There is currently a debate over whether cognitive architecture is classical or connectionist in nature. One finds the following three comparisons between classical architecture and connectionist architecture made in the pro-connectionist literature in this debate: (1) connectionist architecture is neurally plausible and classical architecture is not; (2) connectionist architecture is far better suited to model pattern recognition capacities than is classical architecture; and (3) connectionist architecture is far better suited to model the acquisition of pattern recognition capacities by learning than (...) is classical architecture. If true, (1)-(3) would yield a compelling case against the view that cognitive architecture is classical, and would offer some reason to think that cognitive architecture may be connectionist. We first present the case for (1)-(3) in the very words of connectionist enthusiasts. We then argue that the currently available evidence fails to support any of (1)-(3). (shrink)

Aim: Patients with advanced cancer need information about end-of-life treatment options in order to make informed decisions. Clinicians vary in the frequency with which they initiate these discussions.Patients and methods: As part of a long-term longitudinal study, patients with an expected 2-year survival of less than 50% who had advanced gastrointestinal or lung cancer or amyotrophic lateral sclerosis were interviewed. Each patient’s medical record was reviewed at enrollment and at 3 months for evidence of the discussion of patient wishes concerning (...) ventilator support, artificial nutrition and hydration , resuscitation and hospice care. A Kaplan–Meier analysis was also performed and 2-year survival calculated.Results: 60 cancer and 32 ALS patients were enrolled. ALS patients were more likely than cancer patients to have evidence of discussion about their wishes for ventilator support , ANH , DNR and hospice care . At 6 months, 91% of ALS patients were alive compared with 62% of cancer patients; at 2 years, 63% of ALS patients were alive compared with 23% of cancer patients .Conclusions: Cancer patients were less likely than ALS patients to have had documented advanced care planning discussions despite worse survival. This may reflect perceptions that ALS has a more predictable course, that advanced cancer has a greater number of treatment options, or differing views about hope. Nevertheless, cancer patients may be less adequately prepared for end-of-life decision-making. (shrink)

This massive, expensive tome comprises all the proceedings of the 1970 biennial meeting of the Philosophy of Science Association. Beyond the selection of the papers to be presented at the meeting, there has been no winnowing of the good from the bad. Further, there is no indexing. Thus, the technical philosopher of science, to whose interest the contributed papers in this anthology will appeal, faces the prospect of doing these jobs himself. The symposium papers, which account for a relatively small (...) fraction of this volume, will interest readers of this journal the most. These papers investigate three topics: theoretical entities in statistical explanation; capacities and natures; history of science and its rational reconstruction. (shrink)

The primary purpose of this book "is to analyze and clarify certain fundamental concepts, principles, and procedures in both classical and relativistic mechanics." At the same time, it attempts to provide a grounding in the theory for the philosopher of science who must deal with the sometimes technical literature on the philosophical implications of relativistic mechanics. "This book, then, is an attempt at fundamental philosophic clarification embedded in the format of an introductory work." Its first six chapters deal with the (...) methodological foundations of classical mechanics and electrodynamics, as conceived prior to Einstein. Thus, the next six chapters introduce special relativity in such a way that it is connected with the tradition from which it arose. Although the book is not primarily a historical treatment of the theory, this added perspective is welcome because almost invariably philosophers of relativity portray the theory as if it arose without the intermediary of electrodynamics. (shrink)

This volume "contains eight articles dealing with the intellectual and institutional developments in physics from the mid-1840’s to the mid-1920’s. The primary focus is on the quantum and relativity theories and Einstein’s contributions to these theories. The secondary focus is on thermodynamics and its kinetic theory basis in the nineteenth century." Slightly more than one third of the book is devoted to various aspects of Einstein’s work: M. J. Klein analyzes his difference with Bohr in 1923-1925; R. McCormmach traces the (...) problem area which he extracted from Lorentz’ electron theory in about the first decade of this century; and S. Goldberg considers the British response to his special theory of relativity in 1905-1911. In the editor’s foreword, McCormmach illustrates from the current investigation of Einstein a general thesis about "the limitations of contemporary writing in the history of science." Thus, this anthology may well become a standard secondary source for Einstein scholarship. A fourth of the book has to do with thermodynamics: Y. Elkana follows Helmholtz’ formulation of its first law ; E. E. Daub looks at the evolution of concepts essential to its second law ; and E. W. Garber delineates Clausius’ contribution to its underpinnings. Just two articles are unrelated to these two foci: P. Forman, in the longest paper in the volume, considers Lande’s search for a theory of the anomalous Zooman effect in 1919-1921; and R. Sviedrys, in an exchange with A. Thackray, examines the rise of physical science at Cambridge University during the Victorian era. (shrink)

Immediately after the publication of Darwin's book on the origin of species, Engels, having familiarized himself with it, wrote to Marx on December 12, 1859: "All in all, Darwin, whom I am reading right now, is superb. Teleology had hitherto not yet been destroyed in one of its aspects, and now this has been done. Moreover, hitherto there has never been so sweeping an attempt to prove historical development in nature, especially with such success." Soon Marx enlarged upon the evaluation (...) of Darwinism. In his letter of December 19, 1860, he commented that this theory "provides a foundation in natural history for our views." It is therefore no accident that Engels, in developing the principles of dialectical materialism and problems of the dialectics of nature, interested himself so deeply and comprehensively in the theory of evolution. (shrink)

Aim: This study explores priority dilemmas in dialysis treatment and care offered elderly patients within the Norwegian public healthcare system.Background: Inadequate healthcare due to advanced age is frequently reported in Norway. The Norwegian guidelines for healthcare priorities state that age alone is not a relevant criterion. However, chronological age, if it affects the risk or effect of medical treatment, can be a legitimate criterion.Method: A qualitative approach is used. Data were collected through semistructured interviews and analysed through hermeneutical content analysis. (...) The informants were five physicians and four nurses from dialysis wards.Findings: Pressing priority dilemmas centre around decision-making concerning withholding and withdrawal of dialysis treatment. Advanced age is rarely an absolute or sole priority criterion. It seems, however, that advanced age appears to be a more subtle criterion in relation with, for example, comorbidity, functional status and cognitive impairment. Nurses primarily prioritise specialised dialysis care and not comprehensive nursing care. The complex needs of elderly patients are therefore often not always met.Conclusions: Clinical priorities should be made more transparent in order to secure legitimate and fair resource allocation in dialysis treatment and care. Difficult decisions concerning withholding or withdrawal of dialysis ought to be openly discussed within the healthcare team as well as with patients and significant others. The biomedical focus and limitations on comprehensive care during dialysis should be debated. (shrink)

Correct interpretation of the data from integral laboratory tests, including Thrombin Generation Test, requires biochemistry-based mathematical models of blood coagulation. The purpose of this study is to describe the experimental TGT data from healthy donors and hemophilia A and B patients. We derive a simplified ODE model and apply it to analyze the TGT data from healthy donors and HA/HB patients with in vitro added tissue factor pathway inhibitor antibody. This model allows the characterization of hemophilia patients in the space (...) of three most important model parameters. The proposed approach may provide a new quantitative tool for the analysis of experimental TGT. Also, it gives a reduced model of coagulation verified against clinical data to be used in future theoretical large-scale modeling of thrombosis in flow. (shrink)

Taking the position that scientific hypotheses explain the world and do not merely classify data, the author describes the decline of the Newtonian world picture and the development of a new, "ether-theoretical" view. The nineteenth century founders of electromagnetism—Faraday, Maxwell, Hertz, Lorentz—all tendered theories of a medium, usually called the "ether," which filled the space between any two noncontiguous bodies and transported electromagnetic actions from one to the other. After Einstein profoundly reinterpreted the concept of medium, it came to be (...) called the "field." In giving this history, William Berkson explains what problems each scientist faced and how the process of solving them led to new discoveries. He also draws out the philosophical consequences of the history, especially for the positions of Popper, Meyerson, Agassi and Kuhn. (shrink)

Placebo-controlled trials are controversial when individuals might be denied existing beneficial medical interventions. In the case of malaria, most patients die in rural villages without healthcare facilities. An artesunate suppository that can be given by minimally skilled persons might be of value when patients suddenly become too ill for oral treatment but are several hours from a facility that can give injectable treatment for severe disease. In such situations, by default, no treatment is (or can be) given until the patient (...) reaches a facility, making the placebo control design clinically relevant; alternative bioequivalence designs at the facility would misrepresent reality and risk incorrect conclusions. We describe the ethical issues underpinning a placebo-controlled trial in severe malaria. To protect patients and minimise risk, all patients were referred immediately to hospital so that each had a higher chance of prompt treatment through participation. There was no difference between artesunate and placebo in patients who reached clinic rapidly; among those who could not, a single artesunate suppository significantly reduced death or permanent disability, a finding of direct and indirect benefit to patients in participating villages and elsewhere. (shrink)

The Past Masters Søren Kierkegaard : Samlede Vårker database is based on the third edition of Kierkegaard's complete works in Danish, and has been edited by Professor Alistair McKinnon of McGill University.

The central idea of this paper is that forming the black hole horizon is attended with the transition from the classical regime of evolution to the quantum one. We offer and justify the following criterion for discriminating between the classical and the quantum: creations and annihilations of particle-antiparticle pairs are impossible in the classical reality but possible in the quantum reality. In flat spacetime, we can switch from the classical picture of field propagation to the quantum picture by changing the (...) overall sign of the spacetime signature. To describe a self-gravitating object at the final stage of its classical evolution, we propose to use the Foldy–Wouthuysen representation of the Dirac equation in curved spacetimes, and the Gozzi classical path integral. In both approaches, maintaining the dynamics in the classical regime is controlled by supersymmetry. (shrink)

IntroductionTranscranial magnetic stimulation is a consolidated procedure for the treatment of depression, with several meta-analyses demonstrating its efficacy. Theta-burst stimulation is a modification of TMS with similar efficacy and shorter session duration. The geriatric population has many comorbidities and a high prevalence of depression, but few clinical trials are conducted specifically for this age group. TBS could be an option in this population, offering the advantages of few side effects and no pharmacological interactions. Therefore, our aim is to investigate the (...) efficacy of TBS in geriatric depression.Clinical trial registration[https://clinicaltrials.gov/ct2/], identifier [NCT04842929]. (shrink)

Background To describe the preferences for disclosure of individual biomarker results among mothers participating in a longitudinal birth cohort. Methods We surveyed 343 mothers that participated in the Health Outcomes and Measures of the Environment Study about their biomarker disclosure preferences. Participants were told that the study was measuring pesticide metabolites in their biological specimens, and that the health effects of these low levels of exposure are unknown. Participants were asked whether they wanted to receive their results and their child's (...) results. In addition, they were asked about their preferred method (letter vs in person) and format (more complex vs less complex) for disclosure of results. Results Almost all of the study participants wanted to receive their individual results (340/343) as well as their child's results (342/343). However, preferences for receiving results differed by education level. Mothers with less than a college degree preferred in-person disclosure of results more often than mothers with some college education or a college degree (34.3% vs 17.4% vs 7.9%, p<0.001). Similarly, mothers with less than a college education preferred a less complex disclosure format than mothers with some college education or a college degree (59.7% vs 79.1% vs 86.3%, p<0.0001). Conclusion While almost all study participants preferred to receive results of their individual biomarker tests, level of education was a key factor in predicting preferences for disclosure of biomarker results. To ensure effective communication of this information, disclosure of biomarker results should be tailored to the education level of the study participants. (shrink)

A generally clear and well-written introduction to Thomistic natural theology which, like most such "textbook" treatments, suffers from too much commentary and too little Aquinas. The nature and existence of God are dealt with in some detail, and two interesting sections on "Invalid Reasons for Holding the Existence of God" and "Some Controverted Arguments" are included.--B. P. H.

In this study, we explain differences in support for interreligious lawful and violent protests against the religious outgroup. Combining religiosity and social identity approaches, we take three dimensions of religiosity (namely, practices, beliefs and salience) into consideration related to support for interreligious conflict, next to relevant control characteristics. The analysis is based on survey data ( N = 2026) collected among a random sample of Muslims ( n = 1451) and Christians ( n = 575) across the Indonesian archipelago. Our (...) findings show that members of the Muslim community are, on average, more inclined to support interreligious conflict, both lawful and violent protests. Participation in rites of passage is a crucial aspect of religious practices found to be positively related to both kinds of protest. Religious beliefs show great importance but vary in their influence: particularistic views and intratextual fundamentalism are related to support for lawful protest, whereas religiocentrism is related to support both for lawful and violent protests. In contrast, salience reduces support for violent protest. As such, the findings offer a differentiated way to understand present-day interreligious conflicts among the general population in Indonesia. (shrink)

This is a provocative and important book. Most of its essays by Catholic laymen strongly criticize the Church's traditional stand against "artificial" contraception. The objections against the approved rhythm method, the critical analysis of arguments from "natural law" on theological as well as philosophical grounds, and the attempt to develop a more meaningful Christian approach to sexuality seem certain to raise angry rebuttals from many clergy and a good number of the more conservative laity in the Church. Here we have (...) laymen thinking and arguing in a manner worthy of the "Open Church" foreseen by Pope John and supported by the Second Vatican Council.—B. P. H. (shrink)

This essay explores some concerns about the quality of informed consent in patients whose autonomy is diminished by fatal illness. It argues that patients with diminished autonomy cannot give free and voluntary consent, and that recruitment of such patients as subjects in human experimentation exploits their vulnerability in a morally objectionable way. Two options are given to overcome this objection: (i) recruit only those patients who desire to contribute to medical knowledge, rather than gain access to experimental treatment, or (ii) (...) provide prospective subjects the choice to participate in standard doubleblind study or receive the experimental treatment. Either option would guarantee that patients in desperate conditions are given a more meaningful choice and a richer freedom, and thus a higher quality of informed consent, than under standard randomized trials. (shrink)