Turtles all the way down: bounded rationality in an evidence-based age

2012 ◽  
Vol 33 (5) ◽  
pp. 367-379 ◽  
Author(s):  
Linda Courtenay Botterill ◽  
Andrew Hindmoor
Heritage ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 3186-3192
Author(s):  
Len Gleeson

For the inscription of the Egyptian statuette in the Heraklion Archaeological Museum, the dedicator’s second title has long been open to question. New and detailed physical evidence, based on optical profilometry, is presented here. The results show errors/omissions in the previously accepted reading and open the way to a much more plausible translation.


2018 ◽  
pp. 57-77
Author(s):  
Stephen M. Rutherford

This chapter examines the medical challenges posed by the increased number of gunshot wounds during the civil wars, and sets out the changes in the way these wounds were treated. The treatment of battlefield wounds expounded in surgeons’ manuals, is placed in context with what we now understand about the biology, pathology and effective treatment methods for wounds. The techniques used by the civil-war surgeon are compared with those of later periods. Despite a lack of understanding of microbiology, physiology and, in many cases, anatomy, many methods employed by civil-war military surgeons reflect good contemporary surgical practice. Despite the lack of antibiotics, anaesthetics, hygienic environments and high-quality surgical implements, survival rates from injuries on the field arrear to have been considerable, if treated. In developing treatments for the problems posed by gunshot wounds, some civil-war surgeons used an evidence-based approach, and laid the foundations for much modern surgical practice.


2018 ◽  
pp. 67-81
Author(s):  
Mary Jo Kreitzer ◽  
Louise Delagran ◽  
Andrea Uptmor

Wellbeing goes beyond the management of disease or illness; it is a larger concept that is characterized by a general contentment in life and the way things are. This chapter uses the framework of the University of Minnesota Wellbeing Model to explore the evidence-based factors that influence wellbeing, including health, relationships, security, purpose, environment, and community. Mindfulness, a way of being that provides another core component of wellbeing, is defined and its evidence based discussed. Exemplars of wellbeing at the individual, organizational, and society level are described. Some applications of similar models in towns such as Albert Lea, Minnesota, Austin, Texas, and Santa Monica, California, are discussed, as well as initiatives in Canada and the UK.


Author(s):  
Daniel M. Doleys ◽  
Nicholas D. Doleys

The pendulum has swung; in this case, it may be a double pendulum. The double pendulum is a pendulum hanging from a pendulum. It is a simple physical system used in physics to demonstrate mathematical chaos. When the motion of its tip is monitored, it appears very predictable at the outset, but soon reveals a very chaotic and unpredictable pattern. It is very difficult to know where the tip of the double pendulum will be at any given time in the future. This seems to describe the course of the use of opioids, especially for the treatment of chronic pain. Once, all but ignored, then heralded, and then demonized. At every step of the way, pundits will argue the incompleteness, absence, or misinterpretation of existing data. It is important to understand the psychological environment is which the opioid tapering movement occurs and to carefully consider the process in the context of the individual patient. Simply instituting another set of presumptive evidence-based guidelines could have unforeseen, and potentially tragic, consequences for the patient.


2015 ◽  
Vol 35 (2) ◽  
pp. 82-84 ◽  
Author(s):  
Marty Cangany ◽  
Dawn Back ◽  
Tori Hamilton-Kelly ◽  
Marian Altman ◽  
Susan Lacey

Author(s):  
Jon Williamson

The EBM+ programme is an attempt to improve the way in which present-day evidence-based medicine (EBM) assesses causal claims: according to EBM+, mechanistic studies should be scrutinised alongside association studies. This paper addresses two worries about EBM+: (i) that it is not feasible in practice, and (ii) that it is too malleable, i.e., its results depend on subjective choices that need to be made in order to implement the procedure. Several responses to these two worries are considered and evaluated. The paper also discusses the question of whether we should have confidence in medical interventions, in the light of Stegenga's arguments for medical nihilism.


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