BackgroundPeople with upper extremity amputations report receiving insufficient information about treatment options. Furthermore, patients commonly report not knowing what questions to ask providers. A question prompt sheet, or list of questions, can support patient-centered care by empowering patients to ask questions important to them, promoting patient-provider communication, and increasing patient knowledge. This study assessed information needs among people with UE amputations about UE vascularized composite allotransplantation and developed a UE VCA-QPS.MethodsThis multi-site, cross-sectional, mixed-methods study involved in-depth and semi-structured interviews with (...) people with UE amputations to assess information needs and develop a UE VCA-QPS. Qualitative data were analyzed by thematic analysis; quantitative data were analyzed by descriptive statistics. The initial UE VCA-QPS included 130 items across 18 topics.ResultsEighty-nine people with UE amputations participated. Most were male, had a mean age of 46 years, and had a unilateral and below-elbow amputation. Participants desired information about UE VCA eligibility, evaluation process, surgery, risks, rehabilitation, and functional outcomes. After refinement, the final UE VCA-QPS included 35 items, across 9 topics. All items were written at a ≤ 6th grade reading level. Most semi-structured interview participants reported being ‘completely’ or ‘very’ likely to use a UE VCA-QPS.ConclusionPeople with UE amputations have extensive information needs about UE VCA. The UE VCA-QPS aims to address patients’ information needs and foster patient-centered care. Future research should assess whether the UE VCA-QPS facilitates patient-provider discussion and informed decision-making for UE VCA. (shrink)

Morality can help guide behavior and facilitate relationships. Although moral judgments by autistic people are similar to neurotypical individuals, many researchers argue that subtle differences signify deficits in autistic individuals. Moral foundation theory describes moral judgments in terms of differences rather than deficits. The current research, aimed at assessing autistic individuals’ moral inclinations using Haidt’s framework, was co-designed with autistic community members. Our aim was to describe autistic moral thinking from a strengths-based perspective while acknowledging differences that may pose interpersonal (...) challenges among autistic youth. We assessed 25 autistic and 23 neurotypical children’s moral judgments using the Moral Foundations Questionnaire for Kids. We used semi-structured interviews and qualitative analysis with a subset of participants to describe children’s moral reasoning. Analyses suggested that autistic and neurotypical children make similar judgments about moral transgressions across all five moral foundations. General linear mixed modeling showed that the greatest predictor of recommending punishment was how bad children deemed moral transgressions to be. We also found a trend that autistic children were more likely to recommend punishment for harmless norms violations than were neurotypical children. Future research could use longitudinal methods to understand the development of moral judgments among autistic and neurotypical children. (shrink)

© 2015, Springer-Verlag Berlin Heidelberg.Genetic studies have identified single nucleotide polymorphisms associated with the risk of prostate cancer. It remains unclear whether such genetic variants are associated with disease aggressiveness. The NCI-SPORE Genetics Working Group retrospectively collected clinicopathologic information and genotype data for 36 SNPs which at the time had been validated to be associated with PC risk from 25,674 cases with PC. Cases were grouped according to race, Gleason score and aggressiveness. Statistical analyses were used to compare the frequency (...) of the SNPs between different disease cohorts. After adjusting for multiple testing, only PC-risk SNP rs2735839 was significantly and inversely associated with aggressive and high-grade disease in European men. Similar associations with aggressive and high-grade disease were documented in African-American subjects. The G allele of rs2735839 was associated with disease aggressiveness even at low PSA levels in both European and African-American men. Our results provide further support that a PC-risk SNP rs2735839 near the KLK3 gene on chromosome 19q13 may be associated with aggressive and high-grade PC. Future prospectively designed, case-case GWAS are needed to identify additional SNPs associated with PC aggressiveness. (shrink)

This paper explores Simone de Beauvoir’s response to G. W. F. Hegel’s formulation of freedom. In The Phenomenology of Spirit, Hegel describes freedom as a twofold, negative movement of dissolution and construction. Beauvoir takes up this distinction in terms of revolution and creative transformation, additionally describing two empty articulations of freedom found in “complaint” and “resignation.” In complaint, the existent is unable to transform the situation in a positive sense and simply reacts against it; in resignation, the existent merely submits (...) to the given. Through this analysis, Beauvoir moves beyond Hegelian optimism by naming modalities of ineffectual freedom requiring attention before the realization of social transformation and revolution. (shrink)

Using psychosocial acceleration theory, this multimethod, multi-reporter study examines how early adversity adaptively shapes the development of a self-regulation construct: effortful control. Investigation of links between early life harshness and unpredictability and the development of effortful control could facilitate a nuanced understanding of early environmental effects on cognitive and social development. Using the Building Strong Families national longitudinal data set, aspects of early environmental harshness and early environmental unpredictability were tested as unique predictors of effortful control at age 3 using (...) multiple regression. Early harshness variables were financial harshness, mothers’ and fathers’ observed parenting, mothers’ and fathers’ reported use of harsh discipline, and harsh neighborhood conditions. Early unpredictability was measured by number of paternal transitions. Cues of harshness, specifically observed unresponsive parenting, observed harsh parenting, and neighborhood harshness, did significantly negatively predict effortful control. Paternal transitions also significantly predicted effortful control, but in the opposite (i.e., positive) direction. The results corroborate previous research linking quality of parenting to the development of children’s effortful control and place it within an evolutionary-developmental theoretical framework. Further, the results suggest that neighborhood harshness may also direct developmental trajectories of effortful control in young children, though the mechanisms through which this occurs are still unclear. This is the first study to explicitly investigate effortful control development in early childhood within the harshness and unpredictability framework. (shrink)

Taking an interdisciplinary approach, this book traces the development of entropic themes, capturing phenomena ranging from chaos, disorder, homogenization, slackening, disspation, and ultimately death.

Much maligned for deeply problematic language describing female physiology and its peculiar use of "data," Simone de Beauvoir's chapter on biology from The Second Sex appears to be an unusual entry point into the question of woman as Other. In "Biological Data," Beauvoir traces a relationship between the female animal and the species that becomes more alarming as she moves from unicellular organisms to complex mammalian life. By the time she reaches human beings, we are bombarded with passages emphasizing woman's (...) "enslavement" to the species, the tyranny of her hormonal and reproductive life, and the impeding effects of physical limitations. Such claims lead commentators to accuse Beauvoir, for example, of adopting... (shrink)

In 1947, Simone de Beauvoir traveled to the United States for a four-month stay, during which she toured the country extensively. Her copious notes taken during this time eventually became the travelogue, America Day by Day as well as a piece written for the May 25, 1947 edition of the New York Times Magazine, “An Existentialist Looks at Americans.” In both of these writings, Beauvoir offers an astute criticism of American culture from a foreign perspective. This paper explores Beauvoir’s treatment (...) of American abstraction and race with three goals in mind: first, to understand the American relationship to time and money as abstractions. Ignoring the past and projecting an idealistic future, leads to a strange kind of fatalism and lack of passion that profoundly impacts White and Black Americans but in distinctively different ways. The second part of the paper explores these differences through an analysis of how White Americans attempt to live with “good” consciences through the positing of and attachment to abstract values and things. This attitude, in turn, produces a largely instrumental and racist treatment of many populations, in particular, Black Americans. The final section focuses on how Beauvoir confronts the fact of her own whiteness, and in so doing undergoes the movement of race as an abstract theoretical category to one of lived embodiment. (shrink)

Introduction and translation of “The Four Phases of Philosophy” by Franz Brentano.

My dissertation is a genealogical examination of the question of history and historical experience in post-Enlightenment thinking. I examine Kant, Hegel and Foucault to determine both how the Kantian-Hegelian tradition has framed the question of history for us and whether, through the genealogical method of Foucault, philosophical thinking can step outside of that structure. My central argument is against the objectification of history that is performed in Kant and then carried to its fruition in the work of Hegel. I turn (...) to the genealogical method, as developed by Foucault out of the work of Nietzsche, for the possibilities of breaking from this post-Enlightenment Reason and its claims of transcendence to historical experience. ;The social, political and ethical ramifications of these developments frame my dissertation. An examination of post-Enlightenment thinking about history necessarily leads to the questions of historicism, relativism and essentialism in post-Enlightenment ethics. I argue that the genealogical method of Foucault opens a way of thinking about historicism that does not reduce it to the ethical chaos of a pure subjectivism or a solipsistic relativism. This kind of swift dismissal of historicism derives from a post-Kantian objectification of history that places historical phenomena in strict opposition to the "universal and necessary" bases of ethical practices. The genealogical method opens the possibility of escaping these reductions: it enacts a different kind of thinking through its engagement with plural, historical discourses. Showing different performances of reason, many of which do not operate through universal, necessary or formal criteria, genealogical thinking opens the possibility of thinking differently about human reason and its ethical enactments in the world. Both the ethical and epistemic implications of this kind of opening can then lead to ways of re-thinking problems currently facing the work of feminists and social-political philosophers. (shrink)

The deeply imaginative structure of Dungeons Dragons (DD) can allow for players to explore the intricacies of gender and sexuality in creative and potentially radical ways. One would be hard pressed to argue that cartoonishly large breasts and skin‐tight leather skirts really allow for dexterous swordplay or quick getaways. DD liberates us from the limitations of our sex by making male and female characters equal in terms of abilities. The shyest of men can be the most outspoken of wizards, the (...) most honest girl can play the most unscrupulous rogue, and the pacifist woman can don full armor and fly into a berserker rage on a group of bugbears ambushing her adventuring party because, after all, bugbears are her species enemy and she just can't help herself when they are around. (shrink)

In the last 150 years, the ambiguous and enigmatic 81 chapters of the Tao Te Ching have been translated, interpreted and adapted into the English language more than 100 times. The Tao and its subtle philosophy is currently being actively assimilated into mainstream western culture as evidenced by the popularity and volume of Taoist works. The purpose of this study was to analyse this phenomenon. First, a database of English translations of the Tao Te Ching was established. This database documents (...) the vast number of Tao Te Ching translations in print from 1868 to the present. Second, specific chapters of selected English translations of the Tao Te Ching were compared using holistic and content analysis. The holistic methods focused on the overall semantic connotation of the selected chapters. The specific (linguistic) analysis methods entailed the use of a computerised content analysis program (hyperRESEARCH for Macintosh). Through these inquiries, a specific understanding of the cross-cultural relationship between East and West was investigated. (shrink)

Hintergrund: Biomedizinische Ontologien existieren unter anderem zur Integration von klinischen und experimentellen Daten. Um dies zu erreichen ist es erforderlich, dass die fraglichen Ontologien von einer großen Zahl von Benutzern zur Annotation von Daten verwendet werden. Wie können Ontologien das erforderliche Maß an Benutzerfreundlichkeit, Zuverlässigkeit, Kosteneffektivität und Domänenabdeckung erreichen, um weitreichende Akzeptanz herbeizuführen? -/- Material und Methoden: Wir konzentrieren uns auf zwei unterschiedliche Strategien, die zurzeit hierbei verfolgt werden. Eine davon wird von SNOMED CT im Bereich der Medizin vertreten, die (...) andere im Bereich der Biologie und Biomedizin von der OBO Foundry. Es soll aufgezeigt werden, wie die Verpflichtung zu speziellen Kriterien der Ontologieentwicklung die Nützlichkeit und Effektivität der Ontologien positiv beeinflusst, indem die Pflege der terminologischen Systeme und ihre Interoperabilität vereinfacht werden. -/- Ergebnisse: SNOMED CT und die OBO Foundry unterscheiden sich grundlegend in ihren Ansätzen und Zielen. Unabhängig davon kann jedoch ein allgemeiner Trend zur strengeren Formalisierung und Fokussierung auf Interoperabilität zwischen unterschiedlichen Domänen und ihren Repräsentationen beobachtet werden. (shrink)

For Beauvoir, literature provides unique access into the concrete life out of which philosophical reflection is born. Nowhere are the complications of ambiguous ethical choice more sensitively portrayed in her writings than in her fictional characters – particularly her women – as they navigate their way through webs of deceit, patriarchal control, manipulation, authenticity, desire, and passion in an attempt to ground their identities in a kind of absolute meaning. This chapter explores the theme of failed feminine identity‐formation in three (...) characters from Beauvoir's literary corpus: Françoise from She Came to Stay, Régine from All Men Are Mortal, and Monique from the short story, “The Woman Destroyed.” All three characters touch on themes surrounding the desire for and ultimate failure to obtain fixed meaning and an absolute identity. (shrink)

The ongoing debate over the appropriateness of embracing multiple research traditions in nursing is discussed, and the impacts of that debate on the development of nursing knowledge and the nature and structure of the discipline are explored. It is asserted that this previously healthy debate has become stalled between extreme positions of unbounded pluralism and critical exclusivism. The author suggests that one possible solution may lie in connecting the elements of human living, human healing, and human wholeness in an evolving (...) narrative that crosses paradigmatic and theoretic boundaries, and reflects the unique meanings revealed in nursing practice and scholarship. (shrink)

_Essays on Beauvoir’s influences, contemporary engagements, and legacy in the philosophical tradition._.

This paper explores a dimension of the contemporary western understanding of nature as it has been shaped by the thought of Hegel. Emblematic of a tradition that struggles to think nature on its own terms but which, more often than not, formulates it as the ground upon which human progress is built, Hegel’s philosophy sacrifices nature to spiritual progress. Orienting this study through Dennis J. Schmidt’s work on death and sacrifice in the dialectic, I trace Hegel’s formulation of the natural (...) to show how the denigration of nature plays into a larger pattern evident in the western tradition, one that that positions the natural as somehow “outside” the political and spiritual, thereby subjecting it to mischaracterization and misuse. I conclude with a call for a post-sacrificial understanding of the natural world in an effort to help challenge the destructive force inherited by this tradition. (shrink)

Background Despite decades of anti-racism and equity, diversity, and inclusion (EDI) interventions in academic medicine, medical racism continues to harm patients and healthcare providers. We sought to deeply explore experiences and beliefs about medical racism among academic clinicians to understand the drivers of persistent medical racism and to inform intervention design. Methods We interviewed academically-affiliated clinicians with any racial identity from the Departments of Family Medicine, Cardiac Sciences, Emergency Medicine, and Medicine to understand their experiences and perceptions of medical racism. (...) We performed thematic content analysis of semi-structured interview data to understand the barriers and facilitators of ongoing medical racism. Based on participant narratives, we developed a logic framework that demonstrates the necessary steps in the process of addressing racism using if/then logic. This framework was then applied to all narratives and the barriers to addressing medical racism were aligned with each step in the logic framework. Proposed interventions, as suggested by participants or study team members and/or identified in the literature, were matched to these identified barriers to addressing racism. Results Participant narratives of their experiences of medical racism demonstrated multiple barriers to addressing racism, such as a perceived lack of empathy from white colleagues. Few potential facilitators to addressing racism were also identified, including shared language to understand racism. The logic framework suggested that addressing racism requires individuals to understand, recognize, name, and confront medical racism. Conclusions Organizations can use this logic framework to understand their local context and select targeted anti-racism or EDI interventions. Theory-informed approaches to medical racism may be more effective than interventions that do not address local barriers or facilitators for persistent medical racism. (shrink)

The fact that many modal operators are part of an adjunction is probably folklore since the discovery of adjunctions. On the other hand, the natural idea of a minimal propositional calculus extended with a pair of adjoint operators seems to have been formulated only very recently. This recent research, mainly motivated by applications in computer science, concentrates on technical issues related to the calculi and not on the significance of adjunctions in modal logic. It then seems a worthy enterprise (both (...) for these contemporary topical pursuits and also for historical interest) to trace the concept of adjunction back to the origins of the algebraic semantics of modal logic and to make explicit its ubiquity in this branch of mathematics. (shrink)

Plagiarism is a prevalent form of academic dishonesty in the undergraduate instructional context. Although students engage in plagiarism with some frequency, instructors often do little to help students understand the significance of plagiarism or to create assignments that reduce its likelihood. This study reports survey, coding, and TurnItIn software results from an evaluation of an instructional activity designed to help students improve their understanding of plagiarism, the consequences of plagiarizing, strategies to help them engage in ethical writing, and key citation (...) elements. Results indicate students had a greater understanding of plagiarism, increased efficacy, and fewer instances of plagiarism as determined by TurnItIn plagiarism software after exposure to an instructional activity on plagiarism. Not surprisingly, when instructors prioritize academic honesty in their classrooms, train students on how to integrate others’ works, cite sources appropriately, and use plagiarism detection software, students are less likely to plagiarize. The discussion includes suggestions for instructors to help them create a plagiarism-free environment. (shrink)

_The essential companion to Simone de Beauvoir's celebrated novel._.

Three-dimensionalists , sometimes referred to as endurantists, think that objects persist through time by being “wholly present” at every time they exist. But what is it for something to be wholly present at a time? It is surprisingly difficult to say. The threedimensionalist is free, of course, to take ‘is wholly present at’ as one of her theory’s primitives, but this is problematic for at least one reason: some philosophers claim not to understand her primitive. Clearly the three-dimensionalist would be (...) better off if she could state her theory in terms accessible to all. We think she can. What is needed is a definition of ‘is wholly present at’ that all can understand. in this paper, we offer one. (shrink)

Wesley Hohfeld is known the world over as the legal theorist who famously developed a taxonomy of legal concepts. His contributions to legal thinking have stood the test of time, remaining relevant nearly a century after they were first published. Yet, little systematic attention has been devoted to exploring the full significance of his work. Beginning with a lucid, annotated version of Hohfeld's most important article, this volume is the first to offer a comprehensive look at the scope, significance, reach, (...) intricacies, and shortcomings of Hohfeld's work. Featuring insights from leading legal thinkers, the book also contains many of Hohfeld's previously unseen personal papers, shedding new light on the complex motivations behind Hohfeld's projects. Together, these selected papers and original essays reveal a portrait of a multifaceted and ambitious intellectual who did not live long enough to see the impact of his ideas on the study of law. (shrink)

BackgroundPublic Safety Personnel are routinely exposed to human suffering and need to make quick, morally challenging decisions. Such decisions can affect their psychological wellbeing. Participating in or observing an event or situation that conflicts with personal values can potentially lead to the development of moral injury. Common stressors associated with moral injury include betrayal, inability to prevent death or harm, and ethical dilemmas. Potentially psychologically traumatic event exposures and post-traumatic stress disorder can be comorbid with moral injury; however, moral injury (...) extends beyond fear to include spiritual, cognitive, emotional or existential struggles, which can produce feelings of severe shame, guilt, and anger.ObjectiveThis scoping review was designed to identify the extant empirical research regarding the construct of moral injury, its associated constructs, and how it relates to moral distress in firefighters, paramedics, and police officers.MethodsA systematic literature search of peer-reviewed research was conducted using databases MEDLINE, EMBASE, APA PsychInfo, CINHAL PLUS, Web of Science, SCOPUS, and Google Scholar. Included studies were selected based on the inclusion criteria before being manually extracted and independently screened by two reviewers.ResultsThe initial database search returned 777 articles, 506 of which remained after removal of duplicates. Following review of titles, abstracts, and full texts, 32 studies were included in the current review. Participants in the articles were primarily police officers, with fewer articles focusing on paramedics and firefighters. There were two studies that included mixed populations. Most studies were qualitative and focused on four topics: values, ethical decision-making, organizational betrayal, and spirituality.ConclusionPublic safety organizations appear to recognize the experience of moral distress or moral injury among public safety personnel that results from disconnects between personal core values, formal and informal organizational values, vocational duties, and expectations. Further research is needed to better understand moral distress or moral injury specific to public safety personnel and inform training and treatment in support of public safety personnel mental health. (shrink)

Cognitive categories in the geographic realm appear to manifest certain special features as contrasted with categories for objects at surveyable scales. We have argued that these features reflect specific ontological characteristics of geographic objects. This paper presents hypotheses as to the nature of the features mentioned, reviews previous empirical work on geographic categories, and presents the results of pilot experiments that used English-speaking subjects to test our hypotheses. Our experiments show geographic categories to be similar to their non-geographic counterparts in (...) the ways in which they generate instances of different relative frequencies at different levels. Other tests, however, provide preliminary evidence for the existence of important differences in subjects’ categorizations of geographic and non-geographic objects, and suggest further experimental work especially with regard to the role in cognitive categorization of different types of object-boundaries at different scales. (shrink)

Abstract:What makes a leader ethical? This paper critically examines the answer given by developmental theory, which argues that individuals can develop through cumulative stages of ethical orientation and behavior (e.g. Hobbesian, Kantian, Rawlsian), such that leaders at later developmental stages (of whom there are empirically very few today) are more ethical. By contrast to a simple progressive model of ethical development, this paper shows that each developmental stage has both positive (light) and negative (shadow) aspects, which affect the ethical behaviors (...) of leaders at that stage. It also explores an unexpected result: later stage leaders can have more significantly negative effects than earlier stage leadership. (shrink)