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EN
There is an intuition that the past does not ever change. In their paper ‘The puzzle of the changing past’, Luca Barlassina and Fabio Del Prete argue that in 2012 the past changed. The author shows that we are not in a position to accept their argument.
PL
Reorientacja systemu ochrony zdrowia w kierunku rozwiązań stosowanych z powodzeniem w krajach, gdzie realizowana jest liberalna doktryna ekonomiczna, oznacza konieczność dokonania usprawnienia zasad organizacji systemu ochrony zdrowia jako całości oraz organizacji i funkcjonowania poszczególnych jego podmiotów. Osiągnięcie celów stawianych przed dokonywanymi w ramach reformy działaniami, których wspólny mianownik można określić jako uzyskanie pożądanej efektywności systemu ochrony zdrowia jako całości oraz poszczególnych jego podmiotów, wymaga implementacji innych niż dotychczas sposobów zarządzania jednostkami świadczącymi usługi zdrowotne, a to takich, które stosowane są z powodzeniem w sektorze organizacji komercyjnych. Mając na uwadze różnice, jakie występują między sektorem publicznym a prywatnym, uważamy, iż możliwe jest zastosowanie w organizacjach metod i narzędzi zarządzania, jednak z uwzględnieniem specyfiki sektora ochrony zdrowia.
EN
Reorientation of the healthcare system towards solutions successfully implemented in countries following a liberal economic doctrines signifies at need for reinventing both the healthcare system as a whole and its individual entities. Achieving the goals of reform orientated towards attaining the desired efficiency of the healthcare system and its organizations requires implementation of management methods used in commercial organizations. Taking into account differences existing between the public and private sector, we believe that it is possible to apply methods and management tools from the private sector, but their application must take into account the specifics of the healthcare sector.
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2004
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tom 13
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nr 2(50)
5-10
EN
Time and music both impart a certain sense of continuity and succession on our imagination. Moreover, music always begins from a few first notes that activate our inventiveness and make us imagine how the melody will run further on. Similarly our conscious life begins from a few initial presupposition that we can develop and continue in different directions. In both cases the beginnings are of utmost importance. They promise more that life usually permits, introduce a sense of rhythm and order, open new horizons and probe the limits of our liberty. It is also interesting that both time and music are open to retrospective reinterpretations. The actual point of departure is to some extent arbitrary and/or conventionally imposed. The continuation is exposed to a risk of dissonance or a wasted opportunity. But it can also lead to unexpected or undeserved satisfaction. Finally the effect can mean many different things to different people.
EN
The authoress describes the practical reality of counselling in relation to educational counselling. The analysis of this reality constitutes the source of the proposed changes. The authoress believes that counselling under school's jurisdiction (the educational counselling) is not being reformed in accordance with social requirements and development of science. Excessive formalism, schematism of structural-functional activities dominated by diagnosis cause the collapse of institutional counselling's authority, where the main goal of counsellors' activity becomes to create expert opinions whenever schools need them. The specific character of the counsellor's work with a child introduces certain restrictions on applying general solutions in the area of counselling, yet it does not exempt us from searching for and implementing new forms and ways of assistance directed at a child and his or her family. The necessity of a change poses a challenge for educational counselling, in which advice-giving and diagnostic labelling performed for the sake of creating expert opinions should be replaced with actions that are supportive, therapeutic and, most importantly, take into account needs of counselees, not the school's expectations.
5
Content available remote THE CZECH ECONOMIC ELITE AFTER FIFTEEN YEARS OF POST-SOCIALIST TRANSFORMATION
80%
EN
The East-Central European post-socialist transformations have now reached a new stage, with the need to address the problems of further modernisation and maintenance in the context of the EU. The role of elites in this process is as intermediators between the influence of the European context and the needs and interests of differentiated internal social structures. Their attitudes and behaviour exhibit a high degree of internal fragmentation and division corresponding to various strategical orientations favouring various societal models. The post-socialist Czech economic elite was initially reproduced out of former state socialist managers and their cadre reserves. After the first phase of economic developments, inspired by neo-liberal radical privatisation and elements of 'shock therapy', and once the new, more European phase ushered in many new factors, there was a distinct decline in the number of 'old-new' economic elite on the scene. In the empirical part of the article the results of several surveys are used to briefly describe the changes in the composition of the Czech economic elite in the 1994-2005 period and to summarise their attitudes and behaviour. The analysis concludes that the current image of a liberal and pro-European Czech elite is consistent with the stable and remarkable progress of the Czech economy since 1999, the considerable wealth, strong profits, and high salaries enjoyed by top elites, and the enhancement of their role in the European economy. There are also some limitations and weak points that diverge from this general picture. The article's conclusions touch on the question of the role of the economic elite in the progress of arriving at more consensual attitudes and behaviour among societal elites as a whole, favouring further economic growth, modernisation and the strengthening of social cohesion in the context of the EU.
Filozofia (Philosophy)
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2014
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tom 69
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nr 6
472 – 481
EN
The paper explores possible changes of personal identity due to deep brain stimulation (DBS) on the background of a universal problem of combining the persistence through time with the change of an object. It is argued, that in the conception of perdurantism the problem can be resolved without the elimination of identity. Here the identity is put under threat only when the psychological criterion is applied. The application of memory, corporeal or biological criteria means no threat to personal identity of a person undergoing DBS.
EN
In the present study we addressed the question of central control of heart rate (HR) in emotions. Parallel measurement of HR changes and changes of local intensity of blood flow as indexed by fMRI in a procedure eliciting emotions allowed us to pinpoint areas of the brain responsible for HR variations during emotional arousal. In condition eliciting positive emotions we detected activation of occipito-temporal regions, anterior insula, and hypothalamus. In condition eliciting negative emotions we also detected activation of occipito-temporal regions and additionally activation of bilateral anterior insulae, right amygdala and right superior temporal gyrus. The results show that structures constituting neural network involved in HR control during emotional arousal are affect specific. Particularly the central circuit controlling HR in negative affect includes the amygdala, while central circuit controlling HR in positive affect includes the hypothalamus. Additionally activation of bilateral occipito-temporal cortex proves enhancement of visual processing of emotional material as compared to neutral material in both positive and negative affect. This might be attributed to top-down processes originating in the frontal lobe and related to shifting attention to the emotionally relevant stimuli. Activation of insular cortex is probably related to autonomic arousal accompanying watching emotional content (e.g. sweating, heart-rate changes etc.). Activation of the amygdala in the negative condition supports the well documented engagement of this structure in processing of fear and disgust.
EN
The notion of public finance discipline refers to obeying the rules while managing public resources. It is mainly defined in the Act on Public Finance. For breaching these rules, strict discipline was set out in the Act on Responsibility for a Breach of Public Finance Discipline of 17 December 2004, amendments to which were passed on 19 August 2011 and introduced significant changes. The amended regulations entered into force on 11 February 2012. The article presents the reasons for the changes introduced to the regulations, as well as some of those changes that can positively influence the effectiveness of asserting responsibility, and the preventive and educational function of the regulations in the field. The article considers solutions that are important from the perspective of audit bodies which are obliged to notify of cases where public finance discipline could have been breached. The authors also describe proposals for potential further changes in these regulations.
EN
We confront two seemingly incompatible positions in regard to the past. One, the modal status of a proposition is unchangeable; and two, that omnipotence is trumped only by necessity.
10
Content available remote The Narrative Event as an Occasion of Emergence
70%
EN
Some recent approaches to narratology have presented the event as a basic constitutive element of narrativity. The event is considered either a primitive term or something that just happens or may happen, a change from one state to another. The underlying concepts are identity, state, and being. The article describes the event in general and the narrative event in particular from the perspective of the primacy of becoming, change, and flow, employing especially Whitehead's philosophy of process and also certain concepts developed by reception aesthetics. The narrative event is analyzed in the context of the following concatenation: the event - interconnected events - plot - fictional world - the real world and its potentiality. The aim is to understand a narrative event not as an interruption of the receptive flow, but as its change of course among levels of emergence.
EN
The aim of the study was to check whether sense of coherence (SOC) can be altered in psychotherapy, and if so, whether the changes are stable and related to the baseline SOC level. Participants were 101 alcohol dependent patients (ALC) entering a 6-week alcohol treatment program at the Dependence Treatment Center, IPiN in Warsaw, and 54 neurotic patients (NEU) hospitalized for 10 weeks at the Psychiatric Clinic, Medical Academy in Lublin. They were examined thrice using Antonovsky's Orientation to Life (SOC-29) questionnaire: pre- and post-treatment, and by mail at a 6-month (NEU) or 12-month (ALC) follow-up. GLM with Repeated Measures with baseline weak (wSOC) or strong SOC (sSOC) as between-subject factor, and MDC analysis were used. A highly significant and stable enhancement of SOC was found after treatment in wSOC patients in both groups, ALC (in 58% of patients) and NEU (in 23%). In sSOC patients there was a ceiling effect (a mild, but significant and stable SOC increase) in the ALC group, while in NEU group the SOC level decreased (only 7% of patients indicated a stable real increase).
EN
A usual objection put forward against the causal theory of reference is that it cannot explain the reference changes that terms may undergo. The main aim of this paper is to examine the position on reference change of one of the classic supporters of the causal theory, Hilary Putnam. It is usually claimed that Putnam’s causal theory of reference of natural kind terms is closely related to Kripke’s theory and can be conceived as a development of the same. The motivation of this paper is to allege that there is at least one important difference between both theories, consisting of their explanation of reference changes or at least in the way in which those theories make reference changes possible. After dealing with the problem of reference change within the framework of Kripke’s theory and reconstructing Kripke’s proposal to account for it, we will allege that there are components of Putnam’s theory which make reference changes possible, although they are different from those present in Kripke’s theory.
EN
There is a number of verb-noun combinations which maintain a semantic correspondence with simple verbs (e. g. dar un abrazo — abrazar ‘to give a hug — to hug’). Traditionally, they have been accounted for as consisting of a grammaticalized functional verb which originates from a homonymic main verb, but this kind of account is unsatisfactory. On the one hand, there is no evidence supporting the alleged grammaticalization. On the other, this implies duplicating units and categories. A metaphor-based account, on the contrary, provides a more adequate explanation. First, an ontological metaphor achieves the reification of abstract entities, which then allow for the same kinds of operations as physical objects. This provides a basis for an additional metaphor consisting in some of kind of manipulation. These second-level metaphors do not appear in isolation. Rather, they tend to deploy as consistent networks which develop the original idea. There is no syntactic or lexical innovation. Preexistent units and structures are simply reused through metaphorical extensions which increase polysemy.
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