Objective: Although nurses have an important role in the care process surrounding artificial food or fluid administration in patients with dementia or in terminally ill patients, little is known about their attitudes towards this issue. The purpose of this study was to thoroughly examine nurses’ attitudes by means of a literature review.Method: An extensive systematic search of the electronic databases PubMed, Cinahl, PsycINFO, The Cochrane Library, FRANCIS, Philosopher’s Index and Social Sciences Citation Index was conducted to identify pertinent articles published (...) from January 1990 to January 2007.Findings: Nurses’ arguments for or against could be categorised as ethical-legal, clinical or social-professional. The most important arguments explicitly for artificial food and fluid administration in patients with dementia or in terminally ill patients were sanctity of life, considering artificial food and fluid administration as basic nursing care, and giving reliable nutrition, hydration or medication. An explicit counter-argument was the high cost of treatment. Arguments used by opponents and proponents were quality of life and dignified death. The arguments were not strikingly different for the two patient populations. It turned out that the nurses’ ethical arguments remarkably reflected the current ethical debate. But some of their clinical presuppositions contradicted current clinical evidence.Conclusion: The interaction between clinical facts and ethical reflections makes the findings of this review extremely relevant for clinical ethics. A large need exists to clearly communicate to nurses the latest clinical evidence and the main results of ongoing ethical debates. (shrink)

_The purpose_ of the article is to comprehend the Husserlian model of constituting temporal modes through the ability of intentional "retentional-protentional" consciousness, as well as to clarify the possibility of interpreting its positions in the reconstruction of the concept of anthropic time. _Theoretical basis._ The theoretical framework of the research includes: 1) the interpretation of the phenomenological reflection of "time-consciousness" by E. Husserl in the context of solving the problem of phased-differentiation of this form of temporality; 2) the concept of (...) anthropic time (V. Khanzhy). _Originality._ For the first time in research literature, the possibilities of applying the ideas of Husserl to the reconstruction of the concept of anthropic time are considered through the interpretation of the phenomenological solution to the problem of temporality, proposed and specified in Husserl’s "time-consciousness" concept. _Conclusions._ The comprehension of the Husserlian model of intentionality of consciousness through the "grasping-from-now" and the constitution of phases of phenomenological time through the component of "exiting-from-now" showed that solving the problem of phased-differentiation of phenomenological time leads to the observation of the impossibility of isolating the modes of past, present, and future as self-sufficient and unconditional. More accurate indications, based on the constitutive intentionality of consciousness on the "grasping-from-now" phases of time (as conventional), are as follows: a) the abilities of retention and recollection are the foundation for the constitution of the past and its connections to the present; b) the perception establishes the basis for the phase of the present itself; c) the possibilities of protention and anticipation (as forms of imagination) constitute the future and its connections to the present. By the concept of retention, Husserl fixes a certain primary memory (the present "now" of a past interval), which enables retaining the past in the present. The category of recollection or secondary memory is used by the philosopher to refer to the self-sufficient reproduction of past experiences (without being joined to present perception). The fundamental difference between recollection and retention is that the former _re-_presents a temporal interval, grasping its content and reproducing it as it was in the past, while in the latter, the perceived duration is presented as a fragment of time that has just passed. According to the German philosopher, the "grasping" of the present phase is performed by perception. Through the constitutive intentionality of consciousness, perception synthesizes the results of primary-actual activity and retentional holding of duration. The second part of the article will present solutions to the following research tasks: 1) analysis of the possibilities of protention and anticipation in constituting the future and its connections with the present; 2) understanding the possibility of using interpreted forms of Husser’s ideas in reconstructing the concept of anthropic time. (shrink)

In addition to facing the known competitors in the formal economy, entrepreneurs must also be concerned with rivalry emanating from the informal economy. The informal economy is characterized by actions outside the normal scope of commerce, such as unsanctioned payments and gift-giving, as means of influencing competition. Scholars and policy makers alike have an interest in mitigating the impacts of such informal activity in that it might present an obstacle for legitimate commerce. Received theory suggests that country institutions can enable (...) and constrain productive activity, and, in doing so, influence competitive obstacles in a country. Leveraging 13,670 responses from entrepreneurs distributed across 59 countries, we provide evidence that two particular types of enabling institutions, countries’ property rights regulations and cooperative actions, are useful for lowering the obstacles presented by informal activity. We also find evidence that two constraining institutions, economic and financial regulations lead to more obstacles presented by informal activity. We describe implications for entrepreneurs, policy makers, and future researchers stemming from these findings. (shrink)

Science naively presupposes the intelligibility of the universe, necessary laws, and a universal truth. The author reflects on these presuppositions to arrive at a demonstration of God's existence. In a vigorous and exclamatory style, he condemns the alternative views of idealism, phenomenology, and philosophies of science which cannot rationally justify their faith in a universal truth. The only rational basis for these presuppositions is a theistic God--the "Vérité mesurante" and "Pensée fondatrice" of scientific reason.--A. B. D.

How international research might contribute to justice in global health has not been substantively addressed by bioethics. This article describes how the provision of ancillary care can link international clinical research to the reduction of global health disparities. It identifies the ancillary care obligations supported by a theory of global justice, showing that Jennifer Ruger’s health capability paradigm requires the delivery of ancillary care to trial participants for a limited subset of conditions that cause severe morbidity and mortality. Empirical research (...) on the Shoklo Malaria Research Unit’s (SMRU) vivax malaria treatment trial was then undertaken to demonstrate whether and how these obligations might be upheld in a resource-poor setting. Our findings show that fulfilment of the ancillary care obligations is feasible where there is commitment from chief investigators and funders and is strongly facilitated by SMRU’s dual role as a research unit and medical non-governmental organization. (shrink)

Background: The factors influencing parents’ willingness to enroll their children in biobanks are poorly understood. This study sought to assess parents’ willingness to enroll their children, and their perceived benefits, concerns, and information needs under different consent and data-sharing scenarios, and to identify factors associated with willingness. Methods: This large, experimental survey of patients at the 11 eMERGE Network sites used a disproportionate stratified sampling scheme to enrich the sample with historically underrepresented groups. Participants were randomized to receive one of (...) three consent and data-sharing scenarios. Results: In total, 90,000 surveys were mailed and 13,000 individuals responded (15.8% response rate). 5737 respondents were parents of minor children. Overall, 55% (95% confidence interval 50–59%) of parents were willing to enroll their youngest minor child in a hypothetical biobank; willingness did not differ between consent and data-sharing scenarios. Lower educational attainment, higher religiosity, lower trust, worries about privacy, and attitudes about benefits, concerns, and information needs were independently associated with less willingness to allow their child to participate. Of parents who were willing to participate themselves, 25% were not willing to allow their child to participate. Being willing to participate but not willing to allow one’s child to participate was independently associated with multiple factors, including race, lower educational attainment, lower annual household income, public health care insurance, and higher religiosity. Conclusions: Fifty-five percent of parents were willing to allow their youngest minor child to participate in a hypothetical biobank. Building trust, protecting privacy, and addressing attitudes may increase enrollment and diversity in pediatric biobanks. (shrink)

Early versions of satellite and radiosonde datasets suggested that the tropical surface had warmed more than the troposphere, while climate models consistently showed tropospheric amplification of surface warming in response to human-caused increases in greenhouse gases. We revisit such comparisons here using new observational estimates of surface and tropospheric temperature changes. We find that there is no longer a serious discrepancy between modeled and observed trends in the tropics. Our results contradict a recent claim that all simulated temperature trends in (...) the tropical troposphere are inconsistent with observations. This claim was based on the use of older radiosonde and satellite datasets and on two methodological errors: the neglect of observational trend uncertainties introduced by interannual climate variability and application of an inappropriate statistical “consistency test”.This emerging reconciliation of models and observations has two primary explanations. First, because of changes in the treatment of buoy and satellite information, new surface temperature datasets yield slightly reduced tropical warming relative to earlier versions. Second, recently developed satellite and radiosonde datasets now show larger warming of the tropical lower troposphere. In the case of a new satellite dataset from remote sensing systems, enhancedRSS warming is due to an improved procedure of adjusting for inter-satellite biases. When the RSS-derived tropospheric temperature trend is compared with four different observed estimates of surface temperature change, the surface warming is invariably amplified in the tropical troposphere, consistent with model results. Even if we use data from a second satellite dataset with smaller tropospheric warming than in remote sensing systems RSS, observed tropical lapse rates are not significantly different from those in all model simulations.Our results contradict a recent claim that all simulated temperature trends in the tropical troposphere and in tropical lapse rates are inconsistent with observations. This claim was based on the use of older radiosonde and satellite datasets and on two methodological errors: the neglect of observational trend uncertainties introduced by interannual climate variability and application of an inappropriate statistical “consistency test”. (shrink)

Aristotle's rejection of the Platonic ideas robbed him of Plato's unity of Being and Value as well. By an extensive, clear interpretation and analysis of the whole Aristotelian corpus, Oates shows that Aristotle lacks a coherent theory of value. While considerations of value unavoidably occur in the Metaphysics, just as ontological ones do in the Ethics, nowhere in Aristotle is there a unification of axiology and ontology. For this reason, Oates argues, the Nicomachean Ethics fails to be a theory of (...) moral good. The book is a temperate, perhaps non-controversial critique of Aristotle, and its polished, easy style makes it a pleasure to read.—A. B. D. (shrink)

A bi-lingual edition of poems and a "free philosophical treatise" by a poet-logician who is now imprisoned somewhere in Russia. In this choppy and compressed treatise, written hours before he was arrested, the writer discusses some pseudo-problems of philosophy, argues against the principle of excluded middle, and states the real problem of philosophy as being the relationship between the subconscious and consciousness.--A. B. D.

These fragmentary and often repetitious papers-some of them published before Schutz's death--are organized under three headings: 1) On the Methodology of the Social Sciences, 2) Phenomenology and the Social Sciences, and 3) Symbol, Reality and Society. Schutz elaborates the structures of the "natural attitude," earlier described by Husserl, and defends the irreducible reality of the Lebenswelt which is necessarily presupposed by science, knowledge, language, and the interpretation of signs. Intersubjectivity is at the core of the Lebenswelt and Schutz ably criticizes (...) the inadequate work done by Husserl, Scheler and Sartre on the problem of the other. The tone of all the papers is expository and critical rather than original, as if Schutz was preparing his own views by "working through" a host of other writers.--A. B. D. (shrink)

This second, more cohesive volume of Schutz's papers goes beyond the critical and inconclusive work of Volume I, to advance, not quite a theory, but certain postulates for the interpretation of social phenomena. Schutz contends that the social scientist, normally an impartial observer, must also assume the standpoint of the subject: he must ask what is the meaning and rationality of social action for the actor himself. From such a bi-polar perspective Schutz describes the situations of "The Stranger," "The Homecomer," (...) and "The Well-Informed Citizen." In the longest paper he analyzes the meaning of equality both for those who are and for those who are not equal. These papers are perceptive—the best in the volume.—A. B. D. (shrink)

This brief work valuably shows how a distinguished historian ascertains the causes of his historical facts. Koht, a Norwegian European historian, eschews any philosophy of history, claiming only that the nature of man is permanent through historical change. Drawing from his own historical research he discusses the significance of the different forces of history. These are religion, economics, class consciousness, the power of the state, war, revolt, science, and internationalism. No one force or cause is primary.—A. B. D.

A far less exhaustive work than Richardson's scholarly tome, but more focused than Vycinas' ventriloquial interpretation, Guilead's book concentrates on the theme of freedom in Sein und Zeit and in Heidegger's later works. The author is in full control of Heidegger's terminology and he succinctly reports how Heidegger uncovers and destroys the subjectivism of modern philosophy, as represented by Descartes, Leibniz, Kant, Nietzsche, and Marx. Guilead contends that the germ of the "Kehre" was already present in Sein und Seit [[sic]]. (...) Heidegger's later thought shows that man is a cosmic being, a relation to Being, and his freedom can not be rooted in subjectivity but in the realization of his authentic cosmic being, in his "habitation," "dwelling," and "building." The author finds two problems in Heidegger's philosophy: a lack of real otherness in beings, and a danger of humanizing Being. But are they not one problem?—A. B. D. (shrink)

This is really only a detailed exposition of Division I of Being and Time and a summary of the problem of Division II. There are references to Heidegger's later works and to Husserl, but no critical comparison is made. In its clarity and no-nonsense English, it is handy for a first reader of Being and Time.—A. B. D.

This book must have been a joy "to write": the author relishes playing with variations of Zeno's 'bisection' paradox to vindicate the reality of an Actual Infinite. The Infinite is a "lush" concept and though mathematical rigor forbids it, the world demands it. Benardete traces the development of mathematics through Aristotle, Leibniz, Gauss, Cantor, and Brouwer, and he examines recent developments in hyper-mathematics. Siding with Cantor, he argues that mathematics is no longer a formal discipline. It is teleological and it (...) requires a rich ontology of the Infinite. He criticizes modern philosophy, particularly Kant and the later Wittgenstein, for rejecting the "cosmological horizon," for ruling out the Actual Infinite. Even a non-mathematician will understand his lively discussions of "random numbers," the "long run," nondenumerable and denumerable infinites, and the significance of the Lowenheim-Skolem theorem.—A. B. D. (shrink)

Based on the Mahlon Powell lectures given at Indiana University, this slim, well translated book is surprisingly rich and visionary in its pursuit of a metaphysics of language. Dufrenne, a phenomenologist, argues that positivistic and syntactical linguistics wrongly ignore the phenomenon of living speech, while formal logic, seeking to rid itself of its natural and intuitive origins, is necessarily rooted in them. What is needed is a phenomenology of human speech which would lead to a metaphysics of man's spoken intercourse (...) with the world. In the end, poetry has the last word.--A. B. D. (shrink)