IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

The current study analyzed how trait emotional intelligence (trait EI) mediates the relationship between self-esteem and state anxiety (STAI-S) and trait anxiety (STAI-T). The sample was composed of 153 undergraduate students from the University of Cádiz, Spain (71.9% women and 28.1% men). Students completed measures of self-esteem, STAI-S, STAI-T, and trait EI. Mediation analyses were completed with three trait EI dimensions (emotional attention -EA-, emotional clarity -EC-, and mood repair -MR) as mediating variables, self-esteem as the independent variable, and STAI-S (...) and STAI-T as the dependent ones. Our results confirmed that self-esteem scores explained and predicted both, STAI-S and STAI-T values (13% for STAI-S and 21% for STAI-T). This explanatory capacity is increased by 8% when accounting for all trait EI dimensions. Considering STAI-S, the results of the direct effects showed that a decrease in their levels is predicted through the increases in the levels of both, self-esteem and MR. Regarding STAI-T, the results of the direct effects showed that a decrease in their levels is predicted, in addition to an increment of self-esteem and MR values, by an increase of EC and a decrease of EA. Conversely, indirect effects revealed that higher levels of self-esteem were associated with worse scores in EA and worse MR, which in turn would enhance both STAI-S and STAI-T levels. Moreover, regarding STAI-T higher levels of self-esteem were associated with worse scores in EA and worse EC, therefore increasing STAI-T levels. As shown, the negative association found between self-esteem and EA becomes a key element. The effect of self-esteem on EA and the influence that the latter had on EC and MR exerts an indirect mediated effect with the power to invert the influence that self-esteem wields on both types of anxiety. In this sense, the apparent protective role of self-esteem changed, turning into a risk factor that promotes higher anxiety values. (shrink)

El duelo anticipado es un tema al que la filosofía ha prestado muy poca atención, a diferencia de lo que ocurre con el duelo que sigue a la muerte. Una peculiaridad obvia del primero es que sucede mientras todavía existe una relación interpersonal entre el doliente y aquel por quien se duele. En este artículo examino el impacto que el duelo anticipado puede tener en dicha relación, particularmente con respecto a las actitudes reactivas de sanción, propias del conflicto interpersonal.

In 2016, the Atlanta Community Food Bank launched the Stabilizing Lives project to develop programs and policies that could better address clients’ needs as well as including clientele as part of the planning process. The ACFB partnered with a research team at the University of Georgia to conduct a participatory research project aimed at developing deeper insights into the factors contributing to both instability and stability in the lives of pantry clientele. This article describes the outcomes this research, offering both (...) a substantive contribution to scholarship on food insecurity and emergency food systems and a methodological innovation through a staged mixed-method participatory research project. Through use of a culture-centered approach, this project created discursive spaces within which to outline emergency food models that support informal networks of care. We used a range of methods, including photo elicitation, concept mapping, individual interviews, and focus groups, to facilitate conversation among agency staff, volunteers, and clientele about the effectiveness of current program models and potential new ideas. Specifically, we suggest that through such practices, food pantries and local agencies may help inform new program models that contribute to household stability, and push back against the sometimes alienating and atomizing paradigm found in current emergency food programs. (shrink)

The sequencing of the human genome has opened the way for using bioinformatics to identify sets of genes controlled by specific regulatory signals. Here, we review the unexpected diversity of DNA response elements mediating transcriptional regulation by estrogen receptors (ERs), which control the broad physiological effects of estrogens. Consensus palindromic estrogen response elements are found in only a few known estrogen target genes, whereas most responsive genes contain only low‐affinity half palindromes, which may also control regulation by other nuclear receptors. (...) ERs can also regulate gene expression in the absence of direct interaction with DNA, via protein–protein interactions with other transcription factors or by modulating the activity of upstream signaling components, thereby significantly expanding the repertoire of estrogen‐responsive genes. These diverse mechanisms of action must be taken into account in screening for potential estrogen‐responsive sequences in the genome or in regulatory regions of target genes identified by expression profiling. BioEssays 24:244–254, 2002. © 2002 Wiley Periodicals, Inc.; DOI 10.1002/bies.10066. (shrink)

Critical theory must add to its agenda “disrupt[ing] the easy passage from critique [to] its neoliberal double”, Nancy Fraser recently argued. Emancipatory movements have not only been transformed by neoliberalism. They have, “unwittingly”, provided powerful “ingredients” for the transition to neoliberalism. This essay examines Axel Honneth and Nancy Fraser’s assessment of and normative proposal for addressing the paradoxes of neoliberalism. The constraints of neoliberalism, I argue, bring into focus the structural challenge of immanent critique as understood within second and third (...) generation Critical Theory. Normative ambivalence within neoliberalism, I maintain, calls for a shift in the way that critical and justificatory practices are understood within the Frankfurt School. (shrink)

A reforma trabalhista vem sendo normalmente apresentada como uma ruptura neoliberal com a tradição de protecionismo da Justiça do Trabalho e da legislação referente ao tema. Existe, todavia, um elemento de continuidade, que é a persistência na promessa da paz perpétua. A CLT apresenta a fraternidade entre as classes como imposição cristã. A Reforma Trabalhista insiste na superação dos conflitos como imposição da democracia, uma vez removida a intervenção estatal representada pela justiça do trabalho. Trata-se de uma utopia, uma vez (...) que as classes antagonistas disputam recursos limitados na luta pela sobrevivência. (shrink)

BackgroundAn editorial expression of concern (EEoC) is issued by editors or publishers to draw attention to potential problems in a publication, without itself constituting a retraction or correction.MethodsWe searched PubMed, PubMed Central (PMC), and Google Scholar to identify EEoCs issued for publications in PubMed and PMC up to 22 August 2016. We also searched the archives of the Retraction Watch blog, some journal and publisher websites, and studies of EEoCs. In addition, we searched for retractions of EEoCs and affected articles (...) in PubMed up to 8 December 2016. We analyzed overall historical trends, as well as reported reasons and subsequent editorial actions related to EEoCs issued between August 2014 and August 2016.ResultsAfter screening 5076 records, we identified 230 EEoCs that affect 300 publications indexed in PubMed, the earliest issued in 1985. Half of the primary EEoCs were issued between 2014 and 2016 (52%). We found evidence of some EEoCs that had been removed by the publisher without leaving a record, and some were not submitted for PubMed or PMC indexing. A minority of publications affected by EEoCs had been retracted by early December 2016 (25%). For the subset of 92 EEoCs issued between August 2014 and August 2016, affecting 99 publications, the rate of retraction was similar (29%). The majority of EEoCs were issued because of concerns with validity of data, methods, or interpretation of the publication (68%), and 31% of cases remained open. Issues with images were raised in 40% of affected publications. Ongoing monitoring after the study identified another 17 EEoCs to year’s end in 2016, increasing the number of EEoCs to 247 and publications in PubMed known to be affected by EEoCs to 320 at the end of 2016.ConclusionsEEoCs have been rare publishing events in the biomedical literature, but their use has been increasing. Most have not led to retractions, and many remain unresolved. Lack of prominence and inconsistencies in management of EEoCs reduce the ability of these notices to alert the scientific community to potentially serious problems in publications. EEoCs will be made identifiable in PubMed in 2017. (shrink)

Grounding refers to expressions that establish a connection between the ground and the content evoked by a nominal or finite clause. In this paper we report on two grammatical implementations of nominal grounding in Argentine Sign Language: pointing and placing. For pointing constructions, we also examine distal-proximal pointing and directive force. We introduce the concept of placing, in which a sign is produced at a specific meaningful location in space. Two types of placing are discussed: Placing-for-Creating, in which a new (...) meaningful location is created, and Placing-by-Recruiting, which recruits an existing meaningful location. We suggest that our analysis of pointing and placing provides an account of nominal grounding unified by general cognitive principles as described within the theory of Cognitive Grammar. Pointing is known to occur in all signed languages studied to date. Although previously undocumented, we suggest that placing is also common to many, perhaps all, signed languages. (shrink)

This essay develops a loosely understood Marxist notion of material conditions in light of the Caribbean plantation complex. The racial order endemic to the plantation and its continuation in post-emancipation contexts undermines any spurious base/superstructure distinction at work in an understanding of material conditions even in some accounts of racial capitalism. Material conditions are as ideological as they are “infrastructural” (Sylvia Wynter) in being ongoingly articulated by anti-black coordinates of sense. The ongoing actualization of the racial order of slavery is (...) understood not as required by altered material conditions, but rather as altering material conditions. The essay considers the continuity of the racial order of the plantation through the contract in a specific site, namely, post-emancipation Puerto Rico. (shrink)

In response to recent work on the nature of human aggression, and to shed light on the proximate, as opposed to ultimate, causes of tribal warfare, we present a record of events leading to a fatal Waorani raid on a family from another tribe, followed by a detailed first-person observation of the behavior of the raiders as they prepared themselves for war, and upon their return. We contrast this attack with other Waorani aggressions and speculate on evidence regarding their hormonal (...) underpinnings. On-the-ground ethnographic observations are examined in light of the neuroendocrinological literature. The evidence suggests a chain of causality in launching lethal violence, beginning with a perceived injury, culminating in a massacre, and terminating in rejoicing. Although no blood or saliva samples were taken at the time of this raid, the behaviors were consistent with a deliberate initiation of the hormonal cascade characterizing the “fight-or-flight” response, along with other hormonal changes. We conclude with observations on the stratified interrelationships of the cognitive, social, emotional, and neuroendocrinological causes of aggression leading to coalitional male homicide. (shrink)

Drawing on contemporary coverage, particularly in The Field and Country Life, this article considers the construction of rabbits and squirrels as images of the past in England. By the 1930s, the red squirrel had become increasingly rare in the English countryside. Particularly in towns and suburbs, the population of the grey squirrel was growing rapidly. Those who saw themselves as the custodians of the countryside depicted the grey squirrel as a foreign force inimical to a mythical English way of life (...) as epitomized by the red squirrel. In the post war period, the debate resurfaced about the nature of the countryside and who had a right to defend it. The focus then was upon the spread of myxomatosis from France, which was depicted as a foreign disease. Wild rabbits, who died in the thousands from this infection, became appropriated, as red squirrels before them, as symbols of a lyrical and ordered past in the countryside. (shrink)

This article analyzes the sculptural depiction of two nonhuman animals, Greyfriars Bobby in Edinburgh, Scotland and the Brown Dog in Battersea, South London, England. It explores the ways in which both these cultural depictions transgress the norm of nineteenth century dog sculpture. It also raises questions about the nature of these constructions and the way in which the memorials became incorporated within particular human political spaces. The article concludes by analyzing the modern "replacement" of the destroyed early twentieth century statue (...) of the Brown Dog and suggests that the original meaning of the statue has been significantly altered. (shrink)

Routledge is now re-issuing this prestigious series of 204 volumes originally published between 1910 and 1965.

The study of Attention Deficit Hyperactivity Disorder addresses variables related to three core symptoms: inattention, hyperactivity, and impulsivity. However, it has been suggested that in recent years emotional difficulties and subsequent social challenges have not received sufficient attention. This study had two objectives: 1) to compare the performance of participants (age range: 8-14 years) on facial emotion recognition tasks using the Affect Recognition subtest of the Children Neuropsychological Battery II; and 2) to assess the perceptions of family members in relation (...) to variables associated with emotional problems, difficulty in regulating emotions, and anger management using the Spanish Assessment System for Children and Adolescents. Assessments were conducted before and after applying an emotion regulation intervention designed for this study. Following the intervention, there was a significant decrease in scores associated with emotional regulation, and an improvement in the identification of affect on facial recognition tasks. The results suggest that despite Attention Deficit Hyperactivity Disorder children and adolescents having social and emotional deficits secondary to the core symptom triad, emotional regulation in this group can be improved by the application of socio-emotional intervention programs. (shrink)

In “Violence and Metaphysics” Jacques Derrida suggests that “the only effective position to take in order not to be enveloped by Hegel would seem to be…to consider false-infinity…irreducible.” Inversely, refuting the charge of logocentrism associated with Hegelian true infinity ( wahrhafte Unendlichkeit ) would involve showing that Hegel’s speculative logic does not establish the infinity of being exempt from the negativity of the finite. This paper takes up Derrida’s challenge, and argues that true infinity is crucial to Hegel’s understanding of (...) ideality as a question of normative authority, which does not fall prey to logocentrism. Through an exposition of the dialectic of the finite and the infinite in Hegel’s Science of Logic , I argue that true infinity is not an ontological category that eliminates division, but rather refers to the metalogical standpoint involved in a philosophical account of determinacy. Although fully achieved at the end of the Logic , the metalogical standpoint that Hegel elaborates in the Seinslogik under the banner of the true infinite already clarifies that determinacy is a product of normative authority that is itself precarious. (shrink)

En el duelo frecuentemente rememoramos con pesar los sufrimientos que le causamos a la persona fallecida, pero algunos de esos apesadumbrados recuerdos nos desconciertan y hasta pueden hacernos dudar de la sinceridad de nuestro amor por ella porque, aunque lamentamos profundamente haberla hecho sufrir, no nos arrepentimos de haber actuado como actuamos. En este artículo examino las características, tipos y naturaleza de la emoción a la que Bernard Williams llamó «_agent-regret»_ (lamentación o pesadumbre del agente), para sostener que aquella experiencia (...) del doliente puede entenderse como una instancia particular de esta emoción. Además, hago algunas consideraciones acerca de cómo el proceso mismo del duelo complica la de por sí difícil experiencia de lamentarse como agente. (shrink)

En la antigua Grecia la tragedia constituía no sólo una fuente de entretenimiento sino también, y sobre todo, un poderoso instrumento de reflexión práctica. De ese modo, aquí se propone una relectura de la tragedia de Antígona y un análisis del acto de desobediencia que ocupa el núcleo de la obra, para mostrar por qué medios el poeta induce a su público a una revisión profunda de sus creencias sobre lo el valor y sobre lo que significa actuar mal. La (...) herramienta hermenéutica principal para valorar el alcance de esa reflexión en el seno de la sociedad ateniense será el examen de las reacciones que cabía esperar en el público que asistía a la representación. (shrink)

Annotation Routledge is now re-issuing this prestigious series of 204 volumes originally published between 1910 and 1965. The titles include works by key figures such asC.G. Jung, Sigmund Freud, Jean Piaget, Otto Rank, James Hillman, Erich Fromm, Karen Horney and Susan Isaacs. Each volume is available on its own, as part of a themed mini-set, or as part of a specially-priced 204-volume set. A brochure listing each title in theInternational Library of Psychologyseries is available upon request.

Discutir aspectos teórico-metodológicos que subsidie a análise dos dados na pesquisa científica é atividade complexa, pois toda produção científica está relacionada às escolhas teóricas e metodológicas do pesquisador. Este texto busca responder à seguinte questão: como podemos organizar a proposta geral do plano de análise na pesquisa científica qualitativa? Essa inquietação tem como base a condição de ser e estar professora da disciplina de Pesquisa em Educação no ensino superior, de atuar em Programa de Pós-Graduação e de integrar o Grupo (...) de Pesquisa FORMAR que pressupõe a unidade pesquisar-formar em contexto de investigação científica. Essas circunstâncias possibilitaram dialogar com a dialética existencial em Vieira Pinto (1979), entre outras literaturas. O propósito deste trabalho é apresentar sugestões que possam auxiliar na elaboração do plano de análise e gerar uma proposta que possa nortear o processo de orientação e interpretação dos dados produzidos na pesquisa científica. Os dados trazem as seguintes evidências: formação do pesquisador com consciência crítica; análise norteada pelos objetivos específicos ou perguntas norteadoras; apropriação da teoria; descrição, explicação e interpretação na mobilização do geral, do particular e do singular do objeto de estudo; o plano de análise deve ser inteligível, interpretável, compreensível e aplicável, consoante as escolhas teórico-metodológicas. Palavras-chave: Pesquisa qualitativa; Plano de análise; Formação e pesquisa; Práxis. How to prepare a data analysis plan in qualitative research: description, explanation or interpretation? Abstract: Discussing theoretical-methodological aspects that support the analysis of data in scientific research is a complex activity, as all scientific production is related to the theoretical and methodological choices of the researcher. This text seeks to answer the following question: how can we organize the general proposal of the analysis plan in qualitative scientific research? This concern is based on the condition of being and being a professor of the Research in Education discipline in higher education, of working in the Graduate Program and of being part of the FORMAR Research Group, which presupposes the research-training unit in the context of scientific investigation. These circumstances made it possible to dialogue with the existential dialectic in Vieira Pinto (1979), among other literatures. The purpose of this work is to present suggestions that can help in the elaboration of the analysis plan and generate a proposal that can guide the process of orientation and interpretation of the data produced in the scientific research. The data bring the following evidences: formation of the researcher with critical awareness; analysis guided by specific objectives or guiding questions; theory appropriation; description, explanation and interpretation in the mobilization of the general, the particular and the singular of the object of study and; the analysis plan must be intelligible, interpretable, understandable and applicable, depending on the theoretical-methodological choices. Key-words: Qualitative research; Analysis plan; Training and research; Praxis. ¿Cómo elaborar un plan de análisis de datos en investigación cualitativa: descripción, explicación o interpretación? Resumen: Discutir aspectos teórico-metodológicos que sustentan el análisis de datos en la investigación científica es una actividad compleja, ya que toda producción científica está relacionada con las elecciones teóricas y metodológicas del investigador. Este texto busca responder a la siguiente pregunta: ¿cómo podemos organizar la propuesta general del plan de análisis en la investigación científica cualitativa? Esta preocupación se fundamenta en la condición de ser y ser docente de la disciplina Investigación en Educación en la educación superior, de laborar en el Programa de Posgrado y de formar parte del Grupo de Investigación FORMAR, lo que presupone la unidad de investigación-formación en el contexto de investigación científica. Estas circunstancias permitieron dialogar con la dialéctica existencial en Vieira Pinto (1979), entre otras literaturas. El propósito de este trabajo es presentar sugerencias que puedan auxiliar en la elaboración del plan de análisis y generar una propuesta que pueda orientar el proceso de orientación e interpretación de los datos producidos en la investigación científica. Los datos traen las siguientes evidencias: formación del investigador con conciencia crítica; análisis guiado por objetivos específicos o preguntas orientadoras; apropiación de la teoría; descripción, explicación e interpretación en la movilización de lo general, lo particular y lo singular del objeto de estudio y; el plan de análisis debe ser inteligible, interpretable, comprensible y aplicable, en función de las elecciones teórico-metodológicas. Palabras-clave: Investigación cualitativa; Plan de análisis; Formación e investigación; Práctica Data de registro: 04/04/2022 Data de aceite: 17/05/2022. (shrink)