BackgroundRespect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice.MethodsBy means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital. To observe and collect data on these situations, we recruited students (...) enrolled in the Medical Degree Program at the University of Cordoba. The observers recorded their entries on standardized templates during clinical internships in different departments: Internal Medicine; Gynecology and Obstetrics; Pediatrics; Emergency Medicine; General and Digestive Surgery; Maxillofacial Surgery; Plastic Surgery; Orthopedics and Traumatology; Digestive; Dermatology; Rheumatology; Mental Health; Nephrology; Pneumology; Neurology; and Ophthalmology.ResultsFollowing 7138 days and 33157 h of observation, we found an estimated Frequency Index of one breach per 62.5 h. As regards the typology of the observed breaches, the most frequent were related to the consultation and/or disclosure of clinical and/or personal data to medical personnel not involved in the patient’s clinical care, as well as people external to the hospital. As regards their severity, severe breaches were the most frequent, accounting for 46.7 % of all incidents. Most of the reported incidents were observed in public areas, such as corridors, elevators, the cafeteria, stairs, and locker rooms.ConclusionsIn addition to aspects related to hospital organization or infrastructure, we have shown that all healthcare personnel are involved in confidentiality breaches, especially physicians. While most are committed unintentionally, a non-negligible number are severe, repeated breaches, thus suggesting a certain carelessness, perhaps through ignorance about certain behaviors that can jeopardize patient confidentiality. (shrink)

Following the levels of intentionality and semiosis distinguished by the Semiotic Hierarchy, and the distinction between original agency and enhanced agency, we propose a model of an agency hierarchy, consisting of six layers. Consistent with the phenomenological orientation of cognitive semiotics, a central claim is that agency and subjectivity are complementary aspects of intentionality. Hence, there is no agency without at least the minimal sense/feeling of agency. This perspective rules out all artefacts as genuine agents, as well as simple organisms, (...) since it is highly unlikely that e.g. bacteria have any first-person perspective. Using this model, we review and assess recent proposals on the nature of agency from cognitive science, and neuroscience, and draw conclusions on how to incorporate aspects of them within a synthetic cognitive-semiotic framework. (shrink)

Expanding on the results of previous contributions I advance several hypotheses on the interaction of physical and semiotic processes, both in organisms and in human artifacts. I then proceed to employ these ideas to formulate a general account of evolutionary processes in terms of concrete generalization, where, in analogy with conceptual generalization, novel creations retain antecedent features as special or restricted cases. I argue the following theses: 1) the main point of intersection of physical and semiotic causation is the process (...) of regulation; 2) The broadest form of regulation is a course of actions known as modulation ; 3) Modulation is a universal means of conveyance by which a form is lifted from one supporting vehicle and re-embodied into another replica. These considerations suggest viewing biological evolution as a complex generalization of semiotic evolution. Biological reproduction is then regarded as a complex generalization of sign replication. The latter is a relatively simple affair: the embodied form is external and largely independent of its indifferent supporting medium. Biological reproduction, on the contrary, is an extremely complex dynamical process in which the embodied type is duplicated from within the medium, through the subsidiary internal replication of molecular genetic records. These ideas are developed and illustrated through comparisons between the evolution of organisms and that of human artifacts. (shrink)

The course of biological evolution is regarded by many authors as an ascending path toward higher levels of variety, complexity and integration. There are similar but partly conflicting accounts of the nature and causes of this ascending course. With the aim of reaching a unified conception I start by summarily reviewing three notable examples. These are, in their latest presentations, those of Hoffmeyer and Stjernfelt 2015, Szathmáry 2015, and Lane 2015a. Comparison of their commonalities and divergences, combined with further reflections, (...) leads to the following views: 1) cooperation between preexistent traits and processes is the primary determinant in the emergence of evolutionary novelty; 2) cooperation is a triadic relation similar to semiosis ; 3) regulation, the key element of both metabolism and replication, results from the cooperation of energetic and semiotic causation; 4) conceptual generalization and concrete generalization are fruits of cooperation. Conceptual generalizations spring from the cooperation of ideas. I believe these realizations supply essential elements for a unified view of the ascent of biological evolution towards higher levels of organization. Some of these conceptions are also applicable to similar ascending trajectories through the stages of cultural and technological evolution. (shrink)

Biosemiotics—a discipline in the process of becoming established as a new research enterprise—faces a double task. On the one hand it must carry out the theoretical and experimental investigation of an enormous range of semiotic phenomena relating organisms to their internal components and to other organisms (e.g., signal transduction, replication, codes, etc.). On the other hand, it must achieve a philosophical re-conceptualization and generalization of theoretical biology in light of the essential role played by semiotic notions in biological explanation and (...) modeling. This paper attempts to contribute to the second task by tracing some aspects of the historical evolution of explanatory models in biology. In so doing, a parallel can be drawn between the present status of biosemiotics and that of physics during the early decades of the last century. By following the career of the concept instrument (organon) in Aristotelian science, we revisit historical stages of the antithetical (but often complementary) roles of mechanical and teleological forms of explanation. The impact of the introduction of the organic codes in biology is seen to be somewhat analogous to that of the introduction of the quantum of action in physics. Faced with intractable empirical facts, physicists combined experimental results and bold philosophical speculation to create quantum physics—a wider, deeper framework that accommodates the new facts through a wholesale reformulation of the classical ideas. Essential to this development was the articulation of the epistemic functions of instruments, which was absent from classical physics. Similarly, the consideration of the role of instruments in biology may lead to a synthesis of Aristotelian and Kantian intuitions within a wider framework capable of joining now separate perspectives, such as Jablonka’s four-fold view of inheritance information, Barbieri’s theory of artifactual copymakers and codemakers, and recently developed models of causation based on the idea of manipulative interventions. (shrink)

The inner semiotic core of biology Content Type Journal Article Pages 1-3 DOI 10.1007/s11016-011-9547-z Authors Eliseo Fernández, Linda Hall Library of Science and Technology, Kansas City, MO 64110, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

This account of one man’s search for truth bears witness to defection and apostasy and, in the end, to the humility of deeply lived experience. Eliseo Vivas, distinguished teacher, lit­erary critic, and philosopher, relates the search by his alter ego, Alonzo Quijano, for a philosophy to live by as well as one to think well by. His intellectual odys­sey is marked by defection from com­munism and apostasy from the philoso­phy of John Dewey. Vivas provides throughout this ac­count of Alonzo’s (...) rupture with his com­mitments an analysis of the ideas of the major philosophic thinkers of the West­ern world, an analysis which first moves toward partial acceptance but which ends with their rejection. He devotes the final chapters to the views on politics and moral, theological, and aesthetic subjects at which Alonzo arrived follow­ing his apostasy and defection. Alonzo claims at the end that his philosophical quest was not a failure, for he now “knows that he does not know much.” Hence the two roads to ignorance. Eliseo Vivas has taught at Wisconsin, Chicago, Ohio State, and Northwestern. He has also edited journals, published widely, and has been a participant and, indeed, a major force in most of the in­tellectual discussions of his time. His examination of his contemporaries’ be­liefs and detailed analysis of the views he rejects are therefore especially valu­able. Those peace-loving minds who find Alonzo’s adventures relevant to an understanding of their age will be fasci­nated by this unique and important book. (shrink)

El artículo tiene como propósito analizar el surgimiento del Estado de bienestar, fundamentando sus postulados y métodos de política económica, las posibles causas de su crisis y analizando brevemente los casos argentino y sueco. El Estado de bienestar produjo la etapa más exitosa de los treinta año..

Hume propounds the aporetic principle of correspondence betwen impres-sions and ideas, in order to solve the problem of the genesis of the ideas. This principle, which lacks universal validity, reduces the idea to image and deprives it of universality. In this way is postulated a rigorous and uni-versal nominalism, which converts the ideas into non referential unities the same as the Urimpressions (Husserl) and sets aside the possibility of metaphysics.

Ethics is a serious matter as human actions are cybernetic. Actions are not lost nor do they leave the agent unaffected. Every single actions returns to the agent in the form of a fine chisel that carves him from inside. The interior quality brought about by our actions is called vice and virtue.

When we say “I know why he was late”, we know not only the fact that he was late, but also an explanation of this fact. We propose a logical framework of “knowing why” inspired by the existing formal studies on why-questions, scientific explanation, and justification logic. We introduce the Kyi\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$${{\mathcal {K}}{}\textit{y}}_i$$\end{document} operator into the language of epistemic logic to express “agent i knows why φ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} (...) \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\varphi $$\end{document}” and propose a Kripke-style semantics of such expressions in terms of knowing an explanation of φ\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\varphi $$\end{document}. We obtain two sound and complete axiomatizations w.r.t. two different model classes depending on different assumptions about introspection. Finally we connect our logic with justification logic technically by providing an alternative semantics and an in-depth comparison on various design choices. (shrink)

This paper attempts to explore some of the implications of the distinction between having or enjoying and knowing, between “experiencing” and science, for these implications have not always been adequately realized by those for whom the distinction is fundamental.

Considering the highly complex structure of quantum chaos and the nonstationary characteristics of speech signals, this paper proposes a quantum chaotic encryption and quantum particle swarm extraction method based on an underdetermined model. The proposed method first uses quantum chaos to encrypt the speech signal and then uses the local mean decomposition method to construct a virtual receiving array and convert the underdetermined model to a positive definite model. Finally, the signal is extracted using the Levi flight strategy based on (...) kurtosis and the quantum particle swarm optimization optimized by the greedy algorithm. The bit error rate and similarity coefficient of the voice signal are extracted by testing the source voice signal SA1, SA2, and SI943 under different SNR, and the similarity coefficient, uncertainty, and disorder of the observed signal and the source voice signal SA1, SA2, and SI943 verify the effectiveness of the proposed speech signal extraction method and the security of quantum chaos used in speech signal encryption. (shrink)

Este artigo aborda a sociabilidade dos espaços de lazer popular carioca, na virada do séc. XIX para o séc. XX, identificando as representações que influenciaram a história e memória social de cidade. Evidencia-se aquilo que envolve a comensalidade – a refeição, o alimento, o lugar de comer/beber – como elementos de vinculação e cultura através de trocas simbólicas. Lembrados por Hobsbawm (1984) de que os costumes são uma tradição inventada - e reinventada, observa-se as referências e estilos das variações destes (...) espaços de lazer popular - das boticas modernas aos botequins contemporâneos. Abordaremos as referências da invenção do restaurante francês que influenciaram tais espaços e o imaginário cultural carioca. (shrink)

Over de bijdrage van Hegel's filosofie aan onze kennis van de wereld.

Jordan holds that art is constitutive of culture. The doctrine has thus, obviously, its roots in idealistic philosophy. Audacious, perhaps foolhardy as it may seem to some, and absurd and even perverse as it will seem to others, Jordan seeks to demonstrate that poetry "is literally the creator and legislator for the real world".