Background One of the biggest challenges of practicing medicine in the age of informational technology is how to conciliate the overwhelming amount of medical-scientific information with the multiple patients’ values of modern pluralistic societies. To organize and optimize the the Decision-Making Process of seriously ill patient care, we present a framework to be used by Healthcare Providers. The objective is to align Bioethics, Evidence-based Practice and Person-centered Care. Main body The framework divides the DMP into four steps, each with a (...) different but complementary focus, goal and ethical principle. Step 1 focuses exclusively on the disease, having accuracy is its ethical principle. It aims at an accurate and probabilistic estimation of prognosis, absolute risk reduction, relative risk reduction and treatments’ burdens. Step 2 focuses on the person, using empathic communication to learn about patient values and what suffering means for the patient. Emphasis is given to learning and active listening, not taking action. Thus, instead beneficence, we trust comprehension and understanding with the suffering of others and respect for others as autonomous moral agents as the ethical principles of Step 2. Step 3 focuses on the healthcare team, having the ethics of situational awareness guiding this step. The goal is, through effective teamwork, to contextualize and link rates and probabilities related to the disease to the learned patient’s values, presenting a summary of which treatments the team considers as acceptable, recommended, potentially inappropriate and futile. Finally, Step 4 focuses on provider-patient relationship, seeking shared Goals of Care, for the best and worst scenario. Through an ethics of deliberation, it aims for a consensus that could ensure that the patient’s values will be respected as well as a scientifically acceptable medical practice will be provided. In summary: accuracy, comprehension, understanding, situational awareness and deliberation would be the ethical principles guiding each step. Conclusion Hopefully, by highlighting and naming the different perspectives of knowledge needed in clinical practice, this framework will be valuable as a practical and educational tool, guiding modern medical professionals through the many challenges of providing high quality person-centered care that is both ethical and evidence based. (shrink)

L’un des philosophes les plus importants de l’histoire, Friedrich Nietzsche, est presque ignoré par les physiciens. L’auteur qui a déclaré la mort de Dieu au xixe siècle était enthousiasmé par la science, principalement durant la deuxième partie de son œuvre. À l’aide de la notion physique de force, Nietzsche a créé son concept de volonté de puissance. En pensant à la conservation de l’énergie, le philosophe allemand a eu une certaine inspiration pour créer son concept de l’éternel retour. Dans cet (...) article, on souligne certaines influences de la physique sur Nietzsche et on discute de l’actualité de sa position épistémologique—le perspectivisme. À partir du concept de volonté de puissance, je propose que le perspectivisme conduise à l’interprétation où la physique et la science en général sont considérées comme un jeu. (shrink)

In spite of successful tests, the standard cosmological model, the $$\varLambda$$ CDM model, possesses the most problematic concept: the initial singularity, also known as the big bang. In this paper—by adopting the Kantian difference between to think of an object and to cognize an object—it is proposed a degree of scientificity using fuzzy sets. Thus, the notion of initial singularity will not be conceived of as a scientific issue because it does not belong to the fuzzy set of what is (...) known. Indeed, the problematic concept of singularity is some sort of what Kant called the noumenon, but science, on the other hand, is constructed in the phenomenon. By applying the fuzzy degree of scientificity in cosmological models, one concludes that cosmologies with a contraction phase before the current expansion phase are potentially more scientific than the standard model. At the end of this article, it is shown that Kant’s first antinomy of pure reason indicates a limit to our cosmological models. (shrink)

L’un des philosophes les plus importants de l’histoire, Friedrich Nietzsche, est presque ignoré par les physiciens. L’auteur qui a déclaré la mort de Dieu au xixe siècle était enthousiasmé par la science, principalement durant la deuxième partie de son œuvre. À l’aide de la notion physique de force, Nietzsche a créé son concept de volonté de puissance. En pensant à la conservation de l’énergie, le philosophe allemand a eu une certaine inspiration pour créer son concept de l’éternel retour. Dans cet (...) article, on souligne certaines influences de la physique sur Nietzsche et on discute de l’actualité de sa position épistémologique—le perspectivisme. À partir du concept de volonté de puissance, je propose que le perspectivisme conduise à l’interprétation où la physique et la science en général sont considérées comme un jeu. (shrink)

It is shown that a notion of natural place is possible within modern physics. For Aristotle, the elements—the primary components of the world—follow to their natural places in the absence of forces. On the other hand, in general relativity, the so-called Carter–Penrose diagrams offer a notion of end for objects along the geodesics. Then, the notion of natural place in Aristotelian physics has an analog in the notion of conformal infinities in general relativity.

Este dossiê representa a continuidade de um projecto centrado no património dos agentes ligados à produção, circulação e recepção do livro. A partir da história e dos espólios de empresas editoriais e de coleccionadores, bibliófilos e/ou divulgadores, a introdução problematizante e os depoimentos convocam a memória dos agentes e debatem as ameaças que pendem sobre essa herança cultural riquíssima e possíveis soluções. As boas práticas de vários países impõem uma reflexão inadiável para o contexto português: que vias de cooperação inter-institucional (...) concretas para garantir o depósito, tratamento e comunica­ção duma dimensão fulcral do património e da memória colectiva. A relevância desta ques­tão deve-se a estar inextricavelmente ligada a um reconhecimento sustentável do estatuto patrimonial e histórico dos acervos dos editores e doutros agentes ligados à edição e ao livro enquanto espaços vitais para a construção da cultura impressa e para a história do livro e da edição. Os depoimentos referidos são de Carlos da Veiga Ferreira, Fernando Paulouro Neves e Francisco Pedro Lyon de Castro. (shrink)

Nietzsche colocou-se como um antípoda a Platão. Mas em questões cosmológicas, o eterno retorno nietzschiano tem também alguns pontos em comum à cosmologia platônica descrita no Timeu. A finitude espacial, a ciclicidade cósmica e a ética cosmológica dizem respeito às semelhanças, já a infinitude temporal, a teleologia e a necessidade afastam os filósofos. Então, neste trabalho, aponto proximidades e afastamentos entre os dois filósofos em questões cosmológicas, além de sugerir alguma atualidade de suas concepções em relação à nossa ciência. Como (...) veremos, a relação entre ética e cosmologia ainda se mostra atual. (shrink)

While previous literature provides evidence of the positive relationship between ethical climate and job satisfaction, the possible mechanisms of this relationship are still underexplored. This study aims to enhance scholars’ and practitioners’ understanding of the ethical climate–job satisfaction relationship by identifying and testing two of the possible mechanisms. More specifically, this study fills an existing research gap by examining social and interpersonal mechanisms, referred to in this study as workplace isolation of colleagues and salesperson’s teamwork, of the ethical climate–job satisfaction (...) relationship. This is vital for the selling profession because job satisfaction is known to drive higher levels of salespeople’s performance. The arguments for such mechanisms are built on the foundations of social/psychological contract theory and ethical climate literature. Empirical testing using a large sample of salespeople shows higher levels of ethical climate to decrease workplace isolation and increase teamwork. Findings support hypothesized model where ethical climate positively relates to job satisfaction as partially mediated by workplace isolation and teamwork. Ethical climate is negatively related to workplace isolation and positively to teamwork. Further, findings indicate negative effect of workplace isolation on teamwork and sales performance. Job satisfaction is found to be key factor in driving performance of salespeople. (shrink)

The Valdez Principles have been formulated to guide and evaluate corporate conduct towards the environment. While at first glance the code appears to impose enormous new responsibilities on firms, a closer analysis indicates that existing regulations and business practices already require businesses to meet many of the environmental goals sought by its proponents. Likely corporate response to the code is examined against this background and with reference to the experience with other voluntary codes of conduct. It would appear that compliance (...) with the code will yield minimal benefits and non-compliance will impose minimum costs for the environmentally-responsible firm. (shrink)

Pese a que las publicaciones sobre el tema de la universidad se cuentan por centenares, ninguna denuncia los principales vicios universitarios, en exceso persistentes. En este trabajo se describen doce de ellos, tal vez los más relevantes y asiduos: la retórica sofistica, el culturalismo, la democracia intelectual, la libertad sin verdad, el escepticismo, emotivismo y relativismo, la ética sin religión, la soberbia o suficiencia engreída, la rivalidad envidiosa, el fideísmo y la pereza mental. Tras su exposición y ejemplificación se ofrecen (...) pautas para superarlos. (shrink)

Presentación del editor: "Teoría del conocimiento es la disciplina filosófica que estudia cómo es el conocer humano y cuáles son sus niveles. El conocimiento se da en planos distintos, organizados y jerarquizados: no es lo mismo ver un árbol, que recordarlo o imaginarlo, también es distinto el acto cognoscitivo que lo entiende, lo valora o lo distingue de otras realidades. Son actos diversos, más o menos intensos y elevados. Aquí se estudian los cuatro niveles del conocer humano: el sensible, el (...) racional, el intelectual y el personal. Asimismo, se estudia la verdad y la rectificación de los errores más habituales contra ella, así como los tres errores básicos contra el conocimiento de la misma: el relativismo, el escepticismo y el subjetivismo. Se resumen también las tres propuestas noéticas que más han influido en la historia de la filosofía: el nominalismo, el idealismo y el realismo. Se estudian finalmente los diversos saberes y ciencias, que responden también ordenadamente a los diversos niveles del conocimiento humano.". (shrink)

The responses of 178 Latin dioceses in the United States Conference of Catholic Bishops (USCCB) to the Preparatory Document for the Synod on Synodality were synthesized in fourteen regional reports. From these reports, and a report of lay groups, the USCCB produced the US report, which was synthesized with 111 other national reports into the Working Document for the Continental Stage (DCS). The latter was provided to seven continental assemblies. North American participants discussed the DCS in virtual meetings, and a (...) writing team produced the North American report. The synthesized result of the continental assemblies’ reports was the synod’s 2023 Instrumentum laboris. This article discusses US diocesan participation and the North American response to the DCS as they contributed to the Instrumentum laboris’ statement relative to “the question of women’s inclusion in the diaconate.” It includes a table documenting US diocesan responses to questions of women’s participation in the Church. (shrink)

The study aimed to comprehensively overview the experiences encountered by public school employees during the recruitment, selection, and placement (RSP) process within the DepEd Bohol Division. Employing a qualitative-descriptive research design, the researchers utilized a phenomenological approach to delve deeply into these experiences, shedding light on the nuances and intricacies of the division's RSP process. As Lambert et al. (2013) described, qualitative- descriptive studies aim to provide a comprehensive and detailed summary of specific events experienced by individuals or groups in (...) everyday terms. To achieve this, Colaizzi's (1978) data analysis method was applied, meticulously gathering, transcribing, and analyzing recorded participant responses. The rigorous analysis revealed that an overwhelming 81% of the participants recognized significant challenges within the current RSP system of the division, underscoring the pressing need for a renewed approach to address these identified challenges. This highlighted the necessity for an RSP policy that is responsive and innovative, tailored to meet the evolving needs and expectations of applicants, schools, and the division. By implementing improvements to the RSP process, a more efficient and timely filling of vacated and newly available positions is anticipated, contributing to the seamless functioning of the educational system and ultimately enhancing the prospects of success. (shrink)

This study investigates whether employees attribute different motives to their organization's corporate social responsibility efforts and if these motives influence employee performance. Specifically, we investigate whether employees could distinguish between intrinsic and extrinsic CSR motives by surveying 229 employee–supervisor dyads from various industries , and the impact of these perceptions on in-role and extra-role performance of subordinates. We found that employee task performance increases when employees attribute both intrinsic and extrinsic motives for CSR. Moreover, when employees perceive that their organization (...) invests in a CSR practice that is both intrinsic and extrinsic, they also tend to exert extra effort in their work. Theoretical and practical implications are also discussed alongside future research directions. (shrink)