The siren call of individualism is compelling. And although we have recognized its dangerous allure in the realm of adult decision-making, it has had profound and yet unnoticed dangerous effects in pediatric decision-making as well. Liberal individualism as instantiated in the best interest standard conceptualizes the child as independent and unencumbered and the goal of child rearing as rational autonomous adulthood, a characterization that is both ontologically false and normatively dangerous. Although a notion of the individuated child might have a (...) place in establishing a threshold of care obligated and enforced by the state, beyond this context we should turn our attention more explicitly to the relational interests of children. (shrink)

Human Papillomavirus (HPV) types are sexually transmitted infections that cause a number of human cancers. According to the competitive exclusion principle in ecology, HPV types that have lower transmission probabilities and shorter durations of infection should be outcompeted by more virulent types. This, however, is not the case, as numerous HPV types co-exist, some which are less transmissible and more easily cleared than others. This paper examines whether this exception to the competitive exclusion principle can be explained by the aggregation (...) of infection with HPV types, which results in patchy spatial distributions of infection, and what implications this has for the effect of vaccination on multiple HPV types. A deterministic transmission model is presented that models the patchy distribution of infected individuals using Lloyd’s mean crowding. It is first shown that higher aggregation can result in a reduced capacity for onward transmission and reduce the required efficacy of vaccination. It is shown that greater patchiness in the distribution of lower prevalence HPV types permits co-existence. This affirms the hypothesis that the aggregation of HPV types provides an explanation for the violation of the competitive exclusion principle. Greater aggregation of lower prevalence types has important implications where type-specific HPV vaccines also offer cross-protection against non-target types. It is demonstrated that the degree of cross-protection can be less than the degree of vaccine protection conferred against directly targeted types and still result in the elimination of non-target types when these non-target types are patchily distributed. (shrink)

In this article, an ethical analysis of an educational programme on renal replacement therapy options for patients and their social network is presented. The two main spearheads of this approach are: (1) offering an educational programme on all renal replacement therapy options ahead of treatment requirement and (2) a home-based approach involving the family and friends of the patient. Arguments are offered for the ethical justification of this approach by considering the viewpoint of the various stakeholders involved. Finally, reflecting on (...) these ethical considerations, essential conditions for carrying out such a programme are outlined. The goal is to develop an ethically justified and responsible educational programme. (shrink)

Ethics is defined as the realm of the 'ought', the realm of conscience which postulates that Man has the freedom to carry out what he judges to be morally right. By such acts he realizes his freedom of making himself into a truer, more authentic person than he was before. A libertarian psychotherapy, based on this ethic, is outlined. Medical science (as all science) belongs to the realm of the 'is' and postulates that the phenomena which it studies follow a (...) necessary course. It is therefore deterministic. In psychiatry, allowance is made for a neurological determinism in cases in which personal freedom has been diminished or abolished by mental illness, but the determinisms of behaviour therapy and of psycho-analysis are rejected by the author. (shrink)

We may now consider this ancient evidence that Andes lay three miles away from Mantua in connection with Conway's remaining arguments and with Virgil's ‘own statement’ in his Bucolics.In the matter of the inscriptions, Conway's ‘impenitence’ does nothing to strengthen his case. All the points that he raises in an apparent refutation had been met by me. I had distinguished between public and private inscriptions, as Conway had not done in his earlier article, where he declared the period of the (...) two monuments to be ‘Virgil's own,’ the inscriptions being ‘cut in the style which marks the best work between 50 B.C. and A.D. 50.’ I had not, as he asserts, failed to notice the point that caps the climax of his recent article, that ‘the P. Magius who wrote the inscription of Casalpoglio … was related to Virgil's mother.’ I was inclined to date both inscriptions, with the approval of Professor Egbert, somewhere in the third quarter of the first century of our era, but ‘even allowing for them both a date as early as the end of the first century B.C.,’ which is apparently as far back as Conway means to stretch their date, I clamored for an inscription of the time of Virgil's birth if it were to serve as evidence for his birthplace. This point is not met by Conway. If Virgil was born at Pietole, his fame and his family could certainly have extended as far north as Casalpoglio and Calvisano at the time of his death in 19 B.C. Supposing that we knew on other evidence that he was born at Calvisano, the presence of an inscription with the name of Magius or Vergilius would corroborate that evidence. (shrink)

Originally published in 1937 as part of the 'Yesterday and Today in Germany' series for Cambridge Contact Readers, this German text describes a fantasy tour around Germany taken by David Hanes, a fictional English schoolchild, and his guardian Mr Wilson. During his trip, David interacts with German locals, visits key attractions and travels around the country by zeppelin. The text is illustrated with photographs of inter-war German life, as well as maps, charts and sheet music. This book will be of (...) value to anyone with an interest in Germany and the history of German teaching in Britain. (shrink)

Cartesianer und Wittgensteinianer diskutieren über die logischen Grundlagen der Empfindungssprache. Mit einem Gedankenexperiment suggeriert der Cartesianer die Notwendigkeit, "private Objekte" anzunehmen. Der Wittgensteinianer deckt die "grammatische Täuschung" auf, der der Cartesianer dabei unterliegt. Nun sucht dieser, seinen Ansatz zu retten, indem er die Empfindungen des anderen als "theoretische Entitäten" (etwa im Rahmen der Himphysiologie) konstruiert: Neucartesianismus. Bestimmte empirische Befunde könnten ihn dabei aber in das Dilemma bringen, entweder seine Theorie oder seine "natürliche Einstellung" zum anderen Menschen aufzugeben. Allerdings bleibt auch (...) dem Wittgensteinianer ein ähnliches Dilemma letztlich nicht erspart. (shrink)

This second visit to the place of Virgil's birth was made partly in actuality—for my wife and I, before taking part in the Virgilian Cruise of last summer, spent two delightful days at Pietole with our hosts, the Signori Prati, and our guest and friend Bruno Nardi—and partly in a renewed pondering of the arguments presented by my friend Professor Conway both in his earlier article and in his recent review of the question, to which, as he says, I had (...) urged him to return. I promised him at the time that if he should not speak the last word on the subject, I would still further defend the view commonly accepted until he bestowed an extraordinary publicity on Calvisano and Carpenedolo. He declares that I maintain the traditional site at Pietole, ‘though not perhaps with very great confidence.’ He further implies that I ‘do not want to accept the evidence of Probus because “I prefer” to believe a mediaeval tradition.’ Let me assure him and the reader that I do not regard a mediaeval tradition per se as better proof than the certain statement of an ancient authority. I have been led, by studies in various fields, to respect tradition in general until it is disproved, and to lay the burden of the argument on those who would disprove it. But the mere sight of something hoary and mediaeval does not prompt me to exclaim, ‘Media Aetas locuta est; causa finita est’ I relish the attempts of an iconoclast to destroy rigid error, and accept his destruction if it is accomplished. In the present case, however, I have ‘very great confidence’ that Conway's assault on the tradition has come to naught. Possibly some new and unexpected evidence may yet be discovered, showing that Virgil was born at Calvisano, or Carpenedolo, or at some other site than Pietole—but nobody has presented it yet. (shrink)