A 1999–2000 national study of U.S. hospitals raised concerns about ethics consultation (EC) practices and catalyzed improvement efforts. To assess how practices have changed since 2000, we administered a 105-item survey to “best informants” in a stratified random sample of 600 U.S. general hospitals. This primary article details the methods for the entire study, then focuses on the 16 items from the prior study. Compared with 2000, the estimated number of case consultations performed annually rose by 94% to 68,000. The (...) median number of consults per hospital was unchanged at 3, but more than doubled for hospitals with 400+ beds. The level of education of EC practitioners was unchanged, while the percentage of hospitals formally evaluating their ECS decreased from 28.0% to 19.1%. The gap between large, teaching hospitals and small, nonteaching hospitals widened since the prior study. We suggest targeting future improvement efforts to hospitals where needs are not being met by current approaches to EC. (shrink)

This document presents the Bonn PRINTEGER Consensus Statement: Working with Research Integrity—Guidance for research performing organisations. The aim of the statement is to complement existing instruments by focusing specifically on institutional responsibilities for strengthening integrity. It takes into account the daily challenges and organisational contexts of most researchers. The statement intends to make research integrity challenges recognisable from the work-floor perspective, providing concrete advice on organisational measures to strengthen integrity. The statement, which was concluded February 7th 2018, provides guidance on (...) the following key issues: § 1.Providing information about research integrity § 2.Providing education, training and mentoring § 3.Strengthening a research integrity culture § 4.Facilitating open dialogue § 5.Wise incentive management § 6.Implementing quality assurance procedures § 7.Improving the work environment and work satisfaction § 8.Increasing transparency of misconduct cases § 9.Opening up research § 10.Implementing safe and effective whistle-blowing channels § 11.Protecting the alleged perpetrators § 12.Establishing a research integrity committee and appointing an ombudsperson § 13.Making explicit the applicable standards for research integrity. (shrink)

To address the current lack of knowledge about clinical ethics fellowship programs (CEFPs), we surveyed all 36 programs in the U.S. and Canada. The number of CEFPs has grown exponentially over the last 40 years and far exceeds previous estimates. Commonalities among CEFPs include: 88.8% require an advanced degree or rarely accept applicants without one; 91.7% of programs do not restrict applicants to a specific background such as medicine or philosophy; and 88.9% of programs compensate fellows. CEFPs vary widely on (...) numbers of fellows trained in the last 3 years (1–111), numbers of consultations performed by each fellow (0–450), and salaries paid ($0-$95,000). Less than half of programs meet CEFP standards established by ABPD. Nonpaying programs and larger programs tend to have lower admission standards and lower expectations for fellows. We hope these data will help inform CEFP standards that promote quality and consistency without stifling desirable diversity and innovation. (shrink)

In this paper, I argue that there are cases of explanatory induction in mathematics. To do so, I first introduce the notion of explanatory definition in the context of mathematical explanation. A large part of the paper is dedicated to introducing and analyzing this notion of explanatory definition and the role it plays in mathematics. After doing so, I discuss a particular inductive definition in advanced mathematics—CW\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${ CW}$$\end{document}-complexes—and argue that it is (...) explanatory. With this, we see that there are cases of explanatory induction. (shrink)

Interdisciplinary hospital ethics committees have been the most common response to the mandates for ethical review procedures set forth by the Joint Commission for the Accreditation of Health Care Organizations, the American Hospital Association, and within institutions themselves. A 1989 national survey reported that 60% of hospitals had ethics committees. However, little is still known about the current state of these committees in hospitals, their composition, what functions are performed, or what issues are discussed.

Coverage error is an important type of error that occurs in survey studies when there is a mismatch between the target population and the sampling frame from which a sample is drawn. Coverage error...

I argue for the usefulness of the evolutionary kind of biological individual.

Aesthetics, like other philosophical subjects, has historically made use of «top down» methods. Recent discoveries in genetics, evolutionary psychology, paleoarchaeology, and neuroscience call for a new «naturalistic» or «bottom up» perspective. Combining these fields with behavioral biology and ethnoarts studies, I offer seven premises that underlie a new understanding of evolved predispositions of the brain/mind that all artists use to attract attention, sustain interest, and create, mold, and shape emotion. I describe aesthetic «primitives» in somatic and behavioral modalities, suggesting that (...) these were present in early sapiens and continue to influence human art making and aesthetic response today. Keywords: Aesthetic Mind; Neuroaesthetics, evolutionary aesthetics, cognitive aesthetics, evolution of art. (shrink)

Intersex—the fact of bodies neither typically male nor female, together with the grim history of its medical management—was a topic for feminist theory before there was such a thing as intersex activism. Indeed, critical academic scholarship about intersex supported the consciousness raising that made an intersex activist movement possible. Activist engagement, in turn, has expanded the understanding of the theorists whose work is responsive to that activism. Central to the thinking about intersex are the questions of identity and its limits (...) that are an important focus of the work of Gloria Anzaldúa, whose narrative suggests she had a condition associated with intersex. While her work largely predates intersex activism, it powerfully encapsulates the tensions displayed in contests over identity that have become central over the last 15 years, and furthermore offers insight into the challenges that lie ahead. (shrink)

Nanotechnology will allegedly have a revolutionary impact in a wide range of fields, but has also created novel concerns about health, safety and the environment (HSE). Nanotechnology regulation has nevertheless lagged behind nanotechnology development. In 2004 the International Organization for Standardization established a technical committee for producing nanotechnology standards for terminology, measurements, HSE issues and product specifications. These standards are meant to play a role in nanotechnology development, as well as in national and international nanotechnology regulation, and will therefore have (...) consequences for consumers, workers and the environment. This paper gives an overview of the work in the technical committee on nanotechnology and discusses some challenges with regard to legitimacy in such work. The paper focuses particularly on stakeholder involvement and the potential problems of scientific robustness when standardising in such early stages of the scientific development. The intention of the paper is to raise some important issues rather than to draw strong conclusions. However, the paper will be concluded with some suggestions for improving legitimacy in the TC 229 and a call for increased public awareness about standardisation in the field of nanotechnology. (shrink)

Noting that the ethological notion of «making special» (now also called «artification») has gained attention in several fields, including aesthetic philosophy, a brief history is presented of its origin and development over forty years. Its origin is traced to «proto-aesthetic» elements of interactions that evolved in Middle Pleistocene mothers and infants: simplification or formalization, repetition, exaggeration, elaboration, and manipulation of expectation. These operations upon visual, vocal, and gestural modalities were subsequently used by individuals and cultures in creating and responding to (...) their various arts. Artification is a broader human proclivity than «art». Unlike other notions of art it does not imply beauty or skill although in its motivation to mark importance, the ordinary is made extraordinary. In its emphasis on preverbal, presymbolic, pancultural, participative, affective, and affinitive aspects of aesthetic cognition and behavior, the artification hypothesis provides further directions to cognitivist and neuroscientific studies in contemporary philosophical aesthetics. (shrink)

- How can anthropology improve our understanding of the interrelationship between nature and culture? - What can anthropology contribute to practical debates which depend on particular definitions of nature, such as that concerning sustainable development? Humankind has evolved over several million years by living in and utilizing 'nature' and by assimilating it into 'culture'. Indeed, the technological and cultural advancement of the species has been widely acknowledged to rest upon human domination and control of nature. Yet, by the 1960s, the (...) idea of culture in confrontation with nature was being challenged by science, philosophy and the environmental movement. Anthropology is increasingly concerned with such issues as they become more urgent for humankind as a whole. This important book reviews the current state of the concepts of 'nature' we use, both as scientific devices and ideological constructs, and is organised around three themes: - nature as a cultural construction; - the cultural management of the environment; and - relations between plants, animals and humans. (shrink)

La "yesería" constituye uno de los elementos decorativos más característicos de nuestra arquitectura medieval. La imagen que hoy tenemos de La Alhambra, de la Sinagoga del Tránsito, y de tantos otros palacios y conventos, se debe a ese barato elemento constructivo que logró crear la misma apariencia de lujo de las telas o el marfil. Como hemos podido estudiar en nuestro artículo del número anterior (Al-Qantara, XX, 275-297), en el palacio de Ruy López Dávalos de Toledo se conserva uno de (...) los conjuntos más fascinantes del siglo XIV, el cual nos ha llevado a preparar estas páginas sobre la técnica de la yesería medieval. (shrink)

Ética y bioética en el mundo científico: una revisión integradora de la literaturaEthics and Bioethics in the Scientific World: An Integrative ReviewThis paper studies the reality of ethical and bioethical issues in the scientific world through an integrative literature review of articles included in three databases. Seven terms from the thesaurus Health Sciences Descriptors were used, from which three combinations were elaborated and used in the three databases. After applying inclusion requirements, a total of 18 articles were selected. Certain misconducts, (...) particularly plagiarism, falsification and data fabrication, have been showing an increasing behavior, which requires more stringent measures in order to control such phenomenon and maintain scientific credibility before society and authorities.Para citar este artículo / To reference this article / Para citar este artigoSouza-Júnior EV, Rosa RS, Guedes TP, Silva CS, Ribeiro DB, Balbinote FS, Souza DF, Teixeira RB, Silva-Filho BF, Sawanda NO. Ética e bioética no mundo científico: uma revisão integrativa. Pers bioet. 2020;24:151-165. DOI: https://doi.org/10.5294/pebi.2020.24.2.3Recibido: 30/06/2020Aceptado: 28/07/2020Publicado: 27/11/2020. (shrink)

Context: Although ethics consultation is commonplace in United States hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the “best informant” within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services were found in 81% of all general hospitals in the U.S., and in 100% (...) of hospitals with more than 400 beds. The median number of consults performed by ECSs in the year prior to survey was 3. Most individuals performing ethics consultation were physicians, nurses, social workers, or chaplains. Only 41% had formal supervised training in ethics consultation. Consultation practices varied widely both within and between ECSs. For example, 65% of ECSs always made recommendations, whereas 6% never did. These findings highlight a need to clarify standards for ethics consultation practices. (shrink)

RESUMO Em diversas obras do Círculo (Bakhtin, Volóchinov, Medviédev), a referência a Saussure e/ou às especificidades da Linguística, enquanto ciência da língua, pode ser encontrada em diálogo, mais ou menos polêmico, entre pensadores e tendências epistemológicas, teóricas e metodológicas que propõem diferentes abordagens para a complexidade representada pela linguagem humana e, consequentemente, para seu estudo. Neste artigo, o objetivo é circunscrever e discutir a presença da Linguística, enquanto ciência da língua instaurada por Saussure, nos escritos de Mikhail Bakhtin. Após uma (...) introdução, o texto se organiza em três seções, que tratam (1) de uma forte presença de Saussure nos escritos do Círculo; (2) do diálogo de Bakhtin com a ciência na unidade da cultura; (3) do diálogo com a ciência linguística da escola de Genebra em “O problema do conteúdo, do material e da forma”; e, finalmente, de considerações inconclusas, mas necessárias. Destacam-se importantes momentos-chave de reflexão em textos assinados por Bakhtin, em que Saussure (ainda que não nomeado, mas designado pela ciência por ele estabelecida) merece destaque, como contraponto científico-filosófico necessário para a constituição de outra possibilidade de compreensão e estudo da linguagem: a perspectiva dialógica. Como resultado, espera-se demonstrar que, desde os anos 1920, o diálogo Bakhtin/Saussure se estabelece, para distinguir e qualificar duas formas complementares de compreensão da linguagem e do lugar da ciência na unidade da cultura. (shrink)

Pessoas brancas têm bastante dificuldade de discutir questões de raça. Quando inquiridas, negam, silenciam, sentem raiva, medo ou culpa. Robin DiAngelo, em Não basta não ser racista, sejamos antirracistas, mostra como a discussão a respeito do racismo faz emergir o que ela intituou de White fragility, que é o título do livro em inglês. Após duas décadas de pesquisas, palestras e ensino, ela mostra como essa fragilidade sustenta a ideia de uma superioridade branca, chamada de "supremacia branca".

Abstract: The Pull Bayesian Significance Test (FBST) for precise hy- potheses is applied to a Multivariate Normal Structure (MNS) model. In the FBST we compute the evidence against the precise hypothesis. This evi- dence is the probability of the Highest Relative Surprise Set (HRSS) tangent to the sub-manifold (of the parameter space) that defines the null hypothesis. The MNS model we present appears when testing equivalence conditions for genetic expression measurements, using micro-array technology.

Human infants are born ready to respond to affiliative signals of a caretaker's face, body, and voice. This ritualized behavior in ancestral mothers and infants was an adaptation that gave rise to music and dance as exaptations for promoting group ritual and other social bonding behaviors, arguing for an evolutionary relationship between mother and infant bonding and both music and dance.

Satirical news is often characterized as a hybrid genre that consists of three important communicative functions: it is (1) humoristic, (2) informative, and (3) evaluative. The Humoristic Metaphors in Satirical News (HMSN) typology demonstrates that metaphors can be utilized by satirists to express this hybridity by consisting of a combination of one or more of satire’s core communicative functions. Nevertheless, the underlying principles through which metaphors are capable of humorously explaining and/or criticizing current affairs are less clear. To broaden our (...) understanding of how metaphorical humor is used in satirical news to fulfill these functions, we integrate the HMSN typology with the General Theory of Verbal Humor (GTVH). The GTVH assumes that all verbal humor must draw from six interdependent Knowledge Resources (KRs). Through a content analysis of metaphorical humor used across various American satirical news shows, we investigated how these KRs are used to fulfill satire’s core communicative functions across the various metaphorical sub-types of the HSMN typology. We found that: (1) some KRs can help fulfill the communicative function(s) of metaphorical jokes, while (2) some KRs constrain the options available for the expression of certain communicative function(s) or other KRs. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Darwin Meets Literary TheoryEllen DissanayakeEvolution and Literary Theory, by Joseph Carroll; xi & 518 pp. Columbia: University of Missouri Press, 1995, $44.95.In my experience, most literary theorists, even those who participate in conferences called “Literature and Science,” know little about evolution, and don’t want to know. For them, “science” means information theory, chaos or catastrophe theory, fractals, pataphysics, “autopoeisis” or self-organization, emergence, cyborgs, hypertext, virtual signs and other aspects (...) of sci-fi, or techno-politics. (I encountered these subjects at a comparative literature conference I attended in March 1995.) These “scientific” positions are used as trendy metaphors for talking about chance, uncertainty, accident, ideology, and multidimensionality in literary works or in the aims of their authors. In other words, the buzzwords of contemporary science become one more angle from which to view or project another facet onto the glassy, self-reflective edifice of contemporary literary theory, rather than a means from which to shatter it and build again from scratch with more earthy, substantial materials. Joseph Carroll’s book provides the view and the means for this genuinely new and constructive (if initially destructive) possibility.It is ironic that in the present critical climate the very virtues of the book might be seen by some as faults—e.g., the lucid, elegant writing and the erudition and interdisciplinarity of the work as a whole. Carroll [End Page 229] writes clearly, authoritatively, without jargon, and with frequent, delicious wit. His values, aims, explanations, evidence, and criticisms are concisely and plainly stated. This is in marked contrast to the enigmatic and idiosyncratic nature of much recent criticism, and might have the initially disorienting effect of returning to earth and breathing pure oxygen after one has become accustomed to the thin and rarefied atmosphere of remote, icy peaks.Carroll offers wide-ranging and illuminating discussions of standard literary and critical works from both the European and Anglo-American tradition over the past several centuries, and refers to dozens of writers from diverse periods and nationalities. Additionally he enlists, and criticizes where appropriate, ideas from such diverse nonliterary figures as Darwin himself and writers about Darwin, T. H. Huxley, Konrad Lorenz, John Bowlby, Sir John Eccles, the prominent sociobiologists and evolutionary psychologists, S. J. Gould, Richard Lewontin, Derek Bickerton, Piaget, Karl Popper, Thomas Kuhn, Clifford Geertz, H. J. Eysenck, Cardinal Newman, Thorstein Veblen, Trotsky, Raymond Williams, and Richard Rorty, among others.One can be forgiven for wishing to forego an exploration of this demanding array of knowledge argued from the unfamiliar perspective of evolutionary biology. For in order seriously to consider Carroll’s new way of looking at human endeavor (including literature) one must also look critically at what was laboriously mastered during all those years of graduate school and tenure-driven writing for publication. No one wants to be persuaded to give up a view of the world that has been mastered with painstaking diligence. Still less does anyone want to spend time with something that according to conventional academic wisdom is downright wrong-headed. This is really the challenge of Carroll’s book—because such minor matters as the plain unfashionable title, clear writing, impressive erudition, and dated or forgotten thinkers can be overcome if the stakes are high enough.I wish to suggest that the stakes are high enough and that the time is right for this inevitable change of viewpoint. Along with others in diverse fields such as cognitive and developmental psychology, personality theory, neurology, medicine, sociology, political science, epistemology, cultural anthropology, ethics, and linguistics, I find the Darwinian perspective to offer the most comprehensive and viable possibility for an understanding of human behavior and culture, including the arts. Joseph Carroll admirably articulates this position and applies it to literary theory. I invite scholars who think that evolutionary explanations [End Page 230] are erroneous, dangerous, reductionist, simplistic, or irrelevant to read Carroll and deal seriously with his arguments. His book should be the central text for theory classes and seminars, as well as the subject of conferences. Those who would dismiss it should have the courage and curiosity to lay aside their misgivings and have a look. Especially those who are dissatisfied with the surfeit... (shrink)

No cinema brasileiro recente, o diálogo entre o documentário e a ficção tem merecido destaque, com produções de baixo orçamento e ideias originais. É o caso de Santiago (João Moreira Salles, 2007) e Viajo Porque Preciso, Volto Porque Te Amo (Marcelo Gomes, Karim Aïnouz, 2009), filmes que trabalham esse diálogo de forma sutil e diegética, ressignificando imagens de um arquivo próprio, pessoal.

O presente artigo discute alguns conceitos de linguagem de programação, buscando abrir uma discussão ontológica sobre os seres técnicos. Partindo de uma breve análise histórica e de conceitos da filosofia do séc. XX, problematiza-se as noções de abstrato e concreto dessas entidades, fazendo uma análise do dualismo hardware-software a partir da concepção hegemônica do hilemorfismo aristotélico e usando de exemplos de linguagem computacional para discutir uma certa ontologia desses seres. Fundamenta-se em Gilbert Simondon uma hipótese segundo a qual o computador (...) pessoal de uso geral seria a máquina concreta por excelência com potencial de ampliação das capacidades humanas através de um crescente desenvolvimento tecnológico e da lei de mudança de uso, em direção a uma espécie de transhumanismo. Por fim, discute-se também as possibilidades do computador como instrumento supra-paradigmático pós-kuhniano. (shrink)

APONTAMENTOS SOBRE A PESQUISA EM DIREITO NO BRASIL.

APONTAMENTOS SOBRE FUNÇÃO SOCIAL DOS PRINCÍPIOS.

Book ARAÚJO, João Pedro Gonçalves. Histórias, tradições e pensamentos batistas. São Paulo: Fonte Editorial, 2015. 208p. ISBN 978-85-6825-209-3.

What was really going on in the Baby K case? Many people have posed that or similar questions to me when I have been introduced as the attorney for Baby K's mother. In a nutshell, the courts in Baby K ruled that a hospital is required to provide emergency medical care to an anencephalic baby at the mother's request. In this paper, I provide some insights into the factors that underlie the litigation and the legal issues decided by the courts. (...) In my view, this case involved a myriad of legal questions, religious principles, power struggles, and health care resources arguments that could arise in other contexts. (shrink)

To succeed, an accreditation process for clinical ethics fellowship programs (CEFPs) would need support from CEFP directors. To assess CEFP directors’ opinions, we surveyed all 36 CEFP directors in the United States and Canada, achieving a 100% response rate. We found that support for accreditation is strong, with 30.6% strongly supportive, 44.4% supportive, 22.2% neutral, 2.8% opposed, and 0% strongly opposed. Most directors (77.8%) would be likely to apply for accreditation within the next five years regardless of the availability of (...) government funding; even more (86.1%) would apply if government funding became available for accredited programs. Most directors thought that lack of a national accreditation process (75.0%), lack of agreed-upon standards (90.0%), and lack of funding for CEFPs (91.7%) were at least moderate problems for the field. When directors were asked what they thought was the greatest challenge or barrier to developing an accreditation process, many mentioned the diversity of programs and the challenge of achieving consensus on accreditation standards. Directors offered a variety of suggestions for how to overcome or manage challenges or barriers, including collecting data on existing programs, mirroring standards established for other health professions, and setting clear expectations on the need for compromise. When directors were asked how they expected that accreditation and government funding would affect their own programs, the field of clinical ethics, and patient care, directors mostly had very positive expectations; no director expected negative effects in any of these areas. Overall, this study provides evidence that developing an accreditation process for CEFPs would be both possible and desirable. Our findings have immediate practical implications for the field and will inform efforts that are already underway to establish an accreditation process for CEFPs. (shrink)

Resenha: CRUZ, Eduardo Rodrigues da. Religião e ciência. São Paulo: Paulinas, 2014.

In this article, we studied the Corporate Sustainability Index (ISE) of the Brazilian Mercantile, Futures and Stock Exchange (BM&FBOVESPA), with the main objective of analyzing the performance of sustainable investments in the Brazilian stock market, during the period from December 2005 to December 2010. To achieve this aim, we characterized ISE portfolios and we compared its performance with the IBOVESPA (representing the market portfolio) and other BM&FBOVESPA sectoral indices. In the performance comparison, we used level of liquidity, return and risk (...) indicators, as well as the following measures: Sharpe, Treynor, Sortino, and Omega. Our results show that although sustainable investments have presented some interesting characteristics, such as increasing liquidity and low diversifiable risk, they did not achieve satisfactory financial performance in the analysis period. This indicates that the constraints imposed by this type of investment in capital allocation in Brazil may be harming their return and risk attractiveness. (shrink)

Review ASSIS, João Marcus Figueiredo; RODRIGUES, Denise dos Santos . Cidadania, movimentos sociais e religião: abordagens contemporâneas. Rio de Janeiro: EdUERJ, 2013.