OBJECTIVES: Life-sustaining treatment at the end of life gives rise to many ethical problems in Japan. Recent surveys of Japanese physicians suggested that they tend to treat terminally ill patients aggressively. We studied why Japanese physicians were reluctant to withhold or withdraw life-support from terminally ill patients and what affected their decisions. DESIGN AND PARTICIPANTS: A qualitative study design was employed, using a focus group interview with seven physicians, to gain an in-depth understanding of attitudes and rationales in Japan regarding (...) medical care at the end of life. RESULTS: Analysis revealed that physicians and patients' family members usually make decisions about life-sustaining treatment, while the patients' wishes are unavailable or not taken into account. Both physicians and family members tend to consider withholding or withdrawing life-sustaining treatment as abandonment or even killing. The strongest reason to start cardiopulmonary resuscitation- and to continue it until patients' family members arrive-seems to be the family members' desire to be at the bedside at the time of death. All physicians participating in our study regarded advance directives that provide information as to patients' wishes about life-sustaining treatment desirable. All expressed concern, however, that it would be difficult to forego or discontinue life-support based on a patient's advance directive, particularly when the patient's family opposed the directive. CONCLUSION: Our group interview suggested several possible barriers to death with dignity and the appropriate use of advance directives in Japan. Further qualitative and quantitative research in this regard is needed. (shrink)

Classicism in architecture and literature; Turkey; history.

Ken López-Escobar questions the timeless status of various entities—propositions, numbers, etc.—as well as my characterization of pure propositional logic as an ontological theory. In my response I argue that my characterization of propositional logic does not depend on timeless propositions, or on other abstract truth bearers, but is a characterization in terms of truth relations between any truth bearers. I also discuss his views on numbers as cultural constructs, as well as his use of quantification in propositional logic.Ken López-Escobar questiona (...) o estatuto atemporal de vários entes—pro-posições, números, etc.— assim como minha caracterização da lógica proposicional pura como teoria ontológica. Na réplica argumento que minha caracterização não depende de proposições atemporais, ou de outros portadores de verdade abstratos, mas é uma caracterização em termos de relações de verdade entre quaisquer portadores de verdade. Examino também suas considerações sobre números como construtos culturais, assim como seu uso de quantificação na lógica proposicional. (shrink)

The work is carried out in line with the Russian dialectology of the German language. Its relevance comes from the fact that it is devoted to one of the territorial forms of German, which was never before linguistically studied. The authors of the paper conducted the field work in the territory of Novosibirsk region and collected data that allow analyzing the language situation of the Germans residing there. In the proposed article, the first results of this analysis are presented, which (...) give an idea of the main social and linguistic characteristics of the native forms of the German language in Novosibirsk region. In particular, the main components of the linguistic situation of the ethnoterritorial community under consideration are identified, the communicative power of each component is described, and the dialect identification of the native forms of the German language in the surveyed region is carried out. When modeling the language situation of the Germans of Novosibirsk region, the phenomena caused by interlingual contacting are emphasized. The authors show that on the territory of Novosibirsk region there are German idioms long staying outside the main continuum of German language and representing unique language formations. These language formations show signs of West Central German, and also includes phenomena caused by language interference. The simulated language situation is characterized as unbalanced - the demographic and communicative capacities of German dialects in the region under consideration are much lower than those of languages with majority status. It is noted that the demographic and communicative capacities of the described territorial forms of German language are in the process of a rapid decline. (shrink)

I should like to treat one important question on the solution of which depends not only the improvement of production but successful solution of tasks in shaping a communist attitude toward work. Irefer to certain aspects of our planning techniques.

Few of us are free of all prejudices, however subtle and subconscious, and they may affect both patient care and teaching. Here I use reflection about a patient with HIV infection, from the points of view of two doctors caring for him and the patient himself, to explore prejudice against lifestyles that are considered “dangerous”. The paper then goes on to discuss research about physicians' attitudes to such cases, the teaching of ethics in a clinical environment and the need to (...) support junior medical staff. (shrink)

This paper shows how turns in theology in early Modernity and in the last century framed the context of distinct philosophical understandings of the self. Focusing on the concept of “pure nature,” the foreshadowing of philosophical themes in theology is shown. It is further argued that while the modern self emerging from certain early Modern theological discourses from Suárez, through Descartes to Kant was deeply implicated in Stoic apatheia, the self which arises from a phenomenological rethinking of the place of (...) love and beauty in the worldliness of being and appearance is one which is fundamentally passionate. At play here is a shift in the notion of will from that of sovereign indifference to desire. (shrink)

We spent a wonderful morning in the van Gogh gallery in Amsterdam. Of course we knew all the paintings, we had seen them all in reproduction, and the building was more like a bank vault than a setting for art. But what art! At first sight how small and uniform the paintings were in reality: yet every blade of grass, every flower in a field, every olive tree, every vibration in the sky, every patch of colour, every brush stroke, testified (...) to life and to a life vibrating beneath the surface form. In a true sense, an artist inspired, an artist breaking convention, artistic and social, but nevertheless an artist transforming life with a vision of the enhancement of life, a vision inviting each one of us to look again at the natural forms around us, to feel the spirit or the gods dwelling in them, a vision of enchantment and of humanity in a disenchanted world. Art—painting—can, then, be a source of spiritual nourishment as Kant and Schiller and Ruskin in their different ways thought it should be. (shrink)

The importance of the specifi relationship between the US and the EU is determined by the role they play in solving international problems. The purpose of the article is to study the impact of common and distinctive position in US and EU foreign policy on the development of their relations and ability to effectively solve the world’s problems. At the beginning of the XXI century relations between the US and the EU have been developing in various spheres of foreign policy. (...) The priorities were security cooperation, the fiht against international terrorism and the development of economic relations. US and EU are mutually benefiial and priority partners for each other. This is determined in the foreign policy instruments of the United States and the European Union. However, this does not preclude the existence in the United States and the European Union different approaches to solving international problems and competition between them. The biggest differences between the US and the EU are shown in approaches to the settlement of military conflcts, the fiht against global warming and the greenhouse effect. The largest component of competitive relations is manifested in the development of the Arctic region. The US seeks to engage the EU foreign policy implementation taking into account American interests. However, at the beginning of the XXI century the EU had its own foreign policy program. The EU has an unhappy tendency towards US methods of solving world problems and unilateral actions in the international arena. The bipolar system was dominated by bilateral cooperation between the US and individual states of the European Union, but during the presidency of Barack Obama, the United States prefer relations with European politicians who represent the agreed position of 28 EU member states. The US in implementing its foreign policy should take into account the position of individual states and the European Union as a whole entity. This affects the process of solving international problems. Despite the existence of contradictions in the relations of the United States and the European Union, cooperation will continue to contribute to this long-term relationship, similarities in approaches to building political and economic systems and similarities in mentality. (shrink)

Creativity of Ivan Vyshensky is one of the outstanding ideological and artistic phenomena of the end of XVI - beginning of XVII century. Closely linked to the events of the time, she witnessed the arrival in the Ukrainian spiritual culture of the artist, who put all her talent in defense of Ukrainian Orthodoxy. Although, to be more specific, Ivan Vyshensky's person would be more right to recognize the apologist of the foundations of ancient Ukrainian Orthodoxy, whose spokesmen strongly opposed the (...) measures connected with the preparation, proclamation and implementation of the Orthodox-Catholic Union in the territory of the Commonwealth. The problem, it is known, turned out to be so significant and complex that it divided the Ukrainian ethnic group at the time of its active national self-awareness into two denominationally opposing camps. In such circumstances, the "Russian faith" and the Orthodox Church as a whole became the subject of special affection, the most touching place, its national banner and slogan, "or, as A. Richinsky noted, signs of nationality. It is understandable that dignitaries, including church and religious ones, also had denominators of Orthodox Catholic unification. Therefore, the attempt to objectify the view of the need for church-religious union within the framework of the Commonwealth, as well as to improve the understanding of those initial principles, which were guided by Ivan Vyshensky, requires an expansion and deepening of thematic expositions. In this sense, the task of the proposed article we would like to reduce to a brief analysis of the polemical works of anti-union content of the late XVI - early XVII centuries, that is, the time when Ivan Vyshensky lived and created, and which in one way or another will help them to comprehend their congruence or contradiction artist's credo. (shrink)

VorbemerkungDer Beantwortung liegt eine allgemeine Stellungnahrae zum Unterricht an der Mittelschule, insbesondere im Hinblick auf die Mathematik bei. Die in Klammern [] gesetzten Ziffern verweisen auf die Punkte 1 bis 6 dieser Stellungnahme.

Purpose. The research is aimed at finding out the grounds, forms and essence of the correlation between the projects of information philosophy and transhumanism from the point of view of the problematics of philosophical anthropology. Attention is focused on the status of the knowing subject and the transformations of the forms of its activity within the specified correlation. Theoretical basis. Insufficient thinking on the issue of the functioning of traditional cognitive models, in particular Kant’s transcendental questioning, which formed the basis (...) of modern rationality and classical science, in the new sociocultural reality led the authors to problematize the forms and essence of interaction and operating with knowledge and communication in the information sphere of human existence and communication. A comparative consideration of the worldviews in the information philosophy and transhumanism projects, made on the basis of a study of current scientific literature, provided an opportunity to assume the probability of implicit elimination of the problems of philosophical anthropology from the horizon of meanings of modern science through the blurring of essentially anthropological analytics. Originality. The article proves the ambivalent nature of the correlation between the projects of philosophy and transhumanism information that are externally close on the subject and problematics, and for the first time in the domestic literature, they have been compared. The content of the powerful potential of information philosophy for the development of philosophical anthropology approaches to the phenomena of the human world determined by the technological nature of civilization and the powerful sociocultural issues of modernity have been clarified. The threats of the dehumanization of the problem field in the modern science and spheres of applied digital technologies associated with transhumanism, interpreted as an ideology, are underlined. Conclusions. The analysis of theoretical positions relevant for the philosophy of information and transhumanism resulted in a number of conclusions, central among which is the statement of the "blurring" situation, the hidden elimination in the content of problematics of philosophical anthropology and its humanistic pathos within the limits of modern forms of correlation and existence in the scientific discourse of the philosophemes and ideologemes in the information philosophy and transhumanism. Epistemological phenomena of "cognitive closure" and a man as a "blind spot" in the thinking on the science and technology development, primarily communication, indicate the relevance of a full comprehensive consideration of the problems of philosophical anthropology in projects of the information philosophy and transhumanism. (shrink)

Conn O'Donovan looks back on McShane's early years and influences.