Most bioethicists and professional medical societies condemn the practice of ?slow codes.? The American College of Physicians ethics manual states, ?Because it is deceptive, physicians or nurses should not perform half-hearted resuscitation efforts (?slow codes?).? A leading textbook calls slow codes ?dishonest, crass dissimulation, and unethical.? A medical sociologist describes them as ?deplorable, dishonest and inconsistent with established ethical principles.? Nevertheless, we believe that slow codes may be appropriate and ethically defensible in situations in which cardiopulmonary resuscitation (CPR) is likely (...) to be ineffective, the family decision makers understand and accept that death is inevitable, and those family members cannot bring themselves to consent or even assent to a do-not-resuscitate (DNR) order. In such cases, we argue, physicians may best serve both the patient and the family by having a carefully ambiguous discussion about end-of-life options and then providing resuscitation efforts that are less vigorous or prolonged than usual. (shrink)

Providing care for a baby born at 24 weeks of gestation in a neonatal intensive care unit is one of the most expensive medical treatments in the United States today. The cost can easily run over $300,000 for one baby. Furthermore, many extremely premature babies who survive are left with chronic diseases or disabilities that require further medical expenses and other specialized services throughout childhood or throughout life. When all these expenditures are totaled up, it can seem that neonatal intensive (...) care is just not worth it.Concerns about the cost-effectiveness of NICUs have led to persistent critical scrutiny of these specialized units by physicians, economists, and epidemiologists. These analysts have examined NICUs and the patients in them in order to determine whether there are subpopulations of babies for whom neonatal intensive care is so demonstrably ineffective or so costly that it should not be provided. Such examinations have been carried out in many different countries, at many times over the last 30 years, and have analyzed outcomes for babies by gestational age, birthweight, and illness severity. (shrink)

Life, said William James, is a series of flights and perchings. Action is the process of life, and when its natural tempo or freedom is blocked or thwarted, the costs are those of life. Action is the goal-seeking behavior of the organism. All organisms have “goals”; without them they perish. Goals function as satisfiers of needs; without such satisfaction there is no life. Goal-directed action makes claims upon the organism's environments, and the levies are the stuff of life. Action (...) is commerce with a milieu; “drives”—or any other motivational terms—only suggest the intensity and the form of that exchange; “death” is its cessation. The whole organism is involved, and the involvement is insistent, recurring, cyclical: it is the whole body which acts. (shrink)

Attention Restoration Theory proposes that exposure to natural environments helps to restore attention. For sustained attention—the ongoing application of focus to a task, the effect appears to be modest, and the underlying mechanisms of attention restoration remain unclear. Exposure to nature may improve attention performance through many means: modulation of alertness and one’s connection to nature were investigated here, in two separate studies. In both studies, participants performed the Sustained Attention to Response Task before and immediately after viewing a (...) class='Hi'>meadow, ocean, or urban image for 40 s, and then completed the Perceived Restorativeness Scale. In Study 1, an eye-tracker recorded the participants’ tonic pupil diameter during the SARTs, providing a measure of alertness. In Study 2, the effects of connectedness to nature on SART performance and perceived restoration were studied. In both studies, the image viewed was not associated with participants’ sustained attention performance; both nature images were perceived as equally restorative, and more restorative than the urban image. The image viewed was not associated with changes in alertness. Connectedness to nature was not associated with sustained attention performance, but it did moderate the relation between viewing the natural images and perceived restorativeness; participants reporting a higher connection to nature also reported feeling more restored after viewing the nature, but not the urban, images. Dissociation was found between the physiological and behavioral measures and the perceived restorativeness of the images. The results suggest that restoration associated with nature exposure is not associated with modulation of alertness but is associated with connectedness with nature. (shrink)

This article evaluates the predictions of an algorithmic-level distributed associative memory model as it introduces, propagates, and resolves ambiguity, and compares it to the predictions of computational-level parallel parsing models in which ambiguous analyses are accounted separately in discrete distributions. By superposing activation patterns that serve as cues to other activation patterns, the model is able to maintain multiple syntactically complex analyses superposed in a finite working memory, propagate this ambiguity through multiple intervening words, then resolve this ambiguity in a (...) way that produces a measurable predictor that is proportional to the log conditional probability of the disambiguating word given its context, marginalizing over all remaining analyses. The results are indeed consistent in cases of complex structural ambiguity with computational-level parallel parsing models producing this same probability as a predictor, which have been shown reliably to predict human reading times. (shrink)

info:eu-repo/semantics/publishedVersion.

This volume examines the phenomenon of the migration of philosophical texts and traditions into other cultures, identifies places where it may have succeeded, but also where it has not, and discusses what is presupposed in introducing a text or a tradition into another intellectual culture. -- Book Jacket.

Scientific models may be more useful for false assumptions they make than true ones when one is interested not in the fit of the model, but in the form of the residuals. Modeling Darwin’s “blending” theory of inheritance shows how it illuminates features of Mendelian theory. Insufficient understanding of it leads to incorrect moves in modeling population structure. But it may prove even more useful for organizing a theory of cultural evolution. Analysis of “blending” inheritance gives new tools for recognizing (...) population structure for culture and for understanding differences between biological and cultural inheritance. (shrink)

This paper argues that we ought to conceive of the Dark Energy problem—the question of how to account for observational data, naturally interpreted as accelerated expansion of the universe—as a crisis of underdetermined pursuit-worthiness. Not only are the various approaches to the Dark Energy problem evidentially underdetermined; at present, no compelling reasons single out any of them as more likely to be true than the other. More vexingly for working scientists, none of the approaches stands out as uncontroversially preferable over (...) its rivals in terms of its rationally warranted promise, i.e. the reasons to further work on, explore, and develop it. We demonstrate this claim by applying a Peircean economic model of pursuit-worthiness in terms of a cognitive cost/benefit estimate—with the instantiation of theory virtues as key indicators of cognitive gains—to the four main Dark Energy proposals (the cosmological constant approach, modified gravity, quintessence, and inhomogeneous cosmologies). According to our analysis, these approaches do not admit of an unambiguous, or uncontroversial, ranking with respect to which ansatz deserves distinguished attention and research efforts. The overall methodological counsel that our analysis underwrites recommends a pragmatic double research strategy forward: to encourage and foster theory pluralism and the search for tests—with the goal of enhancing the testability of the \(\Lambda \) CDM model and “testing it to destruction". (shrink)

What course of action do officers have when their conscience is in conflict with their duty? William A. Gouveia, Jr., describes the case of Col. David Hackworth, whose moral indignation at the conduct of the Vietnam War led him to public condemnation of the conflict, and the premature end of his brilliant military career. Gouveia argues that Hackworth's story has continuing relevancy and highlights important issues of the military?civilian relationship in a democracy.

In lieu of an abstract, here is a brief excerpt of the content:A DIFFERENT METHOD; A DIFFERENT CASE: THE THEOLOGICAL PROGRAM OF JULIAN HARTT AND AUSTIN FARRER WILLIAM M. WILSON University of Virginia, OharlottesvUZe, Virginia, WRITERS COVERING the work of Julian Hartt or Austin Farrer-the :llew that there ar~generally find that the hest introduction is a straightforward acknowledgement that what is to come is unique. Basil Mitchell, for instance, has said that no matter how one catalogues contemporary theologians, a (...) footnote will be needed, reading " and then of course there is Austin Farrer." 1 Likewise, David Kelsey has said that Hartt's work "is not identi:firuble as a variant on any of the options on the present scene." 2 Those already aicquainted with Hartt and Farrer will no dorurbt agree with the sense o[ these assessments; but if they have heen carefol students they will demand, nev,ertheless, a slight qualification : Hartt,and Farrer.are unique as a party of two. Farrer is a " variant " on Hartt; Hartt belongs down in the footnote aibout Farrer. But from the claim that these two are unique it does not follow that their wo:vk is something akin to those bold " new theologies " fashioned from the innocent's quest for a faith untouched hy either the hands of tradition or the perplexities of our time. Farrer's: anchorage in tradition is obvious throughout his writing and clearly stated in the preiface to his first 1 ' Austin Marsden Farrer,' A Oelebmtion of Fa,ith, ed. Leslie Houlden (London: Hodder and Stoughton, 1970), pp.13-14. 2" Christian Sense Making: Hartt's 'Theological Method and Imagination,"' The J owrna,Z of ReUgion Vol. 58 (4), October 1978, p. 428. 599 600 WILLIAM M. WILSON work. There he said that he was " possessed hy the Thomistic vision" and w:as incapable of "thinking it wrong."3 As to novelty, he had this to say:. •. it is indeed absurd to propose new grounds for belief in the existence of God. The belief has stood for more than ~.ooo years if we are to speak of the essentials of transcendental theism. If belief has been reasona9le it has had a reason, and our only business must be to draw this out and restate it.4 It is.fair to say, to 1be sure, that Farrer "drew out" and "restated " that reason in a. way unlike that of any other contemporary Thomist. There are some who would deny him even the label.5 And it is in this sense that Mitchell's statement about him must remain: If " transcendental," " Neo-," and " traditional " Thomist are three current categories, Farrer is a footnote to them. Hartt, unlike Farrer, has ne,ver labeled himself, hut none of his readers can miss his hostility to any pretense to novelty, even to those which have become our standard fare. The good ship theology (has taken) on a radioactive cargo, its company attracted by the dynamic and dazzle of it all. Relevance~ Historicism, several varieties of analysis, Secularism-what a promising manifest! 6 The " spirit of the age " is not to illuminate the gospel, according to Hartt, rather it is the gospel which illuminates the spirit of the age.7 s Finite and Infinite: A Philosophical Essay, Ibid., p. 1. 11 But see note 5 above. JULIAN HARTT AND AUSTIN FARRER 603 I. The Uniqueness of Hartt and Farrer In a recent encydopedia entry, David Kelsey arranges a useful chart of contemporary theology according to the answers given to " the array o:f decisions theologians must make in the course of doing theology." 12 According to Kelsey, theologians must decide the subject matter o:f theology, the importance o:f cultural context, the 1wudience, the significance of the theologian 's vantage point, the goals o:f theology and the best means o:f accomplishing them. For our purposes o:f identifying Hartt and Farrer, however, we need concentrate only on the first and the last-the question o:f subject matter and the question o:f the hest means £or attaining theological ends. The latter (being the last question the theologian must face) best :identifies the overall mind o:f the theologian at work. Thus, against the standard answers given here, I shall try... (shrink)

The Oxford University Studies in the Enlightenment series, previously known as SVEC (Studies on Voltaire and the Eighteenth Century), has published over 500 peer-reviewed scholarly volumes since 1955 as part of the Voltaire Foundation at the University of Oxford. International in focus, Oxford University Studies in the Enlightenment volumes cover wide-ranging aspects of the eighteenth century and the Enlightenment, from gender studies to political theory, and from economics to visual arts and music, and are published in English or French.

Machiavelli’s The Prince, which he refers to in a famous letter of 10 December 1513 to Francesco Vettori as a treatise On Principalities, is sometimes read as a “failed job application” to work as an adviser to the recently installed Medici rulers of his native Florence. This article argues that, without necessarily replacing this traditional interpretation, such a reading of the text can also be supplemented by a reading which takes Machiavelli’s intention as more comprehensive and as directed to a (...) theoretically-inclined posterity, especially if attention is paid to the utility of the treatise as intended by its author. (shrink)

The present dilemma in philosophy -- What pragmatism means -- Some metaphysical problems pragmatically considered -- The one and the many -- Pragmatism and common sense -- Pragmatism's conception of truth -- Pragmatism and humanism -- Pragmatism and religion.

In Blockchain Democracy, William Magnuson provides a breathtaking tour of the world of blockchain and bitcoin, from their origins in the online scribblings of a shadowy figure named Satoshi Nakamoto, to their furious rise and dramatic crash in the 2010s, to their ignominious connections to the dark web and online crime. Magnuson argues that blockchain's popularity stands as a testament both to the depth of distrust of government today, and also to the fervent and undying belief that technology and (...) the world of cyberspace can provide an answer. He demonstrates how blockchain's failings provide broader lessons about what happens when technology runs up against the stubborn realities of law, markets, and human nature. This book should be read by anyone interested in understanding how technology is changing our democracy, and how democracy is changing our technology. (shrink)

We propose 4 equity-advancing operational improvements to eligibility and sign-up processes at mass vaccination sites: (1) preregistration using existing information, (2) eligibility rules that recognize the greater burden of COVID-19 in underserved neighborhoods, (3) appointment assignment that prioritizes those with disadvantage, and (4) socioculturally informed outreach to lottery selectees.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Who Needs Classical Music? Cultural Choice and Musical Value by Julian JohnsonWilliam M. PerrineJulian Johnson, Who Needs Classical Music? Cultural Choice and Musical Value. Oxford University Press, 2002.In Who Needs Classical Music? Cultural Choice and Musical Value, British musicologist and composer Julian Johnson defends the value of classical music in a commercialized culture fixated on the immediate gratification of popular music. At 130 pages divided into six chapters, (...) Johnson’s book is a reasonably accessible and engaging presentation of his topic. This short book contains relevant and sometimes controversial insights of interest to professional music educators. In this review I will provide a brief summary of the author’s primary arguments accompanied by critical commentary.Johnson argues that commercial forces in our society limit serious reflective discourse on music. The marketplace treats music as a commodity which derives its value from relative commercial success. In this context, classical music is relegated to one possible cultural choice among many legitimate options and is in danger of losing its distinctive features as an art form that transcends commercial concerns. Preference for particular musical products becomes an identity marker for an individual’s place within society, and criticism of a particular style of music is perceived as a personal attack. The process of turning classical music into a commodity has been aided by critics who have condemned the Western [End Page 96] canon as elitist, patriarchal, and arrogant. These critics have instead advocated a democratization of culture, placing greater emphasis on the validity of popular art forms and active participation in music-making rather than the more passive contemplation. Johnson describes this as a “pseudo-democratic” attack which encourages downward social mobility. When combined with the omnipresence of commercial culture, this approach undermines individual musical value by assuming the equal validity of all aesthetic judgments. Democracy is damaged when, refusing to discriminate between cultural products, society fails to recognize human individuality and excellence.Johnson is at his strongest when he argues for the importance of classical music fulfilling its function as art. The author argues that different types of music fulfill different functions. In contemporary society music is valued and chosen for how it is used. Music is described as “good” when it functions to provide background music for activities or when it successfully complements or enhances the listeners’ moods. Focusing solely on social use or reception, however, tends to neglect objective differences in the formal structure of music. This is the point at which Johnson begins to distinguish between classical and popular music. Popular music is composed to ensure a uniformity of affect, and deliberately avoids formal or harmonic complexity. As an aspect of popular culture, it is tied to contemporary fashion trends and rapidly becomes obsolete. Like other types of fashion, music becomes a means for expressing a current position within a larger social and cultural space. It is the music of youth; its commercial saturation of the culture blurs the boundaries between youth and adulthood. Johnson claims that the process of commercialization leads to a bland standardization. Classical music can also function as a type of popular music when it submits itself to market processes, but in doing so the music loses its distinctive features.In his discussion on popular music, Johnson presents what might be his most controversial claim: that popular music serves a pornographic function. He defines pornography as “the process by which the humane is reduced to the status of things” (p. 59) and argues that popular music takes pleasure in debasing humanity by reducing individuals to material commodities and denying the spiritual. This contention echoes Allan Bloom’s concern in The Closing of the American Mind that rock music desensitizes and debases youth by destroying imagination and deadening their capacity for passion and wonder. The strength of this language undermines Johnson’s contention in his introduction to the paperback edition that he is not trying to set up a binary opposition between art and popular music in which the classical is “better.” Moreover, if pornography is a form of dehumanization and is a legitimate concern in music, it is important to point out that such a charge is not exclusive to... (shrink)

Recently, we have seen the emergence of the international laboratory in scientific research. These laboratories, characterized by internationally distributed members working to accomplish a unified goal, provide advantages such as cost savings and access to facilities and equipment. However, maintaining responsible conduct of research (RCR) in an international laboratory is complicated by the requirement for technology-mediated communication, lack of trust between local and distant group members, and cultural heterogeneity among lab members. Here we discuss issues we experienced while working in (...) a international laboratory as part of the Singapore-M.I.T. Alliance for Research and Technology, and from our experience, we propose guidelines to maintain RCR in an international laboratory. With proper oversight and cognizance of RCR, work in an international laboratory harbors great benefit for scientists and provides unique opportunity to exchange ideas, data, and insight with scientists of distinct cultural backgrounds. (shrink)

The aim of this paper has been a brief examination of Husserl's notion of the riddle of knowing with a comparison to Lonergan's notion of wonder and the intention of being. The examination was undertaken by relating Husserl's concept of a riddle essentially to these central themes: wonder, epoche, and intentionality, with concomitant references to Lonergan's analogous notions. The paper was thus divided into two sections to address these themes of Husserl and Lonergan: Part I: "The Riddle of Knowing"; and (...) Part II: "Wonder and Intentionality." The paper shows that for Husserl the very fact of human knowing in its correlation to transcendence is the riddle, and it shows that for Lonergan the subject wonders at this correlation, and consciously engages its structure of knowing and loving. (shrink)

This monograph explores how seven prominent German and Austrian novelists of the twentieth century—Franz Kafka, Thomas Mann, Anna Seghers, Uwe Johnson, Ingeborg Bachmann, Wolfgang Hilbig, and Marlene Steeruwitz—conveyed their literary figures' time spent waiting. By presenting states of waiting as emblematic of human existence in the turbulent twentieth century, these writers criticized hierarchical power structures in various historical contexts. Killing Time presents fresh readings of seven German-language novels, while providing insights into how and why German and Austrian writers repeatedly turned (...) to the waiting motif to expose the injustices inherent in interpersonal, political, and social hierarchies. In investigating the treatment of waiting in literary texts, William reexamines how prominent philosophers of metaphor and time influenced German and Austrian writers of the past century. This study is underpinned in part by the work of cultural and social theorists who have emphasized how the liminal status of the subjugated within social hierarchies ensures that they are kept perpetually waiting. (shrink)