A method in Clinical Ethics Consultation between normative theories and applied ethics

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Ontologia para representação de tempo no contexto de indicadores de desempenho

Parte integrante de sistemas de avaliação de desempenho, os indicadores são, muitas vezes, compartilhados ou comparados. Entretanto, alguns indicadores possuem associada certa vaguidade e imprecisão. Neste sentido, a representação semântica de indicadores é evidenciada na literatura, incluindo-se o tempo para a complementação da significação destes indicadores. Este estudo buscou analisar os trabalhos acerca da representação semântica de tempo através de ontologias, selecionados após revisão bibliométrica, optando-se pelo reuso de um modelo de conhecimento que melhor atendesse ao propósito de representar o tempo no contexto dos indicadores de desempenho. Usando-se a metodologia METHONTOLOGY, concluiu-se pela SWRL Temporal Ontology, em razão de contemplar o maior número de granularidades possível para instantes ou pontos de tempo

Engineering humans : cultural history of the science and technology of human enhancement

This thesis investigates the technological imaginary of human enhancement: how it has been conceived historically and the scientific understanding that has shaped it. Human enhancement technologies have been prominent in popular culture narratives for a long time, but in the past twenty years they have moved out of science fiction to being an issue for serious discussion, in academic disciplines, political debate and the mass media.. Even so, the bioethical debate on enhancement, whether it is pharmacological means of improving cognition and morality or genetic engineering to create smarter people or other possibilities, is consistently centred on technologies that do not yet exist. The investigation is divided into three main areas: a chapter on eugenics, two chapters on cybernetics and the cyborg, and two chapters on transhumanism. All three areas of enhancement thinking have a corresponding understanding of and reference to evolutionary theory and the human as a category. Insofar as ‘enhancement’ is a vague and relative turn, the chapters show how each approach wrestles with how to formulate what is good and desirable. When this has inevitably proven difficult, the technologies themselves dictate what and how ‘enhancement’ comes about. Eugenics treats the human in terms of populations – as a species, but also in abstract categories such as nation and race. I follow the establishment of eugenics from the development of a statistical understanding of measuring human aptitude, with emphasis on the work of Francis Galton and the formulation of the regression to the mean. The following two chapters on cybernetics and the cyborg analyses how the metaphor of the body as machine has changed relative to what is meant by ‘machine’: associated with Cartesian dualism, cybernetics marked a shift in how we understand the term. Through a reading of the original formulation of the cyborg, I connect it to evolutionary adaptationism and a cybernetic ‘black box’ approach. The last two chapters look at a more recent approach to enhancement as a moral imperative, transhumanism. Since some transhumanists seek to ground themselves philosophically as the inheritors to Enlightenment humanism, the concept of ‘morphological freedom’ is central, representing an extension of humanistic principles of liberty brought into an age which privileges information over matter. The final chapter looks at how the privileging of information leads to a universal computational ontology, and I specifically look at the work of Ray Kurzweil, a prominent transhumanist, and how the computationalist narrative creates a teleological understanding of both human worth and evolution

Front-Line Physicians' Satisfaction with Information Systems in Hospitals

Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.Peer reviewe

Engineering humans : cultural history of the science and technology of human enhancement

This thesis investigates the technological imaginary of human enhancement: how it has been conceived historically and the scientific understanding that has shaped it. Human enhancement technologies have been prominent in popular culture narratives for a long time, but in the past twenty years they have moved out of science fiction to being an issue for serious discussion, in academic disciplines, political debate and the mass media.. Even so, the bioethical debate on enhancement, whether it is pharmacological means of improving cognition and morality or genetic engineering to create smarter people or other possibilities, is consistently centred on technologies that do not yet exist. The investigation is divided into three main areas: a chapter on eugenics, two chapters on cybernetics and the cyborg, and two chapters on transhumanism. All three areas of enhancement thinking have a corresponding understanding of and reference to evolutionary theory and the human as a category. Insofar as ‘enhancement’ is a vague and relative turn, the chapters show how each approach wrestles with how to formulate what is good and desirable. When this has inevitably proven difficult, the technologies themselves dictate what and how ‘enhancement’ comes about. Eugenics treats the human in terms of populations – as a species, but also in abstract categories such as nation and race. I follow the establishment of eugenics from the development of a statistical understanding of measuring human aptitude, with emphasis on the work of Francis Galton and the formulation of the regression to the mean. The following two chapters on cybernetics and the cyborg analyses how the metaphor of the body as machine has changed relative to what is meant by ‘machine’: associated with Cartesian dualism, cybernetics marked a shift in how we understand the term. Through a reading of the original formulation of the cyborg, I connect it to evolutionary adaptationism and a cybernetic ‘black box’ approach. The last two chapters look at a more recent approach to enhancement as a moral imperative, transhumanism. Since some transhumanists seek to ground themselves philosophically as the inheritors to Enlightenment humanism, the concept of ‘morphological freedom’ is central, representing an extension of humanistic principles of liberty brought into an age which privileges information over matter. The final chapter looks at how the privileging of information leads to a universal computational ontology, and I specifically look at the work of Ray Kurzweil, a prominent transhumanist, and how the computationalist narrative creates a teleological understanding of both human worth and evolution