Tsirelson’s problem deals with how to model separate measurements in quantum mechanics. In addition to its theoretical importance, the resolution of Tsirelson’s problem could have great consequences for device independent quantum key distribution and certified randomness. Unfortunately, understanding present literature on the subject requires a heavy mathematical background. In this paper, we introduce quansality, a new theoretical concept that allows to reinterpret Tsirelson’s problem from a foundational point of view. Using quansality as a guide, we recover all known results on (...) Tsirelson’s problem in a clear and intuitive way. (shrink)

Background: The Directive 2001/20/EC was an important first step towards consistency in the requirements and processes for clinical trials across Europe. However, by applying the same rules to all types of drug trials and transposing the Directive’s principles into pre-existing national legislations, the Directive somewhat failed to meet its facilitation and harmonisation targets. In the field of ethics, the Directive 2001/20/EC conditioned the way of understanding and transposing the “single opinion” process in each country. This led to a situation in (...) which two models of research ethics committees organisation systems exist, being the model in which the “single opinion” is considered to be the decision made by a single ethics committee more effective and simpler in terms of administrative and logistic workload. Method: A survey was conducted in 10 European countries. Members of the European Clinical Research Infrastructures Network working party number 1, with expertise in the field of ethics, responded. Results: There is a major heterogeneity in the composition of ethics committees among the surveyed countries based on the number of members, proportion of experts versus lay members and expertise of the scientific members. A harmonised education of the ethics committees’ membership based in common curricula is recommended by the majority of countries. Conclusions: Despite the efforts for harmonisation of the European Clinical Trial Directive, from an ethical point of view, there remains a plurality of ethics committees' systems in Europe. It is important to comprehend the individual national systems to understand the problems they are facing. (shrink)

This paper is a study about Philadelphia’s comprehensive user engagement sites (CUESs) as the authors address and examine issues related to the upcoming implementation of a CUES while seeking solutions for its disputed questions and plans. Beginning with the federal drug schedules, the authors visit some of the medical and public health issues vis-à-vis safe injection facilities (SIFs). Insite, a successful Canadian SIF, has been thoroughly researched as it represents a paradigm for which a Philadelphia CUES can expand upon. Also, (...) the existing criticisms against SIFs are revisited while critically unpackaged and responded to in favor of the establishment. In the main section, the authors propose the layout and services of the upcoming CUES, much of which would be in congruent to Vancouver’s Insite. On the other hand, the CUES would be distinct from Insite, as the authors emphasize, in that it will offer an information center run by individuals in recovery and place additional emphasis on early education for young healthcare professionals by providing them a platform to work at the site. The paper will also briefly investigate the implementation of a CUES site under an ethical scope of the Harm Reduction Theory. Lastly, the authors recommend some strategic plans that the Philadelphia City government may consider employing at this crucial stage. (shrink)

BackgroundPeople with upper extremity amputations report receiving insufficient information about treatment options. Furthermore, patients commonly report not knowing what questions to ask providers. A question prompt sheet, or list of questions, can support patient-centered care by empowering patients to ask questions important to them, promoting patient-provider communication, and increasing patient knowledge. This study assessed information needs among people with UE amputations about UE vascularized composite allotransplantation and developed a UE VCA-QPS.MethodsThis multi-site, cross-sectional, mixed-methods study involved in-depth and semi-structured interviews with (...) people with UE amputations to assess information needs and develop a UE VCA-QPS. Qualitative data were analyzed by thematic analysis; quantitative data were analyzed by descriptive statistics. The initial UE VCA-QPS included 130 items across 18 topics.ResultsEighty-nine people with UE amputations participated. Most were male, had a mean age of 46 years, and had a unilateral and below-elbow amputation. Participants desired information about UE VCA eligibility, evaluation process, surgery, risks, rehabilitation, and functional outcomes. After refinement, the final UE VCA-QPS included 35 items, across 9 topics. All items were written at a ≤ 6th grade reading level. Most semi-structured interview participants reported being ‘completely’ or ‘very’ likely to use a UE VCA-QPS.ConclusionPeople with UE amputations have extensive information needs about UE VCA. The UE VCA-QPS aims to address patients’ information needs and foster patient-centered care. Future research should assess whether the UE VCA-QPS facilitates patient-provider discussion and informed decision-making for UE VCA. (shrink)

© 2015, Springer-Verlag Berlin Heidelberg.Genetic studies have identified single nucleotide polymorphisms associated with the risk of prostate cancer. It remains unclear whether such genetic variants are associated with disease aggressiveness. The NCI-SPORE Genetics Working Group retrospectively collected clinicopathologic information and genotype data for 36 SNPs which at the time had been validated to be associated with PC risk from 25,674 cases with PC. Cases were grouped according to race, Gleason score and aggressiveness. Statistical analyses were used to compare the frequency (...) of the SNPs between different disease cohorts. After adjusting for multiple testing, only PC-risk SNP rs2735839 was significantly and inversely associated with aggressive and high-grade disease in European men. Similar associations with aggressive and high-grade disease were documented in African-American subjects. The G allele of rs2735839 was associated with disease aggressiveness even at low PSA levels in both European and African-American men. Our results provide further support that a PC-risk SNP rs2735839 near the KLK3 gene on chromosome 19q13 may be associated with aggressive and high-grade PC. Future prospectively designed, case-case GWAS are needed to identify additional SNPs associated with PC aggressiveness. (shrink)

Books Reviewed in this Article: Introduction to the Critical Study of the Text of the Hebrew Bible. By J. Weingreen. Pp.vii, 103, Oxford, Clarendon Press; New York, Oxford University Press, 1982, £5.50. The Archaeology of the Land of Israel. By Yohanan Aharoni. Pp.xx, 344, Philadelphia, The Westminster Press, 1982, $27.50, $18.95 ; London, SCM Press, 1982, £12.50. A Commentary on the Gospel of Mark. By Terence J. Keegan. Pp.183, New York, Paulist Press, and Leominster, Fowler Wright Books, 1981, £4.45. The (...) Panorama of Luke: An Introduction to the Gospel of Luke and the Acts of the Apostles. By Neil Richardson. Pp.116, London, Epworth Press, 1982, £3.95. The Synoptic Gospels: An Introduction. By Keith F. Nickle. Pp.119, London SCM Press, 1982, £5.50. What is a Gospel? By Nicholas King. Pp.132, Leigh‐on‐Sea, Kevin Mayhew, 1982, £3.00. The Women Around Jesus: Reflections on Authentic Personhood. By Elisabeth Moltmann‐Wendel, translated by J. Bowden. Pp.xii, 148, London, SCM Press, 1982, £3.95. Paul and Paulinism: Essays in honour of C.K. Barrett. Edited by M.D. Hooker and S.G. Wilson. Pp.xxvii, 404, London, SPCK, 1982, £25.00. Divine Revelation and the Limits of Historical Criticism. By William J. Abraham. Pp.222, Oxford, Oxford University Press, 1982, £15.00. The Social Teaching of Vatican II. By Rodger Charles with Drostan Maclaren. Pp.xxvi, 569, San Francisco, Ignatius Press; Oxford, Plater Publications, 1982, £12.75. Option for the Poor: A Hundred Years of Vatican Social Teaching. By Donal Dorr. Pp.viii, 328, New York, Orbis Books; Dublin, Gill & Macmillan, 1983, £7.95. The Kindness that Kills. Edited by Digby Anderson. Pp.xii, 170, London SPCK, 1984, £3.95. Communism in the Bible. By José Porfiro Miranda. Pp.x, 86, London, SCM Press Ltd. 1982, £3.50. Why I am still a Catholic. Edited by Robert Nowell. Pp.157, London, Collins, 1982, £4.95. Does God Answer Prayer? By Peter Baelz. Pp.55, London, Darton, Longman and Todd, 1982, £1.95. A Cry for Mercy. By Henri J.M. Nouwen. Pp.175, Dublin, Gill and Macmillan, 1982, £3.50. The Living Reminder. By Henri J.M. Nouwen. Pp.80, Dublin, Gill and Macmillan, 1982, £2.95. Making All Things New. By Henri J.M. Nouwen. Pp.95, Dublin, Gill and Macmillan, 1982. £2.95. Picturing God. By Norman Pittenger. Pp.x, 147, London, SCM Press, 1982, £4.50. Christotherapy II, The Fasting and Feasting Heart. By Bernard J. Tyrrell. Pp.xiii, 337, New York, Paulist Press, 1982, £6.70. With Respect: A Doctor's Response to a Healing Pope. By Frank Lake. Pp.xxiii, 327, London, Darton, Longman and Todd, 1982, £6.95. Euthanasia and Clinical Practice: Trends, Principles and Alternatives: The Report of a Working Party. Pp.viii, 88, London, The Linacre Centre, 1982, £2.75. Essays in Religion and Morality. By William James. Pp.xxviii, 345, Cambridge, Harvard University Press, 1982, £17.50. Freud and Jung: Conflicts of Interpretation. By Robert Steele. Pp.vii, 390, London, Routledge and Kegan Paul, 1982, £14.95. Archetype: A Natural History of the Self. By Anthony Stevens. Pp.xi, 324, London, Routledge and Kegan Paul, 1982, £12.50. The Seeing Eye: Hermeneutical Phenomenology in the Study of Religion. By Walter L. Brenneman Jr. and Stanley O. Yarian, in association with Alan M. Olson. Pp.xii, 177, University Park and London, The Pennsylvania State University Press, 1982, £8.10. Contemporary Philosophy of Religion. Edited by S.M. Cahn and D. Schatz. Pp.x, 310, Oxford University Press, 1982, £6.95. Beyond Empiricism: Philosophy of Science in Sociology. By Andrew Tudor. Pp.xii, 213, London, Routledge & Kegan Paul, 1982, £4.95. Philosophy and Human Geography: An Introduction to Contemporary Approaches. By R.J. Johnston. Pp.viii, 152, London, Edward Arnold, 1982, £5.50. The Literate Revolution in Greece and its Cultural Consequences. By Eric A. Havelock. pp.viii, 362, Princeton, Princeton University Press, 1982, £17.70, £6.30. The Philosophy of Robert Grosseteste. By James McEvoy. Pp.xviii, 560, Oxford, Clarendon Press, 1982, £35.00. Kant's Life and Thought. By Ernst Cassirer, translated by James Haden, introduction by Stephan Körner. Pp.xxiii, 429, New Haven, Yale University Press, 1981, £17.50. Kant's Theory of Form: An Essay on the Critique of Pure Reason. By Robert B. Pippin. Pp.xii, 247, New Haven and London, Yale University Press, 1982, £16.50. The Basic Problems of Phenomenology. By Martin Heidegger, translated by Albert Hofstadter. Pp.xxxi, 396, Bloomington, Indiana, Indiana University Press, 1982, £16.50. In the Active Voice By Mary Douglas. Pp.xi, 306, London, Routledge and Kegan Paul, 1982, £9.75. Structural Sociology. Edited by Ino Rossi. Pp.xiv, 363, New York, Columbia University Presss, 1982, £45.50. A Vanquished Hope: The Movement for Church Renewal in Russia, 1905–1906. By J.W. Cunningham. Pp.384, Crestwood, St Vladimir's Seminary Press, 1981, £7.95. Christians in Ulster 1968–1980. By Eric Gallagher and Stanley Worrall. P.241, Oxford University Press, 1982, £10.00. Scotland and the Papacy. By John Cooney. Pp.126, Edinburgh, Paul Harris, 1982, £8.95, £4.95. Scotia Pontificia. Edited by Robert Somerville. Pp.xiii, 177, Oxford, Clarendon Press: Oxford University Press, 1982, £25.00. (shrink)

The vast majority of contributions to the literature on spirituality in nursing make extravagant claims about transcendence, eternity, the numinous, higher powers, higher levels of existence, invisible forces, cosmic unity, the essence of humanity, or other supernatural concepts. Typically, these assertions are made without the support of argument or evidence; and, as a consequence, alternative ways of theorizing ‘spirituality’ have been closed off, while the lack of consistent scholarship has turned the topic into a metaphysical backwater. In this paper, I (...) adopt a different premise, rejecting unsupported claims, and surveying the ‘spirituality’ terrain from a naturalistic and reductionist perspective. I argue that, if we rid ourselves of non‐naturalistic assumptions, we will discover theoretical and clinical resources in health psychology, social psychology, neuropsychology, and pharmacopsychology – resources which confirm that it is possible to conceptualize the study of existential concerns, and how health professionals might respond to them, in a properly scientific manner. In order to illustrate the potential usefulness of these resources, I will take palliative care as an example. (shrink)

Many contemporary logicians acknowledge a plurality of logical theories and accept that theory choice is in part motivated by logical evidence. However, just as there is no agreement on logical theories, there is also no consensus on what constitutes logical evidence. In this paper, I outline Jean Piaget’s psychological theory of reasoning and show how he used it to diagnose and solve one of the paradoxes of material implication. I assess Piaget’s use of psychology as a source of evidence for (...) logical theory in light of reservations raised by psychologism, and I highlight some ramifications for exceptionalism and anti-exceptionalism about logic by considering his use of psychology as logical evidence in the framework of genetic epistemology, Piaget’s research programme. I conclude that Piaget’s psychological theory of reasoning not only plausibly serves as a source of evidence for logical theory but also makes a strong case for anti-exceptionalism about logic. (shrink)

There is no denying the Central Dogma’s impact on the biological sciences. Since the Dogma’s formulation by Francis Crick in 1958, however, many have debated the Dogma’s empirical adequacy. My aim is to move beyond these discussions, and instead consider the Central Dogma’s significance to contemporary biological practice. To do this, I consider four distinct approaches for determining the non-descriptive methodological significance of a scientific principle. I argue that these approaches fail to vindicate the Central Dogma, and that, under many (...) of these approaches, the Dogma amounts to a triviality. (shrink)

This study introduces and evaluates the GIBAC Learning Model, aimed at enhancing students’ mathematical communication skills in Indonesian secondary schools, achieving an impressive 30% increase in students’ mathematical communication skills as evidenced by the n-gain method and dependent t-test analysis. Grounded in cooperative learning theory and motivation, the model integrates local academic culture and promotes student independence, offering a promising avenue for educational advancement in Indonesia. Employing a Mixed Methods approach, data from three secondary schools were collected via cluster random (...) sampling, encompassing interviews, observations, expert assessments, and questionnaires. Analysis reveals the model’s effectiveness in improving mathematical communication skills, underscoring its relevance to Indonesian educational practices. Practical implications for teachers emphasize the integration of cultural aspects and student autonomy in mathematics education, thereby contributing to the advancement of educational literature through Indonesian innovation and cultural adaptation in pedagogical frameworks. (shrink)

In a response to critiques of his On the Postcolony in a 2006 African Identities article, Achille Mbembe declared that the book was written at a time when the study of Africa was caught in a dramatic analytical gridlock. Traditional critical frameworks and discourses on the condition of postcolonial Africa seemed inadequate and ineffectual. Marxian analysis of colonization and its consequences is specifically isolated as one such impotent tool of critical analysis. As an alternative to these “failed” traditional paradigms, Mbembe (...) launches into a deconstructive experimental hermeneutic that leads him to the explication of colonial alterity in libidinal, representational and semiotically analogous language, as exhibited in On the Postcolony. This article challenges the efficacy of this post-structuralist semiotics and phenomenological extrapolations as the proposed way out of his perceived “cul-de-sac” in African postcolonial self-imagination. In particular, his dismissal of Marxian theory is turned... (shrink)

This study was an attempt to investigate the nature of metaphor by doing a cross-cultural comparison of metaphor in 2 typologically different languages-English and Persian. For this purpose, animal metaphors were taken for comparison. The "GREAT CHAIN OF BEING" metaphor (Lakoff & Turner, 1989), along with the principle of metaphorical highlighting (Kovecses, 2002), were used as a framework in comparing different aspects of animal metaphors as interpreted by native speakers of the 2 languages. The results showed that although animal metaphors (...) in English and Persian are similar to a certain extent, many aspects of them are culture-specific. The similarities and differences among 44 animal metaphors in these 2 languages are shown and some possible explanations are put forward. (shrink)

Purpose. This article clarifies the significance of the person’s social self-identification as a basis for civilization and institutional explanation of national self-identification in Ukraine. Theoretical basis. The authors found that the analysis of the cultural and anthropological principles of national self-identity reveals two main opposed concepts: the concept of "eastern" cultural and social self-identity of Ukraine, which correlates with the metaphor of the split between "East" and "West", and the concept of "western" projection of the European future of Ukraine, which (...) correlates with the metaphor of the bridge between "East" and "West". These concepts reflect the options for the citizens of Ukraine to make a personal choice of the way in achieving social self-identity. Douglas North’s concept of "open-access order" states and "limited access order" states can be used as a basis for an alternative, pragmatic approach to choice the criteria of national self-identity. Originality. National self-identification is a result of the choice of the person’s self-identification: still the person takes into account the history of the nation, the ethnic diversity of the nation, its cultural and civilizational characteristics. The philosophical-anthropological approach contributes to the demystification of the grounds of social self-identification, revealing the decisive role of the personal choice in shaping the new institutional foundations of national self-identity. Harmonization of the social institutions of Ukraine with the institutions of the European Union and the international community institutions opens wide opportunities for Ukraine’s successful integration into the "open-access order" societies. The clarification of the value and symbolic aspects of national self-identity in Ukraine contributes to the successful functioning of these institutions. Multilingualism is an adequate response to the global challenge of the reconstruction of Ukraine’s national self-identity. The education system is a key area for introducing multilingualism. Conclusions. The development, justification and systematization of cultural and institutional criteria for choosing the best ways to strengthen of national self-identity in Ukraine are a prerequisite for the successful self-identification of Ukrainian citizens in a complex and ever-changing global world. (shrink)

In 1998, I suggested a new text for a notably corrupt passage in Pindar's Isthmian 5. This article is in effect a sequel to that earlier discussion. In the 1998 article, I proposed, inter alia, that the modern vulgate text of I. 5.58, ἐλπίδων ἔκνισ’ ὄπιν, is indefensible and the product of scribal corruption in antiquity, and that chief among the indefensible products of corruption there is the supposed secular use of ὄπις, as if used to mean something like ‘zeal’. (...) This is a sense for which there is no good evidence in classical Greek, where ὄπις always has a delimited religious denotation, meaning either ‘gods’ response’, ‘divine retribution’, or else ‘religious awe’ or ‘reverence’ towards the gods, through fear of that response or that retribution. If we discount I. 5.58 itself, all the pre-Hellenistic attestations can be straightforwardly listed under these headings: Il. 16.388 θεῶν ὄπιν οὐκ ἀλέγοντες, Od. 14.88 ὄπιδος κρατερὸν δέος, Hes. Theog. 221–2 θεαὶ... |... ἀπὸ τῷ δώωσι κακὴν ὄπιν, Pind. P. 8.71–2 θεῶν δ’ ὄπιν | ἄφθονον αἰτέω, sim. Od. 20.215, 21.28, Hes. Op. 187, 251, 706, along with, seemingly, a fragmentary fifth-century Thessalian verse inscription, CEG 1.120.1 Hansen; Hdt. 9.76.2 θεῶν ὄπιν ἔχοντας, 8.143.2. In addition, one other instance can be interpreted as either or, or in effect both: Od. 14.82 οὐκ ὄπιδα φρονέοντες... οὐδ’ ἐλεητύν. In all cases, though, ‘gods’ are specified, usually as a dependent genitive with ὄπις, or else separately but in the near context. Hellenistic and later occurrences of the word are few, and hints there of a secular reading can actually be taken to reflect misunderstandings based on, precisely, the early corruption in I. 5. (shrink)

Using delay differential equations to study mathematical models of Parkinson's disease and Huntington's disease is important to show how important it is for synchronization between basal ganglia loops to work together. We used the delay circuit RLC (resistor, inductor, capacitor) model to show how the direct pathway and the indirect pathway in the basal ganglia excite and inhibit the motor cortex, respectively. A term has been added to the mathematical model without time delay in the case of the hyperdirect pathway. (...) It is proposed to add a non-linear term to adjust the synchronization. We studied Hopf bifurcation conditions for the proposed models. The desynchronization of response times between the direct pathway and the indirect pathway leads to different symptoms of Parkinson's disease. Tremor appears when the response time in the indirect pathway increases at rest. The simulation confirmed that tremor occurs and the motor cortex is in an inhibited state. The direct pathway can increase the time delay in the dopaminergic pathway, which significantly increases the activity of the motor cortex. The hyperdirect pathway regulates the activity of the motor cortex. The simulation showed bradykinesia occurs when we switch from one movement to another that is less exciting for the motor cortex. A decrease of GABA in the striatum or delayed excitation of the substantia nigra from the subthalamus may be a major cause of Parkinson's disease. An increase in the response time delay in one of the pathways results in the chaotic movement characteristic of Huntington's disease. (shrink)