BackgroundECMO is a particularly scarce resource during the COVID-19 pandemic. Its allocation involves ethical considerations that may be different to usual times. There is limited pre-pandemic literature on the ethical factors that ECMO physicians consider during ECMO allocation. During the pandemic, there has been relatively little professional guidance specifically relating to ethics and ECMO allocation; although there has been active ethical debate about allocation of other critical care resources. We report the results of a small international exploratory survey of ECMO (...) clinicians’ views on different patient factors in ECMO decision-making prior to and during the COVID-19 pandemic. We then outline current ethical decision procedures and recommendations for rationing life-sustaining treatment during the COVID-19 pandemic, and examine the extent to which current guidelines for ECMO allocation (and reported practice) adhere to these ethical guidelines and recommendations.MethodsAn online survey was performed with responses recorded between mid May and mid August 2020. Participants (n = 48) were sourced from the ECMOCard study group—an international group of experts (n = 120) taking part in a prospective international study of ECMO and intensive care for patients during the COVID-19 pandemic. The survey compared the extent to which certain ethical factors involved in ECMO resource allocation were considered prior to and during the pandemic.ResultsWhen initiating ECMO during the pandemic, compared to usual times, participants reported giving more ethical weight to the benefit of ECMO to other patients not yet admitted as opposed to those already receiving ECMO, (p < 0.001). If a full unit were referred a good candidate for ECMO, participants were more likely during the pandemic to consider discontinuing ECMO from a current patient with low chance of survival (53% during pandemic vs. 33% prior p = 0.002). If the clinical team recommends that ECMO should cease, but family do not agree, the majority of participants indicated that they would continue treatment, both in usual circumstances (67%) and during the pandemic (56%).ConclusionsWe found differences during the COVID-19 pandemic in prioritisation of several ethical factors in the context of ECMO allocation. The ethical principles prioritised by survey participants were largely consistent with ECMO allocation guidelines, current ethical decision procedures and recommendations for allocation of life-sustaining treatment during the COVID-19 pandemic. (shrink)

In this third and last paper on inner models we consider some of the inherent limitations of the method of using inner models of the type defined in 1.2 for the proof of consistency results for the particular system of set theory under consideration. Roughly speaking this limitation may be described by saying that practically no further consistency results can be obtained by the construction of models satisfying the conditions of theorem 1.5, i.e., conditions 1.31, 1.32, 1.33, 1.51, viz.:This applies (...) in particular to the ‘complete models’ defined in 1.4. Before going on to a precise statement of these limitations we shall consider now the theorem on which they depend. This is concerned with a particular type of complete model examples of which we call “proper complete models”; they are those complete models which are essentially interior to the universe, those whose classes are sets of the universe constituting a class thereof, i.e., those for which the following proposition is true:The main theorem of this paper is that the statement that there are no models of this kind can be expressed formally in the same way as the axioms A, B, C and furthermore it can be proved that if the axiom system A, B, C is consistent then so is the system consisting of axioms A, B, C, plus this new hypothesis that there exist no proper complete models. When combined with the axiom ‘V = L’ introduced by Gödel in this new hypothesis yields a system in which any normal complete model which exists has for its universal class V, the universal class of the original system. (shrink)

Book reviewed in this article:Developing a taste for Phillips' provocative writings; A review of: D.C. Phillips.Regressive turtles versus research; A review of: MacPherson.

In this essay I contrast Freud’s account of mourning in Mourning and Melancholia to that of Merleau-Ponty in Phenomenology of Perception. In suggesting a somatic as well as a psychic response, Merleau-Ponty, I argue, more accurately accounts for the ways in which we experience loss and why, contrary to Freud’s suggestion, mourning’s work is never completed.

Lakatos' MSRP is utilized to provide a response to Koertge's claim (in her ‘Does Social Science Really Need Metaphysics?’) that the heuristic significance of metaphysics has been vastly overrated. By outlining the hard cores and positive heuristics of the two major research programmes in economics (namely, the ‘orthodox’ and ‘Marxist’ research programmes), the paper demonstrates (in opposition to Koertge's claim) not only that the metaphysical statements in the respective hard cores are far from vague but also how these exert an (...) important regulative influence both on the theories and economic policy recommendations generated within the respective programmes. It also indicates how the adoption of the MSRP method of appraisal in economics would help to protect against the danger of entrenched metaphysical dogmatism with its implications not only for economic policy recommendations but also for moral and political recommendations. * We appreciate the assistance given by Professor N. Koertge, who provided us with translations of her articles, and the helpful comments of an anonymous referee. (shrink)

In this paper I wish first of all to argue against two possible views about colour qualities, which I shall label the Objectivist and Subjectivist views respectively. I find these views to be prevalent among philosophers of my acquaintance, though sometimes they are hidden by a veneer of post-Wittgensteinian sophistication. Part of my argument will depend on modern scientific theories of colour vision. In the second part of the paper I shall argue for a different view of my own.

Book Information Truth. Truth Enrique Villanueva Atascadero, CA Ridgeview Publishing Company 1997 i + 446 Edited by Enrique Villanueva . Ridgeview Publishing Company. Atascadero, CA. Pp. i + 446.

The inverse of the distance between two structures $\mathscr{A} \not\equiv \mathscr{B}$ of finite type τ is naturally measured by the smallest integer q such that a sentence of quantifier rank q - 1 is satisfied by A but not by B. In this way the space $\operatorname{Str}^\tau$ of structures of type τ is equipped with a pseudometric. The induced topology coincides with the elementary topology of $\operatorname{Str}^\tau$ . Using the rudiments of the theory of uniform spaces, in this elementary note (...) we prove the convergence of every Cauchy net of structures, for any type τ. (shrink)

A nonnegative interger is called a number, a collection of numbers a set and a collection of sets a class. We write ε for the set of all numbers, o for the empty set, N(α) for the cardinality of $\alpha, \subset$ for inclusion and $\subset_+$ for proper inclusion. Let α, β 1 ,...,β k be subsets of some set ρ. Then α' stands for ρ-α and β 1 ⋯ β k for β 1 ∩ ⋯ ∩ β k . For (...) subsets α 1 ,..., α r of ρ we write: $\alpha_\sigma - \{x \in v \ (\nabla i) \lbrack i \in \sigma \Rightarrow x \in \alpha_i\rbrack\} \text{for} \sigma \subset (1, \ldots, r),\\ s_i = \sum \{N(\alpha_\sigma) \mid \sigma \subset (1,\ldots, r) \& N(\sigma) = i\}, \text{for} 0 \leqq i \leqq r$ . Note that α 0 = v, hence s 0 = N(v). If the set v is finite, the classical inclusion-exclusion principle (abbreviated IEP) states $(a) N(\alpha_1 \cup \cdots \cup \alpha_r) = \sum^r_{t=1} (-1)^{t-1} s_t = \sum_{o \subset_+\sigma \subset (1,\ldots,r)}$ (b) N(α' 1 ⋯ α' r ) = ∑ r t=0 (-1) t s t = ∑ (-1) N(σ) N (α σ ). In this paper we generalize (a) and (b) to the case where α 1 ,⋯, α r are subsets of some countable but isolated set v. Then the role of the cardinality N(α) of the set α is played by the RET (recursive equivalence type) Req α of α. These generalization of (a) and (b) are proved in § 3. Since they involve recursive distinctness, this notion is discussed in § 2. In § 4l we consider a natural extension of "the sum of the elements of a finite set σ" to the case where σ is countable. § 5 deals with valuations, i.e., certain mappings μ from classes of isolated sets into the collection λ of all isols which permit us to further generalize IEP by substituting μ(α) for $\operatorname{Req} \alpha$. (shrink)

In 1926, Mally presented the first formal system of deontic logic. His system had several consequences which Mally regarded as surprising but defensible. It also, however, has the consequence that A is obligatory if and only if A is the case, which is unacceptable from the point of view of any reasonable deontic logic. We describe Mally's system and discuss how it might reasonably be repaired.

This article is mainly concerned to summarise a fairly well articulated position on the philosophy of science which may be extracted from scattered passages in quine's "word and object." (1) there is no sharp line between philosophy and science, Or between science and mathematics, Or between science and common sense. (2) abstract mathematical entities are theoretical posits just as electrons are. (3) epistemology is a branch of biology. (4) quine's earlier instrumentalism has given way to a scientific realism. (5) quine's (...) philosophy of space-Time is briefly discussed. (6) an extensional language is adequate for science. (shrink)

These comments are concerned to show that direct realism about perception is quite compatible with the physical and neuroscientific story. Use is made of D.M. Armstrong's account of perception as coming to believe by means of the senses. What we come to believe about is the bird on the gatepost, say. So the account is direct realist. But it is obviously compatible with the scientific story which explains how the coming to believe comes about. We can also identify beliefs with (...) brain states. (shrink)

Consequence is at the heart of logic, and an account of consequence offers a vital tool in the evaluation of arguments. This text presents what the authors term as 'logical pluralism' arguing that the notion of logical consequence doesn't pin down one deductive consequence relation; it allows for many of them.

Escape from Leviathan (EfL) is a first attempt at explaining a somewhat complex philosophical theory of libertarianism. The theory is far from being as clear as it has subsequently become possible to make it. Consequently, most reviews have misunderstood it to varying degrees. What is striking is the great confidence with which some of these reviews assume they have completely understood it and refuted it. This is odd because it does not seem entirely reasonable to suppose that EfL’s errors are (...) quite as obvious and naïve as the reviews often assume. And only a slightly more careful reading of the text might have disabused them of their misapprehensions. With the article about to be discussed, we have another clear example of this phenomenon. But what is particularly interesting about it is that it does not itself fully understand the basic conception of liberty that most libertarians assume. And as this is, strangely, not that uncommon even among libertarian philosophers, it is certainly worth responding to as clearly as possible. (shrink)

Semantic and soritical paradoxes challenge entrenched, fundamental principles about language - principles about truth, denotation, quantification, and, among others, 'tolerance'. Study of the paradoxes helps us determine which logical principles are correct. So it is that they serve not only as a topic of philosophical inquiry but also as a constraint on such inquiry: they often dictate the semantic and logical limits of discourse in general. Sixteen specially written essays by leading figures in the field offer new thoughts and arguments (...) about the paradoxes. (shrink)

Der Aufsatz schildert den platonisierenden Antipsychologismus welchen Bolzano, der junge Brentano, Twardowski, Meinong, der Husserl der Logischen Untersuchungen, Frege, der Russell der Jahrhundertwende und der junge Wittgenstein philosophisch vertraten, und versucht eine soziologische und ideologiekritische Interpretation sowohl dieser Einstellung als auch derjenigen des traditionellen Psychologismus des achtzehnten Jahrhunderts. Der Platonismus des neunzehnten und zwanzigsten Jahrhunderts wird als ein Ausdruck fiir - oder vielmehr als eine Reaktion gegen - den Verfall der klassischen burgerlichen Werte aufgefaBt. In Wittgensteins Tractatus spielen Elemente sowohl (...) eines platonisierenden Antipsychologismus wie auch eines relativistischen, verhaltensphanomenologisch orientierten Antipsychologismus eine Rolle: dieses Werk wird also als eine grelle Manifestation des Uberganges von der klassischen zur spatbiirgerlichen Weltanschauung, als ein Obergang vom Glauben an ewige Wahrheiten zur Hinnahme einer Gebrauchs-Theorie der Bedeutung und deren Konsequenzen interpretiert. (shrink)

A clear accurate translation of one of Plato's most facinating dialogues, with an extensive philosophical commentary.

The contest between “Lockeian liberalism” and “classical republicanism” as explanatory frameworks for the intellectual history of the American Revolution, and therefore of the present-day United States, has been one of the longest running and most distinguished in recent U.S. historiography. It also has major implications for the history of political thought in the North Atlantic Anglophone world more widely. Yet this debate was merely suspended when it was held to have ended in an ill-defined compromise. Although some U.S. historians expressed (...) doubts and qualifications, attention in U.S. historiography moved on to other themes while leaving the initial problem unsolved. This article reopens the question; it suggests that a historicization of both these two categories is now both possible and necessary, and that their supersession will advance understanding of the Revolution. It seeks to help solve this problem by the same means that the debate began: that is, by re-establishing a link between U.S. and U.K. historiographies. (shrink)