This article presents a narratological reading of the Gospel of Mark with special attention given to the role, function and rhetorical impact of point of view. It is argued that through the use of ‘witnesses’ ranging from the omniscient narrator, to the character God, to the Old Testament Scriptures, the author of Mark presents a point of view that his implied reader would find difficult to counter. In addition to this, the article demonstrates that the motifs of allegiance, misunderstanding and (...) opposition in the Second Gospel are almost entirely confined to the adoption or rejection of the point of view being advocated for by the author of Mark. In the end, it is shown that only in the death of Jesus on the cross and the subsequent ‘centurion’s confession’ are the motifs resolved and is the point of view of Mark accepted by a human character. (shrink)

The extensive community use of complementary medicine can no longer be overlooked in the practice of hospital medicine. Protocols need to be developed and implemented so that health professionals can deal with the issues surrounding the use of CM. Policy development has generally focussed on the supply of CM in hospital but another approach, which is based on consideration of the ethical and legal context, is presented here. Such an approach demands clarification of institutional policy for individuals who are competent (...) and those who are incapable of self-administration or non-competent. (shrink)

There is growing interest in the role of new urban agriculture models to increase local food production capacity in cities of the Global North. Urban rooftop greenhouses and hydroponics are examples of such models receiving increasing attention as a technological approach to year-round local food production in cities. Yet, little research has addressed the unintended consequences of new modes of urban farming and food distribution, such as increased competition with existing peri-urban and rural farmers. We examine how small-scale farmers perceive (...) and have responded to a recently established rooftop greenhouse and online marketplace enterprise in Montréal, Canada. Drawing on interviews with key informants and small-scale farmers, we find that peri-urban and rural producers have been affected in three key ways that represent tensions, adaptations, and synergies arising from this new urban agriculture and food distribution enterprise. First, many farmers are concerned about increased competition and value conflation with the ideals of community supported agriculture and organic farming. Second, some farmers have adapted by developing novel marketing strategies and working with local bridge organizations to collectively market their produce to urban consumers. Third, a few farmers have decided to wholesale their produce to this new enterprise, allowing them to specialize production and avoid marketing their produce directly to urban consumers. Our study suggests that the emergence of a new form of alternative food network in Montréal has created both positive and negative disruptions for existing small-scale producers. Advocates for the expansion of new urban food production and distribution models should therefore give greater consideration to the effects on other actors in the local food system. (shrink)

ObjectivesDuring their lifetimes, a majority of musicians experience playing-related musculoskeletal disorders. PRMD prevalence is tied to instrument choice, yet most studies examine heterogeneous groups of musicians, leaving some high-risk groups such as oboists understudied. This paper aims to ascertain the prevalence and nature of PRMDs in oboists, determine relevant risk factors, and evaluate the efficacy of treatment methods in preventing and remedying injuries in oboe players.MethodsA 10-question online questionnaire on PRMDs and their treatments was completed by 223 oboists. PRMDs were (...) compared across gender, weekly playing hours, career level, age, and years of playing experience.ResultsOf all respondents, 74.9% reported having had at least one PRMD in their lifetime. A majority of these injuries were of moderate to extreme severity. Females reported significantly more severe injuries than males. No significant effects of career level, age, or years of playing experience were observed. We found significant non-linear relationships between weekly playing hours and PRMD prevalence and severity. Injuries were most commonly on the right side of the body, with the right thumb, wrist, hand, and forearm being most affected in frequency and severity. Of those injuries for which recovery information was provided, only 26.1% of injuries were “completely recovered.” The perceived effectiveness of a few treatments tended to be ranked more highly than others.ConclusionThe oboists in this study experienced high rates of PRMD, particularly in the right upper extremities. Females and those playing 7-9 and 16-18 h per week reported a significantly higher severity of injuries than other groups. (shrink)

Brock Macdonald1, Evi Vakiani2, Rhonda K Yantiss3, Jun Lee4, Robert S Brown Jr5, Samuel H Sigal61Division of Gastroenterology, Department of Medicine, University of California-San Francisco, San Francisco, CA, 2Department of Pathology, Memorial Sloan–Kettering Cancer Center, New York, NY, 3Department of Pathology and Laboratory Medicine, New York Weill Cornell Medical College, New York, NY, 4Division of Nephrology, Department of Medicine, Weill Cornell Medical College, New York, NY, 5Division of Gastroenterology, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, (...) NY, 6Division of Gastroenterology and Hepatology, Department of Medicine, New York University, New York, NY, USA: The use of sirolimus as an alternative to calcineurin inhibitors for posttransplant immunosuppression is associated with a variety of inflammatory conditions. In this report, we describe the case of a 34-year-old man who developed abnormal liver tests 6 years after live-donor kidney transplantation and 5 years after initiation of sirolimus-based immunosuppression. Elevated aminotransferase levels persisted after withdrawal of potentially hepatotoxic medications, and serologic evaluation for viral hepatitis, autoimmune disease, and genetic disorders was unrevealing. Liver biopsy revealed prominent hepatocellular injury associated with a mixed inflammatory infiltrate and liver tests normalized within 2 weeks of discontinuation of sirolimus. In this report, we review previous reports of sirolimus hepatotoxicity and propose a unifying hypothesis for the various inflammatory conditions that have been attributed to sirolimus.Keywords: sirolimus, immunosuppression, transplant, inflammatory conditions, hepatotoxicity. (shrink)

Volume 20, Issue 5, June 2020, Page 72-74.

1 Evidence-based policy requires researchers to provide the answers to ecological questions that are of interest to policy makers. To find out what those questions are in the UK, representatives from 28 organizations involved in policy, together with scientists from 10 academic institutions, were asked to generate a list of questions from their organizations. 2 During a 2-day workshop the initial list of 1003 questions generated from consulting at least 654 policy makers and academics was used as a basis for (...) generating a short list of 100 questions of significant policy relevance. Short-listing was decided on the basis of the preferences of the representatives from the policy-led organizations. 3 The areas covered included most major issues of environmental concern in the UK, including agriculture, marine fisheries, climate change, ecosystem function and land management. 4 The most striking outcome was the preference for general questions rather than narrow ones. The reason is that policy is driven by broad issues rather than specific ones. In contrast, scientists are frequently best equipped to answer specific questions. This means that it may be necessary to extract the underpinning specific question before researchers can proceed. 5 Synthesis and applications. Greater communication between policy makers and scientists is required in order to ensure that applied ecologists are dealing with issues in a way that can feed into policy. It is particularly important that applied ecologists emphasize the generic value of their work wherever possible. (shrink)

Advocates for re-localizing food systems often encourage consumers to support local farmers and strengthen local food economies. Yet, local food systems hinge not only on consumers’ willingness to buy local food but also on whether farmers have the social support networks to address diverse challenges during food production and distribution. This study characterizes the challenges and support systems of farmers selling to local markets in Québec, Canada, across multiple growing seasons using a mixed-methods research design. We sent an online questionnaire (...) to 1046 farmers and conducted follow-up interviews with 15 of the 133 respondents. Our findings show that farmers relied on an average of four support actor groups, particularly employees, customers, and other farmers. Actors played distinct roles in terms of the importance, frequency, and formality of interactions, providing immediate and long-term support through formal and informal relationships across multiple spatial scales (farm, local community, and regional/international). Our thematic analysis showed that support actors helped farmers in four key domains: (1) Knowledge sharing and emotional support; (2) Labour and workforce; (3) Material and financial aid; and (4) Consumer education and business promotion. Farmer associations provided resources to tackle various challenges, acting as bridges across multiple support actor groups. Yet, our results suggest that political desires to encourage local food systems are in some cases poorly matched with resources to address specific types of challenges farmers face. Specifically, overlooking the role of diverse social support actors in helping farmers build food production and distribution capacity could undermine efforts to foster localization. (shrink)

“Principium Sapientiae. Los orígenes del pensamiento filosófico griego” fue publicado póstumamente en 1952 y estaba prácticamente acabado, a salvo de algunos aspectos de los capítulos finales, cuando a Cornford le sobrevino la muerte. La edición ha sido preparada por W. K. C. Guthrie, que ha añadido una breve introducción y un apéndice. “Principium Sapientiae” ofrece una perspectiva general sobre el pensamiento de su autor a la vez que añade material nuevo a los trabajos anteriores. Hoy es ya una obra clásica.

"Permanent Things reminds us that some of the century's most imaginative minds - G. K. Chesterton, T. S. Eliot, C. S. Lewis, Dorothy Sayers, and Evelyn Waugh - were profoundly at odds with the secularist spirit of the age, seeing progressive enlightenment as ushering in, not a millennium of perfect freedom, but a Waste Land whose inhabitants - Waugh's "vile bodies," Eliot's "hollow men," Lewis's "men without chests" - can find refuge from their boredom and anomie only in the ceaseless (...) acquisition of things or in the consoling illusions of pseudo religions - "distracted from distraction by distraction," as Eliot memorably put it." "How does one explain the desolation of a world which, though richly endowed with material comforts, is mentally and spiritually impoverished? The essayists here are united, as were their subjects, by a need to try to answer this question. Modern man's poverty of spirit, visible alike in so much of his art and architecture, his literature and philosophy and political science, reflects his loss of any good reasons for living - his loss of the Permanent Things." "The Christian writers whose work is eloquently interpreted in this book repay our attention for at least two reasons. First is their ability to sharpen our awareness of what, by any previous civilized standards, must be called the abnormal condition of modern man. For all the writers treated in this book, it was never enough to simply capture the spiritual aridity of modern life. It was also necessary to speak of a moral order that may yet be restored by the expressive power and beauty of the written word."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved. (shrink)

Reading W.K. Clifford’s “The Ethics of Belief” in evidentialist terms is standard. However, evidentialist accounts face several longstanding interpretive issues over the Shipowner Story and Clifford’s Motto. This article defends an evidentialist reading. But what distinguishes it from others is that it interprets “The Ethics of Belief” according to Clifford’s “first principle of natural ethics”, a principle he articulates in prior writings, and which comes down to social trust. I reorient Clifford’s evidentialism by returning to his core moral principle and (...) argue that doing so can establish coherence across Clifford’s writings on ethics and can help resolve the relevant interpretive issues. (shrink)

Connectionism: Debates on Psychological Explanation, Volume Two Edited by Cynthia Macdonald and Graham Macdonald Blackwell, 1995. Pp. xvii + 424. ISBN 0-631-19744-3. 50.00 (hbk). ISBN 0-631-19745-1 16.99 (pbk). New books on the philosophy of religion Divine Hiddenness and Human Reason By J.L. Schellenberg, Cornell University Press, 1993. Pp. 217. ISBN 0-8014-2792-4. $36.50 (hbk). Reason and the Heart By William J. Wainwright, Cornell University Press, 1995. Pp. 160. ISBN 0-8014-3139-5. $28.50 (hbk). The Rationality of Belief and the Plurality of (...) Faith Edited by Thomas D. Senor, Cornell University Press, 1995. Pp. 291. ISBN 0-8014-3127-1. $39.95 (hbk). (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Descartes and Husserl. The Philosophical Project of Radical BeginningsMichael K. ShimPaul S. MacDonald. Descartes and Husserl. The Philosophical Project of Radical Beginnings. Albany: State University of New York Press, 2000. Pp. 285. Paper, $21.95.The enormous influence exerted by Descartes on Husserl's phenomenological philosophy cannot be underestimated. Not only is Husserl quite open and explicit about his philosophical debt to Descartes, but the fundamental motivation of the phenomenological (...) [End Page 593] method (directed towards apodeicticity and the purification of consciousness) would most likely be meaningless without reference to the Cartesian precedent. Consequently, almost every exegetical approach to Husserlian phenomenology has at least mentioned the relevance of the Cartesian tradition. Unfortunately, rare has been the phenomenological treatment of Descartes current with the latest scholarship. As an exception to this general shortcoming, MacDonald's book is a most welcome entry into Husserl scholarship.One of MacDonald's main theses is that Descartes and Husserl shared similarities in historical circumstances and, thus, shared similar motives for their "radical beginnings" in philosophy. With regards to Descartes' historical circumstances, by providing a breathtaking overview of sixteenth-century skepticism, MacDonald gives a cogent account of what led to Descartes' attempted construction of an absolute epistemological foundation for philosophy. However, the "conceptual confusions and collapses" of neo-skepticism will "survive the Cartesian overthrow and, like a persistent contagion" (31) reappear in the form of nineteenth-century psychologism. MacDonald does a convincing job of highlighting the skeptical profile of psychologism by providing systematic parallels between the mainstays of neo-skepticism and nineteenth-century psychologism: namely, distrust of objective knowledge, subjective reductionism and epistemological relativism. Accordingly, what motivates Husserl's epoché has both historical and systematic resources in the Cartesian reduction. The point itself is nothing new, and Husserl himself stresses the skepticism of nineteenth-century psychologism, but the scholarship and erudition that inform MacDonald's detailed historical account is to be commended.The truly ambitious aspect of the book, however, is the painstakingly worked out systematic comparison between the respective philosophical projects. In this respect, MacDonald takes two correlated approaches. The first approach takes up the metaphors of discovery and "voyage of exploration" (5) common to both thinkers' writings in order to explicate the meaning of philosophical transformation or "conversion," a "cognitive-affective reorientation of the whole self" (227). However, these metaphors are to be understood as symptomatic of deeper formal parallels between the two thinkers.The second approach begins with the daring claim that "Descartes' and Husserl's formal ontologies are... functionally equivalent" (95), a claim MacDonald proposes to reinforce by examining the structural parallels between Descartes' simple-complex dyad on the one hand and Husserl's part-whole theory as introduced in the Third Logical Investigations. This claim is brought into relief by a reformation of Descartes' conception of "ideas." Rather than restrict the Cartesian conception of ideas to "objective content," MacDonald emphasizes the act-quality of Cartesian ideas (125-7). Thereby an intentional conception of Cartesian ideas is made possible. Anyone familiar with Husserl should not find this surprising: what MacDonald is trying to suggest is a division of Cartesian ideas into noesis and noema, with the "material" aspect of act-ideas finding phenomenological restoration in Husserl's "hyletic data." With these elements in place, MacDonald largely succeeds in constructing a fuller and richer than usual comparison between methodical doubt and the phenomenological reduction (151ff), centered on a non-mystical eidetic intuitionism. MacDonald's ultimate conclusion is [End Page 594] that Husserlian phenomenology, as "first philosophy," is thoroughly consistent with Cartesian metaphysics, now understood as "second philosophy" (243).MacDonald's systematic conclusions are much bolder than one might think, since they are adduced by running against the letter of Husserl's own interpretation of Descartes. The background claim is that Husserl himself did not fully appreciate his debt to Descartes, and it is this exegetical failure that has led to his eventual abandonment of the "Cartesian Way." However, in order to make such an assertion, MacDonald would be obligated to demonstrate the Cartesian influences on the phenomenological pillars of the later Husserl: i.e., temporalization, genetic analysis and the theory of intersubjectivity—as programmatically outlined in the Fourth and... (shrink)