A indiscutível riqueza da obra de Clarice Lispector já deu lugar a inúmeras interpretações.Neste ensaio, pretendemos acompanhar a leitura que Benedito Nunes realiza, pensando a literatura da escritora brasileira atravessada por um “centro mimético”. O conceito de mimese, distinguindo-se das concepções clássicas pensadas por Platão e Aristóteles, apontará, na leitura de Nunes, para a dramaticidade vivenciada por meio da linguagem na sua tentativa de falar sobre o mundo e o “eu” que o descreve. Para fins de clareza, (...) analisaremos, com essa categoria de “centro mimético”, três obras da autora que consideramos paradigmáticas: A cidade sitiada, A paixão segundo G.H. e A hora da estrela. (shrink)

O consagrado livro de Benedito Nunes sobre Clarice Lispector, cuja versão definitiva (e expandida) foi publicada em 1989, teve duas edições anteriores: a primeira publicada em 1966, com o título de O mundo de Clarice Lispector, e a segunda em 1973, intitulada Uma leitura de Clarice Lispector. A primeira versão, de 1966 chamou a atenção do filósofo Vilém Flusser, que escreveu e publicou no Suplemento Literário do Estado de São Paulo, em sua edição de 25/06/1966, uma (...) entusiasmada resenha sobre o livro, na qual transparece o reconhecimento, por Flusser, de sua tese da proximidade possível entre a filosofia analítica da linguagem e o pensamento existencial. Nessa resenha, o filósofo tcheco-brasileiro avalia a contribuição de Nunes e de Lispector importante em nível mundial, declarando a necessidade de que a obra do filósofo belenense fosse traduzida para outros idiomas, de modo a alcançar um público mais amplo. (shrink)

O presente artigo pretende fazer uma exposição de temas e duas personalidades da história do pensamento e das letras no Brasil. Benedito Nunes e Clarice Lispector. Razão e imaginação que se encontram na memória, personagem Macabéa, da novela a hora da estrela de Clarice Lispector. A vida da moça nordestina: desvalida, solteira, obtusa, enfermiça, desamparada, religiosa. É o centro onde os dois autores circulam e adentram como em uma atmosfera oceânica. O que trazem? O Mistério perene que (...) é a vida humana. (shrink)

This article examines Brazilian writer Clarice Lispector’s contributions to the women’s pages of the newspapers Correio da Manhã and Diário da Noite between 1959 and 1961. While Lispector’s fictional output has spawned a steady flow of scholarly and academic studies from a wide array of disciplines and fields of study, her journalistic production, in particular the women’s pages she crafted under a pseudonym, has hardly received any critical attention. The “women’s page” is a fixed section in magazines and newspapers (...) entirely dedicated to women, addressed specifically to a female readership, and generally authored by a woman or a female persona. The purpose of this article is to redress this critical oversight and complement the only study so far of this corpus – Aparecida Maria Nunes’s Clarice Lispector Jornalista – by arguing that, in Lispector’s hands, these pages become spaces of potential cultural and political intervention. Through their nuanced parody of other comparable discursive spaces and their overemphasis on what is culturally constructed as feminine, Lispector’s pages perform a transvestite gesture that unsettles normative models of femininity and dislodges a heteronormative temporality predicated upon birth, marriage, reproduction, and death. (shrink)

Realiza-se aqui uma análise da obra literária A Paixão Segundo G.H. (1964), de Clarice Lispector, a partir do viés filosófico existencialista, desenvolvido por Jean-Paul Sartre em sua obra O Ser e o Nada: Ensaio de Ontologia Fenomenológico (1943). Assim sendo, a obra que será objeto de estudo acompanha a jornada existencial da personagem G.H. em busca de sua própria identidade. Nesse sentido, utiliza-se aqui a teoria existencialista ateísta de Sartre, assim como o estudo realizado pelo filósofo paraense, Benedito (...) class='Hi'>Nunes, que buscou averiguar toda a filosofia metafísica no conjunto da obra de Clarice Lispector, em seu livro Leitura de Clarice Lispector (1973) e o Drama da Linguagem: uma leitura de Clarice Lispector (1989). Por fim, o presente texto tem como objetivo averiguar as atitudes de má-fé executadas pela personagem, analisar a Angústia que intercala com sua Náusea existencial, expressados pela linguagem única de Lispector. (shrink)

Este artigo visa apresentar a pesquisa bibliográfica, descritiva com abordagem qualitativa diante do contexto educacional dos anos de 1960 a 1970, com o objetivo de estabelecer as relações entre a democratização do ensino em Anísio Teixeira e as experiências dos Ginásios Vocacionais do estado de São Paulo. Busca-se a interpretação das ações de Anísio Teixeira no âmbito da educação escolar e no projeto pedagógico dos Ginásios Vocacionais, em seu ambiente e contexto social, como resposta aos desafios educacionais. O texto está (...) estruturado em duas partes: primeira apresenta um breve histórico de Anísio Teixeira e do surgimento dos Ginásios Vocacionais e na segunda parte desenvolve-se as ideias do pensamento educacional de Teixeira e as possíveis semelhanças com a filosofia educacional dos Vocacionais. As correlações entre os vocacionais e Teixeira estão fundamentadas na pesquisa bibliográfica de autores como: Daniel Chiozzini ; Clarice Nunes; Anísio Spínola Teixeira e Maria Nilde Mascellani. Os resultados apontam que, embora os ginásios vocacionais não tenham sido explicitamente concebidos por Anísio Teixeira, é possível relacionar possíveis semelhanças entre ambos, as quais residem na: valorização e participação ativa dos alunos no processo de ensino-aprendizagem; prática de ensino participativa e colaborativa; e na formação social e politica dos discentes. (shrink)

Começaremos com uma exposição (crítica) de um “suposto” processo de marginalização intelectual que Vilém Flusser sofreu na história da filosofia brasileira. Mas esta exposição será um “pré-texto” para aproximarmo-nos daquilo que chamaremos de “fulcro de todo o pensamento filosófico” flusseriano: a ideia de transcensão. Trataremos primeiro de demonstrar - numa conversa triangular entre Flusser, Benedito Nunes e Clarice Lispector - que “transcensão” é a “originalidade” com a qual esse filósofo de língua portuguesa buscou superar o modo de pensar (...) do existencialismo moderno - sobretudo o pensamento que culmina no “Nada”, como “revelado” pela experiência de “nojo do mundo” e pela “angústia existencial” como (supostamente) abordados por Sartre e Heidegger, respectivamente. Para ilustrar o lugar central que a ideia desempenha no pensamento deste filósofo, trataremos também de demonstrar que ela é o fundamento de uma “ética da alteridade” peculiarmente flusseriana. Depois de expor a ideia assim - nalgumas de suas linhas fundamentais, e de maneira sumaríssima - ousaremos chamar o pensamento de transcensão de Flusser de seu “único” pensamento. Importa-nos com isso dizer, claro, que “todos” os outros pensamentos filosóficos de Flusser são, essencialmente, alimentados pela sua ideia de transcensão. No processo, mostraremos - também de forma concisa -, como a ideia de “transcensão” parece levar Flusser curiosamente de volta a Hegel; esse “retorno” indica, entre outras coisas, que toda tentativa de filosofar sobre a experiência da alteridade parece dar sempre a “última palavra” a Hegel. Com essa conjetura, iniciamos nossa análise, conscientes de que há muito “pano para manga” imbricado na discussão. (shrink)

Journal Name: Cognitive Linguistics Issue: Ahead of print.

Neste artigo, discutimos o papel das explicações teleológicas na teoriaGaia. Mostramos que seu principal proponente, James Lovelock, pretendeevitá-las devido a uma interpretação equivocada da natureza de taisexplicações. Na tentativa de evitar compromissos com a teleologia,Lovelock recorre ao conceito de propriedades emergentes. Esta não é,contudo, uma saída consistente, porque os conceitos de propriedadesemergentes e teleologia não são mutuamente excludentes. Discutimostambém as dificuldades de uma interpretação de Gaia de uma perspectivateleonômica, considerando problemas como o da noção de superorganismo.Para avaliar o estatuto das (...) explicações teleológicas em Gaia, examinamoso caso da interação entre algas e nuvens, que resultou num novo campo depesquisas e expõe as contribuições teóricas e empíricas que Gaia podeoferecer. Com base nos argumentos apresentados ao longo do artigo,sugerimos uma reorganização da estrutura do programa de pesquisa Gaia,visando à continuação de seu progresso teórico e empírico.In this paper, we discuss the role of teleological explanations in Gaia theory.We show that its main proponent, James Lovelock, intends to avoid themdue to a misinterpretation of the nature of teleological explanations. Inorder to avoid a commitment to teleology, Lovelock appeals to the conceptof emergent properties. This is not a consistent solution, however, since the concepts of emergent properties and teleology are not mutuallyexclusive. We also discuss difficulties in an interpretation of Gaia from ateleonomic perspective, discussing problems such as that of the notion ofsuperorganism. In order to appraise the status of teleological explanationsin Gaia, we examine the case of the interaction between algae and clouds,which gave birth to a new research field and show the theoretical andempirical contributions that Gaia can bring. Based on the argumentsdeveloped in the paper, we suggest a reorganization of the structure ofGaia research program, in order to go on with its theoretical and empiricalprogress. (shrink)

Resenha referente ao artigo: ZAGZEBSKI, Linda Trinkaus. Virtues of the Mind: An Inquiry into the Nature of Virtue and the Ethical Foundations of Knowledge. Cambridge, Inglaterra: Cambridge University Press, 1996.

O direito à proteçāo da saúde tende hoje a ser considerado como uma conquista civilizacional, o que faz com que a salvaguarda deste direito seja sobretudo uma responsabilidade da sociedade e das suas instituições democráticas. Tal como noutros países ocidentais, a existência em Portugal de um sistema público de proteçāo da saúde enquadra-se nesta dinâmica, sendo esse um factor decisivo para a melhoria sustentada dos indicadores de saúde da população portuguesa. Nessa medida, defende o autor do artigo, a política de (...) saúde deve sempre tentar conciliar os princípios da equidade e da solidariedade com a vontade social, democraticamente determinada, atribuindo um carácter operacional a critérios de justiça social, fundamentais para uma política de protecção da saúde atenta às necessidades básicas dos cidadãos. Por outro lado, reconhece-se também que, não obstante o contributo fundamental do Serviço Nacional de Saúde para a protecção da saúde dos portugueses, a gestão estatal dos serviços públicos se tem revelado pouco eficiente. Daí a necessidade de se promover uma nova cultura na saúde fundada na convergência de dois factores aparentemente irreconciliáveis: a qualidade na prestação de cuidados de saúde e a optimização da utilização dos recursos disponíveis. Para isso, porém, é necessário perceber que a saúde e a sua protecgao são um bem económico altamente dispendioso e não "gratuito", ainda que frequentemente o seja no momento da utilização dos serviços. Daí se deriva também, segundo o autor, a necessidade de se promover a eficiência do ponto de vista económico através da adequada gestão dos recursos financeiros e dos meios humanos e materiais. De facto, mais do que um direito constitucional, a protecção da saúde deve ser considerada como um dos grandes pilares de uma sociedade democrática e plural. /// All countries face the issue of choice in health care. It is one of the main problems of pluralistic societies. Allocation of healthcare resources is clearly associated with the concept of distributive justice. But does justice, in this context, imply the existence of a right to healthcare? And if it does, is it a fundamental right? Moreover, does such a right, if it exists, include all types of healthcare services or should it be limited to selected types only? Thus, choices must be made and priorities must always be set. In the Portuguese Constitutional Law the right to healthcare services is regarded as a fundamental one. But in most European countries the right to healthcare is a social right, politically and not ethically determined. Hence, this issue is one of distributive justice the aim of which is to ensure that everyone has access to necessary care based on the substantive ethical principles of equity and solidarity. The article proposes that resource allocation is paramount in public policy particularly in regard to healthcare. But whatever the healthcare financing model, the problem is that the efficiency of the system might be related to the degree of state intervention on the healthcare market. Moreover, the ethical principles involved in the debate are associated to an agreed definition of human dignity. This concept implies that no citizen should be excluded from the health system due to lack of financial resources. In fact, the full achievement of personal liberty implies equal access to certain basic goods, namely to the healthcare services deemed necessary. (shrink)

O artigo enfoca a articulação conceitual entre a razão e a imaginação no Leviatã de Hobbes.

In congenitally or prelingually deaf childrencochlear implantation is open to seriousethical challenge. The ethical dimension ofthis technology is closely related to both asocial standard of quality of life and to theuncertainty of the overall results of cochlearimplantation. Uncertainty with regards theacquisition of oral communicative skills.However, in the western world, available datasuggest that deafness is associated with thelowest educational level and the lowest familyincome. Notwithstanding the existence of aDeaf-World, deafness should be considered as ahandicap. Therefore, society should provide themeans for the (...) fulfilment of a deaf child'sspecific needs.For the time being there is no definitiveanswer with regard the best way to rehabilitatea particular deaf child. Therefore,communitarian values may be acceptable. If thedeaf child parents' decide not to implant,their decision should be respected. Guardiansare entitled to determine which standard ofbest interest to use in a specificcircumstance. They are the proper judges ofwhat (re)habilitation process is best for theirdeaf child. However, most deaf children areborn to two hearing parents. Probably, theywill not be acculturated in the Deaf-World. Itfollows that cochlear implantation is awelcomed (re)habilitation technology.If auditory (re)habilitation will in the futureprovide the necessary communicative skills, inparticular oral language acquisition, customs,values and attitudes of the hearing worldshould be regarded as necessary to accomplish adeaf child's right to an open future. Ifcochlear implantation technology will provideall deaf children with the capacity to developacceptable oral communicative skills –whatever the hearing status of the family andthe cultural environment – then auditory(re)habilitation will be an ethical imperative. (shrink)

BackgroundAdvance directives (ADs) were implemented in Portugal in 2012. Although more than a decade has passed since Law 25/2012 came into force, Portuguese people have very low levels of adherence. In this context, this study aimed to identify and analyse the attitudes of people aged 18 or older living in Portugal towards ADs and to determine the relationships between sociodemographic variables (gender/marital status/religion/level of education/residence/whether they were a health professional/whether they had already drawn up a living will) and people’s attitudes (...) towards ADs.MethodsAn online cross-sectional analytical study was conducted using a convenience sample. For this purpose, a request (email) that publicized the link to a –form—which included sociodemographic data and the General Public Attitudes Toward Advance Care Directives (GPATACD) scale—was sent to 28 higher education institutions and 30 senior universities, covering all of mainland Portugal and the islands (Azores and Madeira). The data were collected between January and February 2023.ResultsA total of 950 adults from completed the online form. The lower scores (mean 1 and 2) obtained in most responses by applying the GPATACD scale show that the sample of the Portuguese population has a very positive attitude towards ADs. The data showed that women, agnostics/atheists, health professionals and those who had already made a living will had more positive attitudes (p < 0.001) towards ADs. There were no statistically significant differences in the attitudes of the Portuguese population sample towards ADs in relation to marital status, education level, and residence.ConclusionThe results obtained enable us to confirm that this sample of the Portuguese population has a positive attitude towards ADs. We verify that there are certain fringes of this sample with certain sociodemographic characteristics (women, agnostics/atheists, health professionals and those who had already made a living will) that have a more positive attitude towards ADs. This data could facilitate the implementation and adjustment of relevant measures, particularly in the field of health education and aimed at groups with less favourable attitudes, to increase the effectiveness of voluntary exercise of citizens’ autonomy in end-of-life care planning. (shrink)

Historicamente, as humanidades têm sido essenciais para a educação, uma vez que são consideradas como disciplinas fundamentais para a formação de cidadãos democráticos. A partir dessa conjectura, esse artigo visa refletir sobre a importância das competências no ensino de humanidades para a formação de cidadãos democráticos. Para isso, realizamos uma pesquisa de cunho bibliográfico, baseada no pensamento de Martha Nussbaum sobre as competências necessárias para o desenvolvimento de uma cidadania democrática (2015). O desenvolvimento de competências no ensino de humanidades promove (...) a autonomia do estudante no âmbito pessoal, profissional, intelectual e político para o enfrentamento dos desafios da sociedade. Essas competências permitem aos estudantes enfrentar a realidade e as necessidades humanas com senso crítico e consciência de sua responsabilidade como pessoa em um meio social, político e cultural. (shrink)

O YouTube é um dos sites mais acessados do mundo, a plataforma conta com diversas ferramentas de interatividade e compartilhamento de informações, heranças do surgimento da Web 2.0. O cyberespaço permitiu com que questões sociais ganhassem mais visibilidade, assim como, as relações étnico-raciais, um dos principais assunto discutidos neste trabalho. Nesta perspectiva, a seguinte pesquisa se propôs a investigar o YouTube como ferramenta no auxílio aos/as estudantes enquanto fonte de informação para uma educação antirracista. Tendo em vista que, a educação (...) é um dos caminhos para combater mazelas sociais, como o racismo, o estudo tem como objetivo geral analisar a plataforma YouTube como fonte de informação educacional na promoção de uma educação antirracista nas bibliotecas escolares. Estabelece como metodologia, uma pesquisa bibliográfica com abordagem qualitativa e de natureza básica. Entende que a biblioteca escolar pode ser um espaço que promova a diversidade e uma educação mais democrática. Com isso, a plataforma YouTube, a partir de seus vídeos, é uma fonte informacional que pode auxiliar bibliotecárias/os neste sentido. Indica o levantamento de 9 canais apresentados pelo Fundo Vozes Negras do YouTube, como fonte de informação antirracista para bibliotecas escolares. Defende, a importância da utilização destes canais em ambiente escolar, por meio da amostra de vídeos definida no corpo deste trabalho. Conclui que os conteúdos aqui apresentados, mostram que as reflexões sociais, em espaços de destaque como o YouTube, são importantes para a reconstrução de uma identidade negra positiva, negada a população negra ao longo da história. (shrink)

O objetivo deste estudo é apresentar uma revisão sistemática da literatura acerca da aplicação de virtudes intelectuais no contexto da prática educacional. Para o levantamento dos artigos científicos foram consultadas oito bases de dados consideradas as mais relevantes devido ao rigor científico e reconhecimento da qualidade de produção. A partir dos critérios de inclusão e exclusão foram selecionados cinco artigos científicos para serem avaliados. Nos resultados obtidos foi possível verificar a escassez de produção científica na temática, especialmente no Brasil, visto (...) que as produções, em sua maioria, são internacionais. As discussões acerca do ensino de virtudes intelectuais ainda possuem muitas divergências e lacunas, o que é normal, considerando seu pouco tempo de existência. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BreakClarice DouilleBreakWe have low expectations for M3s this early in their clerkships. I'm disappointed in you; I had higher expectations for you.""Be yourself. But …""I can see where ____ was coming from. You lack emotional intelligence.""I expected you to have constant questions because of what's going on with your mom.""Don't insert yourself into conversations.""You are a med student; you don't have a reputation yet … you can't change medicine. (...) Nobody will listen to you.""Everyone is going through something. If you knew half the stuff I'm dealing with, you'd cry. So I know what you're going through with your mom right now is tough, but you need to compartmentalize and be fully present with patients.""We know each other …"I can't get this "feedback" out of my head.________I can't quite escape my mom's breast cancer diagnosis since it is shoved in my face every day. This is exposure therapy like no other. Immediately after seeing my mom for the first time since her diagnosis—seeing her distressed and supporting her after losing 75% of her hair during the four days I was home for a visit—I was thrust into assisting with three mastectomies on my first day of the breast cancer surgery service.My third year of medical school has been more than a struggle. I've accepted going through the motions as the best I can do, for I barely have enough energy to make it through each day. Every time I start feeling relief—like I can come up for air—I'm pushed back down and feel myself drowning. I'm constantly waiting for the next shoe to drop. While I can forget about my grief momentarily, as soon as I slow down, the pain returns in unrelenting multiples, pushing me into a dark hole of self-isolation.All I've been doing is grieving. Grieving my mom's diagnosis and fearing the unknown. Grieving the idea that I'm a subpar daughter. Grieving that I'm a subpar friend. Grieving the idea of medicine I had believed in. I grieve for the medical student I was in the past, who wanted to excel in this setting. I grieve that I cannot be this student because I am frozen in fear. I'm grieving the life I thought I'd have, and the life my mom thought she'd have. I'm grieving the life we lost. Time is standing still and simultaneously going by in a blur. I want to be able to control something in my life. My heart and head are heavy with thoughts of disappointment, overwhelm, anger, guilt, and confusion. This is grief.I need a break, but I fear a break might make things worse. In medical school, we are given no time to be human, to live a life full of joy, pain, achievement, and disappointment. I feel myself cracking. I'm being pulled in a thousand different directions. I might break. I tell myself I should be able to get past this. Everyone has something going on. Why can't I be like everyone else—able to tough it out and do medicine? [End Page E1]During clerkships, we are constantly thrown into vulnerable situations where we show up every day and put our best foot forward to impress our team and attendings. We can't miss a beat. It feels like we must be Superman. Every day, we feel inadequate and have to "fake it till we make it." It's soul-crushing. It's exhausting. Every day is terrifying. We worry about getting "pimped"—if we'll be able to answer any question correctly—if we'll present the patient adequately—hopefully not too long, or not too short—so our attending doesn't become annoyed. We don't know when we're allowed to go home, and it feels like we can't even go to the bathroom or eat without asking permission. It feels like we're back in Kindergarten, except with so much more at stake.I think attendings forget that we're more than... (shrink)

Evidence-Based Medicine (EBM) is defined as the conscious, and judicious use of current best evidence in making decisions about the care of individual patients. The greater the level of evidence the greater the grade of recommendation. This pioneering explicit concept of EBM is embedded in a particular view of medical practice namely the singular nature of the patient-physician relation and the commitment of the latter towards a specific goal: the treatment and the well being of his or her client. Nevertheless, (...) in many European countries as well as the United States, this integration of the best evidence from systematic research with clinical expertise and patient values appears to be re-interpreted in light of the scarcity of healthcare resources. The purpose of this paper is double. First, to claim that from an ethical perspective EBM should be a guideline to clinical practice; and second, that in specific circumstances EBM might be a useful tool in macro-allocation of healthcare resources. Methodologically the author follows Norman Daniels' theory of democratic accountability to justify this assumption. That is, choices in healthcare must be accountable by democratic procedures. This perspective of distributive justice is responsible for the scope and limits of healthcare services. It follows that particular entitlements to healthcare — namely expensive innovative treatments and medicines —may be fairly restricted as long as this decision is socially and democratically accountable and imposed by financial restrictions of the system. In conclusion, the implementation of EBM, as long as it limits the access to drugs and treatments of unproven scientific results is in accordance with this perspective. The use of EBM is regarded as an instrument to facilitate the access of all citizens to a reasonable level of healthcare and to promote the efficiency of the system. (shrink)

O discurso funcional é tanto ubíquo quanto central na ecologia contemporânea, principalmente no contexto das pesquisas sobre biodiversidade e funcionamento ecossistêmico, que emergiram nos anos 1990 em meio à crise da biodiversidade. Entretanto, a despeito dessa forte presença na ecologia, o discurso funcional ainda não tem sido investigado de maneira adequada nesta ciência, na medida em que muitos problemas fundamentais a respeito do tema ainda permanecem sem respostas claras. Por um lado, os ecólogos que lançam mão de explicações funcionais parecem (...) simplesmente tomar como dado ou autoevidente o conceito de função. Contudo, ele nada tem de trivial, tendo em vista os problemas filosóficos suscitados pela linguagem funcional ou teleológica nas explicações biológicas, pelo menos desde Aristóteles. Por outro lado, poucos filósofos da ciência têm se mostrado especialmente interessados nos problemas epistemológicos associados ao discurso funcional em ecologia. Tomando essa situação como ponto de partida, nossa abordagem neste artigo se dá em três etapas. Inicialmente, procedemos a uma análise conceitual de função na ecologia atual, com ênfase nos estudos que relacionam a biodiversidade às propriedades ecossistêmicas. Esboçamos três significados principais do conceito, mostrando os pressupostos e as implicações associados a cada um deles. Num segundo momento, procedemos a uma análise das razões que levam a suspeitas ou objeções contra a linguagem funcional na ecologia. Por fim, num terceiro momento, lançamos algumas sugestões sobre como fundamentar ou dar mais clareza ao discurso funcional na ecologia contemporânea. (shrink)

Este artículo pretente estabelecer possível correlação entre os princípios do "sistema epistemológico e metafísico"de Espinosa e as diretrizes da filosofia de Diderot.

In lieu of an abstract, here is a brief excerpt of the content:Dying is DifficultClarice DouilleHayden had been a constant in my life since I was eight, as our families were close. He was a single dad who loved to talk and always had a smile on his face. He was obsessed with anything related to his kids and attended every school activity or sporting event.In 2015, Hayden was diagnosed with stage III colon cancer. He was adamant that he didn't (...) want to share any information about his condition with his kids, waiting several months until the eve of his first surgery before breaking the news to them. Hayden made the operation seem trivial and underplayed the severity of the chemotherapy treatments that would follow. Despite whatever he was feeling, he seemed committed to maintaining his happy demeanor, which was probably an effort to convince himself and others to feel better about the situation.Hayden survived his first operation and rounds of chemotherapy. And, over the next several years, he chose to undergo a regimen of additional aggressive treatments, submitting to surgery after surgery, as well as several more rounds of chemotherapy, followed by radiation treatments. I was already working as a home care aide, and because of the close relationship between our families, Hayden asked me to help as his caregiver, including running errands and babysitting for his younger kids. Hayden made it clear that he wanted his kids to remain ignorant of the progression of his condition so that they wouldn't worry and become anxious. It seemed he was motivated by his desire to preserve his young kids' happiness and innocence. In hindsight, I think this prevented his kids from being able to fully savor moments with their dad or prepare for the possibility of his death. I also think Hayden was trying to shelter himself from his own fear of mortality. And it was this fear that made Hayden a "difficult patient."Hayden suffered both physically and mentally, not only from his disease and treatment but also from his fear of mortality. I noticed how he tried to hide his suffering by shutting himself in his bedroom and making excuses when he wasn't eating. He often forgot to take his medications; he refused to use pill boxes and objected to reminders from others. The consequences often meant additional hospitalizations. I wish more palliative options had been introduced to him earlier in his disease course. I believe a palliative care team would have encouraged Hayden to think about and discuss death, helped him change his outlook for treatment and living with cancer, and most importantly, enabled him to better enjoy the remainder of his life with his kids.Nevertheless, I understood why Hayden was worried about his kids, and I could see how his recent personal experiences since his initial diagnosis might have contributed to his choice for the most aggressive treatments: his sister and both his parents had died, leaving no other relatives to care for his kids. He wanted to be there for his kids, yet the side effects of treatment made him so sick that he couldn't leave his bed. He couldn't even do the very activities that made him want to live.Hayden was an extremely social person, but when he found out his cancer was terminal, he [End Page E6] isolated himself from his loved ones for nearly six weeks. Even though I was likely the only person he was communicating with, as the person who helped him and his family, I often didn't see him for weeks at a time. He would text me requests, leave money on the front table, and ask me to drop off the items I purchased and then leave. Hayden's kids continued their daily routines, despite comments from them about his absence.In early August 2020, Hayden was admitted to the hospital. His doctor called the kids at home and told them that their dad would immediately be enrolled in hospice care. They were, as one might expect, shocked at this news. They knew their dad was sick and had been dealing with his cancer for years. But Hayden's health deteriorated slowly, and the kids hadn't known... (shrink)

Nursing research using concept analysis plays a critical role for knowledge development, particularly when concerning to broad and foundational concepts for nursing practice, such as dignity. This study aimed to synthesize research concerning concept analysis of dignity in nursing care. Based on a literature review, electronic databases were searched using the terms “dignity,” “human dignity,” “concept analysis,” and nurs*. Papers in Portuguese or English were included. The research synthesis was conducted independently by two reviewers. A total of 35 citations were (...) identified and seven papers were included. Six studies were elected using Walker and Avant concept analysis methodology while one applied the Beth Rodgers evolutionary model. The concept of dignity has been studied by nurses, and its attributes, antecedents, consequences, and similar concepts were synthesized into a definition. Dignity emerged as a fundamental concept in nursing ethics and the main attributes synthesized were personhood, sociability, respect, and autonomy. The antecedents identified were: facilitators—patient focus care, recognition, education, and ethical competence; threats—vulnerability and organizational environment. The consequences were positive coping, empowerment, and dignity preservation. The synthesis of these seven studies using concept analysis provided a clear definition of dignity. These findings challenge future research and education, particularly for the study of undergraduate and postgraduate nursing education programs to enhance skills for preserving patient dignity in clinical practice. (shrink)

ABSTRACTThe social marketing campaign is a value-laden communicative process aiming to change individual behavior and public policy. Due to its normative nature and implications, this process has t...

ANDES, Stephen J.C.; YOUNG, Julia. Local Church, Global Church: Catholic Activism in Latin America from Rerum Novarum to Vatican II. Washington, DC, The Catholic University of America Press, 201 O livro em questão insere-se em uma perspectiva analítica, tentando mostrar o jogo de adaptação e de continuidade ao trabalho no continente americano. Apesar do reconhecimento das mudanças notáveis introduzidas pelo Vaticano II, a tese é que, ao contrário do que é sugerido por uma certa literatura de historiografia e teologia latino-americana, (...) o ativismo católico dos anos 60 e 80 teve suas origens no período anterior, tendo, em parte, como ponto de partida a encíclica Rerum Novarum. (shrink)

We define a notion of realizability, based on a new assignment of formulas, which does not care for precise witnesses of existential statements, but only for bounds for them. The novel form of realizability supports a very general form of the FAN theorem, refutes Markov's principle but meshes well with some classical principles, including the lesser limited principle of omniscience and weak König's lemma. We discuss some applications, as well as some previous results in the literature.

Este texto discute alguns filmes classificados como de ficção científica para marcar como o cinema nos tem ensinado a ver e a viver nessa civilização altamente tecnológica, à qual se tem atribuído o qualificativo cibernética. (APPIGNANESI; GARRAT, 1998). Tal civilização, também configurada como pós-moderna (Lyotard, 1989), como modernidade líquida (BAUMAN, 2001), ou como modernidade tardia (JAMESON, 2002), tem sido caracterizada por atuar na produção de subjetividades bastante diversas das usualmente invocadas para referir o homem no humanismo moderno. Muitos dos debates (...) conduzidos salientam a centralidade que as TICs alcançam nas sociedades contemporâneas, que também se caracterizam pela emergência de formas ciborgues, pós-humanas ou pós-orgânicas, que representam corpos descritos muito mais como processos ou arranjos da informação do que como corposmáquina, como as perspectivas modernistas enfatizavam. Argumentamos que se rompem nessas novas representações importantes binarismos modernos, tais como, homem/máquina, biológico/tecnológico e natureza/cultura. (shrink)

RESUMO Este artigo problematiza certos conceitos e proposições da obra de Iuri Lotman que retratam concepções do autor sobre memória e tempo, tais como semiosfera, texto, pancronia e explosão. No âmbito das teatralidades juvenis, mapear tal escopo teórico tem por objetivo compreender a produção de memórias e as codificações temporais como instâncias comunicativas. Consideram-se objetos empíricos, as teatralidades steampunks, experimentadas em encontros presenciais. Esta análise se faz nos espaços urbanos da região Sudeste do Brasil; vale-se de pesquisa bibliográfica voltada a (...) teorias da memória; utiliza pesquisa de campo, seguindo a metodologia da flânerie em eventos frequentados por esses grupos de jovens. Espera-se demonstrar o diálogo entre a semiótica desenvolvida por Lotman e as representações mnésicas e temporais presentes nestas teatralidades. ABSTRACT This paper problematizes certain concepts and propositions of Iuri Lotman that portrayed his conceptions of memory and time, such as semiosphere, text, panchronism and explosion. In the context of juvenile theatricalities, mapping such a theoretical scope aims to understand the production of memories and the temporal codifications as communicative instances. Steampunk theatricalities experienced in face-to-face meetings are considered empirical objects. This analysis is conducted in urban areas of the Southeast of Brazil, counting on a bibliographic research focused on theories of memory, a field work following the flânerie methodology in events attended by these youth groups. It aims to demonstrate the dialogue between the semiotics developed by Lotman and the mnemonic and temporal representations present in these theatricalities. (shrink)

Apresenta a natureza e identidade filosófica e política dos estudos sobre Sexualidade e Educação Sexual. Apresenta as definições sobre Sexo e Sexualidade a partir de matrizes epistemológicas e políticas: a dimensão procriativa mais próxima do conceito de sexo e a significação cultural, subjetiva e civilizatória ligada à conceituação de Sexualidade. Destaca a concepção emancipatória de pesquisa e educação sexual. Aponta elementos para uma política de formação de educadores no campo da Sexualidade e Educação Sexual. Fundamenta-se numa abordagem histórica e culturalista (...) da Sexualidade e da produção social do sentido político da representação e das vivências da Sexualidade. This article presents the nature and identity of political and philosophical studies on Sexuality and Sex Education. Displays the settings on Sex and Sexuality from matrices epistemological and political: the procreative dimension closer to the concept of gender and cultural significance, and subjective concept of civilization linked to sexuality. Highlights the emancipatory conception of research and sex education. Elements points to a policy of training educators in the field of Sexuality and Sex Education. It is based on a historical and cultural approach of Sexuality and the social production of political meaning of representation and experience of sexuality. (shrink)

The increasing costs of healthcare delivery led to different political and administrative approaches trying to preserve the core values of the welfare state. This approach has well documented weaknesses namely with regard to healthcare rationing. The objective of this paper is to evaluate if independent healthcare regulation is an important tool with regard to the construction of fair processes for setting limits to healthcare. Methodologically the authors depart from Norman Daniels’ and James Sabin’s theory of accountability for reasonableness and try (...) to determine if new regulatory models—namely independent agencies—perform better with regard to the public disclosure of the reasons and rationales of healthcare rationing. In publicly financed healthcare systems independent regulation is an important tool to assure fair and reasonable procedures of prioritising services. In accordance with the principle of public accountability, independent regulatory agencies are particularly well suited to assure publicity of the decision-making processes, relevance of the rationale involved and particularly mechanisms for challenge and dispute resolution regarding limit setting decisions. It follows that independent healthcare regulation could be regarded not only as an instrument for performance improvement but also as a tool of social justice. The authors conclude by stating that accountability for reasonableness should be regarded as a landmark of any healthcare reform. And therefore regulators have the social task of assuring that the rationales for limit-setting decisions are clearly accessible to the public. (shrink)

ABSTRACT This study is based on statistical data about reading in the lives of young people aged 11 to 17 years old. It addresses how one can (re)approach the education of readers from an understanding of what reading literature is all about in the 21st century. It discusses the change of format of reading from the book to the screen, but not from the perspective of exclusion or with the intention of arguing that one mode of access is better than (...) another. It stresses the importance of mediating reading with an openness to the different media and forms that have been offered by digital information and communication technologies. Reflections are made to conceptualize literature in the 21st century and then some examples are provided of how literature converges from the written text to other media and vice versa, which suggests that young people are reading in different ways and this fact can be used to enhance the process of educating literary readers. (shrink)

William Harvey (1578-1656) presented his conceptions on blood circulation in Exercitatio anatomica de motu cordis e sanguinis em animalibus (Anatomical study on the heart and blood movement in animals) in 1628. His most relevant work was the treatise De motu cordis, as it is better known, which resulted from more than nine years of observations and anatomical demonstrations in animals and humans. It greatly impacted the period's physicians, philosophers, and anatomists, generating several comments and criticisms. Harvey's ideas concerning blood circulation (...) implied a break with the accepted knowledge of the time, based mainly on the conceptions of Claudio Galeno (129 AD- 216 AD). This article aims to present Harvey's ideas on the subject and discuss to what extent they represent a break with the ideas of his predecessors. This research corroborates the view defended by more recent historiography that knowledge about blood circulation has been constructed since Antiquity, although Harvey's work is prominent. (shrink)