Commutativity, Normativity, and Holism: Lange Revisited

2019 ◽  
Vol 50 (2) ◽  
pp. 159-173 ◽  
Author(s):  
Lisa Cassell
Keyword(s):  
Level Of Evidence ◽  
Fundamental Level ◽  
Jeffrey Conditionalization ◽  
Level Of Experience ◽  
In Virtue Of ◽  
Bayesian Conditionalization

AbstractLange (2000) famously argues that although Jeffrey Conditionalization is non-commutative over evidence, it’s not defective in virtue of this feature. Since reversing the order of the evidence in a sequence of updates that don’t commute does not reverse the order of the experiences that underwrite these revisions, the conditions required to generate commutativity failure at the level of experience will fail to hold in cases where we get commutativity failure at the level of evidence. If our interest in commutativity is, fundamentally, an interest in the order-invariance of information, an updating sequence that does not violate such a principle at the more fundamental level of experiential information should not be deemed defective. This paper claims that Lange’s argument fails as a general defense of the Jeffrey framework. Lange’s argument entails that the inputs to the Jeffrey framework differ from those of classical Bayesian Conditionalization in a way that makes them defective. Therefore, either the Jeffrey framework is defective in virtue of not commuting its inputs, or else it is defective in virtue of commuting the wrong kinds of ones.

Long-term clinical outcome after epineural coaptation of digital nerves

2015 ◽  
Vol 41 (2) ◽  
pp. 148-154 ◽  
Author(s):  
R. M. Fakin ◽  
M. Calcagni ◽  
H. J. Klein ◽  
P. Giovanoli
Keyword(s):  
Clinical Outcome ◽  
Nerve Repair ◽  
Contralateral Side ◽  
Mean Value ◽  
Level Of Evidence ◽  
Pressure Threshold ◽  
Sensory Recovery ◽  
Protective Sensation ◽  
Level Of Experience

This study evaluates the long-term clinical outcome and complication rate after digital nerve repair in adults and aims to identify possible prognostic factors of sensory recovery. End-to-end epineural coaptation was performed under magnification. A total of 93 coapted digital nerves were clinically evaluated with a mean follow-up of 3.5 years (range 1–6 years). The mean two-point discrimination was 10.6 mm (versus 4.4 mm for the contralateral side). Cutaneous pressure threshold tested with Semmes–Weinstein monofilaments showed a mean value of 2.7 (versus 2.2 for the contralateral side). Only 2% of our patients developed painful neuromas. None of our patients recovered normal functional sensibility, however, recovery of protective sensation contributed to a high reported level of satisfaction. No correlation was observed between the sensory outcome and age, smoking, mechanism of injury, lesion to or anastomosis of a digital artery, or time of immobilization. The only identified predictor of the result was the surgeon’s level of experience. This highlights the importance of adequate training and practice in the surgical repair of smaller peripheral nerves. Level of evidence: IV

scholarly journals On the Impossibility of Intellectual Property

2020 ◽  
Vol 23 (1) ◽  
pp. 33-45
Author(s):  
Jakub Wiśniewski
Keyword(s):  
Intellectual Property ◽  
Natural Rights ◽  
Market Process ◽  
Ip Protection ◽  
Fundamental Level ◽  
Intellectual Labor ◽  
Economic Goods ◽  
In Virtue Of

The concept of intellectual property (IP) has been variously criticized as incompatible with natural rights and detrimental to the dissemination of innovations. In this paper I argue that it can be criticized on an even more fundamental level—namely as a praxeological impossibility. More specifically, it is suggested that since ideas are not economic goods, but preconditions of action, and since physical goods transformed by ideas become as heterogeneous (and thus as intellectually unique) as the individuals who enact such transformations, no economic goods can be meaningfully designated as appropriable in virtue of embodying the objectively definable value of one’s intellectual labor. In view of the above, I subsequently suggest that IP protection laws constitute an exceptionally arbitrary and thus exceptionally disruptive form of interventionism directed against the very essence of the entrepreneurial market process.

Not So Phenomenal!

2021 ◽  
Vol 130 (1) ◽  
pp. 1-43
Author(s):  
John Hawthorne ◽  
Maria Lasonen-Aarnio
Keyword(s):  
Special Kind ◽  
Prima Facie ◽  
Main Theme ◽  
Phenomenal Conservatism ◽  
Probabilistic Framework ◽  
The Core ◽  
Jeffrey Conditionalization ◽  
New Evidence ◽  
Bayesian Conditionalization

The main aims in this article are to discuss and criticize the core thesis of a position that has become known as phenomenal conservatism. According to this thesis, its seeming to one that p provides enough justification for a belief in p to be prima facie justified (a thesis the article labels Standard Phenomenal Conservatism). This thesis captures the special kind of epistemic import that seemings are claimed to have. To get clearer on this thesis, the article embeds it, first, in a probabilistic framework in which updating on new evidence happens by Bayesian conditionalization, and second, a framework in which updating happens by Jeffrey conditionalization. The article spells out problems for both views, and then generalizes some of these to nonprobabilistic frameworks. The main theme of the discussion is that the epistemic import of a seeming (or experience) should depend on its content in a plethora of ways that phenomenal conservatism is insensitive to.

A Comparison of General Anesthesia and Regional Anesthesia as a Risk Factor for Deep Vein Thrombosis Following Hip Surgery: A Critical Review

1990 ◽  
Vol 64 (04) ◽  
pp. 497-500 ◽  
Author(s):  
Martin H Prins ◽  
Jack Hirsh
Keyword(s):  
Deep Vein Thrombosis ◽  
General Anesthesia ◽  
Regional Anesthesia ◽  
Lower Incidence ◽  
Hip Surgery ◽  
Level Of Evidence ◽  
Vein Thrombosis ◽  
Postoperative Thrombosis ◽  
High Level ◽  
Deep Vein

SummaryWe evaluated the evidence in support of the suggestion that the risk of deep vein thrombosis after hip surgery is lower with regional than with general anesthesia. A literature search was performed to retrieve all articles which reported on the incidence of postoperative thrombosis in both fractured and elective hip surgery. Articles were included if the method of anesthesia used was reported and if they used mandatory venography. Based upon the quality of study design the level of evidence provided by a study was graded.In patients who did not receive prophylaxis there were high level studies in elective and fractured hip surgery. All studies showed a statistically significantly lower incidence of postoperative deep vein thrombosis with regional anesthesia (relative risk reductions of 46-55%). There were no direct comparative studies in patients who received prophylaxis. However, between study comparisons did not show even a trend towards to lower incidence of postoperative thrombosis with regional anesthesia.

Revisiting the Natural History of Chronic Scaphoid Nonunions: A Retrospective Study of 20 Cases

2021 ◽  
Author(s):  
J. Terrence Jose Jerome
Keyword(s):  
Retrospective Study ◽  
Natural History ◽  
Functional Outcome ◽  
Grip Strength ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Degenerative Arthritis ◽  
Level Of Evidence ◽  
History Of ◽  
The Mean

Abstract Background The natural history of scaphoid nonunion is the development of degenerative arthritis. A lot of information is still unclear about this progression. The purpose of this study is to analyze patients with scaphoid nonunions who had not received any kind of treatment and to assess the functional outcome. Materials and Methods This is a retrospective study that analyzed the patients with chronic scaphoid nonunions between 2009 and 2019. None of the patients received any treatment. The age at the time of injury, examination, pattern of fracture, types of scaphoid nonunion, symptoms, and duration of nonunion were noted. Diagnosis was confirmed by radiographs, computed tomography (CT) scan, and magnetic resonance imaging (MRI). Scapholunate and radiolunate angles were recorded. Pain score, modified mayo wrist score, grip strength, range of movement, and the functional outcome of these scaphoid nonunions were analyzed. A statistical correlation between the scaphoid nonunion presentations and the functional outcome was assessed. Results The mean age of the patients was 62 years (range: 35–82 years.). There were 17 male and 3 female patients. There were 9 waist and 11 proximal pole scaphoid nonunions. The mean duration of scaphoid nonunion was 34 years (range: 10–62 years). None of the patients had avascular necrosis (AVN) of the proximal scaphoid. The age at examination, gender, side of injury, fracture pattern (waist/proximal pole), fracture displacement ≤ 1 mm or > 1 mm, nonunion duration, and radiographic arthritic parameters had no significant impact on the functional outcome. Conclusions Untreated chronic scaphoid nonunion leads to the development of degenerative arthritis over a period of years, which is still unpredictable. Most of the patients become aware of the nonunion following a precedent injury or other reasons. Most of the patients have fair/good functional outcome despite reduced range of movements and grip strength. Many do not favor surgical intervention in the course of nonunion. Chronic nonunions open a lot of unanswered questions. Clinical relevance There have been numerous studies on the treatment aspects of scaphoid nonunion, with little knowledge about certain people with nonunion who did not have any kind of treatment. The demographics, clinical findings, and radiological parameters do confirm the progression of these nonunion to arthritis, but most of them had fair-to-good outcome throughout their life. It opens our thinking about the real need of treatment in such nonunions and raises numerous questions about the disease. Level of evidence This is a Level IV study.

Range of Motion after the Sauvé–Kapandji and Darrach Procedures without Extensor Tendon Rupture

2020 ◽  
Author(s):  
Tomoyuki Kato ◽  
Taku Suzuki ◽  
Makoto Kameyama ◽  
Masato Okazaki ◽  
Yasushi Morisawa ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Tendon Rupture ◽  
Extensor Tendon ◽  
Distal Radioulnar Joint ◽  
Wrist Flexion ◽  
Level Of Evidence ◽  
Radioulnar Joint ◽  
The Mean ◽  
Therapeutic Study ◽  
Loss Of Motion

Abstract Background Previous study demonstrated that distal radioulnar joint (DRUJ) plays a biomechanical role in extension and flexion of the wrist and suggested that fixation of the DRUJ could lead to loss of motion of the wrist. Little is known about the pre- and postoperative range of motion (ROM) after the Sauvé–Kapandji (S-K) and Darrach procedures without tendon rupture. To understand the accurate ROM of the wrist after the S-K and Darrach procedures, enrollment of patients without subcutaneous extensor tendon rupture is needed. Purpose This study aimed to investigate the pre- and postoperative ROM after the S-K and Darrach procedures without subcutaneous extensor tendon rupture in patients with rheumatoid arthritis (RA) and osteoarthritis (OA). Methods This retrospective study included 36 patients who underwent the S-K procedure and 10 patients who underwent the Darrach procedure for distal radioulnar joint disorders without extensor tendon rupture. Pre- and postoperative ROMs after the S-K and Darrach procedures were assessed 1 year after the surgery. Results In the S-K procedure, the mean postoperative ROM of the wrist flexion (40 degrees) was significantly lower than the mean preoperative ROM (49 degrees). In wrist extension, there were no significant differences between the mean preoperative ROM (51 degrees) and postoperative ROM (51 degrees). In the Darrach procedure, the mean postoperative ROM of the wrist flexion and extension increased compared with the mean preoperative ROM; however, there were no significant differences. Conclusion In the S-K procedure, preoperative ROM of the wrist flexion decreased postoperatively. This study provides information about the accurate ROM after the S-K and Darrach procedures. Level of Evidence This is a Level IV, therapeutic study.

Was für eine Europäische Verfassung?

2005 ◽  
Vol 35 (139) ◽  
pp. 287-300 ◽  
Author(s):  
Étienne Balibar
Keyword(s):  
Central Bank ◽  
European Central Bank ◽  
Social Rights ◽  
European Constitution ◽  
Fundamental Level ◽  
European Central

The problem of a European Constitution is discussed at a fundamental level. In which way, can we speak about such a Constitution? Thearticle argues against the “postnational souveranism”, legitimating state against citizens. A new kind of citizenship is favoured based on extended social rights. The constitution now proposed contrarily makes the European Central Bank and its neoliberal policy to central and nearly unchangeable institution.

What Is an Institution?

2007 ◽  
pp. 5-27 ◽  
Author(s):  
J. Searle
Keyword(s):  
Physical Structure ◽  
Necessary Condition ◽  
Collective Intentionality ◽  
Institutional Facts ◽  
Institutional Fact ◽  
The Status ◽  
The Creation ◽  
State Of Affairs ◽  
In Virtue Of ◽  
Typical Point

The author claims that an institution is any collectively accepted system of rules (procedures, practices) that enable us to create institutional facts. These rules typically have the form of X counts as Y in C, where an object, person, or state of affairs X is assigned a special status, the Y status, such that the new status enables the person or object to perform functions that it could not perform solely in virtue of its physical structure, but requires as a necessary condition the assignment of the status. The creation of an institutional fact is, thus, the collective assignment of a status function. The typical point of the creation of institutional facts by assigning status functions is to create deontic powers. So typically when we assign a status function Y to some object or person X we have created a situation in which we accept that a person S who stands in the appropriate relation to X is such that (S has power (S does A)). The whole analysis then gives us a systematic set of relationships between collective intentionality, the assignment of function, the assignment of status functions, constitutive rules, institutional facts, and deontic powers.

Bridging the Knowledge Gaps in Arrhythmogenic Cardiovascular Conditions: The Critical Role of Registries

2016 ◽  
Vol 10 (2) ◽  
pp. 1 ◽  
Author(s):  
Melody Hermel ◽  
Rebecca Duffy ◽  
Alexander Orfanos ◽  
Isabelle Hack ◽  
Shayna McEnteggart ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Natural History ◽  
Risk Stratification ◽  
Critical Role ◽  
Knowledge Gaps ◽  
Level Of Evidence ◽  
The Future

Cardiac registries have filled many gaps in knowledge related to arrhythmogenic cardiovascular conditions. Despite the less robust level of evidence available in registries when compared with clinical trials, registries have contributed a range of clinically useful information. In this review, the authors discuss the role that registries have played – related to diagnosis, natural history, risk stratification, treatment, and genetics of arrhythmogenic cardiovascular conditions – in closing knowledge gaps, and their role in the future.

Acerca del supuesto fundamentalismo de Wittgenstein en Sobre la certez

2007 ◽  
Vol 13 ◽  
Author(s):  
José M. Ariso Salgado
Keyword(s):  
Ludwig Wittgenstein ◽  
On Certainty ◽  
In Virtue Of ◽  
Basic Beliefs

RESUMENAl analizar si Ludwig Wittgenstein mantiene una posición fundamentalista en Sobre la certeza, suele discutirse si la citada obra se adapta al modelo de fundamentalismo propuesto por Avrum Stroll. Tras exponer las líneas básicas de dicho modelo, en esta nota se mantiene que Sobre la certeza no se adapta al modelo de Stroll debido al importante papel que Wittgenstein concede al contextualismo. Además, se añade que Wittgenstein no puede ser calificado de fundamentalista porque no reconoce ninguna propiedad que, sin tener en cuenta la diversidad de casos particulares, permita justificar de forma conjunta todas nuestras creencias básicas.PALABRAS CLAVEWITTGENSTEIN, FUNDAMENTALISMO, CONTEXTUALISMO, CERTEZAABSTRACTDid Wittgenstein hold a foundationalist position in On Certainty? When this question is tackled, it is often discussed, whether On Certainty fits in the foundationalist model devised by Avrum Stroll. After expounding the main lines of this model, I hold that On Certainty does not fit in Stroll’s model, because of the important role Wittgenstein attaches to contextualism. Furthermore, I add that Wittgenstein cannot be seen as a foundationalist –or a coherentist–, because he does not admit any feature in virtue of which the whole of our basic beliefs are justified without considering circumstances at all.KEYWORDSWITTGENSTEIN, CERTAINTY, FOUNDATIONALISM, CONTEXTUALISM

Sign in / Sign up

Export Citation Format

Share Document