Awakenings Revisited

This talk was presented at Sacred Heart University on October 30, 1991 as part of a lecture series sponsored by the Center for Performing Arts. In his talk, Dr. Sacks refers to two films: a 1974 documentary showing some of the patients described in his book, and the feature film Awakenings (1990), directed by Penny Marshall and starring Robert De Niro and Robin Williams

The Disunity of Consciousness

It is commonplace for both philosophers and cognitive scientists to express their allegiance to the "unity of consciousness". This is the claim that a subject’s phenomenal consciousness, at any one moment in time, is a single thing. This view has had a major influence on computational theories of consciousness. In particular, what we call single-track theories dominate the literature, theories which contend that our conscious experience is the result of a single consciousness-making process or mechanism in the brain. We argue that the orthodox view is quite wrong: phenomenal experience is not a unity, in the sense of being a single thing at each instant. It is a multiplicity, an aggregate of phenomenal elements, each of which is the product of a distinct consciousness-making mechanism in the brain. Consequently, cognitive science is in need of a multi-track theory of consciousness; a computational model that acknowledges both the manifold nature of experience, and its distributed neural basis

Identiteetin neurologiaa

Kirja-arvostelu: Mies joka luuli vaimoaan hatuksi Oliver Sack

Understanding the corporate political activity of the ultra - processed food industry in East Asia: a Philippines case study

BACKGROUND: Evidence is mounting that the ultra - processed food industry seeks to influence food and nutrition policies in ways that support market growth and protect against regulatory threats, often at the expense of public health. However, few studies have explored how this occurs in lower - middle income countries. We aimed to explore if and how the ultra - processed food industry seeks to influence food- and nutrition - related policy processes in the Philippines, a lower - middle income country in East Asia. METHODS: Semi - structured key informant interviews were conducted with ten representatives from the Philippines government and non - government organisations closely involved with nutrition policy making in the Philippines. Interview schedules and data analysis were guided by the policy dystopia model, which we used to identify the instrumental and discursive strategies used by corporate actors to influence policy outcomes. RESULTS: Informants were of the view that ultra - processed food companies in the Philippines sought to delay, prevent, water - down and circumvent implementation of globally recommended food and nutrition policies by engaging in a range of strategies. Discursive strategies included various tactics in which globally recommended policies were framed as being ineffective or highlighting potential unintended negative impacts. Instrumental strategies included: directly engaging with policymakers; promoting policies, such as industry - led codes and practices, as substitutes for mandatory regulations; presenting evidence and data that industry has generated themselves; and offering gifts and financial incentives to government individuals and agencies. CONCLUSIONS: In the Philippines, the ultra - processed food industry engaged in overt activities designed to influence food and nutrition policy processes in their favour. A range of measures to minimise industry influence on policy processes should be introduced, to ensure that implemented food and nutrition policies align with best practice recommendations

The implementation and effectiveness of outlet-level healthy food and beverage accreditation schemes: A systematic review

Healthy food outlet accreditation schemes represent an avenue for incentivizing food retailers to promote healthy eating patterns by improving the healthiness of food environments. This systematic review aimed to (i) assess the impact of food outlet-level accreditation schemes on outlet practices and customer purchases and (ii) identify barriers and enablers to scheme implementation. Peer-reviewed and grey literature were systematically searched. Eligible studies related to outlet-level food and beverage accreditation schemes across any food retail setting. Findings were narratively synthesized by retailer type according to (i) scheme characteristics (governance, targeted products, support, and monitoring); (ii) scheme outcomes (rate of uptake, proportion of certified retailers, impact on purchasing, customer perspectives, and retailer perspectives); and (iii) barriers and enablers to implementation. From 21,943 records screened, 48 were included, covering 26 schemes. Most (18) targeted restaurants or convenience stores. Average uptake was 65% of all outlets approached to participate. Implementation of accreditation schemes was associated with healthier customer purchases in convenience stores, schools, and hospitals, but evidence from restaurants was mixed. Enablers of scheme implementation included support for implementation and maintenance, flexible scheme criteria, and motivated retail staff. Healthy food outlet accreditation schemes represent a promising mechanism for engaging retailers to improve the healthiness of food retail environments

Methodology for the characterization and understanding of longitudinal wrinkling during calendering of lithium-ion and sodium-ion battery electrodes

"The manufacturing of lithium-ion battery (LIB) cells is following a complex process chain in which the individual process steps influence the subsequent ones. Meanwhile, increasing requirements especially concerning the battery performance, sustainability and costs are forcing the development of innovative battery materials, production technologies and battery designs. The calendering process directly affects the volumetric energy density of an electrode and therefore of a battery cell. Calendering is still challenging as it causes high stresses in the electrode that lead to defects and thus increased rejection rates. The interaction between electrode material and process as well as the formation of defects is still not fully understood, especially when new material systems are used. In this context, the sodium-ion battery (SIB) is one post-lithium battery system that is a promising option to overcome the limitations of conventional LIBs. Therefore, this paper presents a first material and machine independent methodology to describe and understand the defect type longitudinal wrinkle, which mostly appears at the uncoated current collector edge of an electrode and in running direction. The aim is to systematically characterize the longitudinal wrinkles according to their geometry. The automatic data acquisition is carried out with a laser triangulation system and a 3D scanning system. The geometry values are calculated from the raw data and correlated to selected process parameters. The methodology is applicable regardless of the material as shown by exemplary results of NMC811 cathodes for LIB and hard carbon anodes for SIB. By using two different pilot calenders it is shown, that the data acquisition can be carried out independently of the machine. The presented methodology contributes to finding solutions for the avoidance of longitudinal wrinkling in any battery electrode and therefore to reducing the rejection rate.

Management learning at the speed of life:Designing reflective, creative, and collaborative spaces for millenials

This paper introduces the concept of "management learning at the speed of life" as a metaphor to inspire millenials. Millenials may face three major problems in relation to management learning: lack of concentration, lack of engagement, and lack of socialization. Management learning at the speed of life addresses these potential problems through three dimensions: reflective, creative, and collaborative learning. This paper illustrates the benefits of reflective, creative, and collaborative spaces for millenials using practices from leadership and personal development courses that were offered over seven years in Canada, Turkey, and the UK. These courses incorporated the latest technology that brought the course activities up to the speed of life

Striking a Chord: Dementia and Song

We have co-written this piece to relay what can be achieved with song and music in familial and non-familial settings when caring for a person with dementia. This article started as a conversation we had in the Wellcome Collection cafe in London to catch up with each other while Prabhjot was en route from Canada to India, to meet her father. We shared how dementia was becoming a part of our parents’ lives. This article is dedicated to the chords Prabhjot Parmar has struck with her father, Major Harbhajan Singh (25 Dec 1925 – 16 April 2018) and Nirmal Puwar has had the pleasure of sharing with her mother, Kartar Kaur. Both of us have been drawn to understanding how our own performance of song with our respective parent enabled them and us to maintain a register of connection. Song became a means of trying to keep striking a parental and musical chord. We aimed to connect by engendering ‘therapeutic atmospheres’ (Sonntag 2016) through song. We use song and music interchangeably, operating with performance as an umbrella term that includes gesture, utterance, dance, singing and playing musical instruments, for example. Two autoethnographic relational contributions provide a substantive basis to our article, each written by a researcher-carer-daughter, seeking to sustain contact with what remains in her parent living with dementia

Between stigma and pink positivity: women’s perceptions of social interactions during and after breast cancer treatment

This study explores women’s perceptions of social interaction during and after their treatment for early stage breast cancer. Analysis of interviews with 24 women between 6 months-29 years post-diagnosis, reveals that interactions can be influenced by conflicting public discourses surrounding breast cancer. For example, there is the continuing association of cancer with death and the resulting potential for a stigmatised identity (Goffman, 1963). In contrast is the ultra-positive discourse around cancer survivorship, with breast cancer in particular being associated with pink campaigning and a push towards positive thinking. Participants described ‘managing’ conversations during treatment; sometimes playing down their ‘private’ suffering and presenting a positive (‘public’) image rather than risk alienating support. After treatment they were encouraged to move on and get back to ‘normal’. Whilst other breast cancer patients/survivors were often good sources of support, there was also a danger of assuming that all experiences will be the same. We present data to illustrate that women often present ‘public’ accounts which are driven by an expectation of positivity and fear of stigmatization at all stages of breast cancer treatment and beyond

Beyond tokenistic participation: Using representational artefacts to enable meaningful public participation in health service design

A number of recent policies promote public participation in health service design. Yet, a growing literature has articulated a gap between policy aims and actual practice resulting in public participation becoming tokenistic. Drawing on theory from participatory design, we argue that choosing appropriate artefacts to act as representations can structure discussions between public participants and health professionals in ways that both groups find meaningful and valid. Through a case study of a service improvement project in outpatient services for older people, we describe three representational artefacts: emotion maps, stories, and tracing paper, and explain how they helped to mediate interactions between public participants and health professionals. We suggest that using such representational artefacts can provide an alternative approach to participation that stands in contrast to the current focus on the professionalisation of public participants. We conclude that including participatory designers in projects, to chose or design appropriate representational artefacts, can help to address the policy–practice gap of including public participants in health service desig