Background: Lower limb spasticity after stroke is common that can affect the balance, increase the risk of falling, and reduces the quality of life.Objective: First, evaluate the effects of spasticity severity of ankle plantar flexors on balance of patients after stroke. Second, to determine the relationship between the spasticity severity with ankle proprioception, passive ankle dorsiflexion range of motion, and balance confidence.Methods: Twenty-eight patients with stroke based on the Modified Modified Ashworth Scale were divided into two groups: High Spasticity Group (...) or a Low Spasticity Group. The MMAS scores, Activities-Specific Balance Confidence Questionnaire, postural sway of both affected and non-affected limbs under the eyes open and eyes closed conditions, timed up and go test, passive ankle dorsiflexion ROM, and ankle joint proprioception were measured.Results: The ankle joint proprioception was significantly better in the LSG compared to the HSG. No significant differences were found between the LSG and HSG on all other outcome measures. There were no significant relationships between the spasticity severity and passive ankle dorsiflexion ROM, and balance confidence.Conclusion: The severity of ankle plantar flexor spasticity had no effects on balance of patients with stroke. However, the ankle joint proprioception was better in patients with low spasticity. Our findings suggest that the balance is affected regardless of the severity of the ankle plantar flexor spasticity in this group of participants with stroke. (shrink)

There has been a great deal of skepticism towards the value of the realism/anti-realism debate. More specifically, many have argued that plausible formulations of realism and anti-realism do not differ substantially in any way. In this paper, I argue against this trend by demonstrating how a hypothetical resolution of the debate, through deeper engagement with the historical record, has important implications for our criterion of theory pursuit and science policy. I do this by revisiting Arthur Fine’s ‘small handful’ argument for (...) realism and show how the debate centers on whether continuity should be an indicator for the future fruitfulness of a theory. I then demonstrate how these debates work in practice by considering the case of the Human Brain Project. I close by considering some potential practical considerations of formulating meta-inductions. By doing this, I contribute three insights to the current debate: 1) demonstrate how the realism/anti-realism debate is a substantive debate, 2) connect debates about realism/anti-realism to debates about theory choice and pursuit, and 3) show the practical significance of meta-inductions. (shrink)

Virtues are habits of character that advance excellence in all of ones endeavors. In the Aristotelian formulation, training in the virtuesis driven by a sense of the “good,” that is, by a widely shared agreement on the components of a good society and on the roles (and appropriate virtues or excellencies) of the “social animals” that energize that society. In the modern era, however, a strong sense of community has been much diminished. Freedom from the restraints of the Church and (...) other social institutions and an emphasis on individual autonomy has fostered a different ethical perspective, a perspective in which the market enters importantly into one’s conception of the good. Does the market generate virtues which in turn sustain it? What guides the development of virtue in market economies that are entering the “information superhighway,” and a new millennium as well? (shrink)

It is widely accepted in clinical ethics that removing a patient from a ventilator at the patient’s request is ethically permissible. This constitutes voluntary passive euthanasia. However, voluntary active euthanasia, such as giving a patient a lethal overdose with the intention of ending that patient’s life, is ethically proscribed, as is assisted suicide, such as providing a patient with lethal pills or a lethal infusion. Proponents of voluntary active euthanasia and assisted suicide have argued that the distinction between killing and (...) letting die is flawed and that there is no real difference between actively ending someone’s life and "merely" allowing them to die. This paper shows that, although this view is correct, there is even less of a distinction than is commonly acknowledged in the literature. It does so by suggesting a new perspective that more accurately reflects the moral features of end-of-life situations: if a patient is mentally competent and wants to die, his body itself constitutes unwarranted life support unfairly prolonging his or her mental life. (shrink)

Recent science funding policy scholars and practitioners have advocated for the use of lotteries, or elements of random chance, as supplementations of traditional peer review for evaluating grant applications. One of the primary motivations for lotteries is their purported openness to innovative research. The purpose of this paper is to argue that current proponents of funding science by lottery overestimate the viability of peer review and thus unduly restrict the scope of lotteries in science funding practice. I further show how (...) this analysis suggests a different way of introducing lotteries into science funding policy. (shrink)

In this Current Controversy article, I describe and analyse the imminent move to a system of deemed consent for deceased organ donation in England and similar planned changes in Scotland, in light of evidence from Wales, where the system changed in 2015. Although the media has tended to focus on the potential benefits and ethical issues relating to the main change from an opt-in default to an opt-out one, other defaults will also change, while some will remain the same. Interaction (...) of these other defaults with the principal one raise several ethical issues that may complicate efforts to use deemed consent to increase donation rates. Most significantly, changing the main default will have the effect of changing the default for patients' families, who play a vital role in the consent process. (shrink)

In conjunction with the growing feminist literature on pregnancy and visualization, this paper uses Foucault’s The Birth of the Clinic to demonstrate how the effort to make the interior of the pregnant body visible in medical discourse was a crucial part of the development of the modern medical gaze. In doing so I develop two concurrent arguments. First, I argue that the pathological corpse of the Clinic can conceptually serve as a double for the pregnant body as it emerged in (...) modern medicine in the 20th century. At the same time I use the insights of the Clinic to illustrate changes in pregnancy from early modernity to the 20th century. In early modernity, the pregnant body was understood in terms of generation, as a tree that bears fruit; by the 19th century, the pregnant body was a machine that reproduced the species. This transition can be seen in the overlap of pathology and pregnancy in early modernity, an overlap that continued throughout the 19 century and is inadvertently reinforced through the practice of ultrasound. (shrink)

The aim of this paper is to present the Nyāya concept of number in the light of contemporary philosophy and to show that the Frege-Russell concept of number does not contradict the Nyāya concept of number but rather supplements it.

For readers engaged in intellectual struggle, ethical thinking, and trying to figure out how to live a purposeful, fulfilling life, here is a critical and accessible approach to ethics. Moral dilemmas challenge us to think through sticky situations and lead us to look for moral grounding. Following Cicero and other ancient philosophers, the author views ethics in terms of the question of who and what sort of person one ought to be, without relying on religion or any other prescriptions.

This book provides a broad survey of many of the major areas in neuroplasticity research by leading investigators in the field. The topics considered range across all levels of nervous system organization from the molecular to behavioral levels for species ranging from _C. elegans_ to humans. In addition, the effects of development and neuropathological events are discussed. A final summary chapter synthesizes the data gathered in this volume in order to provide the basis for a general theory of neuroplasticity.

The use of intention in ethics has been the subject of intense debate for many years, but no consensus has emerged over whether intention is morally relevant, or even how it should be understood. In this paper I wish to make a thorough, though by no means exhaustive, examination of the concept and the concepts around it, some to be seen as near-synonyms, and some as contrasting ideas. My interest is in the ethical use of the concept, though my own (...) analysis of it will be indebted to discussions in the philosophy of action. The most famous ethical use, which will not, however, be my direct focus here, is the ‘principle of double effect,’ which states that an agent may cause or allow something bad as long as, first, no evil is intended as an end or a means; and, second, that the foreseen bad is not out of proportion with the anticipated good. It is important to note the principle’s testimony to the plausibility of prohibitions expressed in terms of intentions, and, alongside these, a general prohibition on doing inordinate harms even without intention. (shrink)

In this article, I indicate and illustrate several flaws in a recent “ethical defence” of homeopathy. It transpires that the authors’ arguments have several features in common with homeopathic remedies, including strong claims, a lack of logic or evidence, and no actual effect.

In this essay I attempt to defend Badiou's conception of inaesthetics, drawn from the Handbook of Inaesthetics, from the pertinent criticisms of Rancière. In doing so, it is possible to delimit the intra-philosophical effects (truth effects) of artistic events (this combination being the domain of inaesthetics). Badiou can be defended from all of Rancière's objections, save the objection that inaesthetics asserts a 'propriety of art.' However, in granting this objection, it is possible to open a different question regarding Badiou's work: (...) what is the status of Badiou's comments on art outside of the Handbook of Inaesthetics? Through a reading of Le siècle, I show that, for Badiou, the importance of art extends beyond inaesthetics to other domains of thought. Yet Badiou has yet to answer the question of how art and truth relate outside of the domain of inaesthetics. (shrink)

Deontological moral theories may forbid a particular action in certain circumstances even though performing it would result in fewer actions of the forbidden type. This is the paradox of deontology, and the first two sections of the essay explicate this paradox and criticize some ways in which deontologists have responded to it. Thereafter, however, I come to the assistance of the deontologist. The third and fourth sections discuss the conditions that must be met before this paradox poses a genuine problem (...) and the likelihood of those conditions being satisfied. Then, with a nod to rule utilitarianism, I show that the deontologist has an important, albeit pragmatic line of rebuttal, which in conjunction with other considerations raised in the essay can assist nonconsequentialists to disarm the paradox of deontology. (shrink)

This is a selective annotated bibliography of publications in the area of feminist aes-thetics from 1990 to 2003. It is intended to compliment the bibliography presented by Linda Krumholz and Estella Lauter in the Spring 1990 issue of Hypatia.

The United States has a population of three hundred million, according to latest Census Bureau estimates. Forty-seven million, including many non-citizens, are uninsured. That is, 16% of the total United States population has no health insurance. Millions more have inadequate coverage and are in danger of losing that. Private, corporatized medical coverage, structured by the insurance industry, is the basis for the current system. This article is an attempt to lay out the principal health care issues, to look at the (...) alternatives and the cost of those alternatives, and to try to determine whether there is a particular regime that, despite its imperfections, is the best available to us now. (shrink)

This book brings a new understanding to one of the great documents of American and black history. While most scholarly discussions of The Souls of Black Folk focus on the veils, the color line, double consciousness, or Booker T. Washington, this book reads Du Bois' work as a profoundly nuanced interpretation of the souls of black Americans at the turn of the twentieth century. Demonstrating the importance of the work as a socioh-istorical study of black life in America at the (...) turn of the twentieth century and offering new ways of thinking about many of the topics introduced in Souls, this book charts Du Bois' successful appropriation of Hegelian idealism in order to add America, the nineteenth century, and black people to the historical narrative in Hegel's philosophy of history. It adopts Du Bois' point of view to delve into the social, cultural, political, and intellectual milieus that helped to create The Souls of Black Folk. (shrink)

Nova Scotia’s recently updated Involuntary Psychiatric Treatment Act signii cantly updated mental health law in the province in many respects. However, s.39 of the Act deviates from this record in that it contains a clause that permits overriding the competent prior wishes of involuntarily committed psychiatric patients. This is problematic because it displaces established Canadian common law and legislation on advance directives for psychiatric patients but not other patients, suggesting possible discrimination The paper explores whether s.39 might survive challenge under (...) s.15 of the Canadian Charter of Rights and Freedoms, as either an ai rmative action program under s.15 of the Charter or as an overriding societal concern under s.1 of the Charter. (shrink)

Plato’s programme for establishing his ideal state involved propagating two foundation myths for it, described by Socrates as a “noble lie”, which were designed to persuade its citizens to embrace the classes of society to which they had been assigned, and their roles within them, contentedly and in harmony with their fellow citizens. Because most citizens were judged incapable of understanding the truth about the most important matters, the rulers of the ideal state were authorised to tell them whatever stories, (...) true or false, would induce them to behave well. Advocates of the management of corporate culture similarly emphasise the potency of story-telling and myth-making in inducing employees to adopt the beliefs, values and assumptions that corporate leaders consider desirable for both corporate performance and employee wellbeing. There are similarities between Plato’s programme for his ideal state and the programmes recommended by advocates of the management of corporate culture. There are also similarities between them in the ethical questions that they raise. Do corporate leaders have the moral authority to shape people’s beliefs, values and assumptions in the ways that these programmes entail? Are the outcomes to which those programmes lead really beneficial for all those who are affected by them? Even assuming that those outcomes are beneficial, how likely are the strategies proposed for realising them to be successful? Literature that explores these ethical issues is sparse, and this paper argues that it is doubtful whether any of these questions can be answered decidedly in the affirmative. (shrink)

Drawing a line of intellectual heritage between French philosophy and antifascist practice, this book provides new, incisive interpretations of Simone de Beauvoir’s existentialism to make the case for a broader militant movement against fascism.

In this essay, I propose a mutually constructive reading of the work of Jacques Rancière and Jean-Paul Sartre. On the one hand, I argue that Rancière's egalitarian political thought owes several important conceptual debts to Sartre's Being and Nothingness , especially in his use of the concepts of freedom, contingency and facticity. These concepts play a dual role in Rancière's thought. First, he appropriates them to show how the formation of subjectivity through freedom is a dynamic that introduces new ways (...) of speaking, being and doing, instead of being a mode of assuming an established identity. Second, Rancière uses these concepts to demonstrate the contingency of any situation or social order, a contingency that is the possibility of egalitarian praxis. On the other hand, I also argue that reading Sartre with Rancière makes possible the reconstruction of Sartre's project within the horizon of freedom and equality rather than that of authenticity. (shrink)

Plato decided that the poets, that is, all creative writers, should be banned from his ideal state. He objected to the claim that they imparted knowledge to their audiences. The poets gave no explanation of the basis for the stories that they told or the conclusions to which those stories led. Plato denied the validity of any claim to knowledge that was not accompanied by an account that justified the claim. Management scholars make comparable objections to management consultants. They argue (...) that consultants use rhetoric and story-telling to persuade clients of their knowledge, when their services often have no foundation in real knowledge. Consultancy knowledge is to a large extent socially constructed, dependent for its status as knowledge on clients’ acceptance of it as such. Consultants often sell their services and persuade clients of their value by appealing to their relevance to passing management fashions and fads. The poets necessarily are susceptible to Plato’s objections, because they are creative artists whose proper business is primarily to entertain rather than to impart knowledge. By contrast, consultants have a clear role in imparting and applying management knowledge. They should respond to management scholars’ objections by shifting their focus ever more sharply towards the technoeconomic contributions that consultants can make to their clients, and away from the use of rhetoric and story-telling to promote their services. (shrink)