Hastings Center Report, Volume 52, Issue S1, Page S79-S82, March‐April 2022.

We report on the case of a 2-year-old female, the youngest person ever to undergo ovarian tissue cryopreservation (OTC). This patient was diagnosed with a rare form of sickle cell disease, which required a bone-marrow transplant, and late effects included high risk of future infertility or complete sterility. Ethical concerns are raised, as the patient's mother made the decision for OTC on the patient's behalf with the intention that this would secure the option of biological childbearing in the future. Based (...) on Beauchamp and Childress's principlism approach of respect for autonomy, nonmaleficence, beneficence, and justice, pursing OTC was ethically justified. (shrink)

Surveillance is essential for communicable disease prevention and control. Traditional notification of demographic and clinical information, about individuals with selected infectious diseases, allows appropriate public health action and is protected by public health and privacy legislation, but is slow and insensitive. Big data–based electronic surveillance, by commercial bodies and government agencies, which draws on a plethora of internet- and mobile device–based sources, has been widely accepted, if not universally welcomed. Similar anonymous digital sources also contain syndromic information, which can be (...) analysed, using customised algorithms, to rapidly predict infectious disease outbreaks, but the data are nonspecific and predictions sometimes misleading. However, public health authorities could use these online sources, in combination with de-identified personal health data, to provide more accurate and earlier warning of infectious disease events—including exotic or emerging infections—even before the cause is confirmed, and allow more timely public health intervention. Achieving optimal benefits would require access to selected data from personal electronic health and laboratory records and the potential to re-identify individuals found to be involved in outbreaks, to ensure appropriate care and infection control. Despite existing widespread digital surveillance and major potential community benefits of extending its use to communicable disease control, there is considerable public disquiet about allowing public health authorities access to personal health data. Informed public discussion, greater transparency and an ethical framework will be essential to build public trust in the use of new technology for communicable disease control. (shrink)

In Europe ≈15,000 patients receive larval therapy for wound treatment annually. Over the past few years, clinical studies have demonstrated the success of larvae of Lucilia sericata as debridement agents. This is based on a combination of physical and biochemical actions. Laboratory investigations have advanced our understanding of the biochemical mechanisms underlying the beneficial effects of larval secretions, including removal of dead tissue, reduction of the bacterial burden, and promotion of tissue regeneration. The present article summarizes our current understanding of (...) the microbiological, immunological, and wound healing actions of larval therapy, and the molecules involved in these beneficial effects. Future studies will focus on the isolation, identification, and (pre)clinical testing of the effective molecules of L. sericata larvae. These molecules may be candidates for the development of new agents for the treatment of several infectious and inflammatory diseases, including chronic wounds. (shrink)

Two cross-modal experiments provide partial support for O'Regan & Noë's (O&N's) claim that sensorimotor contingencies mediate perception. Differences in locating a target sound accompanied by a spatially disparate neutral light correlate with whether the two stimuli were perceived as spatially unified. This correlation suggests that internal representations are necessary for conscious perception, which may also mediate sensorimotor contingencies.

-/- CONCLUSION “The experience in California is clear. Affirmative action has helped to dismantle barriers such as "old boys' networks" that have excluded not only women and individuals of racial or ethnic minorities, but also white American men who did not belong to networks of privilege. Affirmative action has also worked to ensure that our schools, workplaces, and other social institutions fully use our diverse talents, thereby helping our government and social institutions to better serve their communities. -/- In short, (...) affirmative action has helped to bring out the best in us as a society. It challenges us to have the courage of our convictions that: (1) we do want a truly equal opportunity society; and (2) we believe that all Americans, including women and minorities, are competent individuals who have talents to contribute. Passing the CCRI would completely eliminate affirmative action, and thus have the same effect as "throwing the baby out with the bathwater." The "baby" —active and affirmative commitment to equal opportunity— is barely out of its infancy. We must not now abandon our commitment, just when we have taken our first steps towards creating a truly equal opportunity society.” -/- (This essay was written against the backdrop of legislative efforts in the mid 1990s, to overturn “affirmative action” policies at educational institutions, which had given more equal access to higher education for students from previously under-represented communities, particularly white women but also racialized communities. By mischaracterizing affirmative action programs as “gender or racial preferences”, opponents were able to pass the 1996 ballot measure, Proposition 209, the so-called “California Civil Rights Initiative” (CCRI). The ban on “preferences” gained the support of 54.6% of all California voters, including 58% of white women and 66% of white men voters. Use of language was key, as a slight majority of Americans approved of some affirmative actions but opposed racial preferences. The CCRI has had a huge toll on Latino and African American enrollment at UC Berkeley and UCLA, which has never recovered. State contracts for firms owned by women and minorities also dropped sharply. Similar initiatives failed in some states but succeeded elsewhere. See online Encyclopedia). (shrink)

La presente obra navega entre dos conceptos —la heterotopía y la utopía— en el contexto de la posmetrópolis. La heterotopía, tal y como explican en el prefacio los coeditores, ha atraído una innegable atención en el ámbito de las ciencias sociales desde que Foucault trasladara el concepto del ámbito médico al espacial. Frente al no espacio de la utopía y su carácter ideal y regulador, las heterotopías serían lugares reales, en los que la diferencia se manifiesta al invertir y subvertir (...) aquellos órdenes que configuran nuestros espacios cotidianos. Siendo uno de estos lugares cotidianos la ciudad, y atendiendo a las posibilidades emancipatorias y reactivas que pronto se asociaron a lo heterotópico, cabe preguntarse por el estado actual de las heterotopías urbanas: ¿son las heterotopías actuales, como registra el título de la obra, utopías liberales? León Casero y Urabayen ofrecen en el prefacio un amplio panorama al respecto. (shrink)

PPACA epitomizes comprehensive health care reform legislation. Public health, disease prevention, and wellness were integral considerations in its development. This article reveals the author's personal experiences while working on the framework for health care reform in the United States Senate and reviews activity in the United States House of Representatives. This insider's perspective delineates PPACA's positive effect on public health by examining the infrastructure Congress designed to focus on prevention, wellness, and public health, with a particular focus on the National (...) Prevention, Health Promotion and Public Health Council; the National Prevention, Health Promotion, Public Health, and Integrative Health Care Strategy; and the Prevention and Public Health Fund. The Council, strategy, and fund are especially important because they reflect compliance with some of the Institute of Medicine's recommendations to improve public health in the United States, as well as international health and human rights norms that protect the right to health. (shrink)

Este artículo describe la evolución de los recursos de acogimiento residencial en el contexto del Estado Español, comenzando por la época de la dictadura franquista hasta la actualidad. Explicamos cómo fueron financiados los recursos mediante los cuales se daba ayuda a las personas menores de edad en situación de vulnerabilidad. Asimismo, se analiza la evolución de dichos recursos hasta hoy en día. Estos recursos se han ido profesionalizando a lo largo del tiempo y, hoy en día, dan respuestas especificas a (...) diferentes necesidades de los niños, niñas, adolescentes y jóvenes del territorio histórico de Bizkaia.Recibido. (shrink)

This book is the result of the contributions by some of the greatest authors of moutaineering literature: Pat Ament, Phil Bartlett, Arlene Blum, Margaret Body, ...

Rebirth and the Stream of Life explores the diversity as well as the ethical and religious significance of rebirth beliefs, focusing especially on Hindu and Buddhist traditions but also discussing indigenous religions and ancient Greek thought. Utilizing resources from religious studies, anthropology and theology, an expanded conception of philosophy of religion is exemplified, which takes seriously lived experience rather than treating religious beliefs in isolation from their place in believers' lives. Drawing upon his expertise in interdisciplinary working and Wittgenstein-influenced approaches, (...) Mikel Burley examines several interrelated phenomena, including purported past-life memories, the relationship between metaphysics and ethics, efforts to 'demythologize' rebirth, and moral critiques of the doctrine of karma. This range of topics, with rebirth as a unifying theme, makes the book of value to anyone interested in philosophy, the study of religions, and what it means to believe that we undergo multiple lives. (shrink)

Drawing on the recognition that questions of discourse and power are vital components in analysing the public participation in environmental governance, this paper examines the ways in which dominant scientific discourses about the Earth's climate inform the types of public talk facilitated in and by mini-publics, particularly when they are 'scaled up' to address environmental issues such as climate change. World Wide Views on Global Warming (WWViews) serves as a case study. Conceived and organised by the Danish Board of Technology, (...) WWViews was a historically unprecedented public forum in which participants, invited from a range of nations, were given the opportunity to deliberate on key themes addressed in the negotiations taking place during the United Nations Convention on Climate Change in Copenhagen (COP 15). The overarching purpose of this analysis is to invite reflection on the practices and assumptions that serve to make up publics in relation to issues that have been framed, predominantly, as scientific, universal and global. (shrink)

The Dempster–Shafer approach to expressing beliefabout a parameter in a statistical model is notconsistent with the likelihood principle. Thisinconsistency has been recognized for some time, andmanifests itself as a non-commutativity, in which theorder of operations (combining belief, combininglikelihood) makes a difference. It is proposed herethat requiring the expression of belief to be committed to the model (and to certain of itssubmodels) makes likelihood inference very nearly aspecial case of the Dempster–Shafer theory.

Greatly aided by an information age in which protesting laborers in a remote offshore outpost can capture front page headlines around the globe, theSarbanes-Oxley Act of 2002 (SARBOX) has made corporate transparency the linchpin for good corporate governance. Under a SARBOX-enhancedregulatory framework, publicly traded corporations are required to rapidly disclose material changes in their financial conditions or operations—changes such as impairments to goodwill, a trademark, or some other intangible corporate asset. Especially challenging for multinational corporations (MNCs) with far-flung corporate empires (...) is the need to stay abreast of the ebb and flow of goodwill, at a time when transnational human rights groups are aggressively mobilizing world opinion against the sweatshop labor conditions that abound at the offshore production sites favored by MNCs. The author explains why the convergence of a digital age of free-flowing information and the advent of SARBOX, a legislative enactment of paraenetic design, is causing the boards of MNCs to more critically evaluate the long-term costs of their offshore operations. (shrink)

This Article critically discusses Clifford Williams’ claim that the A-theory and B-theory of time are indistinguishable. I examine three considerations adduced by Williams to support his claim that the concept of time essentially includes transition as well as extension, and argue that, despite its prima facie plausibility, the claim has not been adequately justified. Williams therefore begs the question against the B-theorist, who denies that transition is essential. By Williams’ own lights, he ought to deny that the B-theory is a (...) (realist) theory of time; and thus his claim that A-time and B-time do not differ significantly should be rejected. (shrink)

This article addresses two components of the new governing architecture that help to reform the delivery of health care and to control costs of the health care system: the Center for Medicare and Medicaid Innovation and the Independent Payment Advisory Board. The republican controlled federal government has partially disassembled these two components, threatening the effectiveness of federal delivery system reform and cost control initiatives.

On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act, a major piece of health care reform legislation. This comprehensive legislation includes provisions that focus on prevention, wellness, and public health. Some, including authors in this symposium, question whether Congress considered public health, prevention, and wellness issues as mere afterthoughts in the creation of PPACA. As this article amply demonstrates, they did not.This article documents the extent of congressional consideration on public health issues based on personal (...) experience working on the framework for health care reform — specifically, my experience as a Fellow for a member of the Health Subcommittee of the Senate Finance Committee from 2008-2009. I also include a review of congressional activity in the United States House of Representatives. Analysis of the congressional meetings and hearings reveals that Congress had a deep understanding about the critical need to reform the U.S. public health and prevention system. (shrink)

Parue en 1953, la Phénoménologie de l'expérience esthétique applique pour la première fois à l'esthétique l'appareil conceptuel de la phénoménologie. Elle élabore une analyse de l'oeuvre d'art et, plus largement, de l'objet esthétique, si divers et changeants qu'en soient les traits singuliers. Elle s'attache à décrire l'expérience esthétique vécue, ce moyen privilégié que nous avons d'éprouver notre présence au sensible. Elle célèbre cette forme heureuse du sentir, ce haut moment de la perception où se révèle, à la limite du pensable, (...) la connivence originaire de l'homme et du monde. (shrink)

Cet ouvrage est une réédition numérique d’un livre paru au XXe siècle, désormais indisponible dans son format d’origine.