High-resolution neuroimaging modalities are used often in studies involving healthy volunteers. Subsequently, a significant increase in the incidental discovery of asymptomatic intracranial abnormalities raised the important ethical issues of when follow-up and treatment may be necessary. We examined the literature to establish a practical set of criteria for approaching incidental findings. Our objective is to develop an algorithm for when follow-up may be important and to provide recommendations that would increase the likelihood of follow-up. A systematic literature search was performed (...) using the PubMed and MEDLINE databases to identify articles describing brain tumors and intracranial aneurysms. The treatment algorithm we present suggests that incidental intracranial masses suspicious for glioma should be biopsied or resected, while other masses are to be followed with serial imaging based on the expected growth pattern. Lack of follow-up can result in adverse outcomes that can be mitigated by using technology to facilitate communication and improve follow-up care. The importance of training physicians to be good communicators is also stressed. New technology including automated telephone systems, texting and email will improve access to patients and hopefully encourage compliance and follow-up. (shrink)

In this paper the author discusses the conceptions of the subject and the method of the history of philosophy by Hegel, Windelband, Dilthey, Hartmann, and other philosophers of the history of philosophy. The history of philosophy as a philosophical discipline was first connected by Hegel with the very system of philosophy. His history of philosophy was the closing and integrating part of his philosophical system. The critics have accepted the view that Hegel had determined the intrinsic regularity of the historico-philosophical (...) development, but they rejected his identification of logical determinations of the idea with the sequence of appearances of philosophical systems in history. While Hegel followed the history of philosophical systems, Windelband followed the history of philosophical problems and concepts created for the solution of the same problems. Dilthey invented the “method of understanding,” which he applied to all products of cultural creativity of mankind through history. Dilthey substituted life for the Hegelian spirit. The life of the spirit expresses itself in language, religion, morality, art, philosophy and becomes evident only through history. History became by Dilthey the decisive form of the philosophical selfknowledge of man. The aim of Dilthey's spiritual-historical method was to follow the great role of cultural-historical factors in the shaping of philosophical doctrines. Contrary to Dilthey, Hartmann supports the problem-historical method. He was of the opinion that the history of philosophical problems contains the genuine historical continuity of philosophy. The philosophical problem is by nature the linking ring between history and philosophy.The conceptions of history of philosophy by all those philosophers are functionally dependent on their conceptions of philosophy.In addition to discussing the conceptions of the history of philosophy, of those four philosophers, the author also presents his own critical comments. (shrink)