The book provides an analysis of a key notion in our lives, causation: what its nature is; how we should characterise it in language, how it relates to laws of nature, how causes differ from their effects and why they tend to occur earlier than their effects.
This is the first book length defence of a counterfactual theory of causation. The analysis defended is new. It expresses the idea that, independent of its competitors, a cause raises the chance of an effect over its mean background chance by a complete causal chain. The analysis depends upon a novel development of David Lewis's Theory of Counterfactuals. One consequence of the analysis is that causation is not transitive. Causation is also nonsymmetric. The counterfactual basis of causal nonsymmetry is the result of a number of different, and sometimes interacting, nonsymmetries. The analysis allows for the development of a novel theory of events whose nature is independent of their role in causation and the identification of one other important causal relationship: property causation. Although compatible with Hume's denial of necessary connections between distinct existences, a key feature of the theory is that it benefits from being independent of the Humean framework. There are two ways in which something may be metaphysically fundamental: vertically and horizontally. Many metaphysicians emphasise vertical fundamentality and focus on truth making. The book rejects this emphasis and the truth making approach in particular. Horizontally fundamental metaphysical entities are those that are necessary components in different possible universes. Causation has a claim to be horizontally fundamental: the cement of any universe. Laws are patterns of causation realised in different metaphysical frameworks such as those articulated by Lewis, Armstrong and the powers ontologists. The book recognises varieties of causation both in, for example, counting cases of double prevention and causation by genuine processes as types of causation, and allowing that the analysis identifies causes across these different metaphysical frameworks.
Causation is everywhere in the world: it features in every science and technology. But how much do we understand it? Here, the authors develop a new theory of causation based on an ontology of real powers or dispositions. They provide the first detailed outline of a thoroughly dispositional approach, and explore its surprising features.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This book rescues compatibilists from the familiar charge of 'quagmire of evasion' by arguing that the problem of free will and determinism is a metaphysical problem with a metaphysical solution. There is no good reason to think that determinism would rob us of the free will we think we have.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Maitreya's Abhisamayalamkara is the most widely studied book in Tibet, where it was brought from India many centuries ago. It is used in all the monasteries to teach the path to Buddhahood, in accordance with the Perfection of Wisdom Sutras. It teaches this in outline form, so it requires a commentary to be understood. The oldest extant commentary is Arya Vimuktisena's Vrtti. Haribhadra, the most influential Indian commentator, drew upon this to write his Aloka. Virtually all of the many famous Tibetan teachers who wrote their own commentaries on the Abhisamayalamkara relied on Haribhadra as their primary source. This is the fouth of four volumes.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
What is epidemiology? What are the causes of a new disease? How can pandemics be prevented? Epidemiology is the study of the changing patterns of disease and its main aim is to improve the health of populations. It's a vital field, central to the health of society, to the identification of causes of disease, and to their management and prevention. Epidemiology has had an impact on many areas of medicine; from discovering the relationship between tobacco smoking and lung cancer, to the origin and spread of new epidemics. However, it is often poorly understood, largely due to misrepresentations in the media. In this Very Short Introduction Rodolfo Saracci dispels some of the myths surrounding the study of epidemiology. He provides a general explanation of the principles behind clinical trials, and explains the nature of basic statistics concerning disease. He also looks at the ethical and political issues related to obtaining and using information concerning patients, and trials involving placebos. ABOUT THE SERIES: The Very Short Introductions series from Oxford University Press contains hundreds of titles in almost every subject area. These pocket-sized books are the perfect way to get ahead in a new subject quickly. Our expert authors combine facts, analysis, perspective, new ideas, and enthusiasm to make interesting and challenging topics highly readable.