The extant clinical literature indicates profound problems in the assessment, monitoring, and documentation of care in long-term care facilities. The lack of adequate resources to accommodate higher staff-to-resident ratios adds additional urgency to the goal of identifying more costeffective mechanisms to provide care oversight. The ever expanding array of electronic monitoring technologies in the clinical research arena demands a conceptual and pragmatic framework for the resolution of ethical tensions inherent in the use of such innovative tools. CareMedia is a project (...) that explores the utility of video, audio and sensor technologies as a continuous real-time assessment and outcomes measurement tool. In this paper, the authors describe the seminal ethical challenges encountered during the implementation phase of this project, namely privacy and confidentiality protection, and the strategies employed to resolve the ethical tensions by applying principles of the interest theory of rights. (shrink)

Employing the National Institute of Mental Health-funded Prevention of Suicide in Primary Care Elderly Collaborative Trial as a case study, we discuss 2 sets of ethical issues: obtaining informed consent for a clinic-based intervention study and using treatment as usual (TAU) as the control condition. We then address these ethical issues in the context of the debate about the quality improvement efforts of health care organizations. Our analysis reveals the tension between ethics and scientific integrity involved with using TAU as (...) a control condition and the difficulty in designing high-quality research in a community-based setting. (shrink)

This book taps the best American thinkers to answer the essential American question: How do we sustain our experiment in government of, by, and for the people? Authored by an extraordinary and politically diverse roster of public officials, scholars, and educators, these chapters describe our nation's civic education problem, assess its causes, offer an agenda for reform, and explain the high stakes at risk if we fail.

Dr. Stanley introduces you to the essential beliefs for trusting God. Even when you cannot understand why God would allow certain situations to occur, these beliefs form the basis for trusting Him. It is what you believe that makes it possible to ask the right questions in the face of a tragedy or great needs in your life.

As time passed, I discovered with surprise that the important role I assigned to literature was not recognized by everyone.iThis essay constitutes one aspect of an overall project to spell out the implications for the literary arts of Wittgenstein's systematic distinction between acts of description that carry truth values and acts of expression that display states of mind and feeling but do not describe them. My full case will require a book. That is good news for me but bad news (...) for the present reader, since I feel I have to offer a painfully brief version of my overall theoretical position as a backdrop for what I will say about appreciation. Expressions elicit or solicit attunement rather than propose .. (shrink)

This essay reviews three recently published books on the intellectual history of the Italian Renaissance. In his survey of Italian humanism in the “long fifteenth century” (c. 1350–c. 1525) The Intellectual World of the Italian Renaissance, Christopher Celenza argues that the intellectual project of the humanists was centred on questions regarding language, philosophy, and the stance of the intellectual toward institutions. Celenza traces the fortunes and mutations of the humanist project into the modern era in The Italian Renaissance and the (...) Origins of the Humanities, and expresses concern that in today's universities the balance struck by the humanists between “openness” and “boundary-generating habits” unduly favours the latter. Humanism, according to James Hankins's Virtue Politics, was primarily about repairing politics by first reforming the moral character of Italy's ruling elites. The language and literature of Roman and Greek antiquity provided the models for this education in virtue. Hankins believes the humanists' educational and cultural programme offers a salutary corrective to our misplaced, post-Machiavellian trust in legal constraints and constitutional guardrails to regulate contemporary political life. (shrink)

If the NHSTP procedure is essential for controlling for chance, why is there little, if any, discussion of the nature of chance by Chow and other advocates of the procedure. Also, many criticisms that Chow takes to be aimed against the NHSTP procedure are actually directed against the kind of theory that is tested by the procedure.

While correctly describing the differences in current practices between experimental psychologists and economists, Hertwig and Ortmann do not provide a compelling explanation for these differences. Our explanation focuses on the fact that psychologists view the world as composed of categories and types. This discrete organizational scheme results in merely testing nulls and wider variation in observed practices in experimental psychology.

Since structural descriptions rather than ostensive ones are required by the logic of the cultural sciences, the Platonic eidos as a regulative idea continues to play a creative role in establishing the formal unity of historical concepts. Paul Natorp, Troeltsch’s neo-Kantian contemporary and early proponent of the logicist thesis in Germany, first construed mathematical logic as a Platonistic search for the unconditioned in the form of absolutely foundational concepts or categories of thought. The hidden Platonism expressed in Troeltsch’s formal logic (...) of history is rather close to Natorp’s reading of the Platonic ideas as functions of knowledge, as methods, unities, and pure postulates of thought whose cognitive role is to be comprehensive, heuristic, and revelatory. Moreover, such characteristic 19th-century Hegelian histories of philosophical concepts as those of Adolf Trendelenburg and Gustav Teichmüller, or F. C. Bauer’s dialectical historical methodology of congruence and manifestation in ecclesiastical historicity, were Platonically oriented in that development meant fulfillment as abstract pristination [[sic]] or as the progressively emergent pure logic of historical ideas. The same climate of thought is expressed in F. H. Bradley’s version of the Identity of Indiscernibles and a Platonic-Hegelian ascent of concepts is present even later in Nicolai Hartmann’s neo-idealist treatment of the realization of concepts as "living spirit" in the progressive movement of research itself. (shrink)

We characterize Δ20-categoricity in Boolean algebras and linear orderings under some extra effectiveness conditions. We begin with a study of the relativized notion in these structures.

This article concerns the prescriptive function of decision analysis. Consider an agent who must choose an action yielding welfare that varies with an unknown state of nature. It is often asserted that such an agent should adhere to consistency axioms which imply that behavior can be represented as maximization of expected utility. However, our agent is not concerned the consistency of his behavior across hypothetical choice sets. He only wants to make a reasonable choice from the choice set that he (...) actually faces. Hence, I reason that prescriptions for decision making should respect actuality. That is, they should promote welfare maximization in the choice problem the agent actually faces. Any choice respecting weak and stochastic dominance is rational from the actualist perspective. (shrink)

" -- Dr. Daniel Gardner, Cornell University Medical College Charles Stevens, a prominent neurobiologist who originally trained as a biophysicist (with George Uhlenbeck and Mark Kac), wrote this book almost by accident.

This article extends the brief description of cognition previously offered in the adaptational theory of consciousness (ATC). Here I suggest how unconscious and conscious minds interact to achieve mutual cognitive development. Interactions occur in an extended moment of subjective time consisting of perceptual, associational, and affective scenes. During the extended moment, the conscious self becomes time-agile, shuttling between the past, present, and future in order to assemble ideas within global awareness that produce pleasure. The products of its cognitive journeys are (...) saved as synaptic modifications by the unconscious mind's mnemonic functions. As this occurs, instincts and the conscious self's implementation of cultural values are brought into better alignment. (shrink)

In many classes of structures, each computable structure has computable dimension 1 or $\omega$. Nevertheless, Goncharov showed that for each $n < \omega$, there exists a computable structure with computable dimension $n$. In this paper we show that, under one natural definition of relativized computable dimension, no computable structure has finite relativized computable dimension greater than 1.