There is a growing interest in aggregating more biomedical and patient data into large health data sets for research and public benefits. However, collecting and processing patient data raises new ethical issues regarding patient’s rights, social justice and trust in public institutions. The aim of this empirical study is to gain an in-depth understanding of the awareness of possible ethical risks and corresponding obligations among those who are involved in projects using patient data, i.e. healthcare professionals, regulators and policy makers. (...) We used a qualitative design to examine Swiss healthcare stakeholders’ experiences and perceptions of ethical challenges with regard to patient data in real-life settings where clinical registries are sponsored, created and/or used. A semi-structured interview was carried out with 22 participants between July 2014 and January 2015. The interviews were audio-recorded, transcribed, coded and analysed using a thematic method derived from Grounded Theory. All interviewees were concerned as a matter of priority with the needs of legal and operating norms for the collection and use of data, whereas less interest was shown in issues regarding patient agency, the need for reciprocity, and shared governance in the management and use of clinical registries’ patient data. This observed asymmetry highlights a possible tension between public and research interests on the one hand, and the recognition of patients’ rights and citizens’ involvement on the other. The advocation of further health-related data sharing on the grounds of research and public interest, without due regard for the perspective of patients and donors, could run the risk of fostering distrust towards healthcare data collections. Ultimately, this could diminish the expected social benefits. However, rather than setting patient rights against public interest, new ethical approaches could strengthen both concurrently. On a normative level, this study thus provides material from which to develop further ethical reflection towards a more cooperative approach involving patients and citizens in the governance of their health-related big data. (shrink)
To many it seems obvious that any reduction of the nature of man to purely physical components involves an indirect attack on the doctrine of human immortality. To so reduce human nature, it may be argued, is to eliminate the soul and it is this essential component of man, rather than his body, which is the foundation of his immortality. This seems to me an altogether mistaken notion. My purpose in this paper, therefore, is to clarify the relation of physicalism (...) and immortality and thereby to reveal the error in this alleged incompatibility. (shrink)
The increased complexity of health information management sows the seeds of inequalities between health care stakeholders involved in the production and use of health information. Patients may thus be more vulnerable to use of their data without their consent and breaches in confidentiality. Health care providers can also be the victims of a health information system that they do not fully master. Yet, despite its possible drawbacks, the management of health information is indispensable for advancing science, medical care and public (...) health. Therefore, the central question addressed by this paper is how to manage health information ethically? This article argues that Paul Ricœur’s ‘‘little ethics’’, based on his work on hermeneutics and narrative identity, provides a suitable ethical framework to this end. This ethical theory has the merit of helping to harmonise self-esteem and solicitude amongst patients and healthcare providers, and at the same time provides an ethics of justice in public health. A matrix, derived from Ricœur’s ethics, has been developed as a solution to overcoming possible conflicts between privacy interests and the common good in the management of health information. (shrink)
The letter to the Ephesians employs various communicative strategies in responding to the rhetorical situation of its implied recipients. Focusing on the recipients' new identity and ethos έν Χριστώ [in Christ], the text emphasises supernatural elements such as resurrection, ascension, heavenly places, revealed mystery, Spirit and power. At the same time, it adopts a rich mosaic of traditional materials, inter alia echoing the Hebrew Scriptures, Hellenistic traditions and early-Christian liturgical traditions. This article explores the dynamic yet complex intertextual fusion and (...) reappropriation of (mainly Jewish) traditions in Ephesians as the author's experience and understanding of the ascended Christ. Special attention is given to the probable functioning of Psalm 68:18 (LXX 67:19) in Ephesians 4:1-16. In conclusion, the essay investigates the intended rhetorical effect of material from the Hebrew Scriptures in the letter - as construction of Christian identity in continuation with the story of Israel and from within the context of Empire. (shrink)
: Three unpublished ayyubid letters are presented here. They are addressed to ascetics, fuqarāʾ and ṣūfī, residing in the great mosque of Damascus, and devoted to reading the Qurʾān and praying at the tomb of prophet Zakariyyāʾ. This veneered shrine or ziyāra had been ignored until now, although it was known and it is common knowledge nowadays, that some rituals took place around the location where the head of John the Baptist, known in the lands of Islamic world as Yaḥyā (...) b. Zakariyyāʾ, was kept. Our research seeks to present aspects of the rituals held in the tomb of Zakariyāʾ, arguing that it was initially established with an impetus from Saladin, then thrived under his ayyubid successors, to start dwindling until it was abandoned by the end of the mamluk era. (shrink)
The purpose of this article is to set down the results of a careful examination of certain readings contained in Books 21–25 of the Codex Agennensis of Livy , to consider the significance of these readings in the textual tradition of Livy 21–25, and to discuss briefly a point raised by Professor G. Billanovich in his recent article on the Agennensis.
The purpose of this article is to re-examine the more important extant manuscripts of Livy 21–25 with special reference to omissions and significant errors, and on this basis to try to establish their interrelationship in stemmatic form. A stemma for Books 26–30 has already been drawn up by Professor S. K. Johnson in O.C.T. vol. iv, but, since the tradition for those five books is slightly different from that of the first half of the third decade, it has seemed worth (...) while to draw up a stemma for Books 21–25 independently. The manuscripts to be considered, and the sigla to be employed, are as follows. (shrink)
In a recent articles David Mouton has argued that immortality is compatible with one sort of physicalism. I believe that he fails to establish this thesis and that, moreover, this article contains several misconceptions having to do with the topic of immortality.
Vamos a presentar las principales características de la ética de la vulnerabilidad de Corine Pelluchon expuestas en su obra L´autonomie brisée , con el fin de mostrar tres cuestiones fundamentales para la filosofía actual: 1) la relevancia de la bioética más allá del hospital; 2) la crítica a la tradición filosófica y la autonomía del sujeto; 3) la necesidad de dotar de un sentido ecológico a nuestras relaciones éticas y políticas.
Corine Pelluchon is professor of philosophy at Paris-Est-Marne-La-Vallée and one of the foremost feminist political philosophers and bioethicists in France. Her major works, which have been translated into Spanish, German, Korean, Greek, Italian, and Japanese, include L’autonomie brisée. Bioéthique et philosophie, La raison du sensible. Entretiens autour de la bioéthique, and Eléments pour une éthique de la vulnérabilité. Les hommes, les animaux, la nature.Recently, Bloomsbury published a translation of Les...