Between 1069, the year of his arrival at St. Martin in Mainz, where he spent the rest of his life in voluntary enclosure in a cell, and his death in 1082, the Irish monk Marianus Scottus dedicated countless hours to assembling the most sophisticated and comprehensive work on historical chronology that had ever been produced by a Latin writer up to that time. The fruits of his labors became a massive world chronicle, completed in 1076, whose most famous innovation consisted (...) in a far-reaching correction to the Christian, or “common,” era, which had been introduced by Dionysius Exiguus in the sixth century. Having compared the data of the Easter computus with the chronological parameters traditionally associated with the passion of Christ—the fifteenth day of the moon on Friday, 25 March—Marianus found that the only year in which the numbers could be made to fit was AD 12 rather than the traditionally accepted AD 34. As a result, he decided to predate the life of Jesus by twenty-two years, assigning his birth to the year corresponding to 22 BC. This gave rise to a new “corrected” era , which he used alongside its Dionysiac equivalent. (shrink)

This article investigates a little-known computational and mnemonic device invented in c. 1348 by the English Carmelite friar John of Northampton, the details of which are known from a treatise written in or before 1394 by Richard Maidstone, a theologian and fellow member of the Carmelite Order. John’s anulus took the form of a metal finger ring whose wearer could use the complex arrangement of its alphanumeric inscriptions to make a range of calendrical calculations as well as predict the times (...) of the mean conjunctions of the sun and moon. In addition to reconstructing the principles by which this unusual instrument functioned, the article concludes by placing the anulus in the wider context of the computistical and astronomical sciences practised in fourteenth-century Europe. (shrink)

Recent research has shown that the use of astronomy as a chronological problem-solving tool has deep roots in the scholarly practices of the Latin Middle Ages, as is manifest from the writings of Marianus Scotus, Gerland, and other “critical computists” of the eleventh and twelfth centuries. This essay enlarges the existing picture by introducing a hitherto unknown epistolary treatise of the mid-twelfth century. Written in Lotharingia in 1144, this poorly preserved work documents an attempt to reconstruct the timeline of world (...) history via techniques that had emerged within the Latin computus tradition prior to the advent of Greco-Arabic astronomy. Drawing on the so-called computus naturalis, the author performed lunar computations on the basis of observed eclipses and used them to propose new dates for the Creation and the Last Supper. He also relied on a revised estimate of the time and date of the vernal equinox, placing it on 16 March, and gave a detailed account of how this result can be derived from solar observations with a meridian line. By virtue of these methodological features, the Chronology of 1144 represents an important transitional stage between the “critical computists” and the use of eclipse-based dating methods by later scholars such as Giles of Lessines (fl. 1260). (shrink)

The widely cited Nuffield Council on Bioethics ‘Intervention Ladder’ structurally embodies the assumption that personal autonomy is maximized by non-intervention. Consequently, the Intervention Ladder encourages an extreme ‘negative liberty’ view of autonomy. Yet there are several alternative accounts of autonomy that are both arguably superior as accounts of autonomy and better suited to the issues facing public health ethics. We propose to replace the one-sided ladder, which has any intervention coming at a cost to autonomy, with a two-sided ‘Balanced Intervention (...) Ladder,’ where intervention can either enhance or diminish autonomy. We show that not only the alternative, richer accounts of autonomy but even Mill’s classic version of negative liberty puts some interventions on the positive side of the ladder. (shrink)

ABSTRACTThe known works of the medieval astronomer/astrologer Henry Bate include a set of planetary mean motion tables for the meridian of his Flemish hometown Mechelen. These tables survive in three manuscripts representing two significantly different recensions, but have never been examined for their principles of construction or underlying parameters. Such analysis reveals that Bate employed an unusual value for the length of the tropical year, which was probably derived by comparing ancient and contemporary observations of the vernal equinox. In addition, (...) there are clear signs that Bate kept revising his parameters for the mean motions of Venus and the three superior planets, none of which can be traced back to earlier sources. Together with some of Bate’s preserved statements, these findings support the conclusion that the Tabule Machlinenses were unique among the astronomical tables produced in medieval Latin Christendom for using independently derived parameters that were the result of new observations. Bate’s achievement connects him to a wider milieu of astronomers operating in late-thirteenth-century Paris, who put an increased emphasis on observation and the critical examination of received data. (shrink)

This article surveys surviving evidence for the determination of geographic longitude in Latin Europe in the period between 1100 and 1300. Special consideration is given to the different types of sources that preserve longitude estimates as well as to the techniques that were used in establishing them. While the method of inferring longitude differences from eclipse times was evidently in use as early as the mid-twelfth century, it remains doubtful that it can account for most of the preserved longitudes. An (...) analysis of 89 different estimates for 30 European cities indicates a high degree of accuracy among the longitudes of English cities and a conspicuous displacement eastward (by 5°–7;30°) shared by most longitudes of cities in Italy and France. In both cases, the data suggest a high level of interdependence between estimates for different cities in the same geographic region, although the means by which these estimates were arrived at remain insufficiently known. (shrink)

This article examines an unstudied set of astronomical tables for the meridian of Cambridge, also known as the Opus secundum, which the English theologian and astronomer John Holbroke, Master of Peterhouse, composed in 1433. These tables stand out from other late medieval adaptations of the Alfonsine Tables in using a different set of parameters for planetary mean motions, which Holbroke can be shown to have derived from a tropical year of $$365\frac{1}{4} - \frac{1}{132}$$ 36514-1132 or $$365.\overline{24}$$ 365.24¯ days. Implicit in (...) this year length was a 33-year cycle of repeating solar longitudes and equinox times, which has left traces in other astronomical tables from fifteenth-century England. An analysis of the manuscript evidence suggests that Holbroke owed his value for the “true length of the year” to a certain Richard Monke, capellanus de Anglia, who employed this parameter and the corresponding 33-year cycle in an attempt to construct a perfect and perpetual solar calendar, leading to his Kalendarium verum anni mundi of 1434. (shrink)

This article surveys measurements of celestial (chiefly solar) altitudes documented from twelfth- and thirteenth-century Latin Europe. It consists of four main parts providing (i) an overview of the instruments available for altitude measurements and described in contemporary sources, viz. astrolabes, quadrants, shadow sticks, and the torquetum; (ii) a survey of the role played by altitude measurements in the determination of geographic latitude, which takes into account more than 70 preserved estimates; (iii) case studies of four sets of measured solar altitudes (...) in twelfth-century Latin sources; (iv) an in-depth discussion of the evidence relating to altitude measurements performed in Paris in the period 1281–1290. The findings from the last part indicate that by the end of the thirteenth century Parisian astronomer had developed rigorous standards of observational practice in which altitudes were typically measured to a precision of minutes of arc and with a level of accuracy higher than ± 0;5°, and sometimes exceeding ± 0;1°. (shrink)

This article examines and edits an anonymous text from the late 1330s, which was written to refute the arguments presented in a lost quaestio disputata by an unknown Parisian philosopher. At the heart of this scholastic dispute was the question whether the astrological branch known as interrogations was an effective and legitimate means of predicting the future. The philosopher’s negative answers to this question as well as the rebuttals preserved in our anonymous text offer valuable new insights into the debate (...) over astrology that raged at the University of Paris during the fourteenth century. Besides arguing at length for the internal coherence and philosophical soundness of interrogations, the text contains a bold defence against the Augustinian view that astrologers consort with demons. This defence was later rebutted as part of an anti-astrological polemic by the astronomer Heinrich Selder, who is known to have studied in Paris during the 1370s. (shrink)

ABSTRACT This article is devoted to a thirteenth-century Latin text on how to construct, set up, and use a version of the so-called armillary instrument (instrumentum armillarum), which was first described in Ptolemy’s Almagest as a tool for measuring ecliptic coordinates. Written in 1264 by Guillaume des Moustiers, bishop of Laon, this hitherto unstudied Tractatus super armillas survives in a single manuscript, where it is accompanied by a copious set of glosses. The text and its glosses jointly offer an unusually (...) detailed account of the instrument’s material aspects and methods of assembly. In addition, they reflect a keen awareness of the potential sources of error that may arise in the context of astronomical observation, while making suggestions on how these errors may be minimized or avoided. The Tractatus super armillas accordingly is a valuable source on the observational side of medieval European astronomy, which has often been minimized in modern historical accounts. (shrink)

This article edits and examines a little-known epistolary treatise datable to 1322, which survives in a fifteenth-century manuscript in the Herzog-August-Bibliothek, Wolfenbüttel. The author of this work was engaged in a heated argument with the Parisian philosopher Jean de Jandun over the status and rationality of astrology. Jean’s pro-astrological stance is documented in a letter dated 28 October 1321, which survives for having been appended to the main treatise. In responding to Jean de Jandun’s letter, the author delivered a trenchant (...) critique of astrology grounded almost entirely in philosophical, as opposed to theological, ideas, addressing issues such as empirical evidence, causality, and contingency. The author’s way of pointing out ruptures between astrology and Aristotelian natural philosophy marks him out as an intellectual precursor to the much better-known anti-astrological polemics written later in the same century by Parisian thinkers such as Nicole Oresme and Heinrich von Langenstein. (shrink)

This is a response to James J. Allegro’s article “The Bottom of the Universe: Flat Earth Science in the Age of Encounter,” published in Volume 55, Number 1, of this journal. Against the solid consensus of modern scholars, Allegro contends that the decades around 1500 saw a resurgence of popular and learned doubts about the existence of a southern hemisphere and the concept of a spherical earth more generally. It can be shown that a substantial part of Allegro’s argument rests (...) on an erroneous reading of his main textual witness, Zaccaria Lilio’s Contra Antipodes, and on a failure adequately to place this source in the context of the cosmographical debate of the late fifteenth and early sixteenth centuries. Once this context is taken into account, the notion that Lilio was a flat-earther falls flat. (shrink)

A characteristic hallmark of medieval astronomy is the replacement of Ptolemy’s linear precession with so-called models of trepidation, which were deemed necessary to account for divergences between parameters and data transmitted by Ptolemy and those found by later astronomers. Trepidation is commonly thought to have dominated European astronomy from the twelfth century to the Copernican Revolution, meeting its demise only in the last quarter of the sixteenth century thanks to the observational work of Tycho Brahe. The present article seeks to (...) challenge this picture by surveying the extent to which Latin astronomers of the late Middle Ages expressed criticisms of trepidation models or rejected their validity in favour of linear precession. It argues that a readiness to abandon trepidation was more widespread prior to Brahe than hitherto realized and that it frequently came as the result of empirical considerations. This critical attitude towards trepidation reached an early culmination point with the work of Agostino Ricci, who demonstrated the theory’s redundancy with a penetrating analysis of the role of observational error in Ptolemy’s Almagest. (shrink)

The fusion of law and equity in common law systems was a crucial moment in the development of the modern law. In this volume leading scholars assess the significance of the fusion of law and equity from comparative, doctrinal, historical and theoretical perspectives.

An instrument to assess 'ethical sensitivity' has been developed. The instrument presents four clinical vignettes and the respondent is asked to list the ethical issues related to each vignette. The responses are classified, post hoc, into the domains of autonomy, beneficence and justice. This instrument was used in 1990 to assess the ethical sensitivity of students in all four medical classes at the University of Toronto. Ethical sensitivity, as measured by this instrument, is not related to age or grade-point average. (...) Sensitivity increases between the 1st and 2nd year and then decreases throughout the rest of undergraduate medical training, such that the 4th-year students identify fewer issues than those entering medical school. Students expressing a career choice of family medicine identify more issues than their peers. Several problems with the use of the instrument and the interpretation of the data were found. Nonetheless, these findings, if reproducible, are important and their meaning needs further discussion. (shrink)

In the majority of academic institutions nursing and medical students receive a traditional education, the content of which tends to be specific to their future roles as health care professionals. In essence, each curriculum design is independent of each course. Over the last decade, however, interest has been accumulating in relation to interprofessional and multiprofessional learning at student level. With the view that learning together during their student training would not only encourage and strengthen future collaboration in practice settings but (...) also enhance patient care, the University of Dundee decided to run a pilot study to explore shared teaching in ethics between medical and nursing students. This article presents a report on the reasons for selecting health care ethics as a precursor for shared teaching, the educational tool used for the sessions, and the results of student and facilitator evaluation of the short course. Overall, despite problems such as poor attendance by some students, and facilitation and timetable difficulties, most of the feedback from students and facilitators has been positive. In essence the ‘idea’ has gone from strength to strength and there are now three levels of shared teaching in ethics between nursing and medical students, with plans to include further sessions with students from other disciplines. Within the text, ‘health care ethics’ will be referred to as ‘ethics’; nursing students/nurses encompasses midwifery students/midwives. (shrink)

The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. The International Council of Nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes: interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical (...) perspective of the nurse’s interaction with the older patient, and the normative perspective, i.e. that found in ICN code and SFS law. Empirical ethics and normative ethics are intertwined according to the findings of this study. Normative ethics influence the nurse’s practical performance and could be supporting documents for nurses as professionals. (shrink)

Aim To study the views of people in a largely Muslim country, Kuwait, of the acceptability of a life-ending action such as physician-assisted suicide (PAS). Method 330 Kuwaiti university students judged the acceptability of PAS in 36 scenarios composed of all combinations of four factors: the patient's age (35, 60 or 85 years); the level of incurability of the illness (completely incurable vs extremely difficult to cure); the type of suffering (extreme physical pain or complete dependence) and the extent to (...) which the patient requests a life-ending procedure, euthanasia or PAS (no request, some form of request, repeated requests). In all scenarios, the patients were women who were receiving the best possible care. The ratings were subjected to cluster analysis and analyses of variance. Results Five clusters were found. For 44%, PAS was always very unacceptable, no matter what the circumstances. For 23%, it was unacceptable, but less so if the patient was older or requested it repeatedly. For 16%, it was unacceptable if the patient was young but was acceptable if the patient was elderly. For 5%, it was unacceptable if the patient had extreme pain but was acceptable if completely dependent. For 11%, it was unacceptable if the patient did not request it but acceptable if she did. Conclusion The majority of the Kuwaiti university students opposed PAS either categorically or with a slight variation according to circumstances. Nonetheless, a minority approved of PAS in some cases, particularly when the patient was elderly. (shrink)

OBJECTIVES: In treating critically ill neonates, situations occasionally arise in which aggressive medical treatment prolongs the inevitable death rather than prolonging life. Decisions as to limitation of neonatal medical intervention remain controversial and the primary responsibility of the generally unprepared family. This research was designed to study response patterns of expectant mothers towards treatment of critically ill and/or malformed infants. DESIGN/SETTING: Attitudes were studied via comprehensive questionnaires divided into three sections: 1-Sociodemographic data and prior personal experience with perinatal problems; 2-Theoretical (...) philosophical principles used in making medical ethical decisions; and 3-Hypothetical case scenarios with choices of treatment options. SUBJECTS AND RESULTS: Six hundred and fifty pregnant women were studied. Maternal birthplace (p = 0.005) and level of religious observance (p = 0.02) were strongly associated with the desire for maximally aggressive medical intervention in the hypothetical case scenario. Specific personal experiences such as infertility problems, previous children with serious mental or physical problems were not correlated with the selection of different treatment choices. Of the theoretical principles studied, only the desire to preserve life at all costs was significantly associated with the choice for maximal medical treatment (p = 0.003). CONCLUSIONS: Maternal ethnocultural background and philosophical principles more profoundly influenced medical ethical decision-making than did specific personal life experiences. (shrink)

A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of two clinical tutors and a moral philosopher. The course was case-based and practical with students being given the opportunity over a period of eight weeks to meet patients, relatives (...) and hospital staff at a local geriatrics hospital and terminal care home. The main issue studied was the degree of choice available to patients electing to be treated at home, in hospital or in a hospice. Other issues included: pre-death, disposal of the dead, certification of death, communication with relatives and follow-up bereavement services. (shrink)

In the majority of academic institutions nursing and medical students receive a traditional education, the content of which tends to be specific to their future roles as health care professionals. In essence, each curriculum design is independent of each course. Over the last decade, however, interest has been accumulating in relation to interprofessional and multiprofessional learning at student level. With the view that learning together during their student training would not only encourage and strengthen future collaboration in practice settings but (...) also enhance patient care, the University of Dundee decided to run a pilot study to explore shared teaching in ethics between medical and nursing students. This article presents a report on the reasons for selecting health care ethics as a precursor for shared teaching, the educational tool used for the sessions, and the results of student and facilitator evaluation of the short course. Overall, despite problems such as poor attendance by some students, and facilitation and timetable difficulties, most of the feedback from students and facilitators has been positive. In essence the ‘idea’ has gone from strength to strength and there are now three levels of shared teaching in ethics between nursing and medical students, with plans to include further sessions with students from other disciplines. Within the text, ‘health care ethics’ will be referred to as ‘ethics’; nursing students/nurses encompasses midwifery students/midwives. (shrink)

BackgroundIn the Canadian Alliance for Healthy Hearts and Minds (CAHHM) cohort, participants underwent magnetic resonance imaging (MRI) of the brain, heart, and abdomen, that generated incidental findings (IFs). The approach to managing these unexpected results remain a complex issue. Our objectives were to describe the CAHHM policy for the management of IFs, to understand the impact of disclosing IFs to healthy research participants, and to reflect on the ethical obligations of researchers in future MRI studies.MethodsBetween 2013 and 2019, 8252 participants (...) (mean age 58 ± 9 years, 54% women) were recruited with a follow-up questionnaire administered to 909 participants (40% response rate) at 1-year. The CAHHM policy followed a restricted approach, whereby routine feedback on IFs was not provided. Only IFs of severe structural abnormalities were reported.ResultsSevere structural abnormalities occurred in 8.3% (95% confidence interval 7.7–8.9%) of participants, with the highest proportions found in the brain (4.2%) and abdomen (3.1%). The majority of participants (97%) informed of an IF reported no change in quality of life, with 3% of participants reporting that the knowledge of an IF negatively impacted their quality of life. Furthermore, 50% reported increased stress in learning about an IF, and in 95%, the discovery of an IF did not adversely impact his/her life insurance policy. Most participants (90%) would enrol in the study again and perceived the MRI scan to be beneficial, regardless of whether they were informed of IFs. While the implications of a restricted approach to IF management was perceived to be mostly positive, a degree of diagnostic misconception was present amongst participants, indicating the importance of a more thorough consent process to support participant autonomy.ConclusionThe management of IFs from research MRI scans remain a challenging issue, as participants may experience stress and a reduced quality of life when IFs are disclosed. The restricted approach to IF management in CAHHM demonstrated a fair fulfillment of the overarching ethical principles of respect for autonomy, concern for wellbeing, and justice. The approach outlined in the CAHHM policy may serve as a framework for future research studies.Clinical trial registrationhttps://clinicaltrials.gov/ct2/show/nct02220582. (shrink)

The diagnosis of attention-deficit hyperactivity disorder is a subject of controversy, for a host of reasons. This paper seeks to explore the manner in which children's interests may be subsumed to those of parents, teachers, and society as a whole in the course of diagnosis, treatment, and labeling, utilizing a framework for children's citizenship proposed by Elizabeth Cohen. Additionally, the paper explores aspects of discipline associated with the diagnosis, as well as distributional pathologies resulting from the application of the diagnosis (...) in potentially biased ways. (shrink)

Rufus of Ephesus (fl.c.a.d.100) wrote a large body of works on a variety of medical topics. Generally speaking, the Arabic tradition is particularly important for the reconstruction of much of his œuvre. In the present article, I am going to present four new fragments of Rufus’On Melancholyand a fragment from an otherwise unknown monographOn Preferring Fresh Poppies. These new fragments provide fascinating new insights into Rufus’ approach to recording case histories.