Objective To evaluate the modes of death and treatment offered in the last 24 h of life to patients dying in 10 Brazilian intensive care units (ICUs) over a period of 2 years. Design and setting Cross-sectional, multicentre, retrospective study based on medical chart review. The medical records of all patients that died in seven paediatric and three adult ICUs belonging to university and tertiary hospitals over a period of 2 years were included. Deaths in the first 24 h of (...) admission to the ICU and brain death were excluded. Intervention Two intensive care fellows of each ICU were trained in fulfilling a standard protocol (κ=0.9) to record demographic data and all medical management provided in the last 48 h of life. The Student t test, Mann–Whitney U test, χ2 test and RR were used for data comparison. Measurements and main results 1053 medical charts were included (59.4% adult patients). Life support limitation was more frequent in the adult group (86% vs 43.5%; p<0.001). A ‘do not resuscitate’ order was the most common life support limitation in both groups (75% and 66%), whereas withholding/withdrawing were more frequent in the paediatric group (33.9% vs 24.9%; p=0.02). The life support limitation was rarely reported in the medical chart in both groups (52.6% and 33.7%) with scarce family involvement in the decision making process (23.0% vs 8.7%; p<0.001). Conclusion Life support limitation decision making in Brazilian ICUs is predominantly centred on the medical perspective with scarce participation of the family, and consequently several non-coherent medical interventions are observed in patients with life support limitation. (shrink)

Interpreting the graph ren 仁 has been the subject of much philological and philosophical study and speculation over the centuries among scholars both Chinese and Western, perhaps more than any other single graph. One major reason for the attention paid to the term is the general agreement that Confucius gave ren—a little-known term at the time—an ethical orientation in the Analects that it did not have earlier, an understanding of which seems to be a prerequisite for understanding his entire philosophy (...) as reflected in that venerable little book. In this essay we want to suggest a reading for ren in the Analects unlike others proffered by Western translators, who, in keeping with the dominant... (shrink)

"First published by Oxford University Press, 1916."--Title page verso.

An English language translation accompanies the original Greek text of Aristotle's book about the nature of the state, constitutions, revolutions, democracy, and oligarchy.

"Using hundreds of examples from newsrooms large and small, author Ron F. Smith challenges readers to determine how they would face moral dilemmas on the job. Chapters evaluate the search for principles, accountability, truth and objectivity, errors and corrections, diversity, "faking" the news, reporters and their sources, privacy, the government watch, deception, compassion, the business of news, journalists and their communities, and financial concerns. New to this edition: a chapter on improving coverage of minorities, expanded discussion of broadcast journalism and (...) reporting on the Internet, and stories from recent front pages and TV news programs."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved. (shrink)

This article aims to read feminist new materialisms (Barad), together with ‘postulated’ linguistic or cultural primacy of Queer Theory (Butler), to show how both are engaged in similar critical-ethical endeavours. The central argument is that the criticism of Barad and new materialisms misses Butler’s materialistic insights due to a narrow interpretation of Butler's alleged social-constructivist position. There is, therefore, a specific focus on where they both make similar ethical appeals. Moreover, the article relies on Adorno's negative dialectic to highlight an (...) interpretation of Barad and Butler as being part of the same dialectical movement, in which materialism and idealism fluctuate in their mutual criticisms, thus continuing the procession towards 'new knowledge' and emancipation, or freedom, through their motions back and forth. (shrink)

The book challenges the values of much of contemporary bioethics and health care policy by confronting their failure to secure the moral norms they seek to apply.

In A Philosophy of Luxury Lambert Wiesing offre una trattazione originale del concetto di lusso in una prospettiva meramente estetica. Avendo escluso ogni relazione con concetti sociali, quali prestigio, ostentazione, status, Wiesing dichiara che per lusso si deve intendere un’esperienza estetica di tipo particolare. Poiché solo l’uomo indulge nel lusso, ciò che va analizzato è la relazione che intercorre tra un soggetto e un dato oggetto, prescindendo dalle qualità estetiche proprie di quest...

Provability, Computability and Reflection.

In the thesis some combinatorial statements are analysed from the reverse mathematics point of view. Reverse mathematics is a research program, which dates back to the Seventies, interested in finding the exact strength, measured in terms of set-existence axioms, of theorems from ordinary non set-theoretic mathematics. After a brief introduction to the subject, an on-line (incremental) algorithm to transitively reorient infinite pseudo-transitive oriented graphs is defined. This implies that a theorem of Ghouila-Houri is provable in RCA_0 and hence is computably (...) true. Interval graphs and interval orders are the common theme of the second part of the thesis. A chapter is devoted to analyse the relative strength of different characterisations of countable interval graphs and to study the interplay between countable interval graphs and countable interval orders. In this context the theme of unique orderability of interval graphs arises, which is studied in the following chapter. The last chapter about interval orders inspects the strength of some statements involving the dimension of countable interval orders. The third part is devoted to the analysis of two theorems proved by Rival and Sands in 1980. The first principle states that each infinite graph contains an infinite subgraph such that each vertex of the graph is adjacent either to none, or to one or to infinitely many vertices of the subgraph. This statement, restricted to countable graphs, is proved to be equivalent to ACA_0 and hence to be stronger than Ramsey's theorem for pairs, despite the similarity of partial order with finite width contains an infinite chain such that each point of the poset is comparable either to none or to infinitely many points of the chain. For each k less than or equal to 3, the latter principle restricted to countable poset of width k is proved to be equivalent to ADS. Some complementary results are presented in the thesis. (shrink)

This paper argues that proper functions are proximal functions. In other words, it rejects the notion that there are distal biological functions – strictly speaking, distal functions are not functions at all, but simply beneficial effects normally associated with a trait performing its function. Once we rule out distal functions, two further positions become available: dysfunctions are simply failures of proper function, and pathological conditions are dysfunctions. Although elegant and seemingly intuitive, this simple view has had surprisingly little uptake in (...) the literature. Indeed, our position departs from that of almost every theorist who has engaged with the issue at any depth. We start by presenting three arguments for the position that proper functions are proximal: one from the specificity of functions, one from their relation to intervention, and one from their relation to pathology. We then consider two case studies evidencing the trouble that accepting distal functions causes for philosophical reflection on the nature of pathological conditions. Finally, we anticipate and respond to three objections: that there can be failure of function without dysfunction; that our account is unacceptably revisionary in respect of normal function-talk; and that our thesis over-generalises from a narrow set of cases. (shrink)

This is the first complete, one-volume English translation of the ancient Chinese text Xunzi, one of the most extensive, sophisticated, and elegant works in the tradition of Confucian thought. Through essays, poetry, dialogues, and anecdotes, the Xunzi articulates a Confucian perspective on ethics, politics, warfare, language, psychology, human nature, ritual, and music, among other topics. Aimed at general readers and students of Chinese thought, Eric Hutton’s translation makes the full text of this important work more accessible in English than ever (...) before. Named for its purported author, the Xunzi has long been neglected compared to works such as the Analects of Confucius and the Mencius. Yet interest in the Xunzi has grown in recent decades, and the text presents a much more systematic vision of the Confucian ideal than the fragmented sayings of Confucius and Mencius. In one famous, explicit contrast to them, the Xunzi argues that human nature is bad. However, it also allows that people can become good through rituals and institutions established by earlier sages. Indeed, the main purpose of the Xunzi is to urge people to become as good as possible, both for their own sakes and for the sake of peace and order in the world. In this edition, key terms are consistently translated to aid understanding and line numbers are provided for easy reference. Other features include a concise introduction, a timeline of early Chinese history, a list of important names and terms, cross-references, brief explanatory notes, a bibliography, and an index. (shrink)

We analyze the axiomatic strength of the following theorem due to Rival and Sands [28] in the style of reverse mathematics. Every infinite partial order P of finite width contains an infinite chain C such that every element of P is either comparable with no element of C or with infinitely many elements of C. Our main results are the following. The Rival–Sands theorem for infinite partial orders of arbitrary finite width is equivalent to $\mathsf {I}\Sigma ^0_{2} + \mathsf {ADS}$ (...) over $\mathsf {RCA}_0$. For each fixed $k \geq 3$, the Rival–Sands theorem for infinite partial orders of width $\leq \!k$ is equivalent to $\mathsf {ADS}$ over $\mathsf {RCA}_0$. The Rival–Sands theorem for infinite partial orders that are decomposable into the union of two chains is equivalent to $\mathsf {SADS}$ over $\mathsf {RCA}_0$. Here $\mathsf {RCA}_0$ denotes the recursive comprehension axiomatic system, $\mathsf {I}\Sigma ^0_{2}$ denotes the $\Sigma ^0_2$ induction scheme, $\mathsf {ADS}$ denotes the ascending/descending sequence principle, and $\mathsf {SADS}$ denotes the stable ascending/descending sequence principle. To the best of our knowledge, these versions of the Rival–Sands theorem for partial orders are the first examples of theorems from the general mathematics literature whose strength is exactly characterized by $\mathsf {I}\Sigma ^0_{2} + \mathsf {ADS}$, by $\mathsf {ADS}$, and by $\mathsf {SADS}$. Furthermore, we give a new purely combinatorial result by extending the Rival–Sands theorem to infinite partial orders that do not have infinite antichains, and we show that this extension is equivalent to arithmetical comprehension over $\mathsf {RCA}_0$. (shrink)

This paper investigates the relationship that people with high functioning autism have with organizational temporality by considering this operationalization within the framework of humanistic management. To do so, it proposes an analysis based on seven propositions. Autism is a disorder that is still poorly understood and often linked to social depictions that are as unfounded as they are repulsive. It remains an unexplored area of study in the field of management sciences. Existing scholarship has established that people with autism have (...) great difficulty finding and retaining employment. While it is well known that they have weak social skills, their difficulties in relation to time have only been studied in medical research, even though organizational temporality substantially shapes the functioning of teams. The operationalization of autistic temporality as a particular temporality within humanistic management allows for the development of a new conceptual framework based on a consideration of neuro-atypia. This paper begins with a presentation of the theoretical background. It then develops the theoretical model. Implications, limitations and directions for further studies are discussed before concluding. (shrink)

Cette serie est destinee a regrouper des etudes thematiques faisant le point sur differents aspects de l'histoire ou de la culture syriaques, celles des communautes chretiennes dont la langue de culture est le syriaque (maronites, syriaques catholiques et orthodoxes, assyro-chaldeens, communautes du Proche-Orient et de l'Inde...). Cible de jugements malveillants pendant un siecle, la philosophie en syriaque a recemment ete l'objet d'un renouveau d'interet qui en a fait l'un des sujets les plus debattus dans les etudes syriaques. Les Syriaques ont (...) ete regardes dans le meilleur des cas comme de simples transmetteurs aux musulmans de la philosophie grecque, incapables d'une pensee philosophique originale. Si leur role crucial de vecteurs culturels n'est pas en question, ce volume se propose pourtant de montrer aussi la specificite des formes que la philosophie grecque a revetues en monde syriaque au long d'un millenaire, du iie au xiiie siecle. Des le debut, la selection des themes et textes philosophiques par les Syriaques temoigne d'une continuite avec les courants contemporains de l'Empire romain et d'une participation active aux debats qui y avaient cours. Un auteur syriaque comme Bardesane pouvait s'inserer avec originalite dans les controverses du monde imperial sur le determinisme et la providence. La traduction de textes grecs d'ethique et l'utilisation de textes de sagesse attribues aux philosophes grecs attestent un interet pour la philosophie comme " exercice spirituel ", partage par les auteurs chretiens de langue grecque et de langue syriaque, qui dans les memes annees s'interrogeaient sur la valeur de la paideia hellenique pour l'education du chretien. On pourrait donc parler pour ces premiers siecles d'une philosophie chretienne greco-syriaque. A partir du vie siecle, surtout par l'intermediaire des miaphysites, la logique aristotelicienne penetre en monde syriaque. La figure cle pour ce passage est Sergius de Res'ayna (m. 536), et encore une fois la continuite avec le monde grec marque cette entreprise : les commentaires aux uvres logiques d'Aristote ecrits par Sergius et ses successeurs, en particulier au monastere de Qennere, reprennent la structure des commentaires grecs produits a Alexandrie dans l'Antiquite tardive. Des le viiie siecle on assiste aussi au developpement de la logique parmi les elites ecclesiastiques syro-orientales. L'essor de la falsafa, la philosophie d'empreinte grecque en monde musulman, produit une rupture de cette continuite greco-syriaque. Les Syriaques, decisifs dans la transmission de la philosophie a l'Islam, ressentent de plus en plus l'influence de la falsafa. A la fin du premier millenaire, des auteurs chretiens de culture syriaque ecrivent des ouvrages philosophiques en arabe et participent a la phase formative de la falsafa ; au debut du deuxieme millenaire paraissent des ouvrages philosophiques qui, ecrits en syriaque, refletent les structures conceptuelles de la falsafa. C'est la naissance d'une philosophie syro-arabe, qui culmine dans l'uvre de Barhebraeus (xiiie siecle). Le volume s'enrichit de deux contributions bibliographiques qui fourniront au lecteur un panorama exhaustif des sources et des etudes qui ont ete consacrees a la philosophie en syriaque. (shrink)

Il tema sviluppato nel presente intervento è il rapporto tra narrazione e costruzione storica. Si prenderà in esame l’accezione di narrativa correntemente utilizzata nel mondo storiografico facendola dialogare con il paradigma dei _global middle ages_, espressione coniata nel 2018 dalle storiche Catherine Holmes e Naomi Standen. Per meglio mettere in risalto tali dinamiche un caso di studio sarà offerto dalla vicenda di Federico II, con particolare enfasi alla costruzione biografica e dei miti nel rapporto con le culture altre. Il fine (...) sarà di superare le due tradizionali macro interpretazioni dell’idea di Medioevo, analizzate da Tommaso di Carpegna Falconieri e David Matthews: Medioevo arretrato regno di oscurità e Medioevo vagheggiato come luce del mattino, all’origine di molte identità politiche contemporanee – non ultima quella dell’Unione Europea. _The topic we intend to develop in this essay is the relationship between narration and historical construction. We will examine the meaning behind the current concept of narrative in historiography, with a dialectical approach towards the paradigm of _global Middle Ages_, an expression firstly used by historians Catherine Holmes and Naomi Standen in 2018. To perform an in depth analysis of the abovementioned relationship, we will use as a case study the figure of Frederick II. A significant emphasis will be put on the biographical construction and myths, especially in the relationship with other cultures. The aim of our essay is to provide a framework within it would be easier to overcome the two traditional macro interpretations of Middle Ages, studied by Tommaso di Carpegna Falconieri and David Matthews: Middle Ages as a backward reign of darkness and Middle Ages as the morning light, at the origin of many contemporary political identities – not least that of the European Union_. (shrink)

BackgroundDefinition and concept of the ‘beginning of human life’ are weakened by co-existing contrasting hypotheses based on humanistic or religious beliefs rather than scientific foundations. This plethora of conceptually distant views have important common concerns in different fields of science and shape, in turn, several societal aspects including laws related, for instance, to inheritance eligibility or abortion, end-of-life care and euthanasia, and reproductive technology. Also, they are fundamental to evaluate opportunity for resuscitation vs. palliative care in extremely preterm infants. In (...) this article, we address one of the most common tenets in medicine: the acceptance that human life starts with first breath, even though several events are well-documented to take place before its occurrence.Main textSeveral studies show how pivotal physiological events take place before first breath. Evidence of a number of neurological events occurring before first breath opens the way to the primacy of the Central Nervous System, given its immediate extra-uterine activation at birth. This activation eventually sets specific physiological conditions that allow the complex sequence of events determining the muscle activity associated with the influx of air in the lung and the settling of a continuous and successful extra-uterine respiration. We would like to invite the scientific community to endorse a clear-cut position against the paradigm of ‘first breath’ as the beginning of life. Herein, we also assume how, a still undefined, yet possibly specific quid in the external environment triggers further physiological response in newborns. Better understanding of the critical events that occur at the beginning of human life is likely to cause great concern and expectations in scientists, researchers and physicians working in the domain of brain, and its physiology, and mental health.ConclusionsThe comparison between beliefs and evidence-based observations generates confusion, misperceptions and false expectations in society, hence, in the scientific and medical community. Different and more solid alternatives about the carachterization of the ‘beginning of human life’ are indeed available and require to be explored and defined. (shrink)

Se existir algo como uma Formação da Pintura Brasileira, os autores estão convencidos de que uma de suas chaves pode ser encontrada na solução que Gilda de Mello e Souza deu ao problema da representação do "homem brasileiro" nas telas regionalistas de Almeida Júnior.

Aliando a própria experiência perceptiva à arqueologia visual dos mestres da escola de Warburg, à prática indiciária dos connaisseurs e, principalmente, do mais conhecido deles, o médico italiano do século XIX, Giovanni Morelli - junto com um pouco de psicanálise e a técnica dos romances policiais -, Gilda de Mello e Souxa desenvolveu um "método" crítico inteiramente livre e original, que rendeu enormes frutos. Entre outras tantas coisas, foi ela a primeira a compreender o "caipirismo imanente" ou, mais exatamente, "a (...) verdade dos gestos da nossa gente". (shrink)