An increasing number of older patients have to decide on a treatment plan for advanced chronic kidney disease, involving dialysis or conservative care. Shared decision-making is recommended as the model for decision-making in such preference-sensitive decisions. The aim of SDM is to come to decisions that are consistent with the patient’s values and preferences and made by the patient and healthcare professional working together. In clinical practice, however, SDM appears to be not yet routine and needs further implementation. A shift (...) from a biomedical to a person-centered conception might help to make the process more shared. Shared should, therefore, be interpreted as two persons bringing two perspectives to the table, that both need to be explored during the decision-making process. Starting from the patient’s perspective will enable to determine the mutual goals of care first and, subsequently, determine the best way for achieving those goals. To perform such SDM, the healthcare professional needs to become a skilled companion, being part of the patient’s relational context, and start asking the right questions about what matters to the patient as person. In this article, we describe the need for a person-centered conception of SDM for the setting of older patients with advanced CKD. (shrink)

This paper contains a defense against anti-realism in mathematics in the light both of incompleteness and of the fact that mathematics is a ‘cultural artifact.’. Anti-realism (here) is the view that theorems, say, of aritltmetic cannot be taken at face value to express true propositions about the system of numbers but must be reconstrued to be about somctliiiig else or about nothing at all. A ‘bite-the-bullet’ aspect of the defease is that, adopting new axioms, liitherto independent, is not. a matter (...) of recognizing trutlis wliich had previoasly been unrecognized, but of extending the domain of what is true. (shrink)

Unlike some other reproductions of classic texts (1) We have not used OCR(Optical Character Recognition), as this leads to bad quality books with introduced typos. (2) In books where there are images such as portraits, maps, sketches etc We have endeavoured to keep the quality of these images, so they represent accurately the original artefact. Although occasionally there may be certain imperfections with these old texts, we feel they deserve to be made available for future generations to enjoy.

There is a widespread belief, more often implied than explicitly asserted, that Hume considered all necessary propositions to be analytic.Of course Hume did not use the analytic-synthetic distinction explicitly. This only come to the forefront with Kant; and it is Kant who is probably the main source of the above-mentioned belief. Kant ascribed to Hume the view that mathematical propositions are, in his terminology, analytic. If this is correct, then since mathematics was for Hume the paradigm of a body of (...) necessary truths, it is plausible to infer that he considered necessary propositions to be one and all analytic. The absence in Hume's writings of the analytic-synthetic terminology is by no means decisive: though he did not have the terms he may well have possessed the concepts, as evidenced by his use of them. (shrink)

"Aristotle was a systematic writer who often cross-referred to the definitions of terms given elsewhere in his work. Book 5 of the Metaphysics is important because it consists of definitions of the main uses of key terms in Aristotle's philosophy, and it is extremely valuable to have a commentary on this important text by Alexander of Aphrodisias, the leading commentator of his school. Alexander provides a detailed commentary on all of the thirty terms analysed in Book 5, weighing alternative interpretations (...) of what Aristotle says one against another, defending Peripatetic views against actual and possible criticisms, and attempting to integrate what is said in Book 5 into the context of the Metaphysics as a whole."--Bloomsbury Publishing. (shrink)

The six platinum group metals (pgms: ruthenium, rhodium, palladium, osmium, iridium and platinum) posed a number of problems for 19th-century chemists, including Mendeleev, for their Periodic classification. This account discusses the discovery of the pgms, the determination of their atomic weights and their classification.

Unlike old soldiers, the rhetoric of the great neither dies nor fades away. And so Hume's celebrated ‘is-ought’ passage still provokes debate.Hume was worried about the relation between ought statements and those supporting them: between ‘tolerence brings peace’ or ‘is God's will’, and ‘so one ought to be tolerant’. He denies the deducibility of the latter from the former, as the ‘ought’ expresses ‘a new relation or affirmation’, ‘entirely different from the others’. And this is commonly taken as saying that (...) the ought statement is ‘different’ and non-deducible, because it is no longer a ‘purely factual statement’, to wit one that makes another ordinarily testable truth claim.However, recent criticism, by W. D. Hudson and others, points out that Hume says other things seemingly inconsistent with this. In the passage, he mentions ‘ought’ and ‘virtue’ interchangeably, and ‘tolerance is virtuous’ as in the same boat as ‘one ought to be tolerant’. But, also, he treats the virtue of an action as sensibly discernible by the approbation which it evokes, and takes us to mean by a virtuous action that we will approve of it on contemplation. (shrink)

This essay addresses the problem of how to account for our meeting of minds, for our being able to linguistically express agreement regarding external events despite wild dissimilarity of our nerve nets. An explanation is provided based on the instinct of induction, the instinct of similarity, and natural selection. There are three networks at play in the meeting of minds: perceptual similarity, the intersubjective harmony of similarity standards and thus the relation structuring the intake of perceptions; implication, the relation expressed (...) by the universally quantified conditional and structuring our system of the world; and class membership, the relation structuring the domain of pure mathematics. (shrink)

The notion of 'the first person' is centrally invoked in philosophical discussions of selfhood, subjectivity, and personhood. We ask whether this notion, as invoked in these discussions, is con-tingently or essentially a grammatical term. While it is logically possible that the linguistic dimensions of self-reference are accidental to this phenomenon, we argue that no explications of such phenomena as 'reference de se' or 'essential indexicality' in non-grammatical terms has been or likely can be provided, since grammatical factors uniquely co-vary with (...) the forms of self-reference in question. The role of grammar is reinforced by the fact that species-specific forms of reference are never purely lexical and always have a structural signature involving specific grammatical configurations; and by findings that in cognitive disorders independently characterized as disorders of selfhood, such as autism spectrum conditions, the pronominal system proves to be a particular locus of vulnerability. We conclude that grammar and human-specific forms of selfhood form an inextricable unity, inviting renewed attention to language as a constitutive condition of personhood in at least some of its forms. (shrink)

Housman reads assueta euolitans; the former word is a conjecture of his own, the latter a conjecture of Ellis, which I think he would have ignored if the relevant fascicle of the Thesaurus had been available to show that euolitare occurs once in Columella and then not before the sixth century. If assueto is sound, mundi must be changed to mundo or to another noun. Bentley read mundo, and this may well be the right solution: the eagle carries thunderbolts to (...) the sky, “cui scilicet per diuturnas operas assueuerat”. Shackleton Bailey emends to nisu. If emendation were required, I suggest that motu would be palaeographically more satisfactory; the assumed process of corruption is well illustrated by 3.82, motu GL: modum M: mundo LV. (shrink)

In the Indian philosophical tradition Arjuna stands out as a major representative of an important ethical and intellectual position, as Socrates stands out in the West. While the cultural contexts of the views of Arjuna and Socrates differ significantly, their views on the axiological status of the physical body have much in common. As an exercise in comparative thought in the area of “the philosophy of the body”, much can be gained through a comparison of the corpological views of these (...) two venerable characters as they are depicted in circumstances that ctystalise their teachings, i.e. in their 'trials': Arjuna as he stands before Krsna just prior to the great battle narrated in the Mah bh rata and Socrates as he sits with his beloved friend Crito just prior to his day of execution. (shrink)