Fundamento. La historia de la Neurocirugía en el territorio está estrechamente relacionada con la de otras especialidades como la Cirugía General y la Ortopedia. Tiene sus primeras referencias establecidas en la etapa colonial en el Hospital General, documentadas en el Boletín del Colegio Médico de Camagüey. Objetivo es resaltar la importancia que tuvieron el Hospital General y el Colegio Médico de Camagüey con su boletín en la historia de la Neurocirugía y la Ortopedia. Método. Es una investigación histórica que se (...) basa en la revisión documental y utiliza el submétodo cronológico para establecer el orden de los hechos que se describen. Desarrollo. El Hospital General a partir de su reconstrucción a finales del siglo XIX, se convirtió en el principal centro médico quirúrgico de la provincia en la época colonial. Muchos de los resultados de la actividad asistencial y científica de sus médicos apareció publicada en el Boletín del Colegio Médico de Camagüey, prestigiosa revista científica que se encargó de divulgar los resultados de la medicina camagüeyana y donde aparecen artículos que evidencian cómo cirujanos generales realizaron las primeras intervenciones neuroquirúrgicas y ortopédicas. Conclusiones. Se consideran al Hospital General y al Colegio Médico de Camagüey y su boletín, como elementos indispensables al escribir la historiografía de la Neurocirugía y la Ortopedia en el territorio. Ground: the history of Neurosurgery in this place is closely linked to other specialties like General Surgery and Orthopedics. The first documented references went back to the colonial period in the General Hospital, documented in the bulletin of the medical college in Camagüey. The objective is to highlight the importance of the General Hospital and the medical college and its bulletin in the history of Neurosurgery and Orthopedics in Camagüey. Methods: This a historical investigation that was carried out taking documented revision and using chronologic sub method to establish the order of the facts that have been described. Development: Since the reconstruction of the General hospital at the end of the XIX century, it became the main medical_ surgical center in the province during the colonial period. Many of the scientific results and medical activities were published in the bulletin of the medical college, which became a well-known scientific magazine that was in charge of publishing the medical success in Camagüey. There are articles to prove that general surgeons performed the first neurosurgical and orthopedic interventions. Conclusions: The General hospital, the medical college and its bulletin are considered crucial elements to describe the history of Neurosurgery and Orthopedics in the territory. (shrink)

RESUMEN La medicina tradicional herbolaria desde su evolución hasta la contemporaneidad ha sido objeto de uso para la medicina convencional. Por eso el objetivo del trabajo es describir el comportamiento de la medicina tradicional herbolaria en los sistemas de salud convencionales. Se realizó la búsqueda y análisis documental de numerosas fuentes sobre la temática pertenecientes a las bases de datos SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo. Se concluye que la actualidad social registra manifestaciones alentadoras en el (...) campo de la aceptación de la herbolaria como medicina complementaria por el equipo de salud y un renovado interés en el ámbito mundial por estudiar los efectos que tienen las plantas sobre la salud. ABSTRACT The traditional herbalist medicine from its evolution to the contemporaneity has been an object use for the conventional medicine. That's why the objective of the work is to describe the behavior of the traditional herbalist medicine in the conventional health systems. A search and documentary analysis of numerous sources on the subject-matter belonging to the databases SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo was carried out. It is concluded that the social actuality registers encouraging declarations in the field of the acceptance of the herbalist as complementary medicine for the team of health and a renewed interest in the world ambience to study the effects that have the plants on the health. (shrink)

La identidad se ha constituido como una noción hegemónica y estática, sin embargo, la música de Herencia de Timbiquí consolida identidades múltiples y evidencia la hibridación racial, histórica y cultural por la que han pasado las comunidades Afro-Pacíficas desde la época de la Colonia y la esclavitud negra hasta la globalización y el conflicto armado colombiano. Estos hechos han ido transformando las identidades que originalmente traían las comunidades desde África, pues sus prácticas culturales se fueron entretejiendo con las prácticas indígenas (...) y españolas. Posteriormente, gracias a la globalización apareció un auge de los medios masivos de comunicación y la industria cultural, lo que hizo que los cantos Afro-Pacíficos comenzaran a hibridarse con ritmos populares provenientes de Norte América y Europa. Ahora bien, esta hibridación revela la ausencia de una noción de identidad purista y estática y, a la vez, evidencia los procesos de desterritorialización simbólica y física por los que han pasado las comunidades afro-Pacíficas a través de los siglos por la imposición de culturas dominantes. (shrink)

La pesca artesanal y la acuicultura industrializada involucran grupos de interés en la sostenibilidad ambiental y social para el mejoramiento del bienestar de las comunidades. Se propone analizar la gestión de las asociaciones pesqueras utilizando el modelo “Triple cuenta de resultados”, para fortalecer la cadena productiva en Buenaventura, Colombia. Se emplea el enfoque cualitativo-descriptivo y un cuestionario sobre aprendizaje organizacional. La Responsabilidad Social Empresarial reflejo de procesos, prácticas y aprendizajes mejoran la productividad y competitividad, requiriendo modernizar los sistemas productivos, formalizar (...) las actividades de la cadena productiva y las buenas prácticas para la sostenibilidad económica y ambiental del sector. (shrink)

ABSTRACTTwo studies examined anger and shame, and their associated appraisals and behavioral intentions, in response to harm to an in-group's social-image. In Study 1, 37 British Muslims reported incidents in which they were devalued as Muslims. In Study 2, 108 British Muslims were presented with objective evidence of their in-group's devaluation: the controversial cartoons about Prophet Muhammad The appraisal of harm to social-image predicted anger and shame, whereas the appraisal of offense only predicted anger. Anger was a more empowering response (...) than shame, as anger predicted willingness for public confrontation, institutional punishment, and written disapproval. In contrast, shame only predicted written disapproval. Furthermore, independent of individual differences in identification as Muslim, a mediation model showed that individual differences in honor orientation pre... (shrink)

We investigated the role of honour concerns in mediating the effect of nationality and gender on the reported intensity of anger and shame in reaction to insult vignettes. Spain, an honour culture, and The Netherlands, where honour is of less central significance, were selected for comparison. A total of 260 (125 Dutch, 135 Spanish) persons participated in the research. Participants completed a measure of honour concerns and answered questions about emotional reactions of anger and shame to vignettes depicting insults in (...) which type of threat was manipulated. It was found that Spanish participants responded especially intensely to insults that threaten family honour, and that this effect of nationality on emotional reactions to threats to family honour was mediated by individual differences in concern for family honour. (shrink)

Insults elicit intense emotion. This study tests the hypothesis that one's social image, which is especially salient in honour cultures, influences the way in which one reacts to an insult. Seventy-seven honour-oriented and 72 non-honour oriented participants answered questions about a recent insult episode. Participants experienced both anger and shame in reaction to the insult. However, these emotions resulted in different behaviours. Anger led to verbal attack (i.e., criticising, insulting in return) among all participants. This relationship was explained by participants’ (...) motivation to punish the wrongdoer. Shame, on the other hand, was moderated by honour. Shame led to verbal disapproval of the wrongdoers behaviour, but only among the honour-oriented participants. This relationship was explained by these participants’ motivation to protect their social image. By contrast, shame led to withdrawal among non-honour-oriented participants. (shrink)

Climate change evokes different emotions in people. Recently, climate emotions have become a matter of normative scrutiny in the public debate. This phenomenon, which we refer to as the normativization of climate emotions, manifests at two levels. At the individual level, people are faced with affective dilemmas, situations where they are genuinely uncertain about what is the right way to feel in the face of climate change. At the collective level, the public debate reflects disagreement about which emotions are appropriate (...) to feel in the climate context. The aim of this paper is to examine the normative reasons in favour of different climate emotions by combining normative criteria from philosophy and psychology, such as rationality-based and consequentialist ones. We conclude that these criteria provide partial reasons for or against different climate emotions and that the suitability of each criterion will depend on various considerations, including the specific object that the emotion is directed to. We suggest that emotional disagreement in climate contexts may generate distrust, potentially hindering cooperation for climate action. We propose that we can ease challenges like this if we come to terms with the complex nature of climate emotions and their normative justification. (shrink)

En el presente trabajo nos proponemos esclarecer el sentido de la educaciónpartiendo del marco general del pensamiento de Nietzsche, así como exponerla relación esencial entre filosofía y educación en el autor. En primertérmino abordamos la concepción de educación en Platón como punto departida para su comprensión en Nietzsche. Desde aquí señalamos el sentidoy el alcance de la relación entre educación y filosofía en ambos filósofos.No obstante la gran dificultad existente en orden a esclarecer un conceptoúnico de filosofía en Nietzsche, intentamos (...) fundamentar su idea de educacióndesde la crítica a la cultura que lleva a cabo; desarrollando tanto elconcepto como el sentido de la educación en relación a su concepción delser del hombre, y señalando la posibilidad de su cumplimiento histórico.Para ello abordaremos el tema de la educación en relación con los siguientesaspectos del filosofar nietzscheano: nihilismo, transmutación de los valores,voluntad de poder, necesidad y fundamentación de una nueva valoración, elser del hombre y el “último hombre”. A manera de conclusión tratamos depresentar desde la relación esencial entre educación y filosofía, relación fundadaen la concepción de la filosofía como preparación del “superhombre”,la inversión de la esencia de la educación pensada por Nietzsche. (shrink)

In her ground-breaking and highly influential book Transformative Experience, L.A. Paul makes two claims: (1) one cannot evaluate and compare certain experiential outcomes (e.g. being a parent and being a non-parent) unless one can grasp what these outcomes are like; and (2) one can evaluate and compare certain intuitively horrible outcomes (e.g. being eaten alive by sharks) as bad and worse than certain other outcomes even if one cannot grasp what these intuitively horrible outcomes are like. We argue that the (...) conjunction of these two claims leads to an implausible discontinuity in the evaluability of outcomes. One implication of positing such a discontinuity is that evaluative comparisons of outcomes will not be proportionally sensitive to variation in the underlying features of these outcomes. This puts pressure on Paul to abandon either (1) or (2). But (1) is central to her view and (2) is very hard to deny. We call this the Shark Problem. (shrink)

This book presents the theory of capital utilization, a discussion of the econometrics of capital utilization, and econometric tests of the theory using international data. Capital utilization, defined as the proportion of time that capital is working productively, is mainly affected by shift-working. Capital utilization is an important economic variable that has received serious attention from economists only since the mid-1960s In the first part, the authors provide a synthesis of current knowledge, combining a consistent statement of existing theory with (...) some major extensions. In the second part, they turn to the econometrics, first discussing the appropriate methodology and then testing the theory on data from several countries. This empirical work is considerably more sophisticated than previous studies on this topic. Having established the theory and tested it, they move on to consider policy, the relationship between capital utilization and economic growth, and the place of shift-work in the dual economy. (shrink)

The recognition of a pattern of abstract marks as language is simultaneously obvious and undertheorized. Contemporary “asemic poetry” splits the recognition of language from its lexicality, providing an opportunity to consider this recognition directly. It reveals the necessary intervention of an “intentional function” that justifies considering markings as if they were encoded, i.e., as language. This essential moment of sign formation in written communication typically passes automatically without the need for consideration, but asemic poetry specifically allows meditation on that point (...) of transition, allowing the role of cultural knowledge to become apparent in its identification, as well as the Romantic heritage which rejects mechanical reproduction and automation. (shrink)

In this paper I analyse how procreative freedom poses a challenge for rule-consequentialism. First, I reconstruct the rule-consequentialist case for procreative freedom. Second, I argue that population scenarios resulting from very low fertility pose a problem for rule-consequentialism since such scenarios cannot secure population growth or even avoid human extinction in the long run. Third, I argue that population scenarios resulting from excessive procreation also pose a problem for rule-consequentialism since they are incompatible with the promotion of optimific consequences in (...) various ways. Were the rule-consequentialist to avoid these types of scenarios, the challenge would consist in doing so while retaining the liberal approach to individual rights and freedoms that made rule-consequentialism an advantageous competitor against moral theories like act-consequentialism. These population scenarios raise more general questions about how rule-consequentialism ought to conceptualise the application of universal rules in the long-term, intergenerational context. This is an important place for inquiry given that rule-consequentialism is originally conceived as a forward-looking theory. (shrink)

Byzantium and Modernism -- The Slash (/) as Method -- CODA.

Canʹt touch this -- How sight is not touch -- The medium of sight -- The problem of tactility -- The commonalities of the senses -- Photios and the unfolding of perception -- Has the mind seen?: the language of effluxes -- Has it grasped?: apprehending the object -- Has it visualized?, I: the grasp of the imagination -- Has it visualized?, II: the problem of fantasy -- Then it has effortlessly...: judgment and assent -- Mediation, veneration, remediation -- Medium (...) and mediation -- Tactility and veneration -- Synaesthesia and remediation -- Tempted to touch. (shrink)

"Cover"--"Title" -- "Copyright" -- "Dedication" -- "Contents" -- "List of Figures" -- "Acknowledgements" -- "1 Introduction" -- "Limina" -- "Anticipation and Recapitulation" -- "Problems of Cinematic Paratext" -- "2 Narrative Exposition" -- "Pseudo-independence" -- "Intratextuality" -- "3 Expositional Modes" -- "The Allegory Mode" -- "Lexical Expertise" -- "4 The Comment Mode" -- "Narrative Futurity" -- "Intertextuality and Quotation" -- "5 The Summary Mode" -- "Complex Summary" -- "Narrative Restatement" -- "6 The Prologue Mode" -- "Realist Integration" -- "Expository Texts" -- (...) "7 Conclusions" -- "The Paradoxes of Cinematic Paratext" -- "Typography and Pseudo-independence" -- "The Ideology of Naturalism::Stylization. (shrink)

Definitions of disability are useful for different purposes and carry normative significance. However, defining disability has proven a difficult task. Communities with different theoretical backgrounds and practical aims disagree about how to define disability. Recently, Chong‐Ming Lim (2018) has attempted to define disability in a manner accommodating of the different interests and theoretical commitments of the disability and the medical communities. His account aims at broadening Elizabeth Barnes' (2016) definition of disability, which is not sufficiently inclusive of the interests of (...) the medical community and leaves out cases other than physical disabilities. Under the most plausible interpretation of his account, however, the account becomes more restrictive than that of Barnes. In this paper, I propose instead two kinds of accounts: a disjunctive one based on a reinterpretation of Lim's, and a cluster concept account of disability. Both accounts can avoid the restrictiveness problem faced by Lim's and Barnes' original accounts. (shrink)

CONTENIDO: Problemas del diálogo intercultural en filosofía - Pensamiento iberoamericano: ¿base para un modelo de filosofía intercultural - Filosofía iberoamericana intercultural, ¿un programa también interdisciplinario - Aprender a filosofar desde el contexto del diálogo de las culturas - Supuestos filosóficos del diálogo intercultural - Cultura entre tradición e innovación - Hacia una transformación intercultural de la filosofía en América Latina - Teoría crítica, liberación y diálogo intercultural - Los derechos humanos, ¿fuente ética de crítica cultural y de diálogo entre las (...) culturas - Para una crítica del neoliberalismo a partir de la filosofía de la liberación - Tesis para la comprensión y práctica de la interculturalidad como alternativa a la globalización. (shrink)

Nuestro propósito actual es mostrar cómo un pensar filosófico concreto, el de Kant, enfrenta la problemática de una época histórica también concreta, la Ilustración, desde un punto de vista determinado: la ciencia, y cómo Kant pretende con ello posibilitar una toma de conciencia por parte de la sociedad a la que pertenece frente a su valor y a las limitaciones políticas de su época. En otras palabras, tratamos de recuperar la reflexión kantiana en torno a la función que en una (...) sociedad dada cumple la ciencia con respecto a la libertad humana. Nuestro trabajo habrá de tomar como base un pequeño artículo de Kant que con el títuloRespuesta a la pregunta qué es la Ilustración Sapere aude! ¡Ten valor de servirte de tu propio entendimiento! He aquí la divisa de la Ilustración”. escribió el autor en 1784, en el que consigna así su concepción de la misma: “. (shrink)

La formación del profesional de la salud de perfil amplio constituye uno de los objetivos principales en la educación médica superior. Sobre la base de este planteamiento se desarrolló una investigación en la Facultad de Ciencias Médicas de la Universidad de Ciencias Médicas "Carlos J. Finlay", de Camagüey, con el objetivo de exponer los fundamentos teóricos en los que se sustenta la competencia comunicativa intercultural en la enseñanza-aprendizaje del idioma Inglés. Se utilizaron diferentes métodos de investigación de los niveles teórico (...) y empírico. Se concluyó que estos fundamentos integran factores cognitivos, afectivo-emocionales, motivacionales, sociales, culturales, axiológicos y creativos, del proceso de desarrollo de la competencia comunicativa analizada. Formation of the health professionals with a wide profile constitutes one of the main objectives in high medical education. On this basis the present work is the result of a research carried in the Faculty of Medical Sciences at the Medical College of Camaguey. Its main objective is to expose the theoretical foundations of the intercultural communicative competence in the learning and teaching of English. For its elaboration different investigative methods of theoretical and empirical levels were applied. (shrink)

Quality-Adjusted Life Years (QALYs) and Disability-Adjusted Life Years (DALYs) are two of the most commonly used health measures to determine resource prioritization and the population burden of disease, respectively. There are different types of problems with the use of QALYs and DALYs for measuring health benefits. Some of these problems have to do with measurement, for example, the weights they ascribe to health states might fail to reflect with exact accuracy the actual well-being or health levels of individuals. But even (...) if these weights represent accurately the well-being levels of individuals, there is room for questioning whether these measures capture everything that we care about in these cases, or whether there are important issues that they leave out, including considerations of fairness or equality. In this regard, the measures have been criticized for treating the aggregation of small benefits as greater than the aggregation of fewer but bigger benefits,1for disregarding fair chances in favor of utility maximization,2and for raising problems when applied in the context of variable population size.3Perhaps one of the most pervasive ethical issues that has been associated with the use of these measures is the fact that they seem to discriminate against disabled people.4Since the measures assume that disabled people have lower well-being and a shorter life span, treating a disabled person’s medical condition contributes less to the maximization of years of life with good health than treating a non-disabled patient’s medical condition. (shrink)

El presente estudio pretende describir las actitudes más frecuentes, que demuestran estudiantes de educación media, frente a la lectura y los factores que inciden en el gusto o disgusto por ella, pues es de vital importancia poder conocer y descubrir las dificultades que puedan tener los estudiantes en su proceso lector, ya que un temprano conocimiento de aquellas dificultades posibilita la prevención de dificultades específicas de aprendizaje, miedos o desórdenes de hábitos lectores. El estudio se realizó por medio de la (...) observación y entrevista individual que indagaban sobre la lectura en el discurso y la lectura en la práctica. (shrink)

A través de esta obra el autor va respondiendo a diferentes cuestiones sobre la realidad, que va enlazando entre sí, dándoles respuesta y preocupándose por la actualidad socioeconómica a través de las reflexiones y cuestiones filosóficas. Realiza una crítica a la ideología capitalista actual y a los pilares que la sostienen.

According topositive egalitarianism, not only do relations of inequality have negative value, as negative egalitarians claim, but relations of equality also have positive value. The egalitarian value of a population is a function of both pairwise relations of inequality (negative) and pairwise relations of equality (positive). Positive andnegative egalitarianismdiverge, especially in different-number cases. Hence, an investigation of positive egalitarianism might shed new light on the vexed topic of population ethics and our duties to future generations. We shall here, in light (...) of some recent criticism, further develop the idea of giving positive value to equal relations. (shrink)

Deprivations normally give rise to undeserved inequality. It is commonly thought that one way of improving a situation with respect to equality is by reducing the incidence of deprivations. In this paper I argue that there is at least one respect in which reducing the incidence of deprivations can make things worse from the point of view of equality. While eliminating deprivations leads to the elimination of inequalities, reducing the incidence of deprivations leads to an uneven distribution of the pairwise (...) relations of inequality of a population, which leads to the concentration of pairwise relations of inequality in the worse off. If my argument is correct, egalitarians have reasons to broaden their dimensions of concern: egalitarians should not only be concerned about the unequal distribution of goods, but also about the unequal distribution of pairwise relations of inequality of a population. (shrink)

Introducción: Alude a que la salud pública tiene causas multifactoriales con alta connotación social. Objetivo: presentar una estrategia de superación transdisciplinaria para la actualización teórico-metodológica de los profesionales de la salud. Método: se determinaron los fundamentos teóricos de diferentes enfoques y tendencias en gestión de proyectos de investigación. Se concibió una estrategia de superación basada en los principios y conceptos de los estudios de la complejidad, la metodología de la Teoría de la Red de Actores, las ideas de la dirección (...) organizacional y de las premisas de la perspectiva transdisciplinaria. Resultados: se presenta una estrategia educativa para incrementar la capacidad de adaptarse a cambios, de generar conocimientos y de aumentar el desempeño integral que supone cualidades como son: la creatividad, el tratamiento de los valores y el trabajo en equipo. La estrategia contiene cursos de posgrado, pregrado y emergentes, adiestramientos, asesorías, talleres, la participación en eventos y la producción de publicaciones. Conclusiones: se aplicaron los principios y conceptos de los estudios de la complejidad, la metodología de la Teoría de la Red de Actores, las nuevas ideas de la dirección organizacional, así como las premisas de la perspectiva transdisciplinaria para elaborar una estrategia dirigida a la actualización epistemológica de los profesionales de la salud en la gestión de proyectos de investigación. La estrategia y sus interconexiones con los diversos factores para lograr una transformación, aprovecha la coordinación global no dirigida ni controlada por ningún subsistema de la que emergen propiedades nuevas, que garantizan su identidad, estructura, funcionamiento, sinergia y robustez. Introduction: Public health has multifactorial causes of high social connotation. Objective: The objective of this work is to present a strategy for transdisciplinary theoretical and methodological advancement of health professionals. Method: Theoretical foundations of various approaches and trends in research project management were determined. An advancement strategy was conceived based on the principles and concepts of the Complexity Theory, the methodology of the Actor-Network Theory, the ideas of the Organizational Development Theory and the premises of the transdisciplinary approach. Results: A resulting educational strategy is presented to increase the capacity of public health professionals to adapt to changes, to generate knowledge within the field and to increase overall performance in the workplace. This advancement strategy assumes qualities such as: creativity, ethical values and teamwork. The strategy includes postgraduate and undergraduate courses, as well as courses on emerging topics, training and consulting activities, workshops, participation in scientific events and publishing. Conclusions: The principles and concepts of the Complexity Theory, the Actor-Network Theory methodology, the ideas of the Organizational Development Theory, as well as the premises of the transdisciplinary perspective were considered to elaborate a strategy aimed at the epistemological advancement of public health professionals as it relates to the management of research projects. The strategy and its interconnections with the various factors that lead to transformation take advantage of the global coordination neither directed nor controlled by any subsystem from which new properties emerge, guaranteeing their identity, structure, functioning, synergy and strength. (shrink)

This essay presents and discusses the ways that prior experience constitutes a logical black box in Umberto Eco’s discussion of serial forms in ‘Interpreting Serials’ by using the complex adaptive system model for how complexity arises and is sustained over time, as proposed by John Holland. In exploring how Holland’s model can account for some aspects of Eco’s past experience, it becomes evident that a modification of both theories to accommodate multiple, contradictory potentials simultaneously suggests we consider meaning as a (...) range of potentials rather than as a singular choice. Even though the model proposed here is incomplete and tentative, it is suggestive of possible strategies for justifying interpretations without precluding their rejection or revision at a later time. Individual interpretations are justified not by comparison to an external truth but by the existence of other possible interpretations with shared characteristics that nevertheless contradict each other. (shrink)

Name der Zeitschrift: Semiotica Jahrgang: 2015 Heft: 204 Seiten: 239-252.

This thesis is an evaluation of the badness of disability and equality. It argues that disability poses a problem for equality and that, given the new advances in reproductive and gene technologies, egalitarians should strive to give an answer to how we should best reduce the inequality between disabled and non-disabled individuals of future generations. To support the claim that disabilities pose a problem for equality, I argue against the recently proposed Mere Difference View of disability. Firstly, the view is (...) not successful in responding to why, if disabilities are neutral, inflicting disability is still impermissible. Secondly, some intellectual disabilities, for example, do not bring about positive features capable of compensating for the negative features that they also bring about. If some disabilities are bad states of being, some disabled individuals will be worse off than non-disabled individuals other things being equal. Given that disabled individuals are subject to inequality due to their disability, I analyse how able traditional compensatory accounts of egalitarian justice are when it comes to improving this inequality. I conclude that given the existence of intellectual disabilities, traditional compensatory accounts are not fully satisfactory and that egalitarians should look at whether other means, like enhancements and preventive techniques, would do this job better. Paradoxically, techniques that lead to the reduction in the incidence of disabilities make things worse with respect to one new aspect of inequality, namely the concentration of inequality. In scenarios of disability reduction, where there are only a few remaining disabled individuals and a great number of non-disabled individuals, disabled individuals would be worse off than a great number of non-disabled individuals. This situation can potentially also have a negative impact in the wellbeing of the few remaining disabled individuals if the fact that disabled individuals become a very small minority puts less pressure in society to accommodate them. I conclude that reducing the incidence of disabilities can make things worse for inequality in at least one respect. This conclusion has crucial consequences for policy making. I recognise that the question remains about how this aspect should be weighed against the fact that scenarios of disability reduction promote utility - they contain more individuals with higher wellbeing - and against the fact that, under views that ascribe positive value to relations of equality, scenarios of disability reduction would also be, in one way, promoters of equality. (shrink)