Most ethicists have paid little attention to the rhetorical features of case presentations. In order to examine the constructed nature of bioethics cases, this paper examines the literary characteristics of four presentations of Donald “Dax” Cowart's story. By comparing tellings of the same case, a pattern of redaction is revealed by which the tellers conceal the very features that would challenge the perspectives taken in their arguments. In conclusion, the issue of the applied nature of bioethics is examined.

Renal biopsy is a potentially hazardous procedure, generally performed for therapeutic reasons. An open renal biopsy was performed when there appeared to be no accepted clinical indication and its results published in a specialty journal, whose editors declined publication of subsequent correspondence, questioning the ethical propriety of such a procedure. The implications for clinical practice, authors, editors and readers are discussed.

Social prescriptions are one term commonly used to describe non-pharmaceutical approaches to healthcare and are gaining popularity in the community, with evidence highlighting psychological benefits of reduced anxiety, depression and improved mood and physiological benefits of reduced risk of cardiovascular disease and reduced hypertension. The relationship between human health benefits and planetary health benefits is also noted. There are, however, numerous barriers, such as duration and frequencies to participate in activities, access, suitability, volition and a range of unpredictable variables impeding (...) a comprehensive approach to their use on a wider scale. From a multidisciplinary perspective, this commentary incorporates a salutogenic and nature-based approach to health, we also provide a range of recommendations that can be undertaken at the patient level to assist in shifting the acknowledged systemic barriers currently occurring. These include using simple language to explain the purpose of health empowerment scripts, ensuing personal commitment to a minimum timeframe, enabling ease of access, co-designing a script program, providing ongoing motivational support and incorporating mindfulness to counter unexpected disruptions. (shrink)

The current study examined youths’ and their parents’ perceptions concerning participation in an investigation of spontaneous and induced pain during recovery from laparoscopic appendectomy. Youth and their parents independently completed surveys about their study participation. On a scale from 0 to 10, both parents and youth rated their experience as positive. Among youth, experience ratings did not differ by pain severity and survey responses did not differ by age. Most youth reported that they would tell another youth to participate. Ethical (...) issues regarding instigation of pain in youth for research purposes are examined. (shrink)

Many accounts of the morality of abortion assume that early fetuses must all have or lack moral status in virtue of developmental features that they share. Our actual attitudes toward early fetuses don’t reflect this all-or-nothing assumption: early fetuses can elicit feelings of joy, love, indifference, or distress. If we start with the assumption that our attitudes toward fetuses reflect a real difference in their moral status, then we need an account of fetal moral status that can explain that difference. (...) I argue that we can have or lack relational obligations to early fetuses in light of our own activities or choices, independent of the fetus’s own features or properties. Those relational obligations make the early fetus morally considerable to the persons who stand in a moral relation to it. Pregnant persons (and other participants in the procreative process) can come to have relational obligations to an early fetus just in virtue of their own decision to create a person, either by intentionally getting pregnant or by deciding to continue a pregnancy. That decision not only makes it appropriate for them to care about the fetus, but it also generates obligations to the fetus that they didn’t have before that decision. (shrink)

"[T]he richness of his analysis, [...] his poststrucuralist emphasis on genealogy, historicity, temporality, and discourse can supplement the sometimes arid terms of the agency/structure debate. [...] An invitation to readers who might not normally turn to Continental theory for methodological inspiration, to learn from Chamber's splendid, and, yesy, timely volume." -Diana Coole, Queen Mary University of London , from a book review in the June 04 Perspectives The standard, linear view of history is founded on the belief that political outcomes (...) are predetermined by what has gone before. This book challenges this view, arguing for what Samuel A. Chambers calls an untimely politics which renders the past problematic and the future unpredictable. This pathbreaking argument is advanced through a close reading of key texts in political theory and by entering into debates involving metaphysics, philosophy of language, and psychoanalysis versus discursive analysis. Chambers focuses on the theme of the relevance of language analysis to political debate, answering those critics who insist discourse approaches to politics are irrelevant. Heidegger, Nietzsche, Foucault and Derrida are used to challenge the political burden which is placed on language analysis to prove its value in the real world. Drawing from political theory and cultural studies Chambers takes on the same-sex marriage debate, showing how the use and misuse of language has contributed to an impasse that is not likely to be broken. Wide ranging and insightful, Untimely Politics makes a timely plea for a more politically relevant and culturally engaged form of intellectual engagement. (shrink)

Here, Timothy Chambers argues that rape is not a sex act. In the follow up piece, I suggest that it is.

The dominant framework for addressing procreative ethics has revolved around the notion of harm, largely due to Derek Parfit’s famous non-identity problem. Focusing exclusively on the question of harm treats what procreators owe their offspring as akin to what they would owe strangers (if they owe them anything at all). Procreators, however, usually expect (and are expected) to parent the persons they create, so we cannot understand what procreators owe their offspring without also appealing to their role as prospective parents. (...) I argue that prospective parents can wrong their future children just by failing to act well in their role as parents, whether or not their offspring are ultimately harmed or benefitted by their creation. Their obligations as prospective parents bear on the motivations behind their reproductive choices, including the choice to select for some genetic trait in their offspring. Even when procreators’ motivations aren’t malicious, or purely selfish, they can still fail to recognize and act for the end of the parental role. Procreators can wrong their offspring by selecting for some genetic trait, then, when doing so would violate their obligations as prospective parents, or when their motivation for doing so is antithetical to the end of the parental role. (shrink)

Professors of philosophy do from time to time seek to wear the clothes of relevanceAlasdair MacIntyre (1984, 36)I recall one of the first bioethics conferences I ever attended. During the question–...

Amongst other countries, the Netherlands currently allows euthanasia, provided the physician performing the procedure adheres to a strict set of requirements. In 2016, Second Chamber member Pia Dijkstra submitted a law proposal which would also allow euthanasia without the reason necessarily having any medical foundation; euthanasia on the basis of a completed life. The debate on this topic has been ongoing for over two decades, but this law proposal has made the discussion much more immediate and concrete. This paper considers (...) the moral permissibility of Pia Dijkstra’s law proposal, focusing on the ethics of the implementation Dijkstra describes in her proposal. I argue that, at present, Dijkstra’s law proposal is unsuitable for implementation, due to a number of as of yet unaddressed problems, including the possible development of an ageist stigma and undue pressure on the profession of end-of-life coordinator. Perhaps adequate responses can be conceived to address these issues. However, the existence of a radically different, yet currently equally unacceptable position regarding the implementation of euthanasia for a completed life as proposed by fellow party member Paul Schnabel suggests it may be difficult to formulate an ethically acceptable implementation for this, in principle, ethically acceptable concept. (shrink)

Disintegration and integration processes of German culture of the end of XX and beginning of XXI are analyzed by giving examples of stage interpretations of mythological plots in theatres of present-day Germany. It is stated that pluralism and multidimensionality of the spiritual experience of modern cultural workers, both writers (such as V. Braun, S. Schutz, B. Strauss etc.) and leading producers (D. Dorn, S. Nubling and others) contribute to the drawing up of a special syncretic style of theatre staging, first (...) of all with the use of the ancient material which is appropriate for it. Ancient myth, as one of the steadiest constants of the European literature, gives a universal key to the interpretation of various cultural and ethic-aesthetic phenomena that are irredundant to nothing else. There is a sociocultural context in which German spectators nowadays try to comprehend these dramaturgy phenomena; and there is a genuine stage director interpretations of them (in Aachen City Theatre, Dramatic Theatre of Hannover, Munich Chamber Theatre etc.) that not only lead to the decanonization of the classic model, but also pinpoint problematique of these performances. (shrink)

Bracken finds that the Principles was very inadequately reviewed in the first instance, and that excerpts from it in Chambers' Encyclopedia may have furnished the source for a number of later attacks on Berkeley.--R. F. T.

BackgroundSocial networking sites (SNSs) have penetrated all aspects of health care professionals’ (HCPs’) professional and private lives. A new term, e-professionalism, has emerged, which describes the linking of traditional values with this new dynamic online environment for HCPs. The four aims of this study were: (1) to examine their SNS prevalence and usage habits, (2) to examine their perception of e-professionalism, (3) to develop an e-professionalism assessment compatibility index and (4) to investigate their tendencies and differences in values of the (...) e-professionalism assessment compatibility index (ePACI).MethodsA cross-sectional study was conducted among MDs and DMDs in Croatia via email using a questionnaire. The questionnaire was distributed to all MDs and DMDs who were members of their respective chambers. In addition to descriptive statistics, Chi-square or Fisher’s exact test when appropriate, t-test, ANOVA and Mann–Whitney U tests were used to determine differences between groups. A principal component analysis (PCA) with varimax rotation was used to investigate dimensionality. Results of the PCA were compared to the coding based on the Social Media e-Professionalism rubric in order to create the ePACI.ResultsOf the 1013 gathered responses, 753 were from valid SNS users and suitable for further analysis. Facebook (91.6%) and Instagram (63.1%) were the predominant SNSs used. Both groups have a good understanding of e-professionalism. The newly developed ePACI deviates slightly in the “conservative” direction in the cases of both, MDs (t506 = 19.033, p < 0.001) and DMDs (t245 = 12.991, p < 0.001). HCPs who are older (r = 0.308, p < 0.001), who have fewer SNS profiles (rs = −0.142, p < 0.001), and who access their profiles less frequently (r = −0.166, p < 0.001) have statistically significantly more conservative ePACI values.ConclusionsMDs and DMDs in Croatia are frequent SNS users, with Facebook and Instagram being the main SNSs used. Both groups have a good understanding of e-professionalism. The newly developed ePACI deviates slightly towards the conservative side regarding perception of the e-professionalism content for both groups. The development of the ePACI, and its subsequent usage in further research, will have a direct influence in its validation, gathering comparable data, and be able to direct efforts in oversight, regulation and education. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:A Philosophical Path for Paracelsian Medicine: The Ideas, Intellectual Context, and Influence of Petrus Severinus (1540–1602)Dane T. DanielJole Shackelford. A Philosophical Path for Paracelsian Medicine: The Ideas, Intellectual Context, and Influence of Petrus Severinus (1540–1602). Copenhagen: Museum Tusculanum Press, 2004. Pp. 519. Cloth, $83.00.The Paracelsian and Danish royal physician Petrus Severinus complained, "If we can make more potent [drugs], extracted from metals and minerals,... I ask, what age (...) except this one will oppose our efforts?" (115). Indeed, early modern attempts to prepare and prescribe drugs forged in the alchemical laboratory often faced vehement opposition by the university-trained physicians who were weaned on the humoral theory and herbal materia medica of Galen. The orthodox Galenists disdained not only the "chemical poisons" of the Paracelsians, but also their theoretical speculations. After all, the Paracelsians dismissed the belief that disease was the result of humoral imbalances, and promoted both the analogy of microcosm (the human) and macrocosm (the natural world, including the stars), and the idea that diseases were essences or actual beings.Severinus was prescient in his prediction that chemical medicine would become popular, but—as Jole Shackelford notes in the introduction to his A Philosophical Path for Paracelsian Medicine—the concepts of Paracelsus and his followers continue to remain peripheral to the grand narratives of early modern intellectual history. This remains the case despite the illuminating studies of such scholars as the late-Enlightenment medical historian Kurt Polycarp Sprengel, Walter Pagel, and Allen Debus. Thus, Shackelford sheds much needed light on this significant strand of sixteenth- and seventeenth-century science and medicine. Via text-oriented study, particularly of Severinus's Idea medicinæ philosophicæ (Ideal of Philosophical Medicine), Shackelford provides a long-awaited and meticulous biographical account of Severinus and explains with refreshing clarity the sources and speculative theory behind his brand of chemical medicine. Like such recent scholars as Michael Walton and Charles Gunnoe, Shackelford presents Paracelsianism as an ideology, duly noting that the ideas of Severinus, reflecting the reception of Paracelsus in general, were frequently accepted or rejected on religious grounds.To begin, Shackelford establishes Severinus's importance, noting that the medical author and Wittenberg professor Daniel Sennert wrote in 1619 that most iatrochemists followed in the steps of Severinus, who had molded Paracelsus's ideas into a coherent philosophy. Shackelford then traces the story of how Severinus—after studying at such universities as Padua and Paris—joined his friend Pratensis (a recognized Paracelsian) and Tycho [End Page 488] Brahe in bringing an increasingly eclectic Denmark up to continental cultural and intellectual standards. Unfortunately, Severinus's appointment as physician to the king distracted him from completing most of his research projects, but he had already left for posterity his Idea medicinæ, published in 1571.As Shackelford writes, the Idea medicinæ promoted Severinus's belief that Paracelsian medicine was not only an alternative to humoral medicine, but also promised to cope better with "new" fevers. Also, Severinus invested Paracelsianism with authority by emphasizing its ancient forebears and by arguing that Paracelsus was the latest in the line of prisca theologia—one of the few to "ascend to the inner chambers of the Mosaic mysteries" (57). In his amalgamation of Neoplatonism, the Hippocratic tradition, and Paracelsus, Severinus's featured doctrine was efficient causation, or "semina theory." Unlike Robert Boyle's inertial, material corpuscles and their active principles, Severinus's semina were "intrinsically formal and immaterial, and were logically and ontologically prior to matter" (17). The characteristics of these "loci," which accounted for all change in the subvisible world, could be observed through chemical analysis, and they were uniquely attractive to Christians, who were drawn to Severinus's Paracelsian interpretation of Genesis and his idea that when the predestinations contained in the semina are completed, the world will reach its end.Shackelford engages the reader with such fascinating topics as why Tycho—who was not just an astronomer, but also a student of alchemy—departed Denmark, and how Paracelsians were involved in the effort to improve the Danish Bible by "cleansing" it of non-Lutheran elements. Very welcome too is Shackelford's discussion of the neglected topic of Paracelsian therapeutics, especially his evaluation of... (shrink)

In this paper, I argue that echo chambers pose a problem for moral progress because of their threat to moral reasoning. I argue for two theses about the epistemology of moral progress: (1) the practical utility thesis: moral reasoning plays an important role in improving moral judgments, and (2) the conflictive social reasoning thesis: the kind of moral reasoning that is important for moral progress involves social reasoning with disputants. Without some conflict, human beings will naturally reason in a (...) biased and otherwise poor manner. Thus, good reasoning must be social so that reasoners who disagree can keep each other in check. These two theses explain why echo chambers are a problem for moral progress. I argue that echo chambers isolate individuals from reasoning with those they disagree with. This is because echo chambers act as a mechanism for discrediting those outside the chamber. If this is true, then the members of an echo chamber will only reason with those who agree with them. The result is that echo chamber members won't reason according to the conflictive social reasoning thesis. Reasoning will only reinforce their existing echoed beliefs rather than improve them. (shrink)

B a c k g r o u n d. The article examines the appearance, essence and formation of the concept of "echo chamber" in the field of philosophy. The main interpretations and practical aspects of the application of this concept by representatives of the philosophical community are considered. Considering the lack of an established version of the concept of "echo chamber", an attempt was made to define its meaning by analogy with the already established interpretation of a physical analogue, (...) namely, a resonator. The appropriateness of such an analogy is justified. The specifics of the operation of echo chambers are considered by analogy with the operation of the resonator and its associated phenomena. The phenomenon of "intellectual inbreeding" ("geistiger Inzucht") described by H. Franke is considered. M e t h o d s. The theoretical and methodological foundations of the research are based on the principles of scientific objectivity, impartiality and systematicity. During the research, general scientific, philosophical, and special methods of studying social and political phenomena were used, including general methods of analysis, synthesis, and comparative methods. R e s u l t s. The author's understanding of the meaning of the concept of "echo chamber" and the prerequisites for its stability, which are determined by the properties of human consciousness, namely: "comfort zone", "clipping of thinking" and the principle of "own-foreign" are offered. The appropriateness of consideration and the main properties of the echo chamber as a technology of effective communication influence are substantiated. Among the methods of destroying echo chambers, the development of critical thinking skills and digital literacy, compliance with the principles of diversification of information sources and "range of reasonable alternatives", the occurrence of cognitive dissonance, as well as the phenomenon of emotional resonance are considered. C o n c l u s i o n s. Echo chambers pose a significant threat both to the harmonious development of the human personality and to the stable existence of civilized societies. Methods of countering echo chambers require further development and dissemination in society. (shrink)

I argue that there is a prima facie tension between solutions to the problem of fake news and solutions to the problem presented by various cognitive biases that dispose us to dismiss evidence against our prior beliefs (what might seem to be the driving force behind echo chambers). We can guard against fake news by strengthening belief. But we can exit echo chambers by becoming more sensitive to counterevidence, which seems to require weakening our beliefs. I resolve the (...) tension by arguing against an injunction to weaken belief in the required ways. In particular, there is no injunction to be open-minded in all circumstances toward various counterarguments, even those whose premises seem compelling and in which we can’t expose a flaw. On the contrary, there are circumstances in which you should, in the relevant sense, be closed-minded toward such counterarguments. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Ephraim Chambers’s Cyclopædia (1728) and the Tradition of CommonplacesRichard YeoIn the fifth volume (1755) of the Encyclopédie in his entry on “En-cyclopædia,” Denis Diderot forecast a time in which the sheer number of books would require a division of intellectual labor. Some people, he said, will not do much rea ding but rather “devote themselves to investigation which will be new, or which they will believe to be (...) new.” The majority, unable to produce anything of their own, “will be busy night and day leafing through these books, taking out of them the fragments they consider worthy of being collected and preserved.” 1 Although Diderot set this prospect in the future, he believed the signs were already visible and offered his encyclo-pædia as a response. Part of this image, however—the selection of passages from a range of authors—was already a familiar one. Re commended by the Ancients, it was widely practised during the Renaissance by the educated elite who kept commonplace books for recording quotations on various themes from Classical authors. Even the epigram from Horace on the title page of the Encyclop édie suggests this lineage: “What grace may be added to commonplace matters by the power of order and connection.” 2In the classical period, the Latin term, locus communis, referred to a general argument capable of being used in different situations. In his Institutiones Oratoriae Quintilian discussed the notion of copia verborum in connection with the ability of a good orator to produce copious illustrations [End Page 157] and embellishments from particular ideas. Renaissance writers thought this facility was enhanced by a record of similar ideas in the same place in a notebook. This practice had been followed in the medieval period, but it became more systematically taugh t as part of rhetoric from the sixteenth century. Commenting on this, R. R. Bolgar wrote:The whole purpose of the Humanists in transmogrifying Greek and Latin literature into a series of notes was to produce a body of material which could be easily retained and repeated. They made titanic efforts to remember the contents of the note-books the y compiled. 3Quintilian’s work, and more immediately, that of the German humanist, Rudolph Agricola, influenced Erasmus in his De Copia, first published in 1512 as De Duplici Copia Verborum ac Rerum Commentarii Duo. This offered advice on how to collect words and passages under various topoi or loci (places) as a means of storing extracts from books that could later be brought together and embellished in either writing or conversation. The set of ideas or themes grouped under one “Head” wer e known as “common-places,” and the notebooks kept for this purpose were commonplace books. 4 These were also called “copie” books in the sense of collections enabling copia, or free flow of material for oratory. Versions of this practice continued into the nineteenth century: figures such as John Milton, George Berkeley, Robert Southey, R obert Burns, and David Thoreau kept commonplace books, some of which were subsequently published. Some of these included less than elevated content: Kenneth Lockridge has uncovered a string of misogynist remarks and anecdotes in the commonplace book of Th omas Jefferson. 5In the only major study of the commonplace tradition, Sister Joan Marie Lechner analyzed its status in Renaissance rhetorical training from the sixteenth to the early seventeenth century, identifying some confusion and [End Page 158] tensions, partly as result of dissatisfaction with the “doctrine of places” taught by classical writers, and also because “commonplace” had come to refer both to a “locus or seat of arguments” and a “speech-within-a-speech.” 6 Her work shows that commonplace books were kept as aids to recall reading and as storehouses (thesauri) of topics and phrases suitable for speeches and conversation, as recommended by Erasmus and other writers. However, Lechner noted a new need pa rtly satisfied by the commonplace collections, which was that they accommodated Renaissance passions for “accumulating universal knowledge.” Thus, in her words:The commonplace book with its encyclopaedic array of topics or places was thought of as a compend of knowledge displayed in a systematic pattern... (shrink)

Some common explanations of issue polarization and echo chambers rely on social or cognitive mechanisms of exclusion. Accordingly, suggested interventions like “be more open-minded” target these mechanisms: avoid epistemic bubbles and don’t discount contrary information. Contrary to such explanations, we show how a much weaker mechanism—the preference for belief—can produce issue polarization in epistemic communities with little to no mechanisms of exclusion. We present a network model that demonstrates how a dynamic interaction between the preference for belief and common (...) structures of epistemic communities can turn very small unequal distributions of initial beliefs into full-blown polarization. This points to a different class of explanations, one that emphasizes the importance of the initial spread of information. We also show how our model complements extant explanations by including a version of biased assimilation and motivated reasoning—cognitive mechanisms of exclusion. We find that mechanisms of exclusion can exacerbate issue polarization, but may not be the ultimate root of it. Hence, the recommended interventions suggested by extant literature is expected to be limited and the problem of issue polarization to be even more intractable. (shrink)

In 1931, Wittgenstein listed ten influences on his intellectual development: ‘I don’t believe I have ever invented a line of thinking,’ he wrote, ‘I have always taken one over from someone else. I have simply straightway seized upon it with enthusiasm for my work of clarification. That is how Boltzmann, Hertz, Schopenhauer, Frege, Russell, Kraus, Loos, Weininger, Spengler, Sraffa have influenced me.’ (CV, 1980, p.19) The order in which these names occur is probably the order in which Wittgenstein encountered them, (...) or their ideas. As we shall see, the title of this article derives from Kraus. But its subject is Loos’s influence on Wittgenstein. (shrink)

Self destruction, inapprehensible an option as it might be, has been a challenging issue for philosophers and scholars since the dawn of time, forcing meditation into a vigorous and everlasting debate. The core question is: could suicide ever be deemed rational a choice? And if so, could it count as a moral alternative, if the circumstances call for it? The Stoics from Zeno up to Epictetus and Seneca regarded suicide as the ultimate resort, as the utmost opportunity for a rational (...) being to maintain his virtue, when all other bridges are burnt. For an act to be moral, it has to be deliberate, as well as the manifestation of an established evaluative hierarchy, however spontaneous and instantaneous might the latter be. In other words, a moral act is one that agents rationally opt for over other possible alternatives, on the subjective basis of their alleged best interests. Modern philosophers as Tom Beauchamp, Margaret Battin and Jacques Choron stress the criterion of rationality as a key issue regarding the ethics of suicide. Utilizing Rorty’s second definition of rationality, the article examines whether self destruction can be the outcome of proper evaluative assessment and deliberation, given that, as T. N. Pelegrinis suggests, such an evaluation seems to rest on a symmetry case, which might hardly be based on sound foundation. (shrink)

Belief polarization is widely seen to threaten havoc on our shared political lives. It is often assumed that BP is the product of epistemically irrational behaviors at the individual level. After distinguishing between BP as it occurs in intra-group and inter-group settings, this paper argues that neither process necessarily reflects individual epistemic irrationality. It is true that these processes can work in tandem to produce so-called “echo chambers.” But while echo chambers are often problematic from the point of (...) view of collective rationality, it doesn't follow that individuals are doing anything wrong, epistemically speaking, in seeking them out. In non-ideal socio-epistemic contexts, echo chamber construction might provide one's best defense against systematic misinformation and deception. (shrink)

It's a bold but frankly risky opening shot for Kaebnick, Gusmano, and Murray to commence their report by claiming that a “majority opinion” or a “near‐con­sensus” has now been reached on the matter of synthetic biology. Risky because “majority opinions,” even in well‐established controversies, are highly unstable (events will have many surprises in store) but also risky because... well... the majority of whom, exactly? North American bioethicists? Invitees to Washington roundtable discus­sions? Or some sort of broader meaningful public major­ity? According (...) to the authors, the particular unspecified majority they have in mind agrees that a social contract of sorts has already been hammered out in which “society should allow the technology to proceed and even provide it some financial support.”Has the burgeoning debate over synthetic biology re­ally already come to a gentleman's agreement brokered roughly along terms described by the U.S. President's Commission for the Study of Bioethical Issues in its re­port of 2011? I don't think so. (shrink)

This is an excerpt from the contentThe Khmer Rouge Tribunal is charged with prosecuting senior leaders and those most responsible for mass crimes committed in Cambodia during the 1970s. It has a unique structure as a court formally embedded in the Cambodian domestic system but with international participation by the UN. Under the agreement between Cambodia and the UN, the Tribunal has been composed of both local and international judges. On July 19, 2007, the prosecutors submitted a list of five (...) persons to the Tribunal’s co-investigating judges and requested that they be indicted and brought to trial.The current volume III of a series of volumes in this collection provides for the final trial evidence submitted by the co-lawyers for civil parties and the final closing statements by the co-prosecutors as of 2009 in the trial of Kaing Guek Eav , chairman of Tuol Sleng prison, Security Center 21 where at least 12,272 ‘enemies of the revolution’ were sent to be “smashed” . T. (shrink)

Margaret Brazier has argued that, in the literature on reproductive technology, women's “right” to reproduce is privileged, pushed, and subordinated to patriarchal values in such a way that it amounts to women's old “duty” to reproduce, dressed up in modern guise. I agree that there are patriarchal assumptions made in discussions of whether women have a right to select which embryos to implant or which fetuses to carry to term. Forcing ourselves to see women as active, rational decisionmakers tends to (...) counteract any lingering patriarchal assumptions. But rational decisionmaking requires information. Voting wisely requires information about the candidates. Taking women's reproductive rights seriously means taking seriously women's need for relevant information to make rational decisions, including decisions about which embryos to implant or alter. I argue that preimplantation genetic profiles and prenatal test information should be made available to prospective parents, especially prospective mothers, unless doing so threatens to harm the resulting child or the larger society in specifiable and important ways. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:You Can't Say "No" to That!(A "Difficult Patient" Story)Ingrid BergAs a sequela of COVID-19, my rural Wisconsin hospital has been jam-packed for months with patients for whom we routinely provide care and many for whom we do not. An exodus of health care workers and other constraints have made the transfer of critically ill patients very difficult. In this disquieting "new-normal" of our work life, we routinely must call (...) bigger cities throughout our state to find beds for complex patients.So, it was not surprising when a young patient, an IV drug user in sepsis from a heart infection, was admitted to me in the middle of the night. In less disheartening times, before the pandemic, this patient would have been transferred promptly to the big-city hospital. Now, though, the possibility of finding an open bed is next to impossible. Resigned, I placed admission orders, continued antibiotics and fluids, and crossed my fingers. Then the unexpected happened: a bed opened up, and we could send her at once!The patient had a harsh heart murmur. It was likely that a "vegetation" was clinging to the valve, between the right upper and lower chambers of her heart. A vegetation is a clump of debris, such as platelets, clotting proteins, and bacteria that is a menace to the body. Her chest imaging looked like her infection had already spread to her lungs.A definitive diagnosis for endocarditis requires a special ultrasound with a probe that goes down through the esophagus, a procedure performed by cardiologists. It's a serious infection, one that requires weeks of IV antibiotics and is best monitored by infectious disease specialists. Sometimes, cardiothoracic surgeons are called upon to strip away the infection at the site, depending on how badly the valve has been slayed or the size of the vegetation. My only recommendation for a young, otherwise healthy patient in this scenario, is transfer.All of these reasons for transfer were lolling around in my tired head when the night-time [End Page 14] nursing supervisor approached me and said, "We have a problem." When the patient was updated about the transfer, she balked: "She says she is tired and refusing to go," the supervisor began. "She doesn't feel like getting into an ambulance in the middle of the night and she doesn't care if her condition is life-threatening. She knows we can't force her to go and she will only talk about it again in the morning."The cartoon version of myself at that moment had bugged-out eyes, a dropped jaw, fists tight and clenched at my sides, and steam coming out of my head. I can look past a patient's self-neglect, poor medication adherence, abysmal communication, alcohol and drug addiction, and other crimes. But saying no to a bed at a tertiary care facility? Unacceptable!I marched down the quiet hallway and into her room. She was lying on her side, facing the door, one IV in a thin arm. I was confident I could reason with her once I explained the scarcity of beds and the medical necessity of transfer. But she was having none of it. I was calm until I could no longer maintain my cool: "You can't give up this bed!""Maybe in the morning," she insisted, yawning. "But not now. I am tired and want to rest!""But there might not be a bed in the morning," I countered. "And your infection can be life-threatening." (This is true, but we both knew she wasn't dying at this very moment.)"I am not going anywhere!" She raised her voice and then closed her eyes.And she was right. I had no choice but to keep her. I could not kick her out of the hospital because she was making a poor choice, and I was frustrated for having to manage the fallout of that decision. Giving her antibiotics and fluid boluses to bolster her blood pressure was certainly within my scope of practice. And fretting. Fretting is always within my scope of practice; not that my scope of practice matters when all the big... (shrink)

This paper investigates early modern and enlightenment roots of contemporary ideas of public reason. I argue that concepts of public reason arose in answer to the question ‘who shall judge?’ The religious and moral pluralism unleashed by the reformation lead first to the weakening of authoritative common forms of reasoning, this in turn and more importantly lead to the question who is the final arbiter when a political community is faced with deep disagreement about political/ moral questions. The rise of (...) pluralism meant that to the question ‘what are the standards of public right?’ is added the corollary and equally important question ‘who judges when those standards are violated?’ The answer is that the public judges. Public reason thus refers to the role of the public as judge of public right and not simply to a set of reasons that an actual public happens to share. On this reading of Hobbes, Locke, and Kant, the initial contract recedes in importance while the seat of authoritative political judgment comes to the fore. Keywords: public reason; pluralism; Hobbes; Locke; Kant (Published: 4 December 2009) Citation: Ethics & Global Politics, Vol. 2, No. 4, 2009, pp. 349368. DOI: 10.3402/egp.v2i4.2135. (shrink)

We describe an approach to textual inference that improves alignments at both the typed dependency level and at a deeper semantic level. We present a machine learning approach to alignment scoring, a stochastic search procedure, and a new tool that finds deeper semantic alignments, allowing rapid development of semantic features over the aligned graphs. Further, we describe a complementary semantic component based on natural logic, which shows an added gain of 3.13% accuracy on the RTE3 test set.

Whistleblowing is a subject which seizes the media headlines from time to time, and nowhere is such a dilemma of conscience more sensitive than in the area of finance and internal auditing. Additionally, professional organisations are sometimes felt to be less than supportive of their members who occasionally resort to whistlelowing. But how does it look from inside the auditing profession? Professor Chambers is a director of The Institute of Internal Auditors Inc., and a member of the Internal Auditing (...) Standards Board. He is Professor of Audit & Control at the University of Hull, and since 1991 he has chaired the Professional Standards & Guidelines Committee of IIA. He is author of several books and a former Dean of the Business School of City University, London. In 1991 he established Management Audit Ltd., The Water Mill, Moat Lane, Old Bolingbroke, Spilsby, Lincolnshire PE23 4EU, which specialises in services to boards, audit committees and internal auditors. This article was originally presented to the 54e Conférence Internationale of The Institute of Internal Auditors, Inc., organised by the Institut Francais des Auditeurs Consultants Internes. Except where otherwise indicated, the views expressed in this article are those of the author. (shrink)