Per the OpenNotes directive of the 21st Century Cures Act implemented in 2021, patients and their legally recognized representatives must be able to access the electronic medical record in real time. This is an opportunity for clinical ethicists and other providers to reflect on their charting practices, particularly how and when they quote patients. Although using direct quotations is common because it seems to avoid misinterpretation, it may not always be appropriate. In this article, we discuss some of the risks (...) and benefits of quoting in the context of OpenNotes and provide suggestions for how clinical ethicists can leverage their unique position to help mitigate some of these risks and promote more reflective charting practices among the teams they work with. (shrink)

This paper presents a variable neighborhood descent algorithm for the service restoration problem (SRP) in electrical distribution systems. The restoration problem appears when a permanent fault occurs in the system. The fault must be localized and isolated from the rest of the system. As a consequence of the isolation, the downstream area is de-energized and requires restoration. The variable neighborhood descent algorithm features its ability to solve the SRP for radial distribution systems and introduces a strategy that helps to deal (...) with the system’s radiality. Tests are performed using a 53-node test system. The results show that the proposed algorithm can efficiently solve the SRP in a distribution system, and as a deterministic algorithm, the results can be used to help nondeterministic algorithms. (shrink)

Este artículo explora desde una perspectiva filosófica la forma como la rostricidad está asociada al deseo y producción de subjetividad. De ahí que el campo de interés se centre en cómo dichas categorías tensionan la constitución subjetiva de los sujetos, a tal punto que inciden en la proyección de su propio trayecto biográfico. Esto a partir de algunos planteamientos teóricos acuñados por filósofos como Foucault, Deleuze y Guattari, con respecto al papel del rostro como productor de significado cultural en la (...) gestión de la economía del deseo. Con miras a ambientar el texto, se tomará como recurso a Catarino, personaje de la novela Cien años de soledad, de Gabriel García Márquez. (shrink)

Desde inicios del siglo xx la filosofía parecía haber despachado la legitimidad del realismo, llamando a la descripción del mundo dentro de los límites de nuestra subjetividad. El agotamiento y los problemas de esta premisa filosófica han sido finalmente enunciados y señalados por el realismo especulativo. En el presente artículo mostramos de qué manera tres de sus representantes más reconocidos, Meillassoux, Harman y Gabriel, llevan a cabo esta tarea. Pero para evitar una posición ingenua, este realismo se expresa de forma (...) especulativa, es decir, a partir de argumentos lógicos, matemáticos y abstractos que no carecen de problemas. Después de una breve exposición de sus filosofías, presentamos problemas centrales en ellas que se derivan de una falta de reflexión sobre los recursos lógicos y matemáticos que emplean explícita o implícitamente. Mostramos que la constante en todos ellos consiste tanto en un desconocimiento de las paradojas de autorreferencia que ponen en juego, como en la falta de una teoría de relaciones reales que explique las relaciones sujeto-objeto y objeto-objeto. Concluimos con una breve referencia a Fréredic Nef para mostrar qué puntos debería considerar una teoría general de relaciones. (shrink)

Markus Gabriel’s pluralism and Graham Priest’s monism can be considered new forms of skepticism in contemporary philosophy. Gabriel considers ‘emptiness’ and Priest ‘nothingness’ as safe havens for logic and philosophy. In the same way, traditional skeptics also considered nothing secure. Furthermore, we observe in this book that whilst both Priest and Gabriel present rather eloquent theories, they nevertheless lack more substantial proofs, much like many important theories in philosophy, such as Leibniz’s monadology.

Sally Haslanger offers the following concept of “woman”: If one is perceived as being biologically female and, in that context, one is subordinated owing to the background ideology, then one “functions” as a woman (2012b, 235). An implication of this account is that if someone is not regarded by others as their self-identified gender, they do not function as that gender socially. Therefore, one objection to this ascriptive account of gender is that it wrongly undermines the gender identities of some (...) trans people. In this paper, I will argue that Haslanger’s definition can be defended against this objection and that her account inevitably aids in liberatory efforts not only for cisgender women, but for all sexual and gender minorities. While Katharine Jenkins’s dual account of gender aims to rectify this objection (2016, 407), I will point out two important problems with her argument: “the inclusion dilemma” and “the abolition problem.” Finally, I will argue that Haslanger’s account of gender is preferable to Jenkins’s because it outlines the reality of gender as an oppressive, hierarchical system whose categories ought to be dismantled. (shrink)

This article argues that Mona Hatoum's video Measures of Distance presents us with an example of Jean-Luc Marion's saturated phenomenon. Partial and deeply textured images of Hatoum's mother have p...

I develop an interpretation of Maurice Merleau-Ponty's concept of motor intentionality, one that emerges out of a reading of his presentation of a now classic case study in neuropathology—patient Johann Schneider—in Phenomenology of Perception. I begin with Merleau-Ponty's prescriptions for how we should use the pathological as a guide to the normal, a method I call triangulation. I then turn to his presentation of Schneider's unusual case. I argue that we should treat all of Schneider's behaviors as pathological, not only (...) his abstract movements, as is commonly acknowledged in the secondary literature, but also crucially his concrete movements. Using these facts of Schneider's illness, I reconstruct a ‘fundamental function’ of consciousness, as Merleau-Ponty called it, in which there are two kinds of bodily agency: the power of the body to be solicited by a situation and the power of the body to project a situation. I propose that these powers became dissociated in Schneider's case, as evidenced by his abstract and concrete movements, while in the normal case, these powers comprise a dynamic unity, enacted as motor intentionality. I also discuss how my interpretation complements Merleau-Ponty's assertion that motor intentions exist between mind and matter. (shrink)

Since 1994, eleven ministerial public juridic persons have been established in Australia to take the education, health and community service ministries of the instigating religious institutes purposely into the future as ministries of the Catholic Church. Subsequently other ministries have been entrusted to established MPJPs, including some diocesan and parish health and aged care services. In the period from 2012 to 2016, representatives of the MPJPs explored means of fostering collaboration between the respective entities, leading to the founding of the (...) Association of Ministerial PJPs Ltd in May 2016. These are historic developments for the Australian Church in relation to lay ecclesial leadership, and offer a canonically recognised means of expanding lay women and men's participation in church governance. Table 1, in the pages that follow, summarises details of the Australian MPJPs. (shrink)

In this article, I link the empirical hypothesis that neural representations of sensory stimulation near the body involve a unique motor component to the idea that the perceptual field is structured by skillful bodily activity. The neurophenomenological view that emerges is illuminating in its own right, though it may also have practical consequences. I argue that recent experiments attempting to alter the scope of these near space sensorimotor representations are actually equivocal in what they show. I propose resolving this ambiguity (...) by treating these representations as responsive to the development or degeneration of know-how—which can be isolated as an appropriate object for scientific investigation. (shrink)

The UK Chief Medical Officer’s 2016 Annual Report, Generation Genome, focused on a vision to fully integrate genomics into all aspects of the UK’s National Health Service. This process of integration, which has now already begun, raises a wide range of social and ethical concerns, many of which were discussed in the final Chapter of the report. This paper explores how the UK’s 100,000 Genomes Project —the catalyst for Generation Genome, and for bringing genomics into the NHS—is negotiating these ethical (...) concerns. The UK’s 100 kGP, promoted and delivered by Genomics England Limited, is an innovative venture aiming to sequence 100,000 genomes from NHS patients who have a rare disease, cancer, or an infectious disease. GEL has emphasised the importance of ethical governance and decision-making. However, some sociological critique argues that biomedical/technological organisations presenting themselves as ‘ethical’ entities do not necessarily reflect a space within which moral thinking occurs. Rather, the ‘ethical work’ conducted by organisations is more strategic, relating to the politics of the organisation and the need to build public confidence. We set out to explore whether GEL’s ethical framework was reflective of this critique, and what this tells us more broadly about how genomics is being integrated into the NHS in response to the ethical and social concerns raised in Generation Genome. We do this by drawing on a series of 20 interviews with individuals associated with or working at GEL. (shrink)

In April 2020, close to the start of the first U.K. COVID-19 lockdown, the U.K. government announced the development of a COVID-19 contact tracing app, which was later trialled on the U.K. island, the Isle of Wight, in May/June 2020. United Kingdom surveys found general support for the development of such an app, which seemed strongly influenced by public trust. Institutions developing the app were called upon to fulfil the commitment to public trust by acting with trustworthiness. Such calls presuppose (...) that public trust associated with the app can emerge if the conditions for trustworthiness are met and that public trust is simplistic, i.e., linearly the sum of each member of the publics’ individual – U.K. government trust relationship. Drawing on a synthesis of the trust literature and fifteen interviews with members of the public trialling the app on the Isle of Wight, this paper aims to explore what trust mechanisms and relationships are at play when thinking about public trust in the context of the U.K. COVID-19 app. We argue that public trust is a complex social phenomenon and not linearly correlated with institutional trustworthiness. As such, attention needs to widen from calls for trustworthy infrastructures as a way to build public trust, to a deeper understanding of those doing the trusting; in particular, what or whom do people place their trust in when considering whether using the app and why. An understanding of this will help when trying to secure public trust during the implementation of necessary public health measures. (shrink)

BackgroundThe health sector aims to improve health outcomes and access to healthcare. At the same time, the sector relies on unsustainable environmental practices that are increasingly recognised to be catastrophic threats to human health and health inequities. As such, a moral imperative exists for the sector to address these practices. While strides are currently underway to mitigate the environmental impacts of healthcare, less is known about how health researchers are addressing these issues, if at all.MethodsThis paper uses an interview methodology (...) to explore the attitudes of UK health researchers using data-intensive methodologies about the adverse environmental impacts of their practices, and how they view the importance of these considerations within wider health goals.ResultsInterviews with 26 researchers showed that participants wanted to address the environmental and related health harms associated with their research and they reflected on how they could do so in alignment with their own research goals. However, when tensions emerged, their own research was prioritised. This was related to their own desires as researchers and driven by the broader socio-political context of their research endeavours.ConclusionTo help mitigate the environmental and health harms associated with data-intensive health research, the socio-political context of research culture must be addressed. (shrink)

The Second Vatican Council promoted the calling of all the baptised to the mission of the church and highlighted the 'indispensable role' of the laity. The 1965 Decree on the Apostolate of Lay People stated: An indication of this manifold and pressing need is the unmistakable work being done today by the Holy Spirit in making the laity ever more conscious of their own responsibility and encouraging them to serve Christ and the Church in all circumstances.

ArgumentThis paper contrasts the research strategies of two women reformers, Florence Kelley and Ellen Swallow Richards, which entailed different strategies of social reform. In the early 1890s, social activist Florence Kelley used the social survey as a weapon for legal reform of the working conditions of women and children in Chicago’s sweatshop system. Kelley’s case shows that her surveys were most effective as “grounded” knowledge, rooted in a local community with which she was well acquainted. Her social survey, re-enacted by (...) lawmakers and the press, provided the evidence that moved her target audience to legal action. Chemist and propagator of the Home Economics Movement Ellen Richards situated the social problem, and hence its solution, not in exploitative working conditions, but in the inefficient and wasteful usage of available resources by the poor. Laboratory work, she argued, would enable the development of optimal standards, and educational programs should bring these standards to the household by means of models and exhibits. With this aim, she constructed public spaces that she ran as food laboratories and sanitary experiments. Kelley and Richards thus crossed the doorsteps of the household in very different ways. While Florence Kelley entered the household to change the living and working conditions of the poor by changing the law, Richards flipped the household inside out by bringing women into hybrid public laboratory spaces to change their behavior by experiment and instruction. (shrink)

Picture books are an important source of new language, concepts, and lessons for young children. A large body of research has documented the nature of parent-child interactions during shared book reading. A new body of research has begun to investigate the features of picture books that support children's learning and transfer of that information to the real world. In this paper, we discuss how children's symbolic development, analogical reasoning, and reasoning about fantasy may constrain their ability to take away content (...) information from picture books. We then review the nascent body of findings that has focused on the impact of picture book features on children's learning and transfer of words and letters, science concepts, problem solutions, and morals from picture books. In each domain of learning we discuss how children's development may interact with book features to impact their learning. We conclude that children's ability to learn and transfer content from picture books can be disrupted by some book features and research should directly examine the interaction between children's developing abilities and book characteristics on children's learning. (shrink)

Este manuscrito objetiva analisar, no âmbito do direito transnacional, do direito nacional e das convenções estabelecidas no mercado, características atinentes à certificação de orgânicos, tema extremamente relevante para a segurança alimentar. Desde 1970, o movimento orgânico se apresenta como um modelo alternativo em contestação aos impactos ambientais gerados pela agricultura industrial e pelos ditames da Revolução Verde. É nesta conjuntura que a Federação Internacional de Agricultura Orgânica (IFOAM) instaura um marco regulatório (certificação por auditoria) de abrangência global para este setor, (...) que, apesar de apresentar natureza privada, logra de legitimidade em inúmeros países. É oportuno destacar que a regulação não é exclusivamente oriunda do setor público, ela pode ser desenvolvida concomitantemente aos modelos estatais, assim, podemos ter modelos estatais nacionais, globais, inclusive oriundos do setor privado. Por seu turno, a legislação nacional também recepcionou estas diretrizes transnacionais, contudo alcançou identidade própria ao reconhecer os sistemas participativos de garantia da qualidade orgânica (SPG/OPAC) no intuito de contemplar a agricultura familiar de base agroecológica, o que, posteriormente, consubstanciará em uma inovação normativa em sede de soft law em nível internacional. Sem olvidar, inequivocamente, da exceção legal disposta para regularização da produção orgânica e agroecológica com vistas à venda direta da produção orgânica e agroecológica através das Organizações de Controle Social (OCS). Quanto à metodologia será utilizado o método dialético, abordagem qualitativa e objetivo analítico-descritivo, de sorte que a revisão bibliográfica será fundamental para analisar os materiais disponíveis sobre esta temática. (shrink)

Gilbert Ryle famously wrote that practical knowledge (knowing how) is distinct from propositional knowledge (knowing that). This claim continues to have broad philosophical appeal, and yet there are many unsettled questions surrounding Ryle’s basic proposal. In this article, I return to his original work in order to perform some intellectual archeology. I offer an interpretation of Ryle’s concept of action that I call ‘adverbialism’. Actions are constituted by bodily behaviours performed in a certain mode, style or manner. I present various (...) challenges to adverbialism – scenarios in which it seems we publicly behave one way, but privately feel another. And I offer a response – Ryle’s stated practice of re-describing those situations in ways that pose no threat to his adverbialism. I also present an interpretation of practical knowledge in Ryle’s work. Knowing how is a special kind of action, undertaken only when we progressively self-modify our behaviours in the presence of new challenges or opportunities. (shrink)

Digital phenotyping for mental health is an emerging trend which uses digital data, derived from mobile applications, wearable technologies and digital sensors, to measure, track and predict the mental health of an individual. Digital phenotyping for mental health is a growing, but as yet underexamined, field. As we will show, the rapid growth of digital phenotyping for mental health raises crucial questions about the values that underpin and are reinforced by this technology, as well as regarding to whom it may (...) become valuable. In this commentary, we explore these questions by focusing on the construction of value across two interrelated domains: user experience and epistemologies on the one hand, and issues of data and ownership on the other. In doing so, we demonstrate the need for a deeper ethical and epistemological engagement with the value assumptions that underpin the promise of digital phenotyping for mental health. (shrink)

Os discursos da Biblioteconomia brasileira são objeto de estudo desta pesquisa, que se concentrou nos artigos publicados durante a década de 1980 na Revista de Biblioteconomia de Brasília. Essa revista, cujo primeiro número foi publicado em 1973, encerrou suas atividades em 2001 e teve como foco as áreas de Biblioteconomia, Ciência da Informação, Arquivologia e afins. Com a intenção de discutir sobre dois conceitos centrais da Biblioteconomia - o de biblioteca e o de bibliotecário - analisamos as produções que versavam (...) sobre tais categorias de análise. A pesquisa é, então, considerada exploratória, de cunho bibliográfico, cujo método empregado foi o da análise de conteúdo. Essa década foi marcada pela importância da informação e da tecnologia como fatores responsáveis pelo desenvolvimento social e econômico do país. A biblioteca, nesse contexto de uma sociedade da informação, é marcada pela discussão da automação de seus serviços e produtos. O bibliotecário, visto como um profissional da informação, também tem um importante papel a desempenhar na sociedade, inclusive, o de estar ao lado dos mais vulneráveis. (shrink)

L’article s’intéresse aux hommes et aux femmes passés dans l’histoire à l’ombre de la figure « hermaphrodite ». Pour ce faire, il s’intéresse à eux dans le cadre familial, en cessant de les réduire à leurs particularités corporelles et génitales pour les replacer dans une perspective sociale. L’état hermaphrodite permet en effet d’interroger doublement la famille : d’une part parce qu’il brouille le jeu des projections identitaires habituellement à l’œuvre entre parents et enfants et entre membres de la fratrie, de (...) l’autre parce qu’il pose le problème majeur de l’infécondité et du mariage aussi bien pour celui ou celle qui en est victime que pour la cellule familiale dans son ensemble. L’extrême diversité des relations et des affects intrafamiliaux rencontrés rappelle que si l’hermaphrodisme a été puissamment structuré au xixe siècle en catégorie médicale, il ne peut être opérant en catégorie sociale. (shrink)

People in rich countries increasingly rely on paid workers to care for many of their health and personal care needs. We expect that, in most families, love or filial piety underpin caring relationships, and that these moral bonds ensure good quality care. If paid caring relationships are not underpinned by love, what moral bonds can they rely on? Exploring contract, professional duty, and compassionate gift as normative “resources” for good paid care, I conclude that we cannot expect paid carers to (...) reproduce an idealized private sphere. Instead we can expect “good enough” care, supported by a range of normative resources. (shrink)

This article investigates the differential structure and representation of time in memory and history. It examines two moments in Jewish historical thought--in the Middle Ages, and in works written within and after the Holocaust--and demonstrates the fundamentally liturgical nature of Jewish historical memory in selected texts from these two periods. Following the groundbreaking work of Yerushalmi, it seeks to demonstrate that for Jews, historical experience is incorporated into the cyclical reenactment of paradigmatic events in Jewish sacred ritual. Recent or contemporary (...) experiences acquire meaning only insofar as they can be subsumed within Biblical categories of events and their interpretation bequeathed to the community through the medium of Scripture, that is to say, only insofar as they can be transfigured, ritually and liturgically, into repetitions and reenactments of ancient happening. In such liturgical commemoration, the past exists only by means of recitation; the fundamental goal of such recitation is to make it live again in the present, to fuse past and present, chanter and hearer, into a single collective entity. History, in the sense that we understand it to consist of unique events unfolding within irreversible linear time, is absorbed into cyclical, liturgical memory.This article argues that the question of Jewish history--both medieval and post-Holocaust--poses in a compelling fashion the question of the relationship between memory and history more generally, and serves to contest the current tendency in academic historiography to collapse history into memory. It claims that to the extent that memory "resurrects," " re-cycles," and makes the past "reappear" and live again in the present, it cannot perform historically, since it refuses to keep the past in the past, to draw the line, as it were, that is constitutive of the modern enterprise of historiography. (shrink)

This paper examines the consequences of a culture of “personal ethics” when using new methodologies, such as the use of social media sites as a source of data for research. Using SM research as an example, this paper explores the practices of a number of actors and researchers within the “Ethics Ecosystem” which as a network governs ethically responsible research behaviour. In the case of SM research, the ethical use of this data is currently in dispute, as even though it (...) is seemingly publically available, concerns relating to privacy, vulnerability, potential harm and consent blur the lines of responsible ethical research behaviour. The findings point to the dominance of a personal, bottom-up, researcher-led, ‘ethical barometer’ for making decisions regarding the permissibility of using SM data. We show that the use of different barometers by different researchers can lead to wide disparities in ethical practice - disparities which are compounded by the lack of firm guidelines for responsible practice of SM research. This has widespread consequences on the development of shared norms and understandings at all levels, and by all actors within the Ethics Ecosystem, and risks inconsistencies in their approaches to ethical decision-making. This paper argues that this governance of ethical behaviour by individual researchers perpetuates a negative cycle of academic practice that is dependent on subjective judgements by researchers themselves, rather than governed by more formalised academic institutions such as the research ethics committee and funding council guidelines. (shrink)

While ethical and empirical interest in so-called secondary variants and incidental findings in clinical genetics contexts is growing, critical reflection on the ethical foundations of the various recommendations proposed is thus far largely lacking. We examine and critique the ethical justifications of the three most prominent disclosure positions: briefly, the clinical geneticist decides, a joint decision, and the patient decides. Subsequently, instead of immediately developing a new disclosure option, we explore relevant foundational ethical values and norms, drawing on the normative (...) and empirical ethical literature. Four ethical signposts are thereby developed to help guide disclosure discussions. These are: respectful sharing of the clinician’s expertise; transparent communication; epistemic modesty; and respect for the embedded nature of the patient. We conclude by considering the most common current disclosure positions in the light of the four ethical signposts. (shrink)

The moral standing of involuntary sterilization has long been subject to debate but has only recently been looked upon with disfavor. When sterilization of a mentally handicapped minor is entertained, issues of eugenics, medical ethics, and legal precedent specially arise. Ethics consultants and ethics committees have been asked to consider such cases.

History, Theory, Text: Historians and the Linguistic Turn. By Elizabeth A. Clark.

This paper assesses arguments that paying for housework compromises the moral integrity of either the buyer or seller or both. I find that none provides adequate justification for avoiding paying for housework. Instead, I argue that the vigorous pursuit of justice for women workers will best remedy injustice in service sector occupations, including paid housework.

This paper describes a novel pedagogical software program that can be seen as an online companion to one of the standard textbooks of formal natural language semantics, Heim and Kratzer (1998). The Penn Lambda Calculator is a multifunctional application designed for use in standard graduate and undergraduate introductions to formal semantics: Teachers can use the application to demonstrate complex semantic derivations in the classroom and modify them interactively, and students can use it to work on problem sets provided by the (...) teacher. The program supports demonstrations and exercises in two main areas: (1) performing beta reduction in the simply typed lambda calculus; (2) application of the bottom-up algorithm for computing the compositional semantics of natural language syntax trees. The program is able to represent the full range of phenomena covered in the Heim and Kratzer textbook by function application, predicate modification, and lambda abstraction. This includes phenomena such as intersective adjectives, relative clauses and quantifier raising. In the student use case, emphasis has been placed on providing “live” feedback for incorrect answers. Heuristics are used to detect the most frequent student errors and to return specific, interactive suggestions. (shrink)