The article explores the challenges of ensuring voluntary and informed consent which is obtained from potential research subjects in the north‐eastern part of Romania. This study is one of the first empirical papers of this nature in Romania. The study used a quantitative survey design using the adapted Quality of Informed Consent (QuIC) questionnaire. The target population consisted of 100 adult persons who voluntarily enrolled in clinical trials. The informed consent form must contain details regarding the potential risks and benefits, (...) the aim of the clinical trial, study design, confidentiality, insurance and contact details in case of additional questions. Our study confirmed that although all required information was included in the ICF, few clinical trial participants truly understood it. We also found that the most important predictive factor for a good subjective and objective understanding of the clinical trial was the level of education. Our study suggests that researchers should consider putting more effort in order to help clinical trials participants achieve a better understanding of the informed consent. In this way they will ensure that participants’ decision‐making is meaningful and that their interests are protected. (shrink)

The spread of the COVID-19 pandemic has severely impacted all aspects of social and economic life, including the evolution of stock markets. Thus, we advance a methodological framework suitable for assessing 2020 year-long shifts in markets’ statistical complexity, and we apply such framework to ten major international developed or emerging stock markets. Our research reveals that this crisis had considerably altered markets’ evolutionary patterns. The network description of markets’ multivocal transmission of complex responses changed in 2020, European and Asian markets (...) playing a pivotal role. Nevertheless, an important regional and time heterogeneity emerges. In addition, we find that the total number of worldwide confirmed COVID-19 cases plays a leading role in the changes in markets’ complexity. (shrink)

Against much of the philosophical tradition, Spinoza and Nietzsche defend an understanding of freedom opposed to free will and formulated as an ethical ideal consisting in a transition from a smaller to a greater power of acting. Starting from a shared commitment to necessity and radical immanence, they present freedom as a passage to a greater power of self-determination and self-expression of the body. Nevertheless, the continuities between their power ontologies and their respective commitments to a life of knowledge break (...) down in their discussion of the various possible manifestations of power. I will argue that Nietzsche's distinctive formulation of power as struggle between wills to power enables him to formulate the question of the qualitative dimension of empowerment in a way that is foreign to Spinoza's rational determinism. While acknowledging the profound similarities, I will argue that we must see Nietzsche's discussion of affirmation as the culmination of his disagreement with his predecessor on the topic of freedom and empowerment. (shrink)

This paper proposes a model of the Artificial Autonomous Moral Agent (AAMA), discusses a standard of moral cognition for AAMA, and compares it with other models of artificial normative agency. It is argued here that artificial morality is possible within the framework of a “moral dispositional functionalism.” This AAMA is able to “read” the behavior of human actors, available as collected data, and to categorize their moral behavior based on moral patterns herein. The present model is based on several analogies (...) among artificial cognition, human cognition, and moral action. It is premised on the idea that moral agents should not be based on rule-following procedures, but on learning patterns from data. This idea is rarely implemented in AAMA models, albeit it has been suggested in the machine ethics literature (W. Wallach, C. Allen, J. Gips and especially M. Guarini). As an agent-based model, this AAMA constitutes an alternative to the mainstream action-centric models proposed by K. Abney, M. Anderson and S. Anderson, R. Arkin, T. Powers, W. Wallach, i.a. Moral learning and moral development of dispositional traits play here the fundamental role in cognition. By using a combination of neural networks and evolutionary computation, called “soft computing” (H. Adeli, N. Siddique, S. Mitra, L. Zadeh), the present model reaches a certain level of autonomy and complexity, which illustrates well “moral particularism” and a form of virtue ethics for machines, grounded in active learning. An example based on the “lifeboat metaphor” (G. Hardin) and the extension of this model to the NEAT architecture (K. Stanley, R. Miikkulainen, i.a.) are briefly assessed. (shrink)

Review of Aurel Codoban, Imperiul comunicării: corp, imagine și relaționare (The Empire of Communication: Body, Image and Relation), (Cluj-Napoca: Idea Design &Print, 2011).

This paper investigates Nietzsche’s reception of Spinoza in order to develop our understanding of the complex relations between their respective philosophies starting from their shared commitment to ontologies of power. The first three sections of this essay contain a diachronic analysis of Nietzsche’s engagement with Spinoza and a discussion of the major themes in play. The last section consists in an evaluation of Nietzsche’s explicit and implicit criticisms that helps us gain a sense of the coherence running through them, as (...) well of the core similarities and differences between two philosophies steeped in immanence and naturalism. Even if Nietzsche’s criticisms do not always do justice to Spinoza’s thinking, they nevertheless offer invaluable clues to guide our comparative project. (shrink)

Medical communication in Western-oriented countries is dominated by concepts of shared decision-making and patient autonomy. In interactions with Roma patients, these behavioral patterns rarely seem to be achieved because the culture and ethnicity have often been shown as barriers in establishing an effective and satisfying doctor–patient relationship. The study aims to explore the Roma’s beliefs and experiences related to autonomy and decision-making process in the case of a disease with poor prognosis. Forty-eight Roma people from two Romanian counties participated in (...) semi-structured interviews, conducted by a research team from the University of Medicine and Pharmacy of Iasi. Participants were recruited among the chronically ill patients and caregivers. The Roma community opposes informing the terminal patients about their condition, the “silence conspiracy” being widely practiced. The family fully undertakes the right of decision making, thus minimizing the patient’s autonomy. We identified ethical dilemmas concerning autonomy, lack of patients’ real decision-making power, and paternalistic attitudes exerted firstly by the family and, on demand, by the physician. Instead, the Roma patient benefits from a very active support network, being accompanied at the hospital by numerous relatives. The patient’s right to make autonomous decisions promoted in the Western countries and stipulated by the Romanian law has diminished value in the Roma community. For the Roma, the understanding of dignity is not simply individual and personal, but it is closely related to their cultural particularities. Ignoring their cultural values could create conflicts between healthcare providers and community. (shrink)

ABSTRACT What is the best way to confront the thought of eternal recurrence—the thought that we would have to live our life “once again and innumerable times again”—this great, heavy burden that, as Nietzsche warns, may crush us? In this article, I argue that learning to love oneself plays a privileged role in preparing us for facing this abysmal thought. Self-love consists in the cultivation of self-knowledge and in an engagement with the past that enables us to give it new (...) meaning and significance. Furthermore, Nietzsche’s revaluation of self-love in Thus Spoke Zarathustra brings with it a rethinking of our relations to others. To love oneself implies care for the empowerment and growth of others, as well as the capacity for self-sacrifice. (shrink)

A patient suffering from a severe illness that is entering its terminal stage is forced to develop a coping process. Of all the coping patterns, the religious one stands out as being a psychological resource available to all patients regardless of culture, learning, and any age. Religious coping interacts with other values or practices of society, for example the model of a society that takes care of it's elder members among family or in an institutionalized environment or the way the (...) health system offers or not psychological support for a terminally ill patient. Health care providers should have at least some psychological coping patterns training because not all patterns of religious coping are equally effective, and some have been described as increasing the level of stress or producing other negative psychological effects on the patient. This article aims to review the complex models of religious coping that are unanimously accepted in psychooncology, arguments in favor of religious coping, the types of patients that use this model, ethical dilemmas that could be reinterpreted using religious arguments. Finally, we will also discuss the need of Romanian patients to embrace a religious coping in case of an incurable illness, and also the support that they can receive from both curative and palliative health care providers.  . (shrink)

How should we understand Spinoza’s views on consciousness against the background of his interest in the pursuit of empowerment and freedom? This paper argues that consciousness consists in a plurality of affections of substance that do not necessarily help us in our striving for liberation. Spinoza wants to dispel various moral and metaphysical illusions associated with previous accounts of consciousness. Nevertheless, he does not provide more details, because an in-depth analysis of consciousness is not the best — nor the most (...) direct — path to empowerment. (shrink)

What are Descartes’s views on the body and how do they change? In this article, I try to make clearer the nature of the shift towards an increased focus on the body as ‘my’ body in Descartes’s Passions of the Soul. The interest in the nature of passions, considered from the point of view of the ‘natural scientist’, is indicative of a new approach to the study of the human. Moving beyond the infamous mind-body union, grounded in his dualist metaphysics, (...) Descartes begins developing a philosophical anthropology centred on the notion of power and better suited to practical philosophy. (shrink)

Up to the present, there have not been any specific norms regarding medically assisted human reproduction in Romanian legislation. Due to this situation the general legislation regarding medical assistance, the Penal and Civil law and the provisions of the Code of Deontology of the Romanian College of Physicians are applied to the field of medically assisted human reproduction. By analysing the ethical and legal conflicts regarding medically assisted human reproduction in Romania, some characteristics cannot be set apart because they derive (...) from religious, cultural and socio-economic aspects. In this article the authors identify the development stages of medically assisted human reproduction in Romania, beginning from these characteristics and insisting upon the failure of the legal system in this specific field. The authors consider that the law regarding medically assisted human reproduction cannot be effective because it did not take into account the ethical and cultural aspects that might appear. Furthermore, in this framework of the legal process, no public debate involving the representatives of civil society was undertaken although the Council of Europe Oviedo Convention approved by our country according to law no. 17/2001 stipulated exactly this working method. Content Type Journal Article Pages 4-13 Authors Beatrice Ioan, PHD, MD, MA IN BIOETHICS, University of Medicine and Pharmacy, Iasi, Romania Vasile Astarastoae, PHD, MD, JD, University of Medicine and Pharmacy, Iasi, Romania Journal Human Reproduction & Genetic Ethics Online ISSN 2043-0469 Print ISSN 1028-7825 Journal Volume Volume 14 Journal Issue Volume 14, Number 2 / 2008. (shrink)

Provides a comparative study in the history of modern philosophy focused on Spinoza and Nietzsche's recourse to physiology. Proposes Nietzsche and Spinoza's appeal to physiology as the key to solving fundamental philosophical problems. Taps into the heart of the growing interest in the Spinoza-Nietzsche connection through detailed discussions of substance metaphysics and the ontology of power, as well as their ethical and political positions.

In order to assure optimal care of patients with chronic illnesses, it is necessary to take into account the cultural factors that may influence health-related behaviors, health practices, and health-seeking behavior. Despite the increasing number of Romanian Roma, research regarding their beliefs and practices related to healthcare is rather poor. The aim of this paper is to present empirical evidence of specificities in the practice of healthcare among Romanian Roma patients and their caregivers. Using a qualitative exploratory descriptive design, this (...) study is based on data gathered through three focus groups with 30 health mediators in the counties of Iasi and Cluj (Romania). We identified various barriers to access to healthcare for Roma patients: lack of financial resources and health insurance coverage, lack of cognitive resources or lack of personal hygiene, but also important cultural issues, such as the shame of being ill, family function, disclosure of disease-related information, patient’s autonomy, attitudes towards illness and health practices, that should be considered in order to create a culturally sensitive environment in Romanian medical facilities:… The role of the health mediators within the context of cultural diversity is also discussed, as cultural brokers contributing to health care quality among Romanian Roma patients Bridging cultural differences may improve patient–healthcare provider relationships, but may have limited impact in reducing ethnic disparities, unless coupled with efforts of Roma communities to get involved in creating and implementing health policies. (shrink)