The Five Senses of Haiti discusses a series of medical mission trips by physicians and medical students to the Central Plateau of Haiti delivering care in the outpatient setting. Practitioners describe their experiences through the use of their five senses to draw contrast between modern health care and medical practice in the developing world. Physicians in a resource poor setting are left without the usual diagnostic armamentarium and the safeguards and distractions of the modern hospital setting. This deficit creates an (...) opportunity to devote time and focus to individual patients. Practicing medicine in this context clinicians use a heightened sense of awareness and increase their reliance on physical exam findings. Global medicine creates an opportunity for medical students to learn and physicians out of training to practice overlooked physical exam skills in the modern era. Physical exam findings and patient care yield diagnoses and fosters the bonds of the doctor-patient relationship. (shrink)

As presidential campaigns and “Saturday Night Live” have repeatedly demonstrated, debate is an uninteresting mode of communication, imitating dialogue without engaging in it. Formally it encourages infinite regress: my misreading of your misreading of my misreading of your misreading. Intellectually its conclusions are in some ways predetermined. In the short run, the winner is whoever speaks last; in the long run, whoever has the greater power. Rather than occasion or remark on further “shifty moments” , then, I will try to (...) review some general areas of contention suggested in my exchange with Eve Kosofsky Sedgwick.Although Sedgwick and I value the personal and the theoretical both, we disagree on the lines of intersection. I am struck by her initial situation of “Van Leer” in the ranks of those who feel silenced. The complaint might just as easily have been that he has entirely too much to say. Nor, if autobiography is really the issue, do I in any way regret the notoriety of Sedgwick’s work? From what I take to be my point of view, Sedgwick’s book has opened up for me a far more visible space in the academy than has my own. And I attribute to myself at least enough self-consciousness to recognize the disingenuousness of “feeling silenced” in Critical Inquiry. David Van Leer is associate professor of English and American literature at the University of California, Davis. The author of Emerson’s Epistemology: The Argument of the Essays , he is currently examining the issue of contextualism in a book to be called The Queening of America. (shrink)

[Eve] Sedgwick examines from an explicitly feminist, implicitly Marxist perspective the relation of homosexuality to more general social bonds between members of the same sex . She argues that the similarity between homosocial desire and homosexuality lies at the root of much homophobia. Moreover, she sees this tension as misogynist to the extent that battles fought over patriarchy within the homosocial world automatically exclude women from that patriarchal power. Thus she places homosexuality and its attendant homophobia within a wider dynamic (...) of social relationships.1Yet even as Sedgwick invents a more sophisticated definition of “homophobia,” she may permit misreading of a more elementary sort. Her use of vocabulary is troubling. In a slangy prose that regularly juxtaposes James Hogg and Louis Lepke, Tennyson and Howard Keel, references to the “campiness” of Thackeray’s “bitchy” bachelors or the “feminized” cuckolds of Wycherley’s The Country Wife seem tame enough. Yet there is a political difference between the jokes. One can burlesque fifties musicals or organized crime with impunity; to refer to sexually embattled men with feminine adjectives, however, is to reinforce a sexual stereotype that sees in the supposed effeminacy of homosexuals a sign of their deviance. Nor are women empowered when terms of female degradation like “bitch” are turned back against men: the ironic reversal does not challenge the terms’ validity but reaffirms it, showing they have an even wider range of applicability than had been thought. 1. Throughout my analysis, I use “homosexual” and “gay” exclusively in reference to male sexuality. I do so in part to echo Sedgwick’s emphasis and in part because the logic of my own argument does not empower me to speak on female homosexuality. David Van Leer is associate professor of English and American literature at the University of California, Davis. He is the author of Emerson’s Epistemology: The Argument of the Essays and articles on American literature and popular culture. (shrink)

Ralph Waldo Emerson, an important figure in the popular understanding of America has been rediscovered by scholars and critics, yet there has been no critical study of Emerson's relation to traditional nineteenth-century questions about ethics and epistemology. In Emerson's Epistemology David Van Leer turns to this unexplored area of Emerson's philosophy and especially to the problem of his relation to the central intellectual issue of his age - the transcendental idealism of Immanuel Kant. Although Emerson would throughout his life (...) try a number of vocational roles, he considered himself primarily a thinker. He saw his roles as poet and prophet as versions of the more fundamental one of philosopher. Thus an understanding of Emerson's relation to traditional problems about the theory of knowledge clarifies not only the arguments of the specific essays, but the shape of his complex career. (shrink)

This study assessed the International Critical Thinking Essay Test (ICTET-A) for inter-rater reliability, internal reliability, and criterion validity. A self-selecting sample of participants (N = 100) completed the ICTET-A and a comparison test online. We found the ICTET-A items to have moderate to good levels of inter-rater reliability, and overall excellent inter-rater consistency for total test scores. The test had good internal reliability. There was a strong correlation between scores on the ICTET-A and the comparison test. Factor analysis showed that (...) scores were best explained with one factor, suggesting the test measures a single construct. The ICTET-A can therefore be considered a valid measure of critical thinking. Additionally, we propose a short form of the test. (shrink)

BackgroundRandomized controlled trials (RCTs) are often complex and expensive to perform. Less than one third achieve planned recruitment targets, follow-up can be labor-intensive, and many have limited real-world generalizability. Designs for RCTs conducted using cohorts and routinely collected health data, including registries, electronic health records, and administrative databases, have been proposed to address these challenges and are being rapidly adopted. These designs, however, are relatively recent innovations, and published RCT reports often do not describe important aspects of their methodology in (...) a standardized way. Our objective is to extend the Consolidated Standards of Reporting Trials (CONSORT) statement with a consensus-driven reporting guideline for RCTs using cohorts and routinely collected health data.MethodsThe development of this CONSORT extension will consist of five phases. Phase 1 (completed) consisted of the project launch, including fundraising, the establishment of a research team, and development of a conceptual framework. In phase 2, a systematic review will be performed to identify publications (1) that describe methods or reporting considerations for RCTs conducted using cohorts and routinely collected health data or (2) that are protocols or report results from such RCTs. An initial “long list” of possible modifications to CONSORT checklist items and possible new items for the reporting guideline will be generated based on the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) and The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statements. Additional possible modifications and new items will be identified based on the results of the systematic review. Phase 3 will consist of a three-round Delphi exercise with methods and content experts to evaluate the “long list” and generate a “short list” of key items. In phase 4, these items will serve as the basis for an in-person consensus meeting to finalize a core set of items to be included in the reporting guideline and checklist. Phase 5 will involve drafting the checklist and elaboration-explanation documents, and dissemination and implementation of the guideline.DiscussionDevelopment of this CONSORT extension will contribute to more transparent reporting of RCTs conducted using cohorts and routinely collected health data. (shrink)

The inclusion of stakeholders and knowledge systems is increasingly valued in research to address complex socio-ecological challenges around the world. Often these projects take place in cross-cultural setting where external researchers risk perpetuating historically extractive research models that not only harm local communities but damage the validity of research projects. Responsible community engagement is increasingly recognized as a practice that can improve researcher-community relationships and research quality by incorporating principles of ethics, reciprocity, and power sharing. In partnership with local community (...) leaders, researchers from a U.S. university coded 76 research articles for indicators of responsible community engagement conducted in the Samburu, Kenya community since 2000. Findings from this study suggest that most of the research in Samburu has followed extractive models. Of the 76 articles reviewed many failed to acknowledge ethical protocols, did not address relevance of the study to the local community, and did not report any indication of outreach or community change as a result of the research. While a portion of articles showed evidence of community involvement in the studies, the involvement was primarily limited to secondary roles with little to no shared decision-making power over the research process. We discuss methodological considerations for future research and steps that must be taken in order to shift the norm and practice of academic research in sites such as Samburu, Kenya. (shrink)

One recent topic of debate in Bayesian epistemology has been the question of whether imprecise credences can be rational. I argue that one account of imprecise credences, the orthodox treatment as defended by James M. Joyce, is untenable. Despite Joyce’s claims to the contrary, a puzzle introduced by Roger White shows that the orthodox account, when paired with Bas C. van Fraassen’s Reflection Principle, can lead to inconsistent beliefs. Proponents of imprecise credences, then, must either provide a compelling reason to (...) reject Reflection or admit that the rational credences in White’s case are precise. (shrink)

We investigate the role of continuous reductions and continuous relativization in the context of higher randomness. We define a higher analogue of Turing reducibility and show that it interacts well with higher randomness, for example with respect to van Lambalgen’s theorem and the Miller–Yu/Levin theorem. We study lowness for continuous relativization of randomness, and show the equivalence of the higher analogues of the different characterizations of lowness for Martin-Löf randomness. We also characterize computing higher [Formula: see text]-trivial sets by higher (...) random sequences. We give a separation between higher notions of randomness, in particular between higher weak 2-randomness and [Formula: see text]-randomness. To do so we investigate classes of functions computable from Kleene’s [Formula: see text] based on strong forms of the higher limit lemma. (shrink)

The Macmillan Company New York, led by the Bretts, was a major player in American life. But it had a secret: the company was majority owned by the London parent. As the US came to eclipse the UK, the arrangement led to growing tensions. Finally, in 1951, London was persuaded to sell its stake. But the UK firm found itself unable to use the family name for a new American venture, sparking a legal fight that lasted until 2002. This account (...) of an important event in publishing history adds new detail from archival sources, supporting a fresh reading and correcting earlier errors. It also brings into view a significant amount of material that is published for the first time. The article argues that, although there were hard business reasons for the sale, cultural and personal factors were also consequential and these two types of agency, rational and emotional, work in interrelated ways. (shrink)

Introduction to the translation of “De leer der analogie in de thomistische wijsbegeerte en in de wijsbegeerte der wetsidee” by Herman Dooyeweerd, Philosophia Reformata 7, pp. 47–57.

van Els, Paul. "Een niet-bestaande leer" (A Non-Existent Doctrine). Review of Confucianisme, by Burchard J. Mansvelt Beck. China Nu 31, no. 1 (2006): 46–47.

De Leer van Boeddha. H. Saddhatissa. Wereldbibliotheek B. V., Amersterdam. 143pp.

Op basis van de zgn. wijsbegeerte der wetsidee van Dooyeweerd (1894-1977) bouwt de auteur een christelijke, wijsgerige antropologie.