Rationale, aims and objectives Given the increasing prevalence of cataract and demand for cataract extraction surgery, patients must often wait to undergo this procedure. We validated a previously developed priority scoring system in terms of clinical variables, pre-intervention health status, appropriateness of surgery and gain in visual acuity (VA) and health-related quality of life (HRQoL).Methods Explicit prioritization criteria for cataract extraction created by a variation of the Research and Development (RAND) and University of California Los Angeles appropriateness methodology were retrospectively (...) applied to a prospective cohort of 5257 patients on waiting lists to undergo cataract by phacoemulsification at 17 hospitals in Spain. Demographic data, clinical data and data related to surgical technique were collected by trained ophthalmologists. Patients were evaluated by their ophthalmologist before the intervention and 6 weeks afterward. They also completed, by mail, the Visual Function Index (VF-14) before the intervention and 3 months afterward.Results High-priority patients experienced greater improvement in VA and HRQoL than those classified as intermediate or low-priority (P < 0.0001), even after adjusting by VA and the VF-14 score at baseline. The time to intervention was the same for high-priority patients as it was for intermediate and low-priority patients.Conclusions The priority score we developed identified patients most likely to experience the greatest improvements from cataract extraction. Use of this tool could provide a fairer and more rational way to prioritize patients for cataract extraction. (shrink)

Psychonarratology is an approach to the empirical study of literary response and the processing of narrative. It draws on the empirical methodology of cognitive psychology and discourse processing as well as the theoretical insights and conceptual analysis of literary studies, particularly narratology. The present work provides a conceptual and empirical basis for this interdisciplinary approach that is accessible to researchers from either disciplinary background. An integrative review is presented of the classic problems in narratology: the status of the narrator, events (...) and plot, characters and characterization, speech and thought, and focalization. For each area, Bortolussi and Dixon critique the state of the art in narratology and literary studies, discuss relevant work in cognitive psychology, and provide a new analytical framework based on the insight that readers treat the narrator as a conversational participant. Empirical evidence is presented on each problem, much of it previously unpublished. (shrink)

What is considered normal determines clinical practice in medicine and has implications at an individual level, doctor-patient relationship and health care policies. With the increase in medical information and technical abilities it is urgent to have a clear concept of normality in medicine so that crucial discussions can be held with unequivocal terms.The different meanings for normality were analyzed throughout the literature and grouped according to their relevance in the academic community in models, namely the Biostatistical Theory (BST), Health, Ideal, (...) Process and Biological advantage. The BST is the most established naturalistic approach, however normal variability can arguably constitute a problem. Health is similar and raises the question of setting the boundaries of pathology. Normality as an Ideal is an useful tool but is naturally unrealistic. As a Process it is comprehensible but is hard to frame for practical purposes. If considered as a Biological Advantage, seems intuitive but abnormality should tend to disappear.After, three examples were presented to discuss these models. They were Anemia, Psychiatric diseases and Psychopathy. In the case of Anemia the BST was applied and the arbitrary boundaries but with social impact were exposed. Psychiatric diseases was discussed under the process of self-organization and non-suffering ideal. With Psychopathy the boundaries of biological advantage are questioned.This review appeals to the importance of redesigning of the concept of normality in medicine according to current times and stresses the importance of integrating concepts such as variability and autonomy. (shrink)

This paper critically investigates the implementation of the UN guiding principles on business and human rights (UNGPs) into the corporate setting through the concept of ‘translation’. In the decade since the creation of the UNGPs, little academic research has focussed specifically on the corporate implementation of human rights. Drawing on qualitative case studies of two multinational corporations—an oil and gas company and a bank—this paper unpacks how human rights are translated into the corporate context. In doing so, the paper focuses (...) on the “resonance dilemma” translators encounter, the strategies used to make human rights understandable and palatable, and the difficulties that emerge from this process. We contend that the process of making human rights understandable and manageable can change their form and content, which may act as an obstacle to human rights realisation and corporate accountability for human rights. (shrink)

In this study, we examine the accounts of 30 white middle- and upper-class female heroin/methadone users. Using a resistance framework, we note that these women recall their initial heroin use in ways that suggest rejection of restrictive gender and class expectations. Using a dynamic view of resistance, we begin to understand how these women attempt to resist the dominant discourse through their heroin use and to reinterpret their experiences with heroin.

This is the first study to focus on the idea of virtue and its place in political thought in eighteenth-century France. Virtue could be used to impart moral authority to arguments about political power. The development of this strategic idea is traced through the works of key Enlightenment thinkers. There is also consideration of the ways in which numerous popular writers of the day, including clerics, eulogists, journalists, novelists and lawyers, employed the idea of virtue in polemical discussions in their (...) writings. (shrink)

Following a discourse analysis approach this study examines triadic encounters of nine medical consultations carried out in an outpatient cancer clinic in Santiago, Chile involving an oncologist, a patient and a patient’s companion. Consultations are fully transcribed and analysed to understand the participatory roles patients’ companions play in the medical exchanges. In addition, the type of linguistic functions associated with each role and the advantages or downsides of companions’ involvement in the encounters are also investigated. The analysis reveals seven prominent (...) roles that companions may engage in during the visits. These are studied in detail. The results show that although companions may not always provide information that is consistent with the patients’ views, they can be of great help. Relieving the patients of many daunting tasks, monitoring their well-being, establishing a partnership and bringing vital information to the clinic are instances where the controlling power that some may exercise in the medical encounter can be outweighed. (shrink)

En ese artículo de naturaleza bibliográfica explicamos porque el diálogo intercientífico permite que se transcienda la homogeneidad de una epistemología involucrada en sí misma, expandiéndose para la transdisciplinariedad cultural y epistemológica. Analizamos dos nuevos modelos de paradigma alternativo, a saber: el vivir bien y el desarrollo endógeno sustentable. Consideramos que esas concepciones filosóficas tienen el desafío de desarrollar nuevas posibilidades epistemológicas y metodológicas que permitan el cambio de la realidad social e histórica. Palabras clave: Diálogo Intercientífico. Epistemología Transdisciplinar. Desarrollo Endógeno (...) Sustentable. Vivir Bien. (shrink)

Odor naming is enhanced in communities where communication about odors is a central part of daily life (e.g., wine experts, flavorists, and some hunter‐gatherer groups). In this study, we investigated how expert knowledge and daily experience affect the ability to name odors in a group of experts that has not previously been investigated in this context—Iranian herbalists; also called attars—as well as cooks and laypeople. We assessed naming accuracy and consistency for 16 herb and spice odors, collected judgments of odor (...) perception, and evaluated participants' odor meta‐awareness. Participants' responses were overall more consistent and accurate for more frequent and familiar odors. Moreover, attars were more accurate than both cooks and laypeople at naming odors, although cooks did not perform significantly better than laypeople. Attars' perceptual ratings of odors and their overall odor meta‐awareness suggest they are also more attuned to odors than the other two groups. To conclude, Iranian attars—but not cooks—are better odor namers than laypeople. They also have greater meta‐awareness and differential perceptual responses to odors. These findings further highlight the critical role that expertise and type of experience have on olfactory functions. (shrink)

El estudio evalúa el rol de las prácticas de servicio comunitario donde la reflexión intencional acompaña el programa. Mediante un diseño cuali-cuantitativo, se revelan los efectos de las prácticas reflexivas sobre el desarrollo reflexivo de los alumnos y asimismo pone de manifiesto el impacto de es..

This papers intends to show that Aristotle's theory on the political nature of man implies a specific difference in relation to other animals and that this does not arise from his understanding of human beings as naturally vulnerable animals that would seek in political life an artifice to redress their insufficiency or individual vulnerability to live. The qualitative difference of human beings in relation to other animals - including political species, such as bees or ants - drives them to an (...) equally specific type of life, whose foundation obeys values that ca be universalized. The political application of these values does not correspond to what is done in the domestic sphere, nor does it correspond to the mere transposition to a quantitatively superior community, because the universality of political values is extracted from what is understood by human beings as necessary for the realization of man as man, not man as an element of nature. (shrink)

Se analizan algunas consecuencias del escepticismo humeano concernientes a laexistencia de un Yo substancial y permanente anterior a la experiencia y coordinadorde ella. Se presentan dos propuestas: la teoría de los agregadosautoorganizativos favorecida por Francisco Varela y la tesis de las ideascognoscentes de William James. Luego se examinan tres problemas que suscitanposturas a-yoicas del tipo James-Varela: el problema de la identidad, el de latemporalidad y el de la intencionalidad como propósito. Se plantean algunassoluciones y se sugiere que la consideración de (...) un paradigma a-yoico está todavíasujeta a una filosofía especulativa.We analyze some implications of Humean scepticism regarding the existence of apermanent and substantial Self that would precede and coordinate experience.Two proposals are presented: Francisco Varela’s theory of selforganizingaggregates and William James’ thesis about ideas that know. We then examinethree problems raised by “no-self” stances of the James-Varela kind, viz., theproblems of identity, of temporality and of intentionality . We sketchsome solutions and we suggest that the consideration of a “no-self” paradigm isstill a matter of speculative philosophy. (shrink)

This article reconsiders Sartre's seminal 1945 talk, “Existentialism is a Humanism,” and the stakes of the humanism debate in France by looking at the immediate political context that has been overlooked in previous discussions of the text. It analyses the political discussion of the term “humanism” during the French national elections of 1945 and the rumbling debate over Sartre's philosophy that culminated in his presentation to the Club Maintenant, just one week after France went to the polls. A consideration of (...) this context helps explain both the rise, and later the decline, of existentialism in France, when, in the changing political climate, humanism lost its centrality, setting the stage for new antihumanist criticisms of Sartre's work. (shrink)

In the middle decades of the twentieth century phenomenology grew from a local philosophy in a few German towns into a movement that spanned Europe. In Converts to the Real, Edward Baring uncovers an unexpected force behind this prodigious growth: Catholicism. Participating in a tightly-knit transnational community, Catholics helped shuttle ideas between national traditions that were otherwise inward-looking and parochial. In the first half of the twentieth century, they wrote many of the first articles and books introducing phenomenological ideas to (...) new contexts. They even organized the rescue of Edmund Husserl's manuscripts out of Nazi Germany in 1938. But the Catholic fascination with phenomenology was intermixed with a profound anxiety. Catholics worried that phenomenological ideas might prove dangerous to the faith, a possibility exemplified by the intellectual trajectory of Martin Heidegger, whose movement away from the Church was facilitated by his reading of Husserl. Converts to the Real uncovers a surprising genealogy for post-war European thought, with important implications for our understanding of the process of secularization and for the set of schools and ideas we now call "continental philosophy."--. (shrink)

The article intends to show that MacIntyre’s notion of friendship (which, according to him, would be a reappropriation of Aristotle’s notion of philia), while ignoring the political aspect explicitly emphasized by Aristotle, reduces the notion of friendship to its social or civic aspect, thereby weakening the political nature of man.

In this powerful new study Edward Baring sheds fresh light on Jacques Derrida, one of the most influential yet controversial intellectuals of the twentieth century. Reading Derrida from a historical perspective and drawing on new archival sources, The Young Derrida and French Philosophy shows how Derrida's thought arose in the closely contested space of post-war French intellectual life, developing in response to Sartrian existentialism, religious philosophy and the structuralism that found its base at the École Normale Supe;rieure. In a history (...) of the philosophical movements and academic institutions of post-war France, Baring paints a portrait of a community caught between humanism and anti-humanism, providing a radically new interpretation of the genesis of deconstruction and of one of the most vibrant intellectual moments of modern times. (shrink)

Citizen science projects have started to utilize Machine Learning to sort through large datasets generated in fields like astronomy, ecology and biodiversity, biology, and neuroimaging. Human–machine systems have been created to take advantage of the complementary strengths of humans and machines and have been optimized for efficiency and speed. We conducted qualitative content analysis on meta-summaries of documents reporting the results of 12 citizen science projects that used machine learning to optimize classification tasks. We examined the distribution of tasks between (...) citizen scientists, experts, and algorithms, and how epistemic agency was enacted in terms of whose knowledge shapes the distribution of tasks, who decides what knowledge is relevant to the classification, and who validates it. In our descriptive results, we found that experts, who include professional scientists and algorithm developers, are involved in every aspect of a project, from annotating or labelling data to giving data to algorithms to train them to make decisions from predictions. Experts also test and validate models to improve their accuracy by scoring their outputs when algorithms fail to make correct decisions. Experts are mostly the humans involved in a loop, but when algorithms encounter problems, citizens are also involved at several stages. In this paper, we present three main examples of citizens-in-the-loop: when algorithms provide incorrect suggestions; when algorithms fail to know how to perform classification; and when algorithms pose queries. We consider the implications of the emphasis on optimization on the ideal of science and the role of citizen scientists from a perspective informed by Science and Technology Studies and Information Systems. Based on our findings, we conclude that ML in CS classification projects, far from being deterministic in its nature and effects, may be open to question. There is no guarantee that these technologies can replace citizen scientists, nor any guarantee that they can provide citizens with opportunities for more interesting tasks. (shrink)

The economic crisis happening across the world over the last few years describes a range of interdependencies and interactions,and has highlighted the fundamentalf laws of neoclassical economic theory: its unedifying focus on prediction and, above all, its inability to explain how the economy really works. As such, it is increasingly recognised that economic phenomena cannot be exclusively investigated as being derived from deterministic, predictable and mechanistic dynamics. Instead, a new approach is required by which history-dependence, organic and ever-evolving processes are (...) also accounted for. As this view implies new challenges and opportunities for policy, we will focus our attention on innovative components of Complexity Theory for the study of economics and the evaluation of public policies. (shrink)

The paper analyses the place of the End in Mary Shelley’s 1826 science fiction novel The Last Man, in which the image of a world devoid of humanity, as portrayed by the last man writing the last book, is drawn before the reader through a conceptual rethinking of notions such as the loss of the world, prophecy of the future, and oblivion of the past, as well as the return of the irretrievable through the siren song.

The paper explores the contact between the literary notion of the end of the world as depicted in H.G. Wells’s science fiction novel _The Time Machine_ and the concept of extinction, in the sense developed by the French naturalist Georges Cuvier, who at the turn of the 19 th century formulated a thesis about the structure of the world with a built-in end. The time traveller in Wells’s novel is driven into the distant future by an obsessive desire to know (...) the fate of the world. He encounters it on the shores of an already dead sea, where he is greeted by the image of a dying world, unmoving in the dull red light of a never-setting sun. Cuvier, on the other hand, encounters the end of the world as a reader of traces of history as told by nature through its layering and piling up. Within these layers, Cuvier recognises moments of repetitive interruptions that have left behind not only whole species and genera, but also entire worlds in the great natural history. The key question, then, is the status of the end within the proposed mechanism of return and repetition. (shrink)

En este artículo se presenta el guión de una conferencia que Roberto Lehmann-Nitsche, pocos años después de radicarse en la Argentina, desarrolló en 1901 acerca del folklore mapuche. La intervención se realizó a solicitud de la Deutschen Frauen Verein, una asociación de mujeres alemanas con sede en la ciudad de Buenos Aires, y abordó aspectos teóricos sobre esta disciplina, entonces en expansión, desde la perspectiva germana. Además, realizó una catalogación de los materiales empíricos documentados por este antropólogo durante los primeros (...) años de su residencia en el país. El texto original, hasta el momento inédito, se entrega en su versión en alemán y en traducción al español. En la presentación se proporciona un análisis que permite reconocer cómo en esta intervención se integran apreciaciones que Lehmann-Nitsche también sostuvo en posteriores publicaciones científicas y de divulgación por él realizadas. Como se sabe, su producción en el campo del folklore comprendió dos vertientes: por un lado, el folklore criollo y por otro, el devenido de arte verbal y tradiciones de los pueblos indígenas preexistentes, en especial textos correspondientes a géneros narrativos y adivinanzas en las lenguas propias y en castellano. En relación con este último aspecto, se retoman aportes de autores filiados en la tradición germana a fin de indicar afinidades y vínculos, con algunos americanistas que eran sus contemporáneos. (shrink)

Reúne textos sobre a história e seu objeto, desde o século XVII até a contemporaneidade, compondo uma amostragem do que se tem trabalhado no âmbito da filosofia da história, mais expressivamente no Brasil.