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 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)

In these essays, appearing for the first time in English, Gadamer addresses practical questions about recent politics in Europe, about education and university reform, and about the role of poetry in the modern world. This book also includes a series of interviews that the editors conducted in 1986. Gadamer elaborates on his experiences in education and politics, touching on the collapse of the Weimar Republic, the early Frankfurt School, Heidegger and the Nazis, university life in East Germany, and the prospects (...) for Europe in the coming years. Hans-Georg Gadamer was probably Heidegger's leading interpreter in Germany, and in the 1950s and 1960s he became the world's leading exponent of hermeneutics. His hermeneutical theory explains how it is that ancient art and philosophy still speak to us today. His influential idea of the "fusion of horizons" also shows how it is that we understand what is remote form our own culture. (shrink)

Das Buch gibt einen Überblick über die Arbeiten von Hans Albert und behandelt ausgewählte Konsequenzen seines Werks für die Philosophie des Kritischen Rationalismus und ihre Anwendungen in Gebieten der Soziologie, Wirtschaftswissenschaften, Rechtswissenschaften und weiteren Wissenschaften.

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)

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 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.

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)

We publish here the letters between Gadamer and Ricoeur, as they are found in the Archives of the two philosophers (Gadamer-Archiv in Marbach and Fonds Ricoeur in Paris). 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)

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)