An engineering paradigm in the biomedical sciences: Knowledge as epistemic tool

Research Trends around Exercise Rehabilitation among Cancer Patients: A Bibliometrics and Visualized Knowledge Graph Analysis

This study analyzed the research hotspots and frontiers of exercise rehabilitation among cancer patients via CiteSpace. Relevant literature published in the core collection of the Web of Science (WoS) database from January 1, 2000, to February 6, 2022, was searched. Further, we used CiteSpace5.8R1 to generate a network map and identified top authors, institutions, countries, keywords, and research trends. A total of 2706 related literature were retrieved. The most prolific writer was found to be Kathryn H Schmitz (21 articles). The University of Toronto (64 articles) was found to be the leading institution, with the United States being the leading country. Further, “rehabilitation,” “exercise,” “quality of life,” “cancer,” and “physical activity” were the top 5 keywords based on frequency; next, “disability,” “survival,” “fatigue,” “cancer,” and “rehabilitation” were the top 5 keywords based on centrality. The keyword “fatigue” was ranked at the top of the most cited list. Finally, “rehabilitation medicine,” “activities of daily living,” “lung neoplasm,” “implementation,” “hospice,” “exercise oncology,” “mental health,” “telemedicine,” and “multidisciplinary” are potential topics for future research. Our results show that the research hotspots have changed from “quality of life,” “survival,” “rehabilitation,” “exercise,” “cancer,” “physical therapy,” “fatigue,” and “breast cancer” to “exercise oncology,” “COVID-19,” “rehabilitation medicine,” “inpatient rehabilitation,” “implementation,” “telemedicine,” “lung neoplasm,” “telehealth,” “multidisciplinary,” “psycho-oncology,” “hospice,” “adapted physical activity,” “cancer-related symptom,” “cognitive function,” and “behavior maintenance.” Future research should explore the recommended dosage and intensity of exercise in cancer patients. Further, following promotion of the concept of multidisciplinary cooperation and the rapid development of Internet medical care, a large amount of patient data has been accumulated; thus, how to effectively use this data to generate results of high clinical value is a question for future researchers.

From Multidisciplinarity to Transdisciplinarity and from Local to Global Foci: Integrative Approaches to Systemic Resilience Based upon the Value of Life in the Context of Environmental and Gender Vulnerabilities with a Special Focus upon the Brazilian Amazon Biome

Economic and environmental interventions in the Anthropocene have created disruptions that are threatening the capacity of socio-ecological systems to recover from adversities and to be able to maintain key functions for preserving resilience. The authors of this paper underscore the benefits of a workshop-based methodology for developing a vision and an approach to the inner processes of creation that can be used to increase resilience, to cope with societal vulnerabilities and to develop the tools for future planning at local, regional and global scales. Diverse areas of discourse ranging from climate science and sustainability, to psychoanalysis, linguistics and eco-philosophy, contributed meaningfully to the transdisciplinary approach for enhancing resilience. A framework is proposed that can be used throughout society, that integrates the importance of human subjectivity and the variability of human contexts, especially gender, in shaping human experiences and responses to climate change impacts and challenges such as the covid-19 pandemic. Within the domain of socio-economic research, the authors challenge researchers and policy makers to expand future perspectives of resilience through the proposed systemic resilience vision. Movement towards transformative thinking and actions requires inner exploration and visualization of desirable futures for integrating ecological, social, cultural, ethical, and economic dimensions as agencies for catalyzing the transition to livable, sustainable, equitable, ethical, and resilient societies.

Interdisciplinary expertise in medical practice: Challenges of using and producing knowledge in complex problem-solving

Purpose: Clarification of interdisciplinary expertise as the ability to deal with the cognitive and epistemological challenges of multi- and interdisciplinary problem-solving-such as in developing and implementing medical technology for diagnoses and treatment of patients in collaborations between clinicians, technicians, and engineers-and of the higher-order cognitive skills needed as part of this expertise. Method: Clarify the epistemological difficulties of combining scientific knowledge, methodologies and technologies from different disciplines in problem-solving, by drawing on recent developments in the philosophy of science. Conclusion: We argue that interdisciplinary expertise involves the cognitive ability to connect, translate and establish links between disciplinary knowledge, as well as the metacognitive ability to understand and explain the role of the disciplinary perspective-consisting of, e.g. basic concepts, theories, models, methodologies, technologies, and specific ways of measuring, reasoning and modeling in a discipline-in how knowledge is used and produced.

Epistemology for interdisciplinary research - shifting philosophical paradigms of science

In science policy, it is generally acknowledged that science-based problem-solving requires interdisciplinary research. For example, policy makers invest in funding programs such as Horizon 2020 that aim to stimulate interdisciplinary research. Yet the epistemological processes that lead to effective interdisciplinary research are poorly understood. This article aims at an epistemology for interdisciplinary research (IDR), in particular, IDR for solving 'real-world' problems. Focus is on the question why researchers experience cognitive and epistemic difficulties in conducting IDR. Based on a study of educational literature it is concluded that higher-education is missing clear ideas on the epistemology of IDR, and as a consequence, on how to teach it. It is conjectured that the lack of philosophical interest in the epistemology of IDR is due to a philosophical paradigm of science (called a physics paradigm of science), which prevents recognizing severe epistemological challenges of IDR, both in the philosophy of science as well as in science education and research. The proposed alternative philosophical paradigm (called an engineering paradigm of science) entails alternative philosophical presuppositions regarding aspects such as the aim of science, the character of knowledge, the epistemic and pragmatic criteria for accepting knowledge, and the role of technological instruments. This alternative philosophical paradigm assume the production of knowledge for epistemic functions as the aim of science, and interprets 'knowledge' (such as theories, models, laws, and concepts) as epistemic tools that must allow for conducting epistemic tasks by epistemic agents, rather than interpreting knowledge as representations that objectively represent aspects of the world independent of the way in which it was constructed. The engineering paradigm of science involves that knowledge is indelibly shaped by how it is constructed. Additionally, the way in which scientific disciplines (or fields) construct knowledge is guided by the specificities of the discipline, which can be analyzed in terms of disciplinary perspectives. This implies that knowledge and the epistemic uses of knowledge cannot be understood without at least some understanding of how the knowledge is constructed. Accordingly, scientific researchers need so-called metacognitive scaffolds to assist in analyzing and reconstructing how 'knowledge' is constructed and how different disciplines do this differently. In an engineering paradigm of science, these metacognitive scaffolds can also be interpreted as epistemic tools, but in this case as tools that guide, enable and constrain analyzing and articulating how knowledge is produced (i.e., explaining epistemological aspects of doing research). In interdisciplinary research, metacognitive scaffolds assist interdisciplinary communication aiming to analyze and articulate how the discipline constructs knowledge.