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https://www.readbyqxmd.com/read/28098628/the-abcdef-bundle-science-and-philosophy-of-how-icu-liberation-serves-patients-and-families
#1
E Wesley Ely
Over the past 20 years, critical care has matured in a myriad of ways resulting in dramatically higher survival rates for our sickest patients. For millions of new survivors comes de novo suffering and disability called "the postintensive care syndrome." Patients with postintensive care syndrome are robbed of their normal cognitive, emotional, and physical capacity and cannot resume their previous life. The ICU Liberation Collaborative is a real-world quality improvement initiative being implemented across 76 ICUs designed to engage strategically the ABCDEF bundle through team- and evidence-based care...
February 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28095097/facilitating-awareness-of-philosophy-of-science-ethics-and-communication-through-manual-skills-training-in-undergraduate-education
#2
Hilde Lund Kordahl, Marit Fougner
BACKGROUND: Professional health science education includes a common theoretical basis concerning the theory of science, ethics and communication. Former evaluations by first-year students of the bachelor physiotherapy program at Oslo and Akershus University College of Applied Sciences (HiOA) show that they find it hard to understand the relation between these particular topics and future professional practice. This challenge is the starting point for a pedagogical development project that aims to develop learning contexts that highlight the relevance of these theoretical concepts...
January 17, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28094427/minimalism-in-art-medical-science-and-neurosurgery
#3
Ali İhsan Ökten
The word ''minimalism'' is a word derived from French the word ''minimum''. Whereas the lexical meaning of minimum is ''the least or the smallest quantity necessary for something'', its expression in mathematics can be described as ''the lowest step a variable number can descend, least, minimal''. Minimalism, which advocates an extreme simplicity of the artistic form, is a current in modern art and music whose origins go to 1960s and which features simplicity and objectivity. Although art, science and philosophy are different disciplines, they support each other from time to time, sometimes they intertwine and sometimes they copy each other...
December 21, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28092709/the-centrality-of-philosophical-anthropology-to-a-future-environmental-ethics
#4
Arran Gare
While environmental ethics has successfully established itself in philosophy, as presently conceived it is still largely irrelevant to grappling the global ecological crisis because, as Alasdair MacIntyre has argued, ethical philosophy itself is in grave disorder. MacIntyre's historically oriented recovery of virtue ethics is defended, but it is argued that even MacIntyre was too constrained by received assumptions to overcome this disorder. As he himself realized, his ideas need to be integrated and defended through philosophical anthropology...
September 2016: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/28079492/working-with-instruments-ernst-mach-as-material-epistemologist-a-short-introduction
#5
Christoph Hoffmann, Alexandre Métraux
With the death of Ernst Mach on February 19, 1916, one day after his seventy-eighth birthday, a question finally became explicit that had been looming for some time. It was as simple as it was fundamental: who, in the end, was this man, a scientist or a philosopher? The importance of this question for contemporaries can easily be gleaned from the obituaries that appeared in the weeks following Mach's death: one in the Physikalische Zeitschrift, written by Albert Einstein, and another in the Archiv für die Geschichte der Philosophie, written by Mach's former student Heinrich Gomperz...
December 2016: Science in Context
https://www.readbyqxmd.com/read/28068134/psychologists-in-patient-centered-medical-homes-pcmhs-roles-evidence-opportunities-and-challenges
#6
Anne E Kazak, Justin M Nash, Kimberly Hiroto, Nadine J Kaslow
The patient-centered medical home (PCMH) is an increasingly common model of health care delivery with many exciting opportunities for psychologists. The PCMH reflects a philosophy and model of care that is highly consistent with psychological science and practice. It strives to provide patient-centered, comprehensive, team-based, coordinated, accessible, and quality and safety-oriented health care delivery to individuals and families. Moreoever, in keeping with changes in the health care system more broadly, the PCMH model prioritizes the integration of behavioral and physical health care, and this emphasis lays the foundation for active and full engagement of psychologists in this context...
January 2017: American Psychologist
https://www.readbyqxmd.com/read/28065344/abai-s-moc-assessment-of-knowledge-program-matures-adding-value-with-continuous-learning-and-assessment
#7
REVIEW
David I Bernstein, Stephen I Wasserman, William P Thompson, Theodore M Freeman
Rapid changes in modern medicine along with advances in the science of learning and memory have necessitated a shift in the way physician knowledge is assessed. Physician recertification beyond initial certification has historically consisted of retaining large amounts of knowledge over a long time span. The adult learning theory has shown that the maintenance and improvement of our knowledge base is more effective by being exposed to new concepts at regular intervals throughout one's career and reinforcing these concepts on an ongoing basis...
January 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28044218/dual-causality-and-the-autonomy-of-biology
#8
Walter J Bock
Ernst Mayr's concept of dual causality in biology with the two forms of causes (proximate and ultimate) continues to provide an essential foundation for the philosophy of biology. They are equivalent to functional (=proximate) and evolutionary (=ultimate) causes with both required for full biological explanations. The natural sciences can be classified into nomological, historical nomological and historical dual causality, the last including only biology. Because evolutionary causality is unique to biology and must be included for all complete biological explanations, biology is autonomous from the physical sciences...
January 2, 2017: Acta Biotheoretica
https://www.readbyqxmd.com/read/28025426/life-and-medical-ethics-in-pediatric-neurosurgery
#9
Mami Yamasaki
Ethical issues in the field of pediatric neurosurgery, including prenatal diagnosis, palliative care for children with an intractable serious disease, and medical neglect, are discussed. An important role of medicine is to offer every possible treatment to a patient. However, it also is the responsibility of medicine to be conscious of its limitations, and to help parents love and respect a child who suffers from an incurable disease. When dealing with cases of medical neglect and palliative care for an incurable disease, it is critical to diagnose the child's condition accurately and evaluate the outcome...
December 26, 2016: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28005974/bibliometrics-for-social-validation
#10
Daniel J Hicks
This paper introduces a bibliometric, citation network-based method for assessing the social validation of novel research, and applies this method to the development of high-throughput toxicology research at the US Environmental Protection Agency. Social validation refers to the acceptance of novel research methods by a relevant scientific community; it is formally independent of the technical validation of methods, and is frequently studied in history, philosophy, and social studies of science using qualitative methods...
2016: PloS One
https://www.readbyqxmd.com/read/27975364/-natural-science-vs-natural-philosophy-friedrich-theodor-von-frerichs-and-the-emergence-of-modern-western-medicine-in-the-19th-century
#11
Werner Hansen
The beginnings of modern western medicine reach to about 1800 when under the liberating influence of French Revolution observation of diseases was started to follow more scientifically justified criteria. At that time speculative doctrines prevailed, e. g. those set up natural philosopher Schelling. In this context Internist Friedrich Theodor von Frerichs at Berlin Charité University Hospital gained great merits because of his struggle for a scientifically-based experimental clinical medicine. This is demonstrated nicely in a recently found autograph document...
December 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27968824/relationships-between-physicians-psychological-contract-and-job-satisfaction-intention-to-leave-medical-practice-and-professionalism-a-cross-sectional-survey-in-china
#12
Zhou Ping, Shi Jian-Wei, Zhang Yu, Bai Fei, Wei Xue-Feng, Xue Di
BACKGROUND: Physician motivation to maintain public welfare has become the key for the New Public Hospital Reform in China. This study aimed to apply a different perspective, the psychological contract (a popular concept in business management research) and explore the correlations between physicians' psychological contract and their job satisfaction, intention to leave medical practice, and professionalism. METHODS: A cross-sectional survey was conducted using a stratified sampling method in Shanghai, Hubei, and Gansu in China from June 10 to October 30, 2013...
October 2016: Lancet
https://www.readbyqxmd.com/read/27964812/the-value-of-preparing-phd-students-as-research-mentors-application-of-kram-s-temporal-mentoring-model
#13
Kristen Abbott-Anderson, Andrea Gilmore-Bykovskyi, Annmarie A Lyles
The ability to successfully mentor others is an essential skill necessary for building and strengthening an infrastructure of well-prepared nurse faculty to accelerate advancements in nursing science. Mentoring is a fundamental part of the nurse faculty role, but new faculty are often unprepared to take on mentoring roles early in their academic career. Applied training in research mentoring initiated during doctor of philosophy (PhD) programs may better prepare future faculty to manage teaching and mentoring responsibilities earlier and with greater confidence...
November 2016: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/27959631/the-microscope-as-a-tool-for-disease-discovery-a-personal-voyage
#14
Elaine S Jaffe
This review reflects the trajectory of my career in hematopathology, and my personal reflections on scientific advances in the field. During the course of more than 40 years, the approach to classification of hematological malignancies has evolved from descriptive approaches, based on either cytological or clinical features, to a modern approach, which incorporates cutting-edge technologies. My philosophy has focused on defining individual diseases, an approach that can best lead to an understanding of molecular pathogenesis...
December 5, 2016: Annual Review of Pathology
https://www.readbyqxmd.com/read/27941062/can-there-be-science-without-philosophy
#15
Marco J Nathan, Diego Brancaccio, Carmine Zoccali
Over the last few decades, philosophy has gained an increasingly bad reputation among working scientists. Prominent researchers have suggested, in various forms and degrees of mockery, that philosophy has little or nothing positive to contribute to science. This essay provides a response to these allegations. We begin by examining, and ultimately questioning, an influential argument purporting to undermine the significance of a philosophical approach to science. Next, we offer some biomedical examples where philosophical speculation plays a prominent role...
December 2016: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/27938721/whewell-on-the-classification-of-the-sciences
#16
Raphaël Sandoz
Despite deserving a place amongst the historic milestones of the philosophy of disciplines, the system of the sciences put forward by Whewell has so far received little interest. Yet his ideas had a significant impact on the researches subsequently carried out on the topic, exerting in particular a decisive influence on Peirce and Spencer. The present paper aims to display the innovatory nature of the philosophical foundations of the Whewellian classification of the sciences. In this respect, we will argue that the most striking feature of his disciplinary system lies in a heuristic categorization of the sciences according to their "methods of discovery"...
December 2016: Studies in History and Philosophy of Science
https://www.readbyqxmd.com/read/27938717/how-we-load-our-data-sets-with-theories-and-why-we-do-so-purposefully
#17
Guillaume Rochefort-Maranda
In this paper, I compare theory-laden perceptions with imputed data sets. The similarities between the two allow me to show how the phenomenon of theory-ladenness can manifest itself in statistical analyses. More importantly, elucidating the differences between them will allow me to broaden the focus of the existing literature on theory-ladenness and to introduce some much-needed nuances. The topic of statistical imputation has received no attention in philosophy of science. Yet, imputed data sets are very similar to theory-laden perceptions, and they are now an integral part of many scientific inferences...
December 2016: Studies in History and Philosophy of Science
https://www.readbyqxmd.com/read/27930399/practical-discourse-revisited-hermeneutics-at-the-intersection-of-philosophy-and-nursing
#18
Stephen M Padgett
Three early papers by Janice Thompson-Practical Discourse, Critical Scholarship, and Hermeneutic Inquiry-are examined in reference to the historical context of the time (1985-1990), and implications for current scholarship. Hermeneutic philosophy has been neglected in recent years, overshadowed by its weaker cousin phenomenology. I argue that renewed attention to hermeneutics would help us focus on the "situatedness" of nursing scholars, the class politics of academia, and a better balance in interpretative work between faith and suspicion...
December 6, 2016: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/27917248/explanatory-judgment-moral-offense-and-value-free-science
#19
Matteo Colombo, Leandra Bucher, Yoel Inbar
A popular view in philosophy of science contends that scientific reasoning is objective to the extent that the appraisal of scientific hypotheses is not influenced by moral, political, economic, or social values, but only by the available evidence. A large body of results in the psychology of motivated-reasoning has put pressure on the empirical adequacy of this view. The present study extends this body of results by providing direct evidence that the moral offensiveness of a scientific hypothesis biases explanatory judgment along several dimensions, even when prior credence in the hypothesis is controlled for...
2016: Review of Philosophy and Psychology
https://www.readbyqxmd.com/read/27914196/ecological-caring-revisiting-the-original-ideas-of-caring-science
#20
Helena Dahlberg, Albertine Ranheim, Karin Dahlberg
The aim of this empirically grounded philosophical paper is to explore the notion of holistic care with the intention to expand it into a notion of ecological care and in such a way revisit the original ideas of caring science. The philosophical analysis, driven by lifeworld theory and especially Merleau-Ponty's philosophy, is firmly rooted in contemporary clinical care. We used interview data from patients in a study at an anthroposophic clinic in Sweden, which forms part of an ecological community with, for example, ecological agriculture...
2016: International Journal of Qualitative Studies on Health and Well-being
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