Maternal morbidity and mortality are high in the Indian context, but the majority of maternal deaths could be avoided by prompt and effective access to intrapartum care (WHO, 1999). Understanding the care seeking responses to intrapartum morbidities is crucial if maternal health is to be effectively improved, and maternal mortality reduced. This paper presents the results of a prospective study of 388 women followed through delivery and traditional postpartum in rural Karnataka in southern India. In this setting, few women use (...) the existing health facilities and most deliveries occur at home. The analysis uses quantitative data, collected via questionnaires administered to women both during pregnancy and immediately after delivery. By virtue of its prospective design, the study gives a unique insight into intentions for intrapartum care during pregnancy as well as events following morbidities during labour. Routine care in the intrapartum period, both within institutions and at home, and impediments to appropriate care are also examined. The study was designed to collect information about health seeking decisions made by women and their families as pregnancies unfolded, rather than trying to capture women’s experience from a retrospective instrument. The data set is therefore a rich source of quantitative information, which incorporates details of event sequences and health service utilization not previously collected in a Safe Motherhood study. Additional qualitative information was also available from concurrent in-depth interviews with pregnant women, their families, health care providers and other key informants in the area. The level of unplanned institutional care seeking during the intrapartum period within the study area was very high, increasing from 11% planning deliveries at a facility to an eventual 35% actually delivering in hospitals. In addition there was a significant move away from planned deliveries with the auxiliary nurse midwive (ANM), to births with a lay attendant or dai. The proportion of women who planned for an ANM to assist was 49%, as compared with the actual occurrence, which was less than half of this proportion. Perceived quality of care was found to be an important factor in health seeking behaviour, as was wealth, caste, education and experience of previous problems in pregnancy. Actual care given by a range of practitioners was found to contain both beneficial and undesirable elements. As a response to serious morbidities experienced within the study period, many women were able to seek care although sometimes after a long delay. Those women who experienced inadequate progression of labour pains were most likely to proceed unexpectedly to a hospital delivery. (shrink)

Cognitive enhancement (CE) covers a broad spectrum of methods, including behavioral techniques, nootropic drugs, and neuromodulation interventions. However, research on their use in children has almost exclusively been carried out in high-income countries with limited understanding of how experts working with children view their use in low- and middle- income countries (LMICs). This study examines perceptions on cognitive enhancement, their techniques, neuroethical issues about their use from an LMICs perspective.Seven Indian experts were purposively sampled for their expertise in bioethics, child (...) development and child education. In-depth interviews were conducted using a semi-structured topic guide to examine (1) understanding of CE, (2) which approaches were viewed as cognitive enhancers, (3) attitudes toward different CE techniques and (4) neuroethical issues related to CE use within the Indian context. All interviews were audio recorded and transcribed before thematic analysis.Findings indicate Indian experts view cognitive enhancement as a holistic positive impact on overall functioning and well-being, rather than improvement in specific cognitive abilities. Exogenous agents, and neuromodulation were viewed with skepticism, whereas behavioral approaches were viewed more favorably. Neuroethical concerns included equitable access to CE, limited scientific evidence and over-reliance on technology to address societal problems. This highlights the need for more contextually relevant neuroethics research in LMICs. (shrink)

The main aim of this paper is to analyse David Lewis’ version of contextualism and his solution to the Gettier problem and the lottery problem through the employment of his Rule of Relevance and Stewart Cohen’s response to these problems. Here I analyse whether Stewart Cohen’s response to David Lewis’ solutions to these problems is on the right track or not. Hence, I try to analyse some concept in David Lewis and Stewart Cohen which has remained unanalysed. Cohen tries to (...) show that when we try to solve some variation of the lottery problem and the Gettier problem by applying Lewis’s Rule of Relevance, then it generates some counterintuitive result. So Cohen gives Lewis some alternatives (which are explained in “The Strategy of Biting the Bullet and the Problem of Interference” and “Biting the Bullet Strategy as a Natural Extension of Contextualist Resolution to the Sceptical Problem and the Pity Poor Bill Variation of the Lottery Problem” sections) to avoid this counterintuitive result; this attempt, however, affects some other presuppositions of the contextual theory of David Lewis. My aim in this paper is to show how without taking these alternatives suggested by Cohen, Lewis can apply his Rules of Relevance to solve the lottery problem and the Gettier problem without any counterintuitive result. (shrink)

Festschrift volume to K. Ramakrishna Rao, Indian psychologist, philosopher and educationist; contributed articles.

This captivating new book, a milestone in Buddhist and comparative studies, is a compilation of seventeen essays celebrating the work and thought of Nolan Pliny Jacobson. A profoundly motivated interdisciplinary thinker, Jacobson sought to discover, clarify, and synthesize points of similarity among leading thinkers of different Oriental and Western cultures. For almost half a century, he articulated his vision of an emerging world civilization, one in which all people can feel and express their creative, constructive powers for the benefit of (...) others as well as for themselves. Jacobson believed that philosophy and the works of philosophers should be understood as a vital force enriching all civilizational experience. His own philosophic perspective was rooted in the conviction that novelty is the source of all experience and the center of a creativity that lives beyond words, arguments, and rational paradigms. Throughout his career, Jacobson explored Buddhist texts and personalities, spending much time in the Orient, particularly Myanmar and Japan. He also closely studied the works of numerous Western philosophers, including Whitehead, Dewey, Peirce, James, Hartshorne, and Wieman. Jacobson believed that American philosophy and Buddhism concurred in many ways, with the potential to form a powerful basis for the development of a world civilization. The essays in this volume are organized around Jacobson’s activities, publications, and interests. Authored by an impressive selection of scholars, the essays are grouped into four sections—"Historical Context," "Central Issues," "Practical Implications," and "The Japan Emphasis." Hajime Nakamura, Charles Hartshorne, Kenneth K. Inada, Seizo Oho, and numerous others discuss freedom, creativity, and Buddhism’s self-corrective nature, setting forth their reasons for sharing Jacobson’s ideas and visions. (shrink)

The purpose of this brief essay is twofold: (1) to clarify what it is to study anything scientifically and show that consciousness cannot, in principle, be studied scientifically, and (2) to examine the aim and methods of cosmology and show that cosmology cannot, in principle, be a science. The essay can be read by ignoring any and all references to Advaita Vedānta (non-dualistic Vedānta). My reason for referring to Advaita Vedānta is simply the fact that these two truths were long (...) ago discovered and taught by Advaita Vedānta, which is at once Jñāna-Yoga (The Way of Knowledge) and mysticism, unsurpassed and unsurpassable. (shrink)

Dr. Puligandla Deals With The Essentials Of Indian Philosophy, Emphasising Its Methods, Temper And Goals While Delving Into Specificities. Major Schools Of The Philosophic Tradition (Carvaka Materialism, Jainism, Buddhism, Yoga, Vedanta Among Them) Are Thoroughly Analysed.

This book discusses the profound philosophy and practical psychology behind yoga, beyond its popular body-culture aspect. It pays particular attention to the psychological principles involved and their implications for the consummate understanding of human nature. It explores the psychological aspects of yoga theory and practice and discusses the aphorisms in Patanjali's treatise on Yoga with necessary commentary in current psychological terminology to make them intelligible to students of psychology and other interested readers. Importantly, the author draws out the implications of (...) these aphorisms for future psychological study and research. The book discusses the author's concept of yoga of nonviolence which brings in Gandhian ideas into the framework of yoga. The author's own vast experience in creating interfaces of yoga research with practice also informs the discussions in this book. This authoritative and topical book by an eminent academic like Professor Ramakr ishna Rao is of interest to scholars and students of diverse disciplines, including but not limited to psychology, philosophy and wellbeing research. (shrink)

Conversations of the author, with his disciples, devotees, and visitors.

The normative foundations of the investor centered model of corporate governance, represented in mainstream economics by the nexus-of-contracts view of the firm, have come under attack, mainly by proponents of normative stakeholder theory. We argue that the nexusof- contracts view is static and limited due to its assumption of price-output certainty. We attempt a synthesis of the nexus-of-contracts and the Knightian views, which provides novel insights into the normative adequacy of the investor-centered firm. Implications for scholarship and management practice follow (...) from our discussion. (shrink)

Software piracy is a major global concern forbusinesses that generate their revenues throughsoftware products. Moral intensity regardingsoftware piracy has been argued to be relatedto the extent of software piracy. Anunderstanding of the development of moralintensity regarding software piracy inindividuals would aid businesses in developingand implementing policies that may help themreduce software piracy. In this research westudied the similarities and differences indevelopment of moral intensity regardingsoftware piracy among university students intwo different cultures, the U.S. and Thailand. In particular, we studied the (...) influence of theimmediate community of individuals, such asother students, faculty, and other universityemployees, on the development of moralintensity regarding software piracy of the twogroups of students. Results indicate that, ingeneral, there are significant differences inmoral intensity regarding software piracybetween students from the US and Thailand, andthat gender differences also exist. Though theeffect of the immediate community on theself-perception of moral intensity regardingsoftware piracy of students was significant,there appears to be very little significantdifferences in this effect between the studentsin the two different countries studied. Thefindings have implications for teachingbusiness ethics, and for developing andimplementing policies to curb global softwarepiracy. (shrink)