The Gait Deviation Index is a multivariate measure of overall gait pathology based on 15 gait features derived from three-dimensional kinematic data. GDI aims at providing a comprehensive, easy to interpret, and clinically meaningful metric of overall gait function. It has been used as an outcome measure to study gait in several conditions: cerebral palsy, post-stroke hemiparetic gait, Duchenne muscular dystrophy, and Parkinson’s disease, among others. Nevertheless, its use in population with Spinal Cord Injury has not been studied yet. The (...) aim of the present study was to investigate the applicability of the GDI to SCI through the assessment of the relationship of the GDI with the Walking Index for Spinal Cord Injury II. 3D gait kinematics of 34 patients with incomplete SCI was obtained. Besides, 3D gait kinematics of a sample of 50 healthy volunteers was also gathered with Codamotion motion capture system. A total of 302 and 446 strides were collected. GDI was calculated for each stride and grouped for each WISCI II level. HV data were analyzed as an additional set. Normal distribution for each group was assessed with Kolmogorov-Smirnov tests. Afterward, ANOVA tests were performed between each pair of WISCI II levels to identify differences among groups. The results showed that the GDI was normally distributed across all WISCI II levels in both iSCI and HV groups. Furthermore, our results showed an increasing relationship between the GDI values and WISCI II levels in subjects with iSCI, but only discriminative in WISCI II levels 13, 19, and 20. The index successfully distinguished HV group from all the individuals with iSCI. Findings of this study indicated that the GDI is not an appropriate multivariate walking metric to represent the deviation of gait pattern in adult population with iSCI from a normal gait profile when it is compared with the levels of walking impairment described by the WISCI II. Future work should aim at defining and validating an overall gait index derived from 3D kinematic gait variables appropriate for SCI, additionally taking into account other walking ability outcome measures. (shrink)

This paper suggests that medical education should redirect resources to values education, specifically developing new strategies to improve the process of clarification of values. The author suggests using the values journal method which is based on a systematic record of students' personal value systems reflected in their stories and life experience; and on their responses to case presentation. Generating a personal values journal helps students define who they are, what their social and professional roles are, what their expectations are and (...) where they are going. Keeping values journals promotes students' decision-making capacity, and equips them with the necessary skills to teach their future patients how to generate their own value systems. The development of a well defined values journal is a preparatory stage for active participation in clinical conferences or group discussion, and for effective communal dialogue among the group's members. (shrink)

Meyers examines the question of personal autonomy. She observes the effects of childrearing practices and sexual biases, and reflects upon the results in women. Annotation copyrighted by Book News, Inc., Portland, OR.

The purpose of this paper is to propose a model of clinical-ethical decision making which will assist the health care professional to arrive at an ethically defensible judgment. The model highlights the integration between ethics and decision making, whereby ethics as a systematic analytic tool bring to bear the positive aspects of the decision making process. The model is composed of three major elements. The ethical component, the decision making component and the contextual component. The latter incorporates the relational aspects (...) between the provider and the patient and the organizational structure. The model suggests that in order to arrive at an ethically, justifiable sound decision one make reference to those three elements. (shrink)

La Transición constituye una etapa clave en la configuración del presente histórico del alumnado y su comprensión, por ello, su inclusión en el proceso de enseñanza-aprendizaje adquiere un interés particular. El presente trabajo tiene como objetivo analizar cómo se articula la enseñanza de esta etapa histórica en los libros de texto. El marco de estudio se acota a los manuales de 2º de Bachillerato en Galicia, sobre los que se realiza un análisis didáctico e historiográfico. El estudio recoge, en el (...) campo didáctico, una falta generalizada de adaptación a las particularidades de la Historia del presente, sin apostar por un aprendizaje significativo. En el historiográfico se revela la misma carencia, así como la hegemonía del relato tradicional, caracterizado por el consenso y la Historia política, personalista, determinista y positiva, sin problematización ni alusión a las propuestas alternativas, el conflicto o la correlación de fuerzas. (shrink)

Cet exercice historiographique se propose de suivre le cheminement du thème des femmes - femmes nobles aux XIe et XIIe siècles : - dans l’œuvre de Georges Duby, plus précisément dans son cours, son séminaire et ses publications. Trois phases peuvent être identifiées entre 1953 (année de la parution de sa thèse sur le Mâconnais) et 1996 (année de la publication de la trilogie Dames du XIIe siècle, année de sa mort). 1) 1953-1973 : les questions liées à la condition (...) féminine ont d’abord existé à l’état de questions éparses formulées dans les écrits sur l’aristocratie. 2) 1973-1980 : elles se dessinent plus fermement, avec l’enquête sur les structures familiales et le mariage. 3) 1980-1996 : elles se dégagent du thème de la parenté pour occuper la place centrale, et sont étudiées dans deux directions : la condition des femmes et la sainteté féminine. (shrink)

Cet exercice historiographique se propose de suivre le cheminement du thème des femmes - femmes nobles aux XIe et XIIe siècles : - dans l’œuvre de Georges Duby, plus précisément dans son cours, son séminaire et ses publications. Trois phases peuvent être identifiées entre 1953 (année de la parution de sa thèse sur le Mâconnais) et 1996 (année de la publication de la trilogie Dames du XIIe siècle, année de sa mort). 1) 1953-1973 : les questions liées à la condition (...) féminine ont d’abord existé à l’état de questions éparses formulées dans les écrits sur l’aristocratie. 2) 1973-1980 : elles se dessinent plus fermement, avec l’enquête sur les structures familiales et le mariage. 3) 1980-1996 : elles se dégagent du thème de la parenté pour occuper la place centrale, et sont étudiées dans deux directions : la condition des femmes et la sainteté féminine. (shrink)

Parmi les séminaires que Georges Duby dirigea toute sa vie, ceux de Sénanque occupent une place particulière. Pendant trois ans, entre 1981 et 1983, il réunit des universitaires et des chercheurs autour de questions spécifiquement liées à l’histoire de la vie privée. L’Association des Amis de Sénanque (et en son sein le Cercle d’Etudes Médiévales) assurait la bonne organisation matérielle. Son directeur, Emmanuel Muheim, accueillait dans l’abbaye cistercienne provençale, pendant quelques jour..

Parmi les séminaires que Georges Duby dirigea toute sa vie, ceux de Sénanque occupent une place particulière. Pendant trois ans, entre 1981 et 1983, il réunit des universitaires et des chercheurs autour de questions spécifiquement liées à l’histoire de la vie privée. L’Association des Amis de Sénanque (et en son sein le Cercle d’Etudes Médiévales) assurait la bonne organisation matérielle. Son directeur, Emmanuel Muheim, accueillait dans l’abbaye cistercienne provençale, pendant quelques jour...

The moral justification of intellectual property is often called into question when placed in the context of pharmaceutical patents and global health concerns. The theoretical accounts of both John Rawls and Robert Nozick provide an excellent ethical framework from which such questions can be clarified. While Nozick upholds an individuals right to intellectual property, based upon its conformation with Lockean notions of property and Nozicks ideas of just acquisition and transfer, Rawls emphasizes the importance of basic liberties, such as an (...) individuals right to health, superceding such secondary rights as intellectual property rights. From a policy perspective, patent protection for pharmaceutical products necessarily entails the balancing of corporate intellectual property interests and public interests in healthcare. The moral dilemma that occurs when these two interests clash is not easily resolved. Aside from corporate and public interests, the state maintains an interest in creating and preserving policies that regulate the moral dilemma itself. This paper analyzes the economic and ethical factors surrounding the production and distribution of the anti-HIV medication, AZT. Potential policy implications and recommendations are also discussed. (shrink)

In this brief and powerful book, Diana Fuss takes on the debate of pure essence versus social construct, engaging with the work of Luce Irigaray and Monique ...

O conhecimento cientifico; Natureza do conhecimento cientifico; O metodo cientifico; A pesquisa: nocoes gerais; Fases de uma pesquisa; Como proceder a investigacao; Como transmitir os conhecimentos adquiridos; Tecnicas especiais.

Una teoría iusmoralista no puede dejar de basarse en el objetivismo moral, mientras que una teoría iuspositivista puede ser defendida por objetivistas y no objetivistas. Se examinan las consecuencias que el iusmoralismo tiene para la teoría de la validez de las normas jurídicas y para su aplicabilidad en los casos concretos y se revisan las asimetrías y aporías a que conduce cualquier teoría iusmoralista. Finalmente, se subraya que los iusmoralistas discrepan entre sí radicalmente sobre los contenidos de la moral verdadera (...) y del derecho justo y que sólo un enfoque iuspositivista es compatible con el estado constitucional y democrático de derecho. (shrink)

The intensification of cross-sector collaboration phenomena has occurred in multiple fields of action. Organizations in the private, public, and social sectors are working together to tackle society’s most wicked problems. Some success has resulted in a generalized belief that cross-sector collaborations represent the new paradigm to manage complex problems. Yet, important knowledge gaps remain about how cross-sector alliances generate value for society, particularly to its beneficiaries. This paper answers the question: How cross-sector collaborations lead to systemic change? It uses a (...) qualitative embedded case study design. I use two general cases of alliance-based interventions in the developing country Colombia. Embedded cases within each general case identify evidence of collective action capacity of the beneficiaries. Findings identify and explain alliances’ contributions to beneficiaries’ capacity building: brokering trust and creating spaces where beneficiaries develop an emergent collective action capacity. Alliances also enable beneficiaries to enact that capacity by building bridges, circulating capitals, and buffering relationships to protect people’s initiatives. Alliances and empowered collectives of beneficiaries produce systemic change using five mechanisms: brokering trust, creating spaces, building bridges, circulating capitals, and buffering relationships. Beneficiaries increased capacity for collective action is an outcome that becomes an alliance input, leading overtime to further benefits involving systemic change. (shrink)

New Materialisms brings into focus and explains the significance of the innovative materialist critiques that are emerging across the social sciences and humanities. By gathering essays that exemplify the new thinking about matter and processes of materialization, this important collection shows how scholars are reworking older materialist traditions, contemporary theoretical debates, and advances in scientific knowledge to address pressing ethical and political challenges. In the introduction, Diana Coole and Samantha Frost highlight common themes among the distinctive critical projects that (...) comprise the new materialisms. The continuities they discern include a posthumanist conception of matter as lively or exhibiting agency, and a reengagement with both the material realities of everyday life and broader geopolitical and socioeconomic structures. Coole and Frost argue that contemporary economic, environmental, geopolitical, and technological developments demand new accounts of nature, agency, and social and political relationships; modes of inquiry that privilege consciousness and subjectivity are not adequate to the task. New materialist philosophies are needed to do justice to the complexities of twenty-first-century biopolitics and political economy, because they raise fundamental questions about the place of embodied humans in a material world and the ways that we produce, reproduce, and consume our material environment. Contributors Sara Ahmed Jane Bennett Rosi Braidotti Pheng Cheah Rey Chow William E. Connolly Diana Coole Jason Edwards Samantha Frost Elizabeth Grosz Sonia Kruks Melissa A. Orlie. (shrink)

En el presente artículo se abordarán las relaciones entre Nietzsche y Platón, y Nietzsche y Darwin, a partir de las respectivas autocalificaciones nietzscheanas –a saber, su propia filosofía como ‘platonismo invertido’, y su postura ‘anti-Darwin’. A partir de esto, se buscará alcanzar tres objetivos: en primer lugar, establecer que la calificación nietzscheana de ‘Anti-Darwin’ no se sustenta ni en una oposición de tipo ontobiológico, ni en oposición a un carácter teleológico de algún tipo, sino, principalmente, en una ruptura axiológica; en (...) segundo lugar, mostrar la conexión entre la perspectiva nietzscheana y el platonismo, en divergencia con las perspectivas que, o ponen a Nietzsche en completa oposición al platonismo, o encuentran concordancia no con el platonismo, sino con Platón, o hallan plena continuidad entre uno y otro –el ‘Nietzsche metafísico’ heideggeriano. Finalmente, el tercer objetivo consistirá en mostrar que ambas autocalificaciones se hallan estructuralmente asociadas, es decir, que una no es completamente comprensible sin la otra. (shrink)

Explainable artificial intelligence (XAI) is an emerging, multidisciplinary field of research that seeks to develop methods and tools for making AI systems more explainable or interpretable. XAI researchers increasingly recognise explainability as a context-, audience- and purpose-sensitive phenomenon, rather than a single well-defined property that can be directly measured and optimised. However, since there is currently no overarching definition of explainability, this poses a risk of miscommunication between the many different researchers within this multidisciplinary space. This is the problem we (...) seek to address in this paper. We outline a framework, called Explanatory Pragmatism, which we argue has two attractive features. First, it allows us to conceptualise explainability in explicitly context-, audience- and purpose-relative terms, while retaining a unified underlying definition of explainability. Second, it makes visible any normative disagreements that may underpin conflicting claims about explainability regarding the purposes for which explanations are sought. Third, it allows us to distinguish several dimensions of AI explainability. We illustrate this framework by applying it to a case study involving a machine learning model for predicting whether patients suffering disorders of consciousness were likely to recover consciousness. (shrink)

Admiration is thought to have essential functions for social interaction: it inspires us to learn from excellent models, to become better people, and to praise others and create social bonds. In intergroup relations, admiration for other groups leads to greater intergroup contact, cooperation, and help. Given these implications, it is surprising that admiration has only been researched by a handful of authors. In this article we review the literature, focusing on the definition of admiration, links to related emotions, measurement, antecedents, (...) and associated behaviors. We propose a conceptual model of admiration that highlights admiration’s function for approaching and emulating successful models, thus contributing to social learning at the interpersonal level and to cultural transmission at the group and societal level. (shrink)

El artículo intenta establecer un paralelo entre el concepto de la máscara carnavalesca concebida por Mijaíl Bajtín en Rabelais y su mundo, y también en otros escritos, y la máscara del teatro Grotesco criollo en Buenos Aires, en las primeras décadas del siglo XX. El artículo comienza por definir semejanzas y diferencias en el uso de estas dos máscaras. En el caso medieval, la máscara es utilizada como herramienta de ecualización y de catarsis social y en el caso del grotesco (...) criollo, la máscara es articulada como una herramienta de conformación y adaptación social. Es así como las funciones prácticas y estéticas de ambas máscaras, aunque son complementarias en términos de sus ingredientes, son opuestas en cuanto a su implementación y valencia comunitaria. La máscara del carnaval es una máscara que intenta romper de forma momentánea el orden establecido para poder mantenerlo en el largo plazo. En cambio, la máscara grotesca es una máscara que opera desde adentro del individuo y la familia, obligándolo a estabilizar costumbres, valores o expectativas nacionales, en la comunidad inmigrante -extranjera y campesina avecindada en la periferia de Buenos Aires-, con el objeto de autoasegurar su subsistencia física, a contramano de la sanidad emocional y social creada por esta acción en estos sujetos marginales desplazados. This article attempts to establish a parallel between Mikhail Bakhtin’s concept of carnival’s mask in Rabelais and His World and other writings, and the mask in Grotesco Criollo Theater in Buenos Aires, during the first decades of the twentieth century. The article begins by defining similarities and differences in the use of these two masks. In the medieval case, the mask is used as a tool of equalization and social catharsis, and in the Grotesco Criollo, the mask is articulated as a shaping tool for conformity and social adaptation. Thus, the practical and aesthetic functions of both masks, though complementary in terms of their ingredients, are opposites in their implementation and community values. The carnival mask is a mask trying to break the established order momentarily, simply to keep it in the end. Instead, the grotesque mask is a mask that operates from within the individual and the family forcing him/ her to stabilize national customs, values, expectations for the suburban immigrant community displaced to Buenos Aires’ periphery to self-ensure their physical survival. However, such insurance often comes at the cost of emotional and social wellbeing of these displaced marginal subjects. (shrink)

For the philosopher of Rotterdam, religious coercion has two essential sources of illegitimacy: the linking of religious and ecclesiastical belief and the use of politics for religious purposes. Bayle responds to it, with his doctrine of freedom of conscience, on one hand and by means of the essential distinction between voluntary religious affiliation and political obligation, on the other hand. From my perspective, his doctrine of tolerance does not involve an atheist state, nor does it mean the rejection of the (...) presence of religion in the public space or its displacement to the intimate sphere of the conscience. This paper proposes a reading of Baylean tolerance as a political doctrine that allows the articulation between freedom of conscience, minority confessions, and official religion. Thus, the Baylean theoretical model could be considered a proposal to provide a normative form to the practice of toleration present in the seventeenth -century Netherlands. (shrink)

In this paper, I argue that Huw Price’s widely read “Truth as Convenient Friction” overstates the onerousness, and underrates the utility, of the ontological commitments involved in Charles S. Peirce’s version of the pragmatist account of truth. This argument comes in three parts. First, I briefly explain Peirce’s view of truth, and relate it to his account of assertion. Next, I articulate what I take Price’s grievance against Peirce’s view to be, and suggest that this criticism misses the target. Finally, (...) I argue that Peirce’s version of the pragmatist account of truth has greater explanatory power than the narrowly linguistic version put forward by Price, such that even the ontology-averse should accept it. (shrink)

Verbal communication leaves room for interpretative disputes. Speakers can argue about what they mean by their words and negotiate their commitments in conversation. This article examines the deniability of implicitly communicated contents and addresses the question of what makes an act of denial seem more or less plausible to the addressee. I argue that denials bring about a process of reconstruction of the context of interpretation of the speaker's utterance and I illustrate how considerations of cognitive utility are the key (...) determinant for distinguishing plausible from merely possible deniability. (shrink)

A critical analysis of Diana Fuss's Essentially Speaking: Feminism, Nature, and Difference and Elizabeth Grosz's Sexual Subversions: Three French Feminists.