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Experiences of substitute decision-makers with requests for consent to non-therapeutic research participation during the dying process, including to what degree such requests are perceived as burdensome, have not been well described. In this study, we explored the lived experiences of family members who consented to non-therapeutic research participation on behalf of an imminently dying patient. We interviewed 33 family members involved in surrogate research consent decisions for dying patients in intensive care. Non-therapeutic research involved continuous physiological monitoring of dying patients (...) prior to and for 30 min following cessation of circulation. At some study centres participation involved installation of bedside computers. At one centre electroencephalogram monitoring was used with a subset of participants. Aside from additional monitoring, the research protocol did not involve deviations from usual end-of-life care. Thematic analysis of interviews suggests most family members did not perceive this minimal-risk, non-therapeutic study to affect their time with patients during the dying process, nor did they perceive research consent as an additional burden. In our analysis, consenting for participation in perimortem research offered families of the dying an opportunity to affirm the intrinsic value of patients’ lives and contributions. This opportunity may be particularly important for families of patients who consented to organ donation but did not proceed to organ retrieval. Our work supports concerns that traditional models of informed consent fail to account for possible benefits and harms of perimortem research to surviving families. Further research into consent models which integrate patient and family perspectives is needed. All data relevant to the study are included in the article. (shrink)

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O artigo analisa a questão da música nas obras de Edmund Husserl. Entre as obras mais importantes para o tema estão as Lições para uma fenomenologia da consciência interna do tempo publicada em 1905 e o volume XXIII da husserliana sob o título de: Fantasia, consciência de imagem e memória. Da fenomenologia das presentificações intuitivas. Textos póstumos. O artigo faz uma crítica às leituras limitadoras da compreensão da fantasia, modo de consciência que gere a arte musical.

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One of the most plausible and widely discussed examples of strong emergence is molecular structure. The only detailed account of it, which has been very influential, is due to Robin Hendry and is formulated in terms of downward causation. This paper explains Hendry’s account of the strong emergence of molecular structure and argues that it is coherent only if one assumes a diachronic reflexive notion of downward causation. However, in the context of this notion of downward causation, the strong emergence (...) of molecular structure faces three challenges that have not been met and which have so far remained unnoticed. First, the putative empirical evidence presented for the strong emergence of molecular structure equally undermines supervenience, which is one of the main tenets of strong emergence. Secondly, it is ambiguous how the assumption of determinate nuclear positions is invoked for the support of strong emergence, as the role of this assumption in Hendry’s argument can be interpreted in more than one way. Lastly, there are understandings of causation which render the postulation of a downward causal relation between a molecule’s structure and its quantum mechanical entities, untenable. (shrink)

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This article proposes to examine the relation between art and the experience of alterity through the typology of modes of existence which Deleuze extracts from literature and cinema. Through the figures of slavery, automatism, petrification, and exhaustion which characterize this typology, it suggests that these experiences of alterity define "minor" modes of existence and thought which are opposed to that volitional autonomy which, for Kant, defines our maturity. The hypothesis examined here is that the notion of the minor marks a (...) turning point from which the emancipatory vocation of the Enlightenment is replaced by an idea of resistance – understood here, according to Deleuze and Lyotard, as an ethical category designating an experience of the alterity constitutive of the self. From this common point, the article finally seeks to identify what separates the ethics of Deleuze from that of Lyotard, analyzing how Deleuze's typology fits neither a logic of freedom nor that of the gift, making itself unavailable for morality. (shrink)

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ABSTRACT The aim of this article is to analyze the character Alison, the wife of Bath, in Geofrey Chaucer’s The Canterbury Tales. To do this, based on Bakhtin (1984a, 1984b), especially from the perspective of carnivalization, together with Butler’s theory of gender performativity (1988, 1999), we intend to show how this character carnivalistically subverts certain biblical texts relating to the role of women in marriage. Thus, for the purposes of this study, we have taken the Wife of Bath’s prologue from (...) Chaucer’s work, because in it she constructs her polemical more explicitly and the comic relationship with the Bible at the same time. From this analysis, we conclude that Bath’s wife, in a carnivalized way, performs the feminine gender in the middle of the medieval period, showing herself to be subversive of the stereotypes of the time by profaning certain biblical guidelines, from both the Old and New Testaments, regarding what it means to be a woman and a wife. (shrink)

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The present article deals with the problem of the crisis diagnosed by Husserl as an existential crisis of the meaning of Philosophy and its task before the sciences in general. The crisis of the sciences is the result of a deeper and existential crisis, the crisis of Philosophy, which, by losing its universal and guiding character, by doubting its reflective, questioning and rational power (not thought of as in modernity), has the result of being set aside. The positive and technical (...) sciences dominated contemporaneity and assumed the reins of knowledge in the conduct of human life. The consequences of philosophy's skepticism towards itself create all kinds of knowledge, produce scientific aberrations and pseudosciences. The distance from the reflexive, original and universal character of Philosophy to knowledge reflects and contributes to the relapse to barbarism, war and lack of existential orientation of humanity. As a solution, Husserl proposes a renewal in Philosophy, as will be seen in the article in the Kaizo magazine of 1923, and later, he proposes the rebirth of Philosophy in the conference The Crisis of European Humanity and Philosophy of 1935 and also rescues the theme in the work that was his philosophical testament The crisis of European sciences and transcendental phenomenology. An introduction to the phenomenological philosophy of 1936. The discussion of the existential crisis of humanity begins before Husserl's best-known texts on the subject. Philosophy in a larger context of humanity's crisis. (shrink)

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The acquisition of expertise in formal problem solving has been assumed to involve either a shift from backwards to forwards inference, or a shift from unguided to guided forwards inference. In a longitudinal study, the acquisition of formal problem-solving expertise was investigated. Participants were tested as novices before undertaking controlled practice in the problem domain which involved transformation rule problems , and were finally tested as experts. The direction of inference in problem solutions was found to be inadequate to describe (...) the strategic differences between novices and experts. Therefore, a new solution coding system was applied, based on atomic components of problem solution. Analysis of novice and expert solutions revealed no systematic strategy in the novice stage solutions were confused and contained unproductive steps and backtracking. Several strategies were found in the expert solutions, but they did not agree with previously reported results. It was therefore proposed that the acquisition of expertise does not involve a change from one specific solution strategy to another, but rather the development of an efficient strategy, which can differ between participants. (shrink)

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Apresenta-se resultados de uma pesquisa desenvolvida na área da educação de surdos, realizada no período de 2015 a 2017, com financiamento da Fundação de Amparo à Pesquisa do Estado de São Paulo. A investigação aconteceu em salas de aulas do ensino fundamental II, com a presença de alunos surdos e intérpretes educacionais, de uma escola municipal inclusiva no interior do estado de São Paulo. Percebe-se em que medida o percurso escolar anterior dos alunos surdos facilitaram a interação com os profissionais (...) tradutores e intérpretes de língua de sinais educacional. Conclui-se que os alunos surdos que passaram por salas bilíngues com a língua de instrução Libras, nos anos iniciais do ensino fundamental I, apresentaram uma melhor relação com os TILSE. (shrink)

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There are many- not just one- periodic laws in chemistry. These laws correspond to non-accidental regularity relations about physical and chemical properties of (sets of) chemical elements. I support this by showing how these regularity relations can be understood from the perspective of a philosophical analysis of laws. Specifically, I show that these relations instantiate standard features associated with laws; they can be spelled out in terms of two standard accounts of laws; and, they can coherently figure in debates about (...) the reality of laws as plausible candidates of ceteris paribus laws. (shrink)

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Liberalism is a critically important topic in the contemporary world as liberal values and institutions are in retreat in countries where they seemed relatively secure. Lucidly written and accessible, this book offers an important yet neglected Russian aspect to the history of political liberalism.Vanessa Rampton examines Russian engagement with liberal ideas during Russia's long nineteenth century, focusing on the high point of Russian liberalism from 1900 to 1914. It was then that a self-consciously liberal movement took shape, followed (...) by the founding of the country's first liberal (Constitutional-Democratic or Kadet) party in 1905. For a brief, revelatory period, some Russians - an eclectic group of academics, politicians and public figures - drew on liberal ideas of Western origin to articulate a distinctively Russian liberal philosophy, shape their country's political landscape, and were themselves partly responsible for the tragic experience of 1905. (shrink)

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Moral distress has been well reviewed in the literature with established deleterious side effects for all healthcare professionals, including nurses, physicians, and others. Yet, little is known about the quality and effectiveness of interventions directed to address moral distress. The aim of this integrative review is to analyze published intervention studies to determine their efficacy and applicability across hospital settings. Of the initial 1373 articles discovered in October 2020, 18 were appraised as relevant, with 1 study added by hand search (...) and 2 after a repeated search was completed in January and then in May of 2021, for a total of 22 reviewed articles. This review revealed data mostly from nurses, with some studies making efforts to include other healthcare professions who have experienced moral distress. Education-based interventions showed the most success, though many reported limited power and few revealed statistically lowered moral distress post intervention. This may point to the difficulty in adequately addressing moral distress in real time without adequate support systems. Ultimately, these studies suggest potential frameworks which, when bolstered by organization-wide support, may aid in moral distress interventions making a measurable impact. (shrink)

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RESUMO O objetivo do artigo é proceder a uma análise da personagem Alison, esposa de Bath, na obra Os contos de Canterbury, de Geofrey Chaucer. Para isso, com base em Bakhtin (2010, 2018), em particular a partir da perspectiva da carnavalização, somada à teoria da performatividade de gênero de Butler (1988, 2017), pretendemos mostrar como a referida personagem subverte, carnavalizadamente, certos textos bíblicos referentes ao papel da mulher no matrimônio. Dessa forma, nesse estudo, para efeito de análise, tomamos da obra (...) chaucereana o prólogo da esposa de Bath visto que nele a personagem elabora, de modo mais evidente, sua relação tensa e, ao mesmo tempo cômica, com a Bíblia. Da análise feita, concluímos, assim, que a esposa de Bath, de maneira carnavalizada, performatiza o gênero feminino em pleno período medieval, mostrando-se subversiva aos estereótipos da época ao profanar certas orientações bíblicas, tanto do Velho como do Novo Testamento, relativamente ao que é ser mulher e esposa. (shrink)

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This article investigates how auditory attention affects inattentional blindness , a failure of conscious awareness in which an observer does not notice an unexpected event because their attention is engaged elsewhere. Previous research using the attentional blink paradigm has indicated that listening to music can reduce failures of conscious awareness. It was proposed that listening to music would decrease IB by reducing observers’ frequency of task-unrelated thoughts . Observers completed an IB task that varied both visual and auditory demands. Listening (...) to music was associated with significantly lower IB, but only when observers actively attended to the music. Follow-up experiments suggest this was due to the distracting qualities of the audio task. The results also suggest a complex relationship between IB and TUTs: during demanding tasks, as predicted, noticers of the unexpected stimulus reported fewer TUTs than non-noticers. During less demanding tasks, however, noticers reported more TUTs than non-noticers. (shrink)

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O presente estudo trata-se de uma pesquisa qualitativa com objetivo de analisar as mudanças nas relações familiares provenientes da guarda judicial dos netos, em disputa com seus filhos. Nesse texto, enfatizamse as questões sobre tempo e dinheiro e suas influências sobre essas relações. Para a const..

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In “Conscientious of the Conscious: Interactive Capacity as a Threshold Marker for Consciousness” (2013), Fischer and Truog argue that recent studies showing that some patients diagnosed as being in a vegetative state are in fact in a minimally conscious state raise various ethical questions for clinicians and family members. I argue that these findings raise a further ethical dilemma about how and whether to seek the involvement of the minimally conscious person herself in decisions about her care. There may be (...) a conflict between doing what is believed to accord with the patient’s prior stated wishes and/or her best interests, on the one hand, and respecting her own potential decision-making capacity and epistemic authority, on the other. (shrink)

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Lieu du transitoire, la ville excède les représentations que chacun peut en avoir et déroge aux formalismes conceptuels. La constitution d’une ville est marquée par l’histoire, elle est une accumulation de couches plus ou moins enfouies ; « la forme d’une ville change plus vite, hélas ! que le cœur d’un mortel1 ». Au XIXème siècle, la naissance de l’urbanisme et de la rationalisation..

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O objetivo deste artigo é discutir as complexas e flutuantes definições sobre os espaços público e privado a partir dos anos 1960, focando especialmente nas críticas elaboradas pelas feministas, para destacar as importantes contribuições dessas teóricas tanto para o alargamento conceitual desses dois espaços quanto para a problematização da esfera doméstica. Dos anos 1960 em diante, as feministas mostram que as tradicionais e históricas polarizações dos espaços sociais legitimam estruturas e práticas de dominação masculina, assim, ficam mais evidentes as relações (...) de poder, presentes nessas esferas. Nesse sentido, focaremos no potencial crítico desses estudos e na importância da compreensão das dinâmicas opressivas referentes às vivências domésticas das mulheres — considerando a pluralidade de classes e raças que constituem essa categoria.Palavras-chave: Espaços público/privado. Espaço doméstico. Estudos feministas.AbstractThe objective of this article is to discuss the complex and fluctuating definitions of public and private spaces since the 1960s, focusing especially on the criticisms drawn up by feminists, to highlight the important contributions of these theorists both to the conceptual expansion of these two spaces and to the problematization of the domestic sphere. From the 1960s onwards, feminists show that the traditional and historical polarizations of social spaces legitimize structures and practices of male domination, thus, the power relations, present in these spheres, become more evident. In this sense, we will focus on the critical potential of these studies and in the importance of understanding the oppressive dynamics related to women's domestic experiences — considering the plurality of classes and races.Keywords: Public / private spaces. Domestic space. Feminist studies. (shrink)

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The question of higher ordination for Therav?da women is a complicated one. Although thousands of Buddhist women in a number of different Therav?da countries pursue a life of homelessness and renunciation, the majority are not recognized as ordained renunciants by their surrounding male monastic orders. This paper explores some of the reasons behind the general reticence concerning higher ordination felt by many of the silm?tas interviewed, and focuses specifically on some of the socio-economic factors that may be affecting their decision-making (...) process. (shrink)

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How should driverless vehicles respond to situations of unavoidable personal harm? This paper takes up the case of self-driving cars as a prominent example of algorithmic moral decision-making, an emergent type of morality that is evolving at a high pace in a digitised business world. As its main contribution, it juxtaposes dilemma decision situations relating to ethical crash algorithms for autonomous cars to two edge cases: the case of manually driven cars facing real-life, mundane accidents, on the one hand, and (...) the dilemmatic situation in theoretically constructed trolley cases, on the other. The paper identifies analogies and disanalogies between the three cases with regard to decision makers, decision design, and decision outcomes. The findings are discussed from the angle of three perspectives: aspects where analogies could be found, those where the case of self-driving cars has turned out to lie in between both edge cases, and those where it entirely departs from either edge case. As a main result, the paper argues that manual driving as well as trolley cases are suitable points of reference for the issue of designing ethical crash algorithms only to a limited extent. Instead, a fundamental epistemic and conceptual divergence of dilemma decision situations in the context of self-driving cars and the used edge cases is substantiated. Finally, the areas of specific need for regulation on the road to introducing autonomous cars are pointed out and related thoughts are sketched through the lens of the humanistic paradigm. (shrink)

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In “Materialized Oppression in Medical Tools and Technologies”, we show how oppression can be inscribed in medical devices. We consider oximeters and spirometers, drawing heavily on the work of anthropologist Amy Moran-Thomas and historian Lundy Braun. Both devices encode racial biases: oximeters because they do not correct for race, and spirometers because they do. We zoom out from these particular devices to examine a wide range of tools and technologies, and we build a theoretical framework that covers not only race (...) but other axes of oppression: gender, ability, class, etc. -/- We are inspired by the peer commentaries and the guest editorial, and we are grateful to the contributors for engaging with our work and sharing their expertise. Their responses to our target article advance our understanding in three directions. First, a set of responses contextualize our framework within the histories of medicine, bioethics, and science and technology studies. Second, a set of responses provide additional examples of oppressive medical tools and technologies: not only material artifacts like oximeters and spirometers, but also spatial environments like inpatient psychiatric units, and cognitive niches comprised of digital technologies like electronic medical records and medical data classifications. Third, a set of responses propose countermeasures: operationalizing anti-oppressive practices for device design and testing; mapping the complex causal relationships involved in real-world problems; and repairing the harms done by materialized oppression through racism-conscious praxis. We reply to these three sets of responses—respectively, the “past, present, and future” of oppressive medical objects and spaces—in what follows. (shrink)

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Holobionts are symbiotic assemblages composed by a macrobe host plus its symbiotic microbiota. In recent years, the ontological status of holobionts has created a great amount of controversy among philosophers and biologists: are holobionts biological individuals or are they rather ecological communities of independent individuals that interact together? Chiu and Eberl have recently developed an eco-immunity account of the holobiont wherein holobionts are neither biological individuals nor ecological communities, but hybrids between a host and its microbiota. According to their account, (...) the microbiota is not a proper part of the holobiont. Yet, it should be regarded as a set of scaffolds that support the individuality of the host. In this paper, we approach Chiu and Eberl’s account from a metaphysical perspective and argue that, contrary to what the authors claim, the eco-immunity account entails that the microorganisms that compose the host’s microbiota are proper parts of the holobiont. Second, we argue that by claiming that holobionts are hybrids, and therefore, not biological individuals, the authors seem to be assuming a controversial position about the ontology of hybrids, which are conventionally characterized as a type of biological individual. In doing so, our paper aligns with the contemporary tendency to incorporate metaphysical resources to shed light on current biological debates and builds on that to provide additional support to the consideration of holobionts as biological individuals from an eco-immunity perspective. (shrink)

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Many of today’s most disruptive challenges are the result of rare yet highly impactful events. Their characteristics are largely at odds with prevailing management research paradigms, thus stymieing efforts toward societally relevant guidance. New approaches are needed to ensure sustainable businesses and societies.

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Why do racist oppression and capitalist exploitation often seem so inescapable and intractable? To describe and explain adequately the persistence of racist ideology, to specify its role in the maintenance of racial capitalism, and to imagine the conditions of its abolition, we must understand racist ideology as a form of false consciousness. False consciousness gets things “right” at the level of appearance, but it mistakes that appearance for a “deep” or essential truth. This chapter articulates a novel, positive account of (...) first-order false consciousness, which occurs in the case of false beliefs about the world that are sustained and superficially justified by objective social arrangements, and of second-order false consciousness, which occurs in the case of false beliefs about how one has come to hold the beliefs that one does. To dismantle racist ideology requires political movements that craft theoretical interventions highlighting the inessentiality and contingency of despised racial groups’ oppressed status, as well as practical interventions aimed at directly undermining the oppressive conditions that are reflected in racist beliefs about the “naturalness” or “appropriateness” of these groups’ degraded status. (shrink)

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Nietzsche coins the enigmatic term homo natura to capture his understanding of the human being as a creature of nature and tasks philosophy with the renaturalisation of humanity. Following Foucault's critique of the human sciences,Vanessa Lemm discusses the reception of Nietzsche's naturalism in philosophical anthropology, psychoanalysis and gender studies. She offers an original reading of homo natura that brings back the ancient Greek idea of nature and sexuality as creative chaos and of the philosophical life as outspoken and (...) embodied truth, perhaps best exemplified by the Cynics' embrace of social and cultural transformation. (shrink)

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This paper addresses responses to news about the imposing of a local lockdown in a UK city. The opposition to the measure shows it to be controversial as does the associated rejection of the grounds for taking action against covid more generally, which comes alongside the devaluing of expertise, resistance to public health responses, a proliferation of conspiracy theories and misinformation and the harm that can be caused by focussing on non-adherence to covid measure. The research question for this analysis (...) is therefore: how are arguments about the local lockdown discursively formulated in online discussions? Discursive analysis of online discussions following four newspaper articles identified six arguments used that range from scepticism to conspiratorial: scepticism over (1) the prevalence and; (2) severity of covid; (3) lockdowns generally do not work and (4) the specific city lockdown will not work; (5) lockdowns are overly risk averse; and (6) there are hidden political motives for lockdowns. The discussion shows how both the ‘conspiratorial’ and non-conspiratorial arguments are potentially harmful from a public health perspective. (shrink)

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Abstract It would be puzzling if the morally best agents were not so good after all. Yet one prominent account of the morally best agents ascribes to them the exact motivational defect that has famously been called a “fetish.” The supposed defect is a desire to do the right thing, where this is read de dicto . If the morally best agents really are driven by this de dicto desire, and if this de dicto desire is really a fetish, then (...) the morally best agents are moral fetishists. This is puzzling. I resolve the puzzle by showing that on a proper understanding of the interaction between de dicto and de re moral motivation, it is not only not fetishistic, but quite possibly desirable, to be motivated by a de dicto desire to do the right thing. My argument relies partly on an appeal to a non-buck-passing account of moral rightness, according to which rightness is itself an additional reason-giving property over and above the right-making properties of an action. If this account of moral rightness is correct, then we would expect the morally best agents to exhibit de dicto moral motivation. However, since their de dicto desire acts in concert with de re desires, there is no reason to consider it a fetish. Content Type Journal Article Pages 1-19 DOI 10.1007/s11098-011-9825-z AuthorsVanessa Carbonell, Philosophy Department, University of Cincinnati, P.O. Box 210374, Cincinnati, OH 45221-0374, USA Journal Philosophical Studies Online ISSN 1573-0883 Print ISSN 0031-8116. (shrink)

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Marxism is a materialist theory that centers economic life in its analysis of the human social world. This materialist orientation manifests in explanations that take economic class to play a fundamental causal role in determining the emergence, character, and development of race-and sex-based oppression—indeed, of all forms of identity-based oppression within class societies. To say that labor is mediated by class in a class-based society is to say that, in such societies, the class-based division of that activity which produces and (...) reproduces the human species is the definite form in which labor appears, and that the human life which is the product of that self-making activity bears its stamp. Marxism’s emphasis on economic factors as central in the constitution and development of human life has been seized upon as evidence of its alleged “class reductionism”—its supposed tendency to think of all aspects of human life as direct and simple expressions of a class relation. No such thing follows; quite the opposite, a correct understanding of the relationships among capitalism, racism, and sexism only further highlights how central the struggle against each is to the struggles against any of the others. (shrink)

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Networked global learning communities build partnership programs between higher education institutions and high schools which allow students, teachers and professors to attend and work in college preparation programs located in countries outside of their native lands. These educational programs help to promote development of transnational policies and procedure reforms to provide access to universities in other countries, as well as provide exposure to global learning strategies, structures, and emerging technologies among teachers and educational leadership. Transnational High School-University Bridge programs also (...) allow the student to adjust to a new culture and work to improve their second language skills, while potentially earning college credit in a dual credit, high school environment. (shrink)

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