that God has only present knowledge, falling short of the classical understanding of divine forekowledge, openview theologians imply a paradigmatic change in the hermeneutical principles of theological methodology. This change takes place when they abandon t..

Hubert L. Dreyfus's engagement with other thinkers has always been driven by his desire to understand certain basic questions about ourselves and our world. The philosophers on whom his teaching and research have focused are those whose work seems to him to make a difference to the world. The essays in this volume reflect this desire to "make a difference"—not just in the world of academic philosophy, but in the broader world. Dreyfus has helped to create a culture of reflection—of (...) questioning the deep premises that inform and shape work in artificial intelligence and cognitive science. He has also been the primary introducer and interpreter of Martin Heidegger's work to the world of information technology. The essays in this volume represent the fruitful application of deep philosophical analysis to the concerns of our modern technological world. The sections are Coping and Intentionality; Computers and Cognitive Science; and "Applied Heidegger." In addition to cognitive science and artificial intelligence, topics include everyday skills, religion, business practices, and medical care. The book concludes with Dreyfus's responses to the essays. Contributors Daniel Andler, Patricia Benner, Albert Borgmann, Harry Collins, George Downing, Fernando Flores, Sean Kelly, Joseph Rouse, Theodore R. Schatzki, John Searle, Robert C. Solomon, Charles Spinosa, David Stern, Charles Taylor, Terry Winograd, Mark Wrathall. (shrink)

Hubert L. Dreyfus's engagement with other thinkers has always been driven by his desire to understand certain basic questions about ourselves and our world. The philosophers on whom his teaching and research have focused are those whose work seems to him to make a difference to the world. The essays in this volume reflect this desire to "make a difference"--not just in the world of academic philosophy, but in the broader world.Dreyfus has helped to create a culture of reflection--of questioning (...) the deep premises that inform and shape work in artificial intelligence and cognitive science. He has also been the primary introducer and interpreter of Martin Heidegger's work to the world of information technology. The essays in this volume represent the fruitful application of deep philosophical analysis to the concerns of our modern technological world.The sections are Coping and Intentionality; Computers and Cognitive Science; and "Applied Heidegger." In addition to cognitive science and artificial intelligence, topics include everyday skills, religion, business practices, and medical care. The book concludes with Dreyfus's responses to the essays.Contributors : Daniel Andler, Patricia Benner, Albert Borgmann, Harry Collins, George Downing, Fernando Flores, Sean Kelly, Joseph Rouse, Theodore R. Schatzki, John Searle, Robert C. Solomon, Charles Spinosa, David Stern, Charles Taylor, Terry Winograd, Mark Wrathall. (shrink)

Understanding Computers and Cognition presents an important and controversial new approach to understanding what computers do and how their functioning is related to human language, thought, and action. While it is a book about computers, Understanding Computers and Cognition goes beyond the specific issues of what computers can or can't do. It is a broad-ranging discussion exploring the background of understanding in which the discourse about computers and technology takes place. Understanding Computers and Cognition is written for a wide audience, (...) not just those professionals involved in computer design or artificial intelligence. It represents an important contribution to the ongoing discussion about what it means to be a machine, and what it means to be human. Book jacket. (shrink)

Research on mental health of non-professional caregivers has focused on caregivers of people with specific diseases, especially dementia. Less is known about caregivers of people with other diseases. The aims of this study were (a) to determine the caregivers’ emotional state in a random sample of caregivers of people in situations of dependency, (b) to analyze the association between each disease of the care-recipient (a variety of 23 diseases included in the International Classification of Diseases) and the emotional state of (...) the caregiver, and (c) based on the theoretical model, to analyze the relationship of the different study variables in the appearance of the emotional distress of the caregiver. A sample of 491 non-professional caregivers was selected randomly (89.0% women, average age 55.3 years). Trained psychologists collected sociodemographic and care-related characteristics and evaluated the global emotional distress, somatic symptoms, anxiety-insomnia, social dysfunction, depression, probable mental disorder case, self-esteem and social support. It was found that (a) the caregivers showed moderate emotional distress, and 33.8% presented a probable mental disorder. (b) Caring for a care-recipient with cat's cry syndrome or epilepsy was related to suffering from social dysfunction, and caring for a care-recipient with autism was related to having a probable mental health case. (c) Social support mediated the relationship between social class, daily hours of care, monthly family income, self-esteem and global emotional distress. There is an important impact on the emotional state of the caregivers. This impact was similar in caregivers of care-recipients with different diseases, except in caregivers caring for a care-recipient with cat's cry syndrome or epilepsy (related to social dysfunction), and in caregivers caring for a care-recipient with autism (related to having a probable mental health case). (shrink)

The traditional presentation about historical time-passing consists in a linear succession of facts in which some aspects of the lifeworld evolve from others in anirreversible manner. The presentation of change is connected to the presentation of gradual or revolutionary linear changes that areirrevocable. I believe that this presentation could be considered correct for living organisms, but does not take account of some important aspects of demonstrative presentations about artefacts and technologies. For example, we can ontologically assume that “hammer-beating” evolved from (...) “stone-beating”. In this sense, the “hammer-beating-time” could be considered contemporary-time and the “stone-beating-time” could be considered past-time. However, we still beat things with stones and stone-like artefacts. The technology of the stone-beating is still been used. That means that relationship between the stone and the hammer cannot be seen as “evolutive” in the same sense that organisms “evolve” from each other. We must assume then, that the stone and the hammer must be interchangeable technologies which do not overshadow each other. This family of technologies and artefacts are contemporary to each other. Time-passing metaphors must then be substituted with metaphors of a “technological instability” that can be associated to a foundational cultural explosion. (shrink)

In business, politics, marriage, indeed in any significant relationship, trust is the essential precondition upon which all real success depends. But what, precisely, is trust? How can it be achieved and sustained? And, most importantly, how can it be regained once it has been broken? In Building Trust, Robert C. Solomon and Fernando Flores offer compelling answers to these questions. They argue that trust is not something that simply exists from the beginning, something we can assume or take (...) for granted; that it is not a static quality or "social glue." Instead, they assert that trust is an emotional skill, an active and dynamic part of our lives that we build and sustain with our promises and commitments, our emotions and integrity. In looking closely at the effects of mistrust, such as insidious office politics that can sabotage a company's efficiency, Solomon and Flores demonstrate how to move from naïve trust that is easily shattered to an authentic trust that is sophisticated, reflective, and possible to renew. As the global economy makes us more and more reliant on "strangers," and as our political and personal interactions become more complex, Building Trust offers invaluable insight into a vital aspect of human relationships. (shrink)

Both the commonsensical and leading theoretical accounts of entrepreneurship, democracy, and solidarity fail to describe adequately entrepreneurial, democratic, and solidarity?building practices. These accounts are inadequate because they assume a faulty description of human being. In this article we develop an interpretation of entrepreneurship, democratic action, and solidarity?building that relies on understanding human beings as neither primarily thinking nor desiring but as skillful beings. Western human beings are at their best when they are engaged in producing large?scale cultural or historical changes (...) in the way people and things are dealt with. The three domains of human activity where these historical changes are most clearly accomplished are entrepreneurship, democratic action, and solidarity. Section I, guided by a roughly Kuhnian notion of holding on to an anomaly until it re?gestalts the way we see things, offers a general interpretation of how skillful human beings open up new worlds by changing their shared background practices in three ways: reconfiguring, which makes a marginal practice central; cross?appropriation, in which one domain of practices takes over useful practices from another domain; and articulating, whereby dispersed or confused practices are brought into clearer focus. An entrepreneur creates a product which reconfigures the practices. This interpretation of entrepreneurial skills is contrasted with current accounts that overlook ehtrepreneurship to concentrate on instrumental or theoretical models of business activities. Section II claims that the most exemplary kind of political action in a liberal democracy is that of political action groups. Such groups produce a change in a nation's background practices through a kind of speaking that leads to massive cross?appropriation. We describe Mothers Against Drunk Driving (MADD) and suggest that it both satisfies the requirements for genuine democratic action that we have established in our examination of other views and lacks their disadvantages. We conclude that the relatively detached action suggested by current theories of liberal democracy fail to do justice to democratic practice. The final section argues that those who claim that a single highest value or procedure provides a source of solidarity that satisfies all the competing interests in a multi?cultural nation always arrive at a solidarity that is too thin to provide for the serious sort of commitments that one would be willing to die for. We propose that solidarity in multi?cultural states implies commitment to a set of thick values, and that when one realizes that these thick values construct one's identity one is willing to die for them. While political action concerns itself with ordering values, solidarity involves the cultivation of them in such a way that no ordering of them matters. But solidarity is not to be understood as a subjective feeling. It is rather the experience of a group identity, a ?we?, that sees things and deals with things in terms of shared concerns. This ?we? comes to recognize itself when the actions it engages in transform it. The paradigmatic action that transforms such a ?we? occurs when a culture figure articulates some forgotten concern or value. As in the cases of entrepreneurship and democratic action, a culture figure cultivates solidarity by changing the background practices in a historical manner. It is concluded that traditional theoretical accounts, by overlooking the primacy of involved skillful activities and the importance of background change, fail to capture the source, the function, and the point of entrepreneurship, liberal democracy, and solidarity. (shrink)

We appreciate the thoughtful responses we have received on ?Disclosing New Worlds?. We will respond to the concerns raised by grouping them under three general themes. First, a number of questions arise from lack of clarity about how the matters we undertook to discuss ? especially solidarity ? appear when one starts by thinking about the primacy of skills and practices. Under this heading we consider (a) whether we need more case studies to make our points, and (b) whether national (...) and other solidarities require willingness to die for the values that produce that solidarity. Second, we take up questions concerning the historical character of the skills of entrepreneurs, virtuous citizens, and culture figures. Here we shall (a) emphasize how we distinguish ourselves from earlier writers on these subjects, (b) consider essentialism, relational identities, and exclusion, (c) answer a number of Habermasian concerns raised by Hoy, (d) speak to Taylor's concern regarding the contingency of solidarity and forgetting, and (e) take up Grant's objection that we are both formalists and relativists. Third, we shall take up the concern, raised mostly by Borgmann, that historical disclosing, that is to say history as the West has known it, is over, and that now all that can be done by those who transform the practices is to make them more and more technological. (shrink)

The proposal that the earth has entered a new epoch called “the Anthropocene” has touched a nerve . One unsettling part of having our ecological finitude thrust upon us with the term “Anthropocene” is that, as Nietzsche said of the death of God, we ourselves are supposed to be the collective doer responsible here, yet this is a deed which no one individual meant to do and whose implications no one fully comprehends. For the pessimists about humanity, the implications seem (...) rather straightforward: humanity will die. Yet, as we will explore in this paper, the death that we may be facing cannot be assumed to be simply biological death or extinction. Indeed, even if we are not running headlong into a mass extinction and biological demise, we do seem to be facing an ontological death. Our ecological finitude is the harbinger of our ontological finitude. The vulnerability we confront in the Anthropocene is what Jonathan Lear, in a different context, called ontological vulnerability. Worlds die too; the ways of life they sustain can become impossible, ceasing to make sense and matter. The constitutive susceptibility of all human worlds to their eventual collapse is what we mean by ontological finitude. This is what we face as presumed denizens in a dawning Anthropocene. (shrink)

This book studies the technognomies of memory in scripto as in texts, lists, dictionaries and databases and less the technognomies of memory in vivo (as in remembering). There are of course some relations between these two kinds of memories, being memory-in-scripto a development parallel to the development of written language. We notice that the historical presentation is built upon both forms of memory. We notice that the historical explanation is tied to the concrete experience of persons belonging to a culture. (...) In the history of memory then, it is necessary to distinguish two important aspects, the development of spoken memory and the development of written memory. The essential characteristic of written memory is its muteness. Muteness is also associated to spatiality and to stability. On the other hand, audial presentations are inseparable of the notions of movement and time passing. According to Don Ihde the spheres of the invisible and the silent, limit the spheres of the visual and the audial. These two spheres overlap partially in visual presentations that also are audial presentations; however, their natural being is to be independent from each other. [Ihde, Don. Listening and Voice. Phenomenologies of Sound; State University Press; 2007; p. 50-51.] In our time, which is also the time of the globalization and digitalization of culture, a new philosophical paradigm is going on characterized by the fragmentation of experience. This fragmentation does not allow an overview of the totality of a field of experience, which is only possible to reduce to singular analytical moments. The fragmentation of experience is the result of a new jump of the capability to concretion. Inside this new paradigm, the world becomes multistable. The multistability of the world creates a gap between intention and implementation that distinguishes the “full” history as Natural history from the “broken” history as Cultural history. (shrink)

This book is a personal answer to the crisis of the left. The author of this text belongs to a generation habituated to live with global explanations. During our youth, the future of the world was the future of democracy and socialism. We belong to a generation of “leftist” that found in Marx and Freud, phenomenology and structuralism the most important answers that made sense of the everyday world. However, the developments of events during the last sixty years showed that (...) our confidence was ungrounded. The depreciation of the theoretical thought accelerated in direct proportion to the development of technologies, and among them the impact of the digital developments was devastating. One of the most notable consequences of the digitalization of culture was the depreciation of the Marxian thought, but also the less recognized depreciation of all kinds of political-economic thought. The collapse of the world created before the Second World War open for the end of the “grand narratives” and the enthronization of Postmodernism. The production of fragmentary explanations took over the historical perspective with an important influence on social and economic thought. After 60 years of postmodern thinking, we believe that the time of Postmodernism is over. Politicians and economists over the world cannot continue to produce results in small packages. The whole picture must be restituted. Of course it must be done incorporating the lessons of the past to avoid to make the same mistakes. Postmodernism has left behind lots of scattered modernist philosophical remnants. It left a chessboard with only few pieces to work with, and in this allegory, only as references. The philosophical schools remains, but the study of them is strictly for an education in the history of ideas. The situation is aggravating since the most important works from the 1960’s and forth, (post-structuralists) deliberately have avoided obvious identity patterns. A word in Rio de la Plata’s jargon language describes this situation, cambalache, a sort of “flea market” where everything lies higgledy-piggledy. Deconstruction and the focus on differences are vital to Postmodernism. Remaining is therefore the intersections, the contrasts, shadows, and sketches. When trying to orient in such an intellectual environment, the task reminds of patching scatterings, and building with tools of eclecticism. However, we believe that is time to reconstruct instead of deconstruct, moving back to Modernism that we will describe as Cyborgism. (shrink)

There are many possible definitions of “technology” and I will discuss some of these in this book. However, in this introduction let me use a definition of Svante Lindqvist who defines technology very intuitively as “those activities, directed towards the satisfaction of human wants, which produce change in the material world.” He says also “the distinction between human “wants” and more limited human “needs” is crucial, for we do not use technology only to satisfy our essential material requirements.” Consequently, from (...) this perspective, a technology that is “broken” could be defined as those activities, directed towards the satisfaction of human wants that are intended to produce changes in the material world that either do not manage to satisfy these wants or do not produce changes in the material world, or both. This is the third edition, updated October 2015. (shrink)

The manifesto of a new philosophy of technology.

This book is the result of a collective research effort performed during many years in both Sweden and Spain. It is the result of attempting to develop a new field of research that could we denominate «human act informatics.» The goal has been to use the technologies of information to the study of the human act in general, including embodied acts and disembodied acts. The book presents a theory of the quantification of the informational value of human acts as order, (...) opposing the living order against entropy. We present acting as a set of decisions and choices aimed to create order and to impose Modernity. Karl Popper’s frequency theory of probability is applied to characterize human acts regarding their degree of freedom and to set up a scale of order in human decisions. The traditional theory of economics and social science characterize the human act as rational, utilitarian and ethical. Our results emphasize that the unique significance of an act lies in its capacity to generate order. An adequate methodology is then presented to defend such hypothesis according to which, the rationality respective irrationality of acting, is in fact only a function of the act’s organizational capacity. From this perspective, it has been necessary to define «order» respective «disorder» as operative concepts that allowed the comparison of the organizational differences generated by each kind of act. According to the presented conclusions, the spontaneity of living, as unconscious thinking, dreaming, loving, etc. and the mainstream of the human acts, are utilitarian, but in an irrational way; they are rooted in unconscious drifts and therefore must be considered irrational-utility acts. (shrink)

The 20th Century is the starting point for the most ambitious attempts to extrapolate human life into artificial systems. Norbert Wiener’s Cybernetics, Claude Shannon’s Information Theory, John von Neumann’s Cellular Automata, Universal Constructor to the Turing Test, Artificial Intelligence to Maturana and Varela’s Autopoietic Organization, all shared the goal of understanding in what sense humans resemble a machine. This scientific and technological movement has embraced all disciplines without exceptions, not only mathematics and physics but also biology, sociology, psychology, economics etc. (...) New terms were developed, such as “information”, “organization”, “entropy”, “communication”, “encryption”, “computation” and “algorithmics” to mention a few, all which had an enormous impact on artificial systems. Our work follows this historical track but with a reversed order of priorities. Instead of deducing a reduced group of human acts into an artificial environment, we deduce the human aspects of machines by extrapolating algorithmic methodologies into everyday life acts. The present informational theories were insufficiently powered to achieve this objective without developing a new theoretical approach. Hence, our research is directed towards an expansion of the current informational theories. (shrink)

I. INTRODUCTIONThe Parshall Flume, which was invented in 1920 by R. Parshall, is mostly used in wastewater and crop supply. Utilizing equations, Parshall established dimensions that fit the design, one of the advantages is the conversion of position energy to velocity energy since in other measurement structures there are minimum energy losses in this one it does not allow sedimentation. The structuring of the project is adhered to by different models that define its behavior and limit its use. This is (...) the case of an approach length of the channel entrance, which is nothing more than a primary distance for the action of the flow within the channel. Throughout history, some studies were conducted in an attempt to establish an approximate and realistic value of the length at the time of measurements, but the theories put forward were lost. Some people link this length with the narrowing of the gorge, and others suggest flow conditions before entering the flume. For the development of the project established with its respective objectives, the respective structuring was carried out: For the measurement, the points already established in the field will be taken with the help of a total station, GPS, to verify the respective measurements of the Parshall flume. For the calculations and the design, the points will be introduced in the civil 3D to be able to verify if the points taken are the correct ones and what distances they have between them, through this, we can apply different methods to be able to verify the design that has this Parshall flume. For the evaluation and layout of the gutter, if it is the case, we will carry out a layout in plan with the data already calculated in the office and we will evaluate the situation in which it is so that we can apply a possible solution so that a defect does not occur. In this report, we focus on the design and redesign of a hydraulic irrigation channel where we find a Parshall section, which has the function of measuring the flow found in that section. The measurements found in the field can be verified in the office using formulas and software to verify if the data are correct, if so we can say that it is well designed, otherwise we will look for a possible solution by doing a field study. (shrink)

In this work we define, in a general way, an algebraic semantics for the logics of the hierarchy InPk. This semantics is defined by means of an alternative construction, with respect to the usual algebraic semantics, and it is known in the literature as Twist-structures semantics. Besides that, we modify such construction, defining the so-called ω-Twist-structures here. This adaptation allows us to prove adequacy theorems for every logic of the hierarchy InPk.

Although higher education understands the need to develop critical thinkers, it has not lived up to the task consistently. Students are graduating deficient in these skills, unprepared to think critically once in the workforce. Limited development of cognitive processing skills leads to less effective leaders. Various definitions of critical thinking are examined to develop a general construct to guide the discussion as critical thinking is linked to constructivism, leadership, and education. Most pedagogy is content-based built on deep knowledge. Successful critical (...) thinking pedagogy is moving away from this paradigm, teaching students to think complexly. Some of the challenges faced by higher education moving to a critical thinking curricula are discussed, and recommendations are offered for improving outcomes. (shrink)

En el proceso de configuración de "Occidente" como Cultura, hoy ya planetaria, han continuado permanentemente activas ciertas claves muy reconocibles en la larga historia de su pensamiento, rastreables desde el rigen mismo de éste y que nos han servido, a manera de huellas, para guiar nuestra comprensión de sus modos medulares de ser, pensar y de actuar. Poner, pues, en una íntima relación ese cierto destino suyo de tragedia respecto a la experiencia de lo sagrado -y su indisociable máscara de (...) nihilismo-, dilucidar en su seno el esencial papel del tiempo mítico y la experiencia de un existir para la muerte, mostrar las sendas visibles en la historia de una conciencia infausta colonizada por la sola pulsión de dominio hacia toda posible alteridad que sacie para siempre la ontológica sed de su insacable Logos, son algunas de las ideas que creemos básicas y que trataremos de exponer a lo largo de cuanto sigue. (shrink)

Higher education, a key driver of women’s empowerment, is still segregated by gender across the world. Agricultural higher education is a field that is male-dominated, even though internationally women play a large role in agricultural production. The purpose of this study was to understand the experience, including challenges and coping strategies, of women from 10 Latin American countries attending an agricultural university in Latin America. The participants were 28 women students with a mean age of 20.9 ± 1.8 years. Following (...) informed consent and assurance of confidentiality, four focus group sessions (one for each year of study with a mean duration of 81 min) were conducted in Spanish. The central question was, “what has been your experience at the university?” Sessions were recorded and transcribed. Thematic coding was performed independently by two teams of researchers (from Latin America and North America), with the resulting schemas combined through mutual discussion. Member checking, auditing, and reflexivity contributed to trustworthiness of the process. Students reported that the personal qualities needed for success included determination, persistence, and self-efficacy. Many described an empowerment process, including increased discipline and self-efficacy from the first to fourth year of study. University life encompassed six themes: university structure and discipline (part of the exosystem), two supportive microsystems (friends and classmates and institutional support) as well as three challenges (academics, peers, and machismo). Cultural influences instantiated in students’ daily experiences included familism, machismo, and religious faith. Students anticipated futures involving further education and contributions to society. We conclude that higher education in agriculture can serve as an effective means of empowering women to feed the world. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Narrative Symposium:Conflicting Interests in MedicineLaura Jean Bierut, Sal Cruz-Flores, Laura E. Hodges, Anthony A. Mikulec, Govind K. Nagaldinne, Erine L. Bakanas, John F. Peppin, Joel S. Perlmutter, William H. Seitz Jr., Edward Diao, Andre N. Sofair, and David M. Zientek• To Recruit or Not to Recruit for a Clinical Trial• An Unexpected Lesson• Am I on call for the entire Midwest?• Why is Medicare Wasting Away?• The Downside (...) of the Informed Consent Juggernaut• Expert Testimony at the Food and Drug Administration: Who Wants the Truth?• Crossroads: The Intersection of Personal, Professional Society, and Industry Relationships• A Change of Heart• The Evolution of Conflicts of Interest in a New Subspecialty: A Case Study of the Development of Interventional CardiologyCopyright © 2011 The Johns Hopkins University Press... (shrink)

ObjectiveThe presence of two or more chronic diseases results in worse clinical outcomes than expected by a simple combination of diseases. This synergistic effect is expected to be higher when combined with some conditions, depending on the number and severity of diseases. Multimorbidity is a relatively new term, with the first fundamental definitions appearing in 2015. Studies usually define it as the presence of at least two chronic medical illnesses. However, little is known regarding the relationship between mental disorders and (...) other non-psychiatric chronic diseases. This review aims at investigating the association between some mental disorders and non-psychiatric diseases, and their pattern of association.MethodsWe performed a systematic approach to selecting papers that studied relationships between chronic conditions that included one mental disorder from 2015 to 2021. These were processed using Covidence, including quality assessment.ResultsThis resulted in the inclusion of 26 papers in this study. It was found that there are strong associations between depression, psychosis, and multimorbidity, but recent studies that evaluated patterns of association of diseases had heterogeneous results. Quality assessment of the papers generally revealed low quality among the included studies.ConclusionsThere is evidence of an association between depressive disorders, anxiety disorders, and psychosis with multimorbidity. Studies that tried to examine the patterns of association between diseases did not find stable results.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021216101, identifier: CRD42021216101. (shrink)

This case illustrates the dilemma facing a medium-sized family business, EMME Logistics and Security Agency that wanted to do more for the victims of the 2013 Typhoon Haiyan. About a third of the company’s personnel had family in the hardest hit areas and were anxious to go to find out if their relatives had survived the wreckage caused by the strongest typhoon ever to hit landfall in the Phillipines. Committing the company’s resources to the relief operation would behampered by a (...) damaged infrastructure and the breakdown of civil order. There would also be significant costs associated with disrupting normal business operations and diverting resources. How much humanitarian assistance should businesses shoulder in response to such events? How should businesses better plan for such disasters? (shrink)

Comment définir l’enfant victime? Répondre à cette question est moins simple qu’il n’y paraît et nécessite de relever trois défis : appréhender la connaissance statistique de ce phénomène, comprendre sa dimension politique et, enfin, saisir le contenu juridique des normes nationales et internationales produites dans ce domaine. Cette contribution met en évidence la diversité des approches possibles pour appréhender le sujet, mais aussi les vides juridiques pouvant exister en la matière. La présente contribution propose de faire le point sur l’état (...) du droit et les perspectives d’évolution qui pourraient être envisagées. (shrink)

Can the use of psychedelic drugs induce lasting changes in metaphysical beliefs? While it is popularly believed that they can, this question has never been formally tested. Here we exploited a large sample derived from prospective online surveying to determine whether and how beliefs concerning the nature of reality, consciousness, and free‑will, change after psychedelic use. Results revealed significant shifts away from ‘physicalist’ or ‘materialist’ views, and towards panpsychism and fatalism, post use. With the exception of fatalism, these changes endured (...) for at least 6 months, and were positively correlated with the extent of past psychedelic‑use and improved mental‑health outcomes. Path modelling suggested that the belief‑shifts were moderated by impressionability at baseline and mediated by perceived emotional synchrony with others during the psychedelic experience. The observed belief‑shifts post‑psychedelic‑use were consolidated by data from an independent controlled clinical trial. Together, these findings imply that psychedelic‑use may causally influence metaphysical beliefs—shifting them away from ‘hard materialism’. We discuss whether these apparent effects are contextually independent. (shrink)