Outpatient services are increasingly recognised as an important component of health care provision and may be improved through the application of modern management techniques. We have performed a time and role audit of consultation and waiting times in two medical clinics using different queuing systems: namely, a serial processing clinic where patients wait in a single queue and a quasi-parallel processing clinic where patients are directed to the shortest queue to maintain clinic flow. Data collected were used to construct a (...) computer simulation of patient flows in clinic. Assessment of patient satisfaction in the clinic process was determined using a self-administered questionnaire. Mean waiting time was shorter in the quasi-parallel processing clinic: 26 (SD 17) minutes compared with 36(24) minutes in the serial processing clinic. In the serial processing clinic 61% of patients waited more than 30 minutes compared with 41% in the quasi-parallel processing clinic. In the serial processing clinic 8% of 142 patients surveyed complained of the time spent waiting. The computer simulation we produced was able to determine waiting times with different clinic structures. The simulation showed that reductions in waiting time up to 30% might be achieved by changing our serial processing clinic to a quasi-parallel processing one. Performance of medical outpatient clinics can be improved by examining and changing clinic management. Computer simulation of outpatient clinics offers a means of assessing the impact of such changes on waiting time in clinic and on waiting lists. (shrink)

In Mind and World, John McDowell argues against the view that perceptual representation is non-conceptual. The central worry is that this view cannot offer any reasonable account of how perception bears rationally upon belief. I argue that this worry, though sensible, can be met, if we are clear that perceptual representation is, though non-conceptual, still in some sense 'assertoric': Perception, like belief, represents things as being thus and so.

In this exciting new collection, a distinguished international group of philosophers contribute new essays on central issues in philosophy of language and logic, in honor of Michael Dummett, one of the most influential philosophers of the late twentieth century. The essays are focused on areas particularly associated with Professor Dummett. Five are contributions to the philosophy of language, addressing in particular the nature of truth and meaning and the relation between language and thought. Two contributors discuss time, in particular the (...) reality of the past. The last four essays focus on Frege and the philosophy of mathematics. The volume represents some of the best work in contemporary analytical philosophy. (shrink)

Scaffolds are fundamental to many cellular signaling pathways. In this essay, a novel class of scaffolds are proposed, whose action bears striking resemblance to kinetic proofreading. Commonly, scaffold proteins are thought to work as tethers, bringing different components of a pathway together to improve the likelihood of their interaction. However, recent studies show that the cytoskeletal scaffold, anillin, supports contractile signaling by a novel, non‐tethering mechanism that controls the membrane dissociation kinetics of RhoA. More generally, such proof‐reading‐like scaffolds are distinguished (...) from tethers by a rare type of cooperativity, manifest as a super‐linear relationship between scaffold concentration and signaling efficiency. The evidence for this hypothesis is reviewed, its conceptual ramifications are considered, and research questions for the future are discussed. (shrink)

Contrairement à une croyance trop répandue, le darwinisme et son prolongement au XXe siècle — le néo-darwinisme — ne portent pas sur une idée de l'évolution fondée sur la simple notion de « la survie du plus apte ». Si la théorie de la sélection naturelle est partie intégrante du néo-darwinisme, plusieurs de ses fondateurs seront en quête d'une conception beaucoup plus généreuse, pleine et compréhensive de l'évolution. En réalité, la révolution dite darwinienne s'insère au coeur d'une révolution intellectuelle beaucoup (...) plus importante : la révolution transformiste. Avant d'être des darwiniens, de dignes représentants de cette mouvance s'afficheront comme étant des transformistes. Cela signifie que, en plus des mécanismes de l'évolution biologique, d'autres éléments tout aussi cruciaux seront pris en considération`, dans l'élaboration d'une véritable synthèse évolutionniste : les rapports entre l'évolution biologique et l'évolution cosmique ; les interrogations portant sur la question d'une possible direction évolutive ; l'enseignement à tirer pour l'homme de sa place et de son rôle dans la nature. A la croisée de l'histoire, de la philosophie et de la science, cet ouvrage cherche à démontrer, à travers l'analyse des travaux de plusieurs néo-darwiniens de premier plan, que la révolution darwinienne demeurera incomplète aussi longtemps que la révolution transformiste le restera. (shrink)

The book begins with an overview that introduces the Theorem and the issues surrounding it, and explores how the essays that follow contribute to our understanding of those issues.

Frege, famously, held that there is a close connection between our concept of cardinal number and the notion of one-one correspondence, a connection enshrined in Hume's Principle. Husserl, and later Parsons, objected that there is no such close connection, that our most primitive conception of cardinality arises from our grasp of the practice of counting. Some empirical work on children's development of a concept of number has sometimes been thought to point in the same direction. I argue, however, that Frege (...) was close to right, that our concept of cardinal number is closely connected with a notion like that of one-one correspondence, a more primitive notion we might call just as many. (shrink)

This paper dates from about 1994: I rediscovered it on my hard drive in the spring of 2002. It represents an early attempt to explore the connections between the Julius Caesar problem and Frege's attitude towards Basic Law V. Most of the issues discussed here are ones treated rather differently in my more recent papers "The Julius Caesar Objection" and "Grundgesetze der Arithmetik I 10". But the treatment here is more accessible, in many ways, providing more context and a better (...) sense of how this issue relates to broader issues in Frege's philosophy. (shrink)

My purpose is to account for some oddities in what Kant did and did not say about "moral worth," and for another in what commentators tell us about his intent. The stone with which I hope to dispatch these several birds is-as one would expect a philosopher's stone to be-a distinction. I distinguish between two things Kant might have had in mind under the heading of moral worth. They come readily to mind when one both takes account of what he (...) actually said about it and notices a fact which he did not seem to notice: namely, that dutiful action- action which, whatever its motive, fulfills a duty-can be over- determined, and determined in particular by both respect for duty and some consortium of inclinations and prudenc. (shrink)

Jim Joyce has presented an argument for Probabilism based on considerations of epistemic utility [Joyce, 1998]. In a recent paper, I adapted this argument to give an argument for Probablism and the Principal Principle based on similar considerations [Pettigrew, 2012]. Joyce’s argument assumes that a credence in a true proposition is better the closer it is to maximal credence, whilst a credence in a false proposition is better the closer it is to minimal credence. By contrast, my argument in that (...) paper assumed (roughly) that a credence in a proposition is better the closer it is to the objective chance of that proposition. In this paper, I present an epistemic utility argument for Probabilism and the Principal Principle that retains Joyce’s assumption rather than the alternative I endorsed in the earlier paper. I argue that this results in a superior argument for these norms. (shrink)

Hartry Field has suggested that we should adopt at least a methodological deflationism: [W]e should assume full-fledged deflationism as a working hypothesis. That way, if full-fledged deflationism should turn out to be inadequate, we will at least have a clearer sense than we now have of just where it is that inflationist assumptions ... are needed. I argue here that we do not need to be methodological deflationists. More pre-cisely, I argue that we have no need for a disquotational truth-predicate; (...) that the word true, in ordinary language, is not a disquotational truth-predicate; and that it is not at all clear that it is even possible to introduce a disquotational truth-predicate into ordinary language. If so, then we have no clear sense how it is even possible to be a methodological deflationist. My goal here is not to convince a committed deflationist to abandon his or her position. My goal, rather, is to argue, contrary to what many seem to think, that reflection on the apparently trivial character of T-sentences should not incline us to deflationism. (shrink)

This book by Richard G. Stevens is a comprehensive introduction to the nature of political philosophy. It offers definitions of philosophy and politics, showing the tension between the two and the origin of political philosophy as a means of resolution of that tension. Plato and Aristotle are examined in order to see the search for the best political order. Inquiry is then made into political philosophy's new tension brought about by the growth of revealed religion in the Middle Ages. (...) It then examines the changes introduced by modernity and gives an overview of postmodern political thought. The book covers the most influential philosophers and directs readers to the classics of political philosophy, guiding them in studying them. It is an approachable introduction to a complex subject, not just a history of it. It is a point of entry into the subject for students and for others as well. (shrink)

Dubai, the most extreme example to date of a realized neo-liberal capitalist urban utopia, is perhaps at its point of death. That is to say that, barring suicide, the only hope Dubai’s bonded labour – those tricked, forced and exploited into negated lives of low-paid wage servitude – have of losing their chains, given the emirate’s resilience to objections and protests from a multitude of commentators and activists, seems to be the stalling of construction, the falling demand for building projects (...) – mega or otherwise – that the latest major financial crisis and economic recession necessitates. (shrink)

An investigation of what Frege means by his doctrine that functions (and so concepts) are 'unsaturated'. We argue that this doctrine is far less peculiar than it is usually taken to be. What makes it hard to understand, oddly enough, is the fact that it is so deeply embedded in our contemporary understanding of logic and language. To see this, we look at how it emerges out of Frege's confrontation with the Booleans and how it expresses a fundamental difference between (...) Frege's approach to logic and theirs. (shrink)

Originally published between 1968 and 2009, this collection of 25 pieces includes six interviews translated into English for the first time and a new transcription of a Q&A session with Baudrillard following a lecture he gave in London in 1994. The guiding theme of the collection is Baudrillard's engagement with culture. The implications of the implosion of Western culture are dissected and documented in the rich range of material included here.

The Evolutionary Synthesis is often seen as a unification process in evolutionary biology, one which provided this research area with a solid common theoretical foundation. As such, neo-Darwinism is believed to constitute from this time onward a single, coherent, and unified movement offering research guidelines for investigations. While this may be true if evolutionary biology is solely understood as centred around evolutionary mechanisms, an entirely different picture emerges once other aspects of the founding neo-Darwinists’ views are taken into consideration, aspects (...) potentially relevant to the elaboration of an evolutionary worldview: the tree of life, the ontological distinctions of the main cosmic entities , the inherent properties of self-organizing matter, evolutionary ethics, and so on. Profound tensions and inconsistencies are immediately revealed in the neo-Darwinian movement once this broader perspective is adopted. This pluralism is such that it is possible to identify at least three distinct and quasi-incommensurable epistemological/metaphysical frameworks as providing a proper foundation for neo-Darwinism. The analysis of the views of Theodosius Dobzhansky, Bernhard Rensch, and Ernst Mayr will illustrate this untenable pluralism, one which requires us to conceive of the neo-Darwinian research agenda as being conducted in more than one research programme or research tradition at the same time. (shrink)

One characteristic of the transition from the Middle Paleolithic to the Upper Paleolithic in Europe was the emergence of representational charcoal drawings and engravings by Aurignacian and Gravettian artists. European Neanderthals never engaged in representational drawing during the Middle and Early Upper Paleolithic, a property that might reflect less developed visuomotor coordination. This article postulates a causal relationship between an evolved ability of anatomically modern humans to throw spears accurately while hunting and their ability to draw representational images from working (...) memory. Unlike Neanderthals, archaic and anatomically modern humans in sub-Saharan Africa adopted longer-range hunting practices using hand-cast spears as a compensation for the emergence of increasingly wary game. For Neanderthals, paleoclimatic fluctuations likely precluded consistent hunting of cold-adapted game, a property making game more approachable for close-range hunting with thrusting spears. As evidence of less historical wariness of humans, many of the species hunted by Neanderthals were eventually domesticated. Due to strong sources of natural selection on archaic and anatomically modern humans for effective hunting, the parietal cortex that integrates visual imagery and motor coordination expanded progressively, yielding the globular shape of the human cranium that is not evident in Neanderthals. To characterize how the cognitive properties employed for throwing spears and drawing line work are similar, the Upper Paleolithic drawings of animals in Chauvet cave, France, are discussed in the speculative context of how these artists engaged simultaneously in overt attention to guide their hand movements and covert attention to their mental images during the drawing process. (shrink)

This book offers a thorough reanalysis of Charles Darwin's Origin of Species, which for many people represents the work that alone gave rise to evolutionism. Of course, scholars today know better than that. Yet, few resist the temptation of turning to the Origin in order to support it or reject it in light of their own work. Apparently, Darwin fills the mythical role of a founding figure that must either be invoked or repudiated. The book is an invitation to move (...) beyond what is currently expected of Darwin's magnum opus. Once the rhetorical varnish of Darwin's discourses is removed, one discovers a work of remarkably indecisive conclusions. The book comprises two main theses: The Origin of Species never remotely achieved the theoretical unity to which it is often credited. Rather, Darwin was overwhelmed by a host of phenomena that could not fit into his narrow conceptual framework. In the Origin of Species, Darwin failed at completing the full conversion to evolutionism. Carrying many ill-designed intellectual tools of the 17th and 18th centuries, Darwin merely promoted a special brand of evolutionism, one that prevented him from taking the decisive steps toward an open and modern evolutionism. It makes an interesting read for biologists, historians and philosophers alike. (shrink)

The paper formulates and proves a strengthening of 'Frege's Theorem', which states that axioms for second-order arithmetic are derivable in second-order logic from Hume's Principle, which itself says that the number of Fs is the same as the number of Gs just in case the Fs and Gs are equinumerous. The improvement consists in restricting this claim to finite concepts, so that nothing is claimed about the circumstances under which infinite concepts have the same number. 'Finite Hume's Principle' also suffices (...) for the derivation of axioms for arithmetic and, indeed, is equivalent to a version of them, in the presence of Frege's definitions of the primitive expressions of the language of arithmetic. The philosophical significance of this result is also discussed. (shrink)

Ethical decisions have to be made by everyone. Yet Christians often find it difficult to know exactly how they should make them. Is there a better way than an emotional response or looking for a quick answer from the Bible? In the first of the book a sixth-former, Matthew, takes moral issues as the topic of his RS project. He has interviews with various people, such as a businessman, a scientist, a police officer, and a doctor as well as with (...) members of his own family and his minister. These open his eyes to problems that he had not thought about before. In the second part the issues that have been raised are examined more systematically. (shrink)

Øystein Linnebo has recently shown that the existence of successors cannot be proven in predicative Frege arithmetic, using Frege's definitions of arithmetical notions. By contrast, it is shown here that the existence of successor can be proven in ramified predicative Frege arithmetic.

Frege's intention in section 31 of Grundgesetze is to show that every well-formed expression in his formal system denotes. But it has been obscure why he wants to do this and how he intends to do it. It is argued here that, in large part, Frege's purpose is to show that the smooth breathing, from which names of value-ranges are formed, denotes; that his proof that his other primitive expressions denote is sound and anticipates Tarski's theory of truth; and that (...) the proof that the smooth breathing denotes, while flawed, rests upon an idea now familiar from the completeness proof for first-order logic. The main work of the paper consists in defending a new understanding of the semantics Frege offers for the quantifiers: one which is objectual, but which does not make use of the notion of an assignment to a free variable. (shrink)

Book reviewed in this article: Eros as the Educational Principle of Democracy Kerry T.Burch. Feeling Power—emotions and education Megan Boler. The Students are Watching: schools and the moral contract Theodore R.Sizer & Nancy Faust Sizer.

Thirty-four states criminalize HIV in some way, whether by mandating disclosure of one’s HIV status to all sexual partners or by deeming the saliva of HIV-positive persons a “deadly weapon.” In this paper, we argue that HIV-specific criminal laws are rooted in historical prejudice against HIV-positive persons as a class. While purporting to promote public health goals, these laws instead legally sanction discrimination against a class of persons.

THE PAPER EXAMINES WHAT IS MEANT BY ’EVIDENCE’ WHEN IT IS SAID THAT A THEORY IS PROBABLE ON CERTAIN EVIDENCE. IT CONSIDERS WHAT IS THE RELATION BETWEEN A THEORY BEING PROBABLE ON CERTAIN EVIDENCE, A THEORY BEING BELIEVED, AND A THEORY BEING CREDIBLE. IT DISTINGUISHES VARIOUS SENSES OF ’ACCEPT’ IN WHICH SCIENTISTS ARE SAID TO ACCEPT THEORIES, ONLY ONE OF WHICH IS THE SENSE OF ’ACCEPT’ IN WHICH IT IS EQUATED WITH ’BELIEVE’. IT ANALYSES THE LOGICAL RELATIONS BETWEEN A THEORY (...) BEING PROBABLE ON THE EVIDENCE, AND A THEORY BEING ACCEPTED, AND A THEORY BEING ACCEPTABLE, IN THE DIFFERENT SENSES OF ’ACCEPT’. (shrink)

This chapter contains sections titled: The Climbing Grade Question Relationalism About Climbing Grades Climbing Grades as Emerging Real Dispositions Standard Climbers in Standard Climbing Conditions Relationalism: The Better Theory Notes.

John MacFarlane has made relativism popular again. Focusing just on his original discussion, I argue that the data he uses to motivate the position do not, in fact, motivatie it at all. Many of the points made here have since been made, independently, by Hermann Cappelen and John Hawthorne, in their book Relativism and Monadic Truth.