With the ascent of modern epidemiology in the Twentieth Century came a new standard model of prediction in public health and clinical medicine. In this article, we describe the structure of the model. The standard model uses epidemiological measures-most commonly, risk measures-to predict outcomes (prognosis) and effect sizes (treatment) in a patient population that can then be transformed into probabilities for individual patients. In the first step, a risk measure in a study population is generalized or extrapolated to a target (...) population. In the second step, the risk measure is particularized or transformed to yield probabilistic information relevant to a patient from the target population. Hence, we call the approach the Risk Generalization-Particularization (Risk GP) Model. There are serious problems at both stages, especially with the extent to which the required assumptions will hold and the extent to which we have evidence for the assumptions. Given that there are other models of prediction that use different assumptions, we should not inflexibly commit ourselves to one standard model. Instead, model pluralism should be standard in medical prediction. (shrink)

Current challenges in medical practice, research, and administration demand physicians who are familiar with bioethics, health law, and health economics. Curriculum directors at American Association of Medical Colleges-affiliated medical schools were sent confidential surveys requesting the number of required hours of the above subjects and the years in which they were taught, as well as instructor names. The number of relevant publications since 1990 for each named instructor was assessed by a PubMed search.In sum, teaching in all three subjects combined (...) comprises less than two percent of the total hours in the American medical curriculum, and most instructors have not recently published articles in the fields they teach. This suggests that medical schools should reevaluate their curricula and instructors in bioethics, health law, and health economics. (shrink)

In a context of pervasive digitalization of the social world, both before and during the COVID-19 pandemic, the field of education has undergone major changes with the development of digital practices and settings. However, the physical presence of the subjects and the body remain something primordial and irreplaceable in traditional educational processes. Thus, it is often assumed that virtuality is opposed to the corporeal reality of the subjects involved in teaching, learning and studying. In this paper we aim to critically (...) challenge this assumption by addressing the phenomenon of virtuality in a more original sense: as a fundamental dimension of corporeality itself. Drawing on Merleau-Ponty’s phenomenological insights, we argue that the experience of the virtual is inherently embodied and fully real. We understand corporeality and virtuality as entangled and multidimensional phenomena. At the same time, this leads us to rethink the digital as only one possible medium in which virtuality can appear as inherent to embodied experience. We develop our phenomenological approach in three instances. First, we question and bracket two common assumptions about corporeality. From our critical perspective, assumptions about a disembodied digitality and a devirtualized corporeality represent extremes within which educational discourses currently move. Second, we address the inherent virtuality of embodied experience. We outline the heuristic concept of the virtual body to describe corporeality and virtuality as entangled and multidimensional phenomena that encompass extension, intercorporeality and intermediality. Finally, we make some remarks on the relationships of corporeality and virtuality considering the challenges of digital education. (shrink)

The COVID-19 pandemic and its related policies (e.g., stay at home and social distancing orders) have increased people’s use of digital technology, such as social media. Researchers have, in turn, utilized artificial intelligence to analyze social media data for public health surveillance. For example, through machine learning and natural language processing, they have monitored social media data to examine public knowledge and behavior. This paper explores the ethical considerations of using artificial intelligence to monitor social media to understand the public’s (...) perspectives and behaviors surrounding COVID-19, including potential risks and benefits of an AI-driven approach. Importantly, investigators and ethics committees have a role in ensuring that researchers adhere to ethical principles of respect for persons, beneficence, and justice in a way that moves science forward while ensuring public safety and confidence in the process. (shrink)

Components of artificial intelligence (AI) for analysing social big data, such as natural language processing (NLP) algorithms, have improved the timeliness and robustness of health data. NLP techniques have been implemented to analyse large volumes of text from social media platforms to gain insights on disease symptoms, understand barriers to care and predict disease outbreaks. However, AI-based decisions may contain biases that could misrepresent populations, skew results or lead to errors. Bias, within the scope of this paper, is described as (...) the difference between the predictive values and true values within the modelling of an algorithm. Bias within algorithms may lead to inaccurate healthcare outcomes and exacerbate health disparities when results derived from these biased algorithms are applied to health interventions. Researchers who implement these algorithms must consider when and how bias may arise. This paper explores algorithmic biases as a result of data collection, labelling and modelling of NLP algorithms. Researchers have a role in ensuring that efforts towards combating bias are enforced, especially when drawing health conclusions derived from social media posts that are linguistically diverse. Through the implementation of open collaboration, auditing processes and the development of guidelines, researchers may be able to reduce bias and improve NLP algorithms that improve health surveillance. (shrink)

A observação do tema dos Direitos Humanos entre inúmeros avanços e retrocessos sugere enfrentar o problema de pesquisa que indaga: Qual a relevância de estudos a partir de uma epistemologia de caráter filosófico, sociológico e construtivista para os Direitos Humanos? Assim, tem-se como objetivo lançar um olhar diferente das concepções tradicionais dos Direitos Humanos. Para tanto, o método utilizado, foi o sistêmico construtivista, equacionando reflexões filosóficas-sociológicas e construtivistas do Direito. Como resultado se constatou a relevância de realizar novas observações no (...) Direito e da superação, antes de tudo, dos próprios obstáculos para a realização dos Direitos Humanos na Sociedade Complexa. (shrink)

En el proceso de configuración de "Occidente" como Cultura, hoy ya planetaria, han continuado permanentemente activas ciertas claves muy reconocibles en la larga historia de su pensamiento, rastreables desde el rigen mismo de éste y que nos han servido, a manera de huellas, para guiar nuestra comprensión de sus modos medulares de ser, pensar y de actuar. Poner, pues, en una íntima relación ese cierto destino suyo de tragedia respecto a la experiencia de lo sagrado -y su indisociable máscara de (...) nihilismo-, dilucidar en su seno el esencial papel del tiempo mítico y la experiencia de un existir para la muerte, mostrar las sendas visibles en la historia de una conciencia infausta colonizada por la sola pulsión de dominio hacia toda posible alteridad que sacie para siempre la ontológica sed de su insacable Logos, son algunas de las ideas que creemos básicas y que trataremos de exponer a lo largo de cuanto sigue. (shrink)

En la presente investigación propongo el concepto de prudencia epistémica. La prudencia epistémica es la habilidad social para influir en los demás para fines socio-cognitivos. Como habilidad pragmática, la prudencia epistémica consiste no sólo en una descripción de los orígenes empíricos del error, sino en la habilidad social para evitar el error y otros males cognitivos frutos del egoísmo lógico y otros vicios epistémicos.

An instrument of wealth accumulation and racial segregation in housing markets, the intersections between zoning and labor are often overlooked. Extending theories of space, race, and class, and drawing on historical and archival evidence, I elaborate three ways that American land-use zoning emerged to shape labor markets in the early 20th century: (1) zoning constrained households from engaging in subsistence and direct market activity, acting as a regulatory source of labor commodification; (2) zoning first emerged as a xenophobic tool for (...) regulating labor competition; and (3) zoning introduced racialized boundaries distinguishing formal work from a sphere of economic informality. I illustrate these theoretical-historical propositions with a study of the frontier origins of American land-use zoning laws in late-19th -century Los Angeles. This first and influential approach to residential zoning emerged amid racial dynamics of western settlement and the class politics of a national “free” labor market. I demonstrate how efforts to regulate the settlement and labor practices of poor urban households and Chinese immigrants on in Los Angeles became the direct legal basis for the dichotomous categories of “residential” and “industrial” districts that the city first defended before the U.S. Supreme Court in 1915. By theorizing the intersections of land-use zoning and labor markets, this paper provides a theoretical framework and historical genealogy for future work to consider entanglements of housing and labor politics amid the concurrent flexibilization of work and land use in the present. (shrink)

Este artigo busca demonstrar de que modo a escritura fílmica de Nuestra voz de tierra, memoria y futuro, de Marta Rodríguez e Jorge Silva, mobiliza uma atitude estética decolonial. Para isso, o texto analisa os principais procedimentos expressivos utilizados pela dupla de cineastas: a mise en scène partilhada com indígenas e camponeses da região do Cauca, na Colômbia, reunindo depoimentos e fabulações, e as operações da montagem voltadas para a desconstrução dos significantes coloniais.