ABSTRACT There has been much discussion regarding the acceptable use of sedation for palliation. A particularly contentious practice concerns deep, continuous sedation given to patients who are not imminently dying and given without provision of hydration or nutrition, with the end result that death is hastened. This has been called ‘early terminal sedation’. Early terminal sedation is a practice composed of two legally and ethically accepted treatment options. Under certain conditions, patients have the right to reject hydration and nutrition, even (...) if these are life‐sustaining. Patients are also entitled to sedation as palliation for intolerable, intractable suffering. Though early terminal sedation is thought to be rare at present, the changing nature of palliative medicine suggests its use will increase. Arguments regarding early terminal sedation have failed to recognize early terminal sedation as a distinct legal and ethical entity. It can be seen as both the simple sum of treatment refusal and sedation for palliation, analogous to terminal sedation. It can also be seen as an indivisible palliative treatment, more analogous to assisted suicide or euthanasia. But ultimately, it is wholly analogous neither to terminal sedation given when death is imminent, nor to assisted suicide or euthanasia. This paper contends that early terminal sedation should be considered as a distinct entity. Such a reconception promises to provide a way forward in the debate, practice and policy regarding this contentious area of palliative medicine. (shrink)

To the Editor: It was with great interest that our Canadian Palliative Sedation Therapy Guideline working group read Jeffrey Berger's recent article ("Rethinking Guidelines for the Use of Palliative Sedation," May-June 2010). Given our own group's efforts to develop national guidelines, we have rethought the issue of palliative sedation therapy several times over the past year.The use of clear and concise definitions is fundamental to the development of any consensus guidelines on this topic. In the article, the term "palliative sedation (...) to unconsciousness," or PSU, implies the concerning assumption that sedation will knowingly be to unconsciousness in the palliative case under consideration. This conflicts with .. (shrink)

Entwicklung der Krystallformen. - Harmonie der Töne. - Harmonie der Farben. - Complication. - Harmonie und Complication in Gehirn und Psyche.

In his Doppelvortrag, Edmund Husserl introduced two concepts of “definiteness” which have been interpreted as a vindication of his role in the history of completeness. Some commentators defended that the meaning of these notions should be understood as categoricity, while other scholars believed that it is closer to syntactic completeness. A detailed study of the early twentieth-century axiomatics and Husserl’s Doppelvortrag shows, however, that many concepts of completeness were conflated as equivalent. Although “absolute definiteness” was principally an attempt to characterize (...) non-extendible manifolds and axiom systems, an absolutely definite theory has a unique model and, thus, it is non-forkable and semantically complete. Non-forkability and decidability were formally delimited by Fraenkel and Carnap almost three decades later and, in fact, they mentioned Husserl as precursor of the latter. Therefore, this paper contributes to a reassessment of Husserl’s place in the history of logic. (shrink)

Some nonparametric allocation methods are proposed for use in computer-aided medical diagnostics. It may be expected that the replacement of the widely employed parametric models by these methods leads to more realistic results, because the assumptions which are used by parametric models and which are never fulfilled in practice become unnecessary. The overestimation of the discriminating power arising from the non-fulfillment of parametric assumptions are avoided.

Despite a growing literature on environmental inaction, it remains poorly understood. This article examines much of this literature including environmental ethics, policy studies, disaster theory, and psychology. Among the many existing explanations, we examine shifting values, rational incentives, and psychological barriers to action. Ultimately, we show how most of these explanations rely on simplistic assumptions about subjectivity. To address this, we apply the phenomenology of Maurice Merleau-Ponty to show how an understanding of habit informed by Merleau-Ponty’s phenomenology reveals the deeper (...) conditions of both action and inaction. (shrink)

This book considers the cultural legacy of the Keynesian Revolution in economics. It assesses the impact of Keynes and Keynesian thinking upon economics and policy, as well as the response of the Chicago and Austrian schools, and the legacy of all three in shaping economic life. The book is a call to restore economics to its roots in moral and cultural knowledge, reminding us that human beings are more than consumers. The Keynesian Revolution taught us that we should be happy (...) if we are prosperous, but instead we feel hollow and morally anxious – our economy feels empty. Drawing on paradigms from earlier historical periods while affirming modern market systems, this book encourages a return to a view of human beings as persons with the right and responsibility to discover, and do, the things in life that are intrinsically good and enduring. Because in the long run, the legacy of our choices will continue long after “we’re all dead.”. (shrink)

En 1888, Nietzsche se presenta a la humanidad antes del gran asalto: La transvaloración de todos los valores. Se lamenta de no ser reconocido, de ser confundido, de no ser visto ni oído por otros. Por eso, decide autopresentarse a través de un libro que intenta mostrarlo como capaz de realizar y soportar la propia transvaloración. El resultado: un libro peculiar e incomprensible, para muchos la obra de un delirante. Pero es también, para nosotros, la obra que muestra a un (...) Nietzsche intentando la inmortalidad a través de su escritura. (shrink)

Husserl's two notions of "definiteness" enabled him to clarify the problem of imaginary numbers. The exact meaning of these notions is a topic of much controversy. A "definite" axiom system has been interpreted as a syntactically complete theory, and also as a categorical one. I discuss whether and how far these readings manage to capture Husserl's goal of elucidating the problem of imaginary numbers, raising objections to both positions. Then, I suggest an interpretation of "absolute definiteness" as semantic completeness and (...) argue that this notion does not suffice to explain Husserl's solution to the problem of imaginary numbers. (shrink)

Recent philosophical and empirical contributions strongly suggest that perception attributes determinable properties to its objects. But a characterisation of determinability via attributed properties is restricted to the level of content and does not capture the difference between perceptual belief and perception on this score. In this paper, I propose a formal way of cashing out the difference between determinable belief and perception. On the view presented here, determinability in perception distinctively involves homogeneous representation or representation that exhibits special sorts of (...) formal type variability. This formal characterisation, I suggest, goes beyond traditional approaches to analog representation and parallels a baseline notion of analog computation. (shrink)

Some theorizing aspects about society, ethnographic fieldwork and philosophy methods.

This article analyzes the practices of integration with virtual learning environments, and focuses on knowing the teaching practices used with virtual environments in the Upper Middle Level (NMS) of the University of Guanajuato (UG). The purpose of this article is first to review the literature and obtain some teaching models on good teaching practices in virtual education that allow identifying characteristics of effective practices, and as a second purpose the results of a specific case study on the incorporation of practices (...) with the use of virtual learning environments are analyzed. A bibliographic review of 3 proposals with 9 evaluation characteristics is analyzed, in which it was found that some of the teaching practices with the integration of virtual environments are: constant student-teacher communication, timely information feedback, flexibility in education and interactivity. Based on these proposals, a descriptive study was defined that was supported by the collection of data from an instrument applied to 20 teachers of the Upper Middle Level of the University of Guanajuato and the results allowed the identification of some effective teaching practices in the management of virtual environments. (shrink)

The aim of this paper is to define a partial Propositional Type Theory. Our system is partial in a double sense: the hierarchy of (propositional) types contains partial functions and some expressions of the language, including formulas, may be undefined. The specific interpretation we give to the undefined value is that of Kleene’s strong logic of indeterminacy. We present a semantics for the new system and prove that every element of any domain of the hierarchy has a name in the (...) object language. Finally, we provide a proof system and a (constructive) proof of completeness. (shrink)

The aim of this paper is to clarify why propositional logic is Post complete and its weak completeness was almost unnoticed by Hilbert and Bernays, while first-order logic is Post incomplete and its weak completeness was seen as an open problem by Hilbert and Ackermman. Thus, I will compare propositional and first-order logic in the Prinzipien der Mathematik, Bernays’s second Habilitationsschrift and the Grundzüge der Theoretischen Logik. The so called “arithmetical interpretation”, the conjunctive and disjunctive normal forms and the soundness (...) of the propositional rules of inference deserve special emphasis. (shrink)