Healthcare professionals such as nurses faced a tough time during the pandemic. Despite the personal and professional challenges, they contributed immensely during the pandemic. However, there were variations in nurses’ work engagement during the pandemic. One reason could be their personality, especially neuroticism. Neuroticism represents individuals’ proneness to distress in stressful situations, such as COVID-19. Hence, understanding how and in which conditions neuroticism influences work engagement is crucial. We used the Job Demand-Resource model to test the association between neuroticism and (...) work engagement. As neuroticism represents the stress-proneness of an individual, we further investigated if stress mediates the neuroticism-work engagement link. For the nurses, patient interaction is an integral part of their job. Based on the data collected from the nurses, we tested if contact with patients alleviates the adverse effect of neuroticism on work engagement. During COVID-19, there was an intense need for nursing support. Hence, avoiding duty when society is looking for support might induce a fear of stigmatization among the nurses. We examined if the perceived stigma of duty avoidance would affect the neuroticism-engagement relationship. Our results indicated that higher patient contact alleviated the adverse effect of neuroticism on work engagement. On the other hand, higher fear of stigma exacerbated the adverse effect of neuroticism on work engagement. We further checked the combined effect of beneficiary contact and fear of stigma on neuroticism-work engagement relationships. The findings highlighted the importance of societal factors and policymakers in enhancing nurses’ work engagement. (shrink)

This article presents an overview of the single-channel dereverberation methods suitable for distant speech recognition application. The dereverberation methods are mainly classified based on the domain of enhancement of speech signal captured by a distant microphone. Many single-channel speech enhancement methods focus on either denoising or dereverberating the distorted speech signal. There are very few methods that consider both noise and reverberation effects. Such methods are discussed under a multistage approach in this article. The article concludes with a hypothesis that (...) the methods that do not require an a priori reverberation impulse response is desirable in varying the environmental conditions for DSR applications such as intelligent home and office environments, humanoid robots, and automobiles rather than the methods that require an a priori reverberation impulse response. (shrink)

Neurotherapies for diagnostics and treatment—such as electroencephalography (EEG) neurofeedback, single-photon emission computerized tomography (SPECT) imaging for neuropsychiatric evaluation, and off-label/experimental uses of brain stimulation—are continuously being offered to the public outside mainstream healthcare settings. Because these neurotherapies share many key features of complementary and alternative medicine (CAM) techniques—and meet the definition of CAM as set out in Kaptchuk and Eisenberg—here we refer to them as “alternative neurotherapies.” By explicitly linking these alternative neurotherapy practices under a common conceptual framework, this paper (...) draws attention to, and critically considers, the cross-cutting ethical and legal issues related to the provision of these services. The first section of this paper provides an updated empirical overview of uses of SPECT neuropsychiatric evaluations, EEG neurofeedback, and experimental/off-label forms of brain stimulation. Next, drawing on CAM bioethics scholarship, we highlight the pertinent ethical issues in the alternative neurotherapy context, including the truthful representation of evidence base, marketing to vulnerable populations, potential harms, provider competency, and conflicts of interest. Finally, we consider the principal legal issues at stake for the provision of alternative neurotherapies in the U.S., namely those related to licensing and scope-of-practice considerations. We conclude with recommendations for future research in this domain. (shrink)

Transnational Feminist Itineraries demonstrates the key contributions of transnational feminist theory and practice to analyzing and contesting contemporary political and economic trends, including growing authoritarian nationalism and the extension of global corporate power.

The reluctant revolutionary -- The patent slave -- The golden Dane -- The quantum atom -- When Einstein met Bohr -- The prince of duality -- Spin doctors -- The quantum magician -- A late erotic outburst -- Uncertainty in Copenhagen -- Solvay 1927 -- Einstein forgets relativity -- Quantum reality -- For whom Bell's theorem tolls -- The quantum demon.

In one of his earliest dialogues, the Soliloquia, Augustine identifies the liberal arts (disciplinae) with truth (veritas), and employs this somewhat puzzling identification as a premise in his infamous proof of the immortality of the soul (Sol. 2.24). In this paper, I examine Augustine’s argument for this peculiar identification. Augustine maintains both (1) that the constituent propositions of the liberal arts are true, and (2) that the liberal art of dialectic (disciplina disputandi) is the “truth through which all disciplines are (...) true” (Sol. 2.21). I argue that Augustine identifies the liberal arts with truth because (1) the constituent propositions of the liberal arts are learned, and (2) dialectic’s structure is essential to the liberal arts. I further suggest that the subject matter of each liberal art reflects a distinct segment of intelligible reality, that is, the realm of the intelligible Forms. (shrink)

‘Sapiens and Sthitaprajna’ studies the concept of a wise person in the Stoic Seneca and in the Bhagavad-Gita. Although the Gita and Seneca’s writings were composed at least two centuries and a continent apart, they have much in common in recommending a well lived life. This book describes how in both - a wise person is endowed with both virtue and wisdom, is moral, makes right judgments and takes responsibility for actions. A wise and virtuous person always enjoys happiness, as (...) happiness consists in knowing that one has done the right thing at the right time. Both Seneca and the Gita demand intellectual rigor and wisdom for leading a virtuous and effective life. They provide guidelines for how to become and be wise. Both systems demand a sage to be emotionally sound and devoid of passions. This leads to mental peace and balance, and ultimately tranquility and happiness. While surveying these similarities, this study also finds differences in their ways of application of these ideas. The metaphysics of the Gita obliges the sage to practice meditation, while the Stoics require a sage to be a rational person committed to analyzing and intellectualizing any situation. This comparative study will be of interest to students of both Ancient Western and Ancient Indian Philosophy. Practitioners of Stoicism and followers of the Gita should find the presence of closely related ideas in a very different tradition of interest while perhaps finding somewhat different prescriptions a spur to action. (shrink)

Individuals with cerebral palsy (CP) have deficits in processing of somatosensory and proprioceptive information. To compensate for these deficits, they tend to rely on vision over proprioception in single plane upper and lower limb movements and in standing. It is not known whether this also applies to walking, an activity where the threat to balance is higher. Through this study, we used visual perturbations to understand how individuals with and without CP integrate visual input for walking balance control. Additionally, we (...) probed the balance mechanisms driving the responses to the visual perturbations. More specifically, we investigated differences in the use of ankle roll response i.e., the use of ankle inversion, and the foot placement response, i.e., stepping in the direction of perceived fall. Thirty-four participants (17 CP, 17 age-and sex-matched typically developing controls or TD) were recruited. Participants walked on a self-paced treadmill in a virtual reality environment. Intermittently, the virtual scene was rotated in the frontal plane to induce the sensation of a sideways fall. Our results showed that compared to their TD peers, the overall body sway in response to the visual perturbations was magnified and delayed in CP group, implying that they were more affected by changes in visual cues and relied more so on visual information for walking balance control. Also, the CP group showed a lack of ankle response, through a significantly reduced ankle inversion on the affected side compared to the TD group. The CP group showed a higher foot placement response compared to the TD group immediately following the visual perturbations. Thus, individuals with CP showed a dominant proximal foot placement strategy and diminished ankle roll response, suggestive of a reliance on proximal over distal control of walking balance in individuals with CP. (shrink)

This article reviews recent arguments in contemporary political philosophy on victims' duties to resist their oppression. It begins by presenting two approaches to these duties. First, that victims' duties are self‐regarding duties that victims owe to their self‐respect or to their well‐being, and second, that victims' duties are other‐regarding duties that arise from victims' duties of justice or of assistance. The second part elaborates on what resistance consists in. The article then considers and responds to two prominent objections to arguments (...) for victims' duties: that they are too demanding, and that they are unfair and exploitative. It concludes by gesturing towards future areas of engagement, in particular, theorising the agents and mechanisms of oppression, and more explicitly engaging with methodological debates about non‐ideal theory. (shrink)

In his article, “What Should ChatGPT Mean for Bioethics?” Cohen (2023) highlights novel bioethical issues raised by the emergence of ChatGPT and generative AI more broadly. Among the thought-provok...

Victims of injustice are prominent protagonists in efforts to resist injustice. I argue that they have a duty to do so. Extant accounts of victims’ duties primarily cast these duties as self-regarding duties or duties based on collective identities and commitments. I provide an account of victims’ duties to resist injustice that is grounded in the duty to assist. I argue that victims are epistemically privileged with respect to injustice and are therefore uniquely positioned to assist fellow victims. Primarily, they (...) discharge this duty through testimony: victims alert other actors to the need for assistance and initiate and coordinate resistance efforts. I briefly provide an account of oppression that ranges from persecution to structural injustice. Through the examples of torture and ‘manterrupting’, I illustrate the duty and its limits. I outline shortcomings in victims’ epistemic privilege and explore means by which these can be overcome. I respond to objections from demandingness and fairness, arguing that victims have an essential, albeit circumscribed, role to play in defeating injustice. (shrink)

Thoughts Of The Inner World By Yogi Ashwini The Book Explains The Concepts Behind The Science Of Yoga, The Depths To Which One Could Dive In The Inner World And Several Byproducts Of Practice Called As Siddhis In Ancient Literature Are Narrated In A Style Which A Lay Person Could Follow. Yet, There Is Note Of Caution. That The Guru'S Role Is Indispensable For Undertaking The Path. The Book Is An Eye Opener To All The Seekers Who Are Earnest (...) About The Goal. It Answers Many Questions Running In People'S Minds. For Instance Karma. It Is Synonym For Action. But "Action Doesn't Necessarily Stand For An Act In The Physical; It Can Be A Thought Also.". (shrink)

Reasons and Recognition brings together fourteen new papers on an array of topics from the many areas to which Scanlon has made path-breaking contributions, ...

Victims of oppression often disagree amongst themselves on how best to respond to their oppression. Often, these disagreements are cast as disagreements about what strategies of resistance would be most effective. In this article, I argue that victims have a wider repertoire of responses to their oppression which reflect the different underlying reasons they have to respond. I outline three distinct reasons for action—self-respect, assistance, and justice—and the respective responses to oppression—rejection, assistance, and resistance—that these reasons call for. I then (...) provide some general comments on how these distinct reasons and responses relate to one another. Appreciating a wider repertoire of reasons and responses can illuminate the nature of disagreement amongst victims, points to the unavoidability of conflict, and provides for a more nuanced understanding of resistance and its alternatives—an understanding that can aid in better responding to injustice. (shrink)

This paper offers a new unified theory about the meaning of the imperfective and progressive aspects that builds on earlier of analyses in the literature that treat the imperfective as denoting a universal quantifier (e.g. Bonomi, Linguist Philos, 20(5):469–514, 1997; Cipria and Roberts, Nat Lang Semant 8(4):297–347, 2000). It is shown that the problems associated with such an analysis can be overcome if the domain of the universal quantifier is taken to be a partition of a future extending interval into (...) equimeasured cells. Treating the partition-measure (the length of each partition-cell) as a contextually dependent variable allows for a unified treatment of the habitual and event-in-progress readings of the imperfective. It is argued that the contrast between the imperfective and the progressive has to do with whether the quantifier domain is a regular partition of the reference interval or a superinterval of the reference interval. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Feminist Studies 44, no. 1. © 2018 by Feminist Studies, Inc. 197 Ashwini Tambe Reckoning with the Silences of #MeToo The past six months have been an important time for US feminism. For women’s studies professors, it’s been heartening to find the world outside our classrooms taking up conversations about sex and power that we’ve been having for decades. In this piece, I will reflect on three questions: (...) What is going on? Why is it happening now? And what forms of feminism have been overlooked in the coverage of the #MeToo movement? I spend the longest time on the third question, because I’m concerned about how #MeToo has advanced a version of public feminism that is, in some ways, out of step with currents in academic feminism. What’s going on? Although feminists have long championed public speak-outs for survivors of sexual violence—whether in Take Back the Night open mics since the 1980s or the workshops also called “MeToo” that Tarana Burke started in Alabama in 2007—the viral force of the hashtag #MeToo in mid-October 2017 took most people by surprise. Within the first twenty-four hours, it had been retweeted half a million times. According to Facebook, nearly 50 percent of US users are friends with someone who posted a message about experiences of assault or harassment. #MeToo was by no means just a US phenomenon: Facebook and Twitter feeds in various parts of the world, notably Sweden, India, and Japan, were rocked for days by this hashtag. Then came the slew of powerful cis-men, largely in the US 198 News and Views media and entertainment industries, who were forced to swiftly resign after allegations of sexual misconduct. This toppling continues and has expanded beyond the media to other industries where reputations matter: politics, music, architecture, and, somewhat belatedly, higher education. In an important way, the ground beneath us has shifted. #MeToo has tilted public sympathy in favor of survivors by changing the default response to belief, rather than suspicion; the hashtag has revealed how widespread sexual coercion is. Why Now? We need to theorize, on a cultural scale, why this movement against sexual harassment and violence in the United States has happened now rather than, say, three years ago, when Bill Cosby was accused by multiple women, or after Roger Ailes, CEO of Fox News, was deposed. #MeToo’s impact may seem sudden, but it is a part of a groundswell in women’s activism since the November 2016 elections. The Women’s March was the largest globally coordinated public gathering in history. The 3-million strong Facebook group Pantsuit Nation saw hundreds of thousands of posts about experiences of misogyny. Unprecedented numbers of women are running for US political office this year. The signature affective note running through this political moment is a fierce rage about the election of Donald Trump. Trump’s impunity, I suggest, serves as a trigger provoking the fury at the heart of #MeToo. There are many reasons to find fault with Trump, but it is distinctly galling that he faced no consequences after acknowledging being a sexual predator. For victims of sexual trauma, it is already painful to watch perpetrators roam free because of how high the burdens of proof are in legal cases. When a person such as Trump is grandly affirmed by an election, it retraumatizes victims. Right after the election, therapists and counseling centers were flooded with patients seeking help with processing past events. The ballast provided by women’s feverish organizing and the instant power of social media has facilitated a collective emboldening. Trump has made the comeuppance of all powerful men feel more urgent. But from the inception of #MeToo, I have also watched its racial and class politics with some wariness: whose pain was being centered, I wondered? A colleague recently asked aloud: is #MeToo a white women’s movement? Another wondered, is this a moral panic? These questions News and Views 199 underline the importance of feminist insights that are overlooked in dominant coverage of the movement. What’s Left Out? Critical race feminism offers important insights when exploring the question of whether this is a white... (shrink)

In this article I explore how, in the League of Nations’ emerging anti-trafficking regime of the 1920s and 1930s, one category of race science — climate — played a prominent role in positing natural hierarchies between nations. My purpose is twofold: (1) to explain the currency of climate at this moment and to examine the trajectory of climate as an explanatory device in the intellectual history of ‘race’; and (2) to reflect on the biopolitical implications of explanations rooted in climate. (...) The article begins with a description of how League of Nations delegates used climate as shorthand to refer to differences between the sexual mores of various nations. I then reflect more broadly on the emergence, submergence, and reemergence of climate in the history of race science, and its effects in practical settings. I move to a discussion of the significance of the age of consent as a category, and analyse the League of Nations-sponsored efforts to track ages of consent across countries as a biopolitical project. My overarching argument is that references to climate performed important ideological work in naturalizing hierarchical relations between nations. In arenas where diplomats sought to arrive at a consensus, such references rendered them more palatable and less disputable. (shrink)

Much previous work has suggested that word order preferences across languages can be explained by the dependency distance minimization constraint (Ferrer‐i Cancho, 2008, 2015; Hawkins, 1994). Consistent with this claim, corpus studies have shown that the average distance between a head (e.g., verb) and its dependent (e.g., noun) tends to be short cross‐linguistically (Ferrer‐i Cancho, 2014; Futrell, Mahowald, & Gibson, 2015; Liu, Xu, & Liang, 2017). This implies that on average languages avoid inefficient or complex structures for simpler structures. But (...) a number of studies in psycholinguistics (Konieczny, 2000; Levy & Keller, 2013; Vasishth, Suckow, Lewis, & Kern, 2010) show that the comprehension system can adapt to the typological properties of a language, for example, verb‐final order, leading to more complex structures, for example, having longer linear distance between a head and its dependent. In this paper, we conduct a corpus study for a group of 38 languages, which were either Subject–Verb–Object (SVO) or Subject–Object–Verb (SOV), in order to investigate the role of word order typology in determining syntactic complexity. We present results aggregated across all dependency types, as well as for specific verbal (objects, indirect objects, and adjuncts) and nonverbal (nominal, adjectival, and adverbial) dependencies. The results suggest that dependency distance in a language is determined by the default word order of a language, and crucially, the direction of a dependency (whether the head precedes the dependent or follows it; e.g., whether the noun precedes the verb or follows it). Particularly we show that in SOV languages (e.g., Hindi, Korean) as well as SVO languages (e.g., English, Spanish), longer linear distance (measured as number of words) between head and dependent arises in structures when they mirror the default word order of the language. In addition to showing results on linear distance, we also investigate the influence of word order typology on hierarchical distance (HD; measured as number of heads between head and dependent). The results for HD are similar to that of linear distance. At the same time, in comparison to linear distance, the influence of adaptability on HD seems less strong. In particular, the results show that most languages tend to avoid greater structural depth. Together, these results show evidence for “limited adaptability” to the default word order preferences in a language. Our results support a large body of work in the processing literature that highlights the importance of linguistic exposure and its interaction with working memory constraints in determining sentence complexity. Our results also point to the possible role of other factors such as the morphological richness of a language and a multifactor account of sentence complexity remains a promising area for future investigation. (shrink)

European prostitutes occupied an important intermediary status in colonial Bombay’s racially stratified sexual order. In this article, the author offers a transnational feminist analysis of how the colonial state managed its racial and spatial location. The colonial state individuated, fostered, and monitored European prostitutes much more closely than others involved in the sex trade, and “coercive protection” by the police and brothel mistresses kept European brothel workers within their assigned spaces. Paradoxically, international antitrafficking efforts in colonial Bombay consolidated, rather than (...) undermined, these relations of coercive protection. The League of Nations’ antitrafficking measures in the 1920s encouraged the police to focus on cross-nationalcases andthird-partyprocurers andto overlook women who were deemed insufficiently pure. Comparing police, missionary, and social workers’ records, the author offers a critique of both international antitrafficking discourses and the Indian colonial state’s interests in sustaining the sex trade. (shrink)

This study examines Indian teachers’ perceptions of corporal punishment, the reasons why CP still persists despite a ban, and the ways in which CP controversy reflects on social climate of the schools. Drawing from literature on custodial views of pupil control and systems theories, this qualitative study primarily uses observations and interviews to examine teachers’ perceptions related to use of CP in Delhi, India. Based on the data analysis this study concludes that alternatives to CP and successful implementation of the (...) CP ban depend on compatibility between local and national sociocultural norms, teachers’ attitudes and beliefs towards the policies’ objectives, and the availability of resources. This study helps with understanding educator’s perception of corporal punishment as a disciplinary tool to spur meaningful action and change in the society. Additionally, this study creates a context for the policy-makers to develop equitable policies capable of helping teachers effectively to de... (shrink)

A Duty to Resist: When Disobedience Should be Uncivil, by DelmasCandice. New York: Oxford University Press, 2018. Pp vii + 295.

In Citizenship in a Globalised World, Christine Hobden argues for a conception of citizenship that is state-based but globally oriented. She urges citizens of democracies to take seriously their me...

I argue that ascribing duties to the poor better realizes Deveaux’s methodological and normative commitments; address some of the concerns such ascription raises; and indicate how Deveaux’s rich description of collective and individual agency-building can contribute to theorizing moral agency in non-ideal circumstances more generally.

Using the tools of normative political theory, this book explores the political relationship between exiles and the communities from which they have fled. It makes two central claims. First, exiles have rights and responsibilities in their homelands and are morally required and permitted to play particular roles in the homeland. Second, in playing these roles, exile politics can perform two corrective functions: it can repair defective political institutions at home and it can compensate for institutional shortcomings in the global domain. (...) In short, exiles engage in a ‘politics from below’ and ‘away’ that produces alternative sites of power and can mitigate the several failings of an international system of states in an unequal world. This normative exploration of exile politics has a few implications. It counters an overwhelming focus, in both political philosophy and public discourse, on the consequences of forced migration for receiving societies—a focus that often treats exiles as passive actors. Recognizing the political agency of exiles reveals another side of the migration story, and allows for a more fulsome exploration of what political obligation and membership mean in an increasingly transnational world. Identifying exiles as important domestic and transnational actors also points to the ways third parties ought to enable the different roles exiles play in their communities of origin and in the international domain. And recognizing exile agency highlights the shortcomings of an international system of refugee protection that focuses on exiles’ humanitarian needs but denies them their political rights and agency. (shrink)

Exiles have long been transformative actors in their homelands: they foment revolution, sustain dissent, and work to create renewed political institutions and identities back home. Ongoing waves of migration ensure that they will continue to play these vital roles. Rather than focus on what exiles mean for the countries they enter--a perspective that often treats them as passive victims--The Ethics of Exile recognises their political and moral agency, and explores their rich and vital relationship to the communities they have left. (...) It offers a rare view of the other side of the migration story. -/- Engaging with a series of case studies, this book identifies the responsibilities and rights exiles have and the important roles they play in homeland politics. It argues that exile politics performs two functions: it can correct defective political institutions back home, and it can counter asymmetries of voice and power abroad. In short, exiles can act both as a linchpin and a buffer between political communities in crisis and the international actors who seek to, variously, aid and exploit them. When we think about the duties we owe to those forced to leave their homes, we should consider how to enable rather than thwart these roles. (shrink)

It is an old philosophical idea that if the future self is literally different from the current self, one should be less concerned with the death of the future self. This paper examines the relation between attitudes about death and the self among Hindus, Westerners, and three Buddhist populations. Compared with other groups, monastic Tibetans gave particularly strong denials of the continuity of self, across several measures. We predicted that the denial of self would be associated with a lower fear (...) of death and greater generosity toward others. To our surprise, we found the opposite. Monastic Tibetan Buddhists showed significantly greater fear of death than any other group. The monastics were also less generous than any other group about the prospect of giving up a slightly longer life in order to extend the life of another. (shrink)

Operational and financial sustainability have, over time, remained as issues in the microfinance industry. The microfinance industry is struggling to gain self-sufficiency in Pakistan due to non-performing loans and operating costs. Simultaneously, deliberation on corporate social responsibility is also considered in academic literature and organizational practices. However, studies on CSR and financial performance in the microfinance sector are scarce, especially in Pakistan. CSR will develop customer attraction and loyalty, employee attraction, motivation and commitment, MFIs' reputation and access to capital, and (...) eventually build financial performance. Interviews were conducted with branch managers of microfinance institutions to test previous questionnaires. A self-administered survey was conducted to collect data from the managers of the microfinance banks operating in Punjab. Descriptive and inferential statistics were performed to answer research questions using Smart PLS. Most of the microfinance institutions believe in social responsibilities but lacks fund allocation and approval from higher management, and results are in line with prior studies. These empirical findings lead to the perception that CSR is not a barrier performance in microfinance banks as they have access to capital. The results indicated a strong positive correlation between CSR and the financial performance of the MFIs. CSR also positively correlates with customer retention, employees' motivation and attraction, and business reputation. CSR was associated with access to capital but was found to be weak. The research also narrated the limitation and practical implications of the study. The study also discusses further research directions. (shrink)

What did science make possible for colonial rule? How was science in turn marked by the knowledge and practices of those under colonial rule? Here I approach these questions via the social history of Madras Observatory. Constructed in 1791 by the East India Company, the observatory was to provide local time to mariners and served as a clearinghouse for the company’s survey and revenue administration. The astronomical work of Madras’ Brahmin assistants relied upon their knowledge of jyotiśāstra [Sanskrit astronomy/astrology], and (...) can be seen as a specialized form of the kind of South Indian scribal labor and knowledge that also staffed the company’s tax offices. If at Greenwich the division of labor meant observatory work bore resemblances to the factory and the accounts office, in Madras, astronomy and accounting drew on similar labor forms because they were part of the same enterprise. But the company did not just adapt preexisting forms of labor, it also attempted to produce its own at a school built near the observatory to train “half-caste” orphans as apprentice surveyors and assistant computers. The school, staffed by the Brahmins, drew upon knowledge and pedagogical practice associated with the tinnai, the schools in which upper-caste children learned to read, write, and calculate. For a time, the observatory’s social order was literally “half-caste.” The paper also considers how the relationship between caste, status, and instrument was reflected in the visual and material culture of the observatory, such as in Indian-language inscriptions on its central pillar. For company astronomers, the measurement of time meant reworking the relationships among the Indian past, the colonial present, and an imperial posterity. Science under colonial rule spanned multiple temporal and social registers because it was the result of negotiations between the demands of political economy and the knowledge and practices of colonized others. (shrink)

These essays, by widely respected scholars in fields ranging from social and political theory to historical sociology and cultural studies, illuminate the significance of the public/private distinction for an increasingly wide range of ...

An important part of the Unified Medical Language System (UMLS) is its Semantic Network, consisting of 134 Semantic Types connected to each other by edges formed by one or more of 54 distinct Relation Types. This Network is however for many purposes overcomplex, and various groups have thus made attempts at simplification. Here we take this work further by simplifying the relations which involve the three Semantic Types – Diagnostic Procedure, Laboratory Procedure and Therapeutic or Preventive Procedure. We define operators (...) which can be used to generate terms instantiating types from this selected set when applied to terms designating certain other Semantic Types, including almost all the terms specifying clinical tasks. Usage of such operators thus provides a useful and economical way of specifying clinical tasks. The operators allow us to define a mapping between those types within the UMLS which do not represent clinical tasks and those which do. This mapping then provides a basis for an ontology of clinical tasks that can be used in the formulation of computer-interpretable clinical guideline models. (shrink)