IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

In our time there is growing interest in developing a systematic approach to oncologic patients and end-of-life care. An important goal within this domain is to identify the values and ethical norms that guide physicians’ decisions and their recourse to technological aids to preserve life. Though crucial, this objective is not easy to achieve.

This article discusses the notion of justice from a capabilities approach. We undertake an empirical analysis of the concepts of justice held by healthcare personnel, gleaned from a qualitative analysis of interviews on the subject of ethical dilemmas in everyday practice. The article states that Justice undoubtedly presents a work in progress, which implicates the link between justice as capability and human dignity. We empirically found a contrast between the views of justice based on the patient's own perceptions and those (...) based on the perceptions of healthcare personnel. We establish the kind of actions, communication skills and justice required to build a stronger relationship between patients and healthcare professionals, which would improve prognosis, treatment efficiency and therapeutic adhesion. (shrink)

The purpose of this study is to determine empirically the state of the art of the medical care, when healthcare personal is confronted with ethical dilemmas related with the care they give to the geriatric population. An observational, longitudinal, prospective and qualitative study was conducted by analyzing the correlation between healthcare personnel–patient relationship, and ethical judgments regarding dilemmas that arise in daily clinical practice with geriatric patients. Mexican healthcare personnel with current active practices were asked to write up an ethical (...) dilemma that arose frequently or that had impacted their medical practice. From the narrative input, we were able to draw up a database with 421 dilemmas, and those corresponding to patients 60 years and older were selected (n = 54, 12.8 %). The axiological analysis of the narrative dilemmas of geriatric patients was made using dialectical empiricism. The axiological analysis values found most frequently were classified into three groups: the impact of healthcare, the roles of the physician, and refusal of therapy; the healthcare role of educator, caring for the patients’ life and the risk of imminent death where the values found more often. The persistence and universality of certain dilemmas in geriatrics calls for awareness and requires a good training in the ethical discernment of these dilemmas. This would help to improve substantially the care and the life quality of this population. (shrink)

This article discusses the notion of justice from a capabilities approach. We undertake an empirical analysis of the concepts of justice held by healthcare personnel, gleaned from a qualitative analysis of interviews on the subject of ethical dilemmas in everyday practice. The article states that Justice undoubtedly presents a work in progress, which implicates the link between justice as capability and human dignity.We empirically found a contrast between the views of justice based on the patient's own perceptions and those based (...) on the perceptions of healthcare personnel. We establish the kind of actions, communication skills and justice required to build a stronger relationship between patients and healthcare professionals, which would improve prognosis, treatment efficiency and therapeutic adhesion. (shrink)

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter. (shrink)

Introduction: Globally, vitamin D deficiency is one of the most common deficiencies, affecting nearly half the world's population. The objective of this survey was to assess and compare the knowledge about vitamin D and the perceived state of health in Emirati and international tourist female students in Dubai, UAE. Methods: This is a cross-sectional study that took place in universities in Dubai, UAE. This survey consisted of 17 multiple choice questions. The first part of the survey assessed levels of supplementation, (...) diet and UV exposure. Another section evaluated the participants’ self-assessed state of health regarding vitamin D testing, symptoms related to vitamin D deficiency and general welbeing. The collected data were statistically analyzed using SPSS statistics for windows version 26.0 (SPSS Inc., Chicago, IL). Statistical significance was set at P<0.05. Results: 105 respondents were Emiratis and 65 were international students. The average age was 21, with an average BMI 23.3. Almost one-third of each group reported using Vitamin D supplements once weekly. The majority of both groups reported rarely getting tanned. Almost all participants reported regular consumption of Vitamin-D rich foods. In both groups, more than half reported consuming milk and cheese regularly and up to one-third reported consuming fish in a regular manner. Although more than half of the students rated their health as good; more than two-thirds reported experiencing muscle pain; only half reported having their blood Vitamin D levels measured once; half reported experiencing problems with concentration and more than three-quarters reported experiencing bad mood in the past month. The prevalence of these symptoms was almost similar across different categories of vitamin D supplementation, tanning habits, dietary intake, or nationality. No statistically significant differences were noted between the 2 groups. Conclusion: more Emirati students were aware of the association between vitamin D and osteoporosis than International tourist students (40% vs. 21.9%, respectively; p<0.05). On the other hand, both groups had lower knowledge about the relationship between vitamin D deficiency and depression, Rheumatoid Arthritis and Hypertension, and the optimal vitamin D level; however, no statistically significant differences were noted regarding this knowledge of Emiratis and international students. (shrink)

Music is a stimulus capable of triggering an array of basic and complex emotions. We investigated whether and how individuals employ music to induce specific emotional states in everyday situations for the purpose of emotion regulation. Furthermore, we wanted to examine whether specific emotion-regulation styles influence music selection in specific situations. Participants indicated how likely it would be that they would want to listen to various pieces of music (which are known to elicit specific emotions) in various emotional situations. Data (...) analyses by means of non-metric multidimensional scaling revealed a clear preference for pieces of music that were emotionally congruent with an emotional situation. In addition, we found that specific emotion-regulation styles might influence the selection of pieces of music characterised by specific emotions. Our findings demonstrate emotion-congruent music selection and highlight the important role of specific emotion-regulation styles in the selection of music in everyday situations. (shrink)

The fast–slow paradigm of life history focuses on how individuals grow, mate, and reproduce at different paces. This paradigm can contribute substantially to the field of personality and individual differences provided that it is more strictly based on evolutionary biology than it has been so far. Our study tested the existence of a fast–slow continuum underlying indicators of reproductive effort—offspring output, age at first reproduction, number and stability of sexual partners—in 1,043 outpatients with healthy to severely disordered personalities. Two axes (...) emerged reflecting a double-track pathway to fast strategy, based on restricted and unrestricted sociosexual strategies. When rotated, the fast–slow and sociosexuality axes turned out to be independent. Contrary to expectations, neither somatic effort—investment in status, material resources, social capital, and maintenance/survival—was aligned with reproductive effort, nor a clear tradeoff between current and future reproduction was evident. Finally, we examined the association of LH axes with seven high-order personality pathology traits: negative emotionality, impulsivity, antagonism, persistence-compulsivity, subordination, and psychoticism. Persistent and disinhibited subjects appeared as fast-restricted and fast-unrestricted strategists, respectively, whereas asocial subjects were slow strategists. Associations of LH traits with each other and with personality are far more complex than usually assumed in evolutionary psychology. (shrink)

The expression "any that pisseth against the wall" is the turning-point of a research upon the exegetical system of the Fathers and later Church writers who must face unknown idioms and apparently ridiculous sentences in the Bible.

Le rempart établi par les Romains à Délos en 69 av. J.‑C., dit « Mur de Triarius », a fait l’objet d’une campagne de fouilles en 2014 sous la direction de St. Maillot. La fouille de 2014 a été suivie d’une campagne d’étude en 2015 menée par M. Fincker et S. Maillot. Les objectifs de la mission étaient d’étudier la portion du rempart subsistante sur la ligne de crête de la colline du théâtre (relevé topographique et architectural) ; de préciser (...) son mode de fondation et sa technique de construc... (shrink)

Crises and disability: Issues, debates, experiences For the past few months, warnings and crises have been linked together in a crescendo. Public policies hardly produce any “answers,” but on the contrary create even more concern. In France since the end of 2018, a diversity of intersecting and sometimes allied social forces have risen, notably the yellow vests; the staffs of hospital and of sheltered social housing structures for elderly dependent people (Ehpad) who have been on strike for m...

Religión sin dios, obra póstuma de Ronald Dworkin, es una interesante propuesta del filósofo del derecho es-tadounidense sobre las relaciones entre creyentes y ateos. Este corto libro consta de cuatro capítulos: “Ateísmo religio-so”, “El universo”, “Libertad religiosa” y 1Introduje algunos cambios a las citas de la traducción del Fondo de Cultura Económica, para aproximar el texto a la versión publicada en inglés. Agradezco a José Miguel Rueda su ayuda con la traducción.“Muerte e inmortalidad”. Me voy a cen-trar en la discusión (...) acerca del concepto de religión, entendida en el marco de lo que Dworkin llama la independencia ética, es decir, la idea según la cual la religión es solo una convicción como cualquier otra que tienen los individuos. (shrink)

This work presents a proposal for the characterization of the UnconfinedCompressive Strength test, through a series of operations that can be carried outwithout inconvenience in the field. Initially, fresh rock samples are obtained from outcropsin the area and specimens of specific dimensions are made. After the test specimenelaboration phase, crushing and granulometric classification tests are carried out witha set of specimens and in parallel with a second group, UCS tests are carried out. With theresults, the rock is characterized by graphing (...) granulometric curves and in this graph theareas of fine granulometry are focused, inserting in these areas, the average value of UCS,with which it can be identified and determined when it is really necessary and It is inevitableto send rock samples to laboratories, thus saving time and money for the mining project. Keywords: compression, crushing, granulometry, rock. References [1] F. Blyth and M. de Freitas. Geología para Ingenieros. México: CEGSA, 2003. [2] F. Escolano and A. Mazariegos de la Serna. Guía de reconocimiento de rocas en Ingeniería Civil. España: Editorial Garceta, Escuela Técnica Superior de Ingeniería Civil, Universidad Politécnica de Madrid, 2014. [3] G. Stefano and J. Segovia. Notas del curso de Arte Minero I. Ecuador: Universidad del Azuay, 1991. [4] A. Maistri. Guía al Curso de Tratamiento de Minerales y a las Prácticas de Laboratorio. Ecuador: Universidad del Azuay, 1993. [5] O. Bustamante. Conminución de Minerales Trituración y Molienda. Colombia: Instituto de Minerales CIMEX, Universidad Nacional de Colombia-Sede Medellín, 2006. [6] E. Feijoo, C. Flores and B. Feijoo, "The Concept of the Granulometric Area and Its Relation with the Resistance to theSimple Compression of Rocks," 2019 7th International Engineering, Sciences and Technology Conference, Panama,Panama, 2019, pp. 52-56. [7] E. Feijoo and C. Iñiguez, “Corte en rocas y su relación con la resistencia a compresión simple”, RISTI, N.o E 30, pp. 59-67,junio 2020. [8] M. Galván. Mecánica de Rocas. Correlación entre la Resistencia a Carga Puntual y la Resistencia a Compresión Simple. Colombia: Universidad del Valle, 2015. [9] W. Marín. Evaluación de parámetros materiales de fractura en roca intacta. Colombia: Universidad Nacional de Colombiasede Medellín, 2017. [10]E. Feijoo and J. Padrón, “La resistividad de rocas y su relación con la resistencia a compresión simple en mina”, UCT, vol. 24, Núm. 99, pp. 61-67, abril 2020. (shrink)

The frequency and severity of natural disasters and extreme weather events are increasing, taking a dramatic economic and relational toll on the communities they strike. Given the critical role that entrepreneurship plays in a community’s viability, it is necessary to understand how small business owners respond to these events and move forward over time. This study explores the long-term dynamics and trajectory of individuals within the broader business community following a natural disaster, paying particular attention to the influence of social (...) identity. Results suggest that the community identity changes over the course of recovery and rebuilding, underscoring the need for a holistic approach so that intervening agencies can achieve the sustainable economic recovery desired. (shrink)

M. J. Woods; XI*—Substance and Essence in Aristotle, Proceedings of the Aristotelian Society, Volume 75, Issue 1, 1 June 1975, Pages 167–180, https://doi.org/10.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Trois récits utopiques classiques: Gabriel de Foigny, La Terre Australe connue; Denis Veiras, Histoire des Sévarambes; Bernard de Fontenelle, Histoire des Ajaoïens ed. by Jean-Michel RacaultAndrew CremerJean-Michel Racault, ed. Trois récits utopiques classiques: Gabriel de Foigny, La Terre Australe connue; Denis Veiras, Histoire des Sévarambes; Bernard de Fontenelle, Histoire des Ajaoïens. Saint-Denis (La Réunion): Presses Universitaires Indianocéaniques. 2020. 539 pp., illus. Paperback, €16. ISBN: 978 2 490596 24 (...) 9.M. Jean-Michel Racault, Emeritus Professor of the University of La Réunion and general editor of the Œuvres complètes of Bernardin de Saint-Pierre in progress under the Classiques Garnier imprint, is an acknowledged expert in utopian studies, and works edited and presented by him in this field will be justly welcomed with keen interest and appreciation. It inspires confidence [End Page 168] that this edition should be the fruit of many years’ study and find its origins in his two theses of 1981 and 1987 and articles of 1991, 2003, and 2010 (21 n. 21). The blurb announces this volume as bringing together “three major works of political thought of the end of the seventeenth century representative of ‘Louis XIV utopias,’” a label that could be supposed to imply an anti-absolutist outlook in the three writers. But Racault argues that the idea, as put forward by the late Myriam Yardeni in her 1980 study Utopie et révolte sous Louis XIV, that these classical utopias express revolt against the monarchy of Louis XIV should be treated in a nuanced way, even with serious reservations (7, 217–18).Racault writes with impressive depth and clarity and makes a superb guide, yet it by no means follows that these works are easy to interpret. Indeed, part of his achievement is to show they may not be so and to offer evidence to suggest that they may invite “multiple possible readings.” The blurb gives fair warning of irony, ambiguity, and contradictoriness, and states that the utopia of these experimental fictions can be inverted to become an “anti-utopia.” As Racault observes with admirable honesty in his preface, “Ambivalence, uncertainty, and a sense of complexity are in fact characteristics of these utopias, in which one sometimes has the impression that the author develops lines of thought that are ideologically incompatible and does not know himself on which side he stands” (19). Racault exemplifies this paradox by reference to Foigny’s hero, “a Pascalian libertin as well as a Christian deist” (19–20). One might be allowed to object that this is to offer the reader who seeks it no clear utopian vision, and that such ambiguity leads to confusion worse confounded; indeed, I am tempted to wonder if ambiguity here reveals subtlety of thought less than a mere lack of perspicuity. Racault makes the highly important point that a similar duality “penetrates the accounts of Veiras and Fontenelle and prevents one from seeing them as simple preludes to Enlightenment thought” (20). Two more vigorous quotations may suffice to convey the flavor of this argument of duality: “the deism of La Terre Australe connue can also be read as a critique of deism, the [...] democratic humanism of the Histoire des Ajaoïens includes a utilitarian system of colonial domination” (21). Again, “the ‘heliocratic’ Sevarambian system inspired by the empire of the Incas after Garcilaso de la Vega [?1501–36] is essentially a theocratic absolutism in the end not much different from the monarchy of Louis XIV. Ajao, on the other hand, has no monarchy, and no ministers” (460). As to this variety between the texts, another indication is that Foigny’s land is anarchical (but [End Page 169] well ordered!), whereas Veiras’s can be understood as embracing certain policies of Colbert (236 and n. 14, 292 and n. 46), to whose protégé Pierre-Paul Riquet, baron de Bonrepos (1609–80), Veiras’s account is dedicated (231–34, 306–7).This substantial but not overlong volume is tastefully adorned with attractive covers and five splendid and richly annotated plates of maps illustrating the subject of the “Imaginary Voyage” or “Extraordinary Voyage,” a term used in a... (shrink)

IntroductionBisphenol A is highly debated and studied in relation to a variety of health outcomes. This large variation in the literature makes BPA a topic that is prone to selective use of literature, in order to underpin one’s own findings and opinion. Over time, selective use of literature, by means of citations, can lead to a skewed knowledge development and a biased scientific consensus. In this study, we assess which factors drive citation and whether this results in the overrepresentation of (...) harmful health effects of BPA.MethodsA citation network analysis was performed to test various determinants of citation. A systematic search identified all relevant publications on the human health effect of BPA. Data were extracted on potential determinants of selective citation, such as study outcome, study design, sample size, journal impact factor, authority of the author, self-citation, and funding source. We applied random effect logistic regression to assess whether these determinants influence the likelihood of citation.ResultsOne hundred sixty-nine publications on BPA were identified, with 12,432 potential citation pathways of which 808 citations occurred. The network consisted of 63 cross-sectional studies, 34 cohort studies, 29 case-control studies, 35 narrative reviews, and 8 systematic reviews. Positive studies have a 1.5 times greater chance of being cited compared to negative studies. Additionally, the authority of the author and self-citation are consistently found to be positively associated with the likelihood of being cited. Overall, the network seems to be highly influenced by two highly cited publications, whereas 60 out of 169 publications received no citations.ConclusionIn the literature on BPA, citation is mostly driven by positive study outcome and author-related factors, such as high authority within the network. Interpreting the impact of these factors and the big influence of a few highly cited publications, it can be questioned to which extent the knowledge development in human literature on BPA is actually evidence-based. (shrink)

The network model of EEG formation has revealed a unified mechanism for disparate EEG phenomena: for various reactions as well as for ontogenetic and phylogenetic differences. EEG rhythmicity was shown to be an external manifestation of the functioning of the intracortical stabilizing system which provides normal informational operations in the cerebral cortex.

On behaviour as interpreted in the philosophy of Aḥmad ibn Muḥammad Miskawayh, d. 1030.

Disguised plagiarism often goes undetected. An especially subtle type of disguised plagiarism is translation plagiarism, which occurs when the work of one author is republished in a different language with authorship credit taken by someone else. I focus on the challenge of demonstrating this subtle variety of plagiarism and examine the corruptive influence that plagiarizing articles exert on unsuspecting researchers who later cite them in the downstream literature as genuine products of research. I conclude by arguing that an open discussion (...) of plagiarizing articles in philosophy is necessary for maintaining the reliability of the body of published research and for restoring integrity to scholarly communication. (shrink)

New computer systems of discovery create a research program for logic and philosophy of science. These systems consist of inference rules and control knowledge that guide the discovery process. Their paths of discovery are influenced by the available data and the discovery steps coincide with the justification of results. The discovery process can be described in terms of fundamental concepts of artificial intelligence such as heuristic search, and can also be interpreted in terms of logic. The traditional distinction that places (...) studies of scientific discovery outside the philosophy of science, in psychology, sociology, or history, is no longer valid in view of the existence of computer systems of discovery. It becomes both reasonable and attractive to study the schemes of discovery in the same way as the criteria of justification were studied: empirically as facts, and logically as norms. (shrink)

Was ist Natur oder was könnte sie sein? Diese und weitere Fragen sind grundlegend für Naturdenken und -handeln. Das Lehr- und Studienbuch bietet eine historisch-systematische und zugleich praxisbezogene Einführung in die Naturphilosophie mit ihren wichtigsten Begriffen. Es nimmt den pluralen Charakter der Wahrnehmung von Natur in den philosophischen Blick und ist auch zum Selbststudium bestens geeignet.

Was there a second legion in Palestine at all ? Mommsen has raised a doubt. In his note on C.I.L. iii 6641 ‘M. Iunio Maximo Leg. Augg. Leg. X Fr….’ he says ‘Quo tempore titulus positus est provinciam Palaestinam una sola legio obtinuerit necesse est X Fretensis; nam Augustorum vocabulum legatis legionis non solet addi nisi simul provinciae praesunt. Legio VI Ferrata quamquam a Dione in Iudaea collocatur, vide ne castra habuerit in Batanaea quae fuit sub legato Syriae Phoenices.’ On (...) C.I.L. iii 6703 similarly he says ‘legatus legionis Augusti vocabulum raro adsumit’ But the title ‘leg. Aug.’ does seem to be used with sufficient frequency of a simple ‘legatus legionis’ to invalidate Mommsen's argument: e.g. Dessau 1026 ‘leg. Aug. leg. xi C. p. f.’; 1036, 1055, 1070, 1141 etc: and the soldiers of Capitolias might just as easily have served across the border in Palestine. Zangemeister, who first published the inscription of Iunius Maximus {Zeitschrift des deutschen Palästina-Vereins x 1887, 49–53) took the same view as Mommsen, that he was the provincial legatus; but later he admitted that in that case the words ‘pro praetore’ would have been added. (shrink)