scholarly journals Cochlear Implants and the Right to Language: Ethical Considerations, the Ideal Situation, and Practical Measures Toward Reaching the Ideal

Author(s):  
Tom Humphries ◽  
Poorna Kushalnagar ◽  
Gaurav Mathur ◽  
Donna Jo ◽  
Carol Padden ◽  
...  
2011 ◽  
Vol 14 (3) ◽  
pp. 142 ◽  
Author(s):  
Raja R. Gopaldas ◽  
Faisal G. Bakaeen ◽  
Danny Chu ◽  
Joseph S. Coselli ◽  
Denton A. Cooley

The future of cardiothoracic surgery faces a lofty challenge with the advancement of percutaneous technology and minimally invasive approaches. Coronary artery bypass grafting (CABG) surgery, once a lucrative operation and the driving force of our specialty, faces challenges with competitive stenting and poor reimbursements, contributing to a drop in applicants to our specialty that is further fueled by the negative information that members of other specialties impart to trainees. In the current era of explosive technological progress, the great diversity of our field should be viewed as a source of excitement, rather than confusion, for the upcoming generation. The ideal future cardiac surgeon must be a "surgeon-innovator," a reincarnation of the pioneering cardiac surgeons of the "golden age" of medicine. Equipped with the right skills, new graduates will land high-quality jobs that will help them to mature and excel. Mentorship is a key component at all stages of cardiothoracic training and career development. We review the main challenges facing our specialty�length of training, long hours, financial hardship, and uncertainty about the future, mentorship, and jobs�and we present individual perspectives from both residents and faculty members.


Author(s):  
Corey Brettschneider

How should a liberal democracy respond to hate groups and others that oppose the ideal of free and equal citizenship? The democratic state faces the hard choice of either protecting the rights of hate groups and allowing their views to spread, or banning their views and violating citizens' rights to freedoms of expression, association, and religion. Avoiding the familiar yet problematic responses to these issues, this book proposes a new approach called value democracy. The theory of value democracy argues that the state should protect the right to express illiberal beliefs, but the state should also engage in democratic persuasion when it speaks through its various expressive capacities: publicly criticizing, and giving reasons to reject, hate-based or other discriminatory viewpoints. Distinguishing between two kinds of state action—expressive and coercive—the book contends that public criticism of viewpoints advocating discrimination based on race, gender, or sexual orientation should be pursued through the state's expressive capacities as speaker, educator, and spender. When the state uses its expressive capacities to promote the values of free and equal citizenship, it engages in democratic persuasion. By using democratic persuasion, the state can both respect rights and counter hateful or discriminatory viewpoints. The book extends this analysis from freedom of expression to the freedoms of religion and association, and shows that value democracy can uphold the protection of these freedoms while promoting equality for all citizens.


2020 ◽  
Vol 37 (2) ◽  
pp. 153-169
Author(s):  
Teresa M. Bejan

AbstractThe classical liberal doctrine of free expression asserts the priority of speech as an extension of the freedom of thought. Yet its critics argue that freedom of expression, itself, demands the suppression of the so-called “silencing speech” of racists, sexists, and so on, as a threat to the equal expressive rights of others. This essay argues that the claim to free expression must be distinguished from claims to equal speech. The former asserts an equal right to express one’s thoughts without interference; the latter the right to address others, and to receive a hearing and consideration from them, in turn. I explore the theory of equal speech in light of the ancient Athenian practice of isegoria and argue that the equality demanded is not distributive but relational: an equal speaker’s voice should be counted as “on a par” with others. This ideal better captures critics’ concerns about silencing speech than do their appeals to free expression. Insofar as epistemic and status-harms provide grounds for the suppression and exclusion of some speech and speakers, the ideal of equal speech is more closely connected with the freedom of association than of thought. Noticing this draws attention to the continuing—and potentially problematic—importance of exclusion in constituting effective sites of equal speech today.


2020 ◽  
Vol 66 (3) ◽  
pp. 335-361
Author(s):  
Sabina Pultz

Abstract This case study investigates the affective governing of young unemployed people, and it concludes that getting money in the Danish welfare state comes with an “affective price”. In the quest for a job, unemployed people have been increasingly responsibilized in order to live up to the ideal of the active jobseeker. Consequently, when faced with unemployment, they are encouraged to work harder on themselves and their motivation. Based on an interview study with young unemployed people (N=39) and field observations made at employment fund agencies in Denmark (2014–15), I explore how young unemployed people are governed by and through their emotions. By supplementing governmentality studies (Foucault et al. 1988, 2010) with the concept of “affective economy” from Ahmed (2014), I discuss how young unemployed people who receive money from the Danish state are placed in a situation of debt. The paper unfolds how this debt becomes visible as the unemployed people often describe feeling under suspicion for not doing enough, for not being motivated enough. Through an abundance of (pro) activity, they have to prove the suspicion of being lazy wrong, and through managing themselves as active jobseekers, they earn the right to get money from the state. Here motivation, passion and empowerment are key currencies. I discuss the intricate interplay between monetary and affective currencies as well as political implications in the context of the Danish welfare. The article contributes by making visible the importance of taking affective matters into account when investigating the complex relationship between politics and psychology.


2000 ◽  
Author(s):  
Ken Gilleo

Abstract The pundits of the money world tell us to be a “dotcom” or enable them for excitement and rewards. Traffic on the Internet Highway is certainly stepping up the pace as “slow” electrons make way for ultimate-speed photons creating major hardware opportunities. The “Copper Road” has become the “Glass Super Highway” as long-haul terrestrial and underwater communications links move up to Advanced Photonics. Nothing can be faster than light, but more important, no other medium can offer wider bandwidth when wave-multiplexing strategies are used. Photonics, employing dense wave division multiplexing (DWDM) can carry the equivalent of 12,000 encyclopedias or 5-million phone calls on a single fiber. Recent advances in photonics hardware, including higher-powered lasers, more efficient amplifiers and cleaner optical fiber are enabling incredible bandwidth for the Internet and general communications services. But how do we route a light beam? The long-haul segments of the Internet, now mostly fiberoptics, have been converting modulated light to electronic signals, routing with conventional electronic hardware and then re-converting back to light. Yes, O-E-O (Opto-electro-opto) works, but with cost and time-delay penalties. The communications industry has decreed that the double conversion process must go, but what technology will be the replacement? Enter optical MEMS, or MOEMS (micro-opto-electro-mechanical systems). The MOEMS switch/router approach was endorsed by the Internet carrier and hardware industry that paid billions of dollars in 2000 to acquire MEMS companies, some that had not even shipped a product. But what are the issues and are there competing technologies that could win? Micro-mirror technology is at the top of the popularity chart right now. Can MOEMS mirror routers solve cost problems and can they even switch at the rates demanded. What is the ideal mirror switch strategy: binary “off/on” or point-to-light pipe arrays? What about other MEMS approaches such as micro-bubble fluid beam refraction that appears to offer a much simpler construction? Maybe the mechanical devices are only an interim destined to obsolescence by a future solid state optics switch. The optical switch, powered totally by photons, is already in the lab and could be the final answer. This paper will survey MOEMS inside the Internet to seek answers to the billion dollar questions. The focus will be on micro-mirrors and their packaging issues both inside and out. We will deal with selecting the ideal optical MEMS package and choosing the right atmosphere control. Certain in-package contaminants are death to mirrors, but they can be controlled even if generated after the package is sealed. So tune in to find out if MEMS can catch the WAVE!


Author(s):  
Hélène Landemore

To the ancient Greeks, democracy meant gathering in public and debating laws set by a randomly selected assembly of several hundred citizens. To the Icelandic Vikings, democracy meant meeting every summer in a field to discuss issues until consensus was reached. Our contemporary representative democracies are very different. Modern parliaments are gated and guarded, and it seems as if only certain people — with the right suit, accent, wealth, and connections — are welcome. Diagnosing what is wrong with representative government and aiming to recover some of the lost openness of ancient democracies, this book presents a new paradigm of democracy in which power is genuinely accessible to ordinary citizens. This book favors the ideal of “representing and being represented in turn” over direct-democracy approaches. Supporting a fresh nonelectoral understanding of democratic representation, the book recommends centering political institutions around the “open mini-public” — a large, jury-like body of randomly selected citizens gathered to define laws and policies for the polity, in connection with the larger public. It also defends five institutional principles as the foundations of an open democracy: participatory rights, deliberation, the majoritarian principle, democratic representation, and transparency. The book demonstrates that placing ordinary citizens, rather than elites, at the heart of democratic power is not only the true meaning of a government of, by, and for the people, but also feasible and, today more than ever, urgently needed.


2017 ◽  
Vol 10 (2) ◽  
pp. 333-357
Author(s):  
D.M. OLIVEIRA ◽  
N.A. SILVA ◽  
C.C. RIBEIRO ◽  
S.E.C. RIBEIRO

Abstract In this paper the simplified method to evaluate final efforts using γ z coefficient is studied considering the variation of the second order effects with the height of the buildings. With this purpose, several reinforced concrete buildings of medium height are analyzed in first and second order using ANSYS software. Initially, it was checked that the (z coefficient should be used as magnifier of first order moments to evaluate final second order moments. Therefore, the study is developed considering the relation (final second order moments/ first order moments), calculated for each story of the structures. This moments relation is called magnifier of first order moments, "γ", and, in the ideal situation, it must coincide with the γ z value. However, it is observed that the reason γ /γ z varies with the height of the buildings. Furthermore, using an statistical analysis, it was checked that γ /γ z relation is generally lower than 1.05 and varies significantly in accordance with the considered building and with the presence or not of symmetry in the structure.


2017 ◽  
Vol 1 (1) ◽  
pp. 78
Author(s):  
Fatchun Nikmah

Abstract  Stigma in today's society considers more sex workers as the dregs of society who only regarded as an immoral person who violates the norms of religion and society, so they are not appreciated. A prostitute is almost the majority have families, both parents, brother, husband or child. Communities usually negative view sex workers family and those views may influence the psychological development of child prostitutes. This study aims to determine the child's self-concept of prostitutes who live in the community.This study uses a qualitative case study approach, which is a special phenomenon that is present in a limited context, although the boundaries between phenomenon and context are not entirely clear. Determination techniques are the subject of the researchers used snowball sampling or chain sampling. The research was conducted in two villages that are within the scope of the district in one district on the island of Java. The subject of this study were children and adolescents aged prostitute who is still undergoing formal schooling.This study found that the first subject has a good self concept. There is not much of a gap between the basic self-concept and ideal self-concept on the subject. The first subject has a perceptual self-concept is not good because the subject is not satisfied with the current physical condition and there are gaps in the basic perceptual components and ideal self-concept. As for the conceptual and attitudinal self concept self concept can be considered a good subject because there is no gap between the conceptual and attitudinal components of the basic categories and ideal self-concept. While the second subject has a poor self-concept, as there are many gaps between the basic self-concept and ideal self concept on the subject. The subject has a perceptual selfconcept is not good, because the subject was not satisfied with his physical condition and his subjects make the situation as a benchmark of the ideal situation for him. In addition, the subject has attitudinal poor self concept.  Keywords: Self-concept, children, sex workers, society, qualitative


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