The Primacy of Hope

This paper raises the question of whether there is anything foundational to hopefulness when considering it as a virtue, and uses the Aristotelian distinction between virtue in the “natural sense” and virtue in the “strict sense” to make the claim that hopefulness has a primacy to it. While that primacy rests on the existence of care and responsiveness of community, those caretakers must themselves be possessed of hopefulness, which, at its best will be virtuous

Power and Public Reason

This volume of Social Philosophy Today contains a selection of papers presented at the 33rd International Social Philosophy Conference (2016), an annual event sponsored by the North American Society for Social Philosophy. The theme of the conference was Power and Public Reason ; this volume invites wider discussion of the issues explored at the conference. Contributors include Noëlle McAfee, Gerald Gaus, and Paul B. Thompson.https://digitalcommons.wcupa.edu/cvpafaculty_books/1026/thumbnail.jp

Outcome of Pediatric Hematopoietic Stem Cell Transplant Recipients Requiring Mechanical Ventilation

Purpose: To assess the risk factors for intensive care unit admission among children receiving hematopoietic stem cell trans-plantation (HSCT) and to test the hypothesis that multiple organ failure (MOF) increases the odds of death among HSCT patients who receive mechanical ventilation (MV). Methods: The chart of all consecutive HSCTs at Seattle Children’s Hospital and pediatric HSCT patients admitted to the pediatric critical care unit of a tertiary care pediatric hospital from January 2000 to September 2006 were reviewed retrospectively. Results: Charts of 266 HSCT patients were reviewed. Nonmalignant disease compared to hematologic malignancy, acute graft versus host disease grades III and IV, and second transplant increased the odds of pediatric intensive care unit admission. Among patients receiving MV for>24 hours, 9 (25%) survived for 6 months, while 8 patients (22%) were long-term survivors with a median follow-up time of 3.6 years, a significant improvement compared to a long-term survival of 7 % (odds ratio 0.25, 95 % confidence intervals: 0.09-0.72, P .01) reported in a previously published cohort of pediatric HSCT patients at the same institution from 1983 to 1996. Cardiovascular failure, duration of MV for greater than 1 week, and prolonged receipt of continuous renal replacement therapy (CRRT) increased the risk of mortality. Conclusions: Six-month survival of pediatric HSCT patients was 25 % and the odds of death were increased by cardiovascular failure but not by MOF. Receipt of mechanical support (ventilation, CRRT) or cardiovascular support (inotropic agents) decreased the likelihood of long-term survival