Use of electronic health records within clinical encounters is increasingly pervasive. The digital record allows for data storage and sharing to facilitate patient care, billing, research, patient communication and quality-of-care improvement—all at once. However, this multifunctionality is also one of the main reasons care providers struggle with the EHR. These problems have often been described but are rarely approached from a philosophical point of view. We argue that a postphenomenological case study of the EHR could lead to more in-depth insights. (...) We will focus on two concepts—transparency and multistability—and translate them to the specific situation of the EHR. Transparency is closely related to an embodiment relation in which the user becomes less aware of the technology: it fades into the background, becoming a means of experience. A second key concept is that of multistability, referring to how a technology can serve multiple purposes or can have different meanings in different contexts. The EHR in this sense is multistable by design. Future EHR design could incorporate multistable information differently, allowing the provider to focus on patient care when interacting with the EHR. Moreover we argue that the use of the EHR in the daily workflow should become more transparent, while awareness of the computer in the specific context of the patient-provider relationship should increase. (shrink)

Instalada na Universidade Federal do Rio Grande do Sul (UFRGS) logo após o golpe civil-militar 1964, a Comissão Especial de Investigação Sumária (Ceis) teve como objetivo investigar ações consideradas subversivas, envolvendo professores, funcionários e estudantes. A presente pesquisa buscou saber como tal acontecimento é hoje relembrado por alguns estudantes da época, diretamente envolvidos naquele contexto. Para a busca de dados, optou-se pela História Oral, coletando narrativas de cinco sujeitos, além de pesquisa documental: atas, fichas de informações, ofícios e matérias no (...) jornal Correio do Povo. Para fundamentar a análise, foram utilizados referenciais advindos de Alistair Thompson, entre outros. Além de abordar situações da repressão instalada na universidade, o texto também apresenta alguns desdobramentos acerca do processo de pesquisa que adota a memória como fonte a ser considerada no processo analítico. (shrink)

People unfamiliar with Chinese characters show poorer visual working memory (VWM) performance for Chinese characters than do literates in Chinese. In a series of experiments, we investigated the reasons for this expertise advantage. Experiments 1 and 2 showed that the advantage of Chinese literates does not transfer to novel material. Experts had similar resolution as novices for material outside of their field of expertise, and the memory of novices and experts did not differ when detecting a big change, e.g., when (...) a character’s color was changed. Memorizing appears to function as a rather abstract representation of word forms because memory for characters’ fonts was poor independently of expertise (Experiment 3), though still visual. Distractors that were highly similar conceptually did not increase memory errors, but visually similar distractors impaired memory (Experiment 4). We hypothesized that literates in Chinese represent characters in VWM as tokens of visual word forms made available by long-term memory. In Experiment 5, we provided novices with visual word form knowledge. Participants subsequently performed a change detection task with trained and novel characters in a functional magnetic resonance experiment. We analyzed set size- and training-dependent effects in the intraparietal sulcus (IPS) and the visual word form area. VWM for trained characters was better than for novel characters. Neural activity increased with set size and at a slower rate for trained than for novel characters. All conditions approached the same maximum, but novel characters reached the maximum at a smaller set size than trained characters. The time course of the bold response depended on set size and knowledge status. Starting from the same initial maximum, neural activity at small set sizes returned to baseline more quickly for trained characters than for novel characters. Additionally, high performers showed generally more neural activity in the IPS than low performers. We conclude that experts’ better performance in working memory (WM) is caused by the availability of visual long-term representations (word form types) that allow a sparse representation of the perceived stimuli and make even small changes big because they cause a type change that is easily detected. (shrink)

The study's goal was to examine the socially responsible power use in the context of ethical leadership as an explanatory mechanism of the ethical leadership-follower outcomes link. Drawing on the attachment theory (Bowlby, 1969/1982 ), we explored a power-based process model, which assumes that a leader's personal power is an intervening variable in the relationship between ethical leadership and follower outcomes, while incorporating the moderating role of followers' moral identity in this transformation process. The results of a two-wave field study (...) ( N = 235) that surveyed employees and a scenario experiment ( N = 169) fully supported the proposed (moderated) mediation models, as personal power mediated the positive relationship between ethical leadership and a broad range of tested follower outcomes (i.e., leader effectiveness, follower extra effort, organizational commitment, job satisfaction, and work engagement), as well as the interactive effects of ethical leadership and follower moral identity on these follower outcomes. Theoretical and practical implications are discussed. (shrink)

Die elf Beiträge dieses Bandes gehen aus verschiedenen Blickwinkeln dem Problem der Verkörperung von Sinn nach: phänomenologische, psychoanalytische und sprachwissenschaftliche Ansätze bilden dabei den Schwerpunkt; sie werden aber durch Studien aus der Literaturtheorie, der politischen Theorie und der Filmwissenschaft ergänzt. Was heißt es – das ist die zentrale Frage –, den Körper als leibliches Medium aufzufassen, welches Sinn nicht nur verkörpert, sondern überhaupt erst entstehen lässt? Gibt es bereits eine Sprache des Leibes diesseits der Ebene ausdrücklicher Rede?

The study has two objectives: to introduce grip force recording as a new technique for studying embodied numerical processing; and to demonstrate how three competing accounts of numerical magnitude representation can be tested by using this new technique: the Mental Number Line, A Theory of Magnitude and Embodied Cognition account. While 26 healthy adults processed visually presented single digits in a go/no-go n-back paradigm, their passive holding forces for two small sensors were recorded in both hands. Spontaneous and unconscious grip (...) force changes related to number magnitude occurred in the left hand already 100–140 ms after stimulus presentation and continued systematically. Our results support a two-step model of number processing where an initial stage is related to the automatic activation of all stimulus properties whereas a later stage consists of deeper conscious processing of the stimulus. This interpretation generalizes previous work with linguistic stimuli and elaborates the timeline of embodied cognition. We hope that the use of grip force recording will advance the field of numerical cognition research. (shrink)

The current study examined the effects of cuing autobiographical memory retrieval in 12 older participants with dementia through immersion into a historically authentic environment that recreated the material and cultural context of the participants’ youth. Participants conversed in either an everyday setting or a museum setting furnished in early twentieth century style while being presented with condition matched cues. Conversations were coded for memory content based on an adapted version of Levine, Svoboda, Hay, Winocur, and Moscovitch coding scheme. More autobiographical (...) memories were recalled in the museum setting, and these memories were more elaborated, more spontaneous and included especially more internal details compared to memories in the control condition. The findings have theoretical and practical implications by showing that the memories retrieved in the museum setting were both quantitatively and qualitatively different from memories retrieved during a control condition. (shrink)

Das elfte Buch der "Confessiones" führt in die grundlegenden Schwierigkeiten der Frage nach dem Sein der Zeit ein und ist insofern immer noch von systematischem Interesse; es führt zugleich an einer zentralen Frage in das Denken Augustins ein. Augustinus (354-430) hat mit seiner Untersuchung der Frage, was Zeit ist ("quid est enim tempus?"), die Aufmerksamkeit der Philosophen geweckt und großen Einfluß auf deren Gedanken zu Sein und Sinn der Zeit und des Zeitlichen ausgeübt. Vor allem haben sich die Protagonisten der (...) phänomenologischen Schule, Edmund Husserl und Martin Heidegger, intensiv mit diesem Text befaßt. Doch ist das lebhafte Interesse am Thema und am Gedankengang dieses Buches nicht auf Schulgrenzen eingeengt gewesen, sondern sogar bei Forschern zu finden, die eher Antworten auf die physikalischen Fragen nach dem Sein der Zeit gesucht haben. Augustins Besinnung auf das Wesen der Zeit findet sich im elften von dreizehn Büchern seiner "Confessiones" (Bekenntnisse), einem berühmten, gleichwohl voller Rätsel gebliebenen Werk, das er in seinen frühen Bischofsjahren verfaßt hat (396-400). Das elfte Buch mit der Frage nach der Zeit nimmt eine Schlüsselrolle ein, weil es zugleich eine Reflexion über das Gesamtprojekt der "Confessiones" darstellt. Augustinus denkt bemerkenswert eigenständig: Auch wenn er Motive der Platonischen, Aristotelischen und Plotinischen Philosophie aufgreift, gibt er ihnen ein neues Gesicht und weist mit der lebendigen Kraft ursprünglichen Denkens auf transzendentalphilosophische und phänomenologische Motive voraus. (shrink)

Governments are increasingly inviting patient organizations to participate in healthcare policymaking. By inviting POs that claim to represent patients, representation comes into being. However, little is known about the circumstances under which governments accept POs as patient representatives. Based on the analysis of relevant legislation, this article investigates the criteria that self-help organizations, a special type of PO, must fulfil in order to be accepted as patient representatives by governments in Austria and Germany. Thereby, it aims to contribute to the (...) discussion on the role of governments in steering SHOs. There are different degrees of regulation. Governments in both countries not only formulate explicit criteria for SHOs with respect to patient representation but also guide SHOs representing patients through implicit criteria for associations. We discuss the findings against concepts of responsiveness, authorization, and accountability. Our findings indicate that governmental steering is not negative per se as indicated by previous research but—depending on legislative criteria—can promote transparency and democratic quality in patient representation. (shrink)

Wie wichtig Natur für menschliches Glück ist, als Ort der Freude am Leben oder zumindest der Zuflucht, ist zuletzt vielen von uns aufgegangen. Trotzdem hat Landschaft bisher keine Lobby. Dieses unkonventionelle Buch tritt für die Schönheit der Natur ein. Es argumentiert gegen die Dominanz der anthropozentrisch-rechnenden Weltbemeisterung und für eine «ästhetische Ökozentrik». Unkonventionell ist das Buch aber auch deshalb, weil es die philosophische Arbeit an Begriff und Argument mit literarischen Passagen von grosser Leuchtkraft verbindet. Diese Passagen stammen aus Peter Kurzecks (...) Roman Vorabend. Alle fünf Kapitel : zum Leid der Igel, zur bedrohten Schönheit und Heiligkeit der Natur, zu ihrem Wert als Heimat und zu unserem besinnungslos zerstörerischen Konsum werden im Ausgang von einer solchen Passage entfaltet. Denn es braucht die Literatur in der Naturethik. (shrink)