Background The global pandemic raised ethical issues for nurses about caring for all patients, not just those with COVID-19. Italy was the first European country to be seriously affected by the first wave, while Estonia’s infection and death rates were among the lowest in Europe. Did this raise different ethical issues for nurses in these two countries as well? Aim The aim was to describe and compare ethical issues between nurses working during the first wave of the COVID-19 pandemic in (...) Estonia and Italy. Research design A cross-sectional survey study with a self-administered questionnaire. The impact of COVID- 19 emergency on nursing care questionnaire was used. Participants and research context Convenience sampling was used to recruit 1098 nurses working during the first wave of the pandemic in 2020: 162 from Estonia and 936 from Italy. Ethical considerations Research ethics approvals were obtained, and the nurses provided informed consent. Results The most frequent ethical issues for Estonian nurses were professional communication and ensuring access to care for patients without COVID-19, and for Italian nurses, the end-of-life care and the risk of them getting the virus and transmitting it to their loved ones. There were no statistically significant differences in the frequency of ethical issues between Estonian nurses working with patients with and without COVID-19. Italian nurses caring for COVID-19 patients faced statistically significantly more (both p <.001) issues around prioritising patients and end-of-life. Nurses working with patients without COVID-19 in Italy faced more issues about access to care ( p <.001). Conclusions Estonian and Italian nurses, working in different clinical contexts during the first wave of the pandemic, faced different ethical issues. Local contextual aspects need to be considered to support nurses’ ethical decision-making in providing care during future crises and to ensure ethical care for patients. (shrink)

The rapid dynamics of COVID-19 calls for quick and effective tracking of virus transmission chains and early detection of outbreaks, especially in the “phase 2” of the pandemic, when lockdown and other restriction measures are progressively withdrawn, in order to avoid or minimize contagion resurgence. For this purpose, contact-tracing apps are being proposed for large scale adoption by many countries. A centralized approach, where data sensed by the app are all sent to a nation-wide server, raises concerns about citizens’ privacy (...) and needlessly strong digital surveillance, thus alerting us to the need to minimize personal data collection and avoiding location tracking. We advocate the conceptual advantage of a decentralized approach, where both contact and location data are collected exclusively in individual citizens’ “personal data stores”, to be shared separately and selectively, voluntarily, only when the citizen has tested positive for COVID-19, and with a privacy preserving level of granularity. This approach better protects the personal sphere of citizens and affords multiple benefits: it allows for detailed information gathering for infected people in a privacy-preserving fashion; and, in turn this enables both contact tracing, and, the early detection of outbreak hotspots on more finely-granulated geographic scale. The decentralized approach is also scalable to large populations, in that only the data of positive patients need be handled at a central level. Our recommendation is two-fold. First to extend existing decentralized architectures with a light touch, in order to manage the collection of location data locally on the device, and allow the user to share spatio-temporal aggregates—if and when they want and for specific aims—with health authorities, for instance. Second, we favour a longer-term pursuit of realizing a Personal Data Store vision, giving users the opportunity to contribute to collective good in the measure they want, enhancing self-awareness, and cultivating collective efforts for rebuilding society. (shrink)

O presente artigo tem como objetivo, a partir de pesquisa bibliográfica desenvolvida no âmbito do doutorado em Educação, analisar as ideias pedagógicas de Johann Friedrich Herbart (1776-1841) e as possíveis contribuições do mesmo para a construção da masculinidade moderna. Herbart é um dos precursores da Pedagogia enquanto ciência organizada, associando diretamente os conhecimentos da filosofia, da educação e da psicologia para formular um aparato teórico que respondesse às transformações dos séculos XVII e XVIII, notadamente o Iluminismo Francês e a ascensão (...) da burguesia industrial, por isso, consideramos que o mesmo marca profundamente a Modernidade, tanto seu projeto pedagógico quanto sua concepção de masculinidade. Para melhor compreender a temática que propomos neste trabalho, dividimos o artigo em quatro seções: (a) na introdução localizamos os estudos sobre as masculinidades e o marco temporal deste trabalho; (b) em seguida expomos os percurso metodológico bibliográfico baseado no desenho circular de aproximações sucessivas às fontes; (c) na terceira analisamos o contexto histórico das formulações de Herbart, a organização sintética de suas ideias e sua proposta pedagógica; (d) por fim estabelecemos relações entre o projeto educacional do autor e as suas contribuições a masculinidade moderna. Concluímos que o pensamento de Herbat, pela abrangência de suas formulações, se configura como um dos pilares da masculinidade hegemônica. (shrink)

Narratives are ever-present in medicine and care: patients, relatives, doctors, nurses and pastoral workers tell quite different stories. The present volume examines the question of the significance of narratives for the ethical judgement in medicine and care and illustrates what theological reflection can contribute to the current discussion about the ethics of medicine and care. The focus of the volume is on the theological discussion on the ethical issues of medicine and care which is enriched by contributions from literary studies, (...) philosophy, nursing science and the ethics of medicine and care. (shrink)

El siglo XIII y sobre todo los dos siguientes, el XIV y el XV, siglos que Johan Huizinga evocaría como «el otoño de la Edad Media» parecen haber sido especialmente fértiles en viajes a mundos remotos. Frailes y nobles, comerciantes y aventureros europeos unidos en épicas jornadas llegarían a regiones tan remotas como el corazón de Mongolia, el Mar Rojo o las islas de Java y Sumatra. Y entre las vidas, los viajes y los recuerdos de fray Guillermo de Rubruck, (...) Marco Polo o Niccolò dei Conti, redescubrimos nosotros el valor y las aventuras de viajeros españoles que, como Ruy González de Clavijo o Don Pero Tafur, escribieron libros hoy estimados entre los mejores…. (shrink)

O presente artigo propõe uma interpretação deflacionista para a doutrina da essência absolutamente considerada , apresentada por Tomás de Aquino no opúsculo "De ente et essentia". O norte do trabalho é a análise das expressões reduplicativas que são constantemente utilizadas pelo Doutor Angélico para designar as EAC's. Portanto, pretendo mostrar que a EAC é a consideração dos predicados essenciais, que se predicam das expressões reduplicadas, diferentemente da noção acidental de existência. Por isso, a EAC não existe nem no intelecto nem (...) na realidade, o que, dito em outras palavras, significa apenas que "existir no intelecto" e "existir na realidade" são predicados acidentais em relação às essências apreendidas abstrativamente pela mente. This paper proposes a deflationist interpretation of the doctrine of the Nature as such, which Thomas Aquinas exposes in his work "De ente et essentia". The aim of this paper is to provide an analysis of reduplicative expressions used by Aquinas to refer nature as such. Hence, I will show that the nature as such is the consideration of the essential properties predicated by the reduplicative expressions, diverse from the accidental notion of 'existence'. Consequently, nature as such does not exist in the intellect and do not exist in reality, for in other words 'existing in the intellect' and 'existing in the reality' are accidental predicates when attributed to essences grasped by the mind. (shrink)

In this paper, I argue that the German morphological tradition made a major contribution to twentieth-century study of form. Several scientists paved the way for this research: paleontologist Adolf Seilacher (1925–2014), entomologist Hermann Weber (1899–1956), and biologist Johann-Gerhard Helmcke (1908–1993) together with architect Frei Otto (1925–2015). All of them sought to examine morphogenetic processes to illustrate their inherent structural properties, thus challenging the neo-Darwinian framework of evolutionary theory. I point out that the German theoretical challenge to adaptationist thinking was possible (...) through an exchange and transfer of practices, data, technologies, and knowledge between biologically oriented students of form and architects, designers, and engineers. This exchange of practices and knowledge was facilitated by the establishment of two collaborative research centers at the beginning of the 1970s. Hence, by showing the richness of topics, methods, and technologies discussed in German-speaking morphology between 1950 and the 1970s, this paper paves the way to a much broader comprehension of the shifts that have shaped twentieth-century evolutionary biology. (shrink)

In their attempt to connect the workings of the human mind with their neural realizers, cognitive neuroscientists often bracket out individual differences to build a single, abstract model that purportedly represents (almost) every human being’s brain. In this paper I first examine the rationale behind this model, which I call ‘Platonic Brain Model’. Then I argue that it is to be surpassed in favor of multiple models allowing for patterned inter-individual differences. I introduce the debate on legitimate (and illegitimate) ways (...) of mapping neural structures and cognitive functions, endorsing a view according to which function-structure mapping is context-sensitive. Building on the discussion of the ongoing debate on the function(s) of the so-called Fusiform “Face” Area, I show the necessity of indexing function-structure mappings to some populations of subjects, clustered on the basis of factors such as their expertise in a given domain. (shrink)

Human adults incline toward moral objectivism but may approach things more relativistically if different cultures are involved. In this study, 4-, 6-, and 9-year-old children (N = 136) witnessed two parties who disagreed about moral matters: a normative judge (e.g., judging that it is wrong to do X) and an antinormative judge (e.g., judging that it is okay to do X). We assessed children’s metaethical judgment, that is, whether they judged that only one party (objectivism) or both parties (relativism) could (...) be right. We found that 9-year-olds, but not younger children, were more likely to judge that both parties could be right when a normative ingroup judge disagreed with an antinormative extraterrestrial judge (with different preferences and background) than when the antinormative judge was another ingroup individual. This effect was not found in a comparison case where parties disagreed about the possibility of different physical laws. These findings suggest that although young children often exhibit moral objectivism, by early school age they begin to temper their objectivism with culturally relative metaethical judgments. (shrink)

During his celebrated 1922 debate with Bergson, Einstein famously proclaimed: “the time of the philosopher does not exist, there remains only a psychological time that differs from the physicist’s.” Einstein’s dictum, I maintain, has been metabolized by the natural sciences, which typically presuppose, more or less explicitly, the existence of a single, univocal, temporal substratum, ultimately determined by physics. This reductionistic assumption pervades much biological and biomedical practice. The chronological age allotted to individuals is conceived as an objective quantity, allowing (...) one to straightforwardly assign and compare the biological age of organisms. This essay argues that the standard practice of assessing the age and aging of organisms against the backdrop of a physical conception of time is problematic. This becomes especially evident in light of recent discoveries of various levels of senescence underlying the development of individual organisms—a phenomenon known as ‘age mosaicism.’ The bottom line is that the study of age and aging requires a biological conception of time, as opposed to a physical one. Einstein clearly wasn’t wrong about his operationalization of time in relativity theory. Still time may be less monolithic than he surmised. (shrink)

In his article, ‘Social constructionism and climate science denial’, Hansson claims to present empirical evidence that the cultural theory developed by Dame Mary Douglas, Aaron Wildavsky and ourselves leads to science denial. In this reply, we show that there is no validity to these claims. First, we show that Hansson’s empirical evidence that cultural theory has led to climate science denial falls apart under closer inspection. Contrary to Hansson’s claims, cultural theory has made significant contributions to understanding and addressing climate (...) change. Second, we discuss various features of Douglas’ cultural theory that differentiate it from other constructivist approaches and make it compatible with the scientific method. Thus, we also demonstrate that cultural theory cannot be accused of epistemic relativism. (shrink)

resumo O propósito deste artigo é o de discutir em linhas gerais a relação entre método e me t a f í s ica na filosof ia de Descartes. Pre t e ndemos fazê-lo me d ia nte a cont raposição das Meditações de filosofia primeira às Regras para a direção do espírito quanto a alguns temas em comum. Nosso objetivo principal é questio nar o papel desempenhado pela evid ê nc ia intelectual no cont exto epistemo l ó g (...) ico das Regras e no cont exto metafísico das Meditações. Retoma ndo, num prime i ro mo me nto, algumas int e r p retações sobre o assunto e discutindo, num segundo momento, a natureza da dúvida e a noção de evidênc ia nas Meditações, pro c u ramos concluir com a sugestão de que no sistema cartesia no tem lugar um conflito de ordem estrutural entre método e metafísica.palavras-chave método; metafísica; evidência; dúvida; idéia; existência. (shrink)

The purpose of this paper is to argue the relevance of the concept of alternative in Giuseppe Riconda’s thought. Three topics compose this concept. The first one is the historiographical topic, for which there are two kinds of modernity, one that breaks with traditional thought and another one that follows the tradition. The second one is the anthropological topic: there are two opposite interpretations of the human condition, one that deny the transcendence and the original sin, and the other one (...) that is connected with Christian tradition and its fundamental notion of original sin. The last point of the concept is the substantial topic that concerns the two alternatives transcendence-atheism and religious thought-nihilism. In the conclusion of the paper the author develops some personal reflections upon Riconda’s concept of alternative. (shrink)

Robert S. Cohen and Zuzana Parusniková (Eds)Dordrecht, Springer, 2009xii + 431 pp., ISBN 9781402093371, €145.55 (hardback) Raphael Sassower Stocksfield, Acumen, 2006vii +151 pp., ISBN 9781844650668...

Ethical dilemmas often arise when conflict exists. Examples of conflict creating an ethical dilemma may include conflict between two or more principles of bioethics, conflict arising from insufficient information available to discern the appropriate course of action, or conflict between two or more goals of medical interventions. The basic principles of bioethics provide a framework for studying and applying bioethics. Difficulty arises when these principles are not easily addressed or when a clinical situation presents conflict between principles.

The aim of my paper is to compare three alternative formal reconstructions of van Inwagen’s famous argument for incompatibilism. In the first part of my paper, I examine van Inwagen’s own reconstruction within a propositional modal logic. I point out that, due to the expressive limitations of his propositional modal logic, van Inwagen is unable to argue directly (that is, within his formal framework) for incompatibilism. In the second part of my paper, I suggest to reconstruct van Inwagen’s argument within (...) a first-order predicate logic. I show, however, that even though this reconstruction is not susceptible to the same objection, this reconstruction can be shown to be inconsistent (given van Inwagen’s own assumptions). At the end of my paper, I suggest to reconstruct van Inwagen’s argument within a quantified counterfactual logic with propositional quantifiers. I show that within this formal framework van Inwagen would not only be able to argue directly for incompatibilism, he would also be able to argue for crucial assumptions of his argument. (shrink)

The concepts and powerful mathematical tools of Dynamical Systems Theory (DST) yield illuminating methods of studying cognitive processes, and are even claimed by some to enable us to bridge the notorious explanatory gap separating mind and matter. This article includes an analysis of some of the conceptual and empirical progress Dynamical Systems Theory is claimed to accomodate. While sympathetic to the dynamicist program in principle, this article will attempt to formulate a series of problems the proponents of the approach in (...) question will need to face if they wish to prolong their optimism. The main points to be addressed involve the reductive tendencies inherent in Dynamical Systems Theory, its somewhat muddled position relative to connectionism, the metaphorical nature DST-C exhibits which hinders its explanatory potential, and DST-C's problematic account of causality. Brief discussions of the mathematical and philosophical backgrounds of DST, seminal experimental work and possible adaptations of the theory or alternative suggestions (dynamicist connectionism, neurophenomenology, R&D theory) are included. (shrink)

Partiendo de la genealogía del neoliberalismo que Michel Foucault traza en _Nacimiento de la biopolítica_ hasta los ordoliberales alemanes, se sostendrá que, si en lugar de haberla basado en sus textos posteriores a la Segunda Guerra Mundial, Foucault hubiera acudido a los textos fundacionales de la época de Weimar: a) no hubiera incurrido en el equívoco de pensar que el papel del Estado fue secundario para estos, y b) habría advertido el carácter autoritario de su propuesta. Así, analizaremos en detalle (...) la inverosímil confluencia en torno a una misma tesis de Carl Schmitt y de los ordoliberales en la década de 1930: Estado fuerte, economía sana. Se concluirá invitando a seguir analizando el papel central del Estado y el autoritarismo en el neoliberalismo, tanto en el pasado como en el presente. (shrink)

El presente artículo analiza el concepto de Diferencia en la filosofía de Gilles Deleuze. Se constata, en este sentido, que la dicotomía inmanencia-trascendencia juega un papel protagónico en la articulación de dicha propuesta. Si bien un plano de composición inmanente no entra en una dialéctica negativa de tipo hegeliano respecto a un plano de organización trascendente, la primacía del primero resulta evidente en la conceptualización de la diferencia. Así, analizaremos las tensiones generadas por dicho enfoque en lo concerniente al despliegue (...) de la diferencia como razón suficiente en un plano inmanente, lo cual nos llevará a problematizar este concepto desde un plano diferente; a saber, un plano inminente que emerge de forma silenciosa en el último trabajo de Gilles Deleuze. (shrink)

The intact nervous system has an exquisite ability to modulate the activity of multiple muscles acting at one or more joints to produce an enormous range of actions. Seemingly simple tasks, such as reaching for an object or walking, in fact rely on very complex spatial and temporal patterns of muscle activations. Neurological disorders such as stroke and focal dystonia affect the ability to coordinate multi-joint movements. This article reviews the state of the art of research of muscle synergies in (...) the intact and damaged nervous system, their implications for recovery and rehabilitation, and proposes avenues for research aimed at restoring the nervous system’s ability to control movement. (shrink)