Weight- (WAZ), height- (HAZ), and BMI-for-age (BMIZ) are frequently used to assess malnutrition among children. These measures represent different categories of risk and are usually hypothesized to be affected by distinct factors, despite their inherent relatedness. Life history theory suggests weight should be sacrificed before height, indicating a demonstrable relationship among them. Here we evaluate impact of family composition and household economics on these measures of nutritional status and explore the role of WAZ as a factor in HAZ. Anthropometrics, family (...) demographics, and measures of household economy were collected from Sidama agropastoralist children in a peri-urban village in southwestern Ethiopia (n = 157; 79 girls). Just over half of the sample (50.9%) had z-scores of − 2SD or below on at least one measure, indicating an elevated risk of morbidity/mortality; 30% were at or below − 2SD on two or more measures. We used hierarchical linear regression with random intercept analysis to model WAZ and HAZ. Siblings and crop sales significantly decrease WAZ while electricity, agriculture, and polygyny improve z-scores; however, an interaction between polygyny and siblings indicates negative effects of siblings in polygynous families and positive effects in nonpolygynous ones (adj. R2 = 66.5%). For HAZ, agriculture and electricity are positively associated with z-scores whereas siblings have a negative effect; the interaction term again indicates that effects of siblings vary in polygynous and nonpolygynous families (adj. R2 = 74.2%). A mediation model exploring the role of weight in height outcomes suggests not only that WAZ has direct effects on HAZ but also that effects of electricity and agriculture on HAZ are partially mediated by WAZ. Our findings indicate that WAZ and HAZ are primarily affected by shared variables, but effects of siblings vary by polygyny status. Long-term outcomes (HAZ) among Sidama children would likely benefit from interventions focused on stabilizing WAZ across family members. (shrink)

It is good for people to understand their insurance coverage and the reasoning that has shaped it, to be able to contribute their two cents if they want to, and to know that their plan has at least attempted to make decisons that are consistent, fair and compassionate. It is also good for them to be told that attention to cost is ethically required. Nevertheless, while following the recommendations of Wynia et al (2004) might make benefits design and administration appear (...) more fair, it will not do as much as they suggest for them to be more fair. (shrink)

Paul Menzel and Donald Light ("A Conservative Case for Universal Access to Health Care," Jul-Aug 2006) tell a story that is plausible. However, based on my twenty-five years of experience as a policy analyst interested in access to health care, I find it inaccurate for a number of reasons.

While summer break presents educational and recreational opportunities for some students, students from depressed socioeconomic groups may face significant obstacles in the summer, including learning loss. In general, these students also lack access to a wide range of intrinsic and instrumental benefits attached to the study of philosophy. While there are currently existing philosophy programs, this contribution highlights the connections between summer experiences and the overall achievement gap, while identifying specific practices shown to yield successful summer programs. Philosophy provides an (...) impressive set of benefits, including academic skills and opportunities for personal growth and development. Incorporating best practices while focusing on the methods and content of philosophy should, therefore, yield particularly rewarding programs. Due to these benefits, summer philosophy programs should be researched, developed, and expanded. (shrink)

In this article, we present the results of an original study identifying the perceptions of beginning philosophy students at the start of their first introductory course. We surveyed over 1,100 students representing over 40 universities and colleges in the United States regarding their initial perceptions of gender bias, inclusivity, value, understanding, similarities, and enjoyment of philosophy. We analyzed the results based on gender, first-generation status, and student of color status. This work represents the perspectives of a more diverse range of (...) students, reflecting far more first-generation college students (40 percent) and students who identify as people of color (43 percent) than in previous work. Additionally, this study provides novel data as we were able to collect data on the first day of classes, in most cases before students were exposed to syllabi or content that could inform their views about philosophy. Understanding what beginning students think about philosophy before formal exposure to the field might help us to identify concerns, misconceptions, and areas for improvement. Many results are striking, and our project offers insight into the initial perspectives of philosophy students. (shrink)

In 1989, Helga Wanglie, 86 years old, broke her hip. This began a medical downhill course that a year later caused her health care providers to conclude that she would not benefit from continued medical treatment. It would be futile, and therefore, should not be provided. Her husband disagreed, and the conflict eventually led to a lawsuit. The Wanglie case touched off an extended debate in the medical and bioethical literature about medical futility: what it means and how useful the (...) concept is in making ethical decisions about starting or stopping treatment. (shrink)

In 2006 was 'jij' volgens het Amerikaanse blad 'Time Magazine' als individu de persoon van het jaar. Tien jaar later is het selfietijdperk helemaal doorgebroken. Het 'ik' staat centraal en onze identiteit heeft veel weg van een bouwpakket uit een doe-het-zelf zaak. In het boek 'De mythe van de ik-dentiteit' staan auteurs uit uiteenlopende maatschappelijke velden stil bij de consequenties en uitdagingen van deze maatschappelijke evolutie. Met bijdragen van Erik Borgman, Marc Calmeyn, Marc Colpaert, Paul Delva, Patrick Develtere, Erik Galle, (...) Anja T?Kindt, Ivan Van de Cloot, Leen Van den Neste, Guido Vanheeswijck, Frédéric Van Leeuw, Ellen Van Stichel, Christoffel Waelkens en Walter Weyns. (shrink)

In response to earlier papers in Informal Logic by Robert Fogelin and Andrew Lugg, this paper explores the issue of whether disagreement could ever be so deep that it defied rational resolution. Contra Lugg, I agree with Fogelin that such unresolvable disagreement is possible and, contra Fogelin, I suggest that the focus of such disagreement can be quite Iimited-a single proposition rather than a whole system of beliefs. I also suggest that emphasising arguing as a human practice rather than arguments (...) as a structure of propositions is unhelpful to consideration of these issues. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Victims in VogueElizabeth Bailie (bio)Donning white robes of slender flesh,They saunter the catwalk,Like a Treblinka corridorBrazen in their stolen innocence.Modeling Giacommetti's latest line,These coquettes of contagionKneel self-scourgedBefore their own shrines.Public penitents,Slim tokens of transfiguration,They withdraw, unforgiven,In ceremonial hunger.Elizabeth Bailie Elizabeth Bailie is a poet, writer, and lay contemplative who lives in the hills of central Massachusetts just up the road from St. Joseph's Trappist Monastery, her spiritual home.Copyright © (...) 2006 Michigan State University Press... (shrink)

This paper studies the causal interpretation of counterfactual sentences using a modifiable structural equation model. It is shown that two properties of counterfactuals, namely, composition and effectiveness, are sound and complete relative to this interpretation, when recursive (i.e., feedback-less) models are considered. Composition and effectiveness also hold in Lewis's closest-world semantics, which implies that for recursive models the causal interpretation imposes no restrictions beyond those embodied in Lewis's framework. A third property, called reversibility, holds in nonrecursive causal models but not (...) in Lewis's closest-world semantics, which implies that Lewis's axioms do not capture some properties of systems with feedback. Causal inferences based on counterfactual analysis are exemplified and compared to those based on graphical models. (shrink)

This article aims to explore how epistemic status is negotiated during talk about the life memories of one speaker. Direct questions which foreground ‘remembering’ can lead to troubled sequences of talk. However, interlocutors sometimes frame their first parts as ‘co-rememberings’, and the sequential positioning of these can be crucial to the outcome of the talk. We draw on almost 10 hours of video data from dementia settings, where memory is a talked-about matter. Our focus is on 30 sequences which are (...) initiated with a question or other first part taking a K-stance, selecting one person as next speaker, and topically relating to the recipient’s past life. We show how type 2 knowables can be used alongside markers of tentativeness, to jointly construct the recipient’s epistemic primacy. (shrink)

When deciding what disorders to screen newborns for, we should be guided by evidence of real effectiveness, take opportunity cost into account, distribute costs and benefits fairly, and respect human rights. Current newborn screening policy does not meet these requirements.

En este artículo que dedicamos a las concepciones epistemológicas de Jean Cavaillès sobre el pensamiento formal y la teoría de la ciencia, analizaremos, en un primer tiempo, cómo la filosofía de las matemáticas de Cavaillès se presenta como una severa censura del logicismo y, en particular, de la empresa universalista de Carnap cuya sintaxis lógica es el blanco de las reprobaciones del filósofo francés, tanto en lo que atañe a la cuestión del formalismo como a la que estudia la relación (...) que mantiene la mathesis formalis con la física en la epistemología de Carnap. En un segundo tiempo, dado las simpatías de Cavaillès por la matemática intuicionista y una cierta resonancia de su epistemología con la de Brouwer, procuraremos subrayar, a partir del análisis crítico realizado por el propio Cavaillès, las dificultades a las que se expone el intuicionismo. Lo veremos, por una parte, en la indeterminación de la matemática a la física y, por otra parte, en el peligro de encontrarse la ciencia absorbida por la matemática si se admite, con el matemático holandés, que ésta es pensamiento racional del mundo. En la tercera y última parte del artículo, esbozaremos el programa de trabajo de Cavaillès, su última hoja de ruta, a favor de una epistemología constructiva y refinada de las matemáticas, entendidas a la vez en su esencia más pura y en su relación praxeológica con las ciencias de la naturaleza. En definitiva, se tratará de aproximarnos al proyecto de Cavaillès, entendido como una epistemología conceptual, fundada en una aproximación rigurosamente bolzaniana de lo lógico, una teoría pura de los encadenamientos racionales, que contempla a la vez la determinación de las posibilidades de los objetos y las posibilidades de determinación de éstos. Tal empresa, lo veremos, se apoya sobre una noción fuerte de necesidad cuyo carácter imprevisible escapa a las mallas de la lógica y atraviesa toda la praxis matemática en su temporalidad propia. (shrink)

Cet article analyse le travail de Patrick Tosani en suivant l’ordre d’apparition des séries afin de souligner l’évolution de la réflexion de l’artiste sur la photographie. Sur le plan méthodologique, l’article privilégie l’analyse des images et des dispositifs mis en place en insistant sur la dimension réflexive du travail. On découvre ainsi comment ce processus en œuvre génère une pensée sur la nature des images produites.

By and large, neither bioethicists nor economists have offered a satisfactory account of how managed care organizations should ration health care. Both disciplines would like to guarantee adequate care to all without defining adequacy. But it cannot be done. The more we rely on market forces to distribute health care, the more we need a national standard of care.

In lieu of an abstract, here is a brief excerpt of the content:THE VINE AND BRANCHES DISCOURSE: THE GOSPEL'S PSYCHOLOGICAL APOCALYPSE Gil Bailie Florilegio Institute Man is after something that cannot be possessed.... Man cannot "have" being, though he absolutely needs it for living. (Roel Kaptein) The anthropological reading of biblical literature which Girard's mimetic theory makes possible sheds new light on many otherwise inscrutable texts. Prominent among these, due to its centrality as well as its elusiveness, is the prologue (...) to the Gospel ofJohn. For the author of this gospel, the "Word" who was "in the beginning," was "the light" without which humanity remained in darkness—whether it be the darkness ofpre-human existence or the moral and mythic darkness of the sacred violence that accompanied hominization. Girard's work helps us realize that humanity generated its own crude forms of illumination precisely by periodically expelling this light. (A vivid symbolic expression ofthis is the reference to the "lanterns, torches, and weapons" with which the Roman cohort arrested Jesus later in John's Gospel.) The Johannine Prologue conveys its message in an elusively universal yet specifiable idiom: The true light, which enlightens everyone, was coming into the world. He was in the world, and the world came into being through him; yet the world did not know him. He came to what Gil Bailie121 was his own, and his own people did not accept him. But to all who did accept him, who believed in his name, he gave the power to become children of God, who were born, not of blood or ofthe will of the flesh or of the will of man, but of God. (1 : 9-13) The ontological theme of these verses deserves attention. If, as Raymond Brown has observed, these verses constitute a "description of the history of salvation in hymnic form," they also contain an anthropological summary of the two, and only two, ontologizing circumstances: the identification, respectively, with the victimizing crowd and with the victim. However occluded the illuminating Logos might have been prior to revelation ofthe Cross, the Johannine prologue tells us that it was present from the beginning. How? The most pertinent scriptural clue seems to be the reference to Christ in the Book of Revelation as "the Lamb slain from the foundation of the world," the innocent One whose victimization finally broke open the seals on the scroll of human iniquity and, in the process, unfettered that iniquity from its ancient restraints. One of the great values of Girard's work is that it makes anthropologically explicit what is poetically implicit in these scriptural innuendoes, namely, the link between the Crucified One and all victims slain "from the foundation of the world." Inasmuch as "the Lamb slain from the foundation of the world" was what made the old humanity possible and, in Christ, what brought the new humanity into being, the third verse of the prologue of John's Gospel becomes anthropologically intelligible: All things came into being through him, not one thing had its being except through him. (1:3) Here the explicit claim that all things came to be through him needs to be read in light of the verses that follow in the prologue, but which I have quoted above. Doing so, we are led to consider the radical difference between the crude and fallacious ontology the ancient sacrificial system was able to underwrite by causing its beneficiaries to identify with the victimizing crowd and the ontological renewal born of an identification with the innocent victim—referred to in the New Testament as a dying with Christ and ritualized in baptism. With equal subtlety, this verse alludes as well to the ineradicable homology between these two forms of 122Vine andBranches ontological sustenance. "All culture is sacrificial," writes Eric Gans, adding: Culture covers a lot of ground, from bear-baiting to attending a performance of Saint Matthew's Passion, but whether we savagely revel in the victim's sufferings or identify with them in the depths of our soul, culture is the founded on them. And so is the being of those involved in these two fundamental forms of identification. Corresponding to the moral difference between the ritual experiences to which Gans refers is an ontological difference... (shrink)

Traditional teaching pedagogy has the young learning from the old. To improve learning in a business environment, generational differences have been identified as being potential barriers between people. There is a growing realisation that technology can be used to bridge the gap between young and old using reverse mentoring. Moving beyond the confines of using reverse intergenerational learning as a tool for only learning new IT has not yet gained general acceptance in the wider business environment. Surely this represents a (...) missed opportunity. (shrink)

Speech unfolds over time, and the cues for even a single phoneme are rarely available simultaneously. Consequently, to recognize a single phoneme, listeners must integrate material over several hundred milliseconds. Prior work contrasts two accounts: (a) a memory buffer account in which listeners accumulate auditory information in memory and only access higher level representations (i.e., lexical representations) when sufficient information has arrived; and (b) an immediate integration scheme in which lexical representations can be partially activated on the basis of early (...) cues and then updated when more information arises. These studies have uniformly shown evidence for immediate integration for a variety of phonetic distinctions. We attempted to extend this to fricatives, a class of speech sounds which requires not only temporal integration of asynchronous cues (the frication, followed by the formant transitions 150–350 ms later), but also integration across different frequency bands and compensation for contextual factors like coarticulation. Eye movements in the visual world paradigm showed clear evidence for a memory buffer. Results were replicated in five experiments, ruling out methodological factors and tying the release of the buffer to the onset of the vowel. These findings support a general auditory account for speech by suggesting that the acoustic nature of particular speech sounds may have large effects on how they are processed. It also has major implications for theories of auditory and speech perception by raising the possibility of an encapsulated memory buffer in early auditory processing. (shrink)

A partir de la divergencia de M. Foucault con Th. Hobbes con respecto a la guerra como principio y fundamento del poder, se muestra la importancia de esa diferencia conceptual para los análisis políticos contemporáneos. Foucault sostiene que, en las sociedades modernas de Occidente, la comunidad política, y más precisamente la política misma, ha sido el terreno de la guerra librada por otros medios. Por extensión, esta tesis significa invertir el principio de von Clausewitz; a saber, que la guerra es (...) la continuación de la política por otros medios. On the basis of the difference between M. Foucault and Th. Hobbes regarding war as a principle and foundation of power, the article shows the importance of this conceptual difference for contemporary political analyses. Foucault argues that in modern Western societies, the political community and, more specifically, politics itself, has been the space of a war waged by other means. By extension, this thesis entails the inversion of von Clausewitz's principle, namely, that war is the continuation of politics by other means. A partir da divergência de M. Foucault com Th. Hobbes sobre a guerra como princípio e fundamento do poder, mostra-se a importância dessa diferença conceitual para as análises políticas contemporâneas. Foucault sustenta que, nas sociedades modernas do Ocidente, a comunidade política, e mais precisamente a política em si, tem sido o terreno da guerra travada por outros meios. Por extensão, esta tese significa inverter o princípio de von Clausewitz; a saber, que a guerra é a continuação da política por outros meios. (shrink)