The primary objective was to review pediatric ethics consultations at a large academic health center over a nine year period, assessing demographics, ethical issues, and consultant intervention. The secondary objective was to describe the evolution of PECs at our institution. This was a retrospective review of Consultation Summary Sheets compiled for PECs at our Academic Health Center between January 2008 and April 2017. There were 165 PECs reviewed during the study period. Most consult requests came from the inpatient setting, (...) with the Pediatric and Neonatal Intensive Care Units being the highest utilizers. Consultation utilization increased over the study period. The most common patient age was less than one year. Physicians were most likely to request consultation. Patient Best Interest, Withholding/Withdrawing of Life Sustaining Therapy, and Provider Moral Distress were ethical issues most commonly identified by the consultants. Making recommendations was the most common consultant intervention. The ethics consultation process evolved over time from informal provider discussions, to a hospital infant care review committee, to a pediatric only consultation service, to a combined adult/pediatric consultation service, with variable levels of salary support for consultants. Ethics consultation requests are growing at our institution. Similarities in identified ethical issues exist between our findings and existing literature, however meaningful comparisons remains elusive secondary to variability in approaches to investigation and reporting. A combined paid/volunteer/trainee ethics consultation service model appears sustainable and real time ethics consultation is feasible using this approach. (shrink)
Chinese Religions: Publications in Western Languages, Volume 3: 1991-1995. Compiled by Laurence G. Thompson, edited by Gary Seaman. Association for Asian Studies, Ann Arbor 1998. xxi, 147 pp. ISBN 0-924394-39-1.
In this paper, we analyze the astronomical tables for 1340 by Immanuel ben Jacob Bonfils who flourished 1340–1365, based on four Hebrew manuscripts. We discuss the relation of these tables principally with those of al-Battānī, Abraham Bar Ḥiyya, and Levi ben Gerson, as well as with Bonfils’s better known tables, called Six Wings. An unusual feature of this set of tables is that there are two kinds of mean motion tables, one arranged for Julian years from 1340 to 1380, months, (...) days, hours, and minutes of an hour, and the other arranged in the Hebrew calendar for the times of conjunctions and oppositions of the Sun and the Moon only, with subtables for 19-year cycles, single years in a 19-year cycle, and months. The latter arrangement is found in Bonfils’s Six Wings for solar and lunar motions only, whereas in his Tables for 1340, this arrangement applies to all planets. Notably absent are tables for the trigonometric functions, etc., that are generally found in such sets of astronomical tables. (shrink)
Mahayana Texts Translated into Western Languages. A Bibliographical Guide compiled by Peter Pfandt on behalf of the Religionswissenschaftliches Seminar, Bonn University. E. J. Brill, Cologne 1983. xvi + 167pp. DM 27.