A través de su historia, la práctica de la medicina ha estado imbuida de diversas concepciones sobre la naturaleza humana, así como sobre los elementos, estados o procesos (tanto internos como externos) que dan origen a la enfermedad y aquellos que propician la salud. Si se consideran seriamente, tales concepciones se pronuncian sobre cuestiones ontológicas y metafísicas. En la medida en que sean dignas de crédito, sus pronunciamientos ontológicos y metafísicos resultan relevantes para múltiples facetas de la práctica médica, como (...) el diagnóstico, el tratamiento, la investigación, la prevención y el control de enfermedades, pero también para el cuidado y la promoción de la salud. En este capítulo se exploran cuestiones metafísicas generales en torno a la concepción de la práctica médica más influyente en el mundo actual: la biomedicina. Sostengo que, a pesar de que el asombroso éxito de las ciencias biomédicas nos ofrece razones para creer en la verdad (aproximada) de las representaciones que toman como base, esa confianza no debería estar asociada selectivamente a pronunciamientos específicos sobre qué cosas existen y cómo se conectan; además, nuestro grado de convicción en los resultados de la investigación biomédica debería estar calibrado al tomar en cuenta vulnerabilidades ampliamente reconocidas de este ámbito de indagación. Comienzo caracterizando la biomedicina como la aplicación de los resultados de la investigación científica a la práctica médica. Examino razones generales para creer en la verdad de las representaciones con las que opera este modelo de la práctica médica, recapitulando de manera panorámica el debate en torno al realismo científico. Luego consideraro aspectos relevantes para este debate que conciernen específicamente a las ciencias biomédicas, así como algunas consecuencias para el ámbito de la biomedicina que se desprenden de adoptar varias posiciones en torno al realismo científico. Concluyo ofreciendo una defensa del realismo carte blanche como la posición más sensata que puede adoptarse en este ámbito. (shrink)

The Heart of Judgment explores the nature, historical significance, and continuing relevance of practical wisdom. Primarily a work in moral and political thought, it also relies extensively on research in cognitive neuroscience to confirm and extend our understanding of the faculty of judgment. Ever since the ancient Greeks first discussed practical wisdom, the faculty of judgment has been an important topic for philosophers and political theorists. It remains one of the virtues most demanded of our public officials. The greater the (...) liberties and responsibilities accorded to citizens in democratic regimes, the more the health and welfare of society rest upon their exercise of good judgment. While giving full credit to the roles played by reason and deliberation in good judgment, the book underlines the central importance of intuition, emotion, and worldly experience. (shrink)

ABSTRACT In this article, we first document the virtually complete absence of infectious disease examples and concerns at the time bioethics emerged as a field. We then argue that this oversight was not benign by considering two central issues in the field, informed consent and distributive justice, and showing how they might have been framed differently had infectiousness been at the forefront of concern. The solution to this omission might be to apply standard approaches in liberal bioethics, such as autonomy (...) and the harm principle, to infectious examples. We argue that this is insufficient, however. Taking infectious disease into account requires understanding the patient as victim and as vector. Infectiousness reminds us that as autonomous agents we are both embodied and vulnerable in our relationships with others. We conclude by applying this reunderstanding of agency to the examples of informed consent and distributive justice in health care. (shrink)

Despite growing advances in medical technologies, health status inequalities continue to increase across the globe. Developing countries have been faced with declining expenditures in health and social services, increasing burdens posed by both communicable and non-communicable diseases, and economic systems poorly geared to fostering sustainable development for the poorest and most marginalized. Under such circumstances, the challenges facing health practitioners in countries in transition are complex and diverse, and require the balancing of many conflicting imperatives. This is particularly so in (...) relation to the development of public health policy, where equity, redress of past inequalities, and the god of social justice may seemingly be pitted against macroeconomic adjustments required for national economic development in an increasingly globalized economic order.For example, pressures to deregulate as part of a market-oriented development philosophy will increase the risks from occupational hazards in populations desperate for paid employment. (shrink)

Syndromic surveillance uses new ways of gathering data to identify possible disease outbreaks. Because syndromic surveillance can be implemented to detect patterns before diseases are even identified, it poses novel problems for informed consent, patient privacy and confidentiality, and risks of stigmatization. This paper analyzes these ethical issues from the viewpoint of the patient as victim and vector. It concludes by pointing out that the new International Health Regulations fail to take full account of the ethical challenges raised by syndromic (...) surveillance. (shrink)

We deal with situations incongruent with our automatic response tendencies much better right after having done so on a previous trial than after having reacted to a congruent trial. The nature of the mechanisms responsible for these sequential congruency effects is currently a hot topic of debate. According to the conflict monitoring model these effects depend on the adjustment of control triggered by the detection of conflict on the preceding situation. We tested whether these conflict monitoring processes can operate implicitly (...) in an implicit learning procedure, modulating the expression of knowledge of which participants are not aware. We reanalyze recently published data, and present an experiment with a probabilistic sequence learning procedure, both showing consistent effects of implicit sequence learning. Despite being implicit, the expression of learning was reduced or completely eliminated right after trials incongruent with the learned sequence, thus showing that sequential congruency effects can be obtained even when the source of congruency itself remains implicit. (shrink)

The Matthean parable of the labourers in the vineyard is open to multiple interpretations. For some, the parable may speak of God's unlimited grace and generosity; for others the parable may speak of God's unfairness. The present study is set within the context of an emerging interest in the concept of grace as a topic for empirical enquiry. The study draws on the theoretical framework provided by the notion of ordinary theology and employs the sensing, intuition, feeling and thinking (SIFT) (...) approach to biblical hermeneutics, which is rooted in Jungian psychological type theory. Data were drawn from two one-day workshops with Church of England Readers (lay ministers). On each occasion the participants were divided into three separate groups according to their preferences for thinking or feeling (the two judging functions proposed by psychological type theory) and within these groups they were invited to explore the messages about grace in Matthew 20:1-15 (Jesus' parable of the labourers in the vineyard). The rich data gathered from these workshops generated insights into contemporary theologies of grace and also confirmed the hypothesis that a biblical interpretation of grace is shaped by the reader's psychological type preference for thinking or feeling. While feeling types tended to empathise, thinking types pondered motives and unfairness. CONTRIBUTION: Situated within the reader perspective approach to biblical hermeneutics, the SIFT method is concerned with identifying the influence of the psychological type of the reader in shaping the interpretation of sacred text. Employing this method, the present study contributes to three fields of scholarship: to the field of homiletics and hermeneutics, to the field of ordinary theology and to the emerging field concerned with the concept of grace as a topic for empirical enquiry. (shrink)

Feature selection is a widely studied technique whose goal is to reduce the dimensionality of the problem by removing irrelevant features. It has multiple benefits, such as improved efficacy, efficiency and interpretability of almost any type of machine learning model. Feature selection techniques may be divided into three main categories, depending on the process used to remove the features known as Filter, Wrapper and Embedded. Embedded methods are usually the preferred feature selection method that efficiently obtains a selection of the (...) most relevant features of the model. However, not all models support an embedded feature selection that forces the use of a different method, reducing the efficiency and reliability of the selection. Neural networks are an example of a model that does not support embedded feature selection. As neural networks have shown to provide remarkable results in multiple scenarios such as classification and regression, sometimes in an ensemble with a model that includes an embedded feature selection, we attempt to embed a feature selection process with a general-purpose methodology. In this work, we propose a novel general-purpose layer for neural networks that removes the influence of irrelevant features. The Feature-Aware Drop Layer is included at the top of the neural network and trained during the backpropagation process without any additional parameters. Our methodology is tested with 17 datasets for classification and regression tasks, including data from different fields such as Health, Economic and Environment, among others. The results show remarkable improvements compared to three different feature selection approaches, with reliable, efficient and effective results. (shrink)

This book offers the first fully documented and historically contextualised account of the origins and implications of the concept of community in the work of Nancy and Blanchot. It analyses in detail the underlying philosophical, political, literary, and religious implications of the often misrepresented debate between Blanchot and Nancy.

En este artículo analizamos la cuestión de la presencia del mundo en los escritos de juventud de Simone Weil, con el objetivo de aprehender su concepción del tiempo. En ese sentido, intentaremos elucidar las relaciones ontológica y epistemológica que ella establece entre el hombre y el mundo. Esta perspectiva nos permite explorar la primera filosofía de la percepción weiliana y trazar las implicaciones existenciales que se desprenden de la experiencia del presente. Igualmente, examinamos la dificultad de pensar la inmovilidad en (...) la realidad humana a partir de la tensión problemática que plantea S.Weil entre las nociones de continuidad y eternidad. Palabras clave: Simone Weil, presencia, mundo, continuidad, eternidad, tiempo. (shrink)

Peterson, Karlawish and Largent offer a defense of supported decision making in health care for people with dynamic and diminishing capacity. They are to be warmly commended for bringing sup...

An Old and continuing tendency amongst critics of Kant's thought on ethics has been to maintain that since the categorical imperative merely provides a formal condition for the rightness of actions – that the principle of the action be universalizable without contradiction – it is inadequate as a test for the rightness of actions. Such critics as Hegel, Mill, and recently, R.P. Wolff, have suggested the same fundamental objection to Kant's doctrine: the requirement that a maxim be universalizable is formally (...) compatible with any action whatsoever being right. (shrink)

In the last few decades, the study of terminology has undergone a cognitive shift that has led to the development of several approaches that study the social, linguistic, and cognitive dimension of terms, such as Communicative Theory of Terminology (CTT) and Frame-Based Terminology (FBT). CTT was developed in the early 1990s and argues that the study of terminology should be based on a communicative perspective, taking into account aspects such as the communicators and the context of communication. FBT has been (...) developed from 2007 and uses certain aspects of Frame Semantics to conceptualise specialised domains and create non-language-specific representations through the analysis of the domain event and on the study of the behaviour of the terminological units in texts. The two theories share many of the same premises and propose the representation of the concepts of a domain in an ontology. FBT also proposes a representation in frames. We explore how these two methods of domain representation can be used to represent the terminology of the domain of seafood in Germany and Spain. (shrink)

El nuevo imaginario social del conocimiento teórico del siglo XVIII, que, entre otros rasgos, contenía el de la utilidad del saber, comportó un cambio semántico en el término «filosofía», estrechamente relacionado con la enseñanza, tras ser desplazado por el de «ciencia». En las universidades se impartían las ciencias filosóficas, de tradición escolástica, enfocadas, fundamentalmente, a formar a funcionarios del Estado y la Iglesia, pero las nuevas ciencias matemáticas y naturales requerían ocupar un lugar en la enseñanza para instruir a la (...) sociedad civil. Los ilustrados españoles, entre otros, Jovellanos, concibieron entonces dos tipos de centros, unos para las primeras, que siguieron siendo las universidades, mientras que para las segundas propusieron instaurar institutos específicos. En cambio, los liberales, y, en particular, Quintana, decidieron unificar la enseñanza de las ciencias en centros únicos, las universidades de provincia y una de nueva creación, la Universidad Central. Las ciencias filosóficas fueron entonces marginadas, como la lógica, sustituida por la matemática como ciencia instrumental fundamental, y la metafísica, que fue abandonada. (shrink)

Tanto Platón, Aristóteles y Cicerón ven en la retórica una conexión con las emociones. La retórica clásica es persuasión y aquél que domine el rango de disposiciones humanas puede adecuar su discurso para lograr su cometido. Es por ello que para estos tres autores el ámbito de las emociones tiene gran importancia. Para Platón, la retórica es psicagogía (_Fedro_ 271d), es la dirección de las almas por medio de las palabras. Luego, para Aristóteles, la retórica consta de tres elementos: _ethos, (...) logos _y _pathos _(_Ret. _1356a). Cada una de ellas versa sobre la relación entre el orador y el oyente: ¿qué debe hacer el orador para mover a quién escucha? Finalmente, con Cicerón el orador se transforma en un verdadero estratega, perfeccionando “las armas” de las que se servirá para cada discurso. El objetivo de este escrito es mostrar como la retórica es una forma de manipulación. Para ello hay que partir de la base, amparada por Aristóteles, de que las emociones influencian nuestros juicios (_Ret. _1377b30) y a partir de ello, con los tres autores mencionados, mostraré como el saber de la retórica, las emociones y la manipulación están estrechamente relacionados. _Palabras clave: _retórica, discurso, manipulación, emociones, juicio. (shrink)

Time series forecasting is a well-known deep learning application field in which previous data are used to predict the future behavior of the series. Recently, several deep learning approaches have been proposed in which several nonlinear functions are applied to the input to obtain the output. In this paper, we introduce a novel method to improve the performance of deep learning models in time series forecasting. This method divides the model into hierarchies or levels from simpler to more complex ones. (...) Simpler levels handle smoothed versions of the input, whereas the most complex level processes the original time series. This method follows the human learning process where general/simpler tasks are performed first, and afterward, more precise/harder ones are accomplished. Our proposed methodology has been applied to the LSTM architecture, showing remarkable performance in various time series. In addition, a comparison is reported including a standard LSTM and novel methods such as DeepAR, Temporal Fusion Transformer, NBEATS and Echo State Network. (shrink)

En este artículo, se analiza la expansión en el número de novelas publicadas en Costa Rica entre 1990 y 2024. Tal proceso, favorecido por el crecimiento de la actividad editorial privada, dependió de la capacidad económica de los autores (hombres más que mujeres) para financiar sus obras. A partir del siglo XXI, la autopublicación fue reforzada por el surgimiento de plataformas donde es posible publicar de manera gratuita, como la de Amazon. Dado que esta novelística no respondió a una demanda (...) efectiva de diversas audiencias de lectores, tuvo un alcance limitado: por lo general, las personas solo publicaron una novela, y de la mayoría de los textos, se publicó solo una edición. (shrink)

This article introduces the work of philosopher-novelist Walker Percy to the Zygon: Journal of Religion and Science readership. After some biographical and contextual preliminaries, I suggest that the conceptual collecting feature to Percy's work is his critique of abstractionism manifest in a tripartite congruence of Cartesianism, derivatively misapplied science, and social atomism.

After a brief introduction to Philosophical Practice, I explain why I use it in my courses and elaborate on some of the material and techniques I present to students in the hope that it helps them to become better-adjusted and happier people. As an example of the sorts of assignments I create for these courses I present a semester-long assignment called “Everyday Philosophical Practice” that is based on the practice of mindfulness and requires intentional metacognition from the students. This approach (...) has shown success not only at helping students to gain self-knowledge, but also at awakening and strengthening different positive cognitive dispositions such as desiring to think about difficult things, acceptance of the need for effort in clarifying thought, and the like. (shrink)

Pandemic emergencies and concomitant needs for interventions to protect public health place great pressure on individual liberty. In the United States, these pressures are exacerbated by views of negative liberty as the freedom to do whatever one wants with one’s person. This essay argues that the original US Supreme Court decision recognizing legislative powers to protect public health, Jacobson v. Massachusetts, was premised on an understanding of freedom of the person as limited by risks to others. Later court decisions have (...) departed from this analysis, instead viewing individual liberties over the person as conflicting with public health. This jurisprudential approach pitting unlimited individual liberty rights over the person against public health contributes to the tensions in the U. S. over mask wearing and restrictions on religious services during COVID-19. (shrink)

Although conditioned suppression has face validity as a technique for assessing resistance to change of operant behaviour, it is not discussed by Nevin & Grace. However, application of their approach to the results of a conditioned suppression study that varied food deprivation and reinforcement magnitude produces paradoxical results.

The generic account of selection proposed by Hull et al. readily fits operant learning where, by comparison with natural selection, the process is well understood but little is known about the mechanism. Objections within psychology, that operant learning ignores internal processes, fail to recognise the general significance of behaviour-environment interactions. Variation within operant response classes requires further investigation.

It is argued that there can only be a small-finite number of mathematical objects; that these objects range from the very concrete to the very abstract; and that mathematics is essentially not concerned with objects but with concepts. This viewpoint is described as mentalist and is upheld over Platonism, intuitionism, and formalism.

The shapes of neurons and glial cells dictate many important aspects of their functions. In olfactory systems, certain architectural features are characteristics of these two cell types across a wide variety of species. The accumulated evidence suggests that these common features may play fundamental roles in olfactoryinformation processing. For instance, the primary olfactory neuropil in most vertebrate and invertebrate olfactory systems is organized into discrete modules called glomeruli. Inside each glomerulus, sensory axons and CNS neurons branch and synapse in patterns (...) that are repeated across species. In many species, moreover, the glomeruli are enveloped by a thin and ordered layer of glial processes. Theglomerular arrangement reflects the processing of odor information in modules that encode the discrete molecular attributes of odorant stimuli being processed. Recent studies of the mechanisms that guide the development of olfactory neurons and glial cells have revealed complex reciprocal interactions between these two cell types, which may be necessary for the establishment of modular compartments. Collectively, the findings reviewed here suggest that specialized cellular architecture plays key functional roles in the detection, analysis, and discrimination of odors at early steps in olfactory processing. (shrink)