BackgroundIn the Canadian Alliance for Healthy Hearts and Minds cohort, participants underwent magnetic resonance imaging of the brain, heart, and abdomen, that generated incidental findings. The approach to managing these unexpected results remain a complex issue. Our objectives were to describe the CAHHM policy for the management of IFs, to understand the impact of disclosing IFs to healthy research participants, and to reflect on the ethical obligations of researchers in future MRI studies.MethodsBetween 2013 and 2019, 8252 participants were recruited with (...) a follow-up questionnaire administered to 909 participants at 1-year. The CAHHM policy followed a restricted approach, whereby routine feedback on IFs was not provided. Only IFs of severe structural abnormalities were reported.ResultsSevere structural abnormalities occurred in 8.3% of participants, with the highest proportions found in the brain and abdomen. The majority of participants informed of an IF reported no change in quality of life, with 3% of participants reporting that the knowledge of an IF negatively impacted their quality of life. Furthermore, 50% reported increased stress in learning about an IF, and in 95%, the discovery of an IF did not adversely impact his/her life insurance policy. Most participants would enrol in the study again and perceived the MRI scan to be beneficial, regardless of whether they were informed of IFs. While the implications of a restricted approach to IF management was perceived to be mostly positive, a degree of diagnostic misconception was present amongst participants, indicating the importance of a more thorough consent process to support participant autonomy.ConclusionThe management of IFs from research MRI scans remain a challenging issue, as participants may experience stress and a reduced quality of life when IFs are disclosed. The restricted approach to IF management in CAHHM demonstrated a fair fulfillment of the overarching ethical principles of respect for autonomy, concern for wellbeing, and justice. The approach outlined in the CAHHM policy may serve as a framework for future research studies.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/nct02220582. (shrink)

La formación del profesional de la salud de perfil amplio constituye uno de los objetivos principales en la educación médica superior. Sobre la base de este planteamiento se desarrolló una investigación en la Facultad de Ciencias Médicas de la Universidad de Ciencias Médicas "Carlos J. Finlay", de Camagüey, con el objetivo de exponer los fundamentos teóricos en los que se sustenta la competencia comunicativa intercultural en la enseñanza-aprendizaje del idioma Inglés. Se utilizaron diferentes métodos de investigación de los niveles teórico (...) y empírico. Se concluyó que estos fundamentos integran factores cognitivos, afectivo-emocionales, motivacionales, sociales, culturales, axiológicos y creativos, del proceso de desarrollo de la competencia comunicativa analizada. Formation of the health professionals with a wide profile constitutes one of the main objectives in high medical education. On this basis the present work is the result of a research carried in the Faculty of Medical Sciences at the Medical College of Camaguey. Its main objective is to expose the theoretical foundations of the intercultural communicative competence in the learning and teaching of English. For its elaboration different investigative methods of theoretical and empirical levels were applied. (shrink)

Durante deacute;cadas, la historia de la filosofiacute;a ha separado a Kierkegaard de Hegel y a Hegel de Kierkegaard, en detrimento tanto de la grandeza especulativa del pensamiento kierkegaardiano como de la vena existencial del sistema de Hegel. En oposicioacute;n a esta desafortunada lectura, el presente artiacute;culo intenta mostrar la profunda convergencia que une internamente el estadio eacute;tico de Kierkegaard con las maacute;s importantes categoriacute;as loacute;gicas de Hegel. Ambos pensadores conciben la idea como el poder real del devenir subjetivo y (...) la existencia como la concrecioacute;n actual de lo ideal. Para ambos, la pura eneacute;rgeia de la libertad, que comienza en la posibilidad abstracta y esteacute;tica de la inmediatez subjetiva, se realiza a siacute; misma como la actual concrecioacute;n de la finitud, capaz de asumir lo temporal y contingente por la fuerza eterna y necesaria del deber. La repeticioacute;n kierkegaardiana no es nada sino el poder de lo ideal, capaz de mediar el flujo de las diferencias finitas en la eterna identidad del sujeto. Sin embargo, tanto para Kierkegaard como para Hegel existe una absoluta contradiccioacute;n, llamada a promover la superacioacute;n de lo eacute;tico. (shrink)

J.S. Mill's plural voting proposal in Considerations on Representative Government presents political theorists with a puzzle: the elitist proposal that some individuals deserve a greater voice than others seems at odds with Mill's repeated arguments for the value of full participation in government. This essay looks at Mill's arguments for plural voting, arguing that, far from being motivated solely by elitism, Mill's account is actually driven by a commitment to both competence and participation. It goes on to argue that, for (...) Mill, much of the value of political participation lies in its unique ability to educate the participants. That ability to educate is not, however, a product of participation alone; rather, for Mill, the true educative benefits of participation obtain only when competence and participation work together in the political sphere. Plural voting, then, is a mechanism for allowing Mill to take advantage of the educative benefits that arise from the intersection of competence and participation. (shrink)

J.N. Findlay was a South African philosopher who published from the late 1940s into the 1980s. He had a prestigious international academic career, holding many academic posts around the world. This article uses a textual comparative approach and focuses on Findlay’s Gifford Lecture at St Andrews University between 1965 and 1970. The objective of the article is to highlight the extent to which Findlay’s philosophical writings were influenced by Mahāyāna Buddhism. Although predominantly a Platonist, Findlay drew influence from Asian philosophy (...) and religion, particularly Mahāyāna Buddhism. In these lectures, he applies the metaphor of the Platonic Cave to investigate Hegelian and Husserlian approaches to knowledge. Though he was a leading Hegel and Husserl scholar, his reading of these two philosophers is strongly influenced by Mahāyāna Buddhism, resulting in a unique mystical interpretation of these two philosophers. Revisiting Findlay’s writings is significant for two reasons; firstly, he investigated Buddhism prior to the Asian religions being included in Religious Studies departments’ purview in South African universities, and secondly, his interpretation of two prominent Western philosophers along Buddhist lines provides an early attempt at decolonising the predominance of Western philosophical views of knowledge.Contribution: This contribution forms part of a larger collection of essays investigating philosophical works that have had a significant impact on the study of religion. This contribution investigates the Buddhist influence on J.N. Findlay’s philosophical readings of Husserl and Hegel. (shrink)

Thomas J.J. Altizer is one of the most important theologians of the twentieth and early twenty-first centuries, and all radical theology must pass through and be conversant with his work and the historical significance of his earlier contributions. This chapter presents Altizer’s essential ideas in a straightforward and accessible manner and provides a guide for the beginning reader.