The doctor-patient relationship has evolved to respect “the autonomy and patients’ rights”. One of the cornerstones in such autonomy is the opportunity for patients to draw living wills, also known as advance directives. However, information about AD available to patients remains scarce largely due to the lack of involvement of General practitioners for several reasons. The aim of our study was to evaluate current general practitioner residents’ behavior concerning their role in informing their patients about AD. We built a French (...) nationwide survey from GPR class of 2012 to 2014. Two thousand three hundred ten residents completed our survey. 89.8% declared their willingness to offer patients the opportunity of writing AD. When asked about the usefulness of AD, 73.6% of residents responded that these are a suitable help for patients, but 19.7% considered that AD are essentially geared towards frail patients. Among residents who want to inform patients about AD, 14.7% wanted to involve all patients. Only 20.5% thought that elderly people should be systematically informed about AD. When the question involves other frail people in various disease areas, information seems relevant for 60.1% of GPR considering patient with cancer or malignant hematologic disease and for 56.2% about patients affected by neurodegenerative disease. When considering the routine use of AD, 20.5% of GPR would take them into account only if they are in agreement with the patient’s decision. The results of the survey indicate that GPR would rather choose to decide who should be informed about AD, and when to take AD into account for ethical concerns. (shrink)
Caroline of Ansbach, wife of George II, occupied a crucial position in the public life of early 18th-century Britain. She was seen to exert considerable influence on the politics of the court and, as mother to the Hanoverian dynasty's next generation, she became an important emblem for the nation's political well-being. This paper examines how such emblematic significance was challenged and qualified when Caroline's body could no longer be portrayed as healthy and life giving. Using private memoirs and (...) correspondence from the time of her death in 1737, the paper explores the metaphorical potential of the queen's strangulated hernia, as well as the particular problems it posed for the public image of her dynasty. Through these investigations, the paper will comment upon the haphazard nature of public discussion in the early 18th century, and reveal the complex relationship between political speculation and medical diagnosis. (shrink)
This essay offers a Deleuzian reading of Drift, a multilingual project by the cross-disciplinary artist Caroline Bergvall. It argues that the text- and performance-project promotes forms of deterritorialization that give radical witness to the contemporary humanitarian crisis in the Mediterranean where thousands of people drown each year as they try to reach Europe. In breaking down barriers between languages, the artistic work employs non-representational modes of address to reflect on what it means to lack citizenship and recognition in the (...) context of the crisis. Close readings challenge postcolonial accusations that the writings of Deleuze and Guattari are at best utopian and at worst politically naive and without purchase on the real-life catastrophes of Fortress Europe. Instead, Deleuzian strategies are shown to enable Bergvall to actualize a multilingual politics of speech and performance that points towards the historical and contemporary imbrications of the West in mass-drownings of recent... (shrink)
The nature of the contributions to astronomy of Caroline Lucretia Herschel are explored in this article. Her accomplishments included new observational discoveries and the skilled and accurate transcription and reduction of astronomical data. Although she made important additions to the sum total of astronomical facts available to the scientist, she herself showed little interest or ability in applying these data to explain phenomena. Love of her brother, Sir William Herschel, motivated her achievements in astronomy. Barred from the ranks of (...) creative astronomers by both her inability and her disinterest in abstract concepts, she substituted other qualities such as accuracy and perseverance which assured her a place in the history of astronomy. (shrink)
This book is the result of a survey conducted across different segments of Indian populace to understand the influence of religion on the country and how sometimes the political ideas and the ground realities are at loggerheads. The authors juxtapose their findings in India with the studies in the West:.