BackgroundEthics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs), and nurses at our urban academic medical center which might contribute to underutilization.MethodsThis was a cross-sectional single-health system, anonymous written online survey, which was developed by the UCSD Health Clinical Ethics Committee and distributed by Survey Monkey. We compare responses between physicians, APPs, and nurses using standard parametric and non-parametric statistical (...) methods. Satisfaction with ethics consult and likelihood of calling Ethics service again were assessed using a 0–100 scale using a 5-likert response structured (0 being “not helpful at all” to 100 being “extremely helpful”) and results presented using box plots and interquartile ranges (IQR).ResultsFrom January to July 2019, approximately 3800 surveys were sent to all physicians, APPs and nurses with a return rate of 5.5—10%. Although the majority of respondents had encountered an ethical dilemma (85–92.1%) only approximately half had ever requested an Ethics consult. The primary reason for physicians never having requested a consult was that they never felt the need for help (41%). For APPs the primary reasons were not knowing an Ethics consult service was available (33.3%) or not knowing how to contact Ethics (27.8%). For nurses, it was not knowing how to contact the Ethics consult service (30.8%) or not feeling the need for help (26.2%). The median satisfaction score (IQR) for Ethics consult services rated on a 0–100 scale, from physicians was 76 (29), for AAPs 89 (49), and nurses 70 (40) (p = 0.62). The median (IQR) of likelihood of consulting Ethics in the future also on a 0–100 scale was 71 (47) for physicians, 69 (45) for APPs, and 61 (45) for nurses (p = 0.79). APP’s and nurses were significantly more likely than physicians to believe that the team did not act on the Ethics consult’s recommendations.ConclusionsBased on the results presented, we were able to identify actionable steps to better engage healthcare providers—and in particular APPs and nurses—and scale up institutional educational efforts to increase awareness of the role of the Ethics consult service at our institution. Actionable steps included implementing a system of ongoing feedback that is critical for the sustainability of the Ethics service role. We hope this project can serve as a blueprint for other hospital-based Ethics consult services to improve the quality of their programs. (shrink)

Research with human–animal chimera raises a number of ethical concerns, especially when neural stem cells are transplanted into the brains of non-human primates . Besides animal welfare concerns and ethical issues associated with the use of embryonic stem cells, the research is also regarded as controversial from the standpoint of NHPs developing cognitive or behavioural capabilities that are regarded as “unique” to humans. However, scientists are urging to test new therapeutic approaches for neurological diseases in primate models as they better (...) mimic human physiology than all current animal models. As a response, various countries have issued reports on the topic. Our paper summarizes the ethical issues raised by research with human–animal brain chimeras and compares the relevant regulatory instruments and different recommendations issued in national reports from three important European research nations: Germany, Switzerland and the United Kingdom. We assess and discuss the focus and priorities set by the different reports, review various reasons for and perspectives on the importance of the brain in chimera research, and identify critical points in the reports that warrant further specification and debate. (shrink)

The aim of the Committee’s discussions is to contribute to giving the conceptual instruments to those in governments and to society, in a broad sense, so as to understand the complex, dynamic, changeable ethical issues and their importance and urgency, envisaging the possible scenarios and lines of action in social policies to be undertaken at public level. These lines of action should attempt, through the search for an ethical balance, to reconcile the needs of science and technology to progress with (...) the protection of human beings, health, environment, and future generations. In this way, ethics committees play a key role in developing and implementing institutional ethics. (shrink)

La instalación El archivo de los abuelos, 1995, es el resultado de un proyecto de investigación que el artista Christian Boltanski realizó junto con los estudiantes de la Universidad de Leuphana, Luneburgo (Alemania) en la misma institución. El archivo reúne efectos personales de los abuelos de los estudiantes de aquella generación. Se trata de una pieza significativa dentro de la obra del francés porque no se atiene a las características habituales de sus obras de archivo, a las que denomino «meta-archivos» (...) por su carácter posmoderno de desestabilización del concepto mismo de archivo, y consecuentemente, del de documento y del de historia. El proyecto hizo patente el silencio sobre el Tercer Reich imperante en la época dentro de las familias, e hizo que este pasado reprimido resurgiese. Asimismo, puso de manifiesto los orígenes nazis del campus universitario. Por estos motivos, pese a poder considerarse un «meta-archivo fallido», es una obra de arte relevante y pertinente a nivel socio-cultural, y dentro de la obra de Boltanski, al arrojar luz sobre sus tácitos modus operandi y objetivos habituales precisamente por no cumplirlos. (shrink)

Los desafíos en las lecturas de fuentes documentales aparecen de modo frecuente en los cruces entre antropología e historia. Tanto desde la antropología histórica como desde la etnohistoria —campos de interacción difusos y a veces superpuestos, en ambos casos la búsqueda de información cualitativa sobre grupos sociales del pasado proviene del estudio de fuentes documentales— han surgido metáforas útiles que se convirtieron en verdaderas metodologías: lectura a contrapelo, against the grain, along the grain, entre líneas, etc. Menos se ha discutido (...) sobre la composición del corpus y la periodización que las investigadoras hacemos o replicamos al abordar nuestros trabajos. Siguiendo a Walter Mignolo (1995) y otros, me interesa discutir la articulación de un corpus históricamente diverso a partir de la noción de “semiosis colonial”. De acuerdo con esta idea, los distintos tipos de fuentes se vinculan por el referente que comparten, la situación colonial, sean o no producidas durante el período colonial. A partir del caso de una serie de documentos escogidos para la primera mitad del siglo XX en Argentina, sugiero que el estudio de las continuidades y rupturas se beneficia de un corpus que no suele ser considerado por los estudios coloniales. Para el caso de los imaginarios sobre los grupos indígenas del Chaco, señalo algunos beneficios y desafíos en tomar dos tipos de fuentes distintas en su intención, producción y circulación (informes ministeriales e historiografía oficial) para dar cuenta de su relación con un período anterior. Considero que tal ejercicio, lejos de restar especificidad a nuestra tarea, contribuye con una comprensión más compleja del período colonial y con la posibilidad de una mejor comunicación des-disciplinaria. (shrink)

One of the hallmarks of American Indian colonial experience was the arrival of Christian missionaries. The response of Native cultures to missionization has been complex, with some resisting the white man's religion and others embracing it. Throughout their contact with Christianity, however, many American Indians appropriated its stories on their own terms and for their own purposes. Stories about Jesus comprise one of the most important sites for this appropriation. This essay examines the ways in which the cultural production of (...) American Indian women makes a crucial intervention in the debates about Jesus' identity. It argues that the narrative negotiations of Native women in the contact zone of Euro-American encounters transform the theological category of christology. (shrink)

Nanotechnology not only offers the promise of new enhancements to existing materials but also allows for the development of new materials and devices. The potential applications of nanotechnology range from medicine to agriculture to health and environmental science and beyond. Nanotechnology is growing at such a rate that Lux Research in 2007 estimated that nanotechnology will be incorporated into 15% of global manufactured goods by 2014. The U.S. National Nanotechnology Initiative defines nanotechnology as the following: “ Research and technology development (...) involving structures with at least one dimension in the range of 1-100 nanometers, frequently with atomic/molecular precision; Creating and using structures, devices, and systems that have unique properties and functions because of their nanoscale dimensions; The ability to control or manipulate on the atomic scale.” Nanomedicine and its subcategories of nanotherapeutics and in vivo nanodiagnostics incorporate nanoscale materials with unique properties that can enable new or improved treatments and diagnostics for many diseases and disorders. (shrink)

Kant’s Dreams of a Spirit-Seer (1766) did not provide the sole perspective through which Emanuel Swedenborg’s work was known in Germany in the eighteenth century. Before Kant, another German philosopher was interested in Swedenborg from a completely different perspective: Christian Wolff. On the one hand, this paper analyzes the meaning of Wolff’s anonymous reviews of Swedenborg’s early writings published in Acta Eruditorum, the authorship of which was only recently discovered, in order to show Swedenborg’s intertwinement with German scholars during the (...) 1720s. On the other, I juxtapose Kant’s and Wolff’s evaluations of Swedenborg’s work at the origins of their different attitudes towards fundamental problems such as the nature of the soul and immortality. (shrink)

This article examines a genetic ancestry testing program called the Living History Project that was jointly organized by a nonprofit educational institute and a for-profit genealogy company in South Africa. It charts the precise mechanisms by which the LHP sought to shape a postapartheid genome through antiracist commitments aimed at contesting histories of colonial and apartheid rule in varied ways. In particular, it focuses on several tensions that emerged within three modes of material-discursive practice within the production of the LHP: (...) subject recruitment, informed consent, and participant reflections. In the end, it argues that several contradictory tensions were central to the making of the LHP’s postapartheid genome and that it should be understood as nonracial rather than antiracist. (shrink)

There are established links between education and well-being, and between poverty and education. This article draws on interviews with parents of school-aged children impacted by a policy in the UK commonly referred to as the ‘bedroom tax’. A critical psychology perspective to education is put forward, acknowledging the complex interrelationships between psychological well-being, sociopolitical factors and education.

Resumo Entre 1988 e 1993, Iúri M. Lótman formulou algumas proposições sobre “a voz da massa anônima”: uma voz coletiva que, em certas situacões ligadas a crises de caráter cultural, é portadora de paixões violentas que podem produzir interferências profundas no curso da história. Em seus últimos trabalhos, o semioticista russo postulou, diante disso, a noção de uma semiótica das emoções como objeto de estudo para entender a dinâmica cultural, em especial de períodos tidos como revolucionários ou de transição, a (...) saber, quando a massa anônima é capaz de manipular os eventos ou quando, revendo o passado, confere aos eventos uma interpretação distorcida. Lótman focalizou, principalmente, a relação entre as grandes fraturas históricas, os mecanismos de autopropagação do medo e a criação cultural de bodes expiatórios. O presente estudo visa abordar a reflexão de Lótman sobre perseguição, com especial atenção à figura da mulher durante o fenômeno de caça às bruxas. ABSTRACT Between 1988 and 1993, Yuri Lotman composed a series of reflections on “the voice of the anonymous mass”: a collective voice that, in particular situations linked to a cultural crisis, is the bearer of striking passions, which can deeply influence history. In his late works, the Russian semiotician postulated, therefore, the idea of a semiotics of emotions as an object of study to understand the dynamics of culture, especially during periods perceived as revolutionary or transitional―namely, when the anonymous mass manipulates the events or, when looking back, gives them a distorted interpretation. Lotman focused in particular on the relationship between great historical fractures, the self-propagating mechanisms of fear, and the cultural creation of scapegoats. This paper is devoted to framing Lotman’s reflection on persecution, paying particular attention to women during the phenomenon of the witch hunt. (shrink)

A partir del título cabe preguntarse: 1) ¿Por qué incluir qué es pensar políticamente para Hannah Arendt en la currícula de filosofía? y 2) ¿Por qué incluir su pensar político desde una perspectiva feminista? En realidad, esta segunda pregunta fue la sugerida inicialmente por quienes me invitaron a las Jornadas. En primer lugar, responderé brevemente al título tal como figura en el programa.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Approaching the End: Eschatological Reflections on Church, Politics, and Life by Stanley Hauerwas, and: Without Apology: Sermons for Christ’s Church by Stanley HauerwasLaura M. HartmanApproaching the End: Eschatological Reflections on Church, Politics, and Life Stanley Hauerwas grand rapids, mi: eerdmans, 2013. 251 pp. $24.00Without Apology: Sermons for Christ’s Church Stanley Hauerwas new york: seabury books, 2013. 169 pp. $18.00Stanley Hauerwas is prolific. By my count, there are forty-six (...) books to his name, including these two from 2013. And yet in the preface to Without Apology, he writes, “I am often asked, ‘How many books have you written?’ My truthful answer must be, ‘I have no idea.’ … I could count them, but I have no interest in doing so” (ix). Hauerwas’s reluctance to number his career in books shows his preference for smaller units of measurement (“how some reader may find this sermon, or that sentence or chapter … helpful”), but it also reflects his view that he is not the sole author of his works. To his credit, he mentions two influential women—his wife, Paula Gilbert, an experienced clergywoman, and his assistant, Carole Baker, who gives the sermons a “work-over” after they are written (ix).Those who know Hauerwas know what to expect from these volumes: thoughtful arguments that unflinchingly assert the centrality of Christ and of the Church; a heavy dose of pacifism; major appearances from John Howard Yoder and Karl Barth (as well as multiple cameos from fascinating authors who are now on my to-read list); and accessible, open prose outlining clear, thought-provoking arguments. The two books reviewed here are quite different from one another: Without Apology is a book of sermons; Approaching the End is a book of essays loosely organized around a theme of eschatology. But both contain the hallmarks of “classic Hauerwas”—his signature mix of virtue ethics, communitarian interests, and narrative sensibilities.Without Apology contains recent sermons, primarily in Episcopal churches. Drawing on lectionary readings, Hauerwas brings his own theological interpretation and creates fairly short, satisfying sermons, which he readily describes (in Paula Gilbert’s words) as “tight” (87). This collection also includes four sermons on the topic of priesthood and some other writings of note: the already-classic “An Open Letter to Christians Beginning College” (good for use with Christian undergraduates) and “Sexing the Ministry” (food for thought for [End Page 215] seminarian and clergy alike). Without Apology manifests several major themes, but the biggest of these connects with the title: Hauerwas is “unapologetic” about his Christian faith and doesn’t engage in theology of the “apologetic” style. His emphasis, rather, is on being truthfully present with one another in the church community.Approaching the End promises eschatological reflections and delivers on the promise. Although he is writing about eschatology, Hauerwas strongly maintains that he is not reaching his own “end” and disavows any contention that Approaching the End is a kind of “swan song” (xiv). He addresses politics and war in several chapters. In “The End of Sacrifice: An Apocalyptic Politics,” he makes the case that if Christians believe Jesus’s sacrifice was “the end of all sacrifices,” then we should not “continue to participate in the sacrifice of war” (36). Similar themes emerge in “War and Peace,” later in the volume. In “Church Matters: On Faith and Politics,” Hauerwas writes, “One of the challenges Christians confront is how the politics we helped create has made it difficult to sustain the material practices constitutive of an ecclesial culture to produce Christians” (68). He welcomes the “end” of churches and denominations as we know them because “it means that the church is finally free to be a politics” (86).Hauerwas also discusses the future of churches and denominations. “The End of Protestantism” reiterates that “if the church is to be faithful … then we must recover what it means for the church to be an alternative politics” (92). This chapter’s emphasis on Methodism and his appraisal of Methodists as “free church Catholics” (94) is of note. In “Which Church? What Unity?” Hauerwas discusses the ecumenical movement, prompted by George Lindbeck’s challenge to do so (98). Hauerwas’s... (shrink)

The exhibition Space/Sight/Self was designed to study the role of portraiture in contemporary art as a nexus of three issues identity, vision, and place. The goal was to produce a portrait, as it were, of contemporary portraiture. This catalog documents the exhibition and helps to facilitate viewers' reflections and responses about the spaces, sights, and selves that enable us to construct and question our identity.".

Most theories in economics and finance predict what people will do, given what they know about the world around them. But what do people know about their environments? The study of information choice seeks to answer this question, explaining why economic players know what they know--and how the information they have affects collective outcomes. Instead of assuming what people do or don't know, information choice asks what people would choose to know. Then it predicts what, given that information, they would (...) choose to do. In this textbook, Laura Veldkamp introduces graduate students in economics and finance to this important new research. The book illustrates how information choice is used to answer questions in monetary economics, portfolio choice theory, business cycle theory, international finance, asset pricing, and other areas. It shows how to build and test applied theory models with information frictions. And it covers recent work on topics such as rational inattention, information markets, and strategic games with heterogeneous information.Illustrates how information choice is used to answer questions in monetary economics, portfolio choice theory, business cycle theory, international finance, asset pricing, and other areas Teaches how to build and test applied theory models with information frictions Covers recent research on topics such as rational inattention, information markets, and strategic games with heterogeneous information. (shrink)

The housing sector is currently under pressure: demographic shifts, urbanisation as well as the availability and costs of housing have led to increasing prices. Concerns are being raised that these rising housing costs could lead to intergenerational conflicts. While older generations often live in their privatelyowned dwellings, younger cohorts struggle to become homeowners, moving the field of housing into the spotlight of national debates. We analyse the importance of housing for Europeans using data from Eurobarometer. Results show that the relevance (...) of housing increased between 2008 and 2018. However, generational differences were found: while older and younger people see housing as an important topic at the country level, only the younger generation seems to be affected personally. Online Appendix. (shrink)

Resumo: A pesquisa aqui apresentada resulta de uma reflexão sobre as epistemologias subalternas, sobretudo de matrizes africanas, tomando como exemplo a etnomatemática. O discurso filosófico sobre o “epistemicídio” dos saberes locais e tradicionais, por parte do paradigma científico dominante, pode ser aplicado a vários âmbitos disciplinares, entre os quais a matemática, nas suas duas vertentes principais, a aritmética e a geometria, que representa um caso paradigmático e significativo. Teorizada pela primeira vez pelo brasileiro D’Ambrosio e o holandês-moçambicano Paulus Gerdes, a (...) etnomatemática vive hoje uma contradição: ela foi aceite em termos epistemológicos, mas, especialmente em África, teve muitos problemas em se afirmar, entrando com dificuldades nos curricula oficiais. A pesquisa mostra como se deu tal processo, em Moçambique, um país símbolo do caminho da etnomatemática africana, em consideração da contribuição de Gerdes e da educação progressiva na primeira fase da sua independência.: This work aims at carrying out a reflection on the subaltern epistemologies, considering as an example the Ethnomathematics. The philosophical discourse on the “epistemicide of local and traditional knowledge by the dominant scientific paradigm can be aplied to various disciplinary fields. Among them it is possible to find Mathematics, in its two main branches, arithmetic and geometry. Mathematics represents a paradigmatic and meaningful case. It has been theorized for the first time by the Brazilian D’Ambrosio and the Dutch-Mozambican Paulus Gerdes, ethnomathematics is living today a contradiction: it was accepted in epistemological terms, but, especially in Africa, it registered many problems in assert itself, showing difficulties in being accepted in official curricula. The research shows how this process occurred in Mozambique, a symbolic country for African ethnomathematics, both in consideration of Gerdes’ contribution and of the progressive education during the first phase of its independence. (shrink)

The article addresses the role and being of the voice, and its relation with the echo in two contexts. We start with Plato’s cave myth and the dynamic between the interior and the exterior of the cave. Then we look at the relationship between the voice-echo and the exterior. The exterior is analyzed from a series of literary, musical, and cinematographic works. The constant and guiding line, how independent the voice is; its articulation with the speaking subject; its autonomous possibilities (...) and its plural richness. (shrink)

En este artículo recorro algunas de las páginas de la obra kantiana que introducen la problemática de los otros seres racionales, me centro para ello en Historia universal de la naturaleza y Teoría del cielo, la Fundamentación de la metafísica de las costumbres y la Antropología en sentido pragmático. Mi propuesta es que la hipótesis de la existencia de otras formas de racionalidad, que en algunos textos Kant sitúa en otros planetas, nos proporciona una perspectiva necesaria para poder dar alguna (...) respuesta a la cuestión ¿qué es el ser humano? Si bien Kant aborda en textos muy relevantes la forma de tener por verdad la existencia de tales seres, lo realmente importante es el ser capaces de asumir esa perspectiva para reflexionar en torno a nuestra racionalidad. (shrink)

El duelo literario se concibe desde la ficción como un recurso empleado por los escritores contemporáneos que, ante la imposibilidad de un duelo individual, buscan mediante la narración sanar las muertes ultrajadas por la 163ltima dictadura militar argentina; en tiempos donde la memoria de las generaciones recientes se encuentra vulnerable al olvido que el Estado ha tratado, en vano, imponer. Por ello escribir, sobre todo a partir del periodo de redemocratización, se convierte en una encrucijada entre la versión de los (...) vencedores y los vencidos, donde el pasado se conecta con el futuro para NO OLVIDAR. (shrink)

Although not explicitly stated, Nobert Elias’s Civilizing Process provides a theoretical framework for Prolegomenon Toward a Primate Rights Bill. The core tenets of Elias’s work, including interdependency, habitus, and privatization, are common threads throughout the book. The book depicts a utopian ideal whereby the transformation in societal attitudes to nonhuman primates reaches a level wherein all primates come within the protection of the law. This will require the metamorphosis of attitudes and approaches, including state involvement and intervention, in order to (...) ensure the proposed bill of rights is enforced. Whether this will continue as an ideal or, in the future, form the basis of federal legislation akin to the European Convention on Human Rights or the Universal Declaration of Human Rights remains to be seen; nevertheless, the book raises some compelling arguments. (shrink)

For a symposium on Dana Nelkin's Making Sense of Freedom and Responsibility.

El presente artículo se ocupa de las postura de Aristóteles y Diodoro Crono en torno a la necesidad lógica. Allí se muestra que Aristóteles rechaza la necesidad lógica, mediante la negación de la aplicación universal del principio de bivalencia, para preservar el valor de la deliberación. En segundo lugar se muestra que Diodoro cae en un fatalismo al sostener, mediante sus nociones modales, que hay tipos de eventos lógicamente contingentes, aunque todos los sucesos particulares del mundo son necesarios.

This article seek to highlight the aspects — explicit or implicit — that indicate the close attention paid by much American musicology of this century to the phenomenological level of musical events or, more generally, of the sound event. Starting from general considerations on American music and some of its protagonists, the article focuses on Elliott Carter, on his poetics, and on his theories expressed in his writings.Carter's compositional choices and his consciousness of the intrinsic complexity they assume theoretically provide (...) a starting point for a phenomenological study of many aspects of compositional experience: from consideration of instrumental language with its structural phenomenological (and historical) implications, to more global evaluation of the centrality of temporal and rhythmic subjects. (shrink)