Euthanasia is not legal in Albania, yet there is strong evidence that euthanising a terminally ill patient is not an unknown concept for the Albanians. The first mentioned case of euthanasia is found in 7th century AD mythology and during the communist regime (1944–1989), allegations of euthanising political prisoners and possible rivals in the struggle for power have widely been formulated. There is a trend among relatives and laymen taking care of terminally ill patients to apply tranquilisers in an abusive (...) dosage, or even against medical advice, aiming at sedating the ailing patient. These actions, the refusal to keep on consistently applying life prolonging treatment, and other data, suggest that covert euthanasia is a practice and legal interventions are needed towards formalising it. This might well improve end-of-life care standards, since the inadequacy of structures, such as hospices and residential asylums, is becoming a major drawback in the struggle for dignity and accessible socio-medical help for third age persons and terminal patients. (shrink)

Background: The Albanian medical system and Albanian health legislation have adopted a paternalistic position with regard to individual decision making. This reflects the practices of a not-so-remote past when state-run facilities and a totalitarian philosophy of medical care were politically imposed. Because of this history, advance directives concerning treatment refusal and do-not-resuscitate decisions are still extremely uncommon in Albania. Medical teams cannot abstain from intervening even when the patient explicitly and repeatedly solicits therapeutic abstinence. The Albanian law on health care (...) has no provisions regarding limits or withdrawal of treatment. This restricts the individual's healthcare choices.DiscussionThe question of 'medically futile' interventions and pointless life-prolonging treatment has been discussed by several authors. Dutch physicians call such interventions 'medisch zinloos' (senseless), and the Netherlands, as one of the first states to legislate on end-of-life situations, actually regulates such issues through appropriate laws. In contrast, leaving an 'advance directive' is not a viable option for Albanian ailing individuals of advanced age. Verbal requests are provided during periods of mental competence, but unfortunately such instructions are rarely taken seriously, and none of them has ever been upheld in a legal or other official forum.SummaryEnd-of-life decisions, treatment refusal and do-not-resuscitate policies are hazardous options in Albania, from the legal point of view. Complying with them involves significant risk on the part of the physician. Culturally, the application of such instructions is influenced from a mixture of religious beliefs, death coping-behaviors and an immense confusion concerning the role of proxies as decision-makers. Nevertheless, Albanian tradition is familiar with the notion of 'amanet', a sort of living will that mainly deals the property and inheritance issues. Such living wills, verbally transmitted, may in certain cases include advance directives regarding end-of-life decisions of the patient including refusal or termination of futile medical treatments. Since these living wills are never formally and legally validated, their application is impossible and treatment refusal remains still non practicable. Tricks to avoid institutional treatment under desperate conditions are used, aiming to provide legal coverage for medical teams and relatives that in extreme situations comply with the advice of withholding senseless treatment. (shrink)

Background and Aims The study of intraspecific trait variation (ITV) in plants has a long history, dating back to the fourth century BC. Its existence was widely acknowledged by the end of the 18th century, although systematic and experimental studies commenced only a century later. However, the historiography of ITV has many gaps, especially with regard to early observations and visual documents. This note identifies an early depiction of plant ITV. -/- Methods The botanical works of Johann Wolfgang von Goethe (...) (1749–1832), a German writer and naturalist, were subjected to close reading. This included all publications and unpublished sources related to botany between 1785 and 1832 (e.g. notes, drafts, diaries, letters, drawings). This material is accessible in the multi-volume historical-critical edition of Goethe’s studies in natural science (Leopoldina-Ausgabe). -/- Key Results A diary entry from 9 September 1786 described changes in leaf morphology along an elevation gradient in the Bavarian Alps. The leaves of an unidentified species of willow (Spix sp.) and gentian (Gentiana sp.) were said to become narrower with increasing elevation; leaves also stood further apart on twigs, and the latter became thinner. A crude drawing of two willow twigs illustrated the differences. Goethe conjectured that the differences were due to environmental conditions. -/- Conclusions Goethe’s notes were anecdotal, and it is unclear whether the observed plant individuals actually belonged to the same species. Nevertheless, the notes represent an early and clear articulation of the hypothesis that changes in environmental conditions can cause ITV in a natural plant population. The drawing may be the earliest visual record of environmentally caused plant ITV in the wild. (shrink)

The most striking aspect of Dr. Demetracopoulos’ contribution is the evidence for how unoriginal was Scholarios’ Aristotelian scholarship. The chief source of Scholarios’ commentary on the Parva naturalia was Theodore Metochites, whose ultimate source in turn was Michael of Ephesus. So once the Aldine Press had published the text of Michael of Ephesus’ commentary in 1527 and once Conrad Gesner’s Latin translation of Michael of Ephesus’s commentary was printed in 1541 and Gentian Hervet’s translation of Theodore Metochites’ commentary in (...) 1559, the Renaissance had rendered Scholarios’ commentary otiose. (shrink)

Photographers Linda and Robert Scarth have an incredible eye for that magic moment when small becomes beautiful. Matched with patience and skill, their eye for magic produces dazzling images of Iowa nature up close. Revealing the miniature beauties hidden among the patches of prairie, woodland, and wetland that remain in Iowa’s sadly overdeveloped landscape, the seventy-five color photographs in Deep Nature give us a breathtaking cross section of the state’s smallest inhabitants. The Scarths’ close-up images of showy orchis and northern (...) monkshood, great spangled fritillary and painted lady, red-breasted nuthatch and eastern wood-pewee, ornate box turtle and gray treefrog, big bluestem and cotton-grass, and many other natural wonders look more like paintings than photographs. Beginning with an iridescent fly hovering over a neon-purple fringed gentian and ending with their iconic image of coneflowers refracted in dewdrops, they have created a sparkling jewelbox of images that will make us look at the small world around us with renewed appreciation. Attending to the small things in the fabric of nature is the Scarths’ source of artistic inspiration. Taking Walt Whitman’s “every leaf is a miracle” as their beginning, they celebrate not only each leaf but each feather, insect, dewdrop, flower, lichen, and intricate organism in the evolving web of life. (shrink)

The Reformed Ecumenical Synod has published a Testimony on Human Rights written by a team of twenty-two Christian scholars from various areas of the world. Paul G. Schrotenboer has produced this pre'cis, selecting key passages from the full 160 page report, which is published by the RES Secretariat, 1677 Gentian Drive S.E., Grand Rapids, Michigan, USA 49508, $8.00 post paid. The numbers in brackets refer to pages in the full report.

The jubilee event took place on January 15 in Kyiv at the Department of Religious Studies. Several institutions - All-Ukrainian Society Prosvita, National Academy of Sciences of Ukraine, KamyanetsPodil National University named after. Ivan Ogienko - gathered a cohort of devoted scientists, ethnologists, journalists devoted to the gentian themes for the purpose of the solemn completion of the Ogievinki anniversary - the 130th anniversary of the birth of this glorious man and the 40th anniversary of her restoration. The birthday (...) of Ivan Ogienko, which falls on January 15, has been celebrated in Ukraine since the early 90's of the twentieth century, when the name of the prominent figure of the Ukrainian national movement was eliminated from the list of names that are not forbidden in Ukraine: Ogienko returned to his people, bursting in the ravings of reviving spiritual and religious processes. (shrink)

Résumé — La controverse religieuse qui a suivi l’essor du luthéranisme est ordinairement présentée comme le moteur principal de la reviviscence du pyrrhonisme à l’âge moderne. Au XVIe siècle, la religion aurait fait du pyrrhonisme un outil apologétique puissant, véritable arme que s’opposeraient les diverses confessions. Pourtant, comme le note Bayle dans son Dictionnaire, les rapports entre le scepticisme et la théologie sont extrêmement ambigus : un rapide tableau des appréciations portées par les théologiens chrétiens montrent que, chez les Réformés (...) comme chez les catholiques, l’humiliation des lumières naturelles est pensée comme une entrave à l’instauration de la foi. Seuls les courants pauliniens et mystiques voient dans cette philosophie un moyen bénéfique à la vie spirituelle. Pour devenir un outil intellectuel reconnu dans les milieux catholiques tridentins, le pyrrhonisme a dû subir une métamorphose radicale : Omer Talon, suivi par Gentian Hervet, ont reconfiguré le pyrrhonisme à partir du modèle probabiliste de la Nouvelle Académie, pourtant récusé par Sextus Empiricus. Assoupli, le scepticisme a alors été pensé comme le moyen privilégié d’une refondation de la dialectique rationaliste et de la défense de la foi.— The religious controversy which followed the development of Lutheranism is usually presented as the main engine of the revivescence of the Pyrrhonism in early modern period. In the sixteenth century, religion would have made by Pyrrhonism a powerful apologetic tool, true weapon that adverse confessions would have set against each other. Nevertheless, as Bayle notes it in its Dictionary, the connection between scepticism and theology is extremely ambiguous : a fast outline of the appreciations carried by the Christian theologians shows that, by protestants as well as by Catholics, the humiliation of natural lights is thought as an obstacle of the institution of faith. Only the Paulinian and mystic currents see in such a philosophy a beneficial resource for spiritual life. To become an intellectual tool recognized in the catholic Tridentin circles, Pyrrhonism must have been subjected to a radical transformation : Omer Talon, followed by Gentian Hervet, has restructured Pyrrhonism from the probabilistic model of the New Academy, even though such a model was rejected by Sextus Empiricus. Such mitigated, scepticism has then been considered as one of the privileged means of the refondation of rationalistic dialectic, and of the defence of faith. (shrink)