In this short article, we articulate a position that organ recovery from uncontrolled DCD — primarily patients who have suffered a cardiac arrest — is unlikely to result in a significant number of organs, and this small gain must be balanced against significant risk of unduly influencing resuscitation provider decision-making, and jeopardizing public trust in the propriety of organ donation and transplantation.

THE importance of understanding Aquinas’ metaphysical method before attempting a reconstruction of his metaphysical thought is evident. Unfortunately, however, his only clear statement of that method is found in his Commentary on the Metaphysics, a work whose nature has never been definitively established. Hence, prior to any discussion of the method employed in Thomist metaphysics, a few words are needed on the intentions which led Aquinas to compose his Commentary, and on the goal he wished to reach through that exposition.

“I think there’s a big strong belief in [...] the community … and maybe it’s in the world at large that somehow the doctors are more concerned about harvesting the organs than what’s best for the patient.”1 In the past 45 years, organ and tissue recovery and transplantation have moved from the occasional and experimental to a standard of care for end-stage organ failure; receiving an organ transplant is for many the only opportunity for increased quantity and/or quality of life. (...) The increasing prevalence of diseases such as viral hepatitis, diabetes, and hypertension has significantly increased the incidence of end-organ failure. Additionally, surgical advances have permitted less stringent qualification criteria, so that people of advanced age or patients who may be in a physiologically fragile state are now eligible to be organ recipients. These changes have created a significant demand for organs. (shrink)

The essay’s point of departure is O’Callaghan’s insistence that verbum mentis is for Aquinas not a philosophical doctrine, but “a properly theological topic.” The principal evidence for this interpretation consists in the functioning of verbum mentis in certain theological passages as well as its absence in others characterized as philosophical. The essay proceeds by situating Aquinas’s doctrine of verbum mentis within the tradition from which the expression is drawn and by examining the nature of the Summa theologiae. Consequently, Aquinas is (...) seen to espouse a philosophical doctrine of verbum mentis whose presence or absence in a particular passage is a function of both the passage’s goal and the nature of the audience for whom the passage was originally intended. (shrink)

Is Aquinas's Sententia libri Ethicorum an interpretation of Aristotle based on `principles of Christian ethics'? Or do we have in that work a presentation of the foundation of Aquinas's moral philosophy? Professor Doig answers these questions through an examination of the historical context within which the Sententia was composed. In Chapters 1-2, the work's role as a corrective of earlier commentaries is established. Chapter 3, by examining philosophy at Paris between 1215 and 1283, reveals that the proposal by Aquinas (...) of a moral philosophy would have been unexceptional. Chapter 4's investigation of the principles underlying the moral theory of the Sententia makes apparent that they were regarded by Aquinas as both philosophical and Aristotelian. The date to be assigned the composition of the Sententia is studied in Chapter 5, and the conclusion is drawn, that with some probability, the Sententia is its author's final proposal of moral doctrines. The closing Chapter offers a summary of that moral philosophy against the historical background brought out earlier. (shrink)

Thomas Aquinas' Commentary on the Metaphysics has long been con sidered by many as one of the most interesting, most rewarding of all his works. Yet strangely enough, there has been no extensive study of this work, at least none that has ever reached print. It is in the hope of partially filling this gap in medieval research that the present study of the metaphysical system of the Commentary was conceived. However, the discussion of the Commentary's metaphysics must simultaneously be (...) an investigation into the reasons which motivated Aquinas in the composition of his work. Did he wish to expose only the theories of Aristotle, or did he simultaneously intend to present his own metaphysical views? Obviously, we must learn the answer to this before we can proceed to disentangle the metaphysical system, or systems, operative in Aquinas' Commentary. Up to the present day this problem, the nature of Aquinas' exposition has not been answered in a manner acceptable to all. Generally speak ing, three theories have been advanced. A first one would see the 1 Commentary as an objective exposition of Aristotle. A second opinion views Aquinas' exposition as an attempt to express his own personal 2 theories on metaphysics. And finally, the third view divides within the Commentary paragraphs containing Aquinas' personal thought ... (shrink)

Philosophers have taken several approaches in attempting to silence this question once and for all. Some have started from the reality of ideas and attempted to trace them back to some basic sense datum which would contain its own justification. Others have sought to discover the basic components of the content of thought, contents basic in the sense of not needing epistemological underpinning. Yet neither approach has met with success or acceptance. Recently, a more promising suggestion has been advanced in (...) Professor A. Danto’s Analytical Philosophy of Knowledge. The proposal is made that we examine the representative content of thought while insisting on the lack of any logical connection between content and truth. On this basis, we would reject all hope of discovering any privileged content of thought, any sense datum intrinsically privileged in virtue of its basic character. If there be no logical connection between content and truth, then all thought and all sense data may be either true or false. Once we set out to answer the epistemological problem against such a background, the problem is displaced. If no content of thought is intrinsically true, the problem becomes one of discovering what "true" means in "true thought." I propose to examine this new approach to see whether it can indeed silence the ghost of Descartes. (shrink)

A study of the major philosophical theories of knowledge from Plato to Husserl intending to show the pivotal role of Descartes and the influence of his unjustified assumption of mental reality for ideas. On the basis of this study, the book suggests the need to return to the pre-Cartesian cognitive realism of the Greeks and Medievals.

A study of the major philosophical theories of knowledge from Plato to Husserl intending to show the pivotal role of Descartes and the influence of his unjustified assumption of mental reality for ideas. On the basis of this study, the book suggests the need to return to the pre-Cartesian cognitive realism of the Greeks and Medievals.

Background: Compassion fatigue is recognized as impacting the health and effectiveness of healthcare providers, and consequently, patient care. Compassion fatigue is distinct from “burnout.” Reliable measurement tools, such as the Professional Quality of Life scale, have been developed to measure the prevalence, and predict risk of compassion fatigue. This study reviews the prevalence of compassion fatigue among healthcare practitioners, and relationships to demographic variables. Methods: A systematic review was conducted using key words in MEDLINE, PubMed, and Ovid databases. Data were (...) extracted from a total of 71 articles meeting inclusion criteria, from studies measuring compassion fatigue in healthcare providers using a validated instrument. Quantitative and qualitative data were extracted and compiled by three independent reviewers into an evidence table that included basic study characteristics, study strength and quality determination, measurements of compassion fatigue, and general findings. Meta-analysis, where data allowed, was stratified by Professional Quality of Life version, heterogeneity was quantified, and pooled means were reported with 95% confidence interval. A table of major study characteristics and results was created. Ethical consideration: This paper contains no primary data obtained directly from research participants. Data obtained from previously published resources have been acknowledged within references. Psychological distress, particularly compassion fatigue, can be insidious, no health profession is immune, and may significantly impact the ability to provide care. Results: A total of 71 studies were included. Compassion fatigue was reported across all practitioner groups studied. Relationships to most demographic variables such as years of experience and specialty were either not statistically significant or unclear. Variability in reporting of Professional Quality of Life results was found. Interpretation: Compassion fatigue exists across diverse practitioner groups. Prevalence is highly variable, and its relationship with demographic, personal, and/or professional variables is inconsistent. Questions are raised about how to mitigate compassion fatigue. (shrink)

Frank Anechiarico and James B. Jacobs, The Pursuit of Absolute Integrity: How Corruption Control Makes Government Ineffective Chicago: University of Chicago Press, 1996, 274 pp.

Structural realism is considered by many realists and antirealists alike as the most defensible form of scientific realism. There are now many forms of structural realism and an extensive literature about them. There are interesting connections with debates in metaphysics, philosophy of physics and philosophy of mathematics. This entry is intended to be a comprehensive survey of the field.

Moral philosophy is the study of what morality is and what it requires of us. As Socrates said, it's about "how we ought to live"-and why. It would be helpful if we could begin with a simple, uncontroversial definition of what morality is. Unfortunately, we cannot. There are many rival theories, each expounding a different conception of what it means to live morally, and any definition that goes beyond Socrates's simple formula-tion is bound to offend at least one of them. (...) This should make us cautious, but it need not paralyze us. In this chapter, I will describe the "minimum conception" of morality. (shrink)

"The lectures that follow were delivered at the Lowell Institute in Boston in November and December, 1906, and in January, 1907, at Columbia University, in New York."-Preface, pg. 3.

For this 1897 publication, the American philosopher William James brought together ten essays, some of which were originally talks given to Ivy League societies. Accessible to a broader audience, these non-technical essays illustrate the author's pragmatic approach to belief and morality, arguing for faith and action in spite of uncertainty. James thought his audiences suffered 'paralysis of their native capacity for faith' while awaiting scientific grounds for belief. His response consisted in an attitude of 'radical empiricism', which deals (...) practically rather than ideologically with real-world phenomena. When facing a 'momentous' decision about belief, he says, we both can and must choose the best hypothesis. The first four essays apply this principle to religious faith, and the rest explore the pragmatic approach to such topics as determinism, ethics and individual achievement. James developed his ideas further in The Varieties of Religious Experience and Pragmatism, both of which are reissued in this series. (shrink)

The Gifford Lectures were established in 1885 at the universities of St Andrews, Glasgow, Aberdeen and Edinburgh to promote the discussion of 'Natural Theology in the widest sense of the term - in other words, the knowledge of God', and some of the world's most influential thinkers have delivered them. The 1901–2 lectures given in Edinburgh by American philosopher William James are considered by many to be the greatest in the series. The lectures were published in book form in (...) 1902 and have been reprinted many times. James, who was educated in the United States and Europe, and spent much of his career teaching philosophy at Harvard, was very influential in the development of modern psychology, and in these twenty lectures he explores the personal experience of religion. Some of the topics include religion and neurology, 'the sick soul', saintliness, and mysticism. (shrink)

One of the most influential men of his time, philosopher, psychologist, educator, and author William James (1842-1910) helped lead the transition from a predominantly European-centered nineteenth-century philosophy to a new "pragmatic" American philosophy. Helping to pave the way was his seminal book Pragmatism (1907), in which he included a chapter on "Truth," an essay which provoked severe criticism. In response, he wrote the present work, an attempt to bring together all he had ever written on the theory of knowledge, (...) including an article on the function of cognition, later polemic and expository contributions, and some replies to previous criticism. The result was a full and definitive expression of the pragmatist "epistemology" from James' point of view. In the book, he urges the reader to "turn away from abstractions, verbal solutions, fixed principles, and pretended absolutes and look for concreteness and facts, action and power," arguing that "the ultimate test for us of what a truth means is the conduct it dictates or inspires." For students, scholars--anyone interested in William James or the history of American philosophical thought--this book offers an in-depth exposition of the influential ideas of one of the greatest American thinkers. Unabridged republication of the edition originally published by Longmans, Green and Co., New York and London, 1909. (shrink)

We have several intuitive paradigms of defeating evidence. For example, let E be the fact that Ernie tells me that the notorious pet Precious is a bird. This supports the premise F, that Precious can fly. However, Orna gives me *opposing* evidence. She says that Precious is a dog. Alternatively, defeating evidence might not oppose Ernie's testimony in that direct way. There might be other ways for it to weaken the support that Ernie's testimony gives me for believing F, without (...) the new evidence itself intuitively constituting reasons to believe one way or the other about Precious's flight ability. An example: Ursula tells me that Ernie has no idea what Precious's species is; he's just guessing. She may not herself want to or be in a position to weigh in about Precious's real species or flight ability. I call defeating evidence of this sort *undermining evidence. (shrink)

PurposeThe aim of this study was to investigate the differential effects of Tai Chi vs. brisk walking on cognitive function among individuals aged 60 and greater.Patients and MethodsFor participant recruitment, a health talk was arranged at two communities in which two different exercise modalities were assigned to participants of each community free of charge. The intervention programs lasted 10 weeks, with three 60-min training sessions per week. General cognitive ability and specific cognitive outcomes were measured using the Chinese version of (...) the Montreal Cognitive Assessment.ResultsA significant interaction on total scores of the MoCA was observed. Post hoc analysis indicated significant improvements on general cognitive performance as measured in performance on the MoCA for both exercise groups at the end of 10 weeks. A significant interaction was only observed on the delayed recall sub-domain. Results from post hoc analysis indicate that the Tai Chi group had a significantly better memory performance relative to brisk walking group. Specifically, significant improvement was observed in Tai Chi group, but not in the brisk walking group. Both exercise groups demonstrated significant improvements from baseline to Week 10, which emerged in visualspatial ability and attention performance. Lastly, animal naming and orientation significantly benefited from brisk walking and Tai Chi training, respectively.ConclusionTai Chi and brisk walking as the most commonly used, culture-specific mind-body exercise method have been proven to be effective in improving general cognitive performance and specific cognitive domains. Furthermore, differential effects of two different exercise modalities on cognitive domains were observed, which has provided insightful information for customized exercise programs. Finally, aging individuals who are experiencing cognitive decline should either take Tai Chi classes regularly or engage in brisk walking, which could contribute to brain health. (shrink)

Two books bound together, from the religious period of one of the most renowned and representative thinkers. Written for laymen, thus easy to understand, it is penetrating and brilliant as well. Illuminations of age-old religious questions from a pragmatic perspective, written in a luminous style.

Studies of the prevalence and contents of codes of conduct in the private sector show that their use to define an ethical environment or culture, and their effective implementation, must be as part of a learning process that requires inculcation, reinforcement and measurement. Consequently, the public sector must realise it cannot look solely to formal codes to revive and sustain public sector values. Alan Doig is Professor of Public Services Management, and John Wilson is Principal Lecturer and Head of (...) the Centre for Public Services Management, at Liverpool Business School, Liverpool John Moores University. (shrink)

Noted psychologist and philosopher develops his own brand of pragmatism, based on theories of C. S. Peirce. Emphasis on "radical empiricism," versus the transcendental and rationalist tradition. One of the most important books in American philosophy. Note.