In this book, the author proposes an understanding of corporate responsibility that can be captured in the answer to the following question: What are the implications for companies, as main drivers of economic activity (Part III), of the idea that the purpose of the economy is to create wealth (Part I) within the normative-ethical framework of human rights (Part II)? Enderle crafts a solid, well-thought and comprehensive account of corporate responsibility as a means to create wealth, understood in an expansive (...) manner. His notion of wealth encompasses social capital, natural, economic and human wealth, both at the public and private levels. To substantiate those dimensions, Enderle draws on the capability approach. Enderle proposes human rights – and, more specifically, the United Nations Guiding Principles for Business and Human Rights – as normative framework to guide corporate responsibility in its wealth creating endeavor. Enderle’s work is innovative in many respects. But, eventually, the book does not put forward a viable solution to major challenges affecting today’s world. By staying within the framework of voluntariness in an economic system driven by the profit motive and shareholder capitalism, his proposal falls short of the task. (shrink)

The capability approach is gaining momentum as a theory of corporate responsibility and business ethics at a time when the UN Guiding Principles have become a most important framework. A novel approach is now emerging that seeks to understand and specify human rights obligations of businesses within the framework provided by the capability approach. This article partially examines the triad corporate responsibility–human rights–capability approach by exploring the relationship between human rights and capabilities. Thus, it offers conceptual and practical implications for (...) a human rights perspective on corporate responsibility. The bulk of our thesis focuses on studying Nussbaum’s and Sen’s claim that human rights are entitlements to capabilities by means of a discussion of the notion of human dignity. In particular, we show the capability approach’s ability to dissipate theoretical and practical challenges posed by the notion of dignity. This article does not offer a detailed explanation of the implications of our investigation for human rights responsibilities of business. However, an outline of its potential contribution toward unfolding those obligations, conceptually and practically, is provided. (shrink)

For more than three decades, Integrative Social Contracts Theory (ISCT) has been lauded as a business ethics theory particularly well suited to the international arena, especially because of its alleged ability to reconcile respect for cultural idiosyncrasies and normative teeth. However, this theory has also faced various objections, many of which its authors have responded to with varying degrees of satisfaction. As a contribution to this debate, this article provides a unifying rationale for many of those objections by exploring their (...) rooting in the Separation thesis. It submits that this fact negatively impacts the theory with three major challenges, namely: significant limitations to correctly frame moral issues and situations; poor identification of hypernorms; and insufficient theoretical grounding of hypernorms. This critique highlights the need for the entanglement of the normative and the empirical in business ethics theorizing. (shrink)

The author of this paper discusses the theme of the "simulated body", that is the sense of "being there” in a body that is not one's own, or that does not exist in the way one perceives it. He addresses this issue by comparing Immersive Virtual Reality technology, the phenomenological approach, and Gerald Edelman's theory of Neural Darwinism. Virtual Reality has been used to throw light on some phenomena that cannot be studied experimentally in real life, and the results of (...) its simulations enrich the phenomenological discourse on the lived body. Virtual “Reality” seems to replicate—at least in part—the simulation mechanisms of our mind, thus favoring developments in the field of philosophy of mind. (shrink)

Introduction: Motor evoked potentials (MEPs) to transcranial magnetic stimulation are known to be susceptible to several sources of variability. However, conflicting evidences on individual characteristics in relatively small sample sizes have been reported. We investigated the effect of age, height, and sex on MEPs of the motor cortex and spinal roots in a large cohort. Methods: A total of 587 subjects clinically and neuroradiologically intact were included. MEPs were recorded during mild tonic contraction through a circular coil applied over the (...) “hot spot” of the first dorsal interosseous and tibialis anterior muscles, bilaterally. Central motor conduction time (CMCT) was estimated as the difference between MEP cortical latency and the peripheral motor conduction time by cervical or lumbar magnetic stimulation. Peak-to-peak MEP amplitude to cortical stimulation and right-to-left difference of each parameter were also measured. Results: After Bonferroni correction, general linear (multiple) regression analysis showed that both MEP cortical latency and peripheral motor conduction time at four limbs positively correlated with age and height. At lower limbs, an independent effect of sex on the same measures was also observed (with females showing smaller values than males). CMCT correlated with both age (negatively) and height (positively) when analyzed by a single regression; however, with a multiple regression analysis this significance disappeared, due to the correction for the multicollinearity within the dataset. Conclusions: Physical individual features need to be considered for a more accurate and meaningful MEPs interpretation. Both in clinical practice and in research setting, patients and controls should be matched for age, height, and sex. (shrink)

This paper intends to explore an aspect of Blumenberg’s metaphorology as memory of mankind and the ethical commitment derived from it. It is seen as the culmination of the fight that the human being maintains against the senselessness of reality. It manifests itself and it is perceived by a human being as theimmensurability of world time and life time (i.e. that the human being is born and dies), that impedes the human being from having all of the world i.e. the (...) satisfaction of its infinite desires. In the fight against finity technology and money play a vital role. They have in common the power to enable an expansion of human capacities over the boundaries of factual existence: through technology and money the human being can do more or, do the same in less time. That is: tobring closer life time and world time. But in this process the instrumental character of technology and money causes homogenisation in the societies where they thrive. That’s one of the characteristics of globalization. This homogenisation is to be understood as the forgetting of other essential possibilities of the human creation of meaning. Thus, what technological and monetary processes construct on one side, come to be destroyed on the other side. Blumenberg’s metaphorology is the adequate response: it is understood both as the self-consciousness of the process of reason in its making sense of the universe, and as an “ideal store” of everything the human being has come to make in this process. (shrink)

Background: Using lies, in dementia care, reveals a common practice far beyond the diagnosis and prognosis, extending to the entire care process. Objectives: In this article, we report results about the attitude and the behaviour of nurses towards the use of lies to patients with dementia. Research design: An epidemiological cross-sectional study was conducted between September 2016 and February 2017 in 12 elderly residential facilities and in the geriatric, psychiatric and neurological wards of six specialised hospitals of Italy’s Campania Region. (...) Participants: In all, 106 nurses compiled an attitude questionnaire (A) where the main question was ‘Do you think it is ethically acceptable to use lies to patients with dementia?’, instead 106 nurses compiled a behaviour questionnaire (B), where the main question was ‘Have you ever used lies to patients with dementia?’ Ethical considerations: Using lies in dementia care, although topic ethically still controversial, reveals a common practice far beyond the diagnosis and prognosis, extending to the entire care process. Findings: Only a small percentage of the interviewed nurses stated that they never used lies/that it is never acceptable to use lies (behaviour 10.4% and attitude 12.3%; p = 0.66). The situation in which nurses were more oriented to use lies was ‘to prevent or reduce aggressive behaviors’. Indeed, only the 6.7% in the attitude group and 3.8% in the behaviour group were against using lies. On the contrary, the case in which the nurses were less oriented to use lies was ‘to avoid wasting time giving explanations’, in this situation were against using lies the 51.0% of the behaviour group and the 44.6% of the attitude group. Conclusion: Our results, according to other studies, support the hypothesis of a low propensity of nurses to ethical reflection about use of lies. In our country, the implementation of guidelines about a correct use of lie in the relationship between health operators and patients would be desirable. (shrink)

ENGLISH Blumenbergs Metaphorology is offered as an hermeneutical alternative to heideggerian existential hermeneutic. It implies that philosophical anthropology –as we find her in Gehlen, Plessner and others– achieves onthological standing, and it’s developed as a history of great metaphers, that seems to support the history of ideas.

Decentralised ledgers are gaining momentum following the interest of industries and people in smart contracts. Major attention is paid to blockchain applications intended for trading assets that exploit digital cryptographic certificates called tokens. Particularly relevant tokens are the non-fungible tokens (NFTs), namely, unique and non-replicable tokens used to represent the cryptographic counterpart of assets ranging from pieces of art through to licenses and certifications. A relevant consequence of the hard-coded nature of blockchains is the hardness of probing, in particular when (...) advanced searchers involving the capabilities of the smart contracts or the assets digitised by NFTs are required. For this purpose, a formal representation for the operational semantics of smart contracts and of tokens has become particularly urgent, especially in economy and finance, where blockchains become increasingly relevant. Hence, we feel the need to tailor Semantic Web technologies to achieve that semantic representation at least for NFTS. This article reports on an ontology that leverages the Ontology for Agents, Systems, and Integration of Services (“OASIS”) towards the semantic representation of smart contracts responsible for managing ERC721-compliant NFTs and running on the Ethereum blockchain. Called Ether-OASIS, the proposed ontology adopts OASIS and tailors its behaviouristic approach to the Ethereum blockchain by conceiving smart contracts as agents running on the blockchain and, consequently, smart contract interactions as agent commitments. Smart contracts are represented in terms of their actions, purposes and tokens that they manage, thus realising a blockchain that is more usable both by users and automated applications. The ontology is evaluated using standard ontological metrics and applied on a case study concerning the minting and transferring of NFTs that digitise batches of wheat. (shrink)

Blumenberg´s “metaphorology” is offered as a hermeneutical alternative to the Heideggerian existential hermeneutic. This implies that philosophical anthropology —as we find it in Gehlen, Plessner and others— achieves onthological standing, and is developed as a history of great metaphors, which supports the history of ideas.

The essay aims to examine the concept of digital ekphrasis in virtual reality environments. The emergence of immersive narrative worlds, both in videogames and artistic expression, requires a reflection on the relationships between traditional narrative forms (literature and painting, as well as photography and cinema) and the possibilities that technological development brings to the evolution of artistic and expressive languages. Starting from the analysis of Alejandro González Iñárritu’s virtual reality installation "Carne y Arena", the essay questions the continuity/discontinuity relationship with (...) the semiotic and aesthetic universes conventionally summoned by ekphrasis. The transformation of the medium, which places the viewer immediately within the work, abolishes not only the distance between the involved expressive media, integrating them intermedially, but also the distance between work and spectator, according to a paradigm of aesthetic experience minority within aesthetics, attributable to a theoretical line that combines Merleau-Ponty and Deleuze. The resonance between forms of expressiveness significantly radicalizes the scope of ekphrasis, as visual discourse is no longer transposed to a discursive level, as traditionally occurred, but into other forms of the visual and the sensible that continually set the semiosis of the work in motion. (shrink)

BackgroundSonographic mesenteric pattern in celiac disease (CD) suggests a hyperdynamic circulation. Despite the well-known CD-related neurological involvement, no study has systematically explored the cerebral hemodynamics to transcranial Doppler sonography.Materials and methodsMontreal Cognitive Assessment (MoCA) and 17-item Hamilton Depression Rating Scale (HDRS) were assessed in 15 newly diagnosed subjects with CD and 15 age-, sex-, and education-matched healthy controls. Cerebral blood flow (CBF) velocities and indices of resistivity (RI) and pulsatility (PI) from the middle cerebral artery (MCA), bilaterally, and the basilar (...) artery (BA) were recorded. We also assessed cerebral vasomotor reactivity (CVR) through the breath-holding test (BHT).ResultsWorse scores of MoCA and HDRS were found in patients compared to controls. Although patients showed higher values of CBF velocity from MCA bilaterally compared to controls, both at rest and after BHT, no comparison reached a statistical significance, whereas after BHT both RI and PI from BA were significantly higher in patients. A significant negative correlation between both indices from BA and MoCA score were also noted.ConclusionThese treatment-naïve CD patients may show some subtle CVR changes in posterior circulation, thus possibly expanding the spectrum of pathomechanisms underlying neuroceliac disease and in particular gluten ataxia. Subclinical identification of cerebrovascular pathology in CD may help adequate prevention and early management of neurological involvement. (shrink)

We present an OWL 2 ontology, called SaintGall, representing the Saint Gall plan, one of the most ancient documents arrived intact to us. The Saint Gall plan describes the ideal model of a Benedictine monastic complex that inspired the design of many European monasteries. The structural, functional, and architectural specification of an ideal Benedectine monastery is modeled by the SaintGall ontology, which allows one to analyse and model the Monastery architectural type. This work started with the purpose of relating Catania’s (...) San Nicolò l’Arena Benedectine Monastery with the abstract notion of Benedectine monastery, in the ambit of an ontological model based on the renovation works carried out by the architect Giancarlo De Carlo and developed by the same authors. The SaintGall ontology opens a research path aiming at comparing different monastic architectures that can be useful in any intervention of refurbishment or design for a monastery. (shrink)

This article identifies an integrated teaching strategy that was originally developed for engineers, the so-called ‘micro-insertion’ approach, as a practical and effective means to teach ethics at business schools. It is argued that instructors can incorporate not only generic or thematic learning objectives for students into this method (i.e., the intended content of what is being taught: in our case, an underlying ethical base for doing business), but also do so via a strategically integrated approach regarding the appropriate mix and (...) timing of these micro-insertions. With this in mind, we propose a qualitative and example-based approach that endeavors to provide a versatile way for business teachers to incorporate ethics into their general business classes. We also present a conceptual and theoretical framework that underpins this method, and we further provide a set of specific examples and a practical table that show how business instructors might integrate ethics-oriented micro-insertions into their teaching. (shrink)

En tant qu’acteur important dans la gouvernance rurale, les organisations économiques collectives jouent un rôle primordial dans le processus d’urbanisation rurale et constituent un point de vue important pour comprendre l’évolution des relations entre zones urbaines et zones rurales en Chine. En même temps, ces organisations constituent le noyau de la communauté locale, qui représente les individus sur la base d’une même appartenance ethnique, par proximité locale ou par proximité de valeurs communes, voire par proximité économique. Ainsi, les individus partagent (...) une forme de cohésion solidaire, fondée affectivement. Toutefois, au fur et à mesure du développement économique et social, le système, la notion et la nature de l’économique s’évoluent et les valeurs des individus changent, tandis que ces organisations s’adaptent mal au changement économique et social, ce qui provoque la controverse de la société chinoise rurale au cours de la modernisation de la Chine. S’appuyant sur une recherche de terrain et l’analyse des données du village de Liede à Guangzhou, cet article porte sur le processus d’intégration urbaine-rurale du village urbain et explore l’intégration du village urbain dans la ville à travers l’organisation économique collective de Liede, notamment Liede Economic Development Co., Ltd. Dans ce processus, il existe des contradictions entre le rôle du village et le rôle des organisations économiques collectives. Les organisations collectives ont des fonctions économiques, mais elles assument toujours aussi des coûts importants concernant des fonctions publiques telles que la sécurité sociale. On verra que la réforme de la « séparation politique et économique » après la période de l’économie planifiée des années 1980 n’a pas eu d’effet au niveau local. L’évolution du rôle des organisations économiques reflète la mutation de l’économie chinoise, c’est-à-dire, le passage de l’économie communiste à l’économie de marché. Toutefois, l’engagement solidaire existe toujours dans l’économie collective et celle-ci essaie de limiter la cupidité et soutenir l’intérêt commun au lieu de le marginaliser, ce qui constitue un caractère spécifique de l’économie collective en Chine. Classification JEL : A23, B25, H32. (shrink)

What would the constitution of a free nation look like? In trying to answer that question we immediately think in terms of a Bill of Rights, restrictions on governmental power, and so forth. And any constitution worth having would certainly include those things. But if a constitution is to be more than a wish list, it must also specify the political structure necessary to ensure that these freedoms are not eroded or ignored. Consider the old Soviet Constitution, which guaranteed all (...) sorts of fine sounding freedoms for its citizens -- but which in practice proved only an empty promise, since its interpretation and enforcement lay in the hands of an unfettered monolithic centralized state. (shrink)

L’aphorisme sur lequel s’ouvre la préface du livre : « Tant vaut la femme, tant vaut la famille et la société » retrace parfaitement le rôle que la société du XIXe siècle entend accorder aux femmes. Se comporter en ménagères chevronnées, en femmes de foyer expertes en sciences domestiques, en maîtresses de maison économes, en un mot en « fées du logis » est la première des tâches qui leur incombent. C’est cet éloge de la ménagère œuvrant au bien-être de (...) son foyer et de la nation toute entière... (shrink)

Dans les années 1930, la société cantonaise porte son attention moins sur les consommatrices d’opium que sur les yanhua (“ fleurs de la fumée ”), jeunes et jolies femmes d’extraction modeste employées dans les fumeries afin de préparer les pipes pour les clients. Les yanhua cristallisent des craintes liées au maintien de l’ordre et de la hiérarchie établis. Les séductions conjuguées de la drogue et de l’attrait physique de ces femmes apparaissent susceptibles de favoriser une mobilité sociale de mauvais aloi, (...) qu’elle soit descendante (ruine du fumeur aisé causée par une consommation inconsidérée d’opium), ou ascendante (lorsqu’une yanhua parvient à séduire etépouser un riche client). (shrink)

The craft companies that transform cocoa into value-added products in the Ambato-Ecuador canton generate a large number of losses and waste, causing low production performance, which is not solved by the chocolatiers as they don’t have a clear knowledge of the amount exactly what is lost and how it affects in the productive growth. Therefore, it seeks to quantify the losses and waste generated in the transformation of cocoa into semi-finished products. The work was carried out through the information collected (...) in the craft companies, where was determined the losses and waste of each of the processes that are carried out for the production of semi-finished products will be prolonged. Obtaining in this way key information on waste management within companies and the exact amount and percentages of losses and waste during the production of cocoa paste and its derivates. (shrink)

During the eighteenth century, cabinetmakers in Canton (Guangzhou) produced a large quantity of hardwood furniture for European consumers. This essay examines the knowledge culture of these cabinetmakers, focusing on epistemic negotiations and adaptations in the process of making export furniture. While export furniture was made in European styles, cabinetmakers did not parrot European techniques of carpentry but creatively mobilized their own craft knowledge. Juxtaposing material evidence from extant pieces and the carpentry manual The Classic of Lu Ban, the essay argues (...) that the knowledge of joinery formed the basis of a practice of artisanal translation that was material and syntactic. Offering modular rubrics for spatial handling, joinery allowed cabinetmakers to restructure and reinvent furniture with a European appearance. Tracing the interaction between an indigenous knowledge system and global trade commodities, the essay underlines the social and epistemic realignments of locally rooted craft in the achievement of innovation. (shrink)

Las edificaciones con valor patrimonial son un testimonio excepcional del progreso de una comunidad y representan ejemplos innegables de la transferencia de conocimientos a lo largo de las generaciones. Es inevitable caminar por centro consolidado de Pasaje y no reconocer el legado cultural de muchas edificaciones. Sin embargo, también resulta fácil observar las alteraciones erróneas que sea han realizado a estas edificaciones con el objetivo de responder a las “nuevas exigencias” de la actualidad. La conservación de los bienes patrimoniales resulta (...) necesaria para la preservación de la integridad e identidad de la ciudad. La presente investigación posibilita entender el nivel de susceptibilidad que presentan las edificaciones consideradas como bienes patrimoniales, debido a que estás viviendas poseen un valor cultural. El objetivo de la investigación es el de identificar la susceptibilidad sísmica a las que están expuestas, para esto se utilizaron métodos de matrices de evaluación sísmica para medir el nivel de susceptibilidad en las edificaciones patrimoniales. (shrink)

In this article, we begin by questioning the notion of special educational needs, which is used today in Switzerland, by going back over its historical foundations and developing the main issues and problems it raises. We then present the results of a comprehensive research aimed at uncovering the factors at work in the process of designating certain students for an enhanced special education support measure during their compulsory schooling. On the basis of a content analysis of the reports for an (...) enhanced special education support measure produced during the 2016-2017 school year in a Swiss canton, as well as comprehensive interviews conducted with permanent teachers, we highlight various factors that can lead to the designation of a student for an enhanced special education support measure. We show how there is a degree of randomness in being designated for a special education support measure and critically discuss the role of the school institution and its actors in this process. (shrink)

This chapter compares the institutional setting and integrations processes in Switzerland and the EU. The major findings are that EU integration is trying to achieve more political integration and accommodation of a much higher degree of diversity in much less time than has ever been the case in Switzerland. Integration and expansion processes that were slower and non-linear in Switzerland and that happened in separate phases (e.g. religious diversification, linguistic diversification, territorial expansion, etc.) are all going on at the same (...) time in the EU. Especially integration and accession with enormous shocks of diversification are engineered at the same time in the EU. From this point of view, the EU has already tried to go beyond many stages that took centuries to be completed in Switzerland. The institutional design of the European Union seems to echo quite well the federal state formation process in Switzerland. The following precisions are however necessary in the comparative perspective. First, the momentary stage of European Integration, characterized by intergovernmental crisis management, resembles the (dysfunctional) intergovernmental centralism of the Swiss cantons during the decades before the formation of the federal-state in 1848. Second, due to the greater diversity of the European Union, this quasi-federal system has derived in extreme asymmetries between the member states. Since EU identity is not well entrenched among European citizens (and politicians), it has been hard to design institutions and policies of common territorial protection and redistribution and there is mistrust towards centralistic EU institutions (specially in the countries more affected by the economic crisis). Most European citizens do not feel that their interests are taken into account by the European Union. Third, it is important to note that in Swiss federalism the municipalities play an important role, they are much more than just administrative districts. This city-centred and bottom up construct of citizenship is guaranteed by the Swiss federal constitution. Citizens feel that their most immediate and local identity is not jeopardized but rooted in and guaranteed by the Swiss federal constitution. Compared to sub-national Swiss federalism, EU federalism is entirely focused on the nation-state and the EU institutions. Serious consideration ought to be given to the idea that European citizenship is not only about bringing citizenship to a higher European level but also about bringing it more to the root-level of citizenship: the city. Direct democracy has acted as a federator in the Swiss context. Switzerland made direct democracy and direct democracy made Switzerland. There has been a slow and iterative process of adaptation of structurally similar institutions of direct democracy at all levels (communal, cantonal, federal) of all units (all communes, all cantons, confederation roughly between 1830-1891. To the contrary, the EU is only incipiently in a process of introducing direct democracy (in some member-states and ECI), and so far direct democracy is mainly practiced as national plebiscitary democracy. Under this guise it is seen as a threat to EU integration and probably not without good reason. While in Switzerland the coherent introduction of direct democracy at all levels of the polity in the long run served as an important unifier, direct democracy has even not been considered as integrative part of all levels of political integration in the EU. It is of great interest that the one element in which the European Union has based the construction of EU citizenship and identity – mobility of residence – has been implicitly discouraged in Switzerland. The institutional design as incorporated in Swiss multicultural identity (which aims fundamentally at the protection of cantonal autonomy, culture and language) has facilitated that Switzerland is called today a successful multicultural society. Most citizens identify with Switzerland as a country and they like it as it is, but they do not want to take advantage of their formal right to move to other parts of the country, especially not across language borders. The same institutional design that has made of Switzerland a successful case of multiculturalism and democracy poses important barriers that make it difficult for the Swiss to move their residence across their country. Considering that one of the main features of European citizenship is the freedom of movement and residence, this poses a main concern. The Swiss compromise between the formal right and economic necessity of mobility on the one hand and the protection of political and cultural sub-identities on the other hand, is commuting. Due to the vast size, this is of limited applicability in the EU. However, in a Europe of cities and trans-border regions, commuting is an important option provided that every European citizen lives reasonably close to an important economic centre. In short, the Europe of commuters deserves attention in the context of EU citizenship. (shrink)

This article holds that ability to support one’s opinions with arguments, awareness of the arguments for other opinions, and insight into the superiority of some arguments are basic requirements for rational discourse. Based on a content analysis of Swiss Italian newspaper coverage of a controversy over a smoke-free law introduced and finally implemented in the canton of Ticino in 2007 and on a five-wave panel survey of public opinion on the issue, the article describes elements of the argumentative structure of (...) news coverage of this issue and relates them to rationality requirements. It finds that the newspapers offered a wide variety of arguments to readers (articulation function) when political activity to introduce a ban intensified, and especially when arguments mattered as a referendum approached. Papers displayed a reasonable and differentiated picture of arguments, contributing to a unique pattern of weighting and evaluating them. Neither newspaper coverage nor public opinion showed much sign of change, which speaks against a reaction to superior arguments. Finally, the newspaper bias towards arguments for the ban and their inclination to publish objections to arguments against may have contributed to a widespread lack of awareness of arguments against the ban among people favouring it. Thus, evidence of the rationality of argumentative structures is mixed, and further enquiry into this subject is encouraged. (shrink)

Abstract Context: Established in 1997, Summa Health System’s Medical Ethics Committee (EC) serves as an educational, supportive, and consultative resource to patients/families and providers, and serves to analyze, clarify, and ameliorate dilemmas in clinical care. In 2009 the EC conducted its 100th consult. In 2002 a Palliative Care Consult Service (PCCS) was established to provide supportive services for patients/families facing advanced illness; enhance clinical decision-making during crisis; and improve pain/symptom management. How these services affect one another has thus far been (...) unclear. Objectives: This study describes EC consults: types, reasons, recommendations and utilization, and investigates the impact the PCCS may have on EC consult requests or recommendations. Methods: Retrospective reviews of 100 EC records explored trends and changes in types of consults, reasons for consults, and EC recommendations and utilization. Results: There were 50 EC consults each in the 6 years pre- and post-PCCS. Differences found include: (1) a decrease in number of reasons for consult requests (133–62); (2) changes in top two reasons for EC consult requests from ‘Family opposed to withdrawing life-sustaining treatment (LST)’ and ‘Patient capacity in question’ to ‘Futility’ and ‘Physician opposed to providing LST’; (3) changes in top two recommendations given by the EC from ‘Emotional Support for Patient/Family’ and ‘Initiate DNR Order’ to ‘Comfort Care’ and ‘Withdraw Treatment.’ Overall, 88% of recommendations were followed. Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined. Content Type Journal Article Pages 1-16 DOI 10.1007/s10730-011-9170-9 Authors Jessica Richmond Moeller, Department of Psychiatry and Behavioral Sciences, Akron General Medical Center, 400 Wabash Ave, Akron, OH 44307, USA Teresa H. Albanese, Health Services Research and Education Institute, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Kimberly Garchar, Kent State University, 6000 Frank Ave., N.W, North Canton, OH 44720, USA Julie M. Aultman, Department of Family and Community Medicine, Northeast Ohio Medical University, P.O. Box 95, Rootstown, OH 44272, USA Steven Radwany, Palliative Care and Hospice Services, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Dean Frate, Internal Medicine, Palliative Care and Hospice Services, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737. (shrink)

This article begins a new series explaining the reasoning behind the various detailed provisions of my Virtual-Canton Constitution. At Disneyland the term "imagineering" is used for the creative process of designing a new Disneyland attraction. I've borrowed the term to describe the process of designing a libertarian political system.

A federal assembly consists of a number of representatives for each of the nations (states, Länder, cantons,...) that make up the federation. How many representatives should each nation receive? What makes this issue worth quibbling about is that the model of representation that is instituted will have an impact on the welfare distribution over the nations in the federation that will ensue over due course. We will investigate what models of representation yield welfare distributions that score higher on a utilitarian (...) measure. First, we construct a continuum of models of representation ranging from equal to proportional representation. In between these extremes are models of degressive proportionality. We run a Monte-Carlo simulation in which a large number of motions are voted up or down within different contexts of evaluation and investigate how well the resulting welfare distributions score on the utilitarian measure. Subsequently, we will provide matching analytical results for a slightly idealized case. We conclude with a discussion of the significance of our results and of the role of simulations and analytical results and point to further work. (shrink)

The concept of governance initially emerged in the field of economics and business management with the objective of achieving greater efficiency. It was subsequently extended to the field of government management. In many countries, governance has become a topic of great importance as a result of the implementation of decentralization policies and the extension of popular participation in land use plans in the search for sustainable development. The study, developed in the Decentralized Autonomous Government of Portoviejo canton in the province (...) of Manabí, had as its primary objective the verification of the knowledge of governance among decision-makers and other socially involved actors in the canton's land use plan in the search for sustainable local development. This was achieved through an analysis of the Plan, conceived and applied with the intention of fostering cohesion among the policies implemented. The study employed a combination of theoretical and empirical methods. The theoretical approach involved a review and analysis of the literature on the subject, while the empirical approach involved data collection through questionnaires administered to socially involved actors. This approach enabled the researchers to gain insights into the perceptions and experiences of these actors, and to assess the effectiveness of various governance practices. (shrink)

This article aims to study the practical validity and political operativity that the Commune-form of organization continues to have among us, today. We will focus on two current and untimely self-emancipatory movements: ‘Zapatism’ and the M.A.R.E.Z., and ‘Democratic Confederalism’ and the cantons. These are two collective movements that, according to the activists involved —and here we will be guided by the texts and materials produced from both movements— deliberately update and renew the ‘Commune’ as a form or mode of organization (...) liberatory and egalitarian, depatriarchal and descolonial type, breaking out as a ‘third way’ in the midst of our patriarchal state and capitalist societies, traversed by all kinds of vertical, dissymmetric, hierarchical, andromorphic and phallocratic divisions. We will begin by defining the most fundamental characteristics of the novelty implied by the Paris Commune in the 19th Century. Then, we will see the problem of the ‘commune’ as becoming-minority, proposing that the commune-form produces a differential human subjectivation with respect to state subjectivation. Next, we will study the problem of ‘double combat’, showing how the women’s struggle was the greatest vector of self-emancipatory flight. And finally, we will study the an-organic consistency of the Commune-form of organization, and we will list its differential features. (shrink)

In democratic Switzerland, each of its 26 cantons (states) has its own government and its own laws. Thus there are 26 ministries of health and as many different laws regulating medical and health care practice. The Swiss Nurses' Association likewise has 13 regional chapters and a central organization that works on the national level. Medicine is private and practically all of the Swiss population is privately insured. High technology has led to high specialization with, among other results, a reduced number (...) of premature deaths, longer life span but also rising costs of health. Health professionals are also becoming much more aware of ethical issues such as cost versus quality, high technology versus compassionate care, etc. A multilingual (four national languages) and multicultural country, Switzerland's health care system relies heavily on foreign nurses, many of whom come from neighbouring France and Germany but also from England, Yugoslavia, Canada and other countries. Regulation of nursing practice is still poor. Nursing or nurses are hardly mentioned in the state laws and, when mentioned, are often put in a dependent relation to the physician. Basic nurse training is regulated nationally by cantonal delegations to the Swiss Red Cross. Although there is a good postbasic training scheme, nurses are still striving for access to the university. Meanwhile, they go abroad to acquire degrees. Research in nursing is being developed mainly by the efforts of individuals and the Swiss Nurses' Association. (shrink)

À l’occasion du 40e anniversaire de la première, et seule, fondation en faveur des personnes polyhandicapées du canton de Genève (en Suisse), l’historienne suisse-romande Mariama Kaba retrace les événements marquants de la Fondation Clair Bois. Cette fondation offre des services aux enfants ayant une infirmité motrice cérébrale. Comme le précise Mariama Kaba, l’infirmité motrice cérébrale (IMC) résulte de lésions irréversibles du cerveau qui peuvent survenir avant la naissance, durant l’accou...

This article problematizes the republican reliance on contemporary ‘states as they are’ as protectors and guarantors of the republican notion of freedom as non-domination. While the principle of freedom as non-domination constitutes an advance over the liberal principle of freedom as non-interference, its reliance on the national, territorial, legal-technical and extra-economic contemporary state prevents the theoretical uncovering of its full potential. The article argues that to make the most of the principle of freedom as non-domination, a strong Athenian element is (...) required. The democratic confederalist project that is being experimented with by Syrian Kurds in the cantons of Rojava, it is maintained, can contribute theoretically and practically to this republican ideal through its democratic and participatory mechanisms, despite fundamental challenges it has to face. (shrink)

Résumé Cet article est centré sur une récente initiative de jeunes chinoises occupant ostensiblement à Canton – la capitale du sud – les toilettes publiques réservées aux hommes : cette manifestation visait, parmi d’autres, à lutter contre les discriminations faites aux femmes, nécessitant des toilettes plus nombreuses pour éviter les longues queues qui ne manquent de se former régulièrement dans les rues. Replacée dans le contexte d’un Etat-parti autoritaire prompt à la répression, cette initiative est ici décortiquée pour en comprendre (...) la genèse tant au niveau des individus que du collectif féminin qui l’a fait vivre. (shrink)

Comment expliquer la baisse généralisée de la fécondité en Europe entre les années 1870 et 1930? C’est sur cette « révolution silencieuse » que s’interroge Anne-Françoise Praz dans un volumineux ouvrage publié à la suite de son obtention du doctorat à l’Université de Fribourg. L’auteure fait appel à différents modèles théoriques revus et corrigés à la lumière d’une enquête sociodémographique menée dans quatre villages de Suisse romande, deux dans le canton protestant de Vaud, et deux dans le...

Tracing the origin and circulation of the “jargon” spoken at Canton, the paper examines how “jargon” became an issue of Sino-foreign communication conflicts in the early 19th century, and how Westerners responded to it. As a lingua franca spread extensively in the Canton trade, the so-called “jargon” (a pidgin form of patois) played an essential role as communication tool between Chinese and foreign traders. However, in the eyes of missionaries in early 19th century China, the normal Sino-foreign contact process was (...) interrupted and distorted by both parties’ overusing of the jargon. In this regard, early Protestant missionaries’ support of Chinese language study reveals an initial effort to break through the “jargon” barrier. (shrink)

This is a volume of twelve essays published in the successful tradition of _Essays in Philosophy_. These essays in metaphysics merge the eternal, the historical, and the immediately encountered dimensions of man’s experience to illustrate what is permanently valuable in the tradition of Western thought. Contributors: John M. Anderson; Karel Berka; Hiram Canton; Joseph C. Flay; Richard A Gotshalk; Carl R. Hausman; Henry W. Johnstone, Jr.; Joseph J. Kockelmans; Robert G. Price; Stanley H. Rosen; Albert Tsugawa; Carl G. Vaught.

To what extent does a guidebook ‘map’ a territory? At the very least it conditions decisions about where to go and where to stay: country, region, area, canton, county, town or city, hotel, gite, houseboat, tent. Are there certain basic needs and standards that any traveller would require? How does one go about gathering information, and what criteria are used for inclusion and exclusion in a travel guide? An awareness of the diversity of travellers is required, but not every taste (...) can be catered for within a single guidebook. Hence the proliferation of books, increasingly detailed and focused guides, not to mention the proliferation of Internet guides for travellers. (shrink)