Community-based healthcare organisations manage competing, and often conflicting, priorities. These conflicts can arise from the multiple roles these organisations take up, and from the diverse range of stakeholders to whom they must be responsive. Often such conflicts may be titled conflicts of interest; however, what precisely constitutes such conflicts and what should be done about them is not always clear. Clarity about the duties owed by organisations and the roles they assume can help identify and manage some of these conflicts. (...) Taking divisions of general practice in Australia as an example, this paper sets out to distinguish two main types of conflicts of interest, so that they may be more clearly identified and more effectively managed. (shrink)

International array of contributors, bringing together both traditional and more recent approaches to provide valuable insights into the poets’ use of language.Covers authors from Lucilius to Juvenal.Of the peoples of ancient Italy, only the Romans committed newly composed poems to writing, and for 250 years Latin-speakers developed an impressive verse literature.The language had traditional resources of high style, e.g., alliteration, lexical and morphological archaism or grecism, and of course metaphor and word order; and there were also less obvious resources in (...) the technical vocabularies of law, philosophy and medicine.The essays in this volume show how the poets in the classical period combined these elements, and so created a poetic medium that could comprehend satire, invective, erotic elegy, drama, lyric, and the grandest heroic epos. (shrink)

We address concerns raised by Maul (2012) regarding the validity of the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT). We respond to requests for clarifications of our model, and explain why the MSCEIT’s scoring methods stand up to scrutiny and why many reported reliabilities of the MSCEIT may be underestimates, using reanalyses of the test’s standardization sample of N = 5,000 to illustrate our point. We also organize findings from four recent articles that provide evidence for the MSCEIT’s validity based on (...) its relations with other tests. (shrink)

Technology has expanded genomic research and the complexity of extracted gene-related information. Health-related genomic incidental findings pose new dilemmas for nurse researchers regarding the ethical application of disclosure to participants. Consequently, informed consent specific to incidental findings is recommended. Critical Social Theory is used as a guide in recognition of the changing meaning of informed consent and to serve as a framework to inform nursing of the ethical application of disclosure consent in genomic nursing research practices.

How does the advancement of the sciences relate to the ways in which their founding figures are remembered? According to the stark picture painted by Alfred N. Whitehead in 1917, “the establishment of a reverential attitude towards any statement made by a classical author” had barred the progress of logic for several centuries: “Scholars became commentators on truths too fragile to bear translation. A science which hesitates to forget its founders is lost”. In the eyes of many critics, Sigmund Freud's (...) psychoanalysis may well be an example of such a lost cause. From the founding book The Interpretation of Dreams to his very last statements, Freud never ceased to affirm that psychoanalysis was a science: “What else can it be?”. Yet not only the fact that he has become one of the classic authors of the twentieth century, but also a number of very specific traits of psychoanalytic institutions have nourished the suspicion that Freud was less the founder of a science than of a sort of quasi-religious movement, a secular sect thriving on a personality cult. (shrink)

Introduction No consent for health and medical research is appropriate when the criteria for a waiver of consent are met, yet some ethics committees and data custodians still require informed consent. Methods A single-blind parallel-group randomised controlled trial: 1129 families of children born at a South Australian hospital were sent information explaining data linkage of childhood immunisation and hospital records for vaccine safety surveillance with 4 weeks to opt in or opt out by reply form, telephone or email. A subsequent (...) telephone interview gauged the intent of 1026 parents (91%) in relation to their actions and the sociodemographic differences between participants and non-participants in each arm. Results The participation rate was 21% (n=120/564) in the opt-in arm and 96% (n=540/565) in the opt-out arm (χ2 (1 df) = 567.7, p<0.001). Participants in the opt-in arm were more likely than non-participants to be older, married/de facto, university educated and of higher socioeconomic status. Participants in the opt-out arm were similar to non-participants, except men were more likely to opt out. Substantial proportions did not receive, understand or properly consider study invitations, and opting in or opting out behaviour was often at odds with parents' stated underlying intentions. Conclusions The opt-in approach resulted in low participation and a biased sample that would render any subsequent data linkage unfeasible, while the opt-out approach achieved high participation and a representative sample. The waiver of consent afforded under current privacy regulations for data linkage studies meeting all appropriate criteria should be granted by ethics committees, and supported by data custodians. Trial registration number Australian New Zealand Clinical Trials Registry ACTRN12610000332022. (shrink)

Gardner’s theory of multiple intelligences has been further developed to focus on the research of human cognitive activities. Thus, the concept of emotional intelligence, which is the topic of the current paper, was introduced by John D. Mayer, Peter Salovey and ‎Daniel Goleman. General intelligence can be defined as the capacity to carry out abstract reasoning to understand meanings, to recognize the similarities and differences between two concepts and to make generalizations. Emotional intelligence is not a part of general (...) intelligence. Emotional intelligence can be defined as an ability of a human to perceive oneself and interact with others with the help of obtained and processed emotional information. Language acquisition is mediated by the necessity to communicate with others. Consequently, the ability to manage the process of communication is of utmost importance in learning a language. Virtual learning environment reduces dramatically the immediate interaction of the participants of the process of education. It undoubtedly affects the process of acquisition and demands to reconsider the distribution of different learning activities. (shrink)

El profesor Mayer nos ofrece m s que una historia del pensamiento pol tico. Es un intento de descubrir lo que hay de com n en la tradici n europea -occidental- del pensamiento pol tico. Este libro es producto de un momento de crisis en esa tradici n, de una crisis que es acaso la m s grave que haya sufrido en el curso de su historia.

La mondialisation ne reste pas sans impact sur les religions. Mais elle n'efface pas leurs différences internes: l'appartenance religieuse est un facteur identitaire parmi d'autres. La mondialisation permet en revanche plus aisément une mobilisation autour de causes communes. Les modèles occidentaux restent forts, mais d'autres pôles et acteurs s'affirment. Un « marché » mondial des croyances se développe, même si ses implications varient selon les régions du globe. Dans ce contexte, diffusion des religions et prosélytisme peuvent être des facteurs de (...) tension. Dirigeants politiques et religieux se soucient donc d'examiner les contributions possibles des religions à la stabilité internationale. Mais ils se trouvent aussi confrontés à des réactions identitaires associées à certains courants religieux. Pour ceux-ci, la mondialisation présente à la fois des avantages et des risques.Globalization is not without impact on religion. But it does not erase their internal differences: the religious identity is a factor among others. Globalization can however more easily mobilize around common causes. Western models remain strong, but other players say and poles. A global "market" beliefs grows, even if its implications vary across the globe. In this context, dissemination of proselytizing religions and can be stressors. Political and religious leaders are concerned therefore to examine the possible contributions of religions to international stability. But they are also faced with identity reactions associated with certain religious movements. For them, globalization presents both opportunities and risks. (shrink)

ContextPeople with mental disorders can acquire long-term disabilities, which could impair their functioning and quality of life (QoL), requiring permanent care and social support. Systematic data on QoL and functioning, which could support a better management of these people, were not available.ObjectiveTo analyze the QoL, level of functioning and their association with sociodemographic and clinical factors of people with mental disorders who underwent deinstitutionalization using assisted living facilities.MethodsA Cross-sectional study was conducted between July 2018 and July 2019, through interviews using (...) the World Health Organization Quality of Life (WHOQOL-BREF) to determine the QoL scores, and the World Health Organization Disability Assessment Schedule (WHODAS 2.0) to determine the level of functioning. All adults (≥18 years old) with mental disorders, who underwent deinstitutionalization, users of assisted living facilities and assisted by the Psychosocial Assistance Centers III, in a city in the state of São Paulo, Brazil, were selected. For statistical analysis of the associated factors, Student’st-test was used for dichotomous variables and ANOVA for polynomial variables. Pearson correlation coefficient was used to measure the association between QoL and functioning scores.ResultsOut of 359 people who underwent deinstitutionalization with mental disorders, 147 met the eligibility criteria. The mean total score for the WHOQOL-BREF was 66.5 ± 13.4 and the mean score for WHODAS 2.0 was 10.4 ± 7.6. An association was found between people who were studying (n= 65.8; 95%CI, 63.5–68.1vs. n= 73.9; 95%CI, 67.5–80.3;p= 0.04) and better WHOQOL-BREF QoL scores or WHODAS 2.0 levels of functioning (n= 10.9; 95%CI, 9.6–12.2vs. n= 5.1; 95%CI, 2.5–7.7;p= 0.01). A weak negative correlation (r= 0.41) emerged between higher QoL scores and functioning improvement.ConclusionThis study indicates that the QoL of the sample is associated by their functioning levels, which, in turn, may reflect on their social interactions. Public policies that favor interventions increasing socialization of this population can result in better health outcomes. The QoL and functioning scores provide valuable insights to develop public policies more suited to this population profile. (shrink)

Le Front national, en se revendiquant du populisme, s'inscrit dans une mouvance très répandue en Europe, qui pourrait se caractériser par le refus de la médiation, l'appel au peuple contre les élites. Mais la méfiance envers un personnel politique considéré comme corrompu est, par exemple, aussi fréquente dans l'électorat d'extrême gauche. L'électeur du FN se distingue plutôt par son ethnocentrisme, son rejet des autres. Et populiste n'est pas nécessairement synonyme de « populaire ». La catégorie sociale la plus défavorisée, celle (...) des ouvriers, est plus représentée dans l'électorat du PC ou des Chasseurs que dans celui du FN, qui fait de meilleurs scores chez les artisans, les industriels et les professions libérales. Les milieux populaires se singularisent d'abord par leur abstentionnisme. L'extrême droite est donc à la fois moins «populiste» et moins «populaire» qu'il n'y paraît.The National Front's claim to be populist makes it part of very widespread movement in Europe, which could be characterized by the refusal of mediation, the call to the people against the elite. But mistrust towards a political personnel considered as corrupt is, for example, also widespread in the electorate of extreme left. The voter of the FN is characterized rather by his ethnocentrism, his rejection of the others. And populist is not necessarily synonymous with "popular". The most disadvantaged social category, that of the workmen, is more represented in the electorate of the PC or the Hunters that in the FN, which makes better scores by the craftsmen, the industrialists and the liberal professions. The popular classes are distinguished initially by their abstentionism. The extreme right is thus at the same time less "populist" and less "popular" than it does appear. (shrink)

Peace is more likely where there is trade and commerce between nation-states. However, many nations are "failed states" or "failing states," in large part because of civil wars. Yet, "business" may have a role to play here, too; as private military security companies (PMSCs) proliferate, governments and international organizations seem increasingly disposed to contract for their services, in some cases for combat roles as well as non-combat support roles in various conflict zones. This has raised questions about the ethics of (...) using private companies for public purposes, especially where (as now) private companies have operated outside of legal accountability. This article suggests ways in which such accountability can be put in place, such that PMSCs can actually serve the cause of securing local and regional stability as a first step toward establishing a much safer environment for people and for business. (shrink)

The historical crisis, by J. T. Marcus.--History and the search for identity, by P. Smith.--The role of history, by J. H. Plumb.--History as progress, by E. H. Carr.--On optimism, by P. Gay.--The purpose of history, by G. R. Elton.--The uses of history, by D. H. Fischer.--The dangers of history, by H. Butterfield.--Unity of history, by P. Smith.--History as private enterprise, by H. Zinn.--The historian and his day, by J. H. Hexter.--Present interest, by S. Kracauer.--On becoming an historian, by M. Duberman.--Vietnam (...) analogy: Greece, not Munich, by A. J. Mayer.--Analogies, by D. H. Fischer.--The tragic element in modern international conflict, by H. Butterfield. (shrink)

J. N. Adams, Michael Lapidge, and Tobias Reinhardt: IntroductionJ. H. W. Penney: Connections in Archaic Latin ProseJ. Briscoe: Language and Style of the Fragmentary Republican HistoriansJ. N. Adams: The Bellum AfricumChristina Shuttleworth Kraus: Hair, Hegemony, and Historiography: Caesar's Style and its Earliest CriticsJ. G. F. Powell: Cicero's Adaptation of Legal Latin in the De legibusTobias Reinhardt: Language of Epicureanism in Cicero: The Case of AtomismG. O. Hutchinson: Pope's Spider and Cicero's WritingR. G. Mayer: The Impracticability of 'Kunstprosa'H. M. Hine: (...) Poetic Influence on Prose: The Case of the Younger SenecaHarm Pinkster: The Language of Pliny the ElderD. R. Russell: Omisso speciosiore stili genereS. J. Harrison: The Poetics of Fiction: Poetic Influence on the Languages of Apuleius' MetamorphosesD. R. Langslow: 'Langues réduites au lexique'? The Languages of Latin Technical ProseDanuta Shanzer: of Tours and Poetry: Prose into Verse and Verse into ProseMichael Lapidge: Poeticism in Pre-Conquest Anglo-Latin ProseRichard Sharpe: The Varieties of Bede's ProseCarlotta Dionisotti: Translator's LatinWalter Berschin: Realistic Writing in the Tenth Century: : Gerhard of Ausburg's Vita S. UodalriciR. M. Thomson: William of Malmesbury and the Latin Classics RevisitedGiovanni Orlandi: Metrical and Rhythmical Clausulae in Medieval Latin Prose: Some Aspects and Problems. (shrink)

Objectives Study participants are 46 women with Mayer-Rokitansky-Küster-Hauser syndrome. Occurrence of the M-R-K-H syndrome is one in 4000-5000 female children. It was investigated whether coping styles mediate the effect of neuroticism on positive and negative affect, and whether this mediation is moderated by the level of N as well as whether this moderated mediation is moderated by length of awareness of illness. Methods: Neuroticism, coping style as well as positive and negative emotions were assessed using the Polish version of (...) NOE-FFI, CISS and Scale of Emotional State. Results: Emotion coping style fully or partly mediated the relationship between neuroticism and emotions and these mediations were moderated by the level of N. Additionally, direct effect of neuroticism on NA was moderated by the time for which a patient has been aware of the disease. Conclusions: The level of neuroticism and the length of illness are important factors for the psychological functioning of women with M-R-K-H Syndrome. In women with medium and high neuroticism, effect of N on NA was indirect and also direct - but only in those who have been aware of the diagnosis for 6 years or more. Relations with positive emotions were different: the indirect effect was observed only in women with a moderate and low neuroticism. (shrink)

Next SectionWhilst there has been considerable debate about the fit between moral theory and moral reasoning in everyday life, the way in which moral problems are defined has rarely been questioned. This paper presents a qualitative analysis of interviews conducted with 15 general practitioners (GPs) in South Australia to argue that the way in which the bioethics literature defines an ethical dilemma captures only some of the range of lay views about the nature of ethical problems. The bioethics literature has (...) defined ethical dilemmas in terms of conflict and choice between values, beliefs and options for action. While some of the views of some of the GPs in this study about the nature of their ethical dilemmas certainly accorded with this definition, other explanations of the ethical nature of their problems revolved around the publicity associated with the issues they were discussing, concern about their relationships with patients, and anxiety about threats to their integrity and reputation. The variety of views about what makes a problem a moral problem indicates that the moral domain is perhaps wider and richer than mainstream bioethics would generally allow. (shrink)

This paper takes a virtuist approach to medical ethics to explore, from an empirical angle, ideas about settled ways of living a good life. Qualitative research methods were used to analyse the ways in which a group of 15 general practitioners articulated notions of good doctoring and the virtues in their work. I argue that the GPs, whose talk is analysed here, defined good general practice in terms of the ideals of accessibility, comprehensiveness, and continuity. They regarded these ideals significant (...) both for the way they dealt with morally problematic situations and for how they conducted their professional lives more generally. In addition, I argue that the GPs who articulated these ideals most clearly were able to, in part, because they shared the experience of working in rural areas. This experience helped them to develop an understanding of the nature of general practice that their urban colleagues were less able to draw on. In that sense, the structural and organisational framework of general practice in rural areas provided the context for their understanding of ideals in general practice. (shrink)

The concept of noncombatant immunity prohibits the intentional targeting of noncombatants. The availability of nonlethal weapons (NLW) may weaken this prohibition, especially since using NLWs against noncombatants may, in some cases, actually save the noncombatants' lives. Given the advancement of NLWs, I argue that their probable appearance on the battlefield demands close scrutiny due to the moral problems associated with their use. In this paper, I examine four distinct cases and determine whether the use of NLWs is morally permissible. While (...) it seems that the reduced harm caused by NLWs makes their use more acceptable, adhering to noncombatant immunity requires more than not killing noncombatants. It also requires that military forces treat noncombatants a certain way. In the cases I present, to use NLWs against noncombatants treats them as combatants and coerces them to do something against their will. While a consequentialist foundation for noncombatant immunity may permit this action, a rights-based concept of noncombatant immunity does not. I contend that only a rights-based concept of noncombatant immunity is viable, and that the availability of NLWs should not significantly alter the prohibitions prescribed by noncombatant immunity. (shrink)

Copyright © 2008 by International Union for Health Promotion and Education.

The significance of the complicated numbering of the propositions in the Tractatus has occasioned much speculation. Wittgenstein's own explanation has, following Stenius, been generally regarded as misleading. But an examination of the Prototractatus reveals that the numbering system was for Wittgenstein principally an aid in the composition of his work. It allowed him to mark out certain propositions which required further work or supplementation, without disturbing the basic structure of the treatise. But the reworking of the Prototractatus to form the (...) Tractatus considerably changed the original order in which the ideas were connected, and thus made it more difficult to understand the Tractatus. Several specific examples make it clear that it is essential to look back at the context of the Prototractatus in order to achieve a correct interpretation of many of the propositions in the Tractatus. (shrink)

Objectives: To determine whether authors of scientific publications in molecular biology declare patents and other potential financial interests.Design: Survey of a 6-month sample of papers related to molecular biology in Nature.Methods: The esp@cenet worldwide patent search engine was used to search for patents applied for by the authors of scientific papers in Nature that were related to molecular biology and genetics, between January and June 2005.Results: Of the 79 papers considered, four had declared that certain authors had competing financial interests. (...) Seven papers in which no financial interests were declared had authors with patent applications that were based on the research in the paper or were closely related to it. Another paper had two authors with connections to biotechnology companies that were not disclosed.Conclusion: Two thirds of the papers in which authors had patent applications or company affiliations that might be considered to be competing financial interests did not disclose them. Failure to disclose such information may have negative implications on the perception of science in society and on its quality if the possible bias is hidden. Journals should make greater efforts to ensure full disclosure, and scientific institutions should consider failure to disclose financial interests as an example of scientific malpractice. Establishing a register of interests for scientists is one way to increase transparency and openness. (shrink)

(No abstract is available for this citation).