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Chapter 6 takes up the best-known bookish metaphor: the book of nature. Tracing the phrase “book of nature” and its attendant metaphors through early modern English writing, this chapter shows how its Christian use did not fully disappear when the metaphor suddenly flipped to work in service of the modern scientific method. The “book of nature” gave people a language for knowledge in a rapidly changing epistemology.
Cardiovascular disease (CVD) is the most potent killer in Aotearoa New Zealand (NZ) with South Asians being one of the three high-risk groups. This study aimed to investigate health beliefs, knowledge, and behaviours related to diet among NZ South Asians at risk of CVD, using a mixed-methods approach. Demographics and dietary data were collected via an online Qualtrics survey and qualitative data on health beliefs and knowledge about heart-healthy foods were collected using semi-structured phone interviews. Twenty-one South Asian participants with diagnosed type 2 diabetes and/or hypertension and/or hypercholesterolemia were recruited via stakeholder engagement and advertisements through South Asian cultural and religious organisations.The majority of participants (62%) were aged 35-50 years, 10 were female, 11 were male and 67% were long-term residents of NZ. Most participants were unsure of the recommendations for fruit and vegetable consumption and only 48% and 29% met these guidelines, respectively. This is worrying as NZ Health survey data show a steady decrease in fruit and vegetable consumption among South Asians over 20 years with only 27% meeting the guidelines in 2021. (1) Sixty-two percent of participants consumed milk and yoghurt ≥ 4 times a week; 63% consumed full-fat milk and 45% consumed full-fat yoghurt regularly. These findings are consistent with that found for healthy South Asians in NZ,(2) where dairy, the primary source of saturated fats in South Asian cuisine, increased post-migration. Some participants believed that full-fat dairy increases the risk of heart disease, yet they still preferred to use full-fat milk and ghee as they believed it is healthier than low-fat varieties. Most participants believed that salty foods and pickles increase the risk of heart disease with 33% consuming salted pickles “sometimes” and only 28% choosing “low or reduced salt” food varieties “regularly/always”. More than half (57%) chose reduced-fat varieties of foods deliberately to reduce their risk of CVD. Red meat and deep-fried fatty foods were the most common foods that most participants thought they should avoid; however, some were not sure. Foods that participants considered heart-healthy were green vegetables, lentils and ghee in moderation. Most meat-consuming participants were unaware of healthy cuts of meat with only 38% reporting always choosing low-fat cuts of meat. Most participants believed that they could take some measures to reduce their risk of heart disease. Nevertheless, their health beliefs were not consistent with knowledge of or behaviours concerning heart-healthy measures. Substantial knowledge gaps evident in the reported dietary behaviours need to be addressed to reduce the risk of CVD among at-risk South Asians.
The nutrition workforce plays a vital role in disease prevention and health promotion, with expanding job opportunities shaped by factors like aging populations, climate change, global food systems, and advancing technologies(1,2). Preparing students for careers that require adaptability involves understanding the valuable skills they possess and identifying any gaps. This research aimed to identify the skills and knowledge valued by students who had recently completed work-based placements, and explore recent graduates’ experiences, challenges, and preparedness for employment. At the end of their work-based placements students give presentations sharing their experiences and learning. Permission was sought from ten students to analyse the recordings of these presentations. The presentations were selected to include a range of nutrition fields, including sports nutrition, public health, community nutrition, dietary counselling, food and industry, and nutrition communication. Additionally, a list of graduates (within four years of graduation) from various fields (as above) was compiled and they were invited to participate. Semi-structured interviews (n=10) were conducted online via Zoom and recorded. The interview guide included open-ended questions on employment experiences, challenges, preparedness, and required skills. The interviews, transcription and analyses were completed by two student researchers between November 2023 and February 2024. Thematic analysis using NVivo software was used to identify themes. The themes developed included the importance of skills relating to; i) communicating complex nutrition concepts to the public, ii) collaborating within diverse teams, iii) identifying and filling personal knowledge gaps. In addition Graduates felt practical experience from their University study boosted their preparedness for the workforce, though many struggled to apply their skills in non-traditional roles and expand their career scope. In summary, ongoing focus on team-based projects, communication with non-science audiences, and strategies for continuous learning using evidence-based sources are crucial for both undergraduate and postgraduate education.
While the claim that moral ignorance exculpates is quite controversial, the parallel claim with respect to non-moral ignorance seems to be universally accepted. As a starting point, we can state this claim as follows:
Non-moral Ignorance Exculpates: If an agent did everything that could be reasonably expected of her to inquire into some empirical issue as to whether P, the seeming truth of P played the appropriate role in the agent’s motivation to Φ, and the agent would not have merited blame for Φ-ing if P had been the case, then the agent does not merit blame for Φ-ing.
In this paper, I aim to accomplish two tasks. First, I argue that NMIE is false in certain cases in which, by Φ-ing, the agent violates a course-grained, reasonable community norm without knowing that doing so is in everyone’s best interests. Second, I argue that, while moral ignorance, like non-moral ignorance, does not exculpate when community norms are violated in this manner, it does exculpate when they are not. With these two tasks accomplished, we will see the striking parallels in the manner in which both moral and non-moral ignorance exculpate.
Social scientists are paying attention to the role that knowledge plays in economic phenomena. This focus on knowledge has led to exploring two challenges: first, its governance to reap positive externalities and solve social dilemmas, and second, how we can craft institutions to match the intangible nature of ideas with adequate property rules. This article contributes by elaborating on the different knowledge property regimes and the elements contributing to their classification. This paper first taxonomises knowledge governance regimes based on Ostrom’s work on institutional analysis. Second, it examines why governance structures for managing knowledge production vary across industries, according to (1) the characteristics of knowledge, (2) the attributes of the organisations, and (3) the different rules-in-use to enforce property rights. This is the first study at the intersection of institutional analysis and political economy that highlights the knowledge features, incentive structures, and mechanisms undergirding knowledge governance in different property regimes.
Technology is often a crucial input to innovation, but so are knowledge and ideas. Indeed, technological change emerges out of ideas and, as we will see, knowledge stands in an interesting relationship to the generation of the novel ideas that you could say are essential raw materials for innovation. First, Galenson’s work provides some nuance to the nature of ideas and of knowledge, suggesting that knowledge can be both a prerequisite for and an impediment to the development of ideas, depending crucially on what kind of ideas we are dealing with. Then, the papers by Ward and Shane present two contrasting views of how knowledge can shape imagination, highlighting how one’s prior knowledge might overstructure, enable, or narrowly focus ideation. Finally, Jones’ paper zooms out to the macro level, inviting us to think about why it appears to be getting harder and harder to have ideas early in life.
Clozapine is the only licensed medication for treatment-resistant schizophrenia, although it is underused. Healthcare professionals (medical and non-medical professionals) play a crucial role in the management of clozapine. Consultant psychiatrists are accountable for the initiation of clozapine, whereas non-medical professionals are often responsible for the monitoring, the management of side effects and patient education. It appears that healthcare professionals‘ (HCPs) competence and confidence may have an effect on clozapine underutilisation.
Aim:
To synthesise the most pertinent literature examining the factors influencing HCPs competence and confidence in the management of clozapine and how these factors influence variation in prescribing practice.
Methods:
A review of the literature focusing on these elements was conducted. The Population, Context, Outcome (PCO) framework was adopted to support the literature search. The databases Medline, Psychinfo, Scopus, Cinahl, Pubmed, Embase, British Library, Ethos e-thesis, Google Scholar, Dart Europe e-thesis were consulted; the search was completed in January 2025. Screening, selection, data extraction and quality assessment were conducted independently by two researchers. Thematic analysis was used to investigate and compare the data emerging from the studies.
Results:
Thirty-four articles were included in the review. Six themes were identified: attitude toward and knowledge about clozapine, misconceptions (regarding side effects, monitoring and co-morbidities), guidelines, education, training and experience. HCPs self-reported as competent with guidelines (local and national), yet they expressed less confidence in their ability to adhere to them and were uncertain about managing side effects. Lack of education, training and insufficient exposure to clozapine management were significant factors impacting competence and confidence, resulting in clozapine underuse and variance in prescribing practice. The review highlighted a gap in the literature, as only a few studies involving non-medical professionals were found.
Conclusions:
A general lack of education and training related to clozapine use was identified amongst all professionals.
The impact of educational programmes on improving competence and enhancing confidence was considered positive, however when integrated with clinical practice.
The studies identified in this review were lacking in the involvement of non-medical professionals. Given their crucial role in managing side effects and educating patients and carers, it is evident that their inclusion in future research is imperative.
Indigenous Studies seeks to affirm the distinct worth of “Indigenous Knowledge” and to question, as colonial, the privileging of Western Knowledge. How should Bruce Pascoe’s Dark Emu be taught, after it has been persuasively criticised by Peter Sutton and Keryn Walshe in Farmers or Hunter-Gatherers? The Dark Emu Debate. Australia’s “culture wars” have encouraged readings that sharply distinguish the two books’ theses, and this paper attempts to soften that polarity. After noting a point of convergence between Dark Emu and Farmers or Hunter-Gatherers? I outline two ways to think about knowledge that may help answer the question: How should Dark Emu be taught? Paul A. Cohen distinguishes among three ways that we can know the past: as event, as experience, and as myth. Martin Nakata considers the relationship between Indigenous experience and university-authorised critique. This paper seeks to draw out what is useful in each author: an acceptance that our thinking about the past is both mythical and critical. We can teach Dark Emu as “myth” without equating myth with error.
The topic of absences and their ontological status has long been the focus of intense philosophical debate. Recent years have witnessed the burgeoning of a related discussion concerning the phenomenon of experiencing absences. A lot of this discussion revolves around the question of whether such experiences are best construed as literal perceptions or as some other kind of mental state. Rather than try to settle that ongoing debate, I take as my starting point a claim that seems to be granted by virtually all of the participants in that debate, namely, that experiences of absence are capable of representing reality accurately and of misrepresenting reality. But if they can represent reality accurately, they can do so in a manner that is merely a lucky coincidence and they can do so in a way that is noncoincidental, and I offer reasons for thinking that the latter is more valuable than the former. The burden of this paper, then, is to try to offer an account of the conditions under which absence experiences can be noncoincidentally accurate representations of reality – something that only one other author in the current literature has thus far attempted. To begin with, Section 1 outlines various kinds of experiences of absence and singles out the kind that will be my focus throughout the rest of the paper. In Section 2, I survey the current debate over whether experiences of absence are best construed as perceptual or as something else, and I outline several assumptions I shall be making in the remainder of the paper. Section 3 motivates the project of trying to understand the conditions in which experiences of absence are noncoincidentally accurate, and Sections 4–5 develop an account of those conditions. Finally, in Section 6, I discuss the connections between experiences of absence and justifiedly believing and knowing that a given object is absent from a given location.
Nurses play a critical role in preventing health care-acquired infections (HAIs) by applying infection control practices during hospitalization, in health care settings, and after patient discharge. Our aim was to evaluate the effect of an HAIs educational workshop on the knowledge, attitude, and practice of pediatric nurses at Al-Mezan Hospitals in Palestine.
Methods
A quasi-experimental study was conducted in 2022 among 44 pediatric nurses working in the PICU, NICU, pediatric ward, and nursery departments. Data were collected using demographic, knowledge, attitude, and practice questionnaires before and after the intervention. The educational workshop consisted of 4 sessions, each lasting 45 minutes. Data were analyzed using SPSS version 23, including descriptive statistics and paired t tests, with a significance level set at P < 0.05.
Results
Post-intervention scores showed significant improvements: knowledge increased from 52.9 ± 3.3 to 61.9 ± 4.1, attitude from 44.1 ± 4.1 to 52.6 ± 3.4, and practice from 42.1 ± 5.7 to 53.3 ± 3.3. All changes were statistically significant (P ≤ 0.001), indicating the effectiveness of the workshop.
Conclusions
The HAIs educational workshop significantly enhanced the knowledge, attitudes, and practices of pediatric nurses regarding infection control. These findings highlight the importance of continuous education and training programs to improve health care quality and patient safety.
Disinformation is a growing epistemic threat, yet its connection to understanding remains underexplored. In this paper, I argue that understanding – specifically, understanding how things work and why they work the way they do – can, all else being equal, shield individuals from disinformation campaigns. Conversely, a lack of such understanding makes one particularly vulnerable. Drawing on Simion’s (2023) characterization of disinformation as content that has a disposition to generate or increase ignorance, I propose that disinformation frequently exploits a preexisting lack of understanding. I consider an important objection – that since understanding is typically difficult to acquire, we might rely on deferring to experts. However, I argue that in epistemically polluted environments, where expertise is systematically mimicked, deference alone provides no reliable safeguard. I conclude by briefly reflecting on strategies for addressing these challenges, emphasizing both the need for promoting understanding and for cleaning up the epistemic environment.
This penultimate chapter turns to MacCormick’s institutional theory of law. This theory sought to answer questions about how law existed and how it was knowable. This chapter reads over four decades of this theory with character, doing so in two parts. In the first part, it explores the sense in which the very substance of the theory can be understood relationally, i.e., as underpinned by sensitivity to the dangers of domination, and a commitment to respect, decency, considerateness, and civility. The second part reads the institutional theory of law as a relational act in another sense, i.e., as mediating across what are otherwise often divisions or separations, such as between philosophy and sociology, or scholarship about law and the practice of law. The chapter tracks various changes in how MacCormick theorised law institutionally, from his early interest in law as institutional fact, to his later law as institutional normative order.
Dentists possess critical skills that can support disaster response efforts. However, in disaster-prone countries like Iran, the integration of dentists into emergency preparedness remains underdeveloped. This study aimed to assess the knowledge, attitudes, and self-reported practices of senior dental students in Tehran regarding disaster management and their potential role in it.
Methods
A cross-sectional survey was conducted among 240 senior dental students from three major dental schools in Tehran. An online questionnaire evaluated participants’ demographics, knowledge (9 items), attitudes (8 items), and self-reported practices (3 items) related to disaster preparedness. Data were analyzed using t-tests and Pearson correlation coefficients, with significance set at P<0.05.
Results
Students demonstrated moderate knowledge (mean score: 7.1 out of 18), favorable attitudes (13.1 out of 16), but low levels of self-reported practice (1.9 out of 6). Most respondents lacked awareness of national disaster management policies, although 92.5% acknowledged the need for disaster-related training. Only 37.9% had received any training in CPR or disaster response. Female students scored significantly higher in attitude but not in knowledge or practice. Prior disaster experience did not significantly influence preparedness scores. Positive correlations were found between knowledge and both attitude (r = 0.27) and practice (r = 0.33).
Conclusion
Despite a strong interest in disaster preparedness, Iranian dental students lack sufficient training and practical experience. Incorporating disaster management education into the dental curriculum is essential to empower future dentists for roles in national emergency response frameworks.
A traditional view holds that ignorance is simply the absence of knowledge. This view has recently been challenged by the Normative Account, which sees ignorance as involving a normative failure. In this paper, we argue that both perspectives capture important insights. Drawing on three empirical studies, we propose a two-senses account of ignorance, according to which there exist two notions of ignorance: one normative, the other non-normative. We also offer a new explanation of the normative aspect. Our findings suggest that what is negative in being ignorant lies in the expectation that one ought to know the relevant fact.
This article investigates the global history of dryland modernisation through the case study of southern Italy. From the early twentieth century to the fascist years, several intellectuals, scientists, and politicians reinterpreted the apparent and long-standing backwardness of this region as fundamentally due to its hydrology and climate: southern Italy was rediscovered as a dry land, formally part of Italy and civilised Europe and yet environmentally closer to extra-European spaces of empire. The article shows how Italian agrarian scientists mobilised this ‘environmental Otherness’ of the Italian south as the key to developing a ‘dryland’ science alternative to that of ‘humid’ northern Italy and continental Europe. Instead, this ‘dryland’ approach to modernisation grounded southern Italy within a vast transimperial network defined by the co-production and circulation of knowledge and technologies allowing the adaptation of modern and intensive food production to semi-arid regions. As such, the article argues that Italian agrarian scientists redefined the spatial order of the Italian south in a transimperial sense, embracing its environmental Otherness as a vantage point for its rehabilitation within Italy’s nation-building.
Knowledge about HIV and level of HIV-related stigma have been considered the main indicators of the community’s readiness to combat and bring the HIV epidemic to an end. Of all Serbia, the northern Kosovo province is especially vulnerable to the HIV spread because the infrastructure and the entire regulatory system had to be rebuilt after the ethnic conflict. The study objective was to examine the association between HIV-related knowledge level and attitudes towards people living with HIV (PLHIV) among university students from northern Kosovo using the quantile regression. A total of 1,017 students filled in an anonymous questionnaire. The questionnaire examined socio-demographic characteristics, HIV-related knowledge, attitudes towards PLHIV, sources of information about HIV, past experiences with PLHIV, and health behaviours. The dependent variable in the model was the attitude score (ATS) divided into quantiles (Q) in quantile regression analysis: Q0.10, Q0.25, Q0.50, Q0.75, and Q0.90. The independent variable was the knowledge score (KNS). The model was adjusted for relevant covariates. The majority of students had adequate HIV-related knowledge (89.6%) and 10.4% had lower knowledge. Most students also had a positive attitude (83.9%), while 16.1% were indecisive towards PLHIV. No students exhibiting wrong knowledge and negative attitudes were observed. The KNS and ATS significantly correlated with one another (ρ = 0.383; p = 0.001). The quantile regression model adjusted for variables associated with both KNS and ATS showed a negative association between KNS and ATS in the lowest quantile (Q0.10) of the ATS. In all other quantiles (Q0.25–Q0.90), a higher KNS was associated with having stronger positive attitudes towards PLHIV. This study confirmed that higher knowledge about HIV was associated with stronger positive attitudes towards HIV. Still, some students remain indecisive despite being knowledgeable about HIV. These students could benefit the most from continuing educational programmes to reduce the HIV-related stigma.
This chapter argues that beliefs are causally effective representational states. They admit of two main kinds: episodic and semantic forms of memory. These are argued to be distinct, although they have overlapping origins. The chapter also discusses the states often described as beliefs that result from one making up one’s mind (forming a judgment), but many of which are really commitments (a type of intention). The relations between episodic memory and imagination are also discussed. The chapter then examines the idea that moral judgments can be directly motivating, showing that it contains an element of truth. Finally, the chapter critiques a claim that has become popular among armchair-philosophers, that knowledge is a basic kind of intrinsically factive mental state.
In the shifting context of global policy making, International Organisations (IOs) have become powerful sources of expert authority and central sites for the exercise of power in global governance. While we have a clear understanding of how IOs deploy expertise, there has been relatively little effort among legal scholarship and International Relations to critically examine the processes by which such institutions produce and validate knowledge claims about governance objects and, in doing so, authorise certain solutions as the only ‘viable’. This chapter examines the way in which the World Health Organization, Food and Agriculture Organization, and UNICEF acted as central vehicles in defining the contours of ‘hidden hunger’ as a ‘matter of fact’ – or as a medicalised and economised object of governance. It shows how this problematisation largely validated the prioritisation of short-term responses and easily measurable programmes such as food fortification and vitamin supplementation in Global South countries. Rather than addressing the underlying socio-economic determinants of the problem, such responses acted as political analgesics providing temporarily relief. In highlighting how IOs’ ‘ways of seeing’ are connected to the practice of governing, the chapter sheds light on the everyday politics of rule-making.
This chapter proposes to study the making and stabilisation of expertise in global governance. While doing so, it questions mainstream approaches in international law and International Relations, which see international organisations’ reliance on expertise as a rationalisation of global politics. The approach taken here proposes, instead, to examine the political processes and decisions that participate in the production and assembling of ‘expertise’ in global governance. It proposes that the power–knowledge nexus in global fora can be explored by taking the following (complementary) entry points: focusing on sites and networks of knowledge production, studying infrastructures of knowledge production, or analysing relations between people and/or between people and the material.
The academic imprint of Susan Strange, long considered a pioneer in the field of IPE, no longer resonates with contemporary debates about the organization and structure of the global political economy. We argue that her analytical framework continues to be a productive way to think about important current developments, most importantly in relation to what can now be called the digital age and its emergent form of capitalism. We therefore modify and update Strange’s framework to highlight its unique analytical potential, and to set out the operational principles of what we want to call a ‘neo-Strangean’ framework of authority. We then apply it to what Strange identifies as the finance or credit structure. By focusing on a core domain of political-economic power, we demonstrate our principal claim that a neo-Strangean framework of authority points towards an understanding of how new actors and imperatives are reshaping the global political economy. We close by outlining the analytical benefits that a neo-Strangean research agenda promises for the field of IPE, which for us centre on emphasizing the dynamics and disruptive consequences of a knowledge-infused global political economy in a way that pays sufficient attention to ideational and material factors.