The translational research community, in general, and the Clinical and Translational Science Awards (CTSA) community, in particular, share the vision of repurposing EHRs for research that will improve the quality of clinical practice. Many members of these communities are also aware that electronic health records (EHRs) suffer limitations of data becoming poorly structured, biased, and unusable out of original context. This creates obstacles to the continuity of care, utility, quality improvement, and translational research. Analogous limitations to sharing objective data in (...) other areas of the natural sciences have been successfully overcome by developing and using common ontologies. This White Paper presents the authors’ rationale for the use of ontologies with computable semantics for the improvement of clinical data quality and EHR usability formulated for researchers with a stake in clinical and translational science and who are advocates for the use of information technology in medicine but at the same time are concerned by current major shortfalls. This White Paper outlines pitfalls, opportunities, and solutions and recommends increased investment in research and development of ontologies with computable semantics for a new generation of EHRs. (shrink)

Experimental philosophers have investigated various ways in which non‐epistemic evaluations can affect knowledge attributions. For example, several teams of researchers (Beebe and Buckwalter 2010; Beebe and Jensen 2012; Schaffer and Knobe 2012; Beebe and Shea 2013; Buckwalter 2014b; Turri 2014) report that the goodness or badness of an agent’s action can affect whether the agent is taken to have certain kinds of knowledge. These findings raise important questions about how patterns of folk knowledge attributions should influence philosophical theorizing about (...) knowledge. (shrink)

RESUMO A alimentação é o fator que mais onera um sistema de produção animal. Assim, a utilização de diferentes estratégias de alimentação dos animais ainda é o grande desafio da nutrição animal, principalmente, levando em consideração as exigências nutricionais de diferentes categorias de ruminantes, em especial bovinos em regiões tropicais, haja vista que a sazonalidade na produção de forragens afeta diretamente a produção bovina, promovendo inadequação no atendimento das exigências nutricionais dos animais principalmente em minerais e vitaminas. Uma alimentação que (...) não atenda as exigências nutricionais dos ruminantes gera prejuízos no sistema de produção, além de, em casos mais graves, ocasionar a perda do animal. Estudos que abordam o efeito e a importância de vitaminas e minerais na nutrição bovina são escassos e necessários. Recentemente a National Research Council (NRC) apresentou novos registros das exigências nutricionais das vitaminas e minerais. Essas alterações proporcionam um impacto econômico significativo em relação à nutrição animal. Nesse sentido, objetivou-se com esta revisão trazer informações acerca de vitaminas e minerais na nutrição de bovinos em pastejo. -/- Palavras-chave: Alimentação animal; forragem; pastagem; requerimentos nutricionais; ruminantes; vitaminas lipossolúveis (Source: AGROVOC). -/- ABSTRACT Animal feed is the factor that most burdens a production system. Thus, the use of different animal feeding strategies is still the great challenge of animal nutrition, taking into account the nutritional requirements of different categories of ruminants, especially cattle in tropical regions, given that seasonality in forage production directly affects cattle production, promoting inadequacy in meeting the nutritional requirements of animals, mainly in minerals and vitamins. A diet that does not meet the nutritional requirements of ruminants generates losses in the production system, in addition to, in more serious cases, causing the loss of the animal. Studies that address the effect and importance of vitamins and minerals in bovine nutrition are scarce and necessary. Recently the National Research Council (NRC) presented new records of the nutritional requirements of vitamins and minerals. These changes provide a significant economic impact on animal nutrition. In this sense, the objective of this review was to bring information about vitamins and minerals in the nutrition of grazing cattle. -/- Keywords: Animal feeding; fat soluble vitamins; forage; nutritional requirements; pasture feeding; ruminants (Source: AGROVOC). -/- REFERÊNCIAS BIBLIOGRÁFICAS -/- 1. Cavalcanti CPL, Silva e Macedo TJ, Gois GC, Menezes VG, Monte APO, Silva AD, Silva DJM, Silva EO, Araújo GGL, Rodrigues RTS, Wischral A, Matos MHT, Queiroz MAA. Licuri oil improves feedlot performance and modifies ruminal fauna of Santa Inês ewes. Liv Sci. 2022; 265:e105093. 2. Busato KC, Chizzotti ML, Rodrigues RTS, Silva TS, Silva IF, Queiroz MAA, Silva KT, Borges JC, Gois GC. Ingestive behavior and growth performance of boer crossbred and indigenous goat kids under different feeding levels in Semiarid Region in Brazil. Trop Agric Res. 2022; 33:299-309. 3. Patton J, Dineen M, Keady TWJ, McGee M, Waters S. Developments in nutrition for pasture-based cattle and sheep systems in Ireland. Irish J Agric Food Res. 2022; 61(1):12-37. 4. McAllister TA, Stanford K, Chaves AV, Evans PR, Figueiredo, EES, Ribeiro G. Nutrition, feeding and management of beef cattle in intensive and extensive production systems. Chapter 5. In: Bazer FW, Lamb GC, Wu G, editors. Animal Agriculture. Sustainability, Challenges and Innovations. 1st ed. Elsevier Inc.: Academic Press; 2020. 5. Byrne L, Murphy RA. Relative bioavailability of trace minerals in production animal nutrition: A review. Anim. 2022; 12:e1981. 6. Arthington JD, Ranches J. Trace mineral nutrition of grazing beef cattle. Anim. 2021; 11:e2767. 7. Silva NCD, Martins TLT, Borges I. Efeito dos microminerais na alimentação de ruminantes. Ci Anim. 2017; 27:75-98. 8. Tufarelli V, Ragni M, Laudadio V. Feeding forage in poultry: A promising alternative for the future of production systems. Agric. 2018; 8:1-10. 9. Elgersma A, Søegaard K, Jensen SK. Fatty acids, α-tocopherol, β-carotene, and lutein contents in forage legumes, forbs, and a grass–clover mixture. J Agric Food Chem. 2013; 61:11913–11920. 10. Collet SG, Demeda MA, Taffarel GV, Taffarel L, Girardini LK, Nesi CNH, et al. Efeito de um suplemento mineral traço e vitaminas A e E injetáveis sobre a produção e composição de leite em vacas Holandesas. Rev Ci Agrovet. 2017; 16:463-472. 11. Silva NCD, Martins TLT, Borges I. Macrominerais: Deficiências E Interações Com A Produção E Nutrição De Ruminantes. Scient Agr Paranaensis. 2018; 17:263-271. 12. Danieli B, Schogor ALB. Uso de aditivos na nutrição de ruminantes: revisão. Vet Zootec. 2020; 27:1-13. 13. Goff JP. Invited review: Mineral absorption mechanisms, mineral interactions that affect acid–base and antioxidant status, and diet considerations to improve mineral status. J Dairy Sci. 2018; 101:2763–2813. 14. NRC. National Research Council. Nutrient requirements of beef cattle. 8th ed.Washington, DC.: The National Academy Press; 2016. 15. Silva LFC, Valadares Filho SC, Engle TE, Rotta PP, Marcondes MI, Silva FAZ, et al. Macrominerals and trace element requirements for beef cattle. Plus One. 2015; 10:e0144464. 16. Miranda MMF, Ferrarezi Junior E, Cavichioli FA. Boas práticas agropecuárias: Os benefícios da suplementação alimentar em ruminantes. Int Tec. 2021; 18:455-465. 17. Bhanderi BM, Goswami A, Garg MR, Samanta S. Study on minerals status of dairy cows and their supplementation through área specific mineral mixture in the state of Jharkhand. J Anim Sci Techn. 2016; 58:1-8. 18. Rezende FV, Silva NCD, Florentino LA, Rezende AV. Minerais: fatores que interferem na biodisponibilidade de macro e microminerais para fêmeas ruminantes durante o período de gestação. Nucleus Anim. 2019; 11:123-136. 19. NRC. National Research Council. Nutrient requeriments of dairy cattle. 7th rev.ed. Washinton, DC.: The National Academy Press; 2001. 20. Marku A, Galli A, Marciani P, Dule N, Perego C, Castagna M. Iron metabolism in pancreatic beta-cell function and dysfunction. Cells. 2021; 10:e2841. 21. DA SILVA, Emanuel Isaque Cordeiro. Nutrição e Suplementação Mineral de Bovinos de Corte. Emanuel Isaque Cordeiro da Silva, 2021. 22. Suganya A, Saravanan A, Manivannan N. Role of zinc nutrition for increasing zinc availability, uptake, yield, and quality of maize (Zea mays L.) grains: An overview. Commun Soil Sci Plant An. 2020; 51:2001-2021. 23. Byrne L, Murphy RA. Relative bioavailability of trace minerals in production animal nutrition: A review. Anim. 2022. 12:e1981. 24. Valentim JK, Mendes JP, Przybulinski BB, Serpa FC, Barbosa DK, Castilho VAR, et al. Fatores nutricionais aplicados à reprodução de ruminantes. Rev Uniciên. 2019; 23:77-82. 25. Martins KPF, Fonseca TRS, Silva ES, Munhoz TCP, Dias, GHS, Glauco JN, et al. Bócio em bovino. Pesq Vet Bras. 2018; 38:1030-1037. 26. González-Montaña JR, Escalera-Valente F, Alonso AJ, Lomillos JM, Robles R, Alonso ME. Relationship between vitamin B12 and cobalt metabolism in domestic ruminant: An update. Anim. 2020; 10:e1855; 27. Ventura RA, Cuzzuol GD, Silva TB, Malegoni ACS, Roque LZ, OLiveira SFC, et al. Deficiência de cobalto em bovinos: Revisão. Pubvet. 2021; 15:1-4. 28. Lopes HOS. Suplementação de Baixo Custo para Bovinos Mineral e Alimentar. 1st ed. Brasília, DF: Embrapa Cerrados; 1998. 29. Paul SH, Usman AA, Gana IN, Manase A, Adeniyi OD, Olutoye MA. Comparative study of mineral and nutritional composition of a multifunctional flora composite formulated from seven medicinal plants and their applications to human health. Eng Techn Open Access J. 2018; 1:137-150. 30. Zhou J, Zhang J, Xue B, Yue S, Yang C, Xue B. Effects of premating calcium and phosphorus supplementation on reproduction efficiency of grazing yak heifers. Anim. 2021; 11:1-9. 31. Harder H, Khol-Parisini A, Metzler-Zebeli BU, Klevenhusen F, Zebeli Q. Treatment of grain with organic acids at 2 different dietary phosphorus levels modulates ruminal microbial community structure and fermentation patterns in vitro. J Dairy Sci. 2015; 98:8107–8120. 32. Jain RK, Mudgal V. Phosphorus deficiency influences rumen microbial activity: Review. Int J Zoo Anim Biol. 2021; 4:1-9. 33. Barreto JC, Branco AF, Santos GT, Magalhães VJA, Coneglian SMC, Teixeira S. Avaliação dos efeitos de fontes de fósforo na dieta sobre parâmetros do meio ruminal e eficiência de síntese microbiana, digestibilidade dos nutrientes e fósforo plasmático em bovinos. Rev Bras Zootec. 2009; 38:760-769. 34. Yamada S, Inaba M. Potassium metabolism and management in patients with CKD. Nutr. 2021; 13:1-19. 35. Martinsen TC, Fossmark R, Waldum HL. The phylogeny and biological function of gastric juice—Microbiological consequences of removing gastric acid. Int J Mol Sci. 2019; 20:1-22. 36. González FHD, Silva SC. Minerais e vitaminas no metabolismo animal. 1st ed. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2019. 37. Melo RR, Gonçalves SLS, Baccarin FJB, Vasconcelos WA, Miranda SC. Influência de altas dosagens de cloreto de potássio no desenvolvimento de espécies em cultivo hidropônico. Pubvet. 2020; 14:1-9. 38. Araújo WAG, Rostagno HS, Albino LFT, Carvalho TA, Ribeiro Neto AC. Potássio na nutrição animal. Rev Eletr Nutr. 2010; 7:1280-1291. 39. NRC. National Research Council. Nutrient requeriments of dairy cattle. 8th ed. Washinton, DC.: The National Academy Press; 2021. 40. Palomares RA. Trace Minerals Supplementation with Great Impact on Beef Cattle Immunity and Health. Anim. 2022; 12:e2839. 41. Tariq M, Abbas G, Ahmad S, Mustafa R, Sultan H, Abdullah M, Hussain I, Arshad M, Cheema UB, Hassan SU. Effect of supplementation of minerals on the productive and reproductive performance of lactating cattle and buffalo. Pakistan J Sci. 2022; 74:e425. 42. Pagno KCA Barbosa JD, Salvarani FM, Bomjardim HA, Faial KCF, Souza RS, Gava A, Perotta JH, Barros Filho IR. Micromineral concentrations (copper, cobalt, iron, molybdenum and zinc) in the liver of dairy cows from Campos Gerais Region, Paraná state, Brazil. Pesq Vet Bras. 2023; 43:e07137. 43. Jeong H, Vacanti NM. Systemic vitamin intake impacting tissue proteomes. Nut Met. 2020; 17:1-16. 44. Spears JW, Weiss WP. Invited Review: Mineral and vitamin nutrition in ruminants. Appl Anim Sci. 2014; 30:180-191. 45. Erickson PS, Kalscheur KF. Nutrition and feeding of dairy cattle. Chapter 9. (pp. 157-180). In: Bazer FW, Lamb GC, Wu G, editors. Animal Agriculture. Sustainability, Challenges and Innovations. 1st ed. Elsevier Inc.: Academic Press; 2020. 46. Kareem MM, Jabir MS. Vitamins. Chapter 3. In: Imran M, Imran A, editors. Malnutrition. 1st ed. London, UK.: IntechOpen; 2020. 47. Akram M, Munir N, Daniyal M, Egbuna C, Găman MA, Onyekere PF, et al. Vitamins and minerals: Types, sources and their functions. Chapter 9. (pp 149–172). In: Egbuna C, Tupas GD, editors. Functional foods and nutraceuticals. Switzerland, AG.: Springer, Cham; 2020. 48. Marino CT, Medeiros SR. Minerais e vitaminas na nutrição de bovinos de corte. Chapter 6. (pp. 79-93). In. Medeiros SR, Gomes RC, Bungenstab DJ, editors. Nutrição de bovinos de corte: fundamentos e aplicações. Brasília, DF: Embrapa; 2015. 49. Hodnik JJ, Ježek J, Starič J. A review of vitamin D and its importance to the health of dairy cattle. J Dairy Res. 2020; 87:84–87. 50. Alves EM, Pedreira MS, Santana CA, Silva FF. Nutrição vitamínica de vacas leiteiras. Pubvet. 2008; 2:1-17. 51. Jiang Q, Lin L, Xie F, Jin W, Zhu W, Wang M, et al. Metagenomic insights into the microbe-mediated B and K2 vitamin biosynthesis in the gastrointestinal microbiome of ruminants. Microb. 2022; 10:1-16. 52. Magan JB, O’Callaghan TF, Zheng J, Zhang L, Mandal R, Hennessy D, et al. Effect of diet on the vitamin B profile of bovine milk-based protein ingredients. Foods. 2020; 9:1-17. 53. Pinedo LA, Berenchtein B, Selem ASMA. Estudo dos processos bioquímicos da fermentação, degradação e absorção de nutrientes dos alimentos em ruminantes. Pubvet. 2008; 2:1-10. 54. DA SILVA, Emanuel Isaque Cordeiro. Formulação e Avaliação de Suplemento Mineral Para Caprinos. Instrução Técnica Para o Produtor Rural de Pernambuco, v. 3, n. 1, p. 1-4, 2023. 55. DA SILVA, Emanuel Isaque Cordeiro. Nutrição Sobre a Reprodução e Fertilidade dos Bovinos. Emanuel Isaque Cordeiro da Silva, 2021. 56. DA SILVA, Emanuel Isaque Cordeiro. Suplementação e formulação de sal mineral e mistura múltipla para bovinos. Revista Universitária Brasileira, v. 2, n. 1, 2024. (shrink)

INTRODUÇÃO Segundo Pond (1975), os antepassados mais remotos dos suínos remontam há 40 milhões de anos, e parece que seu parente mais distante é o porco-do-cabo (Orycteropus afer), que viveu na região da Etiópia. Este é da ordem dos tubulidentados com focinho e orelhas alongadas, de hábitos noturnos e que se alimenta de insetos e raízes. Embora não exista um consenso unânime ao respeito, estima-se que a domesticação do porco doméstico atual iniciou-se na Europa entre os anos 7.000 e 3.000 (...) a. C., embora investigadores chineses reivindiquem a origem chinesa do porco doméstico atual que havia iniciado na região sul do país entre o ano 10.000 a. C. Aceita-se que a domesticação tenha se realizado de maneira lenta e progressiva e que os primeiros porcos eram pequenos e estavam em rebanhos pouco numerosos. Os porcos atuais pertencem ao gênero Sus e compreendem os porcos asiáticos (Sus vittatus) de tamanho pequeno; os célticos (Sus scrofa) provenientes do javali europeu e os porcos ibéricos (Sus mediterraneaus) de origem africana, de tamanho maior que os anteriores e introduzidos em todas as regiões do sul da Europa. A capacidade de adaptação do porco às diferentes condições climáticas determinou que sua exploração se realize em todos os continentes e em quase todos os países do mundo, com exceção daqueles onde, por razões de ordem cultural e religiosa, a sua exploração é vedada. O seu caráter cosmopolita está relacionado a sua grande capacidade de adaptação aos variados regimes alimentares, já que sua qualidade de onívoro lhes permite transformar diferentes produtos e subprodutos, alimentando-se tanto de recursos vegetais quanto de animais. Pode ser explorado de forma tradicional com recursos limitados ou de forma intensiva, combinando as mais sofisticadas técnicas de manejo relacionado à alimentação, sanidade, reprodução, transformação e comercialização. POPULAÇÃO MUNDIAL DE SUÍNOS DE RAÇAS LOCAIS Não existem estatísticas diferenciadas para a população mundial de suínos de raças locais. A Organização das Nações Unidas para a Agricultura e Alimentação (FAO), estima que a população mundial de suínos em 2018 foi de 781,3 milhões de cabeças, que compreendem 460 milhões de cabeças na Ásia, 155 milhões na União Europeia, 75 milhões na América do Norte, 70 milhões na América Central e do Sul e 21 milhões de cabeças na África e Oceania. Observe o anexo e o gráfico: Figura 1: População mundial de suínos de produção industrial em 2018. Fonte: FAO, 2019. -/- G 1: Efetivo suíno mundial em 2018. FAO, 2019. G 2: 11 maiores países criadores de suínos em 2018. FAO, 2019. A elevada população de suínos no continente asiático é um indicador da importância que estes animais têm na alimentação dos habitantes dessa região. Na China, que possui o maior efetivo suíno do mundo, 440 milhões (FAO, 2019), os porcos estão geralmente incorporados sob sistemas integrados com a agricultura. O mesmo ocorre no Vietnã, onde a maior parte dos milhões de cabeças também estão em sistemas tradicionais de produção. Sobressaem, em importância, as raças Mong Cai, Thouc Nhieu e Ba Xuyen ambas com milhares e até milhões de exemplares cada uma. Na Indonésia, dados desatualizados obtidos por Aritonang et. al. 1993, a população de suínos chegou a 8,6 milhões de cabeças, e que esses porcos locais representavam mais de 95% da população de distritos como Deli Serdang, North Tapanuli e Nias em Sumatra. As raças asiáticas, com as suas múltiplas características, foram objeto, nos respectivos países, de programas especiais para melhorar a sua produção. Outros países, principalmente a França e os Estados Unidos da América, iniciaram estudos sobre as raças asiáticas com o propósito de aproveitar alguns fatores genéticos próprios destas, como a alta fertilidade. Na Europa, países como Portugal e Espanha, tentaram conservar alguns genótipos de raças locais. Segundo dados do Anuário Estatístico do Ministério da Agricultura (1985), citado por Paz Saez e Hernández Crespo (Sf.), a Espanha tinha em 1996 uma população suína local estimada em 1,5 milhões de cabeças das raças ibérica, celta, morcego e suas cruzes. As referências relativas à presença de suínos locais são escassas na África. Sarniguet, citado por D’Orgeval Dubouchet (1997), dava conta que em 1985 existiam apenas 564 porcos exóticos, o que põe em evidência a importância do rebanho local. No Burkina Faso (Kabore, 1996), a exploração de suínos ocupa o quarto lugar entre as explorações animais e, em 1994, contava com uma população de 552,3 mil cabeças, sendo ao dizer da autora, «a raça local de maior presença». Tal como noutros países, a informação é genérica e a maioria dos autores sustenta que os suínos locais apresentam uma grande variedade e que se distinguem em três tipos: pequenos, grandes e pesados. Os genótipos são de grande rusticidade e de baixa produtividade, mas de boa adaptação às mais variadas formas de manejo e sistemas de alimentação. A América Latina, conta com uma população significativa de porcos locais, provenientes dos porcos introduzidos por Colombo, em sua segunda viagem ao Novo Continente em 1493, e de outros que foram introduzidos posteriormente à medida que se generalizou a conquista do continente. Infelizmente, não existem dados precisos sobre a população de suínos locais em cada um dos países e os dados oficiais generalizam, quando sustentam que estas populações são «maioritárias». Na Colômbia, um trabalho realizado por C. Espinosa (comunicação pessoal em 1997) indica que o porco local, conhecido como crioulo ou "zungo" provém dos porcos ibéricos conhecidos como lisos ou pelados e que estes localizaram-se inicialmente no departamento de Córdoba e depois no resto do país. Demonstra que os suínos locais estão a desaparecer rapidamente em consequência da introdução de "raças modernas". No entanto, não se quantifica o seu número e sustenta-se que, até há algumas décadas, constituíam a maioria dos animais explorados pelos camponeses das regiões afastadas. Na Bolívia, Amurrio (1996) indica que, segundo o Instituto Nacional de Estatísticas, a população suína total era de 2,2 milhões de cabeças, que forneceram 25% da carne consumida. Embora não precise da população local, considera-se que este genótipo «é menor do que no passado» e que os animais que se encontram com maior frequência provém de cruzamentos com raças importadas. No Equador, os trabalhos realizados por Alvarado e Gómez (1982) e por Molina (1988-1995), põem em evidência que os rebanhos locais estão compostos em 50% dos casos por 1-4 mães e que contribuem com 25% da produção nacional de carne e com 30% da gordura. Iaso indica a sua importância na alimentação. Em um trabalho realizado por Benítez (1995), descobriu-se que no país existiam 2,1 milhões de suínos explorados no sistema tradicional, e que desta população tão somente de 3 a 5%, segundo a região, eram animais provenientes das raças ibéricas. Na zona central e no sul do país encontram-se genótipos provenientes dos suínos ibéricos conhecidos como «runas», «jungas» ou «crioulos». A população de suínos tende a aumentar em quase todos os países da América Latina como resultado dos cruzamentos entre as populações de raças ibéricas e as raças modernas. No Equador, há uma população de porcos de 2,7 milhões de cabeças (FAO, 2000). O Banco Central do Equador, no Boletim Anuário 19 (1997), assinala que em 1996 existiam 2,7 milhões de suínos e que produziram 36 mil toneladas de carne. Quanto ao Brasil, a deficiência de dados acerca do plantel de suínos locais é resultado das grandes críticas relativas aos sistemas de produção tradicionais e integrados. No entanto, dados obtidos pela FAO revelam que o efetivo total de suínos em 2018 foi de 38,8 milhões de cabeças, fazendo do país o quarto maior criador e produtor de suínos do mundo, gerando movimentação de toda cadeia produtiva de R$ 150 bilhões de reais, um produto bruto de R$ 62 bilhões de reais e 1,1 milhões de empregos diretos e indiretos (ABCS, 2016). É indiscutível que, pelas suas características zootécnicas e por terem sido explorados de maneira tradicional, sem investimentos maiores de tempo, recursos e tecnologia, os suínos locais não foram objeto de muitos estudos que permitam conhecer o seu verdadeiro potencial genético e a sua capacidade produtiva. -/- IMPORTÂNCIA DOS SISTEMAS DE PRODUÇÃO INTEGRADOS Desde os primórdios da civilização, o homem tem tentado obter alimentos suficientes. Infelizmente, em muitos países, por variadas razões, ainda há muita gente mal alimentada e que sofre com a fome. No início do século XXI, a subordinação afetou 800 milhões de habitantes e mais de 100 milhões têm uma alimentação desequilibrada (FAO, 1995). Enquanto, nos países industrializados, os excedentes produtivos tornam-se elementos desestabilizadores da economia e dão lugar à especulação. Geralmente, os animais, principalmente os monogástricos, são considerados como concorrentes do homem por recursos alimentares. Esquece-se que são também importantes transformadores de produtos e subprodutos não comestíveis diretamente pelos seres humanos e que uma adequada e racional exploração deles pode realizar-se a complementação das necessidades alimentares das populações. Os sistemas produtivos compreendem uma série de elementos que interagem com a finalidade de aumentar a produção. Os sistemas pecuários integram um território, as forragens e outros alimentos, as práticas, os rebanhos, as instalações, os recursos financeiros e a comercialização. Diversas espécies animais que coexistem na mesma exploração constituem subsistemas (Gibon, 1981). Os sistemas integrados de produção permitem a participação de diferentes espécies domésticas, incluindo os suínos. Sua capacidade de transformação digestiva assegura a eliminação, segundo Ensminger (1976), de até 36 toneladas de excrementos para cada 1.000 kg de peso vivo por ano, isto é, 3.600 kg anuais de excremento por animal de 100 kg. Por exemplo, um animal de 45 kg, peso aproximado dos porcos locais, elimina diariamente 3,5 kg entre fezes e urina, conforme Jensen (1974). Estes resíduos são de grande utilidade para manter a fertilidade dos solos, bem como para servir de alimento a espécies com grande poder de transformação como os peixes (Little e Edwars, 2001) e palmípedes, além de servir para o mercado de produção de gás através dos biodigestores. Nos sistemas tradicionais, a sua utilização adequada permitiu a exploração de sistemas integrados com várias espécies de peixes como a tilápia (Tilapia spp.), carpas (Cyprinus spp.) e peixes-gato (Clarias spp.). Segundo Holmess (1991), entre cinquenta e sessenta suínos produzem suficientes efluentes para satisfazer as necessidades alimentares de 20 mil a 50 mil peixes por hectare, com uma produção anual de 3,5 a 5,0 ton./ha/ano de peixes. Em algumas explorações, em particular nos países asiáticos, os suínos desempenham um papel importante nos sistemas integrados. Além de transformar produtos e subprodutos agrícolas e agroindustriais, suas excreções recicladas para a agricultura são utilizadas para gerar biogás em biodigestores (FAO). A energia produzida por este meio, satisfaz as necessidades das famílias tanto para a preparação de alimentos, usos artesanais e até mesmo aquecimento de moradias. Holnees (1991), sustenta que sete porcos são suficientes para produzir o biogás necessário como combustível para uma família de cinco membros. A necessidade de aprofundar-se em estudos relacionados com a integração de sistemas, é mais evidente se tiver em conta que os sistemas intensivos requerem um elevado investimento econômico e tecnológico, e que muitas vezes originam uma grande contaminação. Chirgwin et. al. (1997) expressam que no balanço de «eficiência» esses fatores se mostram pouco rentáveis, se considerar a «energia consumida em insumos e serviços requerida para gerar o produto». As experiências acumuladas nos países asiáticos (FAO), e em alguns outros países da África e da América Latina, mostram que os sistemas integrados de produção estão mais próximos de cumprir com os postulados universais de produzir para garantir um adequado nível nutricional da população, através da utilização de tecnologias que não alteram nem deterioram o ambiente. Não há dúvida de que ainda são necessários grandes esforços como o empreendido pela FAO, que permita a combinação de tecnologias, de programas sanitários, de produção e de marketing. A abordagem holística deve constituir a base de futuros programas para uma adequada utilização da energia para converter o porco, e outros animais, em transformadores de produtos e subprodutos com rendimento para a população humana. CONCENTRADORES DE NUTRIENTES A conformação gástrica do porco, em particular a estrutura anatômica do seu intestino e a sua qualidade de onívoro, permite-lhe consumir todos os tipos de alimentos. Dotado de um estômago com uma capacidade de armazenamento de 6 kg (para um porco de 100 kg), dispõe de um intestino delgado que pode atingir até 14 vezes o comprimento do corpo do animal e de um fígado volumoso que permite um adequado metabolismo, garantindo uma grande capacidade de transformação dos alimentos e de assimilação. Proporcionalmente, tem um intestino equivalente ao dobro do de um homem adulto (Serres, 1973). No porco, a baixa transformação do azoto inorgânico é compensada pela disponibilidade de uma variada e rica microflora intestinal, localizada ao longo do intestino, o que lhe permite uma excelente utilização de amidos e de gorduras, provenientes de cereais e leguminosas. Os porcos nos sistemas tradicionais, na maioria das vezes, recebem uma alimentação desequilibrada. No entanto, a sua rusticidade e o seu instinto de sobrevivência permitem-lhes encontrar uma dieta que assegure, além de sua mantença, a sua reprodução e produção, fornecendo energia e proteínas à dieta humana. Esta grande capacidade transformadora de alimentos é o que permitiu ao porco, de maneira ancestral e às novas raças, a integração nos sistemas industriais com grandes benefícios econômicos, como consequência da melhoria das taxas de conversão alimentar. SUÍNOS LOCAIS E A ECONOMIA RURAL A economia dos camponeses, em particular dos países em desenvolvimento, é majoritariamente rural, com disponibilidade de pequenas parcelas e onde os cultivos e as espécies animais exploradas são adaptadas às mais variadas condições climáticas. Nestas unidades de produção, a tecnologia utilizada é ancestral, os ciclos produtivos são regidos pelo costume, os calendários astrais de suas respectivas culturas e condicionados às condições climáticas. A tecnologia utilizada não foi inovada senão de uma forma muito parcial. Não são efetuados investimentos em fatores de produção externos e, muitas vezes, grande parte das colheitas perdem-se durante o armazenamento. Em muitos casos, apesar da grande variedade de culturas por parcela (CATER, 1982), a produtividade é baixa e apenas satisfaz as necessidades familiares com escassos remanescentes para ao câmbio ou «troca» e com uma quase nula disponibilidade de excedentes para a comercialização (Benitez et. al., 1987). A pecuária, nestas unidades de produção, caracteriza-se pela diversidade de espécies, entre as quais predominam os animais menores: porcos, cabras, galinhas, patos, e espécies autóctones, como os cuyes e camelídeos nos países andinos (Benitez, 1987), roedores como a capivara (Hydrochoerus hydrochaeris) nos países amazônicos e pequenos ruminantes e roedores nos países africanos (Malaisse In. CIUF, 1987). Neste contexto, os suínos, alimentados com produtos e subprodutos provenientes da propriedade, com desperdícios de cozinha e de restaurantes, com resíduos de plantações industriais, de fábricas e mesmo das lixeiras das pequenas e grandes cidades, constituem-se na esperança econômica das populações de baixos rendimentos que assentam sua economia na possibilidade de economizar por este mecanismo (Benitez, 1995). Com o propósito de dispor de recursos para satisfazer urgentes necessidades derivadas de suas atividades religiosas, sociais e culturais, os moradores contam com pequenos rebanhos de animais de 1 a 4 matrizes (Alvarado e Gómez, 1982; Benitez, 1995), ou pequenos rebanhos de 2,5 animais em média (Proaño e Chávez, 1998), que são alimentados com os recursos alimentares locais. Quando os excedentes são suficientes, os pequenos produtores mantêm um ou mais animais para engorda, mas a grande maioria das crias é destinada à venda. Os suínos destinados a criação ou engorda são uma fonte de poupança para a família. As fêmeas em gestação, como os animais de acabamento, quando alimentados com milho ou com produtos regionais: banana, tubérculos, cana e outros produtos geralmente pobres em proteínas, tentam satisfazer as suas necessidades nutricionais escavando a terra em busca de raízes, insetos e pequenos animais ricos em proteínas. Os animais entram em engorda quando deixam de ser utilizados como reprodutores e os machos são, geralmente castrados. O ciclo de engorda ou de acabamento pode durar entre dois e quatro meses, dependendo da disponibilidade de alimentos, depois são destinados à venda em feiras ou na unidade de produção até onde chegam os intermediários e compradores. A vida média destes animais ultrapassa largamente um ano de idade e pode chegar aos sete e nove anos, como no caso dos reprodutores que são engordados quando terminam o seu ciclo reprodutivo. Em todo o caso, a poupança, a disponibilidade de gordura e de proteínas são a contribuição substancial para uma família de escassos recursos. ZOONOSES E ANTROPOZOONOSES Embora uma grande variedade de doenças parasitárias, bacterianas, virais, micóticas e até nutricionais possam afetar os porcos, sua curta vida produtiva faz com que estas tenham uma mínima expressão nos ciclos produtivos, principalmente quando são prestados os cuidados necessários. Está provado que os suínos, e outros animais explorados extensivamente, não são atacados por doenças infectocontagiosas como acontece nas explorações intensivas com densidades elevadas. No entanto, estas doenças podem existir, como foi o caso dos suínos ibéricos que sofreram da Peste Suína Africana com graves perdas nos rebanhos e na economia dos produtores. Somente um trabalho organizado e grandes investimentos do Estado permitiram sua erradicação e declarar a Espanha livre dela em 1995. No entanto, existem algumas doenças zoonóticas que merecem a atenção dos criadores para evitar o contágio, entre as quais destaco: 1. Enfermidades bacterianas Tuberculose: Tem como agente etiológico no homem o Mycobacterium tuberculosis, entretanto, algumas outras espécies como M. bovis, M. avium, M. intracelular e M. tuberculose, podem atacar o porco. M. bovis é a causa de até 90% da doença em suínos, produzindo lesões hiperplásicas a nível intestinal, inflamação na região orofaríngea e nos gânglios submaxilares. O contágio ocorre geralmente em contato com pessoas ou bovinos doentes, através de alimentos para animais, de resíduos alimentares de leitaria, de cozinha, de hospitais e de outros produtos contaminados. A vacinação nas áreas endêmicas reduziu a incidência desta doença. Brucelose: É uma doença generalizada em todo o mundo, causada pelas bactérias do gênero Brucella, do qual se conhecem seis espécies e múltiplos biotipos, sendo as mais difundidas: B. abortus, B. melitensis e B. suis, na sua ordem. Os suínos são atacados pela B. suis, principalmente, mas as outras espécies de brucelas podem também produzir a doença. Os animais são infectados no coito. Os sintomas são abortos e baixa fertilidade do rebanho. Os casos de artrite e a presença de nodulações, também podem ser indicadores da doença. Um reconhecimento atempado da doença e o destino adequado dos animais doentes pode evitar a presença de portadores e o contágio. 2 Enfermidades virais Febre aftosa: É uma doença que ataca o porco na sua qualidade de animal biungulado, produzida pelos vírus do genoma ARN, gênero Aphtovirus, com sete tipos: A, O, C; SAT1, SAT2, SAT3 e Ásia 1, facilmente modificáveis. Em todo o mundo, existem áreas que se livraram da doença com a vacinação, controles migratórios e abate de animais, principalmente. Entretanto, uma grande superfície do planeta fica sob observação permanente. A presença de vesículas na cavidade bucal, inflamação ou perda dos cascos e dificuldade ao caminhar, põem em evidência a doença. A introdução de animais contaminados e de produtos à base de carne pode acelerar a disseminação da doença, ao passo que a vacinação da maioria dos animais com a estirpe adequada evita as epizootias. 3. Enfermidades parasitárias Cisticercose: É uma parasitose associada às condições higiênicas e à pobreza, encontra-se em todos os países onde o porco é explorado de maneira tradicional. Os animais são infestados pelo consumo de excrementos de seres humanos contendo os embriões hexacantos da Taenia solium. Estes embriões, também conhecidos como óvulos, ao penetrar no intestino passam por via sanguínea aos diferentes músculos onde continuam seu desenvolvimento embrionário para logo se transformarem em cisticercos. A parasitose é assintomática nos porcos, mas podem-se palpar ou observar nodulações, in vivo, na língua do animal e em algumas ocasiões na pálpebra interna, enquanto que a inspeção, post morten, podem ser observados cisticercos na língua, coração, diafragma, masseteres, glúteos, dorsais e músculo psoas, principalmente. As pessoas adquirem a tênia consumindo carne parasitada na qual os cisticercos estão vivos. A teníase é a causa da terrível parasitose humana, conhecida como neurocisticercose, que é estabelecida como resultado do alojamento de cistos no cérebro humano, derme, epiderme e região ocular. Pode causar graves transtornos patológicos no homem e inclusive a morte. O portador de T. solium se converte no transmissor da neurocisticercose já que as proglotis da tênia adulta, que são expulsos em número de 3 a 7 diariamente, contêm entre 40 e 60 mil filhotes, que, por contato ou contágio de alimentos, podem ser transmitidos às pessoas. Em muitos casos, o fecalismo ao ar livre, ou próximo das vertentes de água, pode causar contaminação de porcos coprofágicos e das culturas, principalmente hortaliças ou outras de sistema radicular e caule curto. Triquinose: A triquinose do porco é produzida por um nematódeo conhecido como Trichinella spiralis. As pessoas são infestadas com carne de porco que contém larvas de triquina. As larvas entram no intestino onde amadurecem rapidamente e se reproduzem para depois, por meio dos vasos linfáticos, chegar aos músculos estriados onde se encapsulam. As larvas alojadas nos músculos lisos geralmente morrem. Os suínos são contaminados pelo consumo de resíduos de alimentos à base de carne contendo triquinas. A emaciação e a dor muscular das extremidades posteriores servem para dificultar o diagnóstico. Segundo Acha e Szyfres (1986), um porco de 100 kg parasitado pode infestar 360 pessoas. Estes autores também sustentam que a parasitose tende a desaparecer no mundo, sendo sua incidência, em muitos países europeus, inferior a 0,1%, e que em países como Brasil, Paraguai, Colômbia, Venezuela e Equador não se detectou esta parasitose. No caso equatoriano, os trabalhos realizados por Ayabaca e Vizuete (1997) confirmam a inexistência da doença no país. CONCLUSÃO A criação de suínos é de extrema importância para o mundo agropecuário. Seja nas criações de pequenos produtores, ou mesmo de grandes produtores, os suínos têm papel importante na obtenção de proteína para a alimentação humana, de emprego para milhões de pessoas, de renda, de produtos diversos, de gordura, de biogás etc. O sistema consorciado da criação de suínos com o meio agrícola é uma criação majoritária e presente em todos os países. Os suínos beneficiam o solo com suas excretas; o homem, por meio delas obtém o biogás necessário para produção de energia, de aquecimento etc. Milhões de camponeses criadores de suínos consorciados com outras culturas animais e vegetais, demonstram a eficiência da modalidade para o mundo contemporâneo e que podem, em muitos casos, obter renda necessária para sustento de suas famílias e da comunidade local. Todavia, vale salientar que os suínos tradicionais são resistentes à inúmeros agentes patogênicos, porém além de serem resistentes, a falta de higiene e profilaxia, além da medicina preventiva, podem ser cruciais para a disseminação da doença e morte total do plantel de animais. Os suínos produzem carne, produzem renda, produzem emprego, produzem a comunhão local, os suínos são animais peculiares, transformadores e contemporâneos. Pense, crie, recrie! (shrink)

Purpose. The purpose of this study is to investigate how professionals learn from varying experiences with errors in health-care digitalization and develop and use negative knowledge and digital ignorance in efforts to improve digitalized health care. Design/methodology/approach. A two-year qualitative field study was conducted in the context of a public health-care organization working with digital patient communication. The data consisted of participant observation, semistructured interviews and document data. Inductive coding and a theoretically informed generation of themes were applied. Findings. The (...) findings show that both health-care and digital communication professionals learn through experiences with digital “rule-” and “knowledge-based” errors in patient communication and develop negative knowledge and awareness of digital ignorance. In their joint efforts, they use negative knowledge to “bend the rules” and to explore digital ignorance in efforts to improve patient communication. Originality/value. This study provides insight into the importance of collaboration between professionals with varying experience of errors in digitalizing patient communication. Such collaboration is required to acknowledge own shortcomings and create complementary negative knowledge to improve digital patient communication. This is particularly important when working with innovative digitalization in health care. (shrink)

McDowell and Merleau-Ponty share a critical attitude towards a certain Cartesian picture of the mind. According to the picture in question nothing which properly belongs to subjectivity can be hidden to the subject herself. Nevertheless there is a striking asymmetry in how the two philosophers portray the problematic consequences of such a picture. They can seem to offer exact opposite views of these consequences, which, given the almost identical characterization of the transparency claim, is puzzling. I argue that a closer (...) look at the prima facie puzzling asymmetry dissolves the apparent disagreement and reveals a deeper agreement concerning both the nature and the origin of the problems haunting the Cartesian picture in question. Both McDowell and Merleau-Ponty argue that on the picture of the relation of between mind and world in question, we lose our grip on the very idea of a perceptual appearance. Furthermore, the two authors regard a certain conception of nature as conceived in the image of science, as one of the crucial elements in making the picture of the mind in question look attractive. (shrink)

We are developing the Neurological Disease Ontology (ND) to provide a framework to enable representation of aspects of neurological diseases that are relevant to their treatment and study. ND is a representational tool that addresses the need for unambiguous annotation, storage, and retrieval of data associated with the treatment and study of neurological diseases. ND is being developed in compliance with the Open Biomedical Ontology Foundry principles and builds upon the paradigm established by the Ontology for General Medical Science (OGMS) (...) for the representation of entities in the domain of disease and medical practice. Initial applications of ND will include the annotation and analysis of large data sets and patient records for Alzheimer’s disease, multiple sclerosis, and stroke. (shrink)

The Neurological Disease Ontology (ND) is being developed to provide a comprehensive framework for the representation of neurological diseases (Diehl et al., 2013). ND utilizes the model established by the Ontology for General Medical Science (OGMS) for the representation of entities in medicine and disease (Scheuermann et al., 2009). The goal of ND is to include information for each disease concerning its molecular, genetic, and environmental origins, the processes involved in its etiology and realization, as well as its clinical presentation (...) including signs and symptoms. (shrink)

This essay centers on the notion of the symbolic and its impact as developed by Claude Lévi-Strauss in his Introduction to the Work of Marcel Mauss. I examine Lévi-Strauss’ formulation of the “floating signifier” and its influence in French thought, particularly in the work of Jacques Lacan and Jacques Derrida. In doing so, I argue that Lévi-Strauss’ notion may be a misreading of the structural linguistics of Ferdinand de Saussure that has important implications for contemporary political issues on the left (...) in both theory and practice. (shrink)

Mental and behavioral disorders represent a significant portion of the public health burden in all countries. The human cost of these disorders is immense, yet treatment options for sufferers are currently limited, with many patients failing to respond sufficiently to available interventions and drugs. High quality ontologies facilitate data aggregation and comparison across different disciplines, and may therefore speed up the translation of primary research into novel therapeutics. Realism-based ontologies describe entities in reality and the relationships between them in such (...) a way that – once formulated in a suitable formal language – the ontologies can be used for sophisticated automated reasoning applications. Reference ontologies can be applied across different contexts in which different, and often mutually incompatible, domain-specific vocabularies have traditionally been used. In this contribution we describe the Mental Functioning Ontology (MF) and Mental Disease Ontology (MD), two realism-based ontologies currently under development for the description of humanmental functioning and disease. We describe the structure and upper levels of the ontologies and preliminary application scenarios, and identify some open questions. (shrink)

This chapter describes the potential far‐reaching consequences of contemplative higher education for the fields of science and medicine.

This essay reads acclaimed poet James Galvin’s 1992 semi-autobiographical novel through the lenses of Martin Heidegger’s notion of authenticity and Patrick Wolfe’s discussion of settler-colonialism. I argue that Lyle, arguably the novel’s main character, is portrayed as living “authentically” in contrast to the deep inauthenticity of Ferris. I connect Western authentic dwelling with settler-colonial logic, centering my account on the figures of the “lazy” and “magical” “Indian.” Ultimately, I find that far from rejecting settler-colonial logic Galvin’s text plays out of (...) a return of the repressed of the present absence of indigenous persons in the land and the text. (shrink)

I argue that we find the articulation of a problem concerning bodily agency in the early works of the Merleau-Ponty which he explicates as analogous to what he explicitly calls the problem of perception. The problem of perception is the problem of seeing how we can have the object given in person through it perspectival appearances. The problem concerning bodily agency is the problem of seeing how our bodily movements can be the direct manifestation of a person’s intentions in the (...) world. In both cases what, according to Merleau-Ponty, obscures a recognition of the phenomenon in question is a conception of our bodily capacities, i.e. our sensibility and our motility, which reduces these to the workings of mechanisms that are blind to meaning. I argue that both the problem concerning perception and the problem concerning bodily agency can be properly called transcendental. The problem of perception is transcendental because it concerns the very intelligibility of appearances and judgements with empirical content. The problem of bodily agency is transcendental in the sense that it concerns the very intelligibility of our bodily capacity to carry out intentions and by implication the intelligibility of our intentions as such. (shrink)

We have begun work on two separate but related ontologies for the study of neurological diseases. The first, the Neurological Disease Ontology (ND), is intended to provide a set of controlled, logically connected classes to describe the range of neurological diseases and their associated signs and symptoms, assessments, diagnoses, and interventions that are encountered in the course of clinical practice. ND is built as an extension of the Ontology for General Medical Sciences — a high-level candidate OBO Foundry ontology that (...) provides a set of general classes that can be used to describe general aspects of medical science. ND is being built with classes utilizing both textual and axiomatized definitions that describe and formalize the relations between instances of other classes within the ontology itself as well as to external ontologies such as the Gene Ontology, Cell Ontology, Protein Ontology, and Chemical Entities of Biological Interest. In addition, references to similar or associated terms in external ontologies, vocabularies and terminologies are included when possible. Initial work on ND is focused on the areas of Alzheimer’s and other diseases associated with dementia, multiple sclerosis, and stroke and cerebrovascular disease. Extensions to additional groups of neurological diseases are planned. The second ontology, the Neuro-Psychological Testing Ontology (NPT), is intended to provide a set of classes for the annotation of neuropsychological testing data. The intention of this ontology is to allow for the integration of results from a variety of neuropsychological tests that assay similar measures of cognitive functioning. Neuro-psychological testing is an important component in developing the clinical picture used in the diagnosis of patients with a range of neurological diseases, such as Alzheimer’s disease and multiple sclerosis, and following stroke or traumatic brain injury. NPT is being developed as an extension to the Ontology for Biomedical Investigations. (shrink)

Much problem solving and learning research in math and science has focused on formal representations. Recently researchers have documented the use of unschooled strategies for solving daily problems -- informal strategies which can be as effective, and sometimes as sophisticated, as school-taught formalisms. Our research focuses on how formal and informal strategies interact in the process of doing and learning mathematics. We found that combining informal and formal strategies is more effective than single strategies. We provide a theoretical account of (...) this multiple strategy effect and have begun to formulate this theory in an ACT-R computer model. We show why students may reach common impasses in the use of written algebra, and how subsequent or concurrent use of informal strategies leads to better problem-solving performance. Formal strategies facilitate computation because of their abstract and syntactic nature; however, abstraction can lead to nonsensical interpretations and conceptual errors. Reapplying the formal strategy will not repair such errors; switching to an informal one may. We explain the multiple strategy effect as a complementary relationship between the computational efficiency of formal strategies and the sense-making function of informal strategies. (shrink)

An often-overlooked characteristic of the human mind is its propensity to wander. Despite growing interest in the science of mind-wandering, most studies operationalize mind-wandering by its task-unrelated contents. But these contents may be orthogonal to the processes that determine how thoughts unfold over time, remaining stable or wandering from one topic to another. In this chapter, we emphasize the importance of incorporating such processes into current definitions of mind-wandering, and propose that mind-wandering and other forms of spontaneous thought (such as (...) dreaming and creativity) are mental states that arise and transition relatively freely due to an absence of constraints on cognition. We review existing psychological, philosophical and neuroscientific research on spontaneous thought through the lens of this framework, and call for additional research into the dynamic properties of the mind and brain. (shrink)

This book presents Robert S. Hartman’s formal theory of value and critically examines many other twentieth century value theorists in its light, including A.J. Ayer, Kurt Baier, Brand Blanshard, Paul Edwards, Albert Einstein, William K. Frankena, R.M. Hare, Nicolai Hartmann, Martin Heidegger, G.E. Moore, P.H. Nowell-Smith, Jose Ortega y Gasset, Charles Stevenson, Paul W. Taylor, Stephen E. Toulmin, and J.O. Urmson.

This paper assesses the state of research ethics in low- and middle-income countries and the achievements of the Fogarty International Center's bioethics training program since 2000. The vision of FIC for the next decade of research ethics education is encapsulated in four proposed goals: (1) Ensure sufficient expertise in ethics review by having someone with long-term training on every high-workload REC; (2) Develop LMIC capacity to conduct original research on critical ethical issues by supporting doctoral and postdoctoral training and career (...) paths for research ethicists; (3) Make research training and review at LMIC institutions sustainable by identifying additional funding mechanisms and models; (4) Make institutional research systems more ethical and efficient through context-specific training integrated into all levels of scientific training. (shrink)

In this paper, we presented antoher concept of neutrosophic open sets called neutrosophic semi-α-open sets and studied their fundamental poperties in neutrosophic topological spaces. We also present neutrospohic semi-α-interior and neutrosophic semi-α-closure and study some of their fundamental properties.

While several tests and strategies are recommended for colorectal cancer (CRC) screening, studies suggest that primary care providers often recommend colonoscopy without providing information about its risks or alternatives. These observations raise concerns about the quality of informed consent for screening colonoscopy.

Although there is a growing recognition that older adults and those with extensive comorbid conditions undergo cancer screening too frequently, there is little information about patients’ perceptions regarding cessation of cancer screening. Information on older adults’ views of screening cessation would be helpful both for clinicians and for those designing interventions to reduce overscreening.

The comprehensive nature of information and insight available in the Upanishads, the Indian philosophical systems like the Advaita Philosophy, Sabdabrahma Siddhanta, Sphota Vaada and the Shaddarsanas, in relation to the idea of human consciousness, mind and its functions, cognitive science and scheme of human cognition and communication are presented. All this is highlighted with vivid classification of conscious-, cognitive-, functional- states of mind; by differentiating cognition as a combination of cognitive agent, cognizing element, cognized element; formation; form and structure of (...) cognition, instruments and means of cognition, validity of cognition and the nature of energy/matter which facilitates and also is the medium of cognition- cognizing process; and also as the container and content of cognition. The human communication process which is just the reverse of cognizing process is also presented with necessary description and detail. The sameness of cognitive / communicative process during language acquisition and communication processes and the modes of language acquisition and communication are also given. The hardware and software of human cognition, language acquisition and communication as envisaged in Indian spiritual and philosophical expressions are given. In the light of the information and insight obtained as above, the axioms for human cognition / communication are formed, framed and presented. A brain-wave frequency modulation / demodulation model of human cognition, communication and language acquisition and communication process based on Upanishadic expressions, Shaddarsanas and Sabdabrahma Siddhhanta is defined and discussed here. The use of these theories and models and axioms in mind-machine modelling and natural language comprehension branch of artificial intelligence will be put forward and highlighted. (shrink)

The nature of time is perceived by intellectuals variedly. An attempt is made in this paper to reconcile such varied views in the light of the Upanishads and related Indian spiritual and philosophical texts. The complex analysis of modern mathematics is used to represent the nature and presentation physical and psychological times so differentiated. Also the relation between time and energy is probed using uncertainty relations, forms of energy and phases of matter.

A longish (12 page) discussion of Richard Sorabji's excellent book, with a further discussion of what it means for a theory of emotions to be a cognitive theory.

Providing the most thorough coverage available in one volume, this comprehensive, broadly based collection offers a wide variety of selections in four major genres, and also includes a section on film. Each of the five sections contains a detailed critical introduction to each form, brief biographies of the authors, and a clear, concise editorial apparatus. Updated and revised throughout, the new Fourth Edition adds essays by Margaret Mead, Russell Baker, Joan Didion, Annie Dillard, and Alice Walker; fiction by Nathaniel Hawthorne, (...) Ursula K. LeGuin, Anton Chekov, James Joyce, Katherine Mansfield, F. Scott Fitzgerald, William Faulkner, Alice Walker, Louise Erdrich, Donald Barthelme, and James McPherson; poems by John Donne, Robert Browning, Walt Whitman, Edwin Arlington Robinson, e.e. cummings, Langston Hughes, W.H. Auden, Philip Levine, and Louise Gluck; and plays by August Wilson, Marsha Norman, Wendy Wasserstein, and Vaclav Havel. The chapter devoted to film examines the relation of film to literature and gives the complete screenplay for Citizen Kane plus close analysis of a scene from the film. With its innovative structure, comprehensive coverage, and insightful and stimulating presentation of all kinds of literature, this is an anthology readers will turn to again and again. (shrink)

This volume has been brought together to generate new ideas and provoke discussion about what constitutes arts education in the twenty-first century, both within the institution and beyond. Art, Artists and Pedagogy is intended for educators who teach the arts from early childhood to tertiary level, artists working in the community, or those studying arts in education from undergraduate to Masters or PhD level.

This reply to an ongoing debate between conspiracy theory researchers from different disciplines exposes the conceptual confusions that underlie some of the disagreements in conspiracy theory research. Reconciling these conceptual confusions is important because conspiracy theories are a multidisciplinary topic and a profound understanding of them requires integrative insights from different fields. Specifically, we distinguish research focussing on conspiracy *theories* (and theorizing) from research of conspiracy *belief* (and mindset, theorists) and explain how particularism with regards to conspiracy theories does not (...) mean we cannot define a problematic subclass of conspiracy beliefs, while avoiding the problems of generalism. We hope this reply helps conspiracy theory researchers recognize the differences between studying conspiracy theories and conspiracy beliefs and appreciate the possibilities for fruitful, integrative, and interdisciplinary research. (shrink)

The Ontology for Biomedical Investigations (OBI) is an ontology that provides terms with precisely defined meanings to describe all aspects of how investigations in the biological and medical domains are conducted. OBI re-uses ontologies that provide a representation of biomedical knowledge from the Open Biological and Biomedical Ontologies (OBO) project and adds the ability to describe how this knowledge was derived. We here describe the state of OBI and several applications that are using it, such as adding semantic expressivity to (...) existing databases, building data entry forms, and enabling interoperability between knowledge resources. OBI covers all phases of the investigation process, such as planning, execution and reporting. It represents information and material entities that participate in these processes, as well as roles and functions. Prior to OBI, it was not possible to use a single internally consistent resource that could be applied to multiple types of experiments for these applications. OBI has made this possible by creating terms for entities involved in biological and medical investigations and by importing parts of other biomedical ontologies such as GO, Chemical Entities of Biological Interest (ChEBI) and Phenotype Attribute and Trait Ontology (PATO) without altering their meaning. OBI is being used in a wide range of projects covering genomics, multi-omics, immunology, and catalogs of services. OBI has also spawned other ontologies (Information Artifact Ontology) and methods for importing parts of ontologies (Minimum information to reference an external ontology term (MIREOT)). The OBI project is an open cross-disciplinary collaborative effort, encompassing multiple research communities from around the globe. To date, OBI has created 2366 classes and 40 relations along with textual and formal definitions. The OBI Consortium maintains a web resource providing details on the people, policies, and issues being addressed in association with OBI. (shrink)

The role of intuition in Kant’s account of experience receives perennial philosophical attention. In this essay, I present the textual case that Kant also makes extensive reference to what he terms “images” that are generated by the imagination. Beyond this, as I argue, images are fundamentally distinct from empirical and pure intuitions. Images and empirical intuitions differ in how they relate to sensation, and all images (even “pure images”) actually depend on pure intuitions. Moreover, all images differ from intuitions in (...) their structure or format. I then turn to a question that naturally arises on the resulting view: if the imagination produces images, and if images are fundamentally distinct from intuitions, then how do intuitions relate to the imagination? I outline reasons for thinking that intuitions and their essential features do not depend on the imagination at all. Though this essay does not decisively argue for this thesis, the resulting view provides a clear account of the distinction between the senses and the imagination in Kant’s theory of sensibility. (shrink)

It is widely assumed that ordinary conscious experience involves some form of sense of self or consciousness of oneself. Moreover, this claim is often restricted to a 'thin' or 'minimal' notion of self-consciousness, or even 'the simplest form of self-consciousness', as opposed to more sophisticated forms of self-consciousness which are not deemed ubiquitous in ordinary experience. These formulations suggest that self-consciousness comes in degrees, and that individual subjects may differ with respect to the degree of self-consciousness they exhibit at a (...) given time. In this article, I critically examine this assumption. I consider what the claim that self-consciousness comes in degrees may mean, raise some challenges against the different versions of the claim, and conclude that none of them is both coherent and particularly plausible. (shrink)

The Protein Ontology (PRO; http://purl.obolibrary.org/obo/pr) formally defines and describes taxon-specific and taxon-neutral protein-related entities in three major areas: proteins related by evolution; proteins produced from a given gene; and protein-containing complexes. PRO thus serves as a tool for referencing protein entities at any level of specificity. To enhance this ability, and to facilitate the comparison of such entities described in different resources, we developed a standardized representation of proteoforms using UniProtKB as a sequence reference and PSI-MOD as a post-translational modification (...) reference. We illustrate its use in facilitating an alignment between PRO and Reactome protein entities. We also address issues of scalability, describing our first steps into the use of text mining to identify protein-related entities, the large-scale import of proteoform information from expert curated resources, and our ability to dynamically generate PRO terms. Web views for individual terms are now more informative about closely-related terms, including for example an interactive multiple sequence alignment. Finally, we describe recent improvement in semantic utility, with PRO now represented in OWL and as a SPARQL endpoint. These developments will further support the anticipated growth of PRO and facilitate discoverability of and allow aggregation of data relating to protein entities. (shrink)

Recent studies of school-age children and adolescents have used social network analyses to characterize selection and socialization aspects of peer groups. Fewer network studies have been reported for preschool classrooms and many of those have focused on structural descriptions of peer networks, and/or, on selection processes rather than on social functions of subgroup membership. In this study we started by identifying and describing different types of affiliative subgroups (HMP- high mutual proximity, LMP- low mutual proximity, and ungrouped children) in a (...) sample of 240 Portuguese preschool children using nearest neighbor observations. Next, we used additional behavioral observations and sociometric data to show that HMP and LMP subgroups are functionally distinct: HMP subgroups appear to reflect friendship relations, whereas LMP subgroups appear to reflect common social goals, but without strong, within-subgroup dyadic ties. Finally, we examined the longitudinal implications of subgroup membership and show that children classified as HMP in consecutive years had more reciprocated friendships than did children whose subgroup classification changed from LMP or ungrouped to HMP. These results extend previous findings reported for North American peer groups. (shrink)

There are important similarities between moral thought and talk and thought and talk about gender: disagreements about gender, like disagreements about morality, seem to be intractable and to outstrip descriptive agreement; and it seems coherent to reject any definition of what it is to be a woman in terms of particular social, biological, or other descriptive features, just as it seems coherent to reject any definition of what it is to be good or right in terms of any set of (...) descriptive properties. These similarities give us reason to investigate the idea that, like moral thought and talk, gender thought and talk is inherently normative. This paper proposes a normative account of gender thought and talk in terms of fitting treatment. On this fitting treatment account, to judge that A is gender G is just to judge that it is fitting to treat A as a G. This account is a descriptive or hermeneutical account of our gender thought and talk rather than an ameliorative account of our gender concepts or a metaphysical account of gender properties in social metaphysics. This paper argues that other descriptive accounts of gender thought and talk face problems that the fitting treatment account overcomes. (shrink)

Some standards, such as moral and prudential standards, provide genuinely or authoritatively normative reasons for action. Other standards, such as the norms of masculinity and the mafia’s code of omerta, provide reasons but do not provide genuinely normative reasons for action. This paper first explains that there is a similar distinction amongst attitudinal standards: some attitudes (belief, desire) have standards that seem to give rise to genuine normativity; others (boredom, envy) do not. This paper gives a value-based account of which (...) attitudinal standards give rise to genuine normativity. It argues that this account has interesting implications before extending it to provide an account of which action-guiding standards are genuinely normative. It argues that this value-based account of which standards are genuinely normative is more plausible than alternatives suggested in the literature and has interesting implications for genuine normativity in law and aesthetics. (shrink)

There is an intuitive difference in how we think about pluralism and attitudinal diversity in epistemological contexts versus political contexts. In an epistemological context, it seems problematically arbitrary to hold a particular belief on some issue, while also thinking it perfectly reasonable to hold a totally different belief on the same issue given the same evidence. By contrast, though, it doesn’t seem problematically arbitrary to have a particular set of political commitments, while at the same time thinking it perfectly reasonable (...) for someone in a similar position have a totally different set of political commitments. This chapter examines three explanatory theses that might be used to make sense of this difference: (1) that practical commitments are desire dependent in a way that beliefs are not; (2) that there are reasons to be resolute in practical commitments, but not in beliefs; and (3) that compromise in the face of practical political disagreement doesn’t mitigate controversy, whereas compromise in the face of disagreement about mere beliefs does mitigate controversy. (shrink)

The thesis of this article is that there has never been any ground for the controversy between the doctrine of free will and determinism, that it is based upon a misapprehension, that the two assertions are entirely consistent, that one of them strictly implies the other, that they have been opposed only because of our natural want of the analytical imagination. In so saying I do not tamper with the meaning of either phrase. That would be unpardonable. I mean free (...) will in the natural and usual sense, in the fullest, the most absolute sense in which for the purposes of the personal and moral life the term is ever employed. I mean it as implying responsibility, merit and demerit, guilt and desert. I mean it as implying, after an act has been performed, that one " could have done otherwise " than one did. I mean it as conveying these things also, not in any subtly modified sense but in exactly the sense in which we conceive them in life and in law and in ethics. These two doctrines have been opposed because we have not realised that free will can be analysed without being destroyed, and that determinism is merely a feature of the analysis of it. And if we are tempted to take refuge in the thought of an "ultimate ", an "innermost" liberty that eludes the analysis, then we have implied a deterministic basis and constitution for this liberty as well. For such a basis and constitution lie in the idea of liberty. -/- The thesis is not, like that of Green or Bradley, that the contending opinions are reconciled if we adopt a certain metaphysic of the ego, as that it is timeless, and identifies itself with a desire by a " timeless act". This is to say that the two are irreconcilable, as they are popularly supposed to be, except by a theory that delivers us from the conflict by taking us out of time. Our view on the contrary is that from the natural and temporal point of view itself there never was any need of a reconciliation but only of a comprehension of the meaning of terms. (The metaphysical nature of the self and its identity through time is a problem for all who confront memory, anticipation, etc.; it has no peculiar difficulties arising from the present problem.) -/- I am not maintaining that determinism is true; only that it is true insofar as we have free will. That we are free in willing is, broadly speaking, a fact of experience. That broad fact is more assured than any philosophical analysis. It is therefore surer than the deterministic analysis of it, entirely adequate as that in the end appears to be. But it is not here affirmed that there are no small exceptions, no slight undetermined swervings, no ingredient of absolute chance. All that is here said is that such absence of determination, if and so far as it exists, is no gain to freedom, but sheer loss of it; no advantage to the moral life, but blank subtraction from it. -- When I speak below of "the indeterminist" I mean the libertarian indeterminist, that is, him who believes in free will and holds that it involves indetermination. (shrink)

l. There is an antinomy in Hare's thought between Ought-Implies-Can and No-Indicatives-from-Imperatives. It cannot be resolved by drawing a distinction between implication and entailment. 2. Luther resolved this antinomy in the l6th century, but to understand his solution, we need to understand his problem. He thought the necessity of Divine foreknowledge removed contingency from human acts, thus making it impossible for sinners to do otherwise than sin. 3. Erasmus objected (on behalf of Free Will) that this violates Ought-Implies-Can which he (...) supported with Hare-style ordinary language arguments. 4. Luther a) pointed out the antinomy and b) resolved it by undermining the prescriptivist arguments for Ought-Implies-Can. 5. We can reinforce Luther's argument with an example due to David Lewis. 6. Whatever its merits as a moral principle, Ought-Implies-Can is not a logical truth and should not be included in deontic logics. Most deontic logics, and maybe the discipline itself, should therefore be abandoned. 7. Could it be that Ought-Conversationally-Implies-Can? Yes - in some contexts. But a) even if these contexts are central to the evolution of Ought, the implication is not built into the semantics of the word; b) nor is the parallel implication built into the semantics of orders; and c) in some cases Ought conversationally implies Can, only because Ought-Implies-Can is a background moral belief. d) Points a) and b) suggest a criticism of prescriptivism - that Oughts do not entail imperatives but that the relation is one of conversational implicature. 8. If Ought-Implies-Can is treated as a moral principle, Erasmus' argument for Free Will can be revived (given his Christian assumptions). But it does not 'prove' Pelagianism as Luther supposed. A semi-Pelagian alternative is available. (shrink)

Our gender identity is our sense of ourselves as a woman, a man, as genderqueer, or as another gender. Our gender is the property we have of being a woman, being a man, being non-binary, or being another gender. What is the relationship between our gender identity and our gender? Recently, much work has been done on ameliorative accounts of the gender concepts that we should accept and on the metaphysics of gender properties. From this work 4 views of the (...) relationship between having gender identity G (e.g. having a female gender identity) and being a gender G (e.g. being a woman) have emerged. A first, the no connection view, says that gender identity and gender are entirely distinct; Sally Haslanger’s ameliorative account of gender, as well as Theodore Bach’s account of gender properties, are instances of this view. A second, the gender-identity-first view, says that all there is to our gender is our gender identity; this view is at least similar to views that Talia Bettcher and R.A. Briggs and B.R. George have argued for. A third, contextualist view, says that in some contexts and relative to certain standards, our gender identity determines our gender, and that in others it does not; Ásta and Robin Dembroff have proposed and defended views along these lines. A fourth view, the two gender properties view, says that there are two properties that can make it the case that one is gender G (in any context), one’s having gender identity G and one’s being socially classed as a G; Katharine Jenkins and Elizabeth Barnes have proposed views along these lines. This article explains these 4 different views and spells out their prospects, and the problems they face, as both ameliorative and as metaphysical views. (shrink)

Phenomenal conservatives claim that seemings are sui generis mental states and can thus provide foundational non-doxastic justification for beliefs. Many of their critics deny this, claiming, instead, that seemings can be reductively analyzed in terms of other mental states—either beliefs, inclinations to believe, or beliefs about one’s evidence—that cannot provide foundational non-doxastic justification. In this paper, I argue that no tenable semantic reduction of ‘seems’ can be formulated in terms of the three reductive analyses that have been proposed by critics (...) of phenomenal conservatism. This is because Moore-paradoxical statements are generated when each of the reductive analyses is substituted for ‘seems’ in statements like ‘The stick is straight, but it does not seem to me that it’s straight.’ Since the latter statement is not Moore-paradoxical, the three proposed reductive analyses of ‘seems’ are unsuccessful. Absent a successful semantic reduction, however, there is no good reason to think a successful metaphysical reduction of seemings is forthcoming. Thus, there is an additional reason, unnoticed in the existing literature, to think that seemings are sui generis mental states. (shrink)

We show that five important elements of the ‘nomological package’— laws, counterfactuals, chances, dispositions, and counterfactuals—needn’t be a problem for the Growing-Block view. We begin with the framework given in Briggs and Forbes (in The real truth about the unreal future. Oxford studies in metaphysics. Oxford University Press, Oxford, 2012 ), and, taking laws as primitive, we show that the Growing-Block view has the resources to provide an account of possibility, and a natural semantics for non-backtracking causal counterfactuals. We show (...) how objective chances might ground a more fine-grained concept of feasibility, and furnished a places in the structure where causation and dispositions might fit. The Growing-Block view, thus understood, provides the resources to explain the close link between modality and tense, so that it predicts modal change as time passes. This account lets us capture not only what the future might hold for us, and also what might have been. (shrink)

Political liberals ask citizens not to appeal to certain considerations, including religious and philosophical convictions, in political deliberation. We argue that political liberals must include a demanding requirement of intellectual modesty in their ideal of citizenship in order to motivate this deliberative restraint. The requirement calls on each citizen to believe that the best reasoners disagree about the considerations that she is barred from appealing to. Along the way, we clarify how requirements of intellectual modesty relate to moral reasons for (...) deliberative restraint. And we argue against attempts to weaken our requirement of intellectual modesty by emphasizing those moral reasons. (shrink)

Embedding ethics modules within computer science courses has become a popular response to the growing recognition that CS programs need to better equip their students to navigate the ethical dimensions of computing technologies like AI, machine learning, and big data analytics. However, the popularity of this approach has outpaced the evidence of its positive outcomes. To help close that gap, this empirical study reports positive results from Northeastern’s program that embeds values analysis modules into CS courses. The resulting data suggest (...) that such modules have a positive effect on students’ moral attitudes and that students leave the modules believing they are more prepared to navigate the ethical dimensions they’ll likely face in their eventual careers. Importantly, these gains were accomplished at an institution without a philosophy doctoral program, suggesting this strategy can be effectively employed by a wider range of institutions than many have thought. (shrink)