A equipe da Enfermagem é privilegiada, pois, é o cuidador que permanece vinte e quatro horas na assistência direta do paciente, podendo ter uma visão ampliada da pessoa no processo do adoecimento, tendo a oportunidade de incorporar e desenvolver os princípios dos Cuidados Paliativos (CP). Na perspectiva holística da saúde a religião/religiosidade/espiritualidade é uma das possibilidades de cuidado e manejo, porém ainda muito negligenciada pelos profissionais da saúde, seja por desconhecimento ou preconceitos e tabus, mas que se torna essencial no (...) cuidado de pacientes em CP. Por meio deste relato de experiência, objetiva-se ressaltar a importância da religião/religiosidade/espiritualidade, no cuidado e manejo de pacientes em CP, a partir da experiência de uma profissional da enfermagem, sua prática em cuidados e docência, supervisionando alunos com pacientes em contexto dos CP. Anos acompanhando alunos na prática, demonstraram que os profissionais da enfermagem têm dificuldade de identificar o Sofrimento Espiritual (SE) dos pacientes, e quando identificavam, não sabiam o que fazer com esta demanda, delegando a outros profissionais da equipe, que também tinham dificuldades, causando um (des)cuidado na Dimensão Espiritual (DE) do paciente em CP, trazendo-o mais sofrimento e desconforto com sua finitude. Como resultado dessas reflexões, está sendo desenvolvida uma pesquisa de pós-doutorado, destinada a identificar a DE, construção de roteiro de educação permanente. Em síntese, esses profissionais tendo a capacitação para identificar o SE, explorar e cuidar da DE, poderão promover a proteção da saúde mental, tanto do paciente em CP quanto sua, e tornarem-se profissionais mais sensíveis na finitude. (shrink)

La película es una expresión artística que permite a los estudiantes entrar en contacto con temas sensibles, como la muerte, el duelo y los cuidados paliativos. Este Proyecto de Extensión tiene como objetivo describir la experiencia de la comunidad académica de una Universidad Federal de Río de Janeiro con el Cineclube da Morte. Su propuesta metodológica es producir procesos de aprendizaje con el propósito de difundir y dilucidar temas relacionados con la finitud humana y cualquier tema que permea la muerte (...) para los académicos, ayudándolos en la construcción de ese conocimiento, acogiéndolos a la salud mental y apoyándolos en el dolor derivado de la muerte. Temas difíciles sobre la muerte y la pérdida, que impregnan la vida cotidiana. El Proyecto realiza encuentros mensuales promoviendo la proyección de películas y su reflexión, así como espacios de experiencias personales, donde el público se divide en pequeños grupos de discusión, se comparten historias personales, se introducen conceptos y docentes de enfermería y psicología apoyan y Para casos más complejos, todo este proceso dura una media de 3h30. Al final de las reuniones, se pone a disposición vía correo electrónico un formulario de Google con las preguntas: ¿Qué punto de la discusión te llamó la atención? ¿Qué aprendiste de esta reunión? A través de estas respuestas se está construyendo una base de datos para que pueda haber mejoras. En cada encuentro se viven nuevas experiencias, se comparten nuevas historias y se comienzan a discutir y desmitificar temas tabú como la “muerte”, posibilitando nuevas formas de gestión y atención humanizada de los pacientes en cuidados paliativos y de los distintos duelos vividos. (shrink)

IntroductionRegular exercise has long been shown to positively impact the immune system responsiveness and improve mental well-being. However, the putative links between biomarkers of mental health and immune efficiency in exercising subjects have been scarcely investigated. The aim of this study was to verify the effect of a 14-week combined chair-based exercise program on salivary steroid hormones and anti-microbial proteins, functional fitness, and MWB indexes in pre-frail older women.MethodsThe participant women were randomly divided into the exercising group and the non-exercising (...) control group. The pre/post assessment included: salivary anti-microbial proteins lysozyme; and immunoglobulin-A ; salivary steroid hormones of testosterone and cortisol ; functional fitness ; MWB questionnaires.ResultsSignificant differences with large Cohen’s effect sizes were found on increased salivary TT after exercise intervention. The results revealed a decrease in IgA levels after CEP. The increase in subjective happiness levels and decrease of stress perception and depressive state were found after intervention in the CEP group. Robust statistical differences in gait speed and balance tests were also found in the CEP group. In control, COR increased moderately while no changes were found for the other indicators. Correlation analyses showed inter-dependence between pre–post variations of MWB, biochemical indexes, and fitness function.ConclusionThe CEP program was able to improve functional-fitness performance, decrease feelings of stress, and increase happiness. The CEP also induced clinically relevant hormonal and immune responses, which suggests that chair exercises that combine muscular strength, balance, and gait speed training are promising interventions to improve physical and mental health of older pre-frail adults. (shrink)

A presente reflexão acerca do estado nação burguês (brasileiro) a partir de Claudia Von Braunmühl, buscou identificar, em grandes linhas, as ideias que compõem sua teoria sobre o “estado nação burguês” e relacioná-las ao Brasil. Nessa breve reflexão, constatou-se que, embora sua teoria seja importante para pensar o estado brasileiro, enquanto parte integrante do mercado mundial, ela precisa ser complementada com autores que o pensam a partir de suas especificidades históricas.

There is widespread agreement that an adequate understanding of the nature of science (NOS) is a critical component of scientific literacy and a major goal in science education. However, we still do not know many specific details regarding how students and teachers learn particular aspects of NOS and what are the most important feature traits of instruction. In this context, the main objective of this review is to analyze articles from nine main science education journals that consider the teaching of (...) NOS to K-12 students, pre-service, and in-service science teachers in search of patterns in teaching and learning NOS. After reviewing 52 studies in nine journals that included data regarding participants’ views of NOS before and after an intervention, the main findings were as follows: (1) some aspects of NOS (empirical basis, observation and inference, and creativity) are easier to learn than others (tentativeness, theory and law, and social and cultural embeddedness), and subjective aspects of NOS and “the scientific method” seemed to be difficult for participants to understand; (2) the interventions most frequently lasted 5 to 8 weeks for students, one semester for pre-service teachers, and 1 year for experienced teachers; and (3) most of the interventions incorporated both decontextualized and contextualized activities. Given the substantial diversity in the methods and intervention designs used and the variables studied, it was not possible to infer a pattern of more-effective NOS teaching strategies from the reviewed studies. Future investigation should focus on (a) disentangling whether a difference exists between the easy and difficult aspects of learning NOS and formulating a theoretical explanation for distinguishing the two types of aspects and (b) assessing the effectiveness of different kinds of courses (e.g., history of science, NOS or informal) and strategies (e.g., hands-on vs. drama activities; SSI vs. HOS). (shrink)

Francisco Plancarte y Navarrete, a priest born in Zamora, Michoacán, México, was both a prominent clergyman and a dedicated archaeologist. His studies on the ancient cultures of México were highlighted by his gathering of two archaeological collections, the first of which included some 3000 archaeological pieces, many from excavations he conducted himself and many more that he obtained as gifts from family, friends, and parishioners. This paper focuses on his donors in order to reveal the diverse interests that antiquities aroused (...) at the end of the 19th century and how private collections contributed to increasing the National Museum of Mexico's archaeological collection. (shrink)

Scientists engaged in global health research are increasingly faced with barriers to access and use of human tissues from the developing world communities where much of their research is targeted. In part, the problem can be traced to distrust of researchers from affluent countries, given the history of 'scientific-imperialism' and 'biocolonialism' reflected in past well publicized cases of exploitation of research participants from low to middle income countries. To a considerable extent, the failure to adequately engage host communities, the opacity (...) of informed consent, and the lack of fair benefit-sharing have played a significant role in eroding trust. These ethical considerations are central to biomedical research in low to middle income countries and failure to attend to them can inadvertently contribute to exploitation and erode trust. A 'tissue trust' may be a plausible means for enabling access to human tissues for research in a manner that is responsive to the ethical challenges considered. Preventing exploitation and restoring trust while simultaneously promoting global health research calls for innovative approaches to human tissues research. A tissue trust can reduce the risk of exploitation and promote host capacity as a key benefit. (shrink)

The paper is focused on the intedermination in compositive processes. In particular on John Cage. The art and the thought of Cage were a response to the growing complexity of the world through a practice and a reflection that focuses heavily on the concept of emptiness, understood as technical decentralization of: the author of the musical structure and the individual and of the same identification of sounds. This complexity results from a network of independent nodes, subjects, activities and institutions that (...) interact in no particular order. You can no longer assume the existence of an ultimate subject for whose wisdom assumes all sense. There is no longer any author. Events happen randomly. Relinquishing control is one of the main themes running through the compositional work of Cage. (shrink)

Simone de Beauvoir was a philosopher and writer of notable range and influence whose work is central to feminist theory, French existentialism, and contemporary moral and social philosophy. The essays in this 2003 volume examine all the major aspects of her thought, including her views on issues such as the role of biology, sexuality and sexual difference, and evil, the influence on her work of Heidegger, Sartre, Merleau-Ponty, Husserl, and others, and the philosophical significance of her memoirs and fiction. New (...) readers and nonspecialists will find this the most convenient and accessible guide to Beauvoir currently available. Advanced students and specialists will find a conspectus of recent developments in the interpretation of Beauvoir. (shrink)

The object of this investigation is the connection between dance and modern philosophy. The body has been disciplined in modern era in a very peculiar way which is conveyed into governmental processes of optimization of the bodily potentiality. Dance has not only an aesthetic value but a political one. In this contribution I analyse the government of the body through disciplined movement and the research for the intensive variations in the contemporary sperimental 'contact improvisation'.

In his seminal _Philosophy of David Hume_, Norman Kemp Smith called for a study of Hume "in all his manifold activities: as philosopher, as political theorist, as economist, as historian, and as man of letters," indicating that "Hume's philosophy, as the attitude of mind that found for itself these various forms of expression, will then have been presented, adequately and in due perspective, for the first time." Claudia Schmidt seeks to address this long-standing need in Hume scholarship. Against the charges (...) that Hume holds no consistent philosophical position, offers no constructive account of rationality, and sees no positive relation between philosophy and other areas of inquiry, Schmidt argues for the overall coherence of Hume's thought as a study of "reason in history." She develops this interpretation by tracing Hume's constructive account of human cognition and its historical dimension as a unifying theme across the full range of his writings. Hume, she shows, provides a positive account of the ways in which our concepts, beliefs, emotions, and standards of judgment in different areas of inquiry are shaped by experience, both in the personal history of the individual and in the life of a community. This book is valuable at many levels: for students, as an introduction to Hume's writings and issues in their interpretation; for Hume specialists, as a unified and intriguing interpretation of his thought; for philosophers generally, as a synthesis of recent developments in Hume scholarship; and for scholars in other disciplines, as a guide to Hume's contributions to their own fields. (shrink)

La poésie de Barbara Guest s’inscrit à l’encontre des attentes de lecture habituelles, les événements du poème ayant la priorité sur le contenu : le sujet du poème s’efface en faveur de la plasticité à l’œuvre. Les poèmes- événements requièrent la participation imaginative du lecteur. Plusieurs événements et procédés se croisent : peinture et musique se côtoient en empruntant des processus humains comme le cinéma, le jeu sur la plasticité de l’œuvre d’art, la collaboration artistique, tissage et dé-tissage, mais aussi (...) des phénomènes naturels tels que l’iridescence, l’osmose et la symbiose. L’événement toutefois insaisissable qui a lieu au sein du poème devient le point de rencontre aléatoire entre différents moyens artistiques et des occurrences naturelles. C’est ainsi que la corrélation mystérieuse et miraculeuse peut s’établir entre le poème et son lecteur. Le poème polysémique ouvre des probabilités. Le texte se livre tel un événement de mots et de mondes dans une œuvre mouvante aux couleurs iridescentes et aux subtiles variations. (shrink)

Climate change exposes ecological and socio-economic systems to risks. The identified disparities in knowledge about the social climate system are at the root of the difficulties in perceiving and understanding the diversity of risks related to climate change. The still huge gap between what science and technological innovation can contribute to mitigation and what is unmanageable by humans inevitably requires a continuous process of adaptation. This work is part of the research associated with the European project (under the ERA4CS) 'Citizen (...) Sensing - Urban climate resilience through participatory risk management systems', which proposes to develop a Participatory Climate Risk Management System, a two-way communication system where is part of a participatory risk management system, contributing to adaptive governance. These objectives will be achieved through the creation of a platform that will incorporate information gathered from four pilot studies: Norrköping (Sweden), Porto (Portugal), Rotterdam (The Netherlands) and Trondheim (Norway). Ultimately, the aim is to draw conclusions on how this application can contribute to improving citizens' literacy to cope with climate change adaptation and to raise awareness of this problem, as the involvement of citizens and stakeholders will only be improved if the perception of the risk of climate change is substantially increased. Awareness campaigns about the potential risks associated with extreme events are of great importance. Citizens tend to view climate change as a global phenomenon, ignoring and avoiding taking action until it is directly and seriously affected. (shrink)

At B19, Kant summarizes the general problem of pure reason in the problem of synthetic a priori judgments. The vicissitudes that have affected last century’s philosophy are, in this sense, a confirmation of its significance: the problem of synthetic a priori knowledge has indeed crossed all the major philosophical currents of the twentieth century, being treated in a wide variety of ways by phenomenologists, logical empiricists, and pragmatists. One of the most original treatments of the issue is that offered by (...) the young Wilfrid Sellars between the late 1940s and the early 1950s, consisting of a hybridization of different traditions. In this paper I will present Sellars’ unique re-elaboration of the notion of the synthetic a priori as it is elaborated in his early writings, showing how his interweaving of themes from pragmatism, phenomenology and logical empiricism leads not just to what I believe is the only possible approach for a realist philosopher, but also to an unexpected Kantian solution in spirit. (shrink)

Les langues des signes sont des langues qui n’ont pas un système d’écriture qui leur est propre et qui, par leur nature visuo-gestuelle, ne peuvent pas être écrites phonographiquement. Les conséquences de cette « non‑scriptibilité » sont au centre des travaux menés à partir de 2000 par Elena Antinoro Pizzuto. EAP, décédée en 2011, mettait en évidence les biais que l’utilisation des « gloses », employées comme substituts de la transcription, induisent dans l’analyse linguistique des LS. Ces 10 dernières années, (...) les avancées technologiques et méthodologiques ont rendu plus aisée la saisie automatique des données corporelles, l’annotation multilinéaire de corpus multimodaux et le maintien des liens entre les annotations et les vidéos, ainsi que la diffusion des vidéos sur lesquelles se basent les analyses. Toutefois, ces technologies et bonnes pratiques — bien que fondamentales — ne font pas office de système de transcription : ce sont des solutions qui suppriment une partie des symptômes liés à la non‑scriptibilité des LS, mais ne comblent pas l’absence d’un système de représentation graphique de ces langues. Les questions soulevées par EAP sont donc encore d’actualité. Si différentes tentatives pour transcrire les LS ont vu le jour, leur utilisation pour exploiter de vastes corpus de LS s’est souvent heurtée à leur faible lisibilité et/ou requêtabilité. En comparant les avantages et les inconvénients de ces systèmes, il est possible d’établir une liste des caractéristiques que devrait posséder un système de transcription des LS. Mais développer un système qui réunit toutes ces spécificités est un défi que les linguistes ne peuvent pas relever seuls : c’est dans la pluridisciplinarité, et en particulier dans le travail conjoint avec les spécialistes des aspects graphiques de l’écriture, que semble résider la solution. Cette approche, dite « grapholinguistique », est suivie par l’équipe GestualScript pour développer Typannot, un système de transcription typographique des LS et de la gestualité co-verbale. (shrink)

It has been claimed that most of the world’s preventable suffering and death are caused not by terrorism but by poverty. That claim, if true, could be hard to substantiate. For most terrorism is not publicly recognized as such, and it is far commoner than paradigms of the usual suspects suggest. Everyday lives under oppressive regimes, in racist environments, and of women, children, and elders everywhere who suffer violence in their homes offer instances of terrorisms that seldom capture public attention. (...) Or so this essay argues, through exploring two models of terrorism and the points of view highlighted by each. (shrink)

In 1994, Joyce Trebilcot retired from teaching at Washington University in St. Louis, where she had founded the Women's Studies Program and had been a member of the Philosophy Department since 1970. In the Fall of 1994 I participated on a SWIP conference panel on her book Dyke Ideas conference; I used that occasion also to reminisce and place her work in the context of her life as a SWIP activist.1 What follows is adapted from that presentation.

Clinical Ethics Consultation (CEC) has grown significantly in the last decade, and efforts are being made to professionalize the practice. The American Society for Bioethics and Humanities (ASBH) has been instrumental in this process, having published the _Code of Ethics and Professional Responsibilities for Healthcare Ethics Consultants_ and founded and endorsed the creation of the _Healthcare Ethics Consultant Certified (HCEC) Certification Commission._ The ASBH also published “core competencies” for healthcare ethics consultants and has delineated a clear identity and role of (...) such consultants distinct from that other healthcare professionals. In addition, more enter the field armed with advanced degrees (MA and PhD) or certification in clinical ethics consultation. While some have questioned the trend toward professionalization, the momentum is clearly in its favor. This paper explores three questions: Does the professionalization of healthcare ethics consultation expose those engaged in the field to the types of liability claims faced by professionals in other fields? What specific liabilities could affect a healthcare ethics consultant? And finally, what should healthcare ethics consultants do to protect themselves against liability claims? We conclude that while the risk of liability remains low, those engaged in the field should accept that risk just as part of their status as professionals and, like those in allied professions, seek appropriate protection in the form of liability insurance. (shrink)