12 research outputs found
Radical anti-realism and substructural logics
We first provide the outline of an argument in favour of a radical form of anti-realism premised on the need to comply with two principles, implicitness and immanence, when trying to frame assertability-conditions. It follows from the first principle that one ought to avoid explicit bounding of the length of computations, as is the case for some strict finitists, and look for structural weakening instead. In order to comply with the principle of immanence, one ought to take into account the difference between being able to recognize a proof when presented with one and being able to produce one and thus avoid the idealization of our cognitive capacities that arise within Hilbert-style calculi. We then explore the possibility of weakening structural rules in order to comply with radical anti-realist strictures
Service provision for Frailty in European Emergency Departments (FEED): a survey of operational characteristics
Background
The observational Frailty in European Emergency Departments (FEED) study found 40% of older people attending for care to be living with frailty. Older people with frailty have poorer outcomes from emergency care. Current best practice calls for early identification of frailty and holistic multidisciplinary assessment. This survey of FEED sites explores variations in frailty-attuned service definitions and provision.
Methods
This cross-sectional survey included study sites across Europe identified through snowball recruitment. Site co-ordinators (healthcare professionals in emergency and geriatric care) were surveyed online using Microsoft Forms. Items covered department and hospital capacity, frailty and delirium identification methods, staffing, and frailty-focused healthcare services in the ED. Descriptive statistics were reported.
Results
A total of 68 sites from 17 countries participated. Emergency departments had median 30 (IQR 21–53) trolley spaces. Most defined "older people" by age 65+ (64%) or 75+ (25%). Frailty screening was used at 69% of sites and mandated at 38%. Night-time staffing was lower compared to day-time for nursing (10 [IQR 8–14] vs. 14 [IQR 10–18]) and physicians (5 [IQR 3–8] vs. 10 [IQR 7–15]). Most sites had provision for ED frailty specialist services by day, but these services were rarely available at night. Sites mostly had accessible facilities; however, hot meals were rarely available at night (18%).
Conclusion
This survey demonstrated variability in case definitions, screening practices, and frailty-attuned service provision. There is no unanimous definition for older age, and while the Clinical Frailty Scale was commonly used, this was rarely mandated or captured in electronic records. Frailty services were often unavailable overnight. Appreciation of the variation in frailty service models could inform operational configuration and workforce development
Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study
Introduction
Current emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care.
Methods
This cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty).
Results
Sixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%.
Conclusion
40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning
'Logique et psychologie des attitudes propositionnelles' Rapport scientifique sur le seminaire de l'U.R.A. 1079 pendant les annees 1990-94
SIGLEAvailable from INIST (FR), Document Supply Service, under shelf-number : AR 16526 / INIST-CNRS - Institut de l'Information Scientifique et TechniqueMinistere de l'Education Nationale de l'Enseignement Superieur et de la Recherche, 75 - Paris (France)FRFranc
On the Logic of Common Belief and Common Knowledge
The paper surveys the currently available axiomatizations of common belief (CB) and common knowledge (CK) by means of modal propositional logics. (Throughout, knowledge - whether individual or common - is defined as true belief.) Section 1 introduces the formal method of axiomatization followed by epistemic logicians, especially the syntax-semantics distinction, and the notion of a soundness and completeness theorem. Section 2 explains the syntactical concepts, while briefly discussing their motivations. Two standard semantic constructions, Kripke structures and neighbourhood structures, are introduced in Sections 3 and 4, respectively. It is recalled that Aumann's partitional model of CK is a particular case of a definition in terms of Kripke structures. The paper also restates the well-known fact that Kripke structures can be regarded as particular cases of neighbourhood structures. Section 3 reviews the soundness and completeness theorems proved w.r.t. the former structures by Fagin, Halpern, Moses and Vardi, as well as related results by Lismont. Section 4 reviews the corresponding theorems derived w.r.t. the latter structures by Lismont and Mongin. A general conclusion of the paper is that the axiomatization of CB does not require as strong systems of individual belief as was originally thought - only monotonicity has thus far proved indispensable. Section 5 explains another consequence of general relevance: despite the ''infinitary'' nature of CB, the axiom systems of this paper admit of effective decision procedures, i.e., they are decidable in the logician's sense
The Geography of Retailing in France: More than 40 Years of Researches
International audience"The aim of the chapter is to show the development of the geography of retailing in France since 1975 until today, that is, since the creation of the geography’s Commission of retailing by Jacqueline Beaujeu-Garnier within the French National Committee of Geography. Almost a non-entity in Vidalian-inspired geography, of the emergence of retail and trade as a subject study in academia, must first be presented in connection with the socio-economic transformations of French society. Indeed, France was becoming an urban society, and commerce was its main factor: the eyes could not miss it. Second, we will follow the transformation of the geography of retailing considering the cultural turn, which has encouraged an opening to new subjects, new issues, and allowing new researches in many subfields of geography. The study of retail in geography benefited from the cultural turn, in contributing to overcome a recurring opposition between culture and retail in geographical approaches. This situation has a singular ring in France, where sociologists like Bourdieu and Baudrillard have written a sociology of consumption that denounces the commercialization of culture through consumption. Finally, since the beginning of the twenty-first century, we will try to show that the geography of retailing in France has managed to treat new subjects linking commerce, culture, and society, and is today expanding into the geography of retailing and consumption.