The increasing application of artificial intelligence (AI) to healthcare raises both hope and ethical concerns. Some advanced machine learning methods provide accurate clinical predictions at the expense of a significant lack of explainability. Alex John London has defended that accuracy is a more important value than explainability in AI medicine. In this article, we locate the trade-off between accurate performance and explainable algorithms in the context of distributive justice. We acknowledge that accuracy is cardinal from outcome-oriented justice because it helps (...) to maximize patients’ benefits and optimizes limited resources. However, we claim that the opaqueness of the algorithmic black box and its absence of explainability threatens core commitments of procedural fairness such as accountability, avoidance of bias, and transparency. To illustrate this, we discuss liver transplantation as a case of critical medical resources in which the lack of explainability in AI-based allocation algorithms is procedurally unfair. Finally, we provide a number of ethical recommendations for when considering the use of unexplainable algorithms in the distribution of health-related resources. (shrink)

Volume 20, Issue 7, July 2020, Page 106-109.

Nel 1929 avviene a Davos il famoso incontro tra Ernst Cassirer e Martin Heidegger che rappresenta il dibattito tra le correnti filosofiche dominanti nel mondo di lingua tedesca in quel momento, mentre ci si focalizza, nella sua risoluzione, sull’immediato futuro politico che avrebbe dovuto riguardare l'Europa, con i soliti mitmachen dell'università e della stragrande maggioranza dei suoi intellettuali, tra cuianche buoni sacerdoti e i barbieri di Cervantes, che bruciavano libri. Esattamente quattro secoli fa, tra gli altri, Lutero e Zwingli hanno (...) discusso nel cosiddetto Colloquio di Marburg, sul sacramento dell’Eucaristia, prendendo posizioni inconciliabili riguardo alla questione della presenza reale di Cristo in essa. Il presente documento intende dimostrare l'identità strutturale tra la discussione di Davos e quella del colloquio di Marburg, rivelando le sue dimensioni teologiche, che avranno, conosciute o meno, un enorme impatto sull'ulteriore sviluppo di discipline come la linguistica. (shrink)

Ce texte constitue un bref résumé de certains travaux en cours beaucoup plus longs et détaillés sur le concept de «trace» dans la théorie linguistique contemporaine, en particulier dans la syntaxe. On pense généralement que l'idée en revient à Noam Chomsky; cependant, nous découvrons déjà son utilisation, avec une valeur très précise, dans les premiers travaux de Zellig Harris sur la linguistique mathématique ou, pour être plus précis, sur les structures mathématiques du langage. À l'origine, plutôt que d'être un index (...) responsable du marquage de la place occupée par une unité antérieure à son mouvement syntaxique (qui prend toujours la forme d'un fronting), la trace était le résultat d'un produit matriciel entre des fonctions n-adiques. Ainsi, chez Harris, la trace est avant tout un concept ancré dans le calcul matriciel ou, autrement dit, une notion algébrique. La notion de Chomsky, à son tour, est étroitement liée au langage de programmation LISP. Ce texte cherche à fournir une analyse préliminaire de la complexité conceptuelle impliquée dans le concept de trace, dont les linguistes devraient prendre conscience, sous peine de s’embourber dans des incompréhensions stériles pour notre discipline au cours des décennies à venir. (shrink)

In this commentary, we criticize the argument that allowing euthanasia for people with disabilities is ableist. We analyze the distinction between facts and values in medical assistance in dying, the expressivist objection, and the problem of crypwashing.

O objetivo do estudo foi verificar evidência de validade simultânea para o Desenho da Figura Humana-Escala Sisto. Mais especificamente se o DFH-Escala Sisto diferencia as categorias de interpretação fornecidas pelo manual das Matrizes Progressivas Coloridas de Raven. Participaram 279 crianças do Ens..

This paper examines the influence of internal barriers on the relationship between the organizational capability of stakeholder integration and proactive environmental strategies. We adopt a moderate hierarchical regression model to test the hypotheses using data from a sample of 73 managers in the business education industry. The paper contributes to stakeholder theory by showing that stakeholder integration positively influences the development of proactive environmental strategies when managers perceive internal barriers to the development of such strategies. This article also explores an (...) ethical dilemma—managers may use the stakeholder integration capability to support their own interests rather than to benefit stakeholders. (shrink)

In this paper I critically evaluate the Implicit Definition Theory and its possibility of resolution of two main problems concerning logical knowledge: the explication and the justification. I point at five results that can be obtained: apriority, factuality, normativity applicability and non-circularity. I argue that in case of explication all mentioned results can be obtained but in case of justification the circularity is inevitable. In the last paragraph I propose a solution of this problem.

En este artículo se examinan críticamente dos propuestas de solución a losargumentos escépticos, la del Wittgenstein de “Sobre la Certeza” y la másreciente de Crispin Wright, y se propone una alternativa. Tras describir losaspectos positivos de ambas propuestas, se las acusa de un defecto que lasinvalida, al que se denomina “fundamentalismo” (básicamente, el de no permitirla revisión de los sistemas epistémicos) y se propone una estrategia desolución del problema.

En este trabajo se evalúa críticamente el papel de la Teoría de las Definiciones Implícitas en la resolución de dos problemas en torno al conocimiento de la lógica: el problema de la explicación , y el problema de la justificación . Se fijan cinco resultados a alcanzar: aprioricidad, factualismo, normatividad, aplicabilidad y no circularidad viciosa. Se argumentará que, aunque dichos resultados se pueden alcanzar respecto al problema de la explicación, no se evita la circularidad viciosa en el problema de la (...) justificación. (shrink)

Tras una breve presentación / explicación de la noción de similaridad intermundana que se utiliza en lógica condicional, se explican cuatro nociones intuitivas, pre-teóricas, de similaridad, así como las implicaciones formales que posee su adopción como correlato informal para la noción técnica de similaridad entre mundos: parecido entre objetos, magnitud del cambio, semejanza estructural, y probabilidad / posibilidad de eventos. Por ultimo, se retoman dos problemas tradicionales de la lógica condicional a la luz de los conceptos recién definidos: la asunción (...) de unicidad (vinculada al tercio excluso condicional), y el principio de comparabilidad (vinculada al principio de monotonía racional). (shrink)

El propósito de este artículo es mostrar las diferencia entre las verdades lógicas y el resto de verdades analíticas, y en especial mostrar los distintos tratamientos formales.

Este trabalho teve como objetivo buscar evidências de validade baseada na relação com variáveis externas para a Escala de Suporte Laboral (ESUL). Participaram 175 universitários trabalhadores de ambos os sexos. Para a coleta de dados, além da ESUL, foi utilizada a Escala de Identificação Organizacio..

O processo de resposta do Teste Pictórico de Memória (TEPIC-M) classifica seus itens em três categorias sequenciais (céu, terra e água). Assim, aventou-se a hipótese que pessoas com uma familiaridade diária com o mar (Aracaju-grupo A) lembrariam mais desses itens quando comparadas com pessoas sem es..

Pritchard sostiene que la condición de habilidad y la condición de seguridad le imponen demandas independientes al conocimiento, i.e., que la satisfacción de una no implica la satisfacción de la otra y que, por lo tanto, ninguna de ellas es suficiente por sí misma para ofrecer una caracterización adecuada de esta noción. Argumento, por el contrario, que no hay buenas razones para pensar que la condición de seguridad es insuficiente. Empleando algunos conceptos de Greco y Pritchard y Kallestrup para caracterizar (...) a las habilidades cognitivas y el caso del mentiroso consistente de Lackey, argumento que TEMP, el caso clave de Pritchard para mostrar que puede haber seguridad sin habilidad, no funciona porque el proceso cognitivo relevante constituye una realización legítima, aunque anómala, de una habilidad. Pritchard maintains that the ability and the safety conditions impose independent demands on knowledge, i.e., that satisfying only one of them is not sufficient to acquire knowledge. I argue that there are no good reasons to suppose that the safety condition is not sufficient. I claim that TEMP, the key case proposed by Pritchard to show that there can be safety without ability, fails because therelevant cognitive process constitutes a legitimate, although anomalous, realization of a cognitive ability. (shrink)

The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this particular context. We focus mainly on nonracial biases (...) that may be less considered when addressing biases in AI systems in the existing literature. In the manuscript, we found that the existence of bias in AI systems used for COVID-19 can result in algorithmic justice and that the legal frameworks and strategies developed to prevent the apparition of bias have failed to adequately consider social determinants of health. Finally, we make some recommendations on how to include more diverse professional profiles in order to develop AI systems that increase the epistemic diversity needed to tackle AI biases during the COVID-19 pandemic and beyond. (shrink)

Background Providing understandable information to patients is necessary to achieve the aims of the Informed Consent process: respecting and promoting patients’ autonomy and protecting patients from harm. In recent decades, new, primarily digital technologies have been used to apply and test innovative formats of Informed Consent. We conducted a systematic review to explore the impact of using digital tools for Informed Consent in both clinical research and in clinical practice. Understanding, satisfaction and participation were compared for digital tools versus the (...) non-digital Informed Consent process. Methods We searched for studies on available electronic databases, including Pubmed, EMBASE, and Cochrane. Studies were identified using specific Mesh-terms/keywords. We included studies, published from January 2012 to October 2020, that focused on the use of digital Informed Consent tools for clinical research, or clinical procedures. Digital interventions were defined as interventions that used multimedia or audio–video to provide information to patients. We classified the interventions into 3 different categories: video only, non-interactive multimedia, and interactive multimedia. Results Our search yielded 19,579 publications. After title and abstract screening 100 studies were retained for full-text analysis, of which 73 publications were included. Studies examined interactive multimedia, non-interactive multimedia, and videos, and most studies were conducted on adults. Innovations in consent were tested for clinical/surgical procedures and clinical research. For research IC, 21 outcomes were explored, with a positive effect on at least one of the studied outcomes being observed in 8/12 studies. For clinical/surgical procedures 49 outcomes were explored, and 21/26 studies reported a positive effect on at least one of the studied outcomes. Conclusions Digital technologies for informed consent were not found to negatively affect any of the outcomes, and overall, multimedia tools seem desirable. Multimedia tools indicated a higher impact than videos only. Presence of a researcher may potentially enhance efficacy of different outcomes in research IC processes. Studies were heterogeneous in design, making evaluation of impact challenging. Robust study design including standardization is needed to conclusively assess impact. (shrink)

Dejó dicho Jean Cocteau que su pesimismo no era sino una variedad de su optimismo. Se acordaba uno de este aforismo mientras atendía a las intervenciones de Javier Gomá y Alain Finkielkraut en el Institut Français de Madrid.1 Acaso el optimismo del español llegaba a desazonar un tanto más que el pesimismo del francés. Las diatribas de Finkielkraut, defensor acérrimo de la educación republicana francesa, dirigidas al periodo que abarca las últimas cuatro décadas, encontraban en Gomá, apólogo de la (...) ejemplaridad2 como método pedagógico y del cosmopolitismo ilustrado —“Ser español es la manera más práctica de ser contemporáneo”, subrayó aquel día—, respuesta en forma de pregunta: “¿En qué otra época preferirías vivir?”. Pregunta que resulta ciertamente tramposa cuando de lo que se trata es de analizar la deriva de las democracias liberales de un tiempo a esta parte, considerando a lo que se tendía ayer y pensando donde, en efecto, estamos hoy... (shrink)

Es, quiza, la coleccion mas abierta que existe en cuestiones de etica, aunque se ha ocupado tambien de antropologia, estetica, ontologia, teoria del conocimiento e historia de la filosofia. El primer titulo que se publico en la coleccion fue la gran Historia de la filosofia y de la ciencia en tres volumenes de Ludovico Geymonat. A este le han seguido obras de A. J. Ayer, A. MacIntyre, Ernst Tugendhat, Antoni Domenech, Anna Estany, Agnes Heller, F. Fernandez Buey, Carlos Paris, Emilio (...) Lledo, Manuel Sacristan, John Rawls o Ludwig Wittgenstein. Victoria Camps ha dirigido, ademas, una gran Historia de la etica, en tres volumenes, en la que han colaborado los mejores especialistas espanoles. Manual al dia y de lectura agil y amena sobre valores y conceptos como el de igualdad y prioridad, fundamentales en los estudios de la filosofia de hoy. (shrink)

It has been suggested that due to AI-technology-generated gadgets, a digital unconscious enables the probable annulment of the Freudian unconscious. The purpose of this article is to delve into Freudian topography as a way to demonstrate that this foreclosure of the unconscious was somewhat present in Freud as of 1920. In addition, regardless of solid attempts at the extinction of the unconscious by contemporary demands, I will focus on how the capitalist discourse and AI-generated technology propose a different form of (...) social bond. Finally, the conceptualization of pain (_Schmerz_) is important for ascribing a different modality to the Freudian unconscious than in recent dissertations, but most importantly, it is a significant element for analytical experience to function properly where it must not be aligned with suffering. An era without an unconscious may foretell a time where enjoyment, as a form of subjectivity, is effaced. (shrink)

Scientific misconduct obstructs the advance of knowledge in science. Its impact in some disciplines is still poorly known, as is the frequency in which it is detected. Here, I examine how frequently editors of ecology and evolution journals detect scientist misconduct. On average, editors managed 0.114 allegations of misconduct per year. Editors considered 6 of 14 allegations (42.9%) to be true, but only in 2 cases were the authors declared guilty, the remaining being dropped for lack of proof. The annual (...) rate of allegations that were probably warranted was 0.053, although the rate of demonstrated misconduct was 0.018, while the rate of false or erroneous allegations was 0.024. Considering that several cases of misconduct are probably not reported, these findings suggest that editors detect less than one-third of all fraudulent papers. (shrink)

Con el objetivo de evidenciar la forma en que la diversidad sociodemográfica ha resignificado el proceso de desarrollo territorial y origina líneas de fuga que trascienden la hegemonía de los poderes económicos-políticos-ambientales en los Llanos-Orientales, se realiza una metodología experimental que combina análisis situacionales, la genealogía, y la reconstrucción histórica de fenómenos sociales a través de 87 entrevistas a líderes sociales entre el 2019-2021. Los resultados muestran un territorio de activa conexión cultural que favorecen la lucha contra hegemónica dentro de (...) las metáforas de “el mito del Estado nación” y “la imposibilidad de generar alternativas”. El análisis expone la existencia de rebeliones de conducta a través de resistencias cotidianas creativas, políticas y culturales, que favorecen el poder de la confianza, la solidaridad, la cooperación, el afecto, así como los liderazgos colectivos. Se concluye que el poder central no tiene la capacidad de capturar estas resistencias ya que no tiene la potencia analítica para percibir la reconfiguración del espíritu humano ni las variaciones del tejido social. (shrink)

The historical background of the 19th century electromagnetic theory is revisited from the standpoint of the opposition between alternative approaches in respect to the problem of interactions. The 19th century electrodynamics became the battle-field of a paramount importance to test existing conceptions of interactions. Hertz’s experiments were designed to bring a solid experimental evidence in favor of one of them. The modern scientific method applied to analyze Hertz’s experimental approach as well as the analysis of his laboratory notes, dairy and (...) private letters show that Hertz’s ‘‘crucial’’ experiments cannot be considered as conclusive at many points as it is generally implied. We found that alternative Helmholtz’s electrodynamics did not contradict any of Hertz’s experimental observations of transverse components as Maxwell’s theory predicted. Moreover, as we now know from recently published Hertz’s dairy and private notes, his first experimental results indicated clearly on infinite rate of propagation. Nevertheless, Hertz’s experiments provided no further explicit information on non-local longitudinal components which were such an essential feature of Helmholtz’s theory. Necessary and sufficient conditions for a decisive choice on the adequate account of electromagnetic interactions are discussed from the position of modern scientific method. (shrink)