A growing volume of research from global data demonstrates that institutional care under conditions of deprivation is profoundly damaging to children, particularly during the critical early years of development. However, how these individuals develop over a life course remains unclear. This study uses data from a survey on the health and development of 420 children mostly under the age of three, placed in 12 infant care institutions between 1958 and 1961 in Zurich, Switzerland. The children exhibited significant delays in cognitive, (...) social, and motor development in the first years of life. Moreover, a follow-up of a subsample of 143 children about 10 years later revealed persistent difficulties, including depression, school related-problems, and stereotypies. Between 2019 and 2021, these formerly institutionalized study participants were located through the Swiss population registry and invited to participate once again in the research project. Now in their early sixties, they are studied for their health, further development, and life-course trajectories. A mixed-methods approach using questionnaires, neuropsychological assessments, and narrative biographical interviews was implemented by a multidisciplinary team. Combining prospective and retrospective data with standardized quantitative and biographical qualitative data allows a rich reconstruction of life histories. The availability of a community sample from the same geographic location, the 1954–1961 cohort of the Zurich Longitudinal Studies, described in detail in a paper in this issue, enables comparison with an unaffected cohort. This article describes the study design and study participants in detail and discusses the potential and limitations of a comparison with a community sample. It outlines a set of challenges and solutions encountered in the process of a lifespan longitudinal study from early childhood into the cusp of old age with a potentially vulnerable sample and summarizes the lessons learned along the way. (shrink)

This article aims to present some considerations about Paideia to highlight, support, and organize its living presence in education. It provides a theoretical approach to the trajectory of educational life and its opportunities, which, in addition to seeking to know and understand the integral development of the human person in the educational field, aims to discover and rescue the construction of a thought that sustains the idea of a ‘Franciscan humanist pedagogy’ not only in practical life but also in the (...) effort to systematize and/or recreate it in written productions. This process should seek to understand the role of Paideia in the integral formation of man, to expand and contribute to Franciscan pedagogy in its ability to go beyond curricular aspects to achieve its ideal of integral and humanistic education. It is necessary for such pedagogy to establish relationships capable of encompassing the development of all dimensions of the human being, whether physical, motor, aesthetic, intellectual, spiritual, emotional, political, economic, or social. The human being that emerges from the formation based on Franciscan education should be courageous enough to embrace risk and creativity and never cease to be noble in the pursuit and creation of beauty, grandeur, and love. The Franciscan pedagogy, stemming from a ‘Franciscan vision of life and the world,’ understands education as transformative, aiming to develop a just, ethical, and conciliatory human being in all educational perspectives. (shrink)

Se describe una propuesta de intervención comunitaria en convivencia escolar, a partir de los resultados obtenidos en una investigación previa (Rodríguez, Vaca, Hewitt & Martínez, 2009) que buscaba caracterizar las formas de interacción en un contexto escolar. Si bien el punto de partida lo constitu..

This is an observational exploratory study assessing self-concept and its association with depression, anxiety, satisfaction with life, and quality of life 6 months after experiencing a traumatic brain injury. Participants were 33 patients who suffered a traumatic brain injury 6 months before the assessment. The measures used in this study were the Repertory Grid Technique, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Satisfaction With Life Scale, and the Quality of Life after Brain Injury. We calculated Euclidean distances to assess differences in (...) pre-and post-injury self-perception, as well as the proportion of opposed pole construct rating and polarization to understand how they are associated with the scores of the other offered measures. We found that the distance between the present and ideal self, as well as the distance between the present self and the self before the lesion showed moderate positive correlations with depression, and negative correlations with satisfaction with life and quality of life. Also, for the present and self before the lesion, the proportion of opposed pole ratings was correlated with depression symptoms, quality, and satisfaction with life, while for the present self and the ideal self this proportion was correlated with all the measures. The proportion of polarization of the present self and the total polarization was negatively correlated with symptom measures. The repertory grid might facilitate a greater understanding of self-concept after traumatic brain injury. This information could be used to guide treatments that address the emotions related to distances observed in the perception of the self. (shrink)

Rare neuromuscular diseases are a group of pathologies characterized by a progressive loss of muscular strength, atrophy, fatigue, and other muscle-related symptoms, which affect quality of life levels. The low prevalence, high geographical dispersion and disability of these individuals involve difficulties in accessing health and social care services. Teleassistance is presented as a useful tool to perform psychosocial interventions in these situations. The main aim of this research is to assess the effects of a teleassistance psychosocial program on the QoL (...) levels of people with RNMDs who have different levels of disability. A sample of 73 participants was divided into an experimental group, which participated in the intervention, and a control wait list group. QoL was evaluated through the SIP and the SF-36, and disability through the WHO-DAS II. The participants with a moderate to severe level of disability were those who most benefited from the intervention. The results also revealed that the psychosocial teleassistance program was suitable to improve physical and psychosocial aspects of people suffering from a rare neuromuscular disease with a moderate level of disability, but just psychosocial aspects in those with a severe level of disability. (shrink)

Este trabajo analiza las implicancias de la relación comprensión lectora y resolución de problemas en matemática por medio de un análisis detallado de la formulación lingüística de problemas matemáticos y su resolución en un manual de apoyo docente elaborado para este propósito. De esta forma, se detallan diferentes enunciados de problemas en matemáticas para analizar desde su estructura verbal -conforme a una complejidad creciente e integrada- a fin de exponer su impacto enlas posibilidades de resolución por parte de los estudiantes (...) universitarios de primeraño en la Facultad de Ingeniería de la UC Temuco. (shrink)

Around the world, many schools were closed as one of the measures to contain the spread of the COVID-19 pandemic. School closure brought about important challenges to the students' learning process. This context requires strong self-regulatory competences and agency for autonomous learning. Moreover, online remote learning was the main alternative response to classroom learning, which increased the inequalities between students with and without access to technological resources or for those with low digital literacy. All considered, to level the playing field (...) for students without digital resources, there is an urgent need to promote self-regulatory competences through offline intervention solutions. The current paper describes a project with this purpose, using radio broadcasting and letters to reach elementary students without digital resources. Moreover, potential reach and participants' perspectives of the project implementation are presented and discussed. The project draws on a prior evidence-based story-tool intervention grounded on a self-regulated learning framework. The original intervention was set previous to the COVID-19 pandemic and was implemented in the classroom context (N= 1,103 students). Once the schools had been closed down, the mode of intervention was adapted with the collaboration of the community. Alternative solutions were developed as follows: (i) story chapters were read on the radio and students received to their homes a printed script, prompting reflection, and suggesting related activities; (ii) students were provided with the story-tool to read autonomously and received letters from the main characters of the story which included, for example, suggestions for activities and reflection. These two alternative modes of intervention delivery potentially reached 394 elementary students, including students with digital resources. Interviews conducted with a group of students were provided information about the positive aspects of these two modes of intervention delivery, perceived learning (e.g., planning), constraints, and suggestions to improve the project. The current work is likely to merit attention from researchers and educational practitioners, given the need to use offline alternatives to provide support for students without digital resources to engage in autonomous learning during the pandemic period. This project may also be used as an alternative or a complementary solution to online modality. (shrink)

A principios de los años noventa, muchas pensadoras y artistas feministas vieron en las nuevas tecnologías de la comunicación una especie de territorio virgen plagado de promesas para las mujeres, una euforia tecnofílica que se ha ido diluyendo en gran medida con los años. En este artículo presentamos una lectura menos triunfalista de la revolución digital: como han puesto de manifiesto algunas creadoras feministas contemporáneas, lejos de llevar aparejada esa alianza subversiva entre mujeres y máquinas que auguraban algunas teóricas, la (...) expansión del capitalismo informacional ha supuesto una clara degradación de las condiciones del trabajo femenino a nivel global. (shrink)

Este artículo analiza en dos escritos en primera persona, de Ángel Cuervo y Tomás Cuenca, la idea de paz en la Guerra por las Soberanías, que enfrentó a las fuerzas oficialistas del gobierno conservador presidido por Mariano Ospina con las de los liberales lideradas por Tomás Cipriano de Mosquera. A partir del análisis de ambos textos vistos en correlación con el contexto y con documentación de época de diversa índole, se estudian algunos avenimientos y de qué modo se incorpora el (...) derecho de gentes y los mecanismos de contención de la guerra que desembocó en la promulgación del artículo 91 de la Constitución de 1863. (shrink)

La Pedagogía para la Paz en Colombia se brinda desde enfoques diseñados para promover valores como la paz, la convivencia pacífica y la justicia social, buscando cambiar actitudes y formas de relacionamiento para prevenir la violencia. Implica crear y fortalecer espacios de conciliación, promover el perdón, la reconciliación y abordar aspectos como la resolución de conflictos desde edades tempranas. Escuchar y valorar las narrativas de las víctimas del conflicto armado en el hecho victimizante de la desaparición forzada, es esencial para (...) construir una paz duradera, promoviendo el reconocimiento, la comprensión en la comunidad. La Pedagogía para la Paz implica un desafío para trabajar y construir un mundo libre de miedo, violencia, opresión, promoviendo la justicia, la dignidad y el amor por la humanidad. (shrink)

Se realizó una investigación cualitativa, entre octubre de 2015 y junio de 2016, en la Casa de Abuelos No. 2 de Santa Clara con el objetivo de caracterizar la representación social de la sexualidad de los adultos mayores. Se seleccionó una muestra de 24 adultos mayores. Se utilizaron técnicas como: observación, entrevista, debate grupal, asociación de palabras, de cuestionamiento del núcleo central y la triangulación de datos. Como resultados se determinó que en la representación de la sexualidad se observó (...) un campo estructurado y un contenido que se aleja de su significado. Se concluyó que la representación social de la sexualidad de los adultos mayores se identificó con las relaciones sexuales, con el acto sexual. Las informaciones que poseen carecen de calidad y denotan un carácter prejuiciado y estereotipado. Manifestaron actitudes de rechazo hacia la sexualidad lo que se explicó por: el desconocimiento, la inadecuada relación entre sexualidad y reproducción, la existencia de prejuicios sociales y asociar el envejecimiento con la enfermedad. With the aim of characterizing the social representation of sexuality in senior citizens, a qualitative research was carried out from October 2015 to June 2016 in Grandparents House No. 2 in Santa Clara City. A sample of 24 people was selected. Methods such as observation, interview, group debate, words association, central core questioning technique and data triangulation were used. It was determined that in the representation of sexuality there is a structured field and a content that goes away from its meaning. Social representation of sexuality in senior citizens was identified with sexual relationships and with sexual intercourse. They lack quality information and show a prejudiced and stereotyped character. They expressed rejection attitudes towards sexuality which were based on: ignorance, inadequate connection between sexuality and reproduction, existence of social prejudice and association of aging with disease. (shrink)

“Si se da, pues, sentido de la realidad, y nadie dudará que tiene su razón de ser, se tiene que dar por consiguiente algo a lo que se le pueda llamar sentido de la posibilidad”Robert Musil.“El hombre sin atributos”La pregunta por el desarrollo, por las consecuencias de los modelos desarrollistas implantados en las últimas décadas del siglo XX en América Latina, así como por las posibilidades y la urgencia de re-significar el concepto y de transformar sus prácticas, son problemas que (...) aborda Ós.. (shrink)

La composición polifónica musical nos permite hablar de la emergencia, en el sur y desde el sur que somos, de Voces de la Tierra, que han susurrado, cantado, llorado o gritado el dolor producido por las maneras de habitar humanas construidas en la modernidad cosificadora de la tierra y del mundo de la vida, modernidad mercantil, industrial y global cuya ética se ha reducido a valores absolutamente euro-antropo-racional-centristas, permeados por el valor supremo del capital. En este artículo, emergente de pensadores (...) ambientales latinoamericanos y pensadores-otros que han sospechado radicalmente del edificio de la ética ambiental emergente de la conferencia del Club de Roma o del Informe Burndtland, intentamos desplegar lo ético, como ethos con e larga, que en griego significa casa, y desde este lugar de enunciación, intentamos salirnos del sujeto y del objeto en la variación ética ambiental eurocentrista, y proponer con las voces de la tierra sur, abya yala, diseños del ethos, ligado óntica-relacionalmente con el cuerpo-tierra. Diseñamos, inspirados en Husserl, Heidegger, Deleuze, Guattari, Ángel-Maya, Enrique Leff, Noguera, Echeverri, pensadores-otros y voces de montañas, animales, ríos, y plantas, la vida, territorios de libertad entendida ésta como expansión de los cuerpos en la naturaleza y de paz integral y completa, entendiendo que no puede haber paz, si no amamos ni respetamos la tierra que somos. Esto exige el giro óntico-etico- estético-político de la ética en clave de un Pensamiento Ambiental Sur. (shrink)

Ainda que Richard Foley não apresente uma definição clara de confiança, não podemos negligenciar a relevância de seu trabalho para as discussões posteriores sobre o tema. A característica peculiar da abordagem foleyana frente a outras é sua tentativa de oferecer uma contribuição exclusivamente epistêmica de confiança. Trata-se de uma proposta de uso não analógico do conceito, que desconsidera os aspectos morais envolvidos em confiar. Apresentaremos os argumentos de Foley sobre autoconfiança, bem como o argumento que deriva confiança nos outros (...) de autoconfiança, e suas implicações. Para concluir, levantaremos alguns problemas decorrentes dessa proposta, apontando as lacunas da teoria para os estudos em Epistemologia do Testemunho e explicitando sua inviabilidade. Palavras-chave: Confiança epistêmica. Confiança moral. Fiabilidade. Testemunho. (shrink)

El libro de Alex Ibarra, Filosofía chilena. La tradición analítica en el periodo de la institucionalización de la filosofía, plantea la discusión sobre las líneas filosóficas, demostrando la existencia de cierta tradición analítica en Chile. A partir de allí, reflexionamos en torno a los procesos de constitución del campo de la filosofía en Chile como una historia atravesada por la necesidad de préstamos y cruces que impiden una delimitación clara de sus límites, lo que tornaría necesaria la atención a (...) ciertas políticas de la lectura que el libro soslaya. La productividad de la filosofía producida en Chile surgiría gracias -y no pese- a su inscripción en sus tiempos y espacios, a partir de recepciones cuya ausencia de retraso no impide el gesto de cierto re-trazo de lo leído. Alex Ibarra's exposition in his book Filosofía chilena. La tradición analítica en el periodo de la institucionalización de la filosofía, places the discussion on the philosophical traditions, showing the existence of a certain kind of analytical tradition in Chile. From there, we expose the processes of constitution of the field in Chile as a history crossed by the need of importations and intersections that contest the clear delimitation of its boundaries, what makes necessary the attention of the politics of readings that the book avoid. The productivity of the philosophic production in Chile, arises thanks to -but not in spite of- its inscription in its age/times and spaces, coming from its receptions and its differences. (shrink)

O intuito do presente trabalho é discutir o uso do termo desinformação pelo campo da Ciência da Informação (CI). A palavra, desinformação, passou a ser utilizada nos últimos anos – mais notadamente após a eleição de Donald Trump a presidência dos Estados Unidos da América, cargo que ocupou entre os anos de 2016 a 2020 - para caracterizar um comportamento pautado no compartilhamento de notícias falsas via redes sociais digitais, majoritariamente, e, por meio de técnicas de comunicação que almejam fazer (...) usuários de determinada ferramenta de comunicação, acreditar em uma notícia falsa. No entanto, julgamos que o emprego do termo não consegue explicar de forma clara como ocorre ou, se é possível, determinarmos via estudos do campo da CI (informação como dimensão física, informação como dimensão cognitiva, informação como dimensão intersubjetiva social) que exista um fenômeno ou um processo que desinforme sujeitos expostos a determinada informação. Julgamos haver uma contradição no termo, que pode contribuir para uma tábula rasa explicativa sobre como se processa a validação de determinados conteúdos informativos, ou seja, sob quais fundamentos éticos, marcos regulatório e práticas consuetudinárias os sujeitos nesta arena digital produzem, se apropriam e disseminam informação. (shrink)

¿El conflicto armado ha transformado los roles de la mujer en Colombia? En este artículo se quiere evaluar la diversidad de escenarios y roles que las mujeres adquirieron durante el conflicto armado en Colombia. Para dirigir el rumbo de esta investigación y la posibilidad de evaluar alguno escenarios de posacuerdo, este texto se propone: realizar una consideración epistemológica por parte del feminismo latinoamericano que tenga en cuenta la pluralidad de relatos violentos en Latinoamérica analizar relatos de mujeres partícipes en la (...) guerra que permitan evaluar el rol de la mujer más allá de su simple victimización; examinar la situación de la mujer dentro de los conflictos bélicos colombianos y presentar cómo se diferencia de las situaciones de guerra ocurridas en Europa. Todos estos puntos permiten evaluar cómo la guerra en Colombia ha sido fundamental para contemplar los roles de las mujeres más allá del de víctima, como, por ejemplo, las mujeres activistas que han participado en la reconciliación y el ejercicio de memoria histórica durante el acuerdo de paz y el posacuerdo. Dicho logro promueve un porvenir del feminismo que abre nuevos espacios de acción para la mujer, los cuales, debido a la limitación de este trabajo, quedan aún por explorar. (shrink)

El pensamiento latinoamericano tiene una presencia cada d a m s clara en el contexto mundial contempor neo. Octavio Paz es ya reconocido como uno de los m s eminentes impulsores de una conciencia latinoamericana sin complejos. Este libro nos acompa a en un minucioso recorrido por las obsesiones del poeta: muerte y vida; siempre con la claridad y el esplendor que caracterizan la obra de Octavio Paz.

El objetivo de este artículo es analizar en “Nocturno de San Ildefonso” (1974) las diversas “escenografías autoriales”, como denomina José-Luis Diaz al dispositivo en el que se inscribe el “escritor imaginario” para asumir una postura o identidad literaria y estructurar su desempeño público. En este poema de evocación autobiográfica el poeta ya sexagenario rememora y reconstruye fragmentariamente su pasado juvenil, sus primeras inquietudes estéticas e ideológicas, así como su iniciación poética. De clara raigambre romántica, las escenografías autoriales presentes en (...) Nocturno de San Ildefonso constituyen el marco para su autofiguración madura como poeta vidente y su autorrepresentación juvenil como ideólogo y polemista en ciernes, al tiempo que define, mediante poderosas imágenes, su concepción poética. (shrink)

Este artículo distingue entre creatividad e innovación, asume el enfoque sistémico en estudios de innovación y lo aplica a las innovaciones poéticas y literarias. Se centra en sor Juana Inés de la Cruz, la gran poeta y escritora del virreinato español en México a finales del siglo XVII. Sor Juana vinculó las artes literarias con las ciencias y técnicas de la época barroca y consiguió apoyos sociales, políticos y religiosos que la convirtieron en una mujer emprendedora y altamente innovadora. También (...) se analiza el resurgimiento de la figura de sor Juana en el siglo XX, gracias a escritores como Amado Nervo, Clara Campoamor y Octavio Paz, así como a investigadores mexicanos e internacionales que han generado una gran innovación social, cultural e institucional, el sorjuanismo, cuyos hitos principales se analizan. (shrink)

En este artículo se estudia la aparición, auge y colapso de la inédita experiencia de democracia liberal partitocrática en Bolivia (1985-2006), a través de la trayectoria de dos movimientos autoidentificados como izquierdistas, el Movimiento de Izquierda Revolucionaria (1971), de Jaime Paz Zamora, última y más grande manifestación de la «izquierda patricia» boliviana, y el Movimiento al Socialismo (1997), de Evo Morales, vehículo político de la renacida oposición sindical rural al sistema vigente. También se exploran las causas de su colapso; (...) a saber: el crecimiento de las expectativas y el malestar de los sectores urbanos; la reactivación de la tradición sindical militante, en una versión más dinámica y mejor organizada, y, en el plano de la cultura política, la difusión y generalización del katarismo y sus variaciones indianistas. (shrink)

Tumor necrosis is a common histological feature and poor prognostic predictor in various cancers. Despite its significant clinical implications, the mechanism underlying tumor necrosis remains largely unclear due to lack of appropriate pre‐clinical modeling. We propose that tumor necrosis is a synergistic consequence of metabolic stress and inflammation, which lead to oxidative stress‐induced cell death, such as ferroptosis. As a natural consequence of tumor expansion, tumor cells are inevitably stripped of vascular supply, resulting in deprivation of oxygen and nutrients. The (...) resulting metabolic stress has commonly been considered the cause of tumor necrosis. Recent studies found that immune cells, such as neutrophils, when recruited to tumors, can directly trigger ferroptosis in tumor cells, suggesting that immune cells can be involved in amplifying tumor necrosis. This article will discuss potential mechanisms underlying tumor necrosis development and its impact on tumor progression as well as the immune response to tumors. (shrink)

Human Specialization in Design and Technology explores emerging trends in learning and training-standardization, customization, personalization-with a unique focus on human needs and conditions. Analyzing evidence from current academic research as well as the popular press, this concise volume defines and examines the trajectory of instructional design and technologies toward more human-centered and specialized products, services, processes, environments, and systems. Examples from education, healthcare, business, and other sectors offer real-world demonstrations for scholars and graduate students of educational technology, instructional design, ICT, (...) and business development. (shrink)

Critical literature on liberal education since the 1990s discerns two main trends which pose a serious threat to liberal education in the contemporary world. These are, firstly, the trend of liberal arts colleges offering a more professional curriculum and, secondly, the trend among universities and colleges in general to promote values which used to be inherently liberal. The result is that liberal arts colleges risk becoming superfluous as educational institutions, given that they no longer add anything distinctive in today’s society. (...) This article proposes that a return in their core curriculum to more traditional philosophies of liberal education could supply liberal arts colleges with the necessary measure of distinction to preserve their inherent value to society. (shrink)

ABSTRACT This article presents the analysis of a data sample collected from a survey conducted with Brazilian and Portuguese youngsters. Our aim was to identify textual supports used for literary reading, as well as the authors and works most read by this public so that we may reflect upon the influences subjacent to those choices. To do so, we analyzed the answers given to a questionnaire applied to students in the last year of High School, in both contexts. This is (...) research is exploratory, of quantitative and qualitative nature, with theoretical support in Barthes (2004), Balça and Costa (2017), Pennac (1993), Petit (2009), Todorov (2010), among others who discuss the subject. Results show that young people prefer to read literary works in print, which are mostly chosen according to the requirements of school institutions and the publishing market. (shrink)

E. Levinas et M. Henry reconnaissent tous deux l’importance pour la philosophie occidentale de la pensée de Husserl, mais ils s’en démarquent car ils la trouvent trop intellectualiste. C’est pourquoi ils vont chercher respectivement dans l’autre et dans la vie auto-affective une issue radicale à toute représentation ou discours théorique. L’auteur de cette étude met dès lors en évidence le fait que la critique, par ces deux phénoménologues, des philosophies de la conscience les amène à décrire, dans le cadre de (...) ce qu’elle propose d’appeler une « méta-phénoménologie », des « attitudes » telles que le désir, la douleur et la fatigue. Il sera question dès lors de tâcher de répondre aux questions portant sur la possibilité d’une refondation de la phénoménologie qui irait « au-delà » ou « en deçà » de ce que cette démarche philosophique s’est donné elle-même comme horizon. (shrink)

From Embodied Cognition to the Cognitivised Body. The construction of meaning, before being a linguistic or neuronal phenomenon, is a sensitive phenomenon, indebted to the bodily experience of the world, the lived body. Varela’s neurophenomenological approach, which is inspired by the intertwining of the subject and the world as proposed by Merleau-Ponty, can only take in charge an ordinary production of meaning. What about when one produces a concept or a work of art? In other words, how does the body-mind (...) relationship function in the act of creation? If the construction of meaning starts from the subject, in the sense that it is the subject who by his embodied cognitive activity produces meaning, the construction of a concept or a work of art solicits a super-personal force that engenders the subject himself: a heccéité, in the sense of Deleuze. What does this engendering of the subject mean and how does it intervene in the act of creation? In other words, why must the subject be somehow “recreated” in order to create? It is only when thought is destabilized by a point of crisis that it becomes a creative device that plays out between the chaotic intensities from which it tears itself away and the composition of a consistency. The starting point of the creative thought is the stopping of the thought and its continuation on another plane: a thought that leaves the field of cognition and recognition and derails, carried away by a sensitive line of flight, produced in the body, towards the inorganic and impersonal plane of a super-personal power. With the act of creation, the embodied cognition swings towards a de-subjectivation: the cognition be-comes then a “chaognition”, an impersonal faculty mobilizing the power of passivity. (shrink)

Research involving human participants has been conducted in the Philippines since the beginning of the Spanish colonial period. Such studies are expected to adhere to internationally accepted ethical guidelines. This paper discusses trends in clinical research ethics in the Philippines during the American colonial period (1898‐1946). Specifically, studies were assessed on: 1) their observance of ethical protocols, including review; 2) identification of inclusion and exclusion criteria in the selection of participants; 3) use of vulnerable subjects; and 4) practice of the (...) informed consent process. Only the informed consent process had a significant logistic correlation with progression of years. Recruitment of vulnerable groups was common during this period; children and prisoners were the most common participants. Trends in medical ethics in the Philippines reflected those in the United States prior to the publication of the Nuremberg Code, which served as a milestone in the protection of human welfare in clinical research. (shrink)

This paper examines the implications of the General Agreement on Trade in Services (GATS), the World Trade Organization’s agreement governing trade in health-related services, for health policy and healthcare reform in the United States. The paper describes the nature and scope of US obligations under the GATS, the ways in which the trade agreement intersects with domestic health policy, and the institutional factors that mediate trade-offs between health and trade policy. The analysis suggests that the GATS provisions on market access, (...) national treatment and domestic regulation, which are designed to eliminate ‘regulatory barriers’ to global trade in health services, limit the range of options that state and federal regulators and legislative bodies can employ to regulate the health sector and implement healthcare reforms. As such, the paper identifies the broader social and ethical implications of free trade policy. (shrink)

In June 1992, a national mail survey was directed to 204 state inpatient psychiatric institutions. This study was implemented following the 1992 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement that hospitals put in place some means with which to address ethical issues. The goals of the study were: 1. to examine state mental hospital characteristics and their response to the JCAHO requirements; 2. to describe healthcare ethics committee (HEC) composition, function, and role; 3. to study patient and family (...) access to a HEC; and 4. to discover ethical issues most frequently addressed. The survey response rate was 71%. Of the 145 responders, 62 had HECs in place, and 53 were in the process of implementing HECs. There were no differences between JCAHO accredited institutions and non-accredited facilities with regard to having HECs. Physicians accounted for 22% of HEC membership, followed by nurses (15%), and administrators (12%). Twenty-six percent of facilities systematically notified patients about existence of the HEC; 71% of facilities had no patient request for HEC services in the last year. A patient's danger to others, and resuscitation policy were issues most frequently (23%) heard by HECs. (shrink)