This paper examines the characteristics of infectious diseases that raise special medical and social ethical issues, and explores ways of integrating both current bioethical and classical public health ethics concerns. Many of the ethical issues raised by infectious diseases are related to these diseases’ powerful ability to engender fear in individuals and panic in populations. We address the association of some infectious diseases with high morbidity and mortality rates, the sense that infectious diseases are caused by invasion or attack on (...) humans by foreign micro‐organisms, the acute onset and rapid course of many infectious diseases, and, in particular, the communicability of infectious diseases. The individual fear and community panic associated with infectious diseases often leads to rapid, emotionally driven decision making about public health policies needed to protect the community that may be in conflict with current bioethical principles regarding the care of individual patients. The discussion includes recent examples where dialogue between public health practitioners and medical‐ethicists has helped resolve ethical issues that require us to consider the infected patient as both a victim with individual needs and rights and as a potential vector of disease that is of concern to the community. (shrink)

This paper examines the characteristics of infectious diseases that raise special medical and social ethical issues, and explores ways of integrating both current bioethical and classical public health ethics concerns. Many of the ethical issues raised by infectious diseases are related to these diseases' powerful ability to engender fear in individuals and panic in populations. We address the association of some infectious diseases with high morbidity and mortality rates, the sense that infectious diseases are caused by invasion or attack on (...) humans by foreign micro-organisms, the acute onset and rapid course of many infectious diseases, and, in particular, the communicability of infectious diseases. The individual fear and community panic associated with infectious diseases often leads to rapid, emotionally driven decision making about public health policies needed to protect the community that may be in conflict with current bioethical principles regarding the care of individual patients. The discussion includes recent examples where dialogue between public health practitioners and medical-ethicists has helped resolve ethical issues that require us to consider the infected patient as both a victim with individual needs and rights and as a potential vector of disease that is of concern to the community. (shrink)

Moral leadership matters. As world politics enters a new and dangerous era, judgment, constancy, moral purpose, and a willingness to overcome partisan politicking are essential for America's leaders. Tempered Strength finds the alternative standard of leadership that Americans are seeking in the classical philosophy of prudence. Ethan Fishman's new work brings together leading American political scientists—including Ronald Beiner, Kenneth L. Deutsch, and George Anastaplo—to discuss the evolution of a standard of prudential leadership both reasonable in nature and practical in scope. (...) Section One studies the meaning of prudence and its evolution in the history of political science from Aristotelian phronesis to Xenophon, Thomas Aquinas, Edmund Burke, and Michael Oakeshott. Section Two demonstrates how the theory of prudential leadership can be applied to practical political issues. (shrink)

The individual informed consent model remains critical to the ethical conduct and regulation of research involving human beings. Parental informed consent process in a rural setting of northern Ghana was studied to describe comprehension and retention among parents as part of the evaluation of the existing informed consent process.

Background:Caring for a partner with primary malignant brain tumour can be a dramatic life-changing event. Primary malignant brain tumour is known to give poor life expectancy and severe neurological and cognitive symptoms, such as changed behaviour and personality, which demand greater caring responsibilities from spouses.Aim:The aim of the study is to explore ethical dilemmas spouses experience in the everyday care of a partner in treatment for primary malignant brain tumour.Research design, participants and research context:A phenomenological and hermeneutic qualitative descriptive design (...) was adopted as a method for collecting and analysing data. Ten spouses were interviewed twice using an in-depth, semi-structured interview guide. The interviews took place at the spouses’ homes or at the hospital.Ethical consideration:Ethical matters were considered throughout the research process. Permission from The National Committee on Health Research Ethics and the Danish Data Protection Agency was obtained.Findings:The analysis showed that the spouses perceived daily ethical dilemmas in caring for a partner with primary malignant brain tumour. Their life as well as their partner’s life had changed considerably. The main theme that emerged therefore was ‘oscillating in a changing relationship’. This theme was further elaborated in three subthemes that in more detail demonstrated the dilemmas: ‘doing the right thing in unpredictable daily situations’; ‘torn between patience and guilt’; and ‘living in a time of uncertainty, hope and despair’.Conclusion:Caring for a partner with changed behaviour and personality due to primary malignant brain tumour may involve exhausting ethical caring dilemmas. Spouses’ married life may change to a semi-professional asymmetrical relationship, which is challenged by the oscillation between acting responsibly for their partners’ well-being and caring dilemmas with no answer for what the right thing to do is. Mixed feelings of right and wrong, patience and guilt, hope and despair seem to be spousal companions through their partners’ progressing illness. (shrink)

Focuses on the enduring side of philosophical positions from the viewpoints of theology, science, literature, and social and political philosophy. Emphasizes the conflict and continuity of human values.

In this book, 12 contemporary Japanese philosophers of science are presented using a generous sampling of their works as scientists and philosophers who have investigated the foundations of natural science, the philosophy of mind and especially of perception, the logic of inference and of time, causality, and evolution.

A classic finding reported in Beck (1966a) is that observers tend to indicate a more natural texture break between a set of T’s and tilted T’s than between a set of T’s and backward L’s. This finding has played a prominent role in discussions about the properties of texture segmentation and in the development of computational theories of texture segmentation. Due to the small sample size of the original study, we replicated the original experiment with a larger sample. Regrettably, we (...) discovered that the description in Beck (1966a) is insufficient to allow us to reproduce the stimuli. For our replication, we created stimuli that seem consistent with the spirit of the original study. The results of the replication study partly matchBeck’s original data (r = .59), but conclusions indicated by these results deviate from some of Beck’s key conclusions.We also further explored the influential claim derived from a second experiment in Beck (1966a) that texture segmentation was not related to the perceived similarity of elements. Contrary to this claim, a re-analysis of Beck’s data indicates the counterintuitive conclusion that observers tend to indicate stronger texture segmentation between regions that are rated as being more similar. In a replication of the second experiment, this relation flipped so that the replication observers indicated stronger texture segmentation for regions with lower similarity ratings. Despite being influential, we conclude that there are substantial problems with the stimuli, analyses, and conclusions in Beck (1966a). (shrink)

This study provides evidence regarding the level of ethical cognition of business students at the entry to college as compared to a national norm. It also provides comparative evidence on the effects of group versus individual ethical cognition upon completion of a business ethics course. The Principled Score (P-score) from the Defining Issues Test (DIT) was used to measure the ethical cognition of a total sample of 301 business students (273 entering students plus 28 students in a business ethics course). (...) The results indicate that (1) business students are not significantly different from the national norms at entry to college and (2) group reasoning helps male students improve their P-scores significantly in the business ethics course at a loss of P-score (albeit not statistically significant) for female students. (shrink)

When the Covid‐19 pandemic reached the United States in spring 2020, many states and hospitals announced crisis standards of care plans that used age as a categorical exclusion criterion. Such age choosing was quickly flagged as discriminatory, and so some states and hospitals shifted to embedding age as a tiebreaker deeper in their plans. Different rationales were given for using age as a tiebreaker: that younger patients were more likely to survive than older patients, that saving younger patients would save (...) more life years, and that younger patients deserved a chance to live through life's stages. We provide a critical analysis of these three rationales, noting the differences between them, and then questioning the ethical and legal justifications for such age choosing. (shrink)

THE P R E F A C E, Giving fome ACCOUNT of the LIFE, WRITINGS, and CHARACTER of the AUTHOR. T"\R. FRANCIS HUTCHESON was born on the 8th of ...

Reproduction and immunity are energy intensive, intimately linked processes in most organisms. In women, pregnancy is associated with widespread immunological adaptations that alter immunity to many diseases, whereas, immune dysfunction has emerged as a major cause for infertility in both men and women. Deciphering the molecular bases of this dynamic association is inherently challenging in mammals. This relationship has been traditionally studied in fast‐living, invertebrate species, often in the context of resource allocation between life history traits. More recently, these studies (...) have advanced our understanding of the mechanistic underpinnings of the immunity‐fertility dialogue. Here, we review the molecular connections between reproduction and immunity from the perspective of human pregnancy to mechanistic discoveries in laboratory organisms. We focus particularly on recent invertebrate studies identifying conserved signaling pathways and transcription factors that regulate resource allocation and shape the balance between reproductive status and immune health. (shrink)

Recent EEG studies on the early postmortem interval that suggest the persistence of electrophysiological coherence and connectivity in the brain of animals and humans reinforce the need for further investigation of the relationship between the brain’s activity and the dying process. Neuroscience is now in a position to empirically evaluate the extended process of dying and, more specifically, to investigate the possibility of brain activity following the cessation of cardiac and respiratory function. Under the direction of the Center for Healthy (...) Minds at the University of Wisconsin-Madison, research was conducted in India on a postmortem meditative state cultivated by some Tibetan Buddhist practitioners in which decomposition is putatively delayed. For all healthy baseline and postmortem subjects presented here, we collected resting state electroencephalographic data, mismatch negativity, and auditory brainstem response. In this study, we present HB data to demonstrate the feasibility of a sparse electrode EEG configuration to capture well-defined ERP waveforms from living subjects under very challenging field conditions. While living subjects displayed well-defined MMN and ABR responses, no recognizable EEG waveforms were discernable in any of the tukdam cases. (shrink)

My Sapphire-hued Lord, My Beloved! Kulacēkara Ā̱lvār’s Perumāl Tirumo̱li. By Suganya Ananda-Kichenin. Collection Indologie, vol. 136. NETamil Series, vol. 2. Pondichéry: Ecole française d’extrême-Orient, 2018. Pp. xi + 604.

Cancer and its treatment pose challenges that affect not only patients but also their significant others, including intimate partners. Accumulating evidence suggests that couples’ ability to communicate effectively plays a major role in the psychological adjustment of both individuals and the quality of their relationship. Two key conceptual models have been proposed to account for how couple communication impacts psychological and relationship adjustment: the social-cognitive processing (SCP) model and the relationship intimacy (RI) model. These models posit different mechanisms and outcomes, (...) and thus have different implications for intervention. The purpose of this project is to test and compare the utility of these models using comprehensive and methodologically rigorous methods. Aims are: (1) to examine the overall fit of the SCP and RI models in explaining patient and partner psychological and relationship adjustment as they occur on a day-to-day basis and over the course of 1 year; (2) to examine the fit of the models for different subgroups (males vs. females, and patients vs. partners); and (3) to examine the utility of various methods of assessing communication by examining the degree to which baseline indices from different measurement strategies predict self-reported adjustment at 1-year follow up. The study employs a longitudinal, multi-method approach to examining communication processes including: standard self-report questionnaires assessing process and outcome variables collected quarterly over the course of 1 year; smartphone-based ecological momentary assessments to sample participant reports in real time; and laboratory-based couple conversations from which we derive observational measures of communicative behavior and affective expression, as well as vocal indices of emotional arousal. Participants are patients with stage II-IV breast, colon, rectal, or lung cancer and their spouses/partners, recruited from two NCI-designated comprehensive cancer centers. Results will be published in scientific journals, presented at scientific conferences, and conveyed to a larger audience through infographics and social media outlets. Findings will inform theory, measurement, and the design and implementation of efficacious interventions aimed at optimizing both patient and partner well-being. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:164 BOOK REVIEWS Thomas Buckingham and the Contingency of Futures-The Possibility of Human Freedom: A Study and Edition of Thomas Buckingham, De contingentia futurorum et arbitrii libertate. By BARTHOLOMEW R. DE LA TORRE, O.P. University of Notre Dame, The Medieval Institute Publications in Medieval Studies, Vol. XXV. Notre Dame, Indiana: University of Notre Dame Press, 1987. Pp. xii +394. In this volume, Fr. Batholomew de la Torre offers the (...) text and an extended study of Thomas Buckingham's De contingentia futurorum et arbitrii libertate, which is the first of six questions of this scholastic's Quaestiones theologicae, more properly entitled Ostensio meriti liberae actionis. The six questions are found in their entirety in two English manuscripts, namely Oxford New College 134 and Oxford Merton 143. The New CoUege (late fourteenth century) manuscript is earlier and superior to Merton (early fifteenth century), and accordingly the editor adopts it except in cases where the Merton reading makes better sense. The author, Thomas Buckingham, born in the early days of the fourteenth century, was an Oxford scholar at Merton, chancellor of Exeter, and died, very likely a victim of the Black Death, in 1348. The work edited here probably formed a part of Buckingham's exercise prescribed by University statute for those incepting as Masters of Theology. In the editor's view, this inception took place sometime between 1341 and 1346, when Thomas departed Oxford to take up duties at Exeter. There is some reason to believe that Buckingham may have been a student of Thomas Bradwardine (p. 7); irt is certain, however, that the present work "is a sustained attack on Bradwardine's notion that all future contingents come about by antecedent necessity relative to the first cause, God" (p. 103) • Bradwardine presented his view regarding how we must reconcile God's universal and immutable causality with human freedom in his magnum opus De causa Dei contra Pelagium. De la Torre describes Bradwardine's position this way: "For Bradwardine, God is the universal cause of all things, including future contingents. Future contingents are determined by divine antecedent necessity, for God's will concerning them is omnipotent and unimpedible. Such futures nevertheless remain contingent because only man as a secondary cause-and no other secondary cause-is responsible for his free choice. The theory that, once God has determined what a future shall be, He can still determine otherwise, is patently untenable BOOK REVIEWS 165 for Bradwardine because it predicates mutability of God and nullifies all inspired prophecy, including that of Christ" (p. 101). Bradwardine's exposition here outlined corresponds in its essentials with what Thomas Aquinas had taught in the previous century. The freedom or contingency in man's will act is to he understood in terms of its relationship to secondary or proximate causes. Unlike those events which are determined to come about by virtue of necessitating proximate causes, will acts in this respect remain totally undetermined. Along with this, says Aquinas, we must allow that God, because of His eternal knowledge, knows all futures-determined, as well as contingent -as present. His knowing future contingents, however, does not take away the condition of contingency, since the latter condition rests solely on their mode of occurrence as they relate to secondary or proximate causes. Thomas Buckingham finds this explanation inadequate. In order to safeguard future contingents or human freedom. Buckingham insists there must be a sense in which the ultimate cause, God, is casually contingent with respect to the human will act. Though his exposition is different in many details, Buckingham's fundamental direction is in accord with what certain predecessors, especially Scotus and Ockham, had argued regarding the problem of divine foreknowledge and future contingents. Indeed, in view of the way Buckingham cites Scotus, the editor considers it reasonable to suppose that he regarded himself a disciple of the Subtle Doctor (p. 132). There is at least one instance where Buckingham exhibits a markedly Scotistic and anti-Ockhamist analysis. This occurs in connection with the explanation as to how in one and the same instant, because of the different moments of natural priority and posteriority, the divine will can both will and not will the same thing. The... (shrink)

Some of the authors of the essays on Chinese philosophers prefer the pin yin system of romanization for Chinese names and words, while others prefer the Wade‐Giles system. Given that both systems are in wide use today, important names and words are given in both their pin yin and Wade‐Giles formulations. The author's preference is printed first, followed by the alternative romanization within brackets.