BackgroundDrug user networks and community-based organizations advocate for greater, meaningful involvement of people with lived experience of drug use in research, programs and services, and policy initiatives. Community-based approaches to research provide an opportunity to engage people who use drugs in all stages of the research process. Conducting community-based participatory research with people who use drugs has its own ethical challenges that are not necessarily acknowledged or supported by institutional ethics review boards. We conducted a scoping review to identify ethical (...) issues in CBPR with people who use drugs that were documented in peer-reviewed and grey literature.MethodsThe search strategy focused on three areas; community-based research, ethical issues, and drug use. Searches of five academic databases were conducted in addition to a grey literature search, hand-searching, and consultation with organizational partners and key stakeholders. Peer reviewed literature and community reports published in English between 1985 and 2013 were included, with initial screening conducted by two reviewers.ResultsThe search strategy produced a total of 874 references. Twenty-five references met the inclusion criteria and were included in our thematic analysis. Five areas were identified as important to the ethics of CBPR with people who use drugs: 1) participant compensation, 2) drug user perspectives on CBPR, 3) peer recruitment and representation in CBPR, 4) capacity building, and 5) participation and inclusion in CBPR.ConclusionsWe critically discuss implications of the emerging research in this field and provide suggestions for future research and practice. (shrink)

Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men. This exploratory study examined ethical issues identified by online outreach workers who conduct online sexual health outreach for GB2M. Semi-structured individual interviews were conducted between November 2013 and April 2014 with online providers and managers to explore the benefits, (...) challenges, and ethical implications of delivering online outreach services in Ontario, Canada. Interviews were digitally recorded and transcribed verbatim. Thematic analyses were conducted, and member-checking, analyses by multiple coders, and peer debriefing supported validity and reliability. Four themes emerged on the ethical queries of providing online sexual health outreach for GB2M: managing personal and professional boundaries with clients; disclosing personal or identifiable information to clients; maintaining client confidentiality and anonymity; and security and data storage measures of online information. Participants illustrated familiarity with potential ethical challenges, and discussed ways in which they seek to mitigate and prevent ethical conflict. Implications of this analysis for outreach workers, researchers, bioethicists, and policy-makers are to: understand ethical complexities associated with online HIV prevention and outreach for GB2M; foster dialogue to recognize and address potential ethical conflict; and identify competencies and skills to mitigate risk and promote responsive and accessible online HIV outreach. (shrink)

Let me say something, to begin with, about wanting weird stuff. Stuff like saucers of mud. The example, famously, is from Anscombe’s Intention (Anscombe Anscombe 957)) where she is, in effect, defending a version of the old scholastic maxim, Omne appetitum appetitur sub specie boni. If your Latin is rusty like mine, what that says is just that every appetite – for better congruence with modern discussions, let’s say every desire – desires under the aspect of the good, or (...) in the wording made current by Velleman, under the guise of the good (Velleman 992). To desire something is to regard it as good in some way, as having some desirability characteristic. And not just any old thing can be regarded as good in some way, as having some desirability characteristic. Obviously if this is correct, it rules against our giving desires any sort of ground-floor role in our understand-. (shrink)

In our paper, ‘Escaping hell: divine motivation and the problem of hell’, we defended a theory of hell that we called ‘escapism’. We argued that given God’s just and loving character it would be most rational for God to maintain an open door policy to those who are in hell, allowing them an unlimited number of chances to be reconciled with God and enjoy communion with God. In this paper we reply to two recent objections to our original paper. The (...) first is an argument from religious luck offered by Rusty Jones. The second is an argument from Kyle Swan that alleges that our commitments about the nature of reasons for action still leaves escapism vulnerable to an objection we labeled the ‘Job objection’ in our original paper. In this paper we argue that escapism has the resources built into it needed to withstand the objections from Jones and Swan. (shrink)

This illustrated tale introduces children to the wondrous teachings from the Muslim theologian and mystic al-Ghazali (1058–1111CE) This enchanting tale illustrates how that the human heart is like a rusty mirror which, when polished through beautiful doings, is able to reflect the real essence of all things. In addition to this story is a poem by the renowned poet, Coleman Barks. Both draw on the same account found in Ghazali's The Marvels of the Heart, Book XXI, of his magnum (...) opus,The Revival of Religious Sciences. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Operating in a Contemporary Safety NetJason D. KeuneIt is summer, and I have just started my fourth year of general surgery residency, having just returned from two years in the lab. My “lab years” were spent as a Scholar–in–Residence of the American College of Surgeons. The scholarship that I engaged in included obtaining an MBA and a Graduate Certificate in Professional Ethics. The ethics component was self–designed with help (...) from an advisor, and was made up of graduate courses in political theory, healthcare financing law and bioethics. To say that I was reflective as I returned to the clinical rotations of the fourth year of residency would be understated.During this two–year period, I did not operate. I did do some clinical work during this time, but there wasn’t anyone in town willing to hire a partially–trained surgeon to do anything operative. I ended my third year of residency very happy with my technical skills, and was not sure just how these skills would survive a two–year hiatus. The challenge, as I thought of it then, would be to return to clinical rotations with this insecurity in mind and try to gain insight into just how rusty my skills were in a short period of time, and rectify them. I was in for a surprise.I felt a chill of trepidation when I discovered that the rotation that had been selected for me to return to was one in which I would be assigned to operate on and care for a low–income population of uninsured or underinsured patients with surgical problems—with minimal attending supervision. The patients were referred from the Federally Qualified Health Centers in town. The rotation had arisen from altruistic roots. The surgical service, provided at a large, academic urban hospital, was established when the city’s last remaining public hospital closed its doors for surgical patients. The service was an upright attempt to provide surgical continuity for this population. As I started the rotation and performed my first surgeries in two years with very minimal supervision, I realized that I would be participatory in what sums to a thoroughly unjust healthcare system. I would be caught in a swirl of humanitarian justice celebrated and a focus on a justice that seemed to fall short of a mark.The indigent hospital itself managed the clinic with a full complement of staff befitting a contemporary surgical clinic, albeit with a rather rudimentary computer system. The recordkeeping mechanism in our surgical office, however, was done without administrative assistance. We occupied a small room amongst the academic surgical offices at our home institution. The chief resident sat at a large [End Page 12] desk, the intern at a smaller desk, and the medical student had a chair and a laptop. The recordkeeping mechanism tracking who needed surgery, who had had surgery, and who needed follow–up on pathology was maintained by all members of the team. It involved one labyrinthine Excel spreadsheet, with multiple tabs, and a complex color–coordinated scheme of organization. The team would scan the entire thing on a daily basis to make sure nothing would be missed.When it came time to schedule a patient for the operating room, it was my responsibility as a chief resident to get an attending to “cover the case”, which amounted to finding an attending who agreed, at the bare minimum, to be present for the “critical portion” of the case. If the case was complex or very difficult, an attending surgeon would have to be sought who would scrub in and help perform the procedure. Not every attending would cover a charity case—the reasons why were not forthcoming. One surgeon would scrub every case he was asked to cover, stating that he felt every patient should have the same chance at the best treatment. Another would come to the room, but sit along the wall and review manuscripts as we operated, there to grant reassurance, and answer questions, but not, presumably, to direct the overall decision–making. All patients with breast cancer were seen, and operated on by one very dedicated breast surgeon with a humanitarian bent.I... (shrink)

The lodestone is an extremely rare form of the mineral magnetite that occurs naturally as a permanent magnet. It therefore attracts metallic iron as well as fragments of ordinary ‘inert’ magnetite. This ‘magic’ property was known to many ancient cultures, and a powerful lodestone has always commanded a high price. By the eleventh century AD the Chinese had discovered that a freely suspended elongated lodestone would tend to set with its long axis approximately north–south, and utilized this property in the (...) magnetic compass. They also appear to have discovered that this invaluable characteristic could be handed‐on to a steel needle if the latter were contacted with, or stroked by, a lodestone.The magnetism of the lodestone was scientifically investigated by William Gilbert in the sixteenth century, when he defined its ‘poles' and the well‐known rule that ‘like poles repel, unlike attract’. He also studied ‘inclination’ and ‘variation’, and means to aid the preservation of magnetic power. How to concentrate it by ‘arming’ the lodestone with caps or pole‐pieces of soft iron was discovered in the same century. These methods have been repeated, confirmed, and improved. The lodestone occupies a vital place in the history of magnetism, but little beyond Gilbert's work can be reached by historical studies because vastly improved steel or alloy permanent magnets, and electromagnets, replaced it before quantitative measurements were developed. These techniques have therefore been applied retrospectively to both museum specimens and contemporary natural lodestones. A good source of the latter was found to be the igneous complex known as Magnet Cove, Arkansas, and this material has been used as the ‘type example’. All specimens were discrete, well‐rounded, rusty brown pebbles found near the surface. Their unweathered interiors were black titanomagnetite. No significant trace element or crystallographic differences could be found between the lodestones and the magnetically inert material that always accompanied them. The magnetic moment per unit volume of the ‘as‐found’ Magnet Cove lodestones varied between 6.5 and 11.6 emu cm−3, which compares poorly with the hundreds of units characteritzing modern permanent magnets. Hysteresis loops gave a saturation intensity of 27–51 emu cm−3, suggesting that intensity has diminished since formation. This agrees with general experience of magnets, especially in the absence of a ‘keeper’. The initial volume susceptibility of Magnet Cove magnetite was about 0.18 for low fields, and always remained <1. This means that a normal terrestrial magnetic field with a maximum vector <1 Oe is unable to induce even the low magnetic moments we see today, while a field approaching 1000 Oe is required for saturation. These parameters, and the rare occurrence of lodestones as near‐surface fragments, support suggestions that they are the product of a lightning strike upon an exposure of a suitable magnetite. Transient currents averaging 30 000 A have been measured. This would give rise to a zone of potential magnetic saturation at least 12 cm in diameter, to which some of the ejected fragments would be exposed. An attempt to determine the period elapsed since formation of the Magnet Cove lodestone was made by annealing magnetically saturated specimens at temperatures up to 500°C, and measuring J v at weekly intervals for 100 days. The decay curves visually resembled exponential functions, but mathematical tests proved that they were not strictly so. Interpretation was therefore difficult, but a pragmatic procedure involving excessive extrapolation suggested an ‘age’ of about 3500 years. (shrink)

Like a pack of cigarettes, a library’s philosophy section should have a warning label: “Something you learn here may ruin your life.” Only here can a flip through a book persuade someone to accept an idea without considering its repercussions. The bad side of philosophy that hardly anyone writes about, is that some philosophies cause people to become hobos. When I use the term ‘hobo’, I’m not referring to just any homeless person – that is, I’m not referring to a (...) handicapped person, an alcoholic, or someone else whose homeless situation is a result of his or her misfortune. Rather, by ‘hobo’, I’m specifically referring to a person who has lived by his or her philosophical convictions and is miserable as a result. No one wants his philosophy to lead him under a dark bridge somewhere, draped in a used sleeping bag, his only defense a rusty pocket knife. Rather, he wants the good life. But what is the good life? And how, you may ask, does all this tie into Epicureanism? -/- Around 300 BC, in Greece’s... (shrink)

Lieutenant Bob Kerrey, later Governor and Senator Kerrey, revealed in the spring of 2001 that he was being accused by a former military subordinate that he had ordered a massacre during the Vietnamese War. Kerrey denied most parts of the charge. If guilty, however, he would be a war criminal of roughly the same kind that a court martial found Lieutenant Rusty Calley to be. I examine the available evidence and argue that a court martial would probably find Kerrey (...) guilty and I compare him in many ways to Calley. (shrink)

Lieutenant Bob Kerrey, later Governor and Senator Kerrey, revealed in the spring of 2001 that he was being accused by a former military subordinate that he had ordered a massacre during the Vietnamese War. Kerrey denied most parts of the charge. If guilty, however, he would be a war criminal of roughly the same kind that a court martial found Lieutenant Rusty Calley to be. I examine the available evidence and argue that a court martial would probably find Kerrey (...) guilty and I compare him in many ways to Calley. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:204 Feminist Studies 46, no. 1. © 2020 by Feminist Studies, Inc. Blood on a Blackberry Darlene Taylor The road bends. In a place where a girl was snatched, no one says her name. They talk about the bloody slip, not the lost girl. The blacktop road curves there and drops. Can’t see what’s ahead so, I listen. Insects scratch their legs and wind their wings above their backs. (...) The road sounds safe. Every day I walk alone on the schoolhouse road, keeping my eyes on where I’m going, not where I’ve been. Bruises on my shoulder from carrying books and notebooks, pencils and crayons. Pebbles crunch. An engine grinds, brakes screech. I step into a cloud of pink dust and weeds. The sandy taste of road dust dries my tongue. Older boys, mean boys, cursing beer-drunk boys laugh and bluster—“Rusty Girl.” They drive fast. Their laughter fades. Feathers of a bent blue bird impale the road. Sun beats the crushed bird. Cutting through the tall, tall grass, I pick up a stick to warn. Songs and sticks have power over snakes. Bramble snaps. Wild berries squish under my feet. The ripe scent makes my belly grumble. Briar thorns prick my skin, making my fingertips bleed. Plucking handfuls, I eat. Blood on a blackberry ruins its taste. Pencils, crayons, books spill. Backwards I fall. Pages tear. Lessons brown like sugar, cinnamon, nutmeg. Blackberry stain. Thistles and nettles grate my legs and thighs. Coarse laughter, not from inside me. A boy, a laughing boy, a mean boy presses. Berry black stains my dress. A snake hisses. I run. Home. I kneel. Well water pumps, washing away sin. The sun burns through kitchen windows, warming, baking. I roll my purple-tipped fingers into my palms. Darlene Taylor 205 “Sweetchild,”grandmotherwillsay.“Smartgirl.Whatdid you learn today?” On the schoolhouse road.... (shrink)