RationaleSurrogates of critically ill patients often have inaccurate expectations about prognosis. Yet there is little research on how intensive care unit clinicians should discuss prognosis, and existing expert opinion-based recommendations give only general guidance that has not been validated with surrogate decision makers.ObjectiveTo determine the perspectives of key stakeholders regarding how prognostic information should be conveyed in critical illness.MethodsThis was a multicenter study at three academic medical centers in California, Pennsylvania, and Washington. One hundred eighteen key stakeholders completed in-depth semistructured (...) interviews. Participants included 47 surrogates of adult patients with acute respiratory distress syndrome; 45 clinicians working in study ICUs, including physicians, nurses, social workers, and spiritual care providers; and 26 experts in health communication, decision science, ethics, family-centered care, geriatrics, healthcare disparities, palliative care, psychology, psychiatry, and critical care.Measurements and main resultsThere was broad support among surrogates for existing expert recommendations, including truthful prognostic disclosure, emotional support, tailoring the disclosure strategy to each family's needs, and checking for understanding. In addition, stakeholders offered suggestions that add specificity to existing recommendations, including: In addition to conveying prognostic estimates, clinicians should help families "see the prognosis for themselves" by showing families radiographic images and explaining the clinical significance of physical manifestations of severe disease at the bedside. Many physicians did not support using numeric estimates to convey prognosis to families, whereas many surrogates, clinicians from other disciplines, and experts believed numbers could be helpful. Clinicians should conceptualize prognostic communication as an iterative process that begins with a preliminary mention of the possibility of death early in the ICU stay and becomes more detailed as the clinical situation develops. Although prognostic information should be initially disclosed by physicians, other members of the multidisciplinary team-nurses, social workers, and spiritual care providers-should be given explicit role responsibilities to reinforce physicians' prognostications and help families process a poor prognosis emotionally.ConclusionsFamily members, clinicians, and experts identified specific communication behaviors that clinicians should use to discuss prognosis in the critical care setting. These findings extend existing opinion-based recommendations and should guide interventions to improve communication about prognosis in ICUs. (shrink)

Inertial frames and Lorentz transformations have a preferred status in the special theory of relativity (STR). Lorentz transformations, in turn, embody Einstein's convention that the velocity of light is isotropic, a convention that is necessary for the establishment of a standard signal synchrony. If the preferred status of Lorentz transformations in STR is not due to some particular bias introduced by a convention on signal synchronism, but to the fact that the Lorentz transformation group is the symmetry group of the (...) theory, then the signal synchronism is not a matter of convention but rather a matter of fact. In order to explore the conventionalist thesis, that within the frame of STR isotropy in the velocity of light and, hence, signal synchronism is a matter of convention, we need a generalized Lorentz transformation group that does not embody Einstein's isotropy convention, and upon which STR can be based. We present here a new approach to the resulting search for a generalized STR, which is well suited for establishing some well-known results of Winnie as well as some new results. (shrink)

The objective of this article is to provide a formalism to deal with the special theory of relativity (STR, in short) as riewed by Reichenbach, according to which STR involves an ineradicableconventionality of simultaneity. One of the two postulates of STR asserts that, in empty space, the one-way speed of light relative to inertial frames is constant. Experimental evidence, however, is related to the constancy of the round-trip speed of light and has no bearing on one-way speeds. Following Reichenbach's viewpoint, (...) we relax the second postulate of STR, abandoning the constancy of the one-way speed of light to the more realistic one asserting the constancy of the round-trip speed of light. This, in turn, results in a formalism to deal with Reichenbach's special theory of relativity (RSTR, in short) in which the two one-way speeds of light in empty space, C±, in the two senses of a round-trip are arbitrarily selected in such a way that their harmonic mean is the measurable round-trip speed of light, c. Experimentally, RSTR and STR are indistinguishable and, hence, represent the same physical theory. It is only the formalism that we use to deal with STR which is extended in RSTR to accommodate the immeasurability of one-way velocities. The usefulness of the proposed formalism to study special relativity is demonstrated. (shrink)

This is a response to Dr Joseph Mazor’s paper ‘The child's interests and the case for the permissibility of male infant circumcision.’ I argue that Dr Mazor fails to prove that bodily integrity and self-determination are mere interests as opposed to genuine rights in the case of infant male circumcision. Moreover, I cast doubt on the interest calculus that Dr Mazor employs to arrive at his conclusions about circumcision.

Hyperbolic vectors are called gyrovectors. We show that the Bloch vector of quantum mechanics is a gyrovector. The Bures fidelity between two states of a qubit is generated by two Bloch vectors. Treating these as gyrovectors rather than vectors results in our novel expression for the Bures fidelity, expressed in terms of its two generating Bloch gyrovectors. Taming the Thomas precession of Einstein's special theory of relativity led to the advent of the theory of gyrogroups and gyrovector spaces. Gyrovector spaces, (...) in turn, form the setting for various models of the hyperbolic geometry of Bolyai and Lobachevski just as vector spaces form the setting for the standard model of Euclidean geometry. It is the recent advent of the theory of gyrogroups and gyrovector spaces that allows the Bures fidelity to be studied in its natural context, hyperbolic geometry, resulting in our new representation of the Bures fidelity, that reveals simplicity, elegance, and hyperbolic geometric significance. (shrink)

The obscured Thomas precessionof the special theory of relativity (STR) has been soared into prominence by exposing the mathematical structure, called a gyrogroup,to which it gives rise [A. A. Ungar, Amer. J. Phys.59,824 (1991)], and the role that it plays in the study of Lorentz groups [A. A. Ungar, Amer. J. Phys.60,815 (1992); A. A. Ungar, J. Math. Phys.35,1408 (1994); A. A. Ungar, J. Math. Phys.35,1881 (1994)]. Thomas gyrationresults from the abstraction of Thomas precession.As such, its (...) study sheds light on relativistic velocity spaces and their symmetries which are concealed in Thomas precession. In order to uncover new properties of relativistic gyrogroups, we employ in this article the group theoretic concepts of divisible groupsand two-torsion free groupsto construct midpointsin gyrogroups. Systems of successive midpoints then describe straight gyrolinesand suggest a new, natural distance function that involves a Thomas gyration. These, in turn, reveal a new, interesting geometry that underlies relativistic velocity spaces. In this resulting gyrogeometrythe straight gyrolines form geodesics under a distance function which turns out to be the Poincaré hyperbolic distance function relaxed by a Thomas gyration. These geodesics do obey the parallel axiom of Euclidean geometry. Ironically, (i) attempts to understand the parallel postulate of Euclidean geometry gave rise to hyperbolic geometry in which the parallel postulate disappears;(ii) hyperbolic geometry gave rise to Einstein's STR; (iii) Einstein's STR established the bizarre and counterintuitive relativistic effect called Thomas precession, the abstraction of which is called Thomas gyration; and (iv) Thomas gyration now repairs in this article the Poincaré distance function of hyperbolic geometry to the point where the parallel postulate reappears. (shrink)

Gyrogroup theory [A. A. Ungar, Found. Phys. 27, 881–951 (1997)] enables the study of the algebra of Einstein's addition to be guided by analogies shared with the algebra of vector addition. The capability of gyrogroup theory to capture analogies is demonstrated in this article by exposing the relativistic composite-velocity reciprocity principle. The breakdown of commutativity in the Einstein velocity addition ⊕ of relativistically admissible velocities seemingly gives rise to a corresponding breakdown of the relativistic composite-velocity reciprocity principle, since seemingly (...) (i) on one hand, the velocity reciprocal to the composite velocity u⊕v is −(u⊕v) and (ii) on the other hand, it is (−v)⊕(−u). But (iii) −(u⊕v)≠(−v)⊕(−u). We remove the confusion in (i), (ii), and (iii) by employing the gyrocommutative gyrogroup structure of Einstein's addition and, subsequently, present the relativistic composite-velocity reciprocity principle with the Thomas rotation that it involves. (shrink)

A social ecological model of resilience avoids the reductionism of simple explanations of the complex and multisystemic processes associated with well-being in contexts of adversity. There is evidence that when stressors are abnormally high, environmental factors account for more of an individual's resilience than do individual traits or cognitions. In this commentary, a social ecological model of resilience is discussed.

Antonio Ungar (Bogota, 1974) has published two novels: Zanahorias voladoras (Alfaguara, 2004) and Las orejas del lobo (Ediciones B, 2006). This paper aims to analyze the two literary works, based on the relationship between abjection and revolt (Kristeva 2006 (1980), 1998 (1996)) presented in the novels. This relationship will make it possible to understand, to a great extent, the author’s esthetic proposal, as well as his position in the current Colombian literary field and his answer to the social conditions (...) of his time. (shrink)

Max Ungar (1850-1930) was born in Boskovice, Moravia, and pursued an academic career in mathematics at Vienna University [Franz Brentano was one of his examiners]. His memoirs describe his escape from Orthodox Judaism into a century of high liberalism and the turning to science and knowledge and his failure to achieve the humanism that he was devoted to as a result of anti-Semitism. Although he wrote his memoirs chronologically, there is a recognisable leitmotif: on the one hand his escape (...) from Orthodox Judaism into a century of high liberalism and the turning to science and knowledge; while on the other hand it charts his failure as a devotee of the humanism he was dedicated to as result of his pursuit of science and knowledge. In this respect Max Ungar’s reminiscences written in 1928 but covering the period 1855 – 1892/1928 are particularly significant for their overlapping topics: for its Jewish history during the Austro-Hungarian monarchy in the 19th century and for the portrayal of identity in the modern period. He concentrates on important events in his life, passing the matura/school exam. Helping in his father's business. Falling in love, keeping the engagement a secret, while at university. His time at university and his love of mathematics. Also the academic intrigues and pettiness - not much has changed. Then leaving academic life and working in the business. Trying to get back into academia 5 years later, but without success. His home life, travels with family, visiting friends, information about his wider family: who married whom, how they met, who died, etc. Stories from the business. The difficult relationship with his father. His critical stance towards Judaism. He also relates incidents of anti-semitism in business but also at university. This is the first translation of Ungar’s memoir into English (originally written in German) - translated by Miroslav Imbrisevic. The book is free to download. (shrink)

We present evidence from a pre-registered experiment indicating that a philosophical argument––a type of rational appeal––can persuade people to make charitable donations. The rational appeal we used follows Singer’s well-known “shallow pond” argument (1972), while incorporating an evolutionary debunking argument (Paxton, Ungar, & Greene 2012) against favoring nearby victims over distant ones. The effectiveness of this rational appeal did not differ significantly from that of a well-tested emotional appeal involving an image of a single child in need (Small, Loewenstein, (...) and Slovic 2007). This is a surprising result, given evidence that emotions are the primary drivers of moral action, a view that has been very influential in the work of development organizations. We did not find support for our pre-registered hypothesis that combining our rational and emotional appeals would have a significantly stronger effect than either appeal in isolation. However, our finding that both kinds of appeal can increase charitable donations is cause for optimism, especially concerning the potential efficacy of well-designed rational appeals. We consider the significance of these findings for moral psychology, ethics, and the work of organizations aiming to alleviate severe poverty. (shrink)

The aim of this research was to see if there is a difference in the psychological resilience and quality of life of pupils attending elementary school and pupils attending both elementary school and elementary music school. The research also examined the potential gender differences in the results with respect to the school the pupils attended. The research included pupils of comparable age – those in the final years of elementary school and in the final years of elementary music school. The (...) convenience sample consisted of a total of 218 pupils. Ungar’s Child and Youth Resilience Measure was used, as well as the Croatian version of the Kidscreen Questionaire-52. The results are presented through descriptive statistics and processed by a two-way analysis of variance. The results show that pupils who attend both elementary school and elementary music school are more resilient with better life adjustment than pupils who attend only elementary school. There were no gender differences with respect to the school that the pupils attended. The results of the research show engagement in music as a potential protective factor in the development of psychological resilience and life adjustment in children. (shrink)

Richard Janko's acclaimed translation of Aristotle's _Poetics_ is accompanied by the most comprehensive commentary available in English that does not presume knowledge of the original Greek. Two other unique features are Janko's translations with notes of both the _Tractatus Coislinianus_, which is argued to be a summary of the lost second book of the Poetics, and fragments of Aristotle’s dialogue On Poets, including recently discovered texts about catharsis, which appear in English for the first time.

Bataille published two monographs on painting in 1955: one on Lascaux, the other on Manet. The text on Lascaux bears the subtitle The Birth of Art, and it would be natural to think that, as Steven Ungar suggests, Manet represented for Bataille “the birth of a modernist painting.” No doubt Manet’s importance comes from the fact that he, more than any of his contemporaries, was the first to break decidedly with traditional painting and thus inaugurated a new era of (...) art. And yet, why this singular interest in Manet? Is this “birth” of modern painting anything comparable to that other birth which is the birth of art itself? At Lascaux, art coincides with the birth of man—of Homo sapiens—in that it is man coming to have consciousness of himself. This birth of art, as Blanchot says, is a “perpetual birth,” a birth in which “art is revealed to be such that it can change infinitely and can ceaselessly renew itself, but cannot improve.” Why, then, is this other birth at the other end of history? Is it simply a rebirth of art in the sense of a constant renewal of its own possibilities? What importance does modern art have in the history of Western painting? (shrink)

Ṣadr, Muḥammad Bāqir; Islamic philosophy; 20th century.

Classical Sanskrit commentary on Brahmasūtra; includes original Sanskrit text with English translation.

The article discusses two bioart projects that bring the symbolically core human substances of blood, sweat and tears into technologically mediated relationships with plants and fungi to explore human kinship with other species: Tarah Rhoda’s BS&T (short for ‘blood, sweat and tears’) and OurGlass, and Saša Spačal’s MycoMythologies: Patterning. The article analyses the art projects through the lens of the molecular gaze and different perspectives on kinning, bringing anthropological conceptualizations of kinship together with Haraway’s pathways to connect with other species. (...) How can bioart use technologies to explore interspecies kinship through a molecular gaze? And may such artworks contribute to the toning down of human exceptionality in the face of a precarious future? We find that artworks providing a molecular gaze on interspecies biological processes may risk a decontextualized approach to complex relational processes but may also create new visions of filiation even with biological organisms imagined to be genetically distant from humans, thus spurring awareness of the fragile interrelationships among species. (shrink)

Introduction:To meet and take care of people with dementia implicate professional and moral challenges for caregivers. Using force happens daily. However, staff also encounter challenges with the management in the units. Managing the caretaking function is also significant in how caretakers experience working in dementia care.Purpose:The purpose of this study is to explore the caregiver’s experiences with ethical challenges in dementia care settings and the significance of professional leadership in this context.Method:The design is qualitative, and data appear through narrative interviews. (...) A total of 23 caretakers participated in the study. The transcribed interviews were subjected to a phenomenological-hermeneutical interpretation.Ethical considerations:The respondents signed an informed consent for participation prior to the interviews. They were assured anonymity and confidentiality in the publication of the data. Ricoeur’s method for interpretation ensures anonymity as the researcher relates to the data as one collective text. The study is part of a larger research project in ethics, in its entirety approved in line with the Helsinki Convention.Results:The findings show that the caretakers experienced inadequacy. Some of them described a negative work atmosphere where they experienced that their leaders did not take them seriously. Because of this, informal negative sub-groups functioned as an exclusive debriefing arena. Some of the informants described the opposite experience where the leaders actively supported them.Discussion:The analyses of the findings are discussed in light of the concepts of trust and mistrust in leadership.Conclusion:There is a correlation between the leadership and the caregivers’ experience of being in difficult situations. (shrink)

Spinoza's Doctrine of God in Relation to His Conception of Causality TM Forsyth T, he truest vision ever had of God came, perhaps, here. ...

The Principles of Biomedical Ethics by Beauchamp and Childress is a classic in the field of medical ethics. The first edition was published in 1979 and “unleashed” the four principles of respect for autonomy, non-maleficence, beneficence, and justice on the newly emerging field. These principles were argued to be mid-level principles mediating between high-level moral theory and low-level common morality, and they immediately became very popular in writings about medical ethics. Over the years Beauchamp and Childress have developed this approach (...) and vigorously defended it against the various criticisms that have been raised. The 5th edition of this book is, as all the …. (shrink)

Theologians are split into two groups: those who embrace prosperity theology and those who oppose it; both sides on scriptural grounds. Those criticising it embrace cessationism in its diversity, while its supporters are mainly found among Pentecostals and Charismatics, who are continuationists. Continuationists believe and teach that all gifts of the Spirit are still available to the church today, therefore should be practised by the church just as they were operative during the apostolic era. Therefore, it is clear that prosperity (...) preachers are continuationists. They believe and practice healing and miracle gifts today. A review of the literature, biblical texts, historical teachings, and Pentecostal and Neo-Pentecostal (also referred to as charismatic and neo-charismatic) form the basis of this article. It addresses the positive features of prosperity teachers’ beliefs and methods as well as how they exploit the dreams, fears, and aspirations of people living in poverty. The theology of sharing, as articulated by Nicholas B.H. Bhengu, is proposed as a solution to creating parity between the rich and the poor.Contribution: This article seeks to balance opposing theological approaches with the prosperity gospel. It does this by introducing a theology of sharing as taught by Nicholas Bhengu based on the philosophy of Ubuntu, a way of life among African people. The challenge for theologians on both sides of the argument is finding a way to accommodate the other side’s contributions. (shrink)

Analyzes the origin, structure and resolution of Kant's antinomies of reason from a systematic rather than a historical perspective, exploring the relationship between the theoretical antinomies and the practical antinomy in order to indicate their similarities and differences and to suggest the dependence of the latter on the former.

Without seeking to diminish its authority as the Word of God, this article acknowledges the Fourth Gospel as a brilliant piece of literary artistry by the implied author. The aim of this article is to substantiate this assertion by conducting a study on focalisation and illustrating how it invites the implied reader’s participation in the narrative. This contribution acknowledges the existence of insightful contributions on the topic, particularly in relation to the Fourth Gospel. However, it asserts that the study of (...) the performative nature of focalisation in this particular Gospel has not received the attention it deserves. The main contribution of this article is its analysis of a selected narrative of the Fourth Gospel using focalisation as an analytical tool, with the objective of demonstrating that the Fourth Gospel is performative in nature, crafted and formulated to consistently engage the implied reader in considering its purpose, as stated in 20:30–31.Contribution: The article showcases that focalisation, when used as an analytical tool, can unlock, and enable the interpreter of the Fourth Gospel to recognise its performative nature to the implied reader of the text. This is critical, given that the text is crafted to encourage the reader to participate in it by making decisions regarding their faith in Jesus Christ. (shrink)

Critical edition of Sanskrit text on Jaina epistemology; Sanskrit text with Hindi translation.

The book and its title -- Averroes' life and works -- The meaning of Averroes' work -- Being and language in the Decisive Treatise -- A sociology of language -- Averroes, the double truth and his heritage -- The Decisive Treatise on the connection between Islamic religious law and philosophy.