Abstract Context: Established in 1997, Summa Health System’s Medical Ethics Committee (EC) serves as an educational, supportive, and consultative resource to patients/families and providers, and serves to analyze, clarify, and ameliorate dilemmas in clinical care. In 2009 the EC conducted its 100th consult. In 2002 a Palliative Care Consult Service (PCCS) was established to provide supportive services for patients/families facing advanced illness; enhance clinical decision-making during crisis; and improve pain/symptom management. How these services affect one another has thus far been (...) unclear. Objectives: This study describes EC consults: types, reasons, recommendations and utilization, and investigates the impact the PCCS may have on EC consult requests or recommendations. Methods: Retrospective reviews of 100 EC records explored trends and changes in types of consults, reasons for consults, and EC recommendations and utilization. Results: There were 50 EC consults each in the 6 years pre- and post-PCCS. Differences found include: (1) a decrease in number of reasons for consult requests (133–62); (2) changes in top two reasons for EC consult requests from ‘Family opposed to withdrawing life-sustaining treatment (LST)’ and ‘Patient capacity in question’ to ‘Futility’ and ‘Physician opposed to providing LST’; (3) changes in top two recommendations given by the EC from ‘Emotional Support for Patient/Family’ and ‘Initiate DNR Order’ to ‘Comfort Care’ and ‘Withdraw Treatment.’ Overall, 88% of recommendations were followed. Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined. Content Type Journal Article Pages 1-16 DOI 10.1007/s10730-011-9170-9 Authors Jessica Richmond Moeller, Department of Psychiatry and Behavioral Sciences, Akron General Medical Center, 400 Wabash Ave, Akron, OH 44307, USA Teresa H. Albanese, Health Services Research and Education Institute, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Kimberly Garchar, Kent State University, 6000 Frank Ave., N.W, North Canton, OH 44720, USA Julie M. Aultman, Department of Family and Community Medicine, Northeast Ohio Medical University, P.O. Box 95, Rootstown, OH 44272, USA Steven Radwany, Palliative Care and Hospice Services, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Dean Frate, Internal Medicine, Palliative Care and Hospice Services, Summa Health System and Northeast Ohio Medical University, 55 Arch St., Suite 1A, Akron, OH 44304, USA Journal HEC Forum Online ISSN 1572-8498 Print ISSN 0956-2737. (shrink)

I present a thought experiment in quantum mechanics and tease out some of its implications for the doctrine of “peaceful coexistence”, which, following Shimony, I take to be the proposition that quantum mechanics does not force us to revise or abandon the relativistic picture of causality. I criticize the standard arguments in favour of peaceful coexistence on the grounds that they are question-begging, and suggest that the breakdown of Lorentz-invariant relativity as a principle theory would be a natural development, given (...) the general trend of physics in this century. (shrink)

This paper is a report on the viability, both technical and ethical, of negative emissions technologies (NETs) in climate change mitigation. Given present levels of atmospheric carbon dioxide, NETs are almost certainly required in order to avoid the most serious consequences of anthropogenic carbonization. Critics argue that we should not rely on the promise of future NETs because that could be taken as an excuse to avoid decarbonization in the near term. The concern is genuine, but if the prima facie (...) arguments for drawing down carbon as soon as possible are correct, ways must be found to counter the incentives to defer the immediate deployment of NETs and other forms of mitigation. A policy instrument is sketched which could help accomplish that task. (shrink)

Psychopaths constitute less than 1% of the general population, but they commit a much larger proportion of crime and violence in society. This volume chronicles the latest science of psychopathy, various ways that psychopaths challenge the criminal justice system, and the major ethical issues arising from this fascinating condition.

Against a background of increasing regulation regarding access to medical information and the presentation of patients' confidentiality, the case of genetic information raises interesting questions about whether the application of general rules is appropriate in all situations. Whilst all genetic information is not equally sensitive, some of it is highly predictive. It also allows deductions to be made about other family members. It may not be regarded as particularly sensitive when compared to other types of medical information and those to (...) whom it applies may not be as anxious about preserving their confidentiality as compared with—for example, the prospect of seeing research into cause and cures for rare diseases put in hand. These distinctions also find resonance with the general public. Resolving conflicting tensions will require subtlety, not a blunt “one size fits all” model. (shrink)

It is generally believed that an invariant notion of a global present or "Now" cannot be defined in special relativity, because of the relativity of optical simultaneity. I argue that this may be a non sequitur since it is not necessarily the case that the psychological "Now" should be thought of as associated with constant time slices in spacetime. By considering a science fictional version of the Twin Paradox due to Robert A. Heinlein, I argue that it is psychologically plausible (...) to associate the common specious present of several observers in relative motion with certain hypersurfaces of proper time of those observers corrected for acceleration history and relative motion in an obvious way. If this is correct then the relativity of optical simultaneity may be simply irrelevant to the question of the relativity of a globally distinguished "present". (shrink)

This chapter contains section titled: The Scope of Ecology General Description of Ecosystems History of the Term “Ecosystem” Ecosystems as Symbiotic Units Ecosystems as Dissipative Structures Ecosystems and Evolutionary Biology Skeptical Critiques of Ecosystem Theory Ecosystem Integrity and Health Sustainability from an Ecosystems Point of View Acknowledgments References Further Reading.

The essays evaluate Woods' work and celebrate the generous contribution that he has made to Canada?s intellectual development over the past forty years.

This is a review of those key thought experiments in physics from the late 19th century onward that seem to have played a particular role in the process of the discovery or advancement of theory. Among others the paper discusses Maxwell's demon, several of Einstein's thought experiments in relativity, Heisenberg's microscope, the Einstein-Schrödinger cat, and the EPR thought experiment.

The twilight of certainty -- Einstein and light -- The Bohr atom and old quantum theory -- Uncertain synthesis -- Dualities -- Elements of physical reality -- Creation and annihilation -- Quantum mechanics goes to work -- Symmetries and resonances -- "The most profound discovery of science" -- Bits, qubits, and the ultimate computer -- Unfinished. business.

James Hansen and others have argued that climate scientists are often reluctant to speak out about extreme outcomes of anthropogenic carbonization. According to Hansen, such reticence lessens the chance of effective responses to these threats. With the collapse of the West Antarctic Ice Sheet as a case study, reasons for scientific reticence are reviewed. The challenges faced by scientists in finding the right balance between reticence and speaking out are both ethical and methodological. Scientists need a framework within which to (...) find this balance. Such a framework can be found in the long-established practices of professional ethics. (shrink)

ABSTRACTJames Hansen and others have argued that climate scientists are often reluctant to speak out about extreme outcomes of anthropogenic carbonization. According to Hansen, such reticence lessens the chance of effective responses to these threats. With the collapse of the West Antarctic Ice Sheet as a case study, reasons for scientific reticence are reviewed. The challenges faced by scientists in finding the right balance between reticence and speaking out are both ethical and methodological. Scientists need a framework within which to (...) find this balance. Such a framework can be found in the long-established practices of professional ethics. (shrink)

It seems to me that it is among the most sure-footed of quantum physicists, those who have it in their bones, that one finds the greatest impatience with the idea that the ‘foundations of quantum mechanics’ might need some attention. Knowing what is right by instinct, they can become a little impatient with nitpicking distinctions between theorems and assumptions. —John Stewart Bell [4, p. 33].

This paper argues that fitness is most usefully understood as those properties of organisms that are explanatory of survival in the broadest sense, not merely descriptive of reproductive success. Borrowing from Rosenberg and Bouchard , fitness in this sense is ecological in that it is defined by the interactions between organisms and environments. There are three sorts of ecological fitness: the well-documented ability to compete, the ability to cooperate , and a third sense of fitness that has received insufficient attention (...) in evolutionary theory, the ability to construct. Following Lotka, it can be understood thermodynamically as the ability to maintain or enlarge the energy-circulating capacity of an ecosystem. An organism that does this could end with its gene frequency unchanged but its probability of survival enhanced since it would sustain or increase the total carrying capacity of its ecosystem. Photosynthesizers and other autotrophs are obvious candidates for organisms that are fit in the constructive sense, but any organisms, including heterotrophs, can exhibit constructive fitness if they have some mechanism for channeling external flows of free energy into their ecosystems. I will briefly examine the prospects for the human species in the light of these considerations. (shrink)

(2002). Bub and the barriers to quantum ontology. International Studies in the Philosophy of Science: Vol. 16, No. 3, pp. 285-289. doi: 10.1080/0269859022000013346.

RésuméCet article défend une approche à la philosophic et à l'éthique environnementale qui a originalement été avancée par Aldo Leopold. Selon cet auteur, l'éthique peut être comprise, d'un point de vue biologique, comme la forme spécifiquement humaine de la symbiose. La question cruciate de notre époque est de savoir si les humains peuvent coexister avec l'environnement global en un état de symbiose. La philosophie et les sciences humaines en général peuvent contribuer grandement à l'atteinte de ce but, à cause de (...) la façon très spéciale dont le caractère même des actions et des æuvres humaines peut être amplifié par l'écosystème. Je critique un argument thermodynamique qui a été formulé contre la possibilité de la symbiose humaine; et je mets en garde contre les tendances à l'autoritarisme et è l'évasion par l'introspection qui sont typiques des cultures en état de crise écologique. (shrink)

Leadership studies on corporate ethical behavior and practices have grown considerably, contributing significant knowledge on ethical leadership challenges that are organizational and industry focused. However, complex socio-ecological systems are placing pressure on organizational culture and old patterns of leadership behavior that play a role in organizational justice. In this study, we argue that scholars of business ethics must consider the role of organizational justice and use person-organization fit (P–O fit). To address this, our study investigates the mediating effect of organizational (...) justice on the relationship between ethical leadership and employees’ ethical behavior. We also examine the moderating role of P–O fit on the relationship between organizational justice and employee’s ethical behavior. The study survey focused on 295 employees belonging to organizations in Iraq. We show that ethical leadership positively influences employees’ ethical behavior, and this relationship is shaped by organizational justice. The findings reflect the positive impact of organizational justice on ethical behavior, and this relationship is more pronounced in employees with high rather than low P–O fit. This study clarifies the importance of employee’s P–O fit and its impact on organizational processes for creating a positive impact on ethical behavior in the workplace. We also share practical implications of the study and recommend systemic research that explores this area. (shrink)

Short food supply chains have become the focus of considerable research in the last two decades. However, studies so far remain highly localized, and claims about the economic and social advantages of such channels for farmers are not backed by large-scale empirical evidence. Using a web survey of 613 direct-market farmers across Canada, this article explores the potential economic and social benefits that farmers derive from participating in short food supply chains. We used multivariate analysis to test whether a farmer’s (...) degree of involvement in direct food channels is positively correlated with levels of work enjoyment, social satisfaction, and economic satisfaction. The results indicate that, overall, direct-market farmers report high levels of occupational satisfaction, although work-related challenges persist, such as stress, excessive workloads, and competition. Farmer participation in short food chains was also a positive predictor of work enjoyment and economic satisfaction, but not of social satisfaction, as measured by the share of total farm sales attributable to direct selling. Net annual farm revenue, the share of direct food sales involving a middleman, age, and gender also correlated with one or more dimensions of occupational satisfaction. (shrink)

Sherlock Holmes is reputed to have once remarked impatiently to his earnest but plodding colleague Watson, “How often have I said to you that when you have eliminated the impossible, whatever remains, however improbable, must be the truth?” In Quantum Non-Locality and Relativity, Tim Maudlin offers us a thorough and provocative argument based on this methodological principle. Maudlin insists that all explanations of the mysterious non-local correlations of quantum mechanics must by now be rejected except one: distant events in quantum (...) systems really are “causally implicated” in a way that directly challenges the theory of relativity. Physicists and philosophers of science have made virtually every conceivable move to avoid this unsettling conclusion, including tinkering with the basic formalism or interpretation of the theory, and Arthur Fine’s oddly postmodernist recommendation that we should abandon as outmoded “essentialism” all hope of explaining the correlations. However, the threat to relativity just won’t go away. Maudlin argues that we should have paid better attention in the first place to J. S. Bell, who “concluded that violations of [his] inequality demonstrate that the world is not locally causal.... Instead of trying to deny these non-local influences, we should begin to study the role such influences must play in generating the phenomena”. (shrink)

a comprehensive, somewhat Gricean theory of speech acts, including an account of communicative intentions and inferences, a taxonomy of speech acts, and coverage of many topics in pragmatics -/- .

Sherlock Holmes is reputed to have once remarked impatiently to his earnest but plodding colleague Watson, “How often have I said to you that when you have eliminated the impossible, whatever remains, however improbable, must be the truth?” In Quantum Non-Locality and Relativity, Tim Maudlin offers us a thorough and provocative argument based on this methodological principle. Maudlin insists that all explanations of the mysterious non-local correlations of quantum mechanics must by now be rejected except one: distant events in quantum (...) systems really are “causally implicated” in a way that directly challenges the theory of relativity. Physicists and philosophers of science have made virtually every conceivable move to avoid this unsettling conclusion, including tinkering with the basic formalism or interpretation of the theory, and Arthur Fine’s oddly postmodernist recommendation that we should abandon as outmoded “essentialism” all hope of explaining the correlations. However, the threat to relativity just won’t go away. Maudlin argues that we should have paid better attention in the first place to J. S. Bell, who “concluded that violations of [his] inequality demonstrate that the world is not locally causal.... Instead of trying to deny these non-local influences, we should begin to study the role such influences must play in generating the phenomena”. (shrink)

Suppose you woke up one morning having utterly forgotten what year it was, or, indeed, what century and what millennium it was, but with all your cognitive faculties otherwise intact. In particular, you remember that human population increases monotonically with time, implying that, in later years, there are far more positions you could be occupying in the whole set of all persons who have ever lived or will live. Then, John Leslie tells us, you will apply your knowledge of probability (...) theory in a certain way and conclude that, whatever year you may be in, it is probable that it is uncomfortably close to the point at which the human species meets its quietus. You think, “My God, I’ve overslept and missed most of history.”. (shrink)

The conclusions of Barbey & Sloman (B&S) crucially depend on evidence for different representations of statistical information. Unfortunately, a muddled distinction made among these representations calls into question the authors' conclusions. We clarify some notions of statistical representations which are often confused in the literature. These clarifications, combined with new empirical evidence, do not support a dual-process model of judgment.