Vleeskens, F. D. A. Spinoza en zijn tijd.--Klever, W. N. A. Ervaring en rede.--Petry, M. J. De Regenboog.--Bend, J. G. van der. Spinoza's liberale rechtsstaat.--Sperna Weiland, J. Vrijheid.

Background: Decisions of patients, families, and health care providers about medical care at the end of life depend on many factors, including the societal culture. A pan-European study was conducted to determine the frequency and types of end of life practices in European intensive care units , including those in Israel. Several results of the Israeli subsample were different to those of the overall sample.Objective: The objective of this article was to explore these differences and provide a possible explanation based (...) on the impact of culture on end of life decision making.Method: All adult patients admitted consecutively to three Israeli ICUs who died or underwent any limitation of life saving interventions between 1 January 1999 and 30 June 2000 were studied prospectively . These patients were compared with a similar sample taken from the larger study carried out in 37 European ICUs. Patients were followed until discharge, death, or 2 months from the decision to limit therapy. End of life decisions were prospectively organised into one of five mutually exclusive categories: cardiopulmonary resuscitation , brain death, withholding treatment, withdrawing treatment, and active shortening of the dying process . The data also included patient characteristics , specific therapies limited, and the method of SDP.Results: The majority of patients had treatment withheld, none underwent SDP, 62 received CPR , 31 had brain death , and 18 underwent withdrawal of treatment . The primary reason given for limiting treatment was that the patient was unresponsive to therapy . End of life discussions were held with 132 families , the vast majority of which revolved around withholding treatment and the remainder concerned withdrawing treatment .There was a statistically significant association between the type of end of life decision and region—that is, the northern region of Europe, the central region, the southern region, and Israel.Conclusions: Regional culture plays an important part in end of life decision making. Differences relating to end of life decision making exist between regions and these differences can often be attributed to cultural factors. Such cultures not only affect patients and their families but also the health care workers who make and carry out such decisions. (shrink)

My discussion addresses the differences between analytic and continental philosophy concerning the use of logic and exact reasoning in philosophical practice. These differences are mainly examined in the light of the controversial dominance of Hegel's concept of logic (and theory of concept) in twentieth-century continental philosophy. The inquiry is developed in two parts. In the first (Sections 1-2), I indicate some aspects of the analytic-continental divide, pointing to the role that the topic 'logic and philosophy' plays in it. In the (...) second part (Sections 3-6), I give a short account of the views of logic which are typical of the three main trends of continental philosophy (see Table 1). I also suggest how, with the aid of some typical analytical devices, some continental 'anti-logical' attitudes may be corrected, on their own terms. (shrink)

An analytical investigation into compressible gas flow with slight rarefactions through the insect trachea and tracheoles during the closed spiracle phase is undertaken, and a complete set of asymptotic analytical solutions is presented. We first obtain estimates of the Reynolds and Mach numbers at the channel terminal ends where the tracheoles directly deliver respiratory gases to the cells, by comparing the magnitude of the different forces in the compressible gas flow. The 2D Navier–Stokes equations with a slip boundary condition are (...) used to investigate compressibility and rarefied effects in the trachea and tracheoles. Expressions for the velocity components, pressure gradients and net flow inside the trachea are then presented. Numerical simulations of the tracheal compressible flow are performed to validate the analytical results from this study. This work extends previous work of Arkilic et al. :167–178, 1997) on compressible flows through a microchannel. Novel devices for microfluidic compressible flow transport may be invented from results obtained in this study. (shrink)

A semi-popular presentation of the ideals of Chinese culture derived from the classics of Taoism, Confucianism, and Mohism. Contrasts between Chinese and Western thought are often suggestive, though the latter receives a highly stylized interpretation.--J. F. D.

An essay which is occasionally provocative, though somewhat cursory, in its delineation of the American democratic ideal. The author reviews the intellectual contributions of the philosophers of the Enlightenment, the Puritan tradition, ethical idealism and pragmatism to the American political tradition. But these various contributions have provided only a partial expression of the ideal of Americanism. This, the author thinks, is a personalist ethic, issuing in a "democratic personalism." --J. F. D.

There is concern that human applications of modern genetic technologies may lead inexorably to eugenic abuse. To prevent such abuse, it is essential to have clear, formal principles as well as algorithms for distinguishing genetics from eugenics. This work identifies essential distinctions between eugenics and genetics in the implied nature of the social contract and the importance ascribed to individual welfare relative to society. Rawls's construction of 'justice as fairness' is used as a model for how a formal systems of (...) ethics can be used to proscribe eugenic practices. Rawls's synthesis can be applied to this problem if it is assumed that in the original condition all individuals are ignorant of their genetic constitution and unwilling to consent to social structures which may constrain their own potential. The principles of fairness applied to genetics requires that genetic interventions be directed at extending individual liberties and be applied to the greatest benefit of individuals with the least advantages. These principles are incompatible with negative eugenics which would further penalize those with genetic disadvantage. These principles limit positive eugenics to those practices which are designed to provide absolute benefit to those individuals with least advantage, are acceptable to its subjects, and further a system of basic equal liberties. This analysis also illustrates how simple deviations from first principles in Rawls's formulation could countenance eugenic applications of genetic technologies. (shrink)

As the gap between the need for and supply of human organs continues to widen, the aim of securing additional sources of these “gifts of the body” has become a seemingly overriding moral imperative, one that could—and some argue, should—override the widespread ban on organ markets. As a medical practice, organ transplantation entails the inherent risk that one human being, a donor, will become little more than a means to the end of healing for another human being and that he (...) or she will come to have a purely instrumental value. With the establishment of organ markets, not only will the harms of instrumentalization be a reality—the ends of medicine will be further compromised and confused. (shrink)

The Unifying Moment provides a fine comparative study of Whitehead and James. Eisendrath expresses the presupposition of his effort in noting "a fruitful complementarity" between his subjects: "Whitehead is highly abstract and needs the exemplification which reference to James can provide. Conversely, Whitehead can be used to show the full sweep of general application implicit in James’s ideas." The core of Eisendrath’s analysis lies in creativity and in the ‘aesthetic’ bias shared by Whitehead and James; experience is feeling, appetition and (...) advance into novelty. There are indeed problems in the analogy between personality and atomic concrescence, since from a Whiteheadian perspective personality is a complex ’society', not a simple concrescence. Yet the analogy works, because Eisendrath is aware of the disparity, and because it serves to illuminate the anthropomorphic tendency in Whitehead. The book is at its strongest in dealing directly with issues of epistemology and psychology, where Eisendrath also displays a firm grasp of the early history of psychology. Less satisfying are some of the approaches to larger issues, such as the discussions of God and civilization. Throughout, there is the stylistic flaw, perhaps inevitable in a comparative study, of lengthy textual citation and explication; while thus documenting his position, Eisendrath at times lets the documentation obscure his argument. The notes and index are both extensive and helpful.—D. F. D. (shrink)

This final work of the late Prof. Brightman was virtually complete at his death; however the editors have written four additional chapters and part of a fifth, basing their work on other writings of the author. The result is a lucid, unified account of the personalist position.--J. F. D.

A paperbound edition of an excellent interpretative study, originally published in 1950. Though the bibliography and index are considerably abridged in the present edition, the text is complete and has been improved by numerous minor revisions prepared by the author.--J. F. D.

Hall seeks to develop "a theory of culture through the analogical extension of certain of Whitehead’s concepts and theories." His concern in this essay is not simply to systematize Whitehead’s remarks about cultural history, but rather to elaborate a comprehensive philosophy of culture in the light of his metaphysical structures. Hall accordingly presents a brief and adequate summary of Whitehead’s metaphysical scheme in terms of its "primary analogate" in the aesthetic event, and then proceeds to explicate the cultural theme throughout (...) Whitehead’s writings. By means of careful, detailed analyses, Hall establishes the coordination between metaphysical and cultural issues, such as that between an "actual occasion’s" subjective aim towards satisfaction and a civilization’s quest to achieve its characteristic "cultural aims" or values. He further argues for a nonreductive relation among the various "cultural interests" in terms of their divergent modes of abstraction from the concrete matrix of experience. (shrink)