Using a conceptual framework and method combining ethical enquiry and phenomenology, we asked 73 senior baccalaureate nursing students to answer two questions: (1) What is nursing students’ experience of an ethical problem involving nursing practice? and (2) What is nursing students’ experience of using an ethical decision-making model? Each student described one ethical problem, from which emerged five content categories, the largest being that involving health professionals (44%). The basic nature of the ethical problems consisted of the nursing students’ experience (...) of conflict, resolution and rationale; 85% of the students stated that using an ethical decision-making model was helpful. Although additional research is needed, these findings have important implications for nursing ethics education and practice. (shrink)

This Korean study replicated a previously published American study. The conceptual framework and method combined ethical enquiry and phenomenology. The research questions were: (1) What is nursing students’ experience of ethical problems involving nursing practice? and, (2) What is nursing students’ experience of using an ethical decision-making model? The participants were 97 senior baccalaureate nursing students, each of whom described one ethical problem and chose to use one of five ethical decision-making models. From 97 ethical problems, five content categories emerged, (...) the largest being health professionals (69%). The basic nature of the ethical problems was the students’ experience of conflict, resolution and rationale. Using an ethical decision-making model helped 94% of the students. A comparison of the Korean and American results yields important implications for nursing ethics education, practice and research. (shrink)

Although older persons (aged 65 years and older) experience stressful ethical problems involving their health, research is lacking about this phenomenon. The purpose of this study was to describe and examine the content and basic nature of older persons’ ethical problems concerning their health. The conceptual framework and method combined ethical enquiry and phenomenology. The participants were 18 older persons and 12 of their children or grandchildren (for contextual understanding). The 19 women and 11 men, 73% of whom were Caucasian, (...) described 184 ethical problems, from which emerged 10 content categories. The basic nature of the ethical problems consisted of conflict, resolution and rationale. The results could assist health professionals to promote older persons’ ethical decision making, quality of life, and good death. (shrink)

After introducing the new field of cultural evolution, we review a growing body of empirical evidence suggesting that culture shapes what people attend to, perceive and remember as well as how they think, feel and reason. Focusing on perception, spatial navigation, mentalizing, thinking styles, reasoning (epistemic norms) and language, we discuss not only important variation in these domains, but emphasize that most researchers (including philosophers) and research participants are psychologically peculiar within a global and historical context. This rising tide of (...) evidence recommends caution in relying on one’s intuitions or even in generalizing from reliable psychological findings to the species, Homo sapiens. Our evolutionary approach suggests that humans have evolved a suite of reliably developing cognitive abilities that adapt our minds, information-processing abilities and emotions ontogenetically to the diverse culturally-constructed worlds we confront. (shrink)

BackgroundResponsive neurostimulation has been utilized as a treatment for intractable epilepsy. The RNS System delivers stimulation in response to detected abnormal activity, via leads covering the seizure foci, in response to detections of predefined epileptiform activity with the goal of decreasing seizure frequency and severity. While thalamic leads are often implanted in combination with cortical strip leads, implantation and stimulation with bilateral thalamic leads alone is less common, and the ability to detect electrographic seizures using RNS System thalamic leads is (...) uncertain.ObjectiveThe present study retrospectively evaluated fourteen patients with RNS System depth leads implanted in the thalamus, with or without concomitant implantation of cortical strip leads, to determine the ability to detect electrographic seizures in the thalamus. Detailed patient presentations and lead trajectories were reviewed alongside electroencephalographic analyses.ResultsAnterior nucleus thalamic leads, whether bilateral or unilateral and combined with a cortical strip lead, successfully detected and terminated epileptiform activity, as demonstrated by Cases 2 and 3. Similarly, bilateral centromedian thalamic leads or a combination of one centromedian thalamic alongside a cortical strip lead also demonstrated the ability to detect electrographic seizures as seen in Cases 6 and 9. Bilateral pulvinar leads likewise produced reliable seizure detection in Patient 14. Detections of electrographic seizures in thalamic nuclei did not appear to be affected by whether the patient was pediatric or adult at the time of RNS System implantation. Sole thalamic leads paralleled the combination of thalamic and cortical strip leads in terms of preventing the propagation of electrographic seizures.ConclusionThalamic nuclei present a promising target for detection and stimulation via the RNS System for seizures with multifocal or generalized onsets. These areas provide a modifiable, reversible therapeutic option for patients who are not candidates for surgical resection or ablation. (shrink)

The present study examined whether a dissociation among formats for rational numbers can be obtained in tasks that require comparing a number to a non-symbolic quantity. In Experiment 1, college students saw a discrete or else continuous image followed by a rational number, and had to decide which was numerically larger. In Experiment 2, participants saw the same displays but had to make a judgment about the type of ratio represented by the number. The magnitude task was performed more quickly (...) using decimals, whereas the relation task was performed more accurately with fractions. The pattern observed for percentages was very similar to that for decimals. A dissociation between magnitude comparison and relational processing with rational numbers can be obtained when a symbolic number must be compared to a non-symbolic display. (shrink)

BackgroundBiobanks provide an important foundation for genomic and personalised medicine. In order to enhance their scientific power and scope, they are increasingly becoming part of national or international networks. Public trust is essential in fostering public engagement, encouraging donation to, and facilitating public funding for biobanks. Globalisation and networking of biobanking may challenge this trust.MethodsWe report the results of an Australian study examining public attitudes to the networking and globalisation of biobanks. The study used quantitative and qualitative methods in conjunction (...) with bioethical analysis in order to determine factors that may contribute to, and threaten, trust.ResultsOur results indicate a generally high level of trust in biobanks and in medical research more broadly. Key factors that can reduce perceived trustworthiness of biobanks are commercialisation and involvement in global networking.ConclusionsWe conclude that robust ethical oversight and governance standards can both promote trust in global biobanking and ensure that this trust is warranted. (shrink)

In The Norm of Belief, John Gibbons claims that there is a “natural reaction” to the general idea that one can be normatively required to Ø when that requirement is in some sense outside of one’s first person perspective or inaccessible to one. The reaction amounts to the claim that this is not possible. Whether this is a natural or intuitive idea or not, it is difficult to articulate exactly why we might think it is correct. To do so, we (...) need a view about the relationship between agents’ capacities to accord with normative requirements and the conditions under which those normative requirements obtain. I offer an account of the epistemic dimension of this relationship. The goal is to provide enough of a story about the natural reaction to make accounting for it look like an important desideratum for any theory of the nature of normative requirements—whether these are moral or epistemic. To focus the discussion, I use Timothy Williamson’s knowledge-first view of evidence as an example of a view in epistemology that generates the natural reaction. One upshot of the discussion, then, is a detailed account of what is troubling about Williamson’s influential but controversial view of evidence. (shrink)

O presente artigo apresenta a utilização da Metodologia de Reunião em Espaço Aberto no contexto de uma formação continuada online com Scratch a qual se intitulou “Programando e Aprendendo com o Scratch”. Tal formação problematizou conhecimentos e saberes relacionados às tecnologias educacionais e utilizou-se da metodologia de Reunião em Espaço Aberto a qual se mostrou como uma interface que desafia os participantes a resolver problemas de forma colaborativa e dialógica. A metodologia de Reunião em Espaço Aberto, ou Open Space–OST, foi (...) criada ou “iniciada” pelo estadunidense Harisson Owen em 1997 e apresenta a junção de elementos de várias culturas ancestrais, como o caso do “bastão de falar” presente nas reuniões de círculo nas aldeias africanas, indígenas e em aldeias no interior de Portugal, os “jornais de parede, ou mercados tradicionais” presentes em culturas medievais e contemporâneas, o “respeito pelo outro” das culturas orientais. A partir dos desafios propostos aos professores no espaço aberto, foram produzidos vídeos com músicas, mapas conceituais, paródias, poesias e histórias animadas com o Scratch. Ao fim de cada atividade os participantes eram convidados a produzir uma narrativa crítico-reflexiva sobre a experiência vivenciada. A experiência descrita é parte de uma pesquisa de doutorado em Educação, em andamento e conta com o financiamento integral por meio de bolsa PROSUP/CAPES. (shrink)

This study explores the relationship between moral intensity and the use of different sensemaking strategies in military critical incidents. First, narratives of military personnel were used to select prototypical high/low moral intensity critical incidents. In a follow-up, a scenario study was conducted with active duty military personnel to examine the relationship between moral intensity and the use of sensemaking tactics. This study offers three main conclusions. First, the use of sensemaking tactics is strongly tied to the level of moral intensity (...) in the situation. In high-intense situations, the servicemen draw on previous experiences, prediction of consequences, and help of others to recognize and interpret the situation. Less attention goes out to higher level critical thinking. Thus, it seems that in these critical incidents, the servicemen react without giving room for thorough consideration and deliberation. Second, the number of deployments a serviceman experienced influences the perceived seriousness and harmfulness of the situation negatively in low-intense situations. Finally, and in line with earlier studies, the results indicate that the concept of moral intensity is formed out of three rather than the six dimensions originally proposed by Jones. The implications of these findings are discussed. (shrink)

Ethical decision-making frameworks assist in identifying the issues at stake in a particular setting and thinking through, in a methodical manner, the ethical issues that require consideration as well as the values that need to be considered and promoted. Decisions made about the use, sharing, and re-use of big data are complex and laden with values. This paper sets out an Ethics Framework for Big Data in Health and Research developed by a working group convened by the Science, Health and (...) Policy-relevant Ethics in Singapore Initiative. It presents the aim and rationale for this framework supported by the underlying ethical concerns that relate to all health and research contexts. It also describes a set of substantive and procedural values that can be weighed up in addressing these concerns, and a step-by-step process for identifying, considering, and resolving the ethical issues arising from big data uses in health and research. This Framework is subsequently applied in the papers published in this Special Issue. These papers each address one of six domains where big data is currently employed: openness in big data and data repositories, precision medicine and big data, real-world data to generate evidence about healthcare interventions, AI-assisted decision-making in healthcare, public-private partnerships in healthcare and research, and cross-sectoral big data. (shrink)

Citing of previous publications is an important factor in knowledge development. Because of the great amount of publications available, only a selection of studies gets cited, for varying reasons. If the selection of citations is associated with study outcome this is called citation bias. We will study determinants of citation in a broader sense, including e.g. study design, journal impact factor or the funding source of the publication. As a case study we assess which factors drive citation in the human (...) literature on phthalates, specifically the metabolite mono phthalate. A systematic literature search identified all relevant publications on human health effect of MEHP. Data on potential determinants of citation were extracted in duplo. Specialized software was used to create a citation network, including all potential citation pathways. Random effect logistic regression was used to assess whether these determinants influence the likelihood of citation. 112 Publications on MEHP were identified, with 5684 potential citation pathways of which 551 were actual citations. Reporting of a harmful point estimate, journal impact factor, authority of the author, a male corresponding author, research performed in North America and self-citation were positively associated with the likelihood of being cited. In the literature on MEHP, citation is mostly driven by a number of factors that are not related to study outcome. Although the identified determinants do not necessarily give strong indications of bias, it shows selective use of published literature for a variety of reasons. (shrink)

RESUMO O objetivo deste artigo é aprofundar a questão da estilística na perspectiva de Spitzer, procurando aspectos relacionados com a estilística de Bakhtin, em específico no tratamento dado por ambos à obra de Rabelais Gargântua e Pantagruel. O princípio que fundamenta as análises é a concepção de estilo e de literatura que perpassa as análises de Spitzer e Bakhtin, desvelando aspectos contrastantes na interpretação dessa obra rabelaisiana. ABSTRACT The purpose of this article is to delve deeper into issues of stylistics (...) as addressed in the interpretation of Rabelais’ works, Gargantua and Pantagruel, from Spitzer’s perspective, while looking for related aspects from a Bakhtinian perspective. The principles on which the analysis is based are the concept of style and literature that crosses Spitzer and Bakhtin’s analyses, revealing contrasting aspects in the interpretation of this Rabelaisian work. (shrink)

Examinamos as respostas apresentadas por Cícero, Plutarco e Galeno, representantes da filosofia da época imperial, à pergunta pela possibilidade e legitimidade de uma therapeia das paixões. Tomando como ponto de partida uma reflexão sobre a natureza da alma e o estatuto das paixões, eles reacenderam o debate que remonta à poesia épica, na cena em que Aquiles se vê às voltas com o apelo de Atena para que acalme seu coração. Para tanto elegemos os seguintes textos: de Cícero, o livro (...) IV das Tusculanas, de Plutarco, os tratados Se as paixões da alma são mais nefastas que aquelas do corpo e Como refrear a cólera, e de Galeno, os tratados As paixões e os erros da alma e As faculdades da alma seguem os temperamentos do corpo.In this paper we examine the answers given by Cicero, Plutarch andGalen, all noted representatives of imperial Philosophy, to the question of thepossibility and legitimacy of a therapeia of the passions. Taking reflection on thenature of the soul and the status of the passions as starting point, they revivedthe debate that goes back to the scene in epic poetry where Achiles has todeal with Pallas Athene’s appeal to him to calm his heart. To that end we havechosen the following texts: Cicero’s Tusculans, book IV; Plutarch’s Whether thepassions of the soul are worse than those of the body and On the control of anger; and Galen’s On the passions and errors of the soul and That the faculties of the soul follow the temperaments of the body. (shrink)

This book collects texts from three specialists in ancient philosophy which deal with the question of perceptive and intellective knowledge in antiquity. They try to present, in their different analyzes, the complex interrelationship among perception and thought in ancient authors, like Heraclitus, Parmenides, Democritus, Plato and Aristotle. The purpose of the texts is to expose the visible field - the perceptual knowledge domain - interacts with the invisible - the domain of reason and thought. In other words, that among them (...) there is no a radical separation of these two areas, although they are clearly distinct. (shrink)

RESUMEN: Durante mucho tiempo las investigaciones sociológicas se centraron en el término exclusión. Existe, sin embargo, un abuso del término designando como tales, situaciones que en realidad responden a la vulnerabilidad creada por la degradación de las relaciones de trabajo, por la precarización o la marginación. Éstas son propiamente situaciones bajo amenaza de exclusión pero no son exclusión propiamente dicha, pueden desembocar en ella pero dependen de otra lógica. La lógica de la exclusión procede por discriminaciones oficiales, la marginación se (...) produce por procesos de desestabilización. En este trabajo se realizará un análisis comparado entre dos perspectivas tan disímiles como las subyacentes en las políticas de inclusión aplicadas en Argentina y Leonardo Polo pues de la confrontación fructífera emergerán las condiciones de posibilidad para una auténtica inclusión social en las organizaciones. SUMMARY: From longtime ago, sociological researches focused on the Word exclusion abusing on it. The fact is that many situations considered as exclusion really are the effect of vulnerability due to degrade of job´s relationships, or due to marginal and precarious situations. Those are situations under danger of exclusion but they are not properly exclusion, those could to end in exclusion but those depend on a different logic which runs by official discriminations. Marginality is consequence of process of unbalances. This article intend to analyzes two different perspectives, that from political plans from Argentinian government and that from Leonardo Polo because it is possible to confront in a positive way and then, many possibilities for authentic social inclusion in organizations will emerge. (shrink)

The use of the three labels to denote the three foundational schools of the early twentieth century are now part of literature. Yet, neither their number nor the...

This study explores the association between different types of morally challenging interactions during military deployment and response strategies, as well as the mediating role of moral emotions. Interviews with Dutch servicemen who participated in military operations were content coded. We found a relationship between local-cultural and team-related interactions and moral justification; these effects were mediated by other-condemning emotions. Similarly, other-condemning emotions mediated the relationship between local-cultural interactions and relativism. This study points at the importance of other-condemning emotions in shaping military (...) reactions to frequently occurring morally challenging interactions. (shrink)

The mutual interaction of philosophy and Roman political and cultural life has aroused more and more interest in recent years among students of classical literature, Roman history, and ancient philosophy. In this volume, which gathers together some of the papers originally delivered at a series of seminars in the University of Oxford, scholars from all three disciplines explore the role of Platonism and Aristotelianism in Roman intellectual, cultural, and political life from the second century BC to the third century AD.