In lieu of an abstract, here is a brief excerpt of the content:How Policies and Practices in Medical Settings Impact Communication Access with Deaf Patients and CaregiversKelley Cooper, Maggie Russell, Debra Chaiken, Michael W. Mazzaroppi, and Gretchen RomanIntroductionWe are a group of Deaf community members, sign language interpreters, organizational leaders, and academic partners. We have a collective point of view about how policies and practices in medical settings impact communication access with Deaf patients and caregivers. Here, we account (...) multiple stories from our respective experiences in an effort to improve healthcare institutions' awareness of the recommended modalities when communicating with Deaf patients accessing care. Our stories clarify any misunderstandings about communication with Deaf patients who expressively use spoken language and receptively use sign language. We convey that it is imperative to use visual language when explaining discharge paperwork and emphasize that it is critical for a Deaf caregiver to be fully aware of the plan of care when offering support to their loved one. We illustrate the importance of honoring the requests for in-person sign language interpreting versus video remote interpreting (VRI) as well as requests for Deaf-Hearing sign language interpreter teams. Deaf interpreters bring formative cultural, linguistic, and life experiences and work in partnership with a hearing interpreter to provide a more nuanced communication exchange across a wide range of visual languages.Maggie Russell: Anecdote 1The hospital recidivism rate for a Deaf Nepali male patient continues to increase. As the Interpreter Referral Service Director, I am aware of this patient because he receives care management services from our organization. He has several life-threatening conditions, attends dialysis, is on multiple medications, and is frequently in and out of the local hospital. The hospital considers him as someone who identifies as an oral Deaf person, as he has severe to profound hearing loss with little or no residual hearing and visually receives signed language but expressively uses spoken language. Three interpreters, a spoken Nepalese interpreter, a Deaf Nepali Sign Language (NSL) interpreter, and a hearing American Sign Language (ASL) interpreter, working together as a team are recommended for effective communication with this patient and the medical team of providers. However, interpreting services at the hospital provide only one interpreter, a spoken Nepalese interpreter, which [End Page E3] does not satisfy the necessary accommodations for access. A plethora of prescriptions were added to his regimen to counter the condition that caused a recent inpatient stay. The patient's wife is his primary caregiver. She communicates receptively and expressively using NSL. A Deaf NSL and hearing ASL interpreter team creates effective communication with his wife and the medical team of providers. Since she is expected to follow the doctor's recommendations as explained in the discharge instructions, she also requires accommodations for communication access. Neither the patient nor his wife received a formal education, and they do not read or write English or the language of their country of origin. Therefore, information in English or Nepalese conveyed in the printed discharge paperwork is inaccessible. The new medications were not incorporated into his already established monthly "pill pack," and the couple was unable to read the information on the pill bottles that were delivered to their home. Subsequently, incorrect use of the newly prescribed medications significantly delayed the patient's course of recovery. This couple also had minimal exposure to medical information and medical processes prior to living in the United States; the medical services in the refugee camps in Nepal were typically non-existent. Utilizing a hearing ASL interpreter alone does not constitute barrier-free access for either of these individuals. Interpreting medical documents in a visual format is so critical for providing access, but it doesn't necessarily guarantee comprehension because of their limited health literacy. In addition to employing the recommended interpreting team, using teach-back methods during an encounter is a good way for medical providers to ensure the patient and caregiver's understanding of the plan of care.Maggie Russell: Anecdote 2As the Interpreter Referral Service Director at our organization, I served as the hearing interpreter on a Deaf-Hearing ASL interpreter team at a follow-up gastrointestinal appointment from a gall bladder biopsy for a Deaf male patient, along with his Deaf... (shrink)

Fall prediction using machine learning has become one of the most fruitful and socially relevant applications of computer vision in gerontological research. Since its inception in the early 2000s, this subfield has proliferated into a robust body of research underpinned by various machine learning algorithms (including neural networks, support vector machines, and decision trees) as well as statistical modeling approaches (Markov chains, Gaussian mixture models, and hidden Markov models). Furthermore, some advancements have been translated into commercial and clinical practice, with (...) companies in various stages of development capitalizing on the aging population to develop new commercially available products. Yet despite the marvel of modern machine learning-enabled fall prediction, little research has been conducted to shed light on the security and privacy concerns that such systems pose for older adults. The present study employs an interdisciplinary lens in examining privacy issues associated with machine learning fall prediction and exploring the implications of these models in elderly care and the Internet of Medical Things (IoMT). Ultimately, a justice-informed set of best practices rooted in social geroscience is suggested to help fall prediction researchers and companies continue to advance the field while preserving elderly privacy and autonomy. (shrink)

First published in 1923, _The Prospects of Industrial Civilization_ is considered the most ambitious of Bertrand Russell's works on modern society. It offers a rare glimpse into often-ignored subtleties of his political thought and in it he argues that industrialism is a threat to human freedom, since it is fundamentally linked with nationalism. His proposal for one government for the whole world as the ultimate solution, along with his argument that the global village and prevailing political democracy should be (...) its eventual results, is both provocative and thoroughly engaging. (shrink)

In line with proponents of 4E cognition, Gallagher [2019] is concerned that many cognitive phenomena are not amenable to decomposition strategies since their very nature is to be constituted extensively. By contrast the received view on causal explanation—the mechanistic account [Craver 2007]—emphasises the necessity for decomposition in explaining natural phenomena and insists on a sharp distinction between causal versus constitutive relations. I propose that removing the requirement that constitutive relations cannot also be causes helps to ease this tension between explanation (...) and Gallagher’s non-decompositional stance, per Leuridan [2012]. Further, I draw on Froese et al.’s [2013] minimal model of social cognition to argue that constitutive relations can and do act as causal difference-makers in the Woodwardian sense [Woodward 2003]. (shrink)

It was a novel, among other things, which originated the atomic bomb. H. G. Wells dedicated The World Set Free, published in 1913, to Frederick Soddy, a pioneer in the exploration of radioactivity. Using Soddy’s research as a base, Wells predicted the advent of artificial radioactivity in 1933, the year in which it actually took place; and he foresaw its use for what he named the “atomic bomb.” In Wells’ novel these bombs are used in a world war that erupts (...) in mid-century and is so catastrophic that a world government is formed, initiating a new age powered by the peaceful use of the atom. The physicist Leo Szilard, a long-time admirer of Wells, read this novel in 1932, the year before he first intuited the possibility of a nuclear chain reaction. The novel seems to have become part of his own mental chain reaction. One that took place at an almost unconscious level during the spring that Szilard spent at the Strand Palace Hotel in London, by his own admission doing nothing. He would only monopolize the bath from around nine to twelve in the morning, since “there is no place as good to think as a bathtub.”1 The theories that resulted from this prolonged immersion were introduced by references to Wells; and Szilard, having realized the atomic bomb, spent the rest of his life trying to realize the world government which, in the Wells novel, was its consequence.Literature, which was part of the genesis of nuclear weaponry, continues to be an inextricable aspect of its nature. For Derrida, in fact, we are facinga phenomenon whose essential feature is that of being fabulously textual, through and through. Nuclear weaponry depends, more than any weaponry in the past, it seems, upon structures of information and communication, structures of language, including non-vocalizable language, structures of codes and graphic decoding. But the phenomenon if fabulously textual also to the extent that, at the moment, a nuclear war has not taken place: one can only talk and write about it.2The linguistic nature of the arms race, of peace talks and negotiations, has been thoroughly analyzed. Likewise there is a growing number of books on the nature of nuclear war. But there is also a growing body of novels, poems, and plays making up a literature of nuclear holocaust. As the example of Wells’ novel shows, this is not altogether unprecedented; nuclear literature predates Hiroshima. But the subject of nuclear war has, up till now, mainly served the purposes of science fiction; only rarely—as in the cases of A Canticle for Leibowitz and On the Beach—have science fiction authors risen above the lowest common denominator of that genre. In the 1980s, every year sees the publication of works which demand serious attention both as literature and as fictive strategies for comprehending a subject that is commonly called “unthinkable.” Russell Hoban’s Riddley Walker, Bernard Malamud’s God’s Grace, Maggie Gee’s The Burning Book, Tim O’Brien’s Nuclear Age—these works explicitly preoccupied with nuclear holocaust may be supplemented by other works of the eighties with a persistent apocalyptic undertone, works such as Doris Lessing’s Canopus in Argos series, Umberto Eco’s Name of the Rose, and Mario Vargas Llosa’s War of the End of the World. And these are only the literary manifestations of a widespread movement in all the arts aimed at expressing the dominant condition of our time.3 1. Leo Szilard, Leo Szilard: His Version of the Facts: Selected Recollections and Correspondence, ed. Spencer R. Weart and Gertrud Weiss Szilard , p. 19.2. Jacques Derrida, “No Apocalypse, Not Now ,” Diacritics 14 , p. 23.3. Examples can be found in painting , mixed media , opera , oratorio , dance , film , television , and popular music . Peter Schwenger is associate professor of English at Mount St. Vincent University in Halifax, Nova Scotia. The author of Phallic Critiques: Masculinity and Twentieth-Century Literature, he is working on a book-length study of nuclear holocaust literature. (shrink)

While public health ethics typically deals with issues wherein individual well-being competes with the population’s wellbeing, it also deals with competing groups’ well-being. Public health responses to the Chicago heat wave and Hurricane Katrina were strongly criticized, in part, because certain groups of people experienced far greater and longer-lasting losses compared to others. Diff erences in experience were largely due to socio-economic-political disadvantages or vulnerabilities. This article is written in light of the recent fi rst and second “waves” of the (...) H1N1 pandemic in Canada. Its focus is on people living in the community with a mental health or addiction problem during the pandemic and, more specifi cally, in the context of supplies of anti-viral medications and vaccines being limited. The article explores how certain social justice concerns may increase the risks of serious illness or death for these people and the kinds of compensatory responses that might be implemented. (shrink)

In Sources of the Self, Charles Taylor proposes that modernity is much richer in moral resources than what its critics allow, though "this richness is rendered invisible by the impoverished philosophical language of its most zealous defenders." Modernity, he insists, must be regarded as an "epistemic gain," even if it is true that its philosophy has proved to be persistently inarticulate, wrongheaded, and, on the whole, has betrayed the distinctive contributions of modernity. His stringent criticism of what he variously calls (...) the "disengaged," "procedural," and "punctual" self of classical modern theorists is not altogether different from the analyses familiar to readers of communitarians like Michael Sandel. Sources of the Self is a revisionist history that refits the career of the modern "self" to the problems favored by communitarians: the failure of all efforts to subordinate the good to the right; the shallowness of procedural rather than substantive accounts of the self; the need for what Clifford Geertz has called "thick descriptions" of agency; the need to attend to the narratival and socially contextual features of action rather than to quasi-scientific accounts; and finally what has become a recurrent theme among nearly all the critics of Enlightenment moral philosophy: that the agent's vision and allegiance to the good holds a higher place in morality than do action-guiding prescriptions about conduct. (shrink)

For a ring R, Hilbert’s Tenth Problem $HTP$ is the set of polynomial equations over R, in several variables, with solutions in R. We view $HTP$ as an enumeration operator, mapping each set W of prime numbers to $HTP$, which is naturally viewed as a set of polynomials in $\mathbb {Z}[X_1,X_2,\ldots ]$. It is known that for almost all W, the jump $W'$ does not $1$ -reduce to $HTP$. In contrast, we show that every Turing degree contains a set W (...) for which such a $1$ -reduction does hold: these W are said to be HTP-complete. Continuing, we derive additional results regarding the impossibility that a decision procedure for $W'$ from $HTP$ can succeed uniformly on a set of measure $1$, and regarding the consequences for the boundary sets of the $HTP$ operator in case $\mathbb {Z}$ has an existential definition in $\mathbb {Q}$. (shrink)

It is known that the spectrum of a Boolean algebra cannot contain a low₄ degree unless it also contains the degree 0; it remains open whether the same holds for low₅ degrees. We address the question differently, by considering Boolean subalgebras of the computable atomless Boolean algebra B. For such subalgebras A, we show that it is possible for the spectrum of the unary relation A on B to contain a low₅ degree without containing 0.

Considerable ethics-related focus has been directed to the pharmaceutical industry’s relationship with physicians, in part because physicians have the only profession able to prescribe much of what the industry manufactures. In Alberta, however, pharmacists have recently been permitted to modify physician prescriptions for a patient and even to prescribe without physician involvement. This paper will examine how this change in responsibilities could change pharmacists’ relationships with the industry.

This anthology gives students the opportunity of sampling a wide variety of Latin prose texts in a single volume. Each of the passages, from Cicero, Livy, and Tacitus to Seneca and Pliny is accompanied by a short introduction. Selections range from the second century BC to the fifth century AD.

This book is concerned with methods of curing three kinds of conflict which have afflicted mankind. They are the conflicts of man with nature, with other men, and with himself. Of these, the first is the concern of science, the second of politics, and the third of religion and psychology. Modern techniques have made poverty un-necessary, and have provided the possibility of a much higher level of general wellbeing than has ever existed at any former time. Failure to realize this (...) possibility is due to the persistence of beliefs, principles, emotions, and habits of thought that were appropriate in earlier ages. (shrink)

First Published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.

Herbert Marcuse noted early on in his writings on social theory the importance of both Hegel’s and Marx’s development of the dialectic of necessity and freedom to conceptualize the possibility of a postcapitalist society of freedom emerging from the actually existing capitalist societies. Marcuse was not only the first Marxist to analyze all of Hegel’s philosophic works, he also recognized the significance of and provided analyses of lasting importance of previously unpublished works of Marx, principally the Economic and Philosophic Manuscripts (...) of 1844 and the Grundrisse. We reexamine Marcuse’s work guided by the dialectical concepts of freedom and necessity, capitalist and postcapitalist society. (shrink)

A biography of Confucius, a Chinese philosopher of the ancient world.

Marcuse’s One-Dimensional Man is a key text from within the Critical Theory tradition in terms of its utility for assessing today’s new stage of automated production, its impact on social relations, and the prospects for the type of challenge to capitalism that includes within it a concept of an achievable postcapitalist society. The interpretation here seeks to uncover the socially relevant dialectical relationship of the Grundrisse and Capital, which is in contrast to Marcuse’s theory, which holds that Marx, in Capital, (...) had “repressed” his version of critical theory developed in the Grundrisse. (shrink)