BackgroundHealthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.MethodsThis was a cross sectional study conducted among resident doctors and ward nurses in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer’s V value was assessed to (...) ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05.ResultsOur study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath, Nuremberg code and Helsinki Declaration. A high percentage of respondents said that their major source of information on healthcare ethics were lectures, books, and journals. Attitude of doctors and nurses were significantly different in 9 out of 22 questions pertaining to different aspects of healthcare ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula,paternalistic attitude of doctor was disagreed more by doctors. Notably, only few doctors stood in support of physician-assisted dying.ConclusionsSignificant proportion of doctors and nurses were unaware of three major documents on healthcare ethics which are the core principles in clinical practice. Provided that a high percentage of respondents had motivation for learning medical ethics and asked for inclusion of medical ethics in the curriculum, it is imperative to avail information on medical ethics through subscription of journals and books on ethics in medical libraries in addition to lectures and training at workplace on medical ethics which can significantly improve the current paucity of knowledge on medical ethics. (shrink)

Text document classification and clustering is an important learning task which fits to both data mining and machine learning areas. The learning task throws several challenges when it is required to process high dimensional text documents. Word distribution in text documents plays a very key role in learning process. Research related to high dimensional text document classification and clustering is usually limited to application of traditional distance functions and most of the research contributions in the existing literature did not consider (...) the word distribution in documents. In this research, we propose a novel similarity function for feature pattern clustering and high dimensional text classification. The similarity function proposed is used to carry supervised learning based dimensionality reduction. The important feature of this work is that the word distribution before and after dimensionality reduction is the same. Experiment results prove the proposed approach achieves dimensionality reduction, retains the word distribution and obtained better classification accuracies compared to other measures. (shrink)

Healthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practi...

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)

We suffer from genealogical anxiety when we worry that the contingent origins of our representations, once revealed, will somehow undermine or cast doubt on those representations. Is such anxiety ever rational? Many have apparently thought so, from pre-Socratic critics of Greek theology to contemporary evolutionary debunkers of morality. One strategy for vindicating critical genealogies is to see them as undermining the epistemic standing of our representations—the justification of our beliefs, the aptness of our concepts, and so on. I argue that (...) this strategy is not as promising as it might first seem. Instead, I suggest that critical genealogies can wield a sort of meta-epistemic power; in so far as we wish to resist the genealogical critic, we are under pressure to see ourselves as the beneficiaries of a certain kind of good luck: what I call genealogical luck. But there is also a resolutely non-epistemic way of understanding the power of critical genealogies, one that is essential, I argue, for understanding the genealogical projects of various theorists, including Nietzsche and Catharine MacKinnon. For critical genealogies can reveal what it is that our representations do—and what we, in turn, might do with them. (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, ...

The flow state – an experience of complete absorption in an activity – is linked with less self-referential processing and increased arousal. We used the heart-evoked potential, an index representing brain–heart interaction, as well as indices of peripheral physiology to assess the state of flow in individuals playing a video game. 22 gamers and 21 non-gamers played the video game Thumper for 25 min while their brain and cardiorespiratory signals were simultaneously recorded. The more participants were absorbed in the game, (...) the less they thought about time and the faster time passed subjectively. On the cortical level, the fronto-central HEP amplitude was significantly lower while playing the game compared to resting states before and after the game, reflecting less self-referential processing while playing. This HEP effect corresponded with lower activity during gameplay in brain regions contributing to interoceptive processing. The HEP amplitude predicted the level of absorption in the game. While the HEP amplitude was overall lower during the gaming session than during the resting states, within the gaming session the amplitude of HEP was positively associated with absorption. Since higher absorption was related to higher performance in the game, the higher HEP in more absorbed individuals reflects more efficient brain–heart interaction, which is necessary for efficient game play. On the physiological level, a higher level of flow was associated with increased overall sympathetic activity and less inhibited parasympathetic activity toward the end of the game. These results are building blocks for future neurophysiological assessments of flow. (shrink)

Perceptual load plays a critical role in identification and awareness of stimuli. Given the differences in emotion–attention interactions, we investigated the perception of distractor emotional faces in two different load conditions under divided attention with a task based on the inattentional blindness paradigm. Participants performed a low- or high-load task with a string of letters presented against a happy, sad or neutral face (in a circular form) as the background. Participants were asked to identify the face that appeared in the (...) critical trial. Results indicate an interaction between emotion and load. First, identification of faces with happy expression was better than chance and unaffected by load. Second, performance was worse than chance for faces with sad expression in the high-load condition, indicating inhibition of unattended sad distractor faces in the critical trial. This indicates that inhibitory processes during a difficult attentional task under divided attention influence subsequent perception of distractor stimuli especially sad faces. The results have implications for the theories of selective attention as well as the role of emotions in conscious perception. (shrink)

This research examines the impact of implicit religious beliefs on work ethic in specific cultural contexts. Based on three studies, the authors found that thoughts related to religion impact work ethic, but only when the culture embraces religious values at work and in public environments. In a comparative setting, Moroccan participants primed with religious thoughts displayed greater work ethic, whereas similarly primed French participants exhibited less work ethic (Study 1). For North African–French biculturals, religious stimuli interacted with cultural identity to (...) predict work ethic (Study 2) and activated religious beliefs and cultural identity had a significant effect on their level of effort (Study 3). Our research reveals that implicit religious beliefs can predict work ethic in a manner contingent on a cultural setting. In cultures where religious values are historically embraced and encouraged, work ethic constitutes a religious construct that enhances work ethic. Conversely, in secular cultures, religious cues inhibit work ethic. We believe that within a multi-cultural, multi-religion work force, it is important to take note of these influences. (shrink)

Publication date: 22 December 2020 Source: International Letters of Social and Humanistic Sciences Vol. 89 Author: Shiva Hemmati This paper examines Charlotte Brontë’s masterpiece Jane Eyre through Irigaray’s notion of feminine divine in order to argue how Charlotte Brontë’s main characters achieve their autonomous gendered identity by expressing their erotic desire. It discusses the resistance of Charlotte Brontë’s female protagonist, Jane Eyre, to the dichotomies of active subject/passive object, self/other, body/mind, passion/intellect, and the domination/submission through her ethical and intersubjective (...) relationship with Rochester, her counterpart, rather than being an object of his desire. It is argued how Jane challenges these dualities of patriarchal society and the logic of the same by expressing her erotic nature. Where the patriarchal society tries to confine women in the patriarchal culture, Brontë develops Jane within and against those confines and allows her to experience her female desire by exploring the internal and external nature. Jane’s liberation from the dualities can be read through the lens of Irigaray’s feminine divine which focuses on women’s autonomous gendered identity and creates a balance between their passion and reason. Charlotte Brontë indicates how women are able to achieve individuality, social standing, and subjective identity by expressing their female desire. (shrink)

This article presents a novel challenge to epistemic internalism. The challenge rests on a set of cases which feature subjects forming beliefs under conditions of “bad ideology”—that is, conditions in which pervasively false beliefs have the function of sustaining, and are sustained by, systems of social oppression. In such cases, the article suggests, the externalistic view that justification is in part a matter of worldly relations, rather than the internalistic view that justification is solely a matter of how things stand (...) from the agent’s individual perspective, becomes the more intuitively attractive theory. But these “bad ideology” cases do not merely yield intuitive verdicts that favor externalism over internalism. These cases are, moreover, analogous to precisely those canonical cases widely taken to be counterexamples to externalism: cases featuring brains-in-vats, clairvoyants, and dogmatists. That is, such “bad ideology” cases are, in all relevant respects, just like cases that are thought to count against externalism—except that they intuitively favor externalism. This, the author argues, is a serious worry for internalism. What is more, it bears on the debate over whether externalism is a genuinely “normative” epistemology. (shrink)

The neoclassical interpretation of quantum mechanics which re-introduces older conceptual models of gravity and electromagnetism transformed by modern advancements in the field is discussed as a natural outcome from the interchangeability of quantum mechanics and fluid dynamics in light of recent macro-level experiments which show behaviors previously believed to be confined to the quantum world. This superfluid model of mechanics and the known behaviors of superfluids is suggested as a possible substrate and system for the storage and processing of data. (...) Methods of data storage found in natural systems such as the brain are compared via extensive use of analogies to support the conjecture that a rational and mechanical basis for spirituality can be supported under the neoclassical interpretation because of the inherent persistent structure and interaction of the suggested pervasive medium. This model of information theory spiritualism is suggested as a basis for the unification of physics with more philosophical approaches in the study of metaphysics. Normal 0 false false false EN-US X-NONE X-NONE Normal 0 false false false EN-US X-NONE X-NONE. (shrink)

From seed to table, the food chain is gendered. When seeds and food are in women’s hands, seeds reproduce and multiply freely, food is shared freely and respected. However, women’s seed and food economy has been discounted as “productive work.” Women’s seed and food knowledge has been discounted as knowledge. Globalization has led to the transfer of seed and food from women’s hands to corporate hands. Seed is now patented and genetically engineered. It is treated as the creation and “property” (...) of corporations like Monsanto. Renewable seed becomes nonrenewable. Sharing and saving seed becomes a crime. Diversity, nourished by centuries of women’s breeding, disappears, and with it the culture and natural evolution that is embodied in the diversity is lost forever. Food, too, is transformed in corporate hands. It is no longer our nourishment; it becomes a commodity. And as a commodity it can be manipulated and monopolized. If food grain makes more money as cattle feed than it does as food for human consumption, it becomes cattle feed. If food grain converted to biofuel to run automobiles is more profitable, it becomes ethanol and biodiesel. (shrink)

Could there be a balanced philosophical stance capable of accommodating the scientific facts pertaining to free will without compromising the ideal of human freedom and autonomy? A stance that can render intelligible the inferences emerging from the factual analysis of free will in terms of the phenomenon called ‘Readiness Potential’(RP), at the same time, existentially upholding the ideal of freedom? In the present paper, an attempt will be made to bring to light such an existential phenomenological perspective implicit in the (...) philosophy of the French phenomenologist Maurice Merleau-Ponty. In the analysis, some of the most relevant scientific facts pertaining to RPs and the corresponding scientific inferences as to the conception of ‘free will’ will be taken into account with a view to see how in this phenomenological scheme they could all be intelligibly accommodated. Once this is achieved, a unique version of compatibilism inherent in Merleau-Ponty’s thought will also be traced. (shrink)

What ought one to do, epistemically speaking, when faced with a disagreement? Faced with this question, one naturally hopes for an answer that is principled, general, and intuitively satisfying. We want to argue that this is a vain hope. Our claim is that a satisfying answer will prove elusive because of non-transparency: that there is no condition such that we are always in a position to know whether it obtains. When we take seriously that there is nothing, including our own (...) minds, to which we have assured access, the familiar project of formulating epistemic norms is destabilized. In this paper, we will show how this plays out in the special case of disagreement. But we believe that a larger lesson can ultimately be extracted from our discussion: namely, that non-transparency threatens our hope for fully satisfying epistemic norms in general. (shrink)

We have become a singularly confessing society…. [The confession] plays a part in justice, medicine, education, family relationships, and love relations, in the most ordinary affairs of everyday life, and in the most solemn rites: one confesses one's crimes, one's sins, one's thoughts and desires, one's illnesses and troubles; one goes about telling, with the greatest precision, whatever is most difficult to tell…. One confesses—or is forced to confess.This is an observation made decades before all the changes that information and (...) communication technology have brought about in our social and personal lives lately. With the impositions of the current pandemic scenario added, we have now literally become confessing... (shrink)

The field of enquiry into the phenomenon of language has long been dominated by the Computational-Representational (C-R) theories of language. This seems to be the most natural and plausible state of affairs, given the revolutionary impact that the advent of computers and the emergence of information technology have had in our lives lately. Noam Chomsky’s variant has been the most influential among such theories. However, there are certain conceptual issues pertaining to the very method, object and modality of the Chomskyan (...) project. In the present paper, I will try to locate these issues and contend that they arise from the peculiar conception of human embodiment involved in the propositions forming the Chomskyan scheme of language. They come to light only when engaged closely with from a phenomenological viewpoint. And this will be done in the first part. Once this is done, I will propose an alternative approach towards language, contained in the phenomenological insights on human embodiment and perception of the French phenomenologist Maurice Merleau Ponty. I will also hint at how befitting this alternative scheme is to the connectionist-neural network models of language, which are fast replacing the C–R models lately. (shrink)

The formalism of mathematics has always inspired ontological theorization based on it. As is evident from his magnum opus Being and Event, Alain Badiou remains one of the most important contemporary contributors to this enterprise. His famous maxim—“mathematics is ontology” has its basis in the ingenuity that he has shown in capitalizing on Gödel’s and Cohen’s work in the field of set theory. Their work jointly establish the independence of the continuum hypothesis from the standard axioms of Zermelo–Fraenkel set theory, (...) with Gödel’s result showing their consistency to the affirmative, while Cohen’s showing it to the negative. These results serve as the cornerstone of Badiou’s mathematical ontology. In it, drawing heavily on Cohen’s technically formidable method of forcing, Badiou makes the latter result the key to his defense of the possibility of a faithful tracing of the consequences in the ‘state’ of an ‘event’ by a ‘subject’. Whereas, Gödel’s result based on the assumption of constructability becomes the pivot for criticism of the general philosophical orientation that Badiou calls ‘constructivism’. Viewed from a position internal to mathematical formalism itself, and taking into account the twentieth century developments in the relevant field, Badiou’s stance seems to be neither appreciative of the actual course of such developments, nor just to the philosophical view point that was actually maintained by Gödel. In the present paper, this concern is intended to be substantiated through an exposition of certain facts pertaining to the said developments as well as to Gödel’s philosophical inclinations. (shrink)

The problem of alienation has come to the focus of philosophical discourse in terms of cogito’s loss of immediacy with the body and intimacy with the world, ever since Descartes—the founding father of modern thought—had his famous meditations. Putting the problem of alienation at the focus of philosophy, how should this human situation be reflected upon and the problem be addressed or dissolved at the least? One thing is clear that the method of enquiry cannot be purely intellectual wherein the (...) subject–object dichotomy has to be rigorously maintained. Rather, it has to turn intuitive at some stage, so that human subjective consciousness could be given its due place in the enquiry and the interplay of it with and the embeddedness of it in the material reality be revealed and accounted for as well. Only such an approach would address the problem at hand. But one cannot remain very optimistic about Western philosophy in this endeavor, due to the reasons to be elaborated in present paper. It is in this context that an enquiry into other philosophical systems becomes relevant. In the Eastern philosophical traditions, the issue at hand is addressed more creatively. Particularly in the Advaita Vedanta school of Indian Philosophy, the problem of alienation is tackled in an original way by elevating altogether the ‘being of man’ to a different level by way of an existential blending of his intellectual and intuitive capacities. Precisely in the Taittiriya Upanishad, man’s true nature is formulated in tune with nature, giving it a unique existential thrust. This conception once elaborated seems to be capable of productively addressing the issue at hand. An attempt will be made in the paper, at elucidating this view. (shrink)

ABSTRACT:We extend the Base of the Pyramid (BoP) poverty-alleviation approach by recognizing the poor as valuable suppliers—specifically of intellectual property. Although the poor possess huge reserves of intellectual property, they are unable to participate in global knowledge networks owing to their illiteracy and poverty. This is a crippling form of social exclusion in today’s growing knowledge economy because it adversely affects their capabilities for advancement at several levels. Providing the poor access to global knowledge networks as rightful participants—as suppliers of (...) intellectual property—leads to poverty alleviation as a result of their increased social inclusion, not only through economic benefits, but also through the poor’s improved well-being as a result of their increased self-esteem and dignity. Using concepts from social network theory, we develop a poverty-alleviation approach to harness and integrate the intellectual property of the poor into global knowledge networks through trust-based partnerships among the poor, non-governmental organizations, and multinational corporations. (shrink)

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)

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 ...

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)

Iranian scholar Ramin Jahanbegloo interviews one of the most well-known environment activists of our time, Vandana Shiva, and in the process, addresses issues ranging from nature and spiritualism, the Chipko Movement and the birth of Navdanya, 'earth democracy', and 'seed globalization' to the functioning of neoliberal paradigm in India, swadeshi and village governance, corruption in India, the future of Indian farmers, and the relevance of Gandhi in the twenty-first century.