人文科学最新文献

This paper explores how long-term bilingualism affects the production of intervocalic plosive consonants (/p t k b d ɡ/) in the speech of Afrikaans–Spanish bilinguals from Patagonia, Argentina. We performed sociolinguistic interviews with three speaker groups: L1-Afrikaans/L2-Spanish bilinguals (14 speakers, interviewed separately in Spanish and Afrikaans), L1-Spanish comparison speakers from Patagonia (10 speakers), and L1-Afrikaans comparison speakers from South Africa (11 speakers). We analyzed the speech data using three acoustic measures (constriction duration, relative intensity, and percent voicing) to examine the degree of lenition of the target plosives. The results demonstrate a complex interplay of factors that bring about cross-language influence, which varies based on the target phoneme and phonetic measure. Notably, the findings suggest that phenomena that are gradient phonetic processes in both languages of bilingual speakers (such as the lenition of voiceless plosives in Spanish and Afrikaans) pattern differently than phenomena that are phonological in one language but phonetic in the other (such as lenition of voiced plosives in Spanish versus Afrikaans).

Background: A variety of cognitive biases are known to compromise ethical deliberation and decision-making processes. However, little is known about their role in clinical ethics supports (CES).

Methods: We searched five electronic databases (Pubmed, PsychINFO, the Web of Science, CINAHL, and Medline) to identify articles describing cognitive bias in the context of committees that deliberate on ethical issues concerning patients, at all levels of care. We charted the data from the retrieved articles including the authors and year of publication, title, CES reference, the reported cognitive bias, paper type, and approach.

Results: Of an initial 572 records retrieved, we screened the titles and abstracts of 128 articles, and identified 58 articles for full review. Four articles were selected for inclusion. Two are empirical investigations of bias in two CES, and two are theoretical, conceptual papers that discuss cognitive bias during CES deliberations. Our main result first shows an overview of bias related to the working human environment and to information gathering that concerns different types of CES. Second, several determinants of cognitive bias were highlighted. Especially, stressful environments could be at risk of cognitive bias, whatever the clinical dilemma.

Conclusions: Whether a need for a better taxonomy of cognitive bias in CES is highlighted, a proposal is made to focus on individual, group, institutional and professional biases that can be present during clinical ethics deliberation. However, future studies need to focus on an ecological evaluation of CES deliberations, in order to better-characterize cognitive biases and to study how they impact the quality of ethical decision-making. This information would be useful in considering countermeasures to ensure that deliberation is as unbiased as possible, and allow the most appropriate ethical decision to emerge in response to the dilemma at hand.

Critics frequently target Ernest Nagel’s model of reduction for its purported inadequacy in addressing the issue of approximation. In response, proponents of Nagel’s model have integrated approximations into the more comprehensive Generalized Nagel-Schaffner model, or the GNS model. However, this article contends that the pertinent criticisms and responses are both misplaced: There are no barriers to Nagel’s model incorporating approximations, and it assimilates them in a manner distinctly dissimilar to the approach of the GNS model. Indeed, Nagel’s model is fundamentally static, providing invariant formal and informal conditions for reduction; and it is the dynamic history of science that fulfills relevant conditions for reduction, thereby achieving different degrees of reductive success. Consequently, approximations are essentially extraneous to Nagel’s model, since they pertain chiefly to temporally based scientific knowledge and concern merely the means (e.g., approximate or exact deductions) of fulfilling the conditions for reduction within specific problem contexts. This article also develops a Nagelian treatment of approximation, demonstrating how distinctive types of approximations aid in fulfilling various conditions for reduction and contribute to different degrees of reductive success. Two case studies are presented to illustrate the Nagelian treatment: The first examines the specific heat ratio anomaly within the traditional endeavor of reducing thermodynamics to statistical mechanics, and the second addresses the consumption puzzle in the context of reducing macroeconomics to microeconomics.

Multi-agent scenarios, like Wigner’s friend and Frauchiger–Renner scenarios, can show contradictory results when a non-classical formalism must deal with the knowledge between agents. Such paradoxes are described with multi-modal logic as violations of the structure in classical logic. Even if knowledge is treated in a relational way with the concept of trust, contradictory results can still be found in multi-agent scenarios. Contextuality deals with global inconsistencies in empirical models defined on measurement scenarios even when there is local consistency. In the present work, we take a step further to treat the scenarios in full relational language by using knowledge operators, thus showing that trust is equivalent to the Truth Axiom in these cases. A translation of measurement scenarios into multi-agent scenarios by using the topological semantics of multi-modal logic is constructed, demonstrating that logical contextuality can be understood as the violation of soundness by supposing mutual knowledge. To address the contradictions, assuming distributed knowledge is considered, which eliminates such violations but at the cost of lambda-dependence. We conclude by translating the main examples of multi-agent scenarios to their empirical model representation, contextuality is identified as the cause of their contradictory results.

Additional language speakers (ALSs) often experience anxiety due to challenges posed by their nonstandard pronunciation. Building on these insights, this paper introduces an instrument, the Accent Anxiety Scale (AAS), specifically designed to assess three sources of anxiety that are experienced by ALSs, including (a) apprehension about negative evaluations from other individuals due to their distinctive speech style, (b) concerns about rejection from the target language community because of their “foreign” pronunciation, and (c) anxieties over potential communication hurdles attributed to the intelligibility of their pronunciation. We evaluated the psychometric robustness of the AAS by analyzing data from a total of 474 immigrant and international student ALSs at a predominantly English-speaking Canadian university. Study 1 focused on immigrants (N = 203) and employed exploratory factor and correlational analyses to isolate a concise number of internally consistent and valid items for each subscale. Study 2 extended these analyses to international students (N = 153) and employed confirmatory factor and correlation analyses to further validate the AAS in this population. Study 3 examined international students (N = 118) at two time points to establish the AAS’s temporal stability. These studies yielded robust psychometric evidence for the factor structure, reliability, and validity of the AAS. The findings not only support the use of the AAS as a research instrument but also offer implications for pedagogical strategies aimed at alleviating ALSs’ accent anxiety.

Compassion is an essential phenomenon in the therapeutic relationship, and some use it to justify physician-assisted dying practices. The value of compassion in the relationship between healthcare professionals and patients is undeniable. However, different approaches to its definition and scope can lead to distinct conclusions about the role of compassion in end-of-life interventions. In this context, the paper aims to compare Mahatma Gandhi's and Aristotle's views on compassion to explore whether it can be utilized to justify physician-assisted dying. Gandhi's thoughts on compassion and Aristotle's standpoint on virtues and vices demonstrate that Gandhi evaluates this concept as a moral duty to relieve intractable suffering, whereas Aristotle relies on balancing all virtues through relevant deficiencies and excesses. Therefore, even though Gandhi's opinion on compassion can for allow assisted dying interventions, Aristotle's idea of virtues and vices restricts compassion to a scope that alleviates suffering through available means without causing death.

Introduction: Despite the existing reports on mistreatment and disrespectful maternal care, few studies have investigated interventions to mitigate this issue. The present study aims to assess the impact of consulting midwives on maternal rights charter on perception of respectful maternity care and postpartum blues among postpartum women in two hospitals in southern Iran.

Methodology: This quasi-experimental study was conducted on 437 postpartum women (217 mothers before the intervention and 220 mothers after the intervention) and 44 midwives working in the maternity ward of two hospitals affiliated to Bushehr University of Medical Sciences in 2023-2024. The hospitals were randomly divided into control and intervention groups. The mothers and midwives were selected using convenience and census sampling methods, respectively. Initially, the first sampling phase of postpartum women was conducted. Then, midwives in the intervention group received consultation on patient rights charter in groups of 3-4 individuals over three sessions. After the intervention, the second phase of sampling of postpartum women was conducted. Data collection tools included questionnaires assessing women's perception of respectful maternity care and postpartum blues. The data were analyzed using descriptive and analytical statistical tests in SPSS 20.0.

Results: After performing the intervention on midwives, the mean score of postpartum respectful maternity care from the perspectives of the mothers in the intervention and control hospitals were 91.08 ± 5.51 and 68.34 ± 10.81 respectively (P < 0.001). Also, the mean scores of postpartum blues in the intervention and control hospitals were 12.88 ± 4.66 and 14.85 ± 5.94 respectively (P = 0.007). Multivariable linear regression analysis revealed that consulting with midwives regarding the Maternal Rights Charter, led to an increase in respectful maternity care (β coefficient = 0.780, 95% C.I. = 19.796). ~ 24.541) and decreased postpartum blues (β coefficient = -0.172, 95% C.I. = -3.318 ~ -0.390) from the perspectives of the mothers.

Conclusion: Consulting midwives on patient rights charter was positively correlated with mothers' perception of respectful maternity care and negatively correlated with postpartum blues, indicating the positive effect of intervention on increasing women's satisfaction and reducing postpartum blues. It is recommended that this consultation be included in midwives' continuing education programs.

Clinical trial number: Not applicable.