We provide an overview of the characteristics of those who have gained insurance coverage due to the ACA as well as the characteristics of the remaining uninsured. We also describe the implications for the broader sharing of health care risks required under the law, and how they vary by individuals' health status. Finally, we assess the implications of state decisions to expand or not expand Medicaid eligibility under the law, how those decisions affect state finances, health care providers, residents, and (...) how the effects may vary for those states using waivers to expand eligibility using strategies designed to be more broadly politically acceptable. (shrink)

A review of research with chicks, songbirds, rodents, and nonhuman primates indicates that the brain is lateralized for a number of behavioral functions. These findings can be understood in terms of three hypothetical brain processes derived from a brain model based on general systems theory: hemispheric activation, interhemispheric inhibition, and interhemispheric coupling.Left-hemisphere activation occurs in songbirds and nonhuman primates in response to salient auditory or visual input, or when a communicative output is required. The right hemisphere is activated in rats (...) when spatial performance is required, and in chicks when they are placed in an emotion-provoking situation. In rats and chicks interhemispheric activation and inhibition occur when there is an affective component in the environment (novelty, aversive conditioning) or when an emotional response is emitted (copulation, attack, killing). An interhemispheric coupling (correlation) found in rats and rabbits implies that the hemispheres are two major components in a control system with a negative feedback loop. Early-experience variables in rats can induce laterality in a symmetric brain or facilitate its development in an already biased brain.It is predicted that functional lateralization, when present, will be similar across species: the left hemisphere will tend to be involved in communicative functions while the right hemisphere will respond to spatial and affective information; both hemispheres will often interact via activation-inhibition mechanisms when affective or emotional processes are involved. Homologous brain areas and their connecting callosal fibers must be intact at birth and must remain intact throughout development for lateralization to reach its maximum level. Injury to any portion of this unit will result in hemispheric redundancy rather than specialization. One major function of early experience is to provide stimulation during development, which acts to enhance the growth and development of the corpus callosum, thereby giving rise to a more specialized brain. (shrink)

Ethics consultants and critical care clinicians reflect on Seattle’s early experience as the United States’ first epicenter of COVID-19. We discuss ethically salient issues confronted at UW Medicin...

We hypothesize that rapid eye movement or REM sleep evolved, in part, to mediate sexual/reproductive behaviors and strategies. Because development of sexual and mating strategies depends crucially on early attachment experiences, we further hypothesize that REM functions to mediate attachment processes early in life. Evidence for these hypotheses comes from (1) the correlation of REM variables with both attachment and sexual/reproductive variables; (2) attachment-related and sex-related hormonal release during REM; (3) selective activation during REM of brain sites implicated (...) in attachment and sexual processes; (4) effects of maternal deprivation on REM; (5) effects of REM deprivation on sexual behaviors; and (6) the REM-associated sexual excitation. To explain why we find associations among REM sleep, attachment, and adult reproductive strategies, we rely on recent extensions of parent-offspring conflict theory. Using data from recent findings on genomic imprinting, Haig (2000) and others suggest that paternally expressed genes are selected to promote growth of the developing fetus/child at the expense of the mother, while maternally expressed genes counter these effects. Because developmental REM facilitates attachment-related outcomes in the child, developmental REM may be regulated by paternally expressed genes. In that case, REM may have evolved to support the “aims” of paternal genes at the expense of maternal genes. (shrink)

During most of Copernicus's life he was an inhabitant of political settings rather than scientific settings. His settings from 1492 to 1500 offered him a large amount of information about astrology. Most of Copernicus's known significant contacts at the Jagiellonian University had expertise in astrology, in some cases at national level. Information was available to Copernicus about the inaccuracies and the difficulties of astrological practice as well as about a notably successful astrologer-patron relationship. The experience of astrological practice that (...) was available to Copernicus in Bologna ranged from the benign to the potentially dangerous, and his departure from Bologna was contemporary with the threat of military reprisals against the town which appeared to show the incorrect outcome of the relevant prediction in Domenico Maria di Novara's prognostication for 1500. After this date Copernicus no longer participated in roles in which prognostication was a duty, he generally inhabited locations that were less potentially dangerous than Bologna was in 1500, and while at some later points he was keen to interest astrologers in his astronomical work, astrology is completely absent from his own explanations of the reasons for his astronomical work. (shrink)

Religion and science dialogues that orbit around rational method, knowledge, and truth are often, though not always, contentious. In this article, I suggest a different cluster of gravitational points around which religion and science dialogues might usefully travel: philosophical anthropology, ethics, and love. I propose seeing morality as a natural outgrowth of the human desire to establish and maintain social bonds so as not to experience the condition of being alone. Humans, of all animals, need to feel loved—defined as (...) a compassionate present-with in dynamic dyadic relation such that one experiences the sense of mattering—but that need has an equally natural tendency to be met by creating biased us-and-them distinctions. A “critical” natural ethics, then, is one in which we become aware of and work to undermine our tendency to reify in-group distinctions between “us” and “them.” Religious communities that work intentionally on this can be seen, to some extent, as laboratories of love—or as sites for co-creating knowledge in perilous times. (shrink)

This manuscript reviews recent evidence supporting the utility of telomeres and mitochondrial DNA copy number (mtDNAcn) in detecting the biological impacts of adverse childhood experiences (ACEs) and outlines mechanisms that may mediate the connection between early stress and poor physical and mental health. Critical to interrupting the health sequelae of ACEs such as abuse, neglect, and neighborhood disorder, is the discovery of biomarkers of risk and resilience. The molecular markers of chronic stress exposure, telomere length and mtDNAcn, represent critical (...) biological links between ACEs and poor health outcomes. We examine how telomeres and mtDNAcn may exacerbate health disparities and contribute to the intergenerational transmission of trauma. Finally, we explore how these molecular markers of early stress exposure may help define the role of resilience and develop effective interventions to moderate ACE health risk impact. (shrink)

A professor’s experience of attending the 17th annual Reconceptualizing Early Childhood Education (RECE) Conference on pedagogies of hope demonstrates her desire to experiment on an immanent plane. As she looks back on her past experiences of depression, working in a revolutionary psychiatric clinic, experiencing a near catatonic state, and an action research study of women in early childhood education at the precipice of an immanent plane, the reader is led on their own journey to consider deeply the (...) differences between transcendence and immanence. In the end, the author’s story of returning from a catatonic state through bodily movements and triumph in human relationships and connections demonstrates how one moves out of his or her own disconnection between mind and body. Further, the meaning in the experiences of the action research project - the phenomenon - occurs when a misrepresented group of early childhood workers discovers their own power and voice in overcoming transcended expertise. They rise in immanence like the Humpty Dumpties that needed to exchange and word their new agency, connecting in a worldwide rhizome (image of thought). Finally, the reconceptualists in early childhood education are asked to take in these experiences and play with them in order to resist transcendence and to determine their own outcome as an organization. Indo-Pacific Journal of Phenomenology , Volume 12, Special Edition May 2012. (shrink)

By investigating conceptions of experience from Descartes to Kant, this book shows that one of the central questions of the early-modern period was how humans can instantiate in their actions the principles of rational moral agency, while at the same time responding with their bodies to the causal play of nature. Through the analysis of this question, the book draws attention to the bodily underpinnings of the ability to experience thoughts and feelings. It thus challenges overly subjectivist (...) interpretations that concentrate on the inner realm of the experiencing mind and because of this fail to account for the worldly dimension of being experientially responsive to the affections of the body. (shrink)

This contribution starts out with discussing some of the preconditions that set the stage for thinking about New World mission and the role of the mendicant orders in it, which was partially self-assigned and partially expected. Among other things, these preconditions include the impact of mendicant master narratives of conversion and mission to the infidel from the later medieval period, the experiences with reconquista, and the confrontations with Muslims and Jews in newly conquered territories in Spain and North Africa. Against (...) this background, this contribution provides a preliminary sketch of the nature of early mendicant missions in the New World, and their transformation under influence of local.. (shrink)

Gomez, Cristina Lledo This article explores the idea that motherhood is an invitation to engage with the paschal mystery and can thus be a salvific experience in the lives of women. This is of even greater significance for a Christian mother who can explicitly name the experience as her own sharing in the paschal event of Jesus. This article will focus on crisis moments of motherhood in a contemporary Western context, exploring particularly the issues raised in first becoming (...) a mother, and on the initial years of motherhood. (shrink)

High-hope and low-hope research participants (males and females), as preselected on the basis of a dispositional self-report scale, choose freely between brief audiotaped messages that varied in depressive content. In the first experiment, the messages were of either positive or negative content. Highhope as compared to low-hope persons preferred listening to the positive tapes (no differences related to Gender), and this Hope main effect remained after the shared variance related to depression and positive and negative affectivity were removed. In a (...) modified replication, the contents of the tapes were comprised of successful or unsuccessful goal-attainment statements related to hopeful thinking. High-hope as compared to low-hope persons again preferred to listen to the successful goal pursuit messages (no differences related to Gender), and this Hope main effect on listening choices remained after the shared variances related to depression, positive and negative affectivity, and self-esteem were removed. Implications are discussed. (shrink)

This edited volume will be of interest to specialists in the history of early modern philosophy and in the history and philosophy of science. It contains ten chapters related to the themes of experimental philosophy, speculative philosophy, and the relationships of both to religion. Most of the book considers these themes in the thought of six early modern philosophers, with a chapter for each of the following: Bacon, Boyle, Cavendish, Hobbes, Locke, and Newton. The remaining chapters focus upon (...) these themes by looking at particular debates or more broadly by considering contexts beyond those of the six aforementioned philosophers. The level of attention to detail by the authors in this book regarding how... (shrink)

This article presents narratives from 13 Indigenous early career academics (ECAs) at one university in Auckland, New Zealand. These experiences are likely to represent those of Indigenous Māori and Pasifika ECAs nationally, given the small, centralised nature of the national academy of Aotearoa New Zealand. The narratives contain testimony, fictionalised vignettes of experience, and poetic expressions. Meeting the demands of an academic role in one’s first years of working at a university is a big deal for anyone; the (...) extra pressures and challenges for Indigenous Māori and Pacific staff are immense, yet little understood by White ‘others.’ A writing workshop was the initial catalyst of this collective writing project. Through these insider narratives, this article presents a collective description of, and response to, the experience of Māori and Pasifika early career academics. (shrink)

Jean-Paul Sartre is often portrayed as a philosopher whose ethics would inevitably have subjectivist or relativist outcomes. Yet, even in Sartre’s early works there are several stances that blatantly belie this image, relying rather on an objectivist conception of value that he notably draws from Max Scheler. The aim of this paper is thus to investigate the influence of Scheler’s moral reflection on Sartre, arguing how it can represent an original and fruitful starting point to approach Sartrean ethics. To (...) this aim, we will first report on and discuss some passages from Sartre’s early works where this debt is most noticeable. Then, we will provide an overview of the Schelerean legacy, arguing how it represents for Sartre the very opening of the ethical issue addressable in phenomenological terms, avoiding the dead end of Hume’s and Kant’s more classical positions, while at the same time being consistent with other peculiar themes of Sartrean philosophy, namely existence and historicity. (shrink)

Introduction: This study explores how learning experiences at public universities impact the development of critical thinking in early education students in 2023. Objective: To determine the influence of learning experiences on the critical thinking of early education students, identifying effective didactic strategies for its promotion. Methodology: Utilizing a quantitative approach, data were collected from 247 early education students across various public universities in Peru through structured surveys. These surveys were designed to measure students' perceptions of their learning (...) experiences and their impact on critical thinking, including items related to communicative, reflective, and problem-solving competencies. The instruments' validation was ensured through reliability and validity analysis, and data were statistically analyzed using SPSS V.25 software to examine the relationships between variables. Results: The findings indicated a positive and significant correlation between carefully designed learning experiences and the enhancement of students' critical thinking. This link underscores the critical value of adopting didactic strategies focused on fostering critical thinking, showing that when students are immersed in learning environments that challenge their abilities and promote reflection, their capacity to analyze, synthesize, and evaluate information significantly improves. Conclusions: The findings highlight the necessity for universities to continuously implement and adapt their pedagogical methods to foster meaningful and critical learning. This research contributes to understanding how educational experiences can be designed to enhance critical thinking, providing a foundation for future curricular and pedagogical developments in higher education. (shrink)

Engaging communities in community-based health research is increasingly being adopted in low- and middle-income countries. The use of community advisory boards is one method of practicing community involvement in health research. To date, few studies provide in-depth accounts of the strategies that CAB members use to practice community engagement. We assessed the perspectives, experiences and practices of the first local CAB in Eswatini, which was implemented as part of the MaxART Early Access to ART for All study. Trained Swazi (...) research assistants conducted two focus group discussions and 13 semi-structured interviews with CAB members who had been part of the MaxART study for at least 2.5 years. Interviews explored CAB composition and recruitment, the activities of CAB members, the mechanisms used to engage with communities and the challenges they faced in their role. The MaxART CAB played an active role in the implementation of the Early Access to Art for All study, and activities mainly focused on: promoting ethical conduct, in particular privacy, consent and confidentiality; communication and education, communicating about the study and educating the community on the benefits of HIV testing and early access to HIV treatment; and liaising between the community and the research team. Strategies for interacting with communities were varied and included attending general community meetings, visiting health facilities and visiting public places such as cattle dipping tanks, buses, bars and churches. Differences in the approach to community engagement between CAB members living in the study areas and those residing outside were identified. The experiences of the first CAB in Eswatini demonstrate that community engagement using CABs is a valuable mechanism for engaging communities in implementation studies. Considerations that could impact CAB functioning include clearly defining the scope of the CAB, addressing issues of CAB independence, the CAB budget, providing emotional support for CAB members, and providing continuous training and capacity building. These issues should be addressed during the early stages of CAB formation in order to optimize functioning. (shrink)

Ethology brought some crucial insights and perspectives to the study of behavior, in particular the idea that behavior can be studied within a comparative-evolutionary framework by means of homologizing components of behavioral patterns and by causal analysis of behavior components and their integration. Early ethology is well-known for its extensive use of qualitative observations of animals under their natural conditions. These observations are combined with experiments that try to analyze behavioral patterns and establish specific claims about animal behavior. Nowadays, (...) there is still disagreement about the significance of observation and experiments and their relation. (shrink)

The purpose of this study was to explore how one person experienced the early years of dementia as she was living through the pre-clinical and earlyclinical stages of Alzheimer’s disease. Interviews were held onfour occasions over a period of three years. The data were analyzed usingthe descriptive phenomenological psychological method, in which theresearcher approached the data from a caring perspective. The livedexperience of early-stage Alzheimer’s disease showed to be acomplex transitional phenomenon that involves a dynamic process of personaladjustment. (...) The process is set in motion as the participant receives thediagnosis and will eventually lead her towards a state of increased opennessand receptiveness toward the disease. The results describe this process asit unfolds in the context of the overall experience, and the variousadjustments that the participant undertakes. Some reflections concerning theplausible needs of patients with early-stage Alzheimer’s diseaseare included in the discussion. (shrink)

Background: Critical care nurses have risked their lives and in some cases their families through hazardous duty during the COVID-19 pandemic and have faced multiple ethical challenges. Research/aim: The purpose of our study was to examine how critical care nurses coped with the sustained multi-faceted pressures of the critical care environment during the unchartered waters of the COVID-19 pandemic. It was anticipated that our study might reveal numerous ethical challenges and decision points. Research design: A qualitative descriptive study, utilizing an (...) interpretivist paradigm. Participants and research setting: Critical care nurses, working in either intensive care units or emergency departments (N = 11) who were primarily from Northern California hospitals. Individual in-depth ZOOM® session interviews, guided by semi-structured questions, were used to collect data. Interviews lasted between 18 and 59 min, with an average length of 33 min. Session interviews were transcribed and analyzed. Ethical considerations: This study was approved by the researchers’ university Institutional Review Board. Findings: Five main themes emerged: Fear of the Unknown, Adapting to Practice Changes and Challenges, Patient Advocacy and Moral Distress, Isolation and the Depersonalization of Care, and Professionalism and a Call to Duty. Discussion and conclusion: Fear of becoming ill or bringing COVID-19 home to their families was a constant source of anxiety for nurses. There were numerous changes in policy and challenges to standard practice protocols, including most notably shortages in personal protective equipment, which nurses navigated resourcefully. Most nurses interviewed were motivated by a sense of professional duty. The nurses experienced some moral distress in their inability to advocate as they might like for their patients, especially at end of life. Infection control requirements for isolation. (shrink)

Experimental philosophy was an exciting and extraordinarily successful development in the study of nature in the seventeenth century. Yet experimental philosophy was not without its critics and was far from the only natural philosophical method on the scene. In particular, experimental philosophy was contrasted with and set against speculative philosophy and, in some quarters, was accused of tending to irreligion. This volume brings together ten scholars of early modern philosophy, history and science in order to shed new light on (...) the complex relations between experiment, speculation and religion in early modern Europe. The first six chapters of the book focus on the respective roles of experimental and speculative philosophy in individual seventeenth-century philosophers. They include Francis Bacon, Robert Boyle, Margaret Cavendish, Thomas Hobbes, John Locke and Isaac Newton. The next two chapters deal with the relation between experimental philosophy and religion with a special focus on hypotheses and natural religion. The penultimate chapter takes a broader European perspective and examines the paucity of concerns with religion among Italian natural philosophers of the period. Finally, the concluding chapter draws all these individuals and themes together to provide a critical appraisal of recent scholarship on experimental philosophy. (shrink)

Günther Bornkamm, a chief disciple of Rudolph Bultmann, has gathered together a number of his expository articles in this volume. The chapters deal generally with themes familiar to Bultmann's aficionados, concentrating heavily on Paul's Epistle to the Romans and other letters of Paul. The chapters are headed "God's Word and Man's Word in the New Testament," "Christ and the World in the Early Christian Message," "Faith and Reason in Paul," "The Revelation of God's Wrath," "Baptism and New Life in (...) Paul," "Sin, Law and Death," "The Praise of God," "On Understanding the Christ-hymn," "Lord's Supper and Church in Paul," "On the Understanding of Worship," "The More Excellent Way." The translations of the articles are admirable, and were completed by Paul L. Hammer.--W. A. J. (shrink)

The paper examines differences of styles of experimentation in the history of science. It presents arguments for a historization of our historial and philosophical notion of "experimentation," which question the common view that "experimental philosophy" was the only style of experimentation in the eighteenth and early nineteenth centuries. It argues, in particular, that "experimental history" and technological inquiry were accepted styles of academic experimentation at the time. These arguments are corroborated by a careful analysis of a case study, which (...) is embedded in a comparative historical overview. (shrink)

The interest of scholars in the Anonymous of Iamblichus has been oriented in two main ways: it focuses either on the problem of its dating and authorship, or on one or other of the many themes which seem to have been on the agenda of the investigation of its author. My interest is in this second way and I propose to examine the author’s conception of time on the horizon of human nature. What makes man truly man (ἀνὴρ ἀληθῶς ἀγαθός (...) – DK 89, 4)? I intend to point the importance of the notion of time in the context of the human experience for who aspires to be an agathos, an enkratestaton. First, I will examine the lexical and semantic field of time employed to characterize the human condition and justify the prerogatives of author regarding human behaviour and action. Second, I will discuss the different aspects and contexts considered by the author to develop his argument. Among these aspects we have: (i) the distinction between what is innate in us (φῦναι), and what must be acquired through effort (φιλοπονία) and perseverance over time (πολὺν χρόνον); (ii) the opinion that anyone who wants to guide theirlife in view of what is beautiful and good (καλόν καὶ ἀγαθόν) must to be initiated very early (πρωιαίτατα), or should start “immediately and increasing to the end” (αὐτίκα τε ἀρξάμενον καὶ συναυξηθὲν είς τέλος); (iii) the need for him to use his own resources “always and not occasionally” (DK 89, 1–2). We will examine in our paper the passages in which a concept of time appears, in order to show that this is one of the centrepieces of the author’s argument and the way par excellence to understand the underlying concept of human nature at the thought of its author. (shrink)

The aim of this special issue is to address issues surrounding the use of live animals in experimental procedures in the pre-modern era, with a special emphasis on the technical, anatomical, and philosophical sides. Such use raises philosophical, scientific, and ethical questions about the nature of life, the reliability of the knowledge acquired, and animal suffering.

The book asks how we can make sense of career paths for PhD graduates, something that has rarely been systematically studied. It offers a coherent synthesis of the empirically-based insights that arose from the experiences of 48 early career researchers, who were participants in a 10-year qualitative longitudinal research program. The book has the power to inform other researchers’ conceptual and methodological approaches to the study of post-PhD career trajectories. The authors draw on the conceptual lens of ‘identity-trajectory’, which (...) emerged from their research program, to examine the decision-making processes underpinning the careers of PhD graduates, whether contingent researchers and teachers, assistant professors within the academy or professionals elsewhere. The book highlights the role of personal agency in negotiating academic and non-academic work and careers within broader personal lives. It will be compelling reading for researchers and students working in the areas of Education and Sociology, particularly those with an interest in examining career development and decision-making. (shrink)

ObjectiveTo examine how physical and psychological childbirth experiences affect maternal perceptions and experiences of early infant behavioural style.BackgroundUnnecessary interventions may disturb the normal progression of physiological childbirth and instinctive neonatal behaviours that facilitate mother–infant bonding and breastfeeding. While little is known about how a medicalised birth may influence developing infant temperament, high impact interventions which affect neonatal crying and cortisol levels could have longer term consequences for infant behaviour and functioning.MethodsA retrospective Internet survey was designed to fully explore maternal (...) experiences of childbirth and her postnatal perceptions of infant behaviour. Data collected from 999 mother–infant dyads were analysed using Pearson’s correlations and multiple analyses of covariance, employing the Bonferroni method of correction to establish initially significant variables. Multiple linear regressions were conducted to determine major perinatal contributors to perceived early infant temperament.ResultsMultiple regression analyses on each of the eight Mother and Baby Scales outcome variables indicated that early infant behavioural style was largely predicted by subjective maternal states during and post-childbirth, postnatal depression scores, maternal personality traits and infant age. For example, infant age was the most significant predictor of Alert-Responsive infant behaviour, followed by maternal Postnatal Positive experience. In contrast, depression scores were the most significant predictor of Unsettled-Irregular infant behaviour, followed by Anxious-Afraid Birth Emotions and infant age. Mothers also perceived their infants as more Alert-Responsive and Easier overall after a Supported birth experience.ConclusionMaternal and infant outcomes were influenced by multiple physical and psychological perinatal variables. The mother’s subjective experience appeared to be of equal significance to more objective factors. Social support enhanced the mother’s childbirth experience, benefitting her perceptions of her baby’s early temperament. These findings provide further support for current World Health Organisation intrapartum guidelines on the importance of making childbirth a ‘positive experience’ for women. (shrink)

Debates in the philosophy of science typically take place around issues such as realism and theory change. Recently, the debate has been reformulated to bring in the role of experiments in the context of theory change. As regards realism, Ian Hacking’s contribution has been to introduce ‘intervention’ as the basis of realism. He also proposed, following Imre Lakatos, to replace the issue of truth with progress and rationality. In this context we examine the case of the vitalism — reductionism debate (...) in biology inspired by the works of Indian physicist-turned-biologist Jagadish Chandra Bose (1858–1937), in the early twentieth century. Both camps had their characteristic hardcores. Vitalists led by John S. Burdon-Sanderson and Augustus D. Waller accepted religious metaphysics to support their research programme, which ultimately degenerated. Bose worked more with the ideals of science such as Occam’s razor, large-scale systematization of phenomena and novel prediction. I argue that his religious metaphysics, instead of acting as a protective shield, helped him to consolidate his position and allowed further problem shift resulting in a research programme that involved consciousness too. His research programme remains relevant even today. (shrink)

Within the historiography of early modern science, trust and credibility have become synonymous with genteel identity. While we should not overlook the cultural values attached to social hierarchy and how it shaped the credibility of knowledge claims, this has limitations when thinking about how contemporaries regarded the origins of that knowledge and its location in different types of workers and skillsets. Using the example of seamen in the circles of the Royal Society, this article employs the category of (...) class='Hi'>experience, and by extension expertise, to illustrate how recognized forms of knowledge and skill acted as routes to credibility and authority in early modern science. It argues that, within the experimental community, the seaman’s authority derived from their direct experience of novel and remote phenomena and the cumulative effect of their wider experience. The accumulated experience they acquired from frequent practice, observation, and exposure translated into a form of “expertness” that rendered seamen trustworthy and credible observers and thinkers. The gentlemanly trust model does not accommodate nor acknowledge the ways the seaman’s direct and accumulated experience (and that of many other professional groups) were recognized and valued in inquiry and discourse. The article therefore sets out a new model for understanding trust, credibility, and authority in early modern science that can take us beyond a restrictive mono-model that locates trust in one sociocultural category to highlight the multiple, and sometimes competing, claims to epistemological authority. (shrink)