OBJECTIVE: Following two randomized controlled trials that demonstrated reduced mortality and better neurological outcome in cardiac arrest patients, mild therapeutic hypothermia was implemented in many intensive care units. Up to now, no large observational studies have confirmed the beneficial effects of mild therapeutic hypothermia. DESIGN: Internet-based survey combined with a retrospective, observational study. PATIENTS: All patients admitted to an intensive care unit in The Netherlands after cardiac arrest from January 1, 1999 until January 1, 2009. DATA SOURCE: Dutch (...) National Intensive Care Evaluation database. METHODS: The moment of implementation of mild therapeutic hypothermia for each hospital participating in the Dutch National Intensive Care Evaluation database was determined with an Internet survey. To compare mortality before and after implementation of mild therapeutic hypothermia, the odds ratio adjusted for Simplified Acute Physiology Score II score, age, gender, propensity score, and in- or out-of-hospital cardiac arrest was calculated. Patients were excluded if 1) they were admitted to an intensive care unit that did not respond to the survey, 2) they were admitted within 3 months after implementation of mild therapeutic hypothermia, 3) they had a Glasgow Coma Scale score of >8, or 4) they did not satisfy the Simplified Acute Physiology Score II inclusion criteria. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A total of 13,962 patients were admitted to an intensive care unit following cardiac arrest. In total 8,645 patients were excluded, 5,544 because of a Glasgow Coma Scale score of >8. Of the resultant 5,317 patients, 1,547 patients were treated before and 3,770 patients after implementation of mild therapeutic hypothermia. Patients admitted after implementation of mild therapeutic hypothermia had lower minimal and maximal temperatures (p < .0001) during the first 24 hrs on the intensive care unit compared to patients admitted before implementation of mild therapeutic hypothermia. The adjusted odds ratio of the hospital mortality of patients treated after implementation of mild therapeutic hypothermia was 0.80 (95% confidence interval of 0.65-0.98, p = .029). CONCLUSION: The results of this retrospective, observational survey suggest that implementation of mild therapeutic hypothermia in Dutch intensive care units is associated with a 20% relative reduction of hospital mortality in cardiac arrest patients. (shrink)

Current thinking and research on consciousness and the brain.

The study contains the review, analysis, assessment of the current state and prospects for further scientific study of the materials of the Russian state archives, including the personal funds of philosophers and philosophical institutions of Russia in the 19th-20th centuries, which are of the greatest relevance to historians of Russian philosophy. In this regard, on the one hand, the study considers the largest research and scientific-publishing historical and philosophical projects, testifying to the already achieved results of the scientific development of (...) vast arrays of archival documents; on the other hand, a number of collections of Russian state archives (federal, regional, municipal, departmental) have been monitored in order to identify archival collections that were little or insufficiently studied from this point of view. The results of the collective research presented in the article can be considered as the beginning of a large systematic work on the analytical mapping of the content of Russian archival collections relevant to the problems of the history of Russian philosophy. The study shows the importance and productivity of conducting parallel research work both with the personal funds of Russian philosophers of the 19th-20th centuries, and with funds containing documentation of philosophical institutions (magazine editorial offices, faculties, departments, research institutes, publishing houses of philosophical literature, professional and thematic associations of philosophers). In this regard, the question was raised about the need to develop historical and philosophical archiving and source studies in Russia, to include this set of subjects into the system of training historians of philosophy, and also about the need to coordinate the joint efforts of historians of Russian philosophy towards the formation of an archive of Russian philosophy as a significant and publicly available mapped resource. The results obtained in the course of the study should contribute to the emergence of the history of Russian philosophy as a dynamically developing branch of Russian science to a qualitatively new source study and methodological level, necessary for solving the large-scale research tasks, related, in particular, to the scientific preparation of academic collections of works by Russian philosophers and the development of modern fundamental history of Russian philosophy. (shrink)

The paper aims to analyze the early ecumenical views of Amfilohije Radović with reference to the influence exerted on him by his spiritual father Justin Popović. This investigation is important because Radović’s ecumenical engagement is often a matter of controversy, which results in conflicting views. Sources for studying Radović’s early ecumenical views are: his correspondence with Justin Popović on ecumenism, his engagement in editing and publishing Popović’s book _Orthodox Church and Ecumenism_, and finally, his article written as a report from (...) an inter-Orthodox conference held in September 1972 in Thessalonica. In addition to Radović’s similarity with Popović's views, the paper also aims to show their differences, i.e. their different interpretations of the same phenomena. (shrink)

Primary titles in the area of Jaina philosophy are identified, focusing on English-language materials published in the twentieth century. Included is a brief survey of individual books and book series, with more extensive commentary on two important books published within the past five years: Nathmal Tatia's translation of Umāsvāti's "Tattvārthasūtra" (That Which Is) and Nagin J. Shah's translation of Nyāyavijayaji's "Jaina Darsana" (Jaina philosophy and religion).

In Sources of the Self, Charles Taylor proposes that modernity is much richer in moral resources than what its critics allow, though "this richness is rendered invisible by the impoverished philosophical language of its most zealous defenders." Modernity, he insists, must be regarded as an "epistemic gain," even if it is true that its philosophy has proved to be persistently inarticulate, wrongheaded, and, on the whole, has betrayed the distinctive contributions of modernity. His stringent criticism of what he variously calls (...) the "disengaged," "procedural," and "punctual" self of classical modern theorists is not altogether different from the analyses familiar to readers of communitarians like Michael Sandel. Sources of the Self is a revisionist history that refits the career of the modern "self" to the problems favored by communitarians: the failure of all efforts to subordinate the good to the right; the shallowness of procedural rather than substantive accounts of the self; the need for what Clifford Geertz has called "thick descriptions" of agency; the need to attend to the narratival and socially contextual features of action rather than to quasi-scientific accounts; and finally what has become a recurrent theme among nearly all the critics of Enlightenment moral philosophy: that the agent's vision and allegiance to the good holds a higher place in morality than do action-guiding prescriptions about conduct. (shrink)

Sources of Evil: Studies in Mesopotamian Exorcistic Lore. Edited by Greta van Buylaere, Mikko Luukko, Daniel Schwemer, and Avigail Mertens-Wagschal. Ancient Magic and Divination, vol. 15. Leiden: Brill, 2018. Pp. xiii + 382. $132.

Hindu ethical studies, as a discipline distinct from religious and philosophical studies and as a field of descriptive ethics within comparative ethical studies, is a relatively recent venture. Scholars have focused upon classical Sanskritic texts for the basis of their studies, ignoring, for the most part, the rich source of commentaries on Hindu scriptures that form what Smith has called "the cumulative tradition." Furthermore, the most urgent need in the field of Hindu ethical studies (...) is to establish definitional and methodological clarity. Putting aside problems of method for later consideration, this paper explores the richness and variety of sources for the study of Hindu ethics and emphasizes the importance of integrating the study of theoretical ethics with the "lived" moralities that continue to dominate Indian society. (shrink)

Bioethics is gradually becoming an important part of the drive to increase quality healthcare delivery in sub‐Saharan African countries. Yet many healthcare service‐users in Africa are familiar with incidences of questionable health policies and poor healthcare delivery, leading to severe consequences for patients. We argue that the overarching rights‐based ethical administrative framework recently employed by healthcare authorities contributes to the poor uptake and enforcement of current normative tools. Taking Ghana as a case study, we focus on the cultural ethical context (...) and we tease out the concepts of the good and the ethical among the Akan and Bulsa ethnic groups. We point out three tenets towards building a normative framework that can resonate with service‐users and practitioners: ontological communitarianism; empathic humanism; and virtuous character. Finally, we indicate how these core tenets can be dovetailed into building an effective normative framework and into the training of healthcare providers. (shrink)

A gap exists between the philosophers of history and the practitioners. Both groups proudly encourage their splendid isolation from the other. The philosophers tend to consider the practitioners incompetent to philosophize about historical study; the practitioners tend to think that the philosophers engage only in “flimflam.” Insofar as one can judge from the practitioners’ attempts to formulate theories of historical study and the philosophers’ attempts to explain historical practice, each group is right about the other. As a result, the practitioners (...) of history rarely ponder theoretical issues because they tend to feel that there are more worthwhile pursuits, such as studying the past. The philosophers rarely examine how historical study is actually done because they tend to feel that the practice is not important for their exquisitely designed theoretical models. (shrink)

This paper examines the concept and treatment of divorce in ancient Judea as a historical reality rather than a theological issue, focusing particularly on the idea of the wife as the active party in the divorce. Did women in Judea have the right to initiate divorce? It seems the answer might have been yes. The implications of several key documentary sources, including various marriage and legal contracts relating to divorce are discussed. The paper concludes with a brief look at several (...) scriptural precedents for divorce. Both the historical merit and historiographical problems with these ancient sources are addressed. (shrink)

In making analogical arguments about actions, is more similarity between the source and target cases always better? No: all things considered, more similarity is not always better, even if the similarities are all relevant. The reason is that the context of the argument, including emotional considerations, modulates the selection of the source case to service the goals of the argument. If the goals of the argument include persuasion and even modifying someone’s emotional state, increasing the overall similarity between (...) the source and target may be counterproductive. (shrink)

Higher levels of trust in credible sources of information in times of crisis such as the current COVID-19 pandemic increase public compliance with official recommendations, minimizing health risks and helping authorities manage the crisis. Based on a national survey, this article explores actual levels of trust in various sources of information during the pandemic and a number of predictors of such trust. Results show that during the period studied government websites were the most trusted source of information. Trust in (...) an information source is correlated with consumption of COVID-19–related news from that specific source, media fact-checking, and self-perception about the incidence of COVID-19–related fake news. Only income and age are significant trust predictors, and only with respect to specific source types. (shrink)

Discusses contemporary notions of the self, and examines their origins, development, and effects.

Reconstruction of a Source of Ibn Isḥāq’s Life of the Prophet and Early Qurʾān Exegesis: A Study of Early Ibn ʿAbbās Traditions. By Harald Motzki. Islamic History and Thought, vol. 3. Piscataway, NJ: Gorgias Press, 2017. Pp. v + 144. $58.

John Cottingham In the anglophone philosophical world, there has, for some time, been a curious relationship between the history of philosophy and contemporary philosophical - quiry. Many philosophers working today virtually ignore the history of their s- ject, apparently regarding it as an antiquarian pursuit with little relevance to their “cutting-edge” research. Conversely, there are historians of philosophy who seldom if ever concern themselves with the intricate technical debates that ll the journals devoted to modern analytic philosophy. Both sides are (...) surely the poorer for this strange bifurcation. For philosophy, like all parts of our intellectual culture, did not come into existence out of nowhere, but was shaped and nurtured by a long tradition; in uncovering the roots of that tradition we begin see current philoso- ical problems in a broader context and thereby enrich our understanding of their signi cance. This is surely part of the justi cation for the practice, in almost every university, of including elements from the history of philosophy as a basic part of the undergraduate curriculum. But understanding is enriched by looking forwards as well as backwards, which is why a good historian of philosophy will not just be c- cerned with uncovering ancient ideas, but will be constantly alert to how those ideas pre gure and anticipate later developments. (shrink)

Marsilio Ficino (1433-1499) was one of the luminaries of the Florentine Renaissance and the scholar responsible for the revival of Platonism. The translator and interpreter of the works of both Plato and Plotinus as well as of various Hermetic and Neoplatonic texts, Ficino was also a musician, priest, magus and psychotherapist, an original philosopher and the author of a vast and important correspondence with the intellectual figures of his day including Lorenzo the Magnificent. Professor Allen has become the foremost interpreter (...) of Ficino's metaphysics and mythology, and the ancient sources they draw upon; and this collection of essays assembles his work on Ficino's complex interrogation of Platonic 'theology' as not only a preparation for Christianity but as an enduring medium for intellectuals to explore and to express Christian truths. (shrink)

Business Ethics: A European Review, EarlyView.

The need for the spiritual revival of the Ukrainian nation does not lose its relevance due to the complex and painful process of becoming an independent Ukraine. For centuries, spiritual filling of personality has been under the influence of religious factors, as religion and the church have occupied a significant place and left their informative footprint in many areas of human existence. They determined the directions of spiritual development of society, affirmed social values ​​and priorities, influenced the socio-political, economic and (...) cultural relations. Joining the discussion of the participation of church institutions in the secular education system, it should be noted that the spiritual health of the nation today is formed not only under the influence of denominational factors. (shrink)