Perhaps the greatest challenge to an existential phenomenological account of perception is that posed by the argument from illusions. Recent developments in research on the behaviour of subjects suffering from illusions together with some seminal ideas found in Merleau-Ponty''s writings enable us to develop and corroborate an account of the phenomenon of illusions, one, which unlike the empiricist account, does not undermine our conviction that in perception we reach the things themselves. The traditional argument from illusions derives its force from (...) an uncritical assumption that the process of experience takes place in time conceived as an infinite series of distinct moments. Once this assumption has been bracketed we are able to recognise the paradoxical truth that in the disillusion something can become that which it has always been and can cease to be that which it has never been. Furthermore, through a reflection on our experience of others overcoming their illusions, and on psychological evidence, we are able to show that there is nothing to suggest that this description of the disillusion is a description of a private or subjective event. (shrink)

Berkeley introduces his water experiment in order to demonstrate that in perception the perceiver does not reach the world itself but is confined to a realm of representations or sense data. We will attempt to demonstrate that Berkeley's description of our experience at the end of the water experiment is inauthentic, that it is not so much a description of an experience as a reconstruction of what we would experience if the receptor organs were objects existing in a space partes (...) extra partes. Our argument is that there is nothing in our experience of the illusion to suggest that under normal conditions perception does not reach the world itself. (shrink)

Creative force or creative shaping? This unprecedented effort to plumb the workings of the ontopoiesis of life by disentangling its primordial forces and shaping devices as they enter into the originary matrixes of life yields fascinating insights. Prepared by the investigation of the first two matrixes (the `womb of life' and `sharing-in-life', Analecta Husserliana Volume 74) the present collection of essays focuses upon the third and crowning creative matrix, Imaginatio Creatrix here proves itself to be the source and driving force (...) which brings us to the origins of the human mind - human life. Studies by: Elof Axel Carlson, A-T. Tymieniecka, N. Milkov, Eldon C. Wait, K. Rokstad, M. Golaszewska, M. Küle, W. Kim Rogers, Piotr Mróz, R. Pinilla Burgos, A. Carrillo Canán, G.R. Ronsivalle, J.E. Smith, A. Pawliszyn, A. Rizzacasa, L. Galzigna and M. Galzigna, Jiro Watanabe, M. Jakubczak, K. Tarnowski, M. Durst, W. Pawliszyn, R.A. Kurenkova, Carmen Cozma, E. Supinska-Polit, I.S. Fiut, Gerald Nyenhuis, Osvaldo Rossi, R.D. Sweeney, and D. Ulicka. (shrink)

Prompted and ever diversified by the specifically human interrogative logos, scientific inquiries seek a common system of links in order to mutually confirm and rectify their results. Coming closer and closer to phenomenology, the sciences of life find the common ground of the reality in the ontopoiesis of life. Could it not be that the interrogative logos of science, participating in human creative inventiveness will bring together also the divergent scientific methods in a common network? A network which comprises natural (...) processes, societal sharing-in-life, and existential communication. Papers by: Gary Backhaus, Anjana Bhattacharjee, Simon Du Plock, Ignacy Fiut, Maria Golaszewska, Wendy C. Hamblet, Alexandr Kouzmin, Nikolay Kozhevnikov, Olga Louchakova, Jarlath Mc Kenna, Amy Louise Miller, Aria Omrani, Arthur Piper, Leszek Pyra, W. Kim Rogers, A.L. Samian, Camilo Serrano Bonitto, Natalia Smirnova, Eva Syristova, Anna-Teresa Tymieniecka, Roberto Verolini, Eldon C. Wait, Leo Zonneveld. (shrink)

Our objective is to corroborate Merleau-Ponty's phenomenology of speech perception and intersubjectivity through an analysis of A. R. Luria's account of semantic aphasia. By emulating Merleau-Ponty's style of analysis in dealing with the work of a contemporary leader in the field of aphasiology, we are able to take up Merleau-Ponty's thought and test whether his conclusions are inevitable or whether they are based on outmoded problems of the psychology and psychopathology of his day. These reflections also enable us to present (...) arguments against both the assumptions of the natural attitude, as well as those of transcendental phenomenology, and so enable us to cast some light on the relation between existential phenomenology and empirical research. By contrasting aphasic and normal perception, we intend to show that ultimately even the aphasiologist is able to characterize aphasic perception only in terms of the aphasic's loss of an "openness" to meanings present in the uttered sounds. We argue that this notion of openness, like that of Merleau-Ponty's notion of "perceptual faith, " requires the reduction but also points to the impossibility of a complete reduction. (shrink)

(Statement of Responsibility) by Timothy S. Huebner.

BackgroundIn the Canadian Alliance for Healthy Hearts and Minds (CAHHM) cohort, participants underwent magnetic resonance imaging (MRI) of the brain, heart, and abdomen, that generated incidental findings (IFs). The approach to managing these unexpected results remain a complex issue. Our objectives were to describe the CAHHM policy for the management of IFs, to understand the impact of disclosing IFs to healthy research participants, and to reflect on the ethical obligations of researchers in future MRI studies.MethodsBetween 2013 and 2019, 8252 participants (...) (mean age 58 ± 9 years, 54% women) were recruited with a follow-up questionnaire administered to 909 participants (40% response rate) at 1-year. The CAHHM policy followed a restricted approach, whereby routine feedback on IFs was not provided. Only IFs of severe structural abnormalities were reported.ResultsSevere structural abnormalities occurred in 8.3% (95% confidence interval 7.7–8.9%) of participants, with the highest proportions found in the brain (4.2%) and abdomen (3.1%). The majority of participants (97%) informed of an IF reported no change in quality of life, with 3% of participants reporting that the knowledge of an IF negatively impacted their quality of life. Furthermore, 50% reported increased stress in learning about an IF, and in 95%, the discovery of an IF did not adversely impact his/her life insurance policy. Most participants (90%) would enrol in the study again and perceived the MRI scan to be beneficial, regardless of whether they were informed of IFs. While the implications of a restricted approach to IF management was perceived to be mostly positive, a degree of diagnostic misconception was present amongst participants, indicating the importance of a more thorough consent process to support participant autonomy.ConclusionThe management of IFs from research MRI scans remain a challenging issue, as participants may experience stress and a reduced quality of life when IFs are disclosed. The restricted approach to IF management in CAHHM demonstrated a fair fulfillment of the overarching ethical principles of respect for autonomy, concern for wellbeing, and justice. The approach outlined in the CAHHM policy may serve as a framework for future research studies.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/nct02220582. (shrink)

Ethical decision-making in public health rarely involves simply avoiding a bad choice in favor of a good choice. Instead, it requires policymakers to strike a balance among conflicting goals that are all good—goals such as the health of populations and individuals, knowledge gained through scientific research, autonomy, social justice, and the efficient use of limited resources. This balance can be elusive, and perfect examples are the legal instruments governing dual-use research, a term describing scientific endeavors meant to produce beneficial knowledge (...) or technology, but that could also be misapplied. Dual-use research of concern policies were implemented... (shrink)

RATIONALE, AIMS AND OBJECTIVES: This paper deals with the problem of surgical waiting lists and is aimed, in particular, at comparing two different prioritization approaches: (1) the clinical assessment of treatment urgency aimed at categorizing patients into urgency-related groups (URGs) with a given recommended maximum waiting time for treatment; and (2) the implementation of an original prioritization scoring algorithm aimed at determining the relative priority of each patient in the waiting list and the corresponding order of admission. METHODS: A modelling (...) exercise based on a cohort of 236 patients enrolled on the waiting list of a surgical department in an Italian public university hospital, from 1 January to 30 June 2004, is presented. The comparison is based on a measure called need-adjusted-waiting-days, which allows to take into proper account both urgency and priority. RESULTS: The results show that both methods should be implemented simultaneously for increasing the department's performance in terms of both efficiency--outcome gained from a given amount of resources--and equity--how patients are admitted according to their need. CONCLUSIONS: Waiting list prioritization should not be limited to classifying patients into URGs, but to using a scoring system as well, in order to schedule patient admissions in an explicit and transparent way. (shrink)

The problem. The model. Inventory models. Allocation models. Waiting-time models. Replacement models. Competitive models. Testing, control and implementation. Administration of operations research. Index.

Contrary to the widely held view that the Roman-Carthaginian naval encounter Polybios reports at 1.21.9-11 was separate from the one off Mylae (260 BC) told at length right afterwards (1.23), the battle at the ‘Cape of Italy’ is in fact - as suspected by some scholars long ago - identical with the one at Mylae. However, far from mistaking (as has been suggested) Philinos’ account of the latter for a separate engagement, Polybios knowingly and deliberately told the battle of Mylae (...) twice: first in a brief summary, stripped of all detail, to illustrate how the Roman commander Cn. Scipio Asina (cos. 260) and his Punic counterpart, Hannibal, were both guilty of equally inappropriate acts of recklessness; then for a second time in detail and in its proper chronological place. Compositional considerations prompted this approach: to wait with the moralizing parallel until after his full account of Mylae (preceded in turn by the long technical disquisition on the Roman boarding bridges) would spoil the effect, and Polybios chose to place it immediately after Asina’s capture. (shrink)

There is limited knowledge about cancer patients' experiences of uncertainty while waiting for genome sequencing results, and whether prolonged uncertainty contributes to psychological factors in this context. To investigate uncertainty in patients with a cancer of likely hereditary origin while waiting for genome sequencing results, we collected questionnaire and interview data at baseline, and at three and 12 months follow up. Participants had negative attitudes towards uncertainty at baseline, and low levels of uncertainty at three and 12 months. Uncertainty about (...) genome sequencing did not change significantly over time [t = 0.660, p = 0.510]. Greater perceived susceptibility for cancer [r = 0.14, p < 0.01], fear of cancer recurrence [r = 0.19, p < 0.01], perceived importance of genome sequencing [r = 0.24, p < 0.01], intention to change behavior if a gene variant indicating risk is found [r = 0.29, p < 0.01], perceived ability to cope with results [r = 0.36, p < 0.01], and satisfaction with decision to have genome sequencing [r = 0.52, p < 0.01] were significantly correlated with negative attitudes towards uncertainty at baseline. Multiple primary cancer diagnoses [B = −2.364 [−4.238, −0.491], p = 0.014], lower perceived ability to cope with results [B = −0.1.881 [−3.403, −0.359], p = 0.016] at baseline, greater anxiety about genome sequencing [B = 0.347 [0.148, 0.546], p = 0.0012] at 3 months, and greater perceived uncertainty about genome sequencing [B = 0.494 [0.267, 0.721] p = 0.000] at 3 months significantly predicted greater perceived uncertainty about genome sequencing at 12 months. Greater perceived uncertainty about genome sequencing at 3 months significantly predicted greater anxiety about genome sequencing at 12 months [B = 0.291 [0.072, 0.509], p = 0.009]. Semi-structured interviews revealed that while participants were motivated to pursue genome sequencing as a strategy to reduce their illness and risk uncertainty, genome sequencing generated additional practical, scientific and personal uncertainties. Some uncertainties were consistently discussed over the 12 months, while others emerged over time. Similarly, some uncertainty coping strategies were consistent over time, while others emerged while patients waited for their genome sequencing results. This study demonstrates the complexity of uncertainty generated by genome sequencing for cancer patients and provides further support for the inter-relationship between uncertainty and anxiety. Helping patients manage their uncertainty may ameliorate psychological morbidity. (shrink)

This paper examines the law relating to healthcare resource allocation in England. The National Health Service Act 1977 does not impose an absolute duty to provide specified healthcare services. The courts will only interfere with a resource allocation decision made by an NHS body if that decision is frankly irrational is engaged). Such irrationality is very difficult to establish. The ECHR has made no significant contribution to domestic English law in the arena of healthcare provision. The decision of the European (...) Court in the Yvonne Watts case establishes that, in relation to the question of entitlement to seek treatment abroad at the expense of the NHS, a clinical judgment about the urgency of treatment trumps an administrative decision about waiting list targets. That decision goes against the grain of domestic law about healthcare allocation, but is not likely to have wide ramifications in domestic law. (shrink)

Background When anti-cancer treatments have been given market authorization, but are not (yet) reimbursed within a healthcare system, physicians are confronted with ethical dilemmas. Arranging access through other channels, e.g., hospital budgets or out-of-pocket payments by patients, may benefit patients, but leads to unequal access. Until now, little is known about the perspectives of physicians on access to non-reimbursed treatments. This interview study maps the experiences and moral views of Dutch oncologists and hematologists.Methods A diverse sample of oncologists and hematologists (...) (n = 22) were interviewed. Interviews were analyzed thematically using Nvivo 12 qualitative data software.Results This study reveals stark differences between physicians’ experiences and moral views on access to anti-cancer treatments that are not (yet) reimbursed: some physicians try to arrange other ways of access and some physicians do not. Some physicians inform patients about anti-cancer treatments that are not yet reimbursed, while others wait for reimbursement. Some physicians have principled moral objections to out-of-pocket payment, while others do not.Conclusion Oncologists and hematologists in the Netherlands differ greatly in their perspectives on access to expensive anti-cancer treatments that are not (yet) reimbursed. As a result, they may act differently when confronted with dilemmas in the consultation room. Physicians working in different healthcare systems may face similar dilemmas. (shrink)

Background: Black, Asian and minority ethnic groups have a high need for organ transplantation but deceased donation is low. This restricts the availability of well-matched organs and results in relatively long waiting times for transplantation, with increased mortality risks. Objective: To identify barriers to organ donor registration and family consent among the BAME population, and to develop and evaluate a training intervention to enhance communication with ethnic minority families and identify impacts on family consent. Methods: Three-phase programme comprising community-based research (...) involving two systematic reviews examining attitudes and barriers to organ donation and effective interventions followed by 22 focus groups with minority ethnic groups; hospital-based research examining staff practices and influences on family consent through ethics discussion groups with staff, a study on intensive care units and interviews with bereaved ethnic minority families; and development and evaluation of a training package to enhance cultural competence among ICU staff. Setting: Community focus group study in eight London boroughs with high prevalence of ethnic minority populations. Hospital studies at five NHS hospital trusts. Participants: Community studies: 228 focus group participants; hospital studies: 35 nurses, 28 clinicians, 19 hospital chaplains, 25 members of local Organ Donation Committees, 17 bereaved family members; and evaluation: 66 health professionals. Data sources: Focus groups with community residents, systematic reviews, qualitative interviews and observation in ICUs, EDGs with ICU staff, bereaved family interviews and questionnaires for trial evaluation. Review methods: Systematic review and narrative synthesis. Results: Community studies: Organ Donor Register – different ethnic/faith and age groups were at varying points on the ‘pathway’ to organ donor registration, with large numbers lacking knowledge and remaining at a pre-contemplation stage. Key attitudinal barriers were uncertainties regarding religious permissibility, bodily concerns, lack of trust in health professionals and little priority given to registration, with the varying significance of these factors varying by ethnicity/faith and age. National campaigns focusing on ethnic minorities have had limited impact, whereas characteristics of effective educational interventions are being conducted in a familiar environment; addressing the groups’ particular concerns; delivery by trained members of the lay community; and providing immediate access to registration. Interventions are also required to target those at specific stages of the donation pathway. Hospital studies: family consent to donation – many ICU staff, especially junior nurses, described a lack of confidence in communication and supporting ethnic minority families, often reflecting differences in emotional expression, faith and cultural beliefs, and language difficulties. The continuing high proportion of family donation discussions that take place without the collaboration of a specialist nurse for organ donation reflected consultants’ views of their own role in family consent to donation, a lack of trust in SNODs and uncertainties surrounding controlled donations after circulatory death. Hospital chaplains differed in their involvement in ICUs, reflecting their availability/employment status, personal interests and the practices of ICU staff. Evaluation: professional development package – a digital versatile disk-based training package was developed to promote confidence and skills in cross-cultural communication. Initial evaluation produced positive feedback and significant affirmative attitudinal change but no significant difference in consent rate over the short follow-up period with requirements for longer-term evaluation. Limitations: Participants in the focus group study were mainly first-generation migrants of manual socioeconomic groups. It was not permitted to identify non-consenting families for interview with data regarding the consent process were therefore limited to consenting families. Conclusions: The research presents guidance for the effective targeting of donation campaigns focusing on minority ethnic groups and provides the first training package in cultural competence in the NHS. Future work: Greater evaluation is required of community interventions in the UK to enhance knowledge of effective practice and analysis of the experiences of non-consenting ethnic minority families. Funding: The National Institute for Health Research Programme Grants for Applied Research programme. (shrink)

The main purpose of this paper is to seek a reconciliation between two apparently conflicting views of mine. I have argued (for example, Smart, 1963) for realism about theoretical entities, for example electrons, protons, photons, possibly space-time points, perhaps the ‘Y’-wave of Schrödinger’s equation and so on. Quine has also plausibly argued that we should believe in mathematical entities, since in physics we quantify over them no less than over electrons and protons. I except cases in which in physics the (...) existential quantifications are part of merely pretence discourse. Perhaps in spherical astronomy talk of the celestial sphere should be treated in this way. Alternatively the celestial sphere could be thought of realistically as a sphere whose centre is that of the earth while the stars and planets are thought of (or correlated with) points or small areas on the sphere’s surface in their lines of sight. I am not concerned in this paper to delimit fact from fiction in scientific discourse. The settlement of borderline disputes can wait for another occasion. My main argument for scientific realism is the cosmic coincidence argument. Would it not be a cosmic coincidence if the world were merely as if there were electrons, protons, etc?1. (shrink)

These two books are among the most recently published tomes of a projected twenty comprising the first French edition of the Complete Works of Kierkegaard. Such a work represents the life-long dedication of Paul Tisseau, Kierkegaard's principal French translator. Many of Tisseau's translations have already been published in various other places, and it is generally known that he undertook to publish on his own several of the less commercially appealing religious works. After his death in 1964, his daughter completed his (...) work by correcting published and unpublished manuscripts and by translating the few works her father had not been able to do. The present edition was indeed worth waiting for; it is at once an artful translation and an excellent scholarly tool, complete with marginal pagination of the definitive Danish edition, the Drachmann, Heiberg, Lange of 1920-1926, plus location of each separate work in the first and third Danish editions. Jean Brun provides to-the-point introductions containing a wealth of historical material and ample footnotes referring to significant textual variations, subtleties of translation, and related passages in other works. Volume thirteen contains the Edifying Discourses in Various Spirits, Purity of Heart is to Will One Thing, The Lilies and the Birds, and The Gospel of Sufferings; volume eighteen, Two Discourses at the Communion on Fridays, The Woman that Was a Sinner, The Unchangeableness of God, For Self-Examination, and Judge for Yourselves.--C. M. R. (shrink)

The spiritual crisis of the twenty-first century is overload boredom. There is more information, content, and stimulation than ever before, and none of it is waiting passively to be consumed. The demands exceed our capacities. The Spiritual Significance of Overload Boredom makes the case that withdrawal and resistance are not our only options: we can choose kēdia, an ethic of care. Rather than conceiving the world of information as external, Sharday Mosurinjohn turns to the sensational and emotional, focusing on the (...) ways the digital age has radically reconfigured our interior lives. Using an innovative method of affective aesthetic speculation, Mosurinjohn engages the world of art, literature, and comedy for a series of unexpected case studies that make strange otherwise familiar scenes of overload boredom: texting, browsing social media, and performing information work. Ultimately, she shows that the opposite of boredom is not interest but meaning, and that we can only make it by curating the overload. The Spiritual Significance of Overload Boredom is a bold and original intervention for the present condition, unsettling the framing of existing work around technological modernity and its discontents. (shrink)

After he has been condemned to death, Socrates spends a few minutes talking to the jurors before he is taken away. First, he rebukes those who voted against him for resorting to using the court to kill him when they could have waited and let nature do the same job very soon anyhow, for Socrates is an old man. He next contrasts the evils to which his accusers have resorted to his own unbending resolve never to resort to shameful actions, (...) even though in this case such things might have saved his life. Then he prophesies to those jurors that younger men will make their lives far more difficult than ever Socrates did, and thus strips from them any notion they may have had that they gained anything by condemning him. (shrink)

The subtitle of this text intended for philosophy students’ 2nd course in logic is in no way misleading. It is a lucid introduction to the philosophic activities of uncovering metaphysical presuppositions of logical techniques and altering logical techniques, and hence assessments of deductive validity, to conform to metaphysical presuppositions. They do not, though, assume that techniques for assessing deductive validity are or should be wholly dependent upon metaphysical presuppositions. They write on p. 213 in their section on intensional discourse: "And (...) logic wherever possible ought not to wait upon philosophy, for logic wherever possible ought to be neutral between different philosophical analyses." In their investigations of metaphysical presuppositions and logical techniques, they consider primarily the consequences of existential presuppositions about the use of singular terms, viz., individual variables, individual names, and definite descriptions. They favor freeing use of singular terms from existential presuppositions. The consideration of allowing non-referring names and definite descriptions makes their text one of the first, if not the first, for teaching Free Logic. The gist of Free Logic is not to allow existential generalization of Fb to unless there is an auxiliary premise asserting the existence of b, because use of the name b has been freed from the presupposition that it names something. It is suitable that these authors have a text on Free Logic since Lambert is the major figure in its origin while van Fraassen has established some of the most significant results about Free Logic systems. They go on to consider alternative logical rules to those of Russell for dealing with nonreferring definite descriptions. These alternatives to standard logic are philosophically motivated. They are not simply dumped upon students as rules for symbol manipulation. For instance, on pp. 152-157 they give a succinct analysis of the Russell-Meinong debate when they agree with Meinong that one can talk of the thing that is such and such without accepting that there is such a thing. The treatment of singular terms leads them to discussions of topics such as: What is it for a logic to be extensional and is Free Logic extensional?, the substitution interpretation of quantifiers, and the notion of presupposition. (shrink)

A common tale of moral cacophony and euphemism on the city streets:Each day, an owner of a small business decides, “once and for all,” how to respond to the “homeless person” panhandling for “spare change” as she makes her way to work in the morning. Today, she looks the other way and holds more tightly to her purse. Nearby, a building contractor waits impatiently for the traffic light to change as his van is approached by a small and shabby band (...) of “street people” demanding to clean his windshield. He turns his wipers on to signal them away. Sometimes this works. At the next light, a woman carrying an infant swaddled to her torso offers a tube of three roses for a dollar. The driver smiles pleasantly, but does not stop. The businesswoman, now close to work, buys two tubes of roses and does not wait for the change from the five-dollar bill she earnestly presses into the mother's hand. (shrink)

The ideal of universal human rights is arguably the most potent moral concept marking the modern world. Its accelerated fruition in the last half of the twentieth century has created a powerful political force, laying the groundwork for future generations to extend and apply. Whereas anything resembling international legal status for human rights had to wait for the post-Nazi era, the bold proclamations of the Universal Declaration of Human Rights (UDHR, 1948) loosened a revolutionary force with endless potential for (...) application to the full range of human endeavors. The roots of this movement can be traced to each and every era in which the vulnerable and powerless sought justification to oppose arbitrary domination. Its roots are, therefore, deep and wide. (shrink)

The thesis that subsumption is sufficient for explanation is dying out, but the thesis that it is necessary is alive and well. It is difficult to attack this thesis: non-subsumptive counter-examples are declared incomplete, or mere promissory notes. No theory, it is thought, can be explanatory unless it resorts to subsumption at some point. In this paper I attack this thesis by describing a theory that (1) would explain every event it could describe, (2) does not explain by subsumption, and (...) (3) is fundamental in that it is understood to be irreducible (hence there are no unstated laws waiting in the wings). (shrink)

In contemporary society nothing upsets us more than having to wait for our bodies. Our bodies serve us as we direct and when they break down we become angry that they have failed us. Christians, however, are called to be a patient people even in illness. Indeed, impatience is a sin. Learning to be patient when sick requires practicing patience while healthy. First, we must learn that our bodies are finite — they will die. Second, we must learn to (...) live with one another in patience as Christians with the love that the presence of others can and does create in us. Third, in life there is time for the acquisition of habits that come from worthy activities that require time and force us to take first one step and then another. In patience one can live with God. (shrink)

This book attempts to collect Heidegger’s scattered and often very puzzling observations about the holy, divinity, God, and the gods in order to make them a coherent statement. The first three chapters present clearly and soundly the by now familiar material of Heidegger’s attempt, first, to lay the foundation of metaphysics, then, to overcome metaphysics altogether. Chapter 4 draws the conclusion that Heidegger stands in opposition to any metaphysical account of God and that theology, if it is possible at all, (...) must be nonmetaphysical. Chapter 5 argues that Heidegger’s approach to God, centered primarily in the account of the Geviert, is mythical rather than metaphysical, though it does not recommend that we in the twentieth century simply adopt the Homeric or Hesiodic myths. The heart of the book is Chapter 6, in which Perotti analyzes the Hölderlin commentaries. On this basis he claims that, for Heidegger, any word about God’s coming—for we live after the flight of the gods-must come from the poets. Thinking dwells in subordination to poetry, and its role is to cultivate and preserve the poet’s words. On the question of God for Heidegger, according to Perotti, there is nothing to do but wait—for the poets to speak. Perotti’s text is quite brief and, in the opening chapters, covers familiar ground. He makes no use of Phaenomenologie und Theologie. Unfortunately, he often quotes the Lohner translation of the Letter on Humanism, although he always supplies the German. On p. 27, 1934 is mentioned where 1943 is intended. There is ample footnoting, a bibliography, and an index.—J.D.C. (shrink)

Terminal kidney patients are faced with lower quality of life, restricted diets and higher morbidity and mortality rates while waiting for deceased donor kidney transplantation. Fortunately, living kidney donation has proven to be a better treatment alternative (e.g. in terms of waiting time and graft survival rates). We observed an inequality in the number of living kidney transplantations performed between the non-European and the European patients in our center. Such inequality has been also observed elsewhere in this field and it (...) has been suggested that this inequality relates to, among other things, attitude differences towards donation based on religious beliefs. In this qualitative research we investigated whether religion might indeed (partly) be the explanation of the inequalities in living donor kidney transplants (LDKT) among non-European patients. Fifty patients participated in focus group discussions and in-depth interviews. The interviews were conducted following the focus group method and analyzed in line with Grounded Theory. The qualitative data analyses were performed in Atlas.ti. We found that religion is not perceived as an obstacle to living donation and that religion actually promotes helping and saving the life of a person. Issues such as integrity of the body were not seen as barriers to LDKT. We observed also that there are still uncertainties and a lack of awareness about the position of religion regarding living organ donation within communities, confusion due to varying interpretations of Holy Scriptures and misconceptions regarding the process of donation. Faith leaders play an important educational role and their opinion is influential. This study has identified modifiable factors which may contribute to the ethnic disparity in our living donation program. We argue that we need to strive for more clarity and awareness regarding the stance of religion on the issue of living donation in the local community. Faith leaders could be key figures in increasing awareness and alleviating uncertainty regarding living donation and transplantation. (shrink)

Background: There is a growing interest in using cognitive behavioural therapy with people who have Asperger Syndrome and comorbid mental health problems. Aims: To examine whether modified group CBT for clinically significant anxiety in an AS population is feasible and likely to be efficacious. Method: Using a randomised assessor-blind trial, 52 individuals with AS were randomised into a treatment arm or a waiting-list control arm. After 24 weeks, those in the waiting-list control arm received treatment, while those initially randomised to (...) treatment were followed-up for 24 weeks. Results: The conversion rate for this trial was high, while attrition was 13%. After 24 weeks, there was no significant difference between those randomised to the treatment arm compared to those randomised to the waiting-list control arm on the primary outcome measure, the Hamilton Rating Scale for Anxiety. Conclusions: Trials of psychological therapies with this population are feasible. Larger definitive trials are now needed. Declaration of Interest: None Trial Registration: ISRCTN 30265294, UKCRN 8370. (shrink)

In their article, ‘That is not dead which can eternal lie: the aestivation hypothesis for resolving Fermi’s paradox’, Sandberg et al. try to explain the Fermi paradox by claiming that Landauer’s principle implies that a civilization can in principle perform far more times more) irreversible logical operations if it conserves its resources until the distant future when the cosmic background temperature is very low. So perhaps aliens are out there, but quietly waiting. Sandberg et al. implicitly assume, however, that computer-generated (...) entropy can only be disposed of by transferring it to the cosmological background. In fact, while this assumption may apply in the distant future, our universe today contains vast reservoirs and other physical systems in non-maximal entropy states, and computer-generated entropy can be transferred to them at the adiabatic conversion rate of one bit of negentropy to erase one bit of error. This can be done at any time, and is not improved by waiting for a low cosmic background temperature. Thus aliens need not wait to be active. As Sandberg et al. do not provide a concrete model of the effect they assert, we construct one and show where their informal argument goes wrong. (shrink)

As of January 1, 2008, over 98,000 people are waiting for organ transplants in the United States of America. Of those, nearly 75,000 are waiting for a kidney. In this calendar year, fewer than 15,000 will receive a kidney transplant from a deceased donor. The average waiting time for a deceased donor kidney now exceeds five years in virtually all metropolitan areas. Sadly, nearly as many people die waiting as there are deceased donors each year, despite monumental efforts by the (...) entire transplant community to increase both the number of organ donors and the number of organs recovered from each donor. The imbalance between demand and supply has led to considerable efforts to expand the criteria for what is considered an acceptable organ donor by the Organ Procurement and Transplant Network, thereby hoping somewhat to assuage the shortfall of donor organs. So-called Expanded Criteria Donors may be older than 50, have history of hypertension, or have died from intracerebral hemorrhage and/or have impaired renal function. ECDs now make up nearly 40% of the donor population. (shrink)

Surprisingly little attention has been given hitherto to the definition of the laboratory. A space has to be specially adapted to deserve that title. It would be easy to assume that the two leading experimental sciences, physics and chemistry, have historically depended in a similar way on access to a laboratory. But while chemistry, through its alchemical ancestry with batteries of stills, had many fully fledged laboratories by the seventeenth century, physics was discovering the value of mathematics. Even experimental physics (...) was content to make use of almost any indoor space, if not outdoors, ignoring the possible value of a laboratory. The development of the physics laboratory had to wait until the nineteenth century. (shrink)