Background and objective: Code status discussions may fail to address patients’ treatment-related goals and their knowledge of cardiopulmonary resuscitation (CPR). This study aimed to investigate patients’ resuscitation preferences, knowledge of CPR and goals of care. Design, setting, patients and measurements: 135 adults were interviewed within 48 h of admission to a general medical service in an academic medical centre, querying code status preferences, knowledge about CPR and its outcome probabilities and goals of care. Medical records were reviewed for clinical information (...) and code status documentation. Results: 41 (30.4%) patients had discussed CPR with their doctor, 116 (85.9%) patients preferred full code status and 11 (8.1%) patients expressed code status preferences different from the code status documented in their medical record. When queried about seven possible goals of care, patients affirmed an average of 4.9 goals; their single most important goals were broadly distributed, ranging from being cured (n = 36; 26.7%) to being comfortable (n = 8; 5.9%). Patients’ mean estimate of survival to discharge after CPR was 60.4%. Most patients believed it was helpful to discuss goals of care (n = 95; 70.4%) and the chances of surviving inhospital CPR (n = 112; 83.0%). Some patients expressed a desire to change their code status after receiving information about survival following inhospital CPR (n = 11; 8.1%) or after discussing goals of care (n = 2; 1.5%). Conclusions: Doctors need to address patients’ knowledge about CPR and take steps to avoid discrepancies between treatment orders and patients’ preferences. Addressing CPR outcome probabilities and goals of care during code status discussions may improve patients’ knowledge and influence their preferences. (shrink)

Background: Discussions about medical errors facilitate professional learning for physicians and may provide emotional support after an error, but little is known about physicians’ attitudes and practices regarding error discussions with colleagues.Methods: Survey of faculty and resident physicians in generalist specialties in Midwest, Mid-Atlantic and Northeast regions of the US to investigate attitudes and practices regarding error discussions, likelihood of discussing hypothetical errors, experience role-modelling error discussions and demographic variables.Results: Responses were received from 338 participants . In all, 73% of (...) respondents indicated they usually discuss their mistakes with colleagues, 70% believed discussing mistakes strengthens professional relationships and 89% knew at least one colleague who would be a supportive listener. Motivations for error discussions included wanting to learn whether a colleague would have made the same decision , wanting colleagues to learn from the mistake and wanting to receive support . Given hypothetical scenarios, most respondents indicated they would likely discuss an error resulting in no harm , minor harm or major harm . Fifty-seven percent of physicians had tried to serve as a role model by discussing an error and role-modelling was more likely among those who had previously observed an error discussion .Conclusions: Most generalist physicians in teaching hospitals report that they usually discuss their errors with colleagues, and more than half have tried to role-model discussions. However, a significant number of these physicians report that they do not usually discuss their errors and some do not know colleagues who would be supportive listeners. (shrink)

Although both EU policy makers and researchers acknowledge that public or stakeholder engagement is important for responsible innovation (RI), empirical evidence in this field is still scarce. In this article, we explore to what extent companies with a disposition to innovate in a more responsible way are moving towards the ideal of mutual responsiveness among stakeholders, as it is presented in the RI literature. Based on interviews with companies and non-economic stakeholders in the Dutch Food industry, it can be concluded (...) that innovative food companies are still far from implementing the ideal of mutual responsiveness in a significant way. The tension between the call for the active involvement of stakeholders in the literature and actual stakeholder engagement practices is explained by identifying a number of critical issues regarding stakeholder engagement, which are specific to actors involved in RI in the private sector. Finally, management practices designed to deal with these critical issues regarding stakeholder engagement are identified. (shrink)

Backround Education in ethics and professionalism should reflect the realities medical students encounter in the hospital and clinic. Method We performed content analyses on Case Observation and Assessments (COAs) written by third-year medical students about ethical and professional issues encountered during their internal medicine and paediatrics clinical clerkships. Results A cohort of 141 third-year medical students wrote 272 COAs. Content analyses identified 35 subcategories of ethical and professional issues within 7 major domains: decisions regarding treatment (31.4%), communication (21.4%), professional duties (...) (18.4%), justice (9.8%), student-specific issues (5.4%), quality of care (3.8%), and miscellaneous (9.8%). Conclusions Students encountered a wide variety of ethical and professional issues that can be used to guide pre-clinical and clinical education. Comparison of our findings with results from similar studies suggests that the wording of an assignment (specifying “ethical” issues, “professional” issues, or both) may influence the kinds of issues students identify in their experience-based clinical narratives. (shrink)

Heft 1. Der Laie über die Weishelt, von E. Bohnenstädt.--Heft 2. Über den Beryll. von K. Fleischmann.--Heft 3. Drei Schriften vom verborgenen Gott. De Deo abscondito. De quaerendo Deum. De filiatione Dei. Hrsg. von E. Bohnenstaedt.--Heft. 5. Von Gottes Sehen. De visione Dei. Von E. Bohnenstaedt.--Heft 4. Der Laie über Versuche mit der Waage. Idiota de staticis experimentis. Von H. Menzel-Rogner.--Heft 6-7. Sichtung des Alkorans. Cribratio Alkoran. 1. Buch von P. Naumann. 2.-3. Buch von G. Hölscher.--Heft 8. Über den Frieden (...) im Glauben. De pace fidei. Von L. Mohler.--Heft 9. Vom Können-Sein. De possest. Vom Gipfel der Betrachtung. De apice theoriae. Von E. Bohnenstaedt.--Heft 10. Der Laie über den Geist. Idiota de mente. Von M. Honecker und H. Menzel-Rogner.--Heft 11. Die manthematischen Schriften, übers. von J. Hofmann, mit einer Einführung und Anmerkungen versehen von J.E. Hofmann.-- --Heft 13. Vom Globusspiel. De ludo globi, übers. und mit Einführung und Anmerkungen versehen, von G. von Bredow. --Heft. 15. De docta ignorantia. Die belehrte Unwissenheit. Übers. und mit Vorwort und Anmerkungen von P. Wilpert. (2 v.)--Heft. 16. Compendium. Kompendium. Übers. und mit Einleitung und Anmerkungen hrsg. von B. Decker und K. Bormann.--Heft 17. De coniecturis. Mutmassungen. Übers. und mit Einführung und Anmerkungen hrsg. von J. Koch und W. Happ.--[18] Über den Ursprung. De principio. Deutsch mit Einführung von Maria Feigl.--Heft 19. Die höchste Stufe der Betrachtung. Herausgegeben von Hans Gerhard Senger. (shrink)

The word ‘existentialism’ has become something of a catchword in religious circles today, and one suspects that it is sometimes a substitute rather than a medium for thought. Most theological teachers must from time to time have received from a pupil an essay in which the words ‘existential’, ‘existentially’ and ‘existentialism’ appear to have been sprinkled from a pepper-pot over an exposition whose meaning would remain unchanged if these words were excised altogether. Nevertheless, usum non tollit abusus, and the following (...) rather unsystematic remarks may perhaps be of some help in elucidating and evaluating a mode of thought and expression which has attracted the interest of some of the more profound, as well as of some of the more superficial, theological and philosophical writers of the present day. (shrink)

The current article aims to provide an up-to-date synopsis of available techniques to study affect dynamics using intensive longitudinal data (ILD). We do so by introducing the following eight dichotomies that help elucidate what kind of data one has, what process aspects are of interest, and what research questions are being considered: (1) single- versus multiple-person data; (2) univariate versus multivariate models; (3) stationary versus nonstationary models; (4) linear versus nonlinear models; (5) discrete time versus continuous time models; (6) discrete (...) versus continuous variables; (7) time versus frequency domain; and (8) modeling the process versus computing descriptives. In addition, we discuss what we believe to be the most urging future challenges regarding the modeling of affect dynamics. (shrink)

Volume 40, Issue 3, August 2019, Page 298-303.

Body and World is the definitive edition of a book that shouldnow take its place as a major contribution to contemporary existentialphenomenology. Samuel Todes goes beyond Martin Heidegger and MauriceMerleau-Ponty in his description of how independent physical natureand experience are united in our bodily action. His account allows himto preserve the authority of experience while avoiding the tendencytoward idealism that threatens both Heidegger and Merleau-Ponty.Todes emphasizes the complex structure of the human body ;front/back asymmetry, the need to balance in a (...) gravitational field, and so forth ;and the role that structure plays in producing the spatiotemporal field of experience and in making possible objective knowledge of the objects in it. He shows that perception involves nonconceptual, but nonetheless objective forms of judgment. One can think of Body and World as fleshing out Merleau-Ponty's project while presciently relating it to the current interest in embodiment, not only in philosophy but also in psychology, linguistics, cognitive science, artificial intelligence, neuroscience, and anthropology. Todes's work opens new ways of thinking about problems such as the relation of perception to thought and the possibility of knowing an independent reality ;problems that have occupied philosophers since Kant and still concern analytic and continental philosophy. (shrink)

On the philosopy of Jainism and re-orientations due to social changes in Tamil Nadu, India.

This book is a clear, comprehensive guide to the philosophic and religious concepts of the world's outstanding philosophers. Here are the great thoughts and ideas of the Western mind, selected and explained with magnificent precision by an eminent scholar. It is an illuminating portrait of man's intellectual and moral struggle to understand the world and the meaning of human life and destiny. Plato Aristotle Augustine Aquinas Luther Descartes Kant Rousseau Marx Nietzsche.

The homogeneous gravitational field is obtained from a Schwarzschild field in the limit of infinite mass.