In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on (...) trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next, the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone. (shrink)
Ethical approval must be obtained before medical research can start. We describe the differences in EA for an pseudonymous, non-interventional, observational European study. Sixteen European national coordinators of the international study on very old intensive care patients answered an online questionnaire concerning their experience getting EA. N = 8/16 of the NCs could apply at one single national ethical committee, while the others had to apply to various regional ECs and/or individual hospital institutional research boards. The time between applying for (...) EA and the first decision varied between 7 days and 300 days. In 9/16 informed consent from the patient was not deemed necessary; in 7/16 informed consent was required from the patient or relatives. The upload of coded data to a central database required additional information in 14/16. In 4/16 the NCs had to ask separate approval to keep a subject identification code list to de-pseudonymize the patients if questions would occur. Only 2/16 of the NCs agreed that informed consent was necessary for this observational study. Overall, 6/16 of the NCs were satisfied with the entire process and 8/16 were unsatisfied. 11/16 would welcome a European central EC that would judge observational studies for all European countries. Variations in the process and prolonged time needed to get EA for observational studies hampers inclusion of patients in some European countries. This might have a negative influence on the external validity. Further harmonization of ethical approval process across Europe is welcomed for low-risk observational studies. Getting ethical approval for low-risk, non-interventional, observational studies varies enormously across European countries. (shrink)
Hans Albert ist der Hauptvertreter des Kritischen Rationalismus und einer der einflussreichsten Wissenschaftslehrer im deutschen Sprachraum. Seine interdisziplinar angelegten Arbeiten beschaftigen sich mit den Grundlagen der Sozialwissenschaften und der Bedeutung kritisch-rationalen Denkens fur die sozialwissenschaftliche Theorie und Praxis. Der vorliegende Band enthalt Texte fuhrender Vertreter aus Philosophie, Soziologie, Religionswissenschaft und Jurisprudenz, die sich mit den Positionen Alberts im Kontext ihres eigenen Fachgebiets beschaftigen.
Hans Reichenbach, a philosopher of science who was one of five students in Einstein's first seminar on the general theory of relativity, became Einstein's bulldog, defending the theory against criticism from philosophers, physicists, and popular commentators. This book chronicles the development of Reichenbach's reconstruction of Einstein's theory in a way that clearly sets out all of its philosophical commitments and its physical predictions as well as the battles that Reichenbach fought on its behalf, in both the academic and popular (...) press. The essays include reviews and responses to philosophical colleagues, such as Moritz Schlick and Hugo Dingler; polemical discussions with physicists Max Born and D. C. Miller; as well as popular articles meant to clarify aspects of Einstein's theories and set out their philosophical ramifications for the layperson. At a time when physics and philosophy were both undergoing revolutionary changes in content and method, this book is a window into the development of scientific philosophy and the role of the philosopher. (shrink)
The essay “Was ist der Mensch?” appeared for the first time in December 1944 in the German magazine with a hundred years of tradition edited by the publisher J. J. Weber Illustrierte Zeitung Leipzig [Illustrated Magazine Leipzig]. This special cultural edition, entitled Der europäische Mensch [The European Man], which was distributed exclusively abroad, was to be the last volume of the magazine after its final regular issue in September 1994 (No. 5041). Only in 1947, the text was republished, with the (...) same pagination, in a compilation made by J. J. Weber, Vom Wahren, Schönen, Guten. Aus dem Schatz europäischer Kunst und Kultur [On the True, the Beautiful, the Good. From the Treasury of European Art and Culture]. The publisher was expropriated in 1948, and three years later the company was finally removed from the German commercial registry. “Was ist der Mensch?” has never been released in any of Gadamer’s books or separately published in a journal; it also does not appear within the 10 volumes of his Gesammelte Werke [Collected Works]—the only exception is an Italian translation included in a volume devoted to Gadamer’s views on education and the notion of Bildung (cf. Gadamer 2012). The aim of this translation is to make accessible this Gadamer’s quest for the occidental interpretations of human self-consciousness, which has until now been almost unknown and in which, for the first time, Gadamer shows, from a theoretical standpoint, not only his early—although implicit—keen interest in Max Scheler’s anthropology (particularly Scheler’s considerations on the basic historical types of the occidental man’s self-perception in accordance with the basic and underlying concept of human history that still have powerful effectiveness in modern times), but also—at the historical threshold of the imminent ending of World War II—his own concern regarding possible philosophical answers to the question: “What is man?” Cf. especially Scheler 1926 (GW 9, 120–144); 1928 (GW 9, 7–71); 1929 (GW 9, 145–170). All commenting annotations to Gadamer’s text are authored by the editor and translator. (shrink)
We publish here the letters between Gadamer and Ricoeur, as they are found in the Archives of the two philosophers. Starting from February 1964 and ending on October 2000, the thirty-five letters reproduced here cannot give a complete picture of their much richer correspondence and relations, because it seems that neither Ricoeur, nor Gadamer kept all the letters they received from one another. But altogether, they document their common concerns, their mutual respect, even their intellectual solidarity and finally the particular (...) context that brought them to write to one another, i.e. Ricoeur’s intention to publish a translation of Gadamer’s book, Truth and Method, in a new series he edited for the Seuil Publisher. This publishing and translation project will mark their entire correspondence. (shrink)
Unter dieses Thema ein internationales Symposion in Berlin zu stellen, das zum Gedenken an Hans Heinrich Eggebrecht (1919-1999) veranstaltet wurde, erschien umso naheliegender, zumal Eggebrecht die Frage aWas ist Musik?o existenziell ...
The Hans Reichenbach Papers comprise published and unpublished manuscripts, lectures, correspondence, photographs, drawings, and related materials from his early student days until his death. The correspondence contains about 9000 pages to and from Reichenbach; it ranges over his entire career. Those with whom Reichenbach maintained lifelong contact include Rudolf Carnap, Ernst Cassirer, Herbert Feigl, Philip Frank, Carl Hempel, Sidney Hook, Paul Oppenheim and Wolfgang Pauli. In addition, there is significant correspondence with von Astor, Bergmann, Bertalanffy, Dingler, Dubislav, Einstein, Fraenkel, (...) Frank, Freundlich, Grelling, Grünbaum, Paul Hertz, Hutten, Jordan, Landé, von Laue, Lewin, C.I. Lewis, Charles Morris, Nagel, Neurath, Northrop, Planck, Quine, Regener, Rougier, Salmon, Schillp, Schlick, Scholz, Schrödinger, Martin Strauss, Tarski, Vaihinger, Weiss, Williams, Zawarski, and Zilsel. The correspondence provides a valuable source of information about Reichenbach’s personal and philosophical development. It also provides primary source material for research into one of the 20th century most influential philosophical movements. Reichenbach’s manuscripts include many of his own notes as a student. Some go as far back as his university days in science and mathematics. Some of the most significant of these notes are those taken by him as a student of Albert Einstein on the special and general theories of relativity. There are four such notebooks dating from 1918. In addition there are his student notes on astronomy, Planck and electricity, Hilbert’s “Statistical Mechanics” and “Problems and Principles.” He also kept many of his lecture notes from Germany, Turkey, and the United States. The number of lectures runs to over 100 and provides a glimpse into the problems of philosophy and how he presented them to his students. Many of his lectures discussed principles of radio and issues in philosophy and modern science, often in form of popularizations of questions in relativity and quantum theory delivered on radio programs for a wider audiences. In addition to this there are an abundance of notes, calculations, and diagrams used to draft both published and unpublished papers. (shrink)
In the late 1830s and early 1840s Hans. L. Martensen helped to introduce the thought of G.W.F. Hegel to the intellectual world of Copenhagen. Between Hegel and Kierkegaard offers the first English translations of three important early writings of Martensen in the philsophy of religion. These treatises evidence an original and critical interpretation of Hegel's thought from a speculative theological point of view. The heart of Martensen's philosophy of religion is the idea of freedom or personality grounded in its (...) relation to the divine. These writings exercised an important and formative influence on the young Kierkegaard, Martensen's student, even though Kierkegaard later became a formidable opponent and critic of Martensen. (shrink)
History, Metaphors, and Fables collects the central writings by Hans Blumenberg and covers topics such as on the philosophy of language, metaphor theory, non-conceptuality, aesthetics, politics, and literary studies. This landmark volume demonstrates Blumenberg's intellectual breadth and gives an overview of his thematic and stylistic range over four decades. Blumenberg's early philosophy of technology becomes tangible, as does his critique of linguistic perfectibility and conceptual thought, his theory of history as successive concepts of reality", his anthropology, or his studies (...) of literature. History, Metaphors, Fables allows readers to discover a master thinker whose role in the German intellectual post-war scene can hardly be overestimated. (shrink)
Introduces contemporary American philosophy of technology through six of its leading figures. The six American philosophers of technology whose work is profiled in this clear and concise introduction to the field—Albert Borgmann, Hubert Dreyfus, Andrew Feenberg, Donna Haraway, Don Ihde, and Langdon Winner—represent a new, empirical direction in the philosophical study of technology that has developed mainly in North America. In place of the grand philosophical schemes of the classical generation of European philosophers of technology, the contemporary American generation addresses (...) concrete technological practices and the co-evolution of technology and society in modern culture. Six Dutch philosophers associated with Twente University survey and critique the full scope and development of their American colleagues’ work, often illustrating shifts from earlier to more recent interests. Individual chapters focus on Borgmann’s engagement with technology and everyday life; Dreyfus’s work on the limits of artificial intelligence; Feenberg’s perspectives on the cultural and social possibilities opened by technologies; Haraway’s conception of the cyborg and its attendant blurring of boundaries; Ihde’s explorations of the place of technology in the lifeworld; and Winner’s fascination with the moral and political implications of modern technologies. American Philosophy of Technology offers an insightful and readable introduction to this new and distinctly American philosophical turn. Contributors are Hans Achterhuis, Philip Brey, René Munnik, Martijntje Smits, Pieter Tijmes, and Peter-Paul Verbeek. (shrink)
This paper presents Hans Ulrich's account of Christian ethics as an ethics of `vocation'. It is interested in how Ulrich's account of vocational ethics is developed as a critique of professional ethics. Professional ethics is seen as reflecting the structures of ethical deliberation of the social order that produces it, thereby failing to move beyond the realm of `works'. In contrast, the distinguishing characteristic of Ulrich's vocational ethics is shown to be that it is a response to the Word (...) `from outside'. Consequently, a Christian account of professional ethics needs to show how it can retain a `theological difference' that enables it to respond to the Word that `breaks in' to start something new. The paper discusses the transformation of professionalism in a neo-liberal service economy in order to find out how this `breaking in' actually proceeds. Its test case is providing services to people with intellectual disabilities. (shrink)
The debate about concepts has always been shaped by a contrast between subjectivism, which treats them as phenomena in the mind or head of individuals, and objectivism, which insists that they exist independently of individual minds. The most prominent contemporary version of subjectivism is Fodor's RTM. The Fregean charge against subjectivism is that it cannot do justice to the fact that different individuals can share the same concepts. Proponents of RTM have accepted shareability as a ‘non-negotiable constraint’. At the same (...) time they insist that by distinguishing between sign-types and – tokens the Fregean objection cannot just be circumvented but revealed to be fallacious. My paper rehabilitates the Fregean argument against subjectivism. The RTM response rests either on an equivocation of ‘concept’—between types which satisfy the non-negotiable constraint and tokens which are mental particulars in line with RTM doctrine—or on the untenable idea that one and the same entity can be both a shareable type and hence abstract and a concrete particular in the head. Furthermore, subjectivism cannot be rescued by adopting unorthodox metaphysical theories about the type/token and universal/particular contrasts. The final section argues that concepts are not representations or signs, but something represented by signs. Even if RTM is right to explain conceptual thinking by reference to the occurrence of mental representations, concepts themselves cannot be identical with such representations. (shrink)