BackgroundDecision-making in out-of-hospital cardiac arrest should ideally include clinical and ethical factors. Little is known about the extent of ethical considerations and their influence on prehospital resuscitation. We aimed to determine the transparency in medical records regarding decision-making in prehospital resuscitation with a specific focus on ethically relevant information and consideration in resuscitation providers’ documentation.MethodsThis was a Danish nationwide retrospective observational study of out-of-hospital cardiac arrests from 2016 through 2018. After an initial screening using broadly defined inclusion criteria, two experienced (...) philosophers performed a qualitative content analysis of the included medical records according to a preliminary codebook. We identified ethically relevant content in free-text fields and categorised the information according to Beauchamp and Childress’ four basic bioethical principles: autonomy, non-maleficence, beneficence, and justice. ResultsOf 16,495 medical records, we identified 759 (4.6%) with potentially relevant information; 710 records (4.3%) contained ethically relevant information, whereas 49 did not. In general, the documentation was vague and unclear. We identified four kinds of ethically relevant information: patients’ wishes and perspectives on life; relatives’ wishes and perspectives on patients’ life; healthcare professionals’ opinions and perspectives on resuscitation; and do-not-resuscitate orders. We identified some “best practice” examples that included all perspectives of decision-making. ConclusionsThere is sparse and unclear evidence on ethically relevant information in the medical records documenting resuscitation after out-of-hospital cardiac arrests. However, the “best practice” examples show that providing sufficient documentation of decision-making is, in fact, feasible. To ensure transparency surrounding prehospital decisions in cardiac arrests, we believe that it is necessary to ensure more systematic documentation of decision-making in prehospital resuscitation. (shrink)

Viele Unternehmen engagieren sich heute gesellschaftlich und übernehmen Verantwortung. Ein sinnvoller Schritt, denn so leisten sie einen Beitrag zur gesamtwirtschaftlichen Nachhaltigkeit, prägen ihr Image und generieren dabei gezielt Wettbewerbsvorteile. Ein wichtiger Schlüssel zum Erfolg liegt dabei in der Kommunikation. "Tue Gutes und sprich darüber" - es geht um die Kommunikation mit allen relevanten Dialoggruppen. Dieses Buch liefert einen fundierten, praxisbezogenen Überblick über die Kommunikationsinstrumente und -möglichkeiten sowie den Planungsprozess. Es ist ein Ideenkatalog und vermittelt zugleich auch das wissenschaftliche Hintergrundwissen. 16 (...) Praxisbeitrage aus verschiedenen Branchen zeigen wie die CSR-Kommunikation wirksam angewendet wird. Letztendlich soll es den Menschen, die sich mit CSR beschäftigen - ob auf Unternehmes-oder Beraterseite, ob als Newcomer oder als Experte - Orientierung, Impulse und Handlungsempfehlungen für die tägliche Praxis geben. Der Inhalt Grundlagen einer wirkungsvollen CSR-Kommunikation CSR als integrierter Bestandteil des Markenmanagements "Der ehrbare Kaufmann" als Strategie für die Zukunft Der Stakeholderansatz als Fundament der CSR-Kommunikation Strategien und Instrumente der CSR-Kommunikation CSR-Kommunikation in der Praxis Die Zielgruppen CSR- und Kommunikationsverantwortliche in Unternehmen, Institutionen und Verbänden Inhaber und Geschäftsführer von kleinen und mittelständischen Unternehmen Kommunikationsmanager in Agenturen und Berater CSR-Experten und -Newcomer Der Herausgeber Peter Heinrich ist geschäftsführender Gesellschafter von HEINRICH - Agentur für Kommunikation in Ingolstadt. Seit über zehn Jahren berät und begleitet der Kommunikationsfachmann und CSR-Experte mittelständische und grosse Unternehmen in Fragen der Public-Relations und CSR. Zuvor war der studierte Betriebswirt 20 Jahre als Geschäftsführer in einem mittelständischen, marktführenden Unternehmen mit über 500 Mitarbeitern tätig. Die Reihe "In der CSR-Managementreihe werden bestehende Ansätze durch neue Ideen und Konzepte ergänzt, um so dem Paradigma eines nachhaltigen Managements gerecht zu werden. Damit soll ein neuer Standard in der unternehmerischen Praxis sowie Managementliteratur gesetzt werden." (René Schmidpeter). (shrink)

The geometric shapes and natural forms, captured with exceptional precision in Ernst Haeckel's prints, still influence artists and designers to this day. This volume highlights the research and findings of this natural scientist. Powerful modern microscopes have confirmed the accuracy of Haeckel's prints, which even in their day, became world famous. Haeckel's portfolio, first published between 1899 and 1904 in separate installments, is described in the opening essays. The plates illustrate Haeckel's fundamental monistic notion of the "unity of all living (...) things" and the wide variety of forms are executed with utmost delicacy. Incipient microscopic organisms are juxtaposed with highly developed plants and animals. The pages, ordered according to geometric and "constructive" aspects, document the oness of the world in its most diversified forms. This collection of plates was not only well-received by scientists, but by artists and architects as well. Rene Binet, a pioneer of glass and iron constructions, Emile Galle, a renowned Art Nouveau designer, and the photographer Karl Blossfeld all make explicit reference to Haeckel in their work. (shrink)

Principles of Philosophy was written in Latin by Rene Descartes. Published in 1644, it was intended to replace Aristotle's philosophy and traditional Scholastic Philosophy. This volume contains a letter of the author to the French translator of the Principles of Philosophy serving for a Preface and a letter to the most serene princess, Elizabeth, eldest daughter of Frederick, King of Bohemia, Count Palatine, and Elector of the Sacred Roman Empire. Principes de philosophie, by Claude Picot, under the supervision of Descartes, (...) appeared in 1647 with a letter-preface to Queen Christina of Sweden. (shrink)

"Descartes is rightly considered the father of modern philosophy" - Schopenhauer "The effect of this man on his age and the new age cannot be imagined broadly enough... René Descartes is indeed the true beginner of modern philosophy, insofar as it makes thinking the principle. "- Hegel "Descartes was the first to bring to light the idea of a transcendental science, which is to contain a system of knowledge of the conditions of possibility of all knowledge." - Kant A (...) new 2023 translation directly from the original manuscripts into English of Descartes' famous work "Rules for the Direction of the Mind" (Règles pour la direction de l'esprit). This edition contains a new introduction and afterword from the translator, as well as a timeline of Descartes' life and summaries of each of his works. Here, Descartes lays out a method for approaching problems and seeking knowledge. The importance of this work lies in the fact that it established the scientific method as a way of investigating the world, and had a significant influence on the development of modern science. This work is one of the foundational texts of Western Philosophy. (shrink)

Einleitung.--Die begriffliche Erkenntniss der Körperwelt.--Natur und Geist.--Natur und Geschichte.--Die historische Begriffsbildung.--Naturphilosophie und Geschichts-Philosophie.

Which properties can we visually experience? Some authors hold that we can experience only low-level properties such as color, illumination, shape, spatial location, and motion. Others believe that we can also experience high-level properties, such as being a dog or being a pine tree. On the basis of her method of phenomenal contrast, Susanna Siegel has recently defended the latter view. One of her central claims is that we can best account for certain phenomenal contrasts if we assume that we (...) can visually experience natural kind properties. In this paper, I argue that certain kinds of low-level properties, namely shape-gestalt properties, can explain these phenomenal contrasts just as well as high-level properties. If successful, this is a modest, but nevertheless significant result. Even though it does not prove the falsity of Siegel’s proposal, it nevertheless secures the existence of a plausible alternative. (shrink)

Attempts to interpret the manifold aspects of the ternary heaven, earth and man, drawing mainly on Far-Eastern sources. This study aims to demonstrate the metaphysical, cosmological and spiritual perspectives underlying the Triad symbol.

In this paper we discuss Gabbay's idea of basing nonmonotonic deduction on semantic consequence in intuitionistic logic extended by a consistency operator and Turner's suggestion of replacing the intuitionistic base system by Kleene's three-valued logic. It is shown that a certain counterintuitive feature of these approaches can be avoided by using Nelson's constructive logic N instead of intuitionistic logic or Kleene's system. Moreover, in N a more general notion of consistency can be defined and nonmonotonic deduction can thus be based (...) on a logical system satisfying the Deduction Theorem. (shrink)

In his paper “Double Vision, Phosphenes and Afterimages: Non-Endorsed Representations rather than Non-Representational Qualia,” Işık Sarıhan addresses the debate between strong representationalists and qualia theorists. He argues that qualia theorists like Ned Block and Amy Kind who cite double-vision, afterimages, etc., as evidence for the existence of qualia are mistaken about the actual nature of these states. According to Sarıhan, these authors confuse the fact that these states are non-endorsed representational states with the fact that they are at least partly (...) non-representational. I argue that Sarıhan’s argument contains gaps that suggest that he misidentifi es the mistake that leads these qualia theorists to their conclusion. In my view, these qualia theorists do not confuse the fact that the states in question are non-endorsed states with the fact that they are non-representational, but rather mistake certain representational contents, or certain aspects of these contents, for qualia. (shrink)

Volume 12 in the edition of the complete Jerusalem Talmud. Tractates Sanhedrin and Makkot belong together as one tractate, covering procedural law for panels of arbitration, communal rabbinic courts and an elaborate construction of hypothetical criminal courts supposedly independent of the king's administration. Tractate Horaiot, an elaboration of Lev. 4:1-26, defines the roles of High Priest, rabbinate, and prince in a Commonwealth strictly following biblical rules.

Many viewers presented with a round plate tilted to their line of sight will report that they see a round plate that looks elliptical from their perspective. Alva Noë thinks that we should take reports of this kind as adequate descriptions of the phenomenology of spatial experiences. He argues that his so‐called enactive or sensorimotor account of spatial perceptual content explains why both the plate's circularity and its elliptical appearance are phenomenal aspects of experience. In this paper, I critique the (...) phenomenal adequacy of Noë's sensorimotor account of spatial perceptual content. I begin by showing that some of its central claims are in conflict with the phenomenology of perceptual experience. I then argue that shape appearances have no phenomenal reality, thus undermining this central motivation for his account. (shrink)