ObjectiveTo assess the impact of the closure of group-based cardiac rehabilitation training during the first COVID-19 lockdown in spring 2020 on patients’ physical activity, cardiorespiratory fitness, and cardiovascular risk, and to describe the patient experience of lockdown and home-based exercise training during lockdown.DesignMixed methods study. Prospectively collected post-lockdown measurements were compared to pre-lockdown medical record data. Quantitative measurements were supplemented with qualitative interviews about the patient experience during lockdown.SettingOutpatient CR centre in Salzburg, Austria.ParticipantsTwenty-seven patients [six female, mean age 69 years] (...) who attended weekly CR training sessions until the first COVID-19 lockdown in March 2020.Outcome MeasureQuantitative: exercise capacity, cardiovascular risk. Qualitative: individual semi-structured interviews.ResultsExercise capacity had significantly reduced from pre- to post-lockdown: mean power in maximal ergometry 165 vs. 151, p < 0.001; submaximal ergometer training 99 vs. 97, p = 0.038. There was no significant difference in Framingham risk score and other cardiovascular risk factors. Qualitative data showed that almost all patients had kept physically active during lockdown, but 17 said they had been unable to maintain their exercise levels, and 15 felt their cardiorespiratory fitness had deteriorated. Many patients missed the weekly CR training and the motivation and sense of community from training together with others. Several patients stated that without professional supervision they had felt less confident to carry out home-based exercise training at high intensity.ConclusionThis study highlights the importance of group-based supervised exercise training for patients who engage well in such a setting, and the detrimental impact of disruption to this type of CR service on physical activity levels and exercise capacity. Additionally, learning from the COVID-19 pandemic may inform the development and implementation of remote CR modalities going forward. (shrink)

This article considers the prospects of inference to the best explanation as a method of confirming causal claims vis-à-vis the medical evidence of mechanisms. I show that IBE is actually descriptive of how scientists reason when choosing among hypotheses, that it is amenable to the balance/weight distinction, a pivotal pair of concepts in the philosophy of evidence, and that it can do justice to interesting features of the interplay between mechanistic and population level assessments.

The globalization movement in recent decades has meant rapid growth in trade, financial transactions, and cross-country ownership of economic assets. In this article, we examine how the globalization of national business systems has influenced the framing of corporate social responsibility (CSR). This is done using text analysis of CEO letters appearing in the annual reports of 15 major corporations in Sweden during a period of transformational change. The results show that the discourse about CSR in the annual reports has changed (...) from a national and communitarian view of social responsibility (cf. a negotiated view of CSR) toward an international and individualistic view of social responsibility (cf. a self-regulating view of CSR). The article contributes theoretically (1) by adding a national–global dimension to previous conceptualizations of CSR and (2) by showing that the rise of CSR discourse and activities in the last 10 years does not have to imply an increased commitment and interest in corporate responsibility per se, only that there are increased societal expectations that corporations should develop the capability to act more independently as moral agents. (shrink)

In this paper I argue that, from a pragmatist point of view, to know the past means to anticipate it. Accordingly, historical inquiry is directed towards the future, namely the future of the past as known. I develop this argument in three steps: (I.) Starting with A. O. Lovejoy’s criticism of Dewey’s anticipatory theory of knowledge I defend the basic claim that all knowledge, including knowledge of the past, is anticipatory (i.e. directed at future consequences). Lovejoy’s criticism shows that Dewey’s (...) statements invite misunderstandings, which have to be removed. (II.) I then turn to C. I. Lewis’ enhanced outline of a pragmatist theory of knowledge. Lewis provides epistemological arguments regarding the structural features of knowledge of the past and argues knowledge that is gained by the past’s present effects. (III.) Finally, I turn to a notable essay by E. Wind in which he stresses the intrusive and future-oriented character of historical inquiry: Documents are used as instruments for intruding into the past, asking how the past will be understood in the light of new or reconsidered evidence. This process involves anticipating the effects that a different past will have on those affected by the history in question. (shrink)

The analytical tension between legal norms, moral values, and national interests seems no uncharted territory in political science, but has found very little interest in legal academia. For lawyers, moral values and national interests are largely “unknowns,” dealt with by other disciplines. Looking a bit deeper, the picture becomes more nuanced, however. As part of a roundtable on “Balancing Legal Norms, Moral Values, and National Interests,” this essay argues that norms, values, and interests are not different universes of legal normativity, (...) morality, and specific interests, but are interrelated concepts. Values clearly influence norms and often underpin them, while seemingly concrete norms (rules) are themselves often fragile constructs trying to balance competing interests. Value systems are quite diverse within societies, and this is even truer for interests; each society is a dynamic system of social interaction where conflicting interests are constantly playing out. In a way, underlying conflicts of values and interests are constantly being renegotiated in the legal system, with the norms enshrined in the text of statutes and treaties serving to constitute transitory reference points. (shrink)

The number of people with dementia is increasing worldwide. At the same time, family and professional caregivers’ resources are limited. A promising approach to relieve these carers’ burden and assist people with dementia is assistive technology. In order to be useful and accepted, such technologies need to respect the values and needs of their intended users. We applied the value sensitive design approach to identify values and needs of patients with dementia and family and professional caregivers in respect to assistive (...) technologies to assist people with dementia in institutionalized care. Based on semi-structured interviews of residents/patients with cognitive impairment, relatives, and healthcare professionals (10 each), we identified 44 values summarized by 18 core values. From these values, we created a values’ network to demonstrate the interplay between the values. The core of this network was caring and empathy as most strongly interacting value. Furthermore, we found 36 needs for assistance belonging to the four action fields of activity, care, management/administration, and nursing. Based on these values and needs for assistance, we created possible use cases for assistive technologies in each of the identified four action fields. All these use cases already are technologically feasible today but are not currently being used in healthcare facilities. This underlines the need for development of value-based technologies to ensure not only technological feasibility but also acceptance and implementation of assistive technologies. Our results help balance conflicting values and provide concrete suggestions for how engineers and designers can incorporate values into assistive technologies. (shrink)

I compare Sellars’s criticism of the ‘myth of the given’ with Quine’s criticism of the ‘two dogmas’ of empiricism, that is, the analytic–synthetic distinction and reductionism. In Sections I to III, I present Quine’s and Sellars’s views. In IV to X, I discuss similarities and differences in their views. In XI to XII, I show that Sellars’s arguments against the ‘myth of the given’ are incompatible with Quine’s rejection of the analytic–synthetic distinction.

Anniversary commemorations are ambivalent events, particularly when they celebrate philosophers. Such commemorations focus on a life's work and occasionally contribute to its elucidation. However, they frequently do violence to those they intend to honor, by emphasizing primarily those aspects of a thinker's work which make him acceptable to the spirit of the age. And such was the fate of Theodor Adorno, whose eightieth birthday was observed in 1983 at a major conference, held in Frankfurt, West Germany. There his interpreters, embarked (...) on the task of rediscovering, brought out important aspects and opened up new perspectives. But die heart of Adorno's work, the negative dialectic, encountered outright resistance. (shrink)

This manuscript describes the institutional and clinical considerations that apply to the question of whether to mandate opioid dose reduction in patients who have received opioids long-term. It describes how a calamitous rise in addiction and overdose involving opioids has both led to a clinical recalibration by healthcare providers, and to strong incentives favoring forcible opioid reduction by policy making agencies. Neither the 2016 Guideline issued by the Centers for Disease Control and Prevention nor clinical evidence can justify or promote (...) such policies as safe or effective. (shrink)

More than 50 years ago, Bongard introduced 100 visual concept learning problems as a challenge for artificial vision systems. These problems are now known as Bongard problems. Although they are well known in cognitive science and artificial intelligence, only very little progress has been made toward building systems that can solve a substantial subset of them. In the system presented here, visual features are extracted through image processing and then translated into a symbolic visual vocabulary. We introduce a formal language (...) that allows representing compositional visual concepts based on this vocabulary. Using this language and Bayesian inference, concepts can be induced from the examples that are provided in each problem. We find a reasonable agreement between the concepts with high posterior probability and the solutions formulated by Bongard himself for a subset of 35 problems. While this approach is far from solving Bongard problems like humans, it does considerably better than previous approaches. We discuss the issues we encountered while developing this system and their continuing relevance for understanding visual cognition. For instance, contrary to other concept learning problems, the examples are not random in Bongard problems; instead they are carefully chosen to ensure that the concept can be induced, and we found it helpful to take the resulting pragmatic constraints into account. (shrink)

Carl Schmitt verfügt heute über eine so breite und stets wachsende internationale Leserschaft wie kein anderer deutscher Staatsrechtslehrer des vergangenen Jahrhunderts. Sein Werk wird dabei freilich meist isoliert betrachtet und allenfalls auf den staatsrechtlichen Kontext bezogen. Im Mittelpunkt dieses Buches steht dagegen der politische Intellektuelle, der weit über die Grenzen seines Faches hinauswirkte. Besondere Aufmerksamkeit gilt dabei den Anfangs- und den Endjahren der Weimarer Republik. Während Schmitt in München Strategien zur Zähmung der Revolution entwickelte, setzte er sich in seinen Berliner (...) Jahren für eine autoritäre Transformation der Verfassung ein, die neben der äußersten Linken auch die äußerste Rechte von der Macht fernhalten sollte. Das geschah nicht nur in der Form der verfassungsrechtlichen Expertise für Regierungskreise, sondern auch durch publizistische Interventionen, bei denen der in Bonn gebildete Schülerkreis Schmitts eine tragende Rolle spielte. Zeitschriften wie Der Ring und das Deutsche Volkstum standen in der Endkrise der Weimarer Republik zeitweise vollständig unter dem Einfluß Schmittscher Ideen, und auch im breiteren Umfeld waren sie präsent, etwa in den Organen der Bündischen Jugend oder in der vielgelesenen Tat. Selbst Kritiker Schmitts konnten sich diesem Einfluß nicht entziehen, wie am Beispiel Otto Kirchheimers, Franz Neumanns, Ernst Fraenkels, Waldemar Gurians und anderer gezeigt wird. Gestützt auf nachgelassene Korrespondenzen und eine umfassende Auswertung der zeitgenössischen Publizistik gibt das Buch Aufschluß über Schmitts Netzwerk und seine politischen Strategien. (shrink)

This article reviews Theorie und Praxis in der Philosophie der Antike. Demokrit, die Sokratiker, Platon und Aristoteles 978-3-7705-6393-7.

Ziel dieses Aufsatzes ist es, Robert Brandoms Begriff des Explizit-Machens explizit zu machen. Zu diesem Zweck werden zunächst verschiedene Formen des Explizit-Machens unterschieden. Dabei erweist sich allein der Begriff des logischen Explizit-Machens als haltbar. Anschließend wird gezeigt, dass diesem Begriff eine Schlüsselstellung im Rahmen von Brandoms Philosophie zukommt. Sowohl seine philosophische Methodologie als auch sein zentrales philosophisches Projekt einer Zurückführung von Semantik auf Pragmatik lassen sich höchstens soweit verständlich machen wie der Begriff des logischen Explizit-Machens. Dieser weist allerdings ein erhebliches (...) Defizit auf: Im Rahmen einer Inferentialistischen Semantik lässt sich die expressive Funktion wichtiger Teile des logischen Vokabulars nicht verständlich machen. Das Ergebnis ist, dass sich zwei der Grundpfeiler von Brandoms Sprachphilosophie, die Inferentialistische Semantik einerseits und deren Zurückführung auf eine normative Pragmatik andererseits, nicht gleichzeitig konsequent durchhalten lassen. (shrink)

Die internationalen Beiträge untersuchen das durch neuere Subjektkonzeptionen und Geschichtsmodelle eröffnete theoretische Feld aus der Perspektive von Philosophie, Geschichts-, Kunst-, Literatur- und Kulturwissenschaft und überprüfen dabei die Wechselverhältnisse sowie Denk- und Darstellungsweisen von Subjekten und Geschichte(n) auf ihre epistemischen, ästhetischen und handlungstheoretischen Konsequenzen.

Name der Zeitschrift: Neue Zeitschrift für Systematische Theologie und Religionsphilosophie Jahrgang: 57 Heft: 1 Seiten: 32-59.

Terror in this study is distinguished from amok and partisan combat. The partisan fights for his country from the heart of his people. The terrorist, however, has not committed himself to any certain region and his actions reveal no rational intention. While terror in its senseless and unfounded action attempts to destroy any public life, amok as well as partisan combat is privately motivated and destroys the lives of individuals. Its early form used to be the conformist terror which has (...) nowadays mutated into individual terror initiated by people that have completely broken with their past, their roots and their ethos. Thus, terror cannot live without its most crucial requirement: mobility. (shrink)

Democratic theorists have increasingly turned to Aeschylus’ Oresteia as a resource for challenging the shortcomings of liberal theory, but I argue that this particular return to Greek tragedy should be treated with a healthy dose of skepticism. Defenders of Aeschylean justice have underplayed the sacrificial aspects of his solution to the problem of civil strife, mistaking the consent of the Furies for a resolution that escapes the cycle of violence. Drawing on elements of Greek ritual practice, I contend that Aeschylus (...) folds the consent of the Furies into a sacrificial framework which denies the violence it enacts by directing this violence toward nonhumans. As a consequence Aeschylean justice is complicit in continuing the sacrificial economy it seems to subvert, and Aeschylean politics relies on the suffering of nonhumans (and humans) to secure its conception of order. (shrink)