Background: Intensive care unit nurses are providing care to COVID-19 patients in a stressful environment. Understanding intensive care unit nurses’ sources of distress is important when planning interventions to support them. Purpose: To describe Canadian intensive care unit nurse experiences providing care to COVID-19 patients during the second wave of the pandemic. Design: Qualitative descriptive component within a larger mixed-methods study. Participants and research context: Participants were invited to write down their experiences of a critical incident, which distressed them when (...) providing nursing care. Thematic analysis was used to analyze the data. Ethical considerations: The study was approved by the ethics committee at the researchers’ university in eastern Canada. Results: A total of 111 critical incidents were written by 108 nurses. Four themes were found: (1) managing the pandemic, (2) witness to families’ grief, (3) our safety, and (4) futility of care. Many nurses’ stories also focused on the organizational preparedness of their institutions and concerns over their own safety. Discussion: Nurses experienced moral distress in relation to family and patient issues. Situations related to insufficient institutional support, patient, and family traumas, as well as safety issues have left nurses deeply distressed. Conclusion: Identifying situations that distress intensive care unit nurses can lead to targeted interventions mitigating their negative consequences by providing a safe work environment and improving nurses’ well-being. (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)

This volume addresses current issues in the semantics and the pragmatics of discourse and dialogue. Collected papers aim at providing insights on different theoretical approaches, all of them in the dynamic semantics tradition, such as Dynamic Predicate Logic (DPL), Discourse Representation Theory (DRT), and Segmented Discourse Representation Theory (SDRT). They reflect the current move of formal semantics from short multisentential texts towards structured discourses and dialogues, accounting for more and more phenomena at the semantics-pragmatics interface (e.g., subtleties of anaphora and (...) presupposition, the role of temporal connectives in discourse or the establishment of common references in dialogue). (shrink)

In this essay I show that texts by early Caribbean women writers, such as the Wonderful Adventures of Mrs. Seacole in Many Lands, reveal and resist the effects of colonial paradigms by leaving textual traces of how such paradigms can effectively be countered and overturned. I arrive at such a reading of Seacole via an analysis of Frantz Fanon's reading of Mayotte Capécia's turn-of-the-century novel, Je suis martiniquaise, in light of advances in postcolonial and feminist theory. I argue that doing (...) so can bring us to recognize the contributions that early writings by Caribbean women have made to a broader understanding of the nature of being, across differences of “race,” class, and geography. I consider how we might recover in Capécia important models that Fanon himself replicates, yet dismisses, that predate Capécia's own text and that can be located in a text like Seacole's. In the end, I come to contend that Mary Seacole's text is more than a mere record of a “free colored” woman's life in the second half of the nineteenth century. It is, to use today's postcolonial parlance, an interventionist, hybrid text that attempts to subvert dominant discourse while participating in its circuits. (shrink)

L'Inopos, qui constitue le principal cours d'eau de Délos, prend sa source au Sud-Ouest du Cynthe. Il coule d'abord vers le Nord puis il s'oriente vers l'Ouest pour déboucher à l'emplacement de l'Agora des Hermaïstes. Un barrage associé à un vaste bassin de retenue a été construit à l'endroit où il change d'orientation. La paroi d'amont du mur qui barre le vallon est constituée de blocs de poros dont les joints verticaux ont été remplis de plomb et dont les assises (...) successives ont été associées par des barres métalliques se développant sur toute la longueur de l'ouvrage. Des drains ménagés dans l'épaisseur du mur conduisaient vers l'aval les eaux d'infiltration. Cette construction, qui atteste une remarquable connaissance des problèmes de stabilité des barrages, est sans doute une œuvre des Athéniens réalisée vers la fin du Ve ou le début du IVe s. Le barrage et son bassin furent réaménagés au début de l'Indépendance. A l'époque impériale, le barrage fut percé en sous-œuvre et associé à un aqueduc. (shrink)

Binding arbitration is generally less available in tort suits than in contract suits because most tort plaintiffs do not have a pre-dispute contract with the defendant, and are unlikely to consent to arbitration after the occurrence of an unforeseen injury. But the Federal Arbitration Act applies to all “contract[s] evincing a transaction involving commerce,” including contracts for healthcare and medical services. Given the broad trend towards arbitration in nearly every other business-to-consumer industry, coupled with some rollbacks in tort reform measures (...) that have traditionally favored medical professionals in the judicial system, it is very possible that we may witness in the near future more medical contracts containing arbitration provisions. As a consequence, all manner of tort claims might be hashed out in the sequestered universe of arbitration. (shrink)

Huit mois après le dépôt du rapport de la Commission Charbonneau, nous avons souhaité explorer les défis liés à la mise en place des recommandations. Avec un regard constructif, nous nous questionnons sur le fait de savoir à qui incombe le suivi d’un rapport de cette envergure ainsi que les obligations légales liées à cette question et nous nous permettons d’émettre certaines idées liées à une vision globale en matière de reddition de comptes. Tout en partageant nos réflexions inspirées des (...) bonnes pratiques en matière de gestion du risque de fraude, nous présentons la complexité de la mise en place d’une recommandation tels le soutien et la protection des lanceurs d’alerte. (shrink)

Dass sich Hegel und Hermann Cohen trotz scheinbarer Gegensatze miteinander versohnen lassen, ist eine Grunduberzeugung des Werkes von Myriam Bienenstock, welches sich stets durch die doppelte Ausrichtung auf Hegel und das judische Denken auszeichnete. Mit diesem Band wird Myriam Bienenstock, seit 1997 Professorin fur Philosophie an der Universitat Francois Rabelais in Tours, anlasslich ihres 70. Geburtstages geehrt. Mit Beitragen von Dominque Bourel, Bernard Bourgeois, Christophe Bouton, Pierfrancesco Fiorato, Jean-Francois Goubet, Dana Hollander, Helmut Holzhey, Gerhard Kurz, Claudia Melica, Wolfdietrich (...) Schmied-Kowarzik, Ludwig Siep, Guy Stroumsa und Norbert Waszek. (shrink)

Current approaches to cyber-security are not working. Rather than producing more security, we seem to be facing less and less. The reason for this is a multi-dimensional and multi-faceted security dilemma that extends beyond the state and its interaction with other states. It will be shown how the focus on the state and “its” security crowds out consideration for the security of the individual citizen, with detrimental effects on the security of the whole system. The threat arising from cyberspace to (...) (national) security is presented as possible disruption to a specific way of life, one building on information technologies and critical functions of infrastructures, with relatively little consideration for humans directly. This non-focus on people makes it easier for state actors to militarize cyber-security and (re-)assert their power in cyberspace, thereby overriding the different security needs of human beings in that space. Paradoxically, the use of cyberspace as a tool for national security, both in the dimension of war fighting and the dimension of mass-surveillance, has detrimental effects on the level of cyber-security globally. A solution out of this dilemma is a cyber-security policy that is decidedly anti-vulnerability and at the same time based on strong considerations for privacy and data protection. Such a security would have to be informed by an ethics of the infosphere that is based on the dignity of information related to human beings. (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)

Résumé En 1975, la loi inscrit l’IVG dans la juridiction de la médecine, investie comme instrument du contrôle social dans la régulation des naissances. La demande d’IVG demeurait pensée comme phénomène relevant de la pathologie. Cependant, une normalisation de cette activité s’opère dans le système de soins avec l’évolution de l’encadrement réglementaire et des techniques de prise en charge. Notamment, les sages-femmes sont enrôlées dans le réagencement des formes de l’action publique en la matière. Leur champ de compétence est élargi. (...) Ces nouvelles définitions de l’expertise médicale en santé sexuelle et reproductive donnent lieu à des délibérations sur les conceptions de la pratique abortive. L’association nationale des sages-femmes orthogénistes (ANSFO) se saisit de cette opportunité pour renforcer la légitimité du groupe professionnel, en opérant un travail cognitif de « physiologisation » de l’IVG. (shrink)

Focusing on the interactions between people suffering from neuromuscular diseases and their wheelchairs, the author raises the question of action: how is action made possible for people suffering from neuromuscular diseases? Starting with actor-network theory, the author shows that action not only results from distribution and delegation to heterogeneous entities but emerges from hard and lengthy work that makes the relation between them possible and transforms the entities involved. The author describes this work, called the process of adjustment, as work (...) on the links making a person, his or her body, and his or her world. Through this work, new possibilities of action emerge for the person, but also new abilities; the person’s identity is transformed and shaped. This analysis leads to a particular conception of the person as made up through his or her relations to other entities. (shrink)

Avec sa succession de bouleversements institutionnels, le dix-septième siècle anglais fut un fabuleux terrain d'expérimentation et de réflexion politique d'où surgirent les grandes théories modernes. A cette période, philosophes et acteurs engagés tentèrent de penser, avec une acuité particulière liée aux événements (guerres civiles, régicide, république, dictature), les tensions inhérentes au pouvoir, tout à la fois perçu comme contraignant, tyrannique et libérateur. Quatre d'entre eux ont été retenus : Thomas Hobbes (1588-1679), le théoricien de l’absolutisme, James Harrington (1611-1677), le républicain (...) classique, Algernon Sidney (1623-1683), le martyr whig, John Locke (1632-1704), le père du libéralisme. Le propos de l’ouvrage est de montrer que, par-delà leurs différences, ces quatre penseurs partagent une approche qui constitue le socle commun d’une théorie de l’Etat moderne. Leur doctrine s’affranchit de l’exercice utopique comme de la théorie de la raison d’Etat et se conçoit comme une anatomie du corps politique. Par un examen minutieux des textes, l’auteur cherche à s’écarter de l' interprétation trop « idéologique » sans doute accentuée par les combats de l’histoire. Elle met en évidence un objet philosophique commun aux quatre auteurs, que l’on retrouve au cœur de toute conception moderne du pouvoir. (shrink)

Les figurations diverses de la rationalité dans la correspondance de Spinoza n’ont pas qu’une valeur pédagogique ; paraissent-elles singulières, ce sont autant de déclinaisons du spinozisme. On y ressaisit les difficultés que le système a rencontrées auprès de publics divers; difficultés qu’illustrent les postures irrationnelles de bien des correspondants. La correspondance, en marge de l’œuvre, expose la définition spinoziste de la philosophie et en souligne l’originalité ; ne perdant jamais de vue l’idée d’adéquation, elle noue de façon unique les rapports (...) entre spinozisme, tradition et cartésianisme, entre le philosophe et la cité. La rationalité produite dans les lettres conduit à réexaminer des questions traitées dans l’œuvre : la définition intervient comme un élément important du dispositif rationnel et le présage s’y donne comme n’étant pas dénué non plus de rationalité. Le dynamisme et la force de cette philosophie rendent raison d’échanges souvent inféconds et violents, comme ceux avec Burgh, Blyenbergh et Boxel : ils nous confrontent à un Spinoza intransigeant sur ses principes rationnels et qui ne pouvait composer ni avec les dogmes de la religion ni avec l’opinion. (shrink)

Este artículo se concentrará en las estrategias impulsadas por la Dirección Provincial de Educación Secundaria de la provincia de Buenos Aires, destinadas a impulsar la participación estudiantil y la convivencia, entre los años 2020 y 2021. Se presenta la experiencia de trabajo en soporte digital llevada adelante desde las líneas de trabajo “Construir Ciudadanía” y “Lenguajes contemporáneos” en el marco del ASPO y DISPO producto de la pandemia.

Cancer survivors are at risk for poor subjective well-being, but the potential beneficial effect of daily spiritual experiences is unknown. Using data from the second and third wave of the Midlife in the United States study, we examined the extent to which daily spiritual experiences at baseline moderate the association between subjective well-being at baseline and approximately 10 years later in cancer survivors. Regression analyses, controlled for age, educational attainment, and religious/spiritual coping, showed that daily spiritual experiences moderated the association (...) between life satisfaction at baseline and follow-up. Specifically, high spiritual experiences enhanced life satisfaction over time in cancer survivors with low life satisfaction at baseline. Also, daily spiritual experiences moderated the association between positive affect at baseline and follow-up, though this moderating effect was different for women and men. No moderating effect emerged for negative affect. (shrink)

Résumé La littérature hétérolingue serait-elle susceptible de contribuer à une poétique du traduire? Notre investigation, qui nous fera quitter la linguistique pour les théories de l’énonciation puis aborder l’analyse rhétorique en termes d’ ethos, s’achèvera sur l’étude d’une phrase extraite d’ Hijo de hombre, roman guarani-hispanophone du Paraguayen Augusto Roa Bastos (1917-2005). Les trois versions françaises étayeront l’hypothèse selon laquelle chaque traduction est un acte de ré-énonciation où se rejoue le rapport à l’altérité linguistique.

De toutes les émotions, la colère est l’une des plus puissantes. Elle s’accompagne de nombreux autres affects – indignation, culpabilité, amertume, ressentiment, haine, désir de vengeance – devenus les dénominateurs communs d’une globalisation confuse. Violences politiques et terrorismes transnationaux, soulèvements populaires et protestations « indignées » à travers le monde, insurrections armées au long cours, montée des populismes et reflux des nationalismes, regains et consolidations autoritaires, haine de l’« autre », interminables guerres civiles et conflits gelés, rancœurs sociétales nouvelles comme (...) plus anciennes, belligérances numériques inédites… Inexorablement, sous nos yeux, c’est la colère qui semble dévorer une globalisation que d’aucuns qualifiaient autrefois d’« heureuse ». Cet article analyse ce qu’est « être en colère » et tente d’en saisir les rapports complexes au « global ». Assiste-t-on à un phénomène passager ou cet emportement général, visible partout, a-t-il déjà mué en logique durable? De quelle « globalisation » la colère est-elle le nom? (shrink)

Den Begriff ‚Anerkennung‘ hat der deutsch-jüdische Denker Franz Rosenzweig benutzt, um sein Verlangen nach einem gegenseitigen Verhältnis zwischen Christentum und Judentum auszudrücken, das auch die theoretische Anerkennung des Judentums seitens der Christen beinhalten würde. Auf den Terminus ‚Anerkennung‘ griff Rosenzweig aber weder in seinen frühen Hegelstudien zurück noch in der Dialogphilosophie, die er stiftete. Sein dialogisches Denken erarbeitete er eher als eine Offenbarungsphilosophie, in welcher ein ‚Ich‘ erst mittels der Antwort auf den Anruf eines ‚Andern‘ entstehen würde.

Selon Hegel,« la philosophie ne fait rien d'autre que changer les représentations en pensées » et, ultérieurement, « la simple pensée en concept ». La philosophie politique ne doit rien faire d’autre non plus : elle doit changer en « pensées » les représentations que nous nous faisons de nos institutions sociales et politiques, mais aussi les représentations que nous adoptons comme buts de nos actions. Elle doit montrer qu’un «concept» ou, en fin de compte, une Idée est comprise en (...) elles: l’idée de liberté. Tel est le sens de cet idéalisme politique, clarifié ici à partir de l’analyse de la distinction fondamentale établie par Hegel entre une philosophie de la subjectivité ou de la conscience, et un idéalisme de l’esprit. (shrink)

Constructing Moral Concepts of God in a Global Age sets aside arguments about God's existence and focuses on what people say and think about God. It offers a theological method, or step-by-step approach to exploring and, if warranted, reframing personal convictions about God and the worldviews shaped by those convictions. Since a moral God is more likely to foster a moral life, this method integrates an ethical check to ensure that conceptions of God and their associated worldviews are validly moral. (...) The proposed method builds on the work of 20th Century theologian Gordon Kaufman during the Kantian phase of his work. It anticipates a person-like God who hears prayers, loves without end, and comforts in times of hardship. To accommodate today's pluralistic and globalized world, the moral check integrated in the method is a widely-collaborative and vetted global ethic, the Parliament of the World's Religions "Declaration Towards a Global Ethic." This volume of constructive philosophical theology is written for seminary students, educators, clergy, study groups, and anyone interested in delving more deeply and systematically into understandings of God, whether their own or other understandings. (shrink)

Why should Gordon Kaufman's mid-career theological method be of renewed interest to contemporary theists? Two distinguishing characteristics of the West today are its increasing religious pluralism and the growing numbers of theists who rely on hybrid approaches to construct concepts of God. Kaufman's method is well suited to this current state of affairs because it is open to diverse religious and theological perspectives and to perspectives from science and secular humanism. It also militates against the weaknesses inherent to hybrid approaches—ad (...) hoc constructs of God unable to motivate their holders to overcome human self-centeredness and so to contribute to the well-being and fulfillment of others. It achieves this by providing checks to reduce the risk of producing human-writ-large God-constructs. Lastly, Kaufman's method provides criteria to help theists identify humane and humanizing experiences, relationships, concepts, images, and texts (i.e., the basic material from which God-constructs are fashioned) from the plethora of options available, whether religious, cultural, or secular. (shrink)

O tema dos estágios da existência perpassa toda a produção de Kierkegaard. Ele teve sempre o cuidado de mostrar que estético, ético e religioso não são etapas que acontecem apartadas uma da outra, como num modelo sistemático, mas acontecem ao mesmo tempo, uma vez que se dão na existência e se realizam enquanto existência. Mas, em termos da construção de um pensamento clínico em psicologia, o que seria importante ainda se entender acerca dos estágios? Que relação ainda podemos fazer entre (...) as caracterizações e personificações, às quais Kierkegaard, sob pseudônimo ou não, lança mão para apresentar os estágios? E, finalmente, como essa questão perpassa um pensamento clínico ou um pensamento existencial em psicologia? Nosso objetivo com este texto é responder a estas questões. Começaremos por esclarecer o sentido de comunicação indireta no projeto de Kierkegaard. Em seguida, apresentaremos as caracterizações dos diferentes estágios para, então, esclareceremos o sentido de tarefa por meio da apresentação de algumas personificações dos estágios. Por fim, pensaremos as repercussões para um pensamento clínico em psicologia. Veremos que Kierkegaard recorre aos estágios e suas personificações ambicionando tirar o leitor de seu modo confortável de pensar e agir. (shrink)

Militante et réflexive, l’histoire des femmes a aussi besoin d’exprimer ses doutes et ses inconforts. Rattrapée par l’actualité, la violence et nombre d’événements cruels et tragiques, par des incertitudes majeures vécues par l’ensemble du monde intellectuel, elle pose aujourd’hui en cet article collectif des interrogations et des inquiétudes. Ce travail à plusieurs (les participantes du Groupe d’histoire des femmes du CRH) cherche à mettre à plat ce qui actuellement se dérobe à notre connaissance, en partant de notions-clés souvent utilisées comme (...) consentement, sexualité, écriture, patriarcat, etc. Chacune de ces notions est discutée à la lumière des brouillages actuels, des temporalités nouvelles, de l’avènement triomphant du corps marchandise, de la pauvreté grandissante, etc. (shrink)

À partir de cas cliniques, l’auteure analyse des situations de séparation précoce et met en évidence les conditions pour que cette séparation ne soit pas traumatique.

More and more frequently, the organisation of design fits into a project organisation where different designers have to cooperate with flexibility and reactivity. In order to help these cooperative design processes, we have to respond to new types of needs: a relatively unformalised coordination that requires permanent mutual adjustment, the fact that members of the team are geographically distant, the difficulty of building a shared reference via design documents and technical and organisational decisions that structure the project. In order to (...) provide computer support for these needs, asynchronous Group Ware is often recommended. However, the efficiency of these tools depends on the models that structure the work processes and the knowledge exchanged. In this paper, we present ABRICo, a new Design Rationale formalism that permits the recording of cooperative decision-making processes in complex design situations. We describe the formalism and explain how we intend to use it to specify cooperative design tools usable via an Intranet for computing projects. (shrink)

Le tragique n'est pas uniquement à l'Age classique une catégorie théâtrale ; il est également un concept philosophique, et si pour des auteurs comme Corneille ou Racine, il est une donnée littéraire reçue de l'Antiquité, il est chez des philosophes comme Descartes, Pascal ou Spinoza, un concept à construire ou à élaborer. Cette relation idéale entre hommes de théâtre et philosophes a un enjeu important : quelles solutions apporter au tragique?

The aim of this paper is to extend the classical sequent calculusLC to the second order. This task is realized by a semantical approach mixing the correlation spaces semantics ofLC on the one hand, and the analogy with the interpretation of systemF in coherent spaces on the other hand. This relies on the introduction of a new semantical object:noetherian correlation spaces.From the semantics we deduce the syntax of the second order classical sequent calculusLC2.