French healthcare networks aim to help healthcare workers to take care of patients by improving cooperation, coordination and the continuity of care. When applied to palliative care in the home, they facilitate overall care including medical, social and psychological aspects. French legislation in 2002 required that an information document explaining the functioning of the network should be given to patients when they enter a healthcare network. The law requires that this document be signed. Ethical issues arise from this legislation with (...) regard to the validity of the signature of dying patients. Signature of the consent form by a guardian or trustee, a designated person—the Person of Trust—transforms the doctor–patient relationship into a triangular doctor–patient–third-party relationship. (shrink)

Purpose The search for cause of death is important to improve knowledge and provide answers for the relatives of the deceased. Medical autopsy following unexplained death in hospital is one way to identify cause of death but is difficult to carry out routinely. Post mortem sampling (PMS) of tissues via thin biopsy needle or ‘mini incisions’ in the skin may be a useful alternative. A study was undertaken to assess how this approach is perceived by intensive care doctors and also (...) to evaluate how this practice is considered in ethical terms in France. Methods A study of PMS practices immediately after death in 10 intensive care departments was performed. The medical director of each centre was interviewed by telephone and asked to describe practices in their unit and to outline the questions raised by this practice. Results PMS is routinely performed in 70% of the units which responded, without systematically obtaining formal consent and without precise rules for communicating results. Approaches to PMS differed between centres, but all physicians felt that PMS is useful for the scientific information it gives and also for the information it provides for relatives. All physicians regret the lack of standards to structure PMS practices. Conclusion Information from post mortem examinations is important for society to inform about causes of death, for doctors to improve practices and for decision-makers responsible for organising care. Debate persists regarding the balance between individual rights and community interests. It is suggested that an approach for identifying cause of death could easily be integrated into the relationship between carers and relatives, provided full transparency is maintained. (shrink)

Context In France, a new payment for performance (P4P) scheme for primary care physicians was introduced in 2009 through the ‘Contract for Improving Individual Practice’ programme. Its objective was to reduce healthcare expenditures while enhancing improvement in guidelines' observance. Nevertheless, in all countries where the scheme was implemented, it raised several concerns in the domain of professional ethics. Objective To draw out in France the ethical tensions arising in the general practitioner's (GP) profession linked to the introduction of P4P. Method (...) Qualitative research using two focus groups: first one with a sample of GPs who joined P4P and second one with those who did not. All collective interviews were recorded and fully transcribed. An inductive analysis of thematic content with construction of categories was conducted. All the data were triangulated. Results All participants agreed that conflicts of interest were a real issue, leading to the resurgence of doctor's dirigisme, which could be detrimental for patient's autonomy. GPs who did not join P4P believed that the scheme would lead to patient's selection while those who joined P4P did not. The level of the maximal bonus of the P4P was considered low by all GPs. This was considered as an offense by non-participating GPs, whereas for participating ones, this low level minimised the risk of patient's selection. Conclusion This work identified several areas of ethical tension, some being different from those previously described in other countries. The authors discuss the potential impact of institutional contexts and variability of implementation processes on shaping these differences. (shrink)

Inmunhak iran muŏt in'ga (T'onghap ŭi inmunhak, 2009) -- Tungji ŭi ch'ŏrhak (2010) -- Chonjae wa p'yohyŏn (2010) -- Mallarŭme ka mal hanŭn 'idea' ŭi kaenyŏm (Sorŭbon Taehakkyo paksa nonmun) -- P'ol Palleri e issŏsŏ chisŏng kwa hyŏnsil kwaŭi pyŏnjŭngpŏp ŭrosŏŭi si (Sŏul Taehakkyo sŏksa nonmun).

Ch'ŏrhak iran muŏt in'ga (1976) -- Hyŏnsanghak kwa punsŏk ch'ŏrhak (1977) -- Inyŏm kwa chilli, kŭrigo todŏk.

By focusing on the works and intellectual network of the Timurid historian Sharaf al Dīn ʻAlī Yazdī (d.1454), this book presents a holistic view of intellectual life in fifteenth century Iran. İlker Evrim Binbaş argues that the intellectuals in this period formed informal networks which transcended political and linguistic boundaries, and spanned an area from the western fringes of the Ottoman State to bustling late medieval metropolises such as Cairo, Shiraz, and Samarkand. The network included an Ottoman revolutionary, a Mamluk (...) prophet, and a Timurid occultist, as well as physicians, astronomers, devotees of the secret sciences, and those political figures who believed that the network was a force to be taken seriously. Also discussing the formation of an early modern Islamicate republic of letters, this book offers fresh insights on the study of intellectual history beyond the limitations imposed by nationalist methodologies, established genres, and recognized literary traditions. (shrink)

This book offers a critical survey of the origins of liberalism. It challenges the widely-held belief among philosophers that liberalism developed in opposition to religion. Beginning with the Protestant Reformation, it illustrates how Christian thinkers reinterpreted Christianity and used a set of biblical presuppositions from their reinterpretations to develop the first liberal ideas, starting a process that culminates in the birth of the first systematic liberal political philosophy in the writings of a Christian philosopher, John Locke. -/- Foreworded by Michael (...) A. Gillespie, the author of The Theological Origins of Modernity, this book explains how the Protestant Reformation, covenant theology, anti-trinitarianism, and medieval Christian natural law theories formed the foundations of liberalism. Thus, the main argument of this book is that liberalism is better understood as a socio-political project of theistic rationalism, a radical reinterpretation of Christianity that emerged in the post-Reformation and early modern period. (shrink)

Intended for high school and college students studying ancient Greece and Rome as part of a larger world history curriculum, this book's coverage of key wars and battles; important leaders, armies, organizations, and weapons; and other aspects of conflict will enable readers to better understand the complex role warfare played in ancient Western civilization.

On the life of Nund-Rishi, Nund-Rishi, Muslim saint from Jammu and Kashmir and Kashmiri poet.

vyp. 1. Obshchestvennyi︠a︡ nauki i teoreticheskai︠a︡ filosofīi︠a︡.