In lieu of an abstract, here is a brief excerpt of the content:An Epidemic of Difficult PatientsKeva SouthwellAs the opioid epidemic marches on, we have all become familiar with a particular breed of "difficult patient," the intravenous drug user. Most teams try to get through these admissions with as few interactions as possible. Nurses will tell you how much they hate caring for these patients, often citing "they did this to themselves" as they experience prolonged admissions due to infections resulting (...) from Intravenous Drug Use (IVDU). Most services try to get out of admitting these patients, saying they are more appropriate with infectious disease, cardiology, or "anywhere but with me." These patients often use drugs in the hospital, threaten to leave AMA, and are dangerous, liable to assault or abuse the very staff trying to help them. The general consensus is that taking care of these patients is a dirty job … why do I have to do it?That's where I come in. It's a dirty job … and that's exactly why I do it. I run a unique service, where my preferred patients are those admitted for 6–8 weeks of IV antibiotics to treat their endocarditis. Some of these patients survive after discharge, but most don't. I know this. But it's my job to help them anyway. It just turns out that in these cases, help doesn't always look the way you think it will.In a perfect world, having a life-threatening infection would be the rock bottom these young people need to embrace a new way of life. Unfortunately, this world is far from perfect. Just as having diabetes doesn't make you stop wanting junk food, having endocarditis does not make you stop wanting drugs. In fact, it can be the opposite. [End Page 26] Drugs are often the coping tool these patients turn to. Happy? Use drugs. Sad? Use drugs. Scared? Use drugs. That's why it's hard. Addiction defies logic; it can be cunning, baffling, and powerful. Until you understand addiction, you'll never really find a way to treat these patients, let alone a way to enjoy treating them.We all have patients who change things for us. They shift our perspective, make us view our practice, our patients, and ourselves differently; patients who teach us the lessons not learned in school. I will never forget Jack, one of those "difficult patients." He taught me how to care for people who really can't be medically helped. It's a lesson that can take years to learn: You've got to let go of the outcome, and some solutions don't look the way you think they should. In this way, he helped me continue in this difficult work.I was a nearly new hospitalist, having just moved into this work from outpatient addiction care. Jack was a young man, 32 years old. He had presented to our hospital with endocarditis of the aortic and tricuspid valves secondary to IVDU. He was referred to my service when he was ineligible for valve replacement due to septic emboli in his brain and subsequent micro hemorrhage. The surgery team wanted him to recover from these events before considering surgical treatment.Jack was a big guy, over 6'2", with a weight to match. He was covered in tattoos—his back, arms, chest, and neck—not an inch was bare. His physical presence might be considered intimidating. Jack was a man of few words: he complained of very little, was often asleep during medical visits, never really left his room, and had no visitors. About four days after his arrival, nursing became concerned about illicit drug use. Despite the fact he had no orders for narcotics or other sedating meds, he was sleeping all the time. His drug screens were negative. Despite the lack of specific evidence, I was asked to take measures to ensure he was not using illicit drugs, which included placing him on a contract and ordering 1:1 observation.His fatigue was concerning, though not for drug use. A repeat ECHO showed that his aortic insufficiency was worsening. His tricuspid insufficiency was very bad from the start. His belly began to swell, followed by his... (shrink)

The essential overview of the key philosophical ideas and controversies that have shaped the world of science.

The English cases -- Cases concerning marriage -- Cases concerning ecclesiastical fasts -- Appendix: List of faculties.

We know that reading involves coordination between textual characteristics and visual attention, but research linking eye movements during reading and comprehension assessed after reading is surprisingly limited, especially for reading long connected texts. We tested two competing possibilities: (a) the weak association hypothesis: Links between eye movements and comprehension are weak and short‐lived, versus (b) the strong association hypothesis: The two are robustly linked, even after a delay. Using a predictive modeling approach, we trained regression models to predict comprehension scores (...) from global eye movement features, using participant‐level cross‐validation to ensure that the models generalize across participants. We used data from three studies in which readers (Ns = 104, 130, 147) answered multiple‐choice comprehension questions ~30 min after reading a 6,500‐word text, or after reading up to eight 1,000‐word texts. The models generated accurate predictions of participants' text comprehension scores (correlations between observed and predicted comprehension: 0.384, 0.362, 0.372, ps <.001), in line with the strong association hypothesis. We found that making more, but shorter fixations, consistently predicted comprehension across all studies. Furthermore, models trained on one study's data could successfully predict comprehension on the others, suggesting generalizability across studies. Collectively, these findings suggest that there is a robust link between eye movements and subsequent comprehension of a long connected text, thereby connecting theories of low‐level eye movements with those of higher order text processing during reading. (shrink)

A concise and readable guide to Descartes's _Meditations_ geared toward beginner philosophy students and general readers. Offers clear explanations of the central themes and ideas, terminology, and arguments in the Meditations Features in-depth discussion of Descartes’ correspondence with his contemporaries Illustrates arguments and ideas with useful tables, diagrams, and images Includes a glossary of difficult terms as well as helpful biographical and historical information Includes references to further readings, films, and literature that contain similar philosophical themes Will form part of (...) a series of _Guides_ designed specifically for A-level philosophy students by an experienced teacher and founder of the popular website _Philosophy Online_. (shrink)

A concise and very readable summary of Nietzsche's _Beyond Good and Evil_, geared toward students embarking on their studies and general readers. It is an ideal companion for those new to the study of this challenging and often misunderstood classic. Offers clear explanations of the central themes and ideas, terminology, and arguments Includes a glossary of difficult terms as well as helpful biographical and historical information Illustrates arguments and ideas with useful tables, diagrams, and images; and includes references to further (...) readings Forms part of a series of Guides designed specifically for A-level philosophy students by an experienced teacher and founder of the popular website Philosophy Online. (shrink)

A concise and very readable summary of Nietzsche's _Beyond Good and Evil_, geared toward students embarking on their studies and general readers. It is an ideal companion for those new to the study of this challenging and often misunderstood classic. Offers clear explanations of the central themes and ideas, terminology, and arguments Includes a glossary of difficult terms as well as helpful biographical and historical information Illustrates arguments and ideas with useful tables, diagrams, and images; and includes references to further (...) readings Forms part of a series of Guides designed specifically for A-level philosophy students by an experienced teacher and founder of the popular website Philosophy Online. (shrink)

This chapter contains sections titled: Introduction Reality, Truth and Philosophical Prejudice God, Religion and the Saint Morality, Ressentiment and the Will to Power.

This chapter contains sections titled: Introduction Preface Part One: On the Prejudices of Philosophers Part Two: The Free Spirit Part Three: The Religious Nature Part Four: Maxims and Interludes Part Five: On the Natural History of Morals Part Six: We Scholars Part Seven: Our Virtues Part Eight: Peoples and Fatherlands Part Nine: What is Noble? From High Mountains: Epode.

This chapter contains sections titled: Life of Nietzsche Nineteenth‐century Europe Romanticism and German Idealism Pessimism German Politics The Text.

Este artículo se concentrará en las estrategias impulsadas por la Dirección Provincial de Educación Secundaria de la provincia de Buenos Aires, destinadas a impulsar la participación estudiantil y la convivencia, entre los años 2020 y 2021. Se presenta la experiencia de trabajo en soporte digital llevada adelante desde las líneas de trabajo “Construir Ciudadanía” y “Lenguajes contemporáneos” en el marco del ASPO y DISPO producto de la pandemia.

'Words of Wisdom' is an anthology of history's most memorable, uplifting or thought-provoking quotations from the greatest philosophers who have ever lived. Each of the 360 quotations is accompanied by a brief essay that tells the story of the speaker or explains the circumstances that gave rise to the quotation.

When it comes to the really important questions, who better to ask than the greatest political minds in history. What Would Marx Do? uses 40 everyday questions and problems as springboards for exploring the great questions of our time, while giving you a crash course in the theories and ideas of the greatest political philosophers of all time."--Back cover.

Reading is one of the most common everyday activities, yet research elucidating how affective influence reading processes and outcomes is sparse with inconsistent results. To investigate this question, we randomly assigned participants (N = 136) to happiness (positive affect), sadness (negative affect), and neutral video-induction conditions prior to engaging in self-paced reading of a long, complex science text. Participants completed assessments targeting multiple levels of comprehension (e.g. recognising factual information, integrating different textual components, and open-ended responses of concepts from memory) (...) after reading and after a week-long delay. Results indicated that the Sadness (vs. Happiness) condition had higher comprehension scores, with the largest effects emerging for assessments targeting deeper levels comprehension immediately after reading. Eye-tracking analyses revealed that such benefits may be partly driven by sustained attentional focus over the 20-minute reading session. We discuss results with respect to theories on affect, cognition, and text comprehension. (shrink)

Miller undermines traditional ideas and beliefs about language, literature, truth, meaning, consciousness, and interpretation. In effect, he assumes the role of unrelenting destroyer—or nihilistic magician—who dances demonically upon the broken and scattered fragments of the Western tradition. Everything touched soon appears torn. Nothing is ever finally darned over, or choreographed for coherence, or foregrounded as magical illusion. Miller, the relentless rift-maker, refuses any apparent repair and rampages onward, dancing, spell-casting, destroying all. As though he were a wizard, he appears in (...) the guise of a bull-deconstructer loose in the china shop of Western tradition. Vincent B. Leitch, associate professor of English at Mercer University, is the editor of Robert Southwell's Marie Magdalens Funeral Teares and The Poetry of Estonia: Essays in Comparative Analysis. Sections of the present essay will appear in his The Poetics of Deconstruction, which offers a critical history and anatomy of deconstructive criticism. (shrink)

In 1441, Eleanor Cobham, duchess of Gloucester, was arrested, together with three associates: Margery Jourdemayne, the ‘Witch of Eye’, Roger Bolingbroke, Oxford cleric and astrologer, and Thomas Southwell, MB, canon of St. Stephen’s, Westminster. They were accused of plotting to kill King Henry VI by necromancy, but contemporary chronicles differed on the precise nature of their crime: had they summoned demons or cast an astrological chart? This paper explores the relationship between astrology and demonic magic, focusing on feelings, rites (...) and apparatus, and perceptions that the more the practitioner’s body was implicated in the divinatory procedure, the more likely it was to be illicit. (shrink)

What happened in New York City on September 11, 2001, creates an urgent need for a turn to practical reason, to ethics, to critique, and to a radical,transformative theory and praxis. Contemplation, speculation, pure theory, and contemplative metaphysics in philosophy, while necessary and valuable, are notsufficient in dealing with such an infamous crime against humanity. The central idea running through this paper and much of my work is that there is an essentiallink between rationality and radicalism. The aim of this (...) paper is to explore this link in an argument sketched in three parts: self-appropriation as the pearl of great price in philosophy; a critical theory of society; and a metaphysics and philosophy of religion that are both contemplative and political — a threefold radicality, if you like. This argument seeks to show negatively how the postmodern critique of rationality misfires, and positively how a post-imperial phenomenology, critical theory, and metaphysics/philosophy of religion can do justice to and recognize difference and the otherness of nature, other human beings (especially the exploited and marginalized), being itself, and God.Because in Vietnam the vision of a burning Babeis multiplied, multiplied, the flesh on firenot Christ’s, as Southwell saw it, prefiguringthe Passion upon the Eve of Christmas,but wholly human and repeated, repeated,infant after infant, their names forgotten,their sex unknown in the ashesset alight, flaming but not vanishingnot vanishing as his vision but lingering,cinders upon the earth or living onmoaning and stinking in hospitals three abed;because of this my strong sight,my clear caressive sight, my poet’s sight I was giventhat it might stir me to songis blurredWhy do men then not wreck his rod?Generations have trod, have trod, have trodAnd all is seared with trade, bleared, smeared with toilAnd wears man’s smudge and shares man’s smell, the soilIs bare now, nor can foot feel, being. (shrink)

What happened in New York City on September 11, 2001, creates an urgent need for a turn to practical reason, to ethics, to critique, and to a radical,transformative theory and praxis. Contemplation, speculation, pure theory, and contemplative metaphysics in philosophy, while necessary and valuable, are notsufficient in dealing with such an infamous crime against humanity. The central idea running through this paper and much of my work is that there is an essentiallink between rationality and radicalism. The aim of this (...) paper is to explore this link in an argument sketched in three parts: self-appropriation as the pearl of great price in philosophy; a critical theory of society; and a metaphysics and philosophy of religion that are both contemplative and political — a threefold radicality, if you like. This argument seeks to show negatively how the postmodern critique of rationality misfires, and positively how a post-imperial phenomenology, critical theory, and metaphysics/philosophy of religion can do justice to and recognize difference and the otherness of nature, other human beings, being itself, and God.Because in Vietnam the vision of a burning Babeis multiplied, multiplied, the flesh on firenot Christ’s, as Southwell saw it, prefiguringthe Passion upon the Eve of Christmas,but wholly human and repeated, repeated,infant after infant, their names forgotten,their sex unknown in the ashesset alight, flaming but not vanishingnot vanishing as his vision but lingering,cinders upon the earth or living onmoaning and stinking in hospitals three abed;because of this my strong sight,my clear caressive sight, my poet’s sight I was giventhat it might stir me to songis blurredWhy do men then not wreck his rod?Generations have trod, have trod, have trodAnd all is seared with trade, bleared, smeared with toilAnd wears man’s smudge and shares man’s smell, the soilIs bare now, nor can foot feel, being. (shrink)