BackgroundObtaining informed consent for intravenous thrombolysis in acute ischemic stroke can be challenging, and little is known about if and how the informed consent procedure is performed by neurologists in clinical practice. This study examines the procedure of informed consent for intravenous thrombolysis in acute ischemic stroke in high-volume stroke centers in the Netherlands.MethodsIn four high volume stroke centers, neurology residents and attending neurologists received an online questionnaire concerning informed consent for thrombolysis with tissue-type plasminogen activator (tPA). The respondents were (...) asked to report their usual informed consent practice for tPA treatment and their considerations on whether informed consent should be obtained.ResultsFrom the 203 invited clinicians, 50% (n = 101) completed the questionnaire. One-third of the neurology residents (n = 21) and 21% of the neurologists (n = 8) reported that they always obtain informed consent for tPA treatment. If a patient is not capable of providing informed consent, 30% of the residents (n = 19) reported that they start tPA treatment without informed consent. In these circumstances, 53% of the neurologists (n = 20) reported that the resident under their supervision would start tPA treatment without informed consent. Most neurologists (n = 21; 55%) and neurology residents (n = 45; 72%) obtained informed consent within one minute. None of the respondents used more than five minutes for informed consent. Important themes regarding obtaining informed consent for treatment were patients’ capacity, and medical, ethical and legal considerations.ConclusionThe current practice of informed consent for thrombolysis in acute ischemic stroke varies among neurologists and neurology residents. If informed consent is obtained, most clinicians stated to obtain informed consent within one minute. In the future, a shortened information provision process may be applied, making a shift from informed consent to informed refusal, while still considering the patient’s capacity, stroke severity, and possible treatment delays. (shrink)

E. S. de Beer's eight-volume edition of the correspondence of John Locke is a classic of modern scholarship. The intellectual range of the correspondence is universal, covering philosophy, theology, medicine, history, geography, economics, law, politics, travel and botany. This first volume covers the years 1650 to 1679. 'When the eight volumes of correspondence have appeared they will be recognized as one of the great scholarly achievements of their day.' K. H. D. Haley, Times Literary Supplement.

E. S. de Beer>'s eight-volume edition of the correspondence of John Locke is a classic of modern scholarship. The intellectual range of the correspondence is universal, covering philosophy, theology, medicine, history, geography, economics, law, politics, travel and botany. This first volume covers the years 1650 to 1679.

Jesus' option for the poor should be reclaimed in a clear theological and ecclesial option for the dumping sites of our cities and towns. That is the basic proposal of this article. Reflecting upon three different dumping sites - different in size, age and history - this article will explore the central thread of material and human waste, often dealt with almost as synonymous, concentrated and overlapping in these marginal spaces. It will additionally explore the theological and ecclesial challenges, but (...) also possible opportunities, visions and gifts presented by them. The paradoxical interconnectedness between waste management and sanitised cities will be considered, as well as its relation to mediating or denying human dignity. The stories of Smokey Mountain in Manila, the Zabbaleen community in Mokattam Village, Cairo, and the Hulene Dump in Maputo, will be presented as part of this reflection. They will be read as mirrors to the proliferation of similar dumping sites on the fringes of South African cities. An outline is offered for a theological-ecclesial praxis emerging from the dumping sites, as well as a retrieval of possible contributions from these sites to the broader urban public theological reflection. (shrink)

E. S. de Beer's eight-volume edition of the correspondence of John Locke is a classic of modern scholarship. The intellectual range of the correspondence is universal, covering philosophy, theology, medicine, history, geography, economics, law, politics, travel and botany. This first volume covers the years 1650 to 1679. 'When the eight volumes of correspondence have appeared they will be recognized as one of the great scholarly achievements of their day.' K. H. D. Haley, Times Literary Supplement.

In this article the cosmological and metaphysical dimensions of the Logos concept in the Hellenic and Patristic traditions are explored. Heraclitus initially depicted the logos as the ontological link between the One and the many, with the logos thus serving as the foundation of both rational discourse and natural law. This concept was elaborated and modified by a number of eminent Hellenic and Christian thinkers. Among them count Plato, Philo of Alexandria, the New Testament authors John and Paul, Plotinus, Athenagoras, (...) Justin Martyr, Clement of Alexandria, Augustine of Hippo, Dionysius the Areopagite, Maximus the Confessor and John Scottus Eriugena. (shrink)

The aim of this study was to conduct an interpretative phenomenological analysis exploring the experiences of differently abled first-year students from a psychofortological perspective. Ryff’s psychological well-being model was used as a theoretical underpinning. Through the course of an academic year, three male participants completed semi-structured interviews and reflective writing exercises. Data were analysed using interpretative phenomenological analysis. A cross-case analysis yielded themes related to participants’ dynamic processes of finding purpose, direction and independence, as well as belonging, positive relations, self-acceptance (...) and mastery. Collectively, the findings demonstrated how the participants moved from viewing themselves as disabled to differently abled, and that, despite numerous challenges, psychological well-being can be facilitated through the first-year higher education experience. (shrink)

People with aphasia use gestures not only to communicate relevant content but also to compensate for their verbal limitations. The Sketch Model (De Ruiter, 2000) assumes a flexible relationship between gesture and speech with the possibility of a compensatory use of the two modalities. In the successor of the Sketch Model, the AR‐Sketch Model (De Ruiter, 2017), the relationship between iconic gestures and speech is no longer assumed to be flexible and compensatory, but instead iconic gestures are assumed to express (...) information that is redundant to speech. In this study, we evaluated the contradictory predictions of the Sketch Model and the AR‐Sketch Model using data collected from people with aphasia as well as a group of people without language impairment. We only found compensatory use of gesture in the people with aphasia, whereas the people without language impairments made very little compensatory use of gestures. Hence, the people with aphasia gestured according to the prediction of the Sketch Model, whereas the people without language impairment did not. We conclude that aphasia fundamentally changes the relationship of gesture and speech. (shrink)

In this article, we are exploring a methodological approach to research on faith and religious expressions in urban Africa. We are committed to trans-disciplinary work that pursues research methods mutually liberating for researchers, co-researchers and community participants and that results in long-term benefits and strengthened agency on the part of the host communities. Our reflections in this article are based on a collaborative research project1 in two regions of Pretoria, Tshwane2 – Pretoria Central and Mamelodi East – in which we (...) explore how religious innovation and competition in and amongst churches contribute to the healing or perpetuation of urban fractures. (shrink)

After describing the challenges, myths, exclusions and opportunities of urban regeneration, this article explores the potential interface between faith-based action and different forms of urban regeneration. Focusing on different South African cities, it considers how faith-based action could participate in regenerative urban work. Faith-based action will refer to the varied responses of churches and faith-based organisations to urban challenges and transitions. It interrogates whether faith-based action only represents many similar approaches that address urban problems superficially without mediating long-term, systemic change, (...) or whether it indeed contributes to urban transformation in the sense of radical inclusivity and socio-structural spatial justice. Finally, it considers socio-theological sources that could potentially ground urban faith-based action theologically – such as an urban spirituality, an understanding of regeneration as integral liberation and mobilising socio-spiritual capital – whilst making a distinctive contribution to the processes of socially inclusive urban regeneration. (shrink)

As a figure constitutional of meaning within texts and schemes of thought, chiasmus plays an essential role. Taking chiasmi beyond their purely stylistic role calls for exploring their structural and meaning-defining role within texts and systems of thought. This study endeavoured to investigate the chiastic structure(s) of LXX Esther’s Addition C, the Prayer of Esther. The reverse parallelism of chiasmus can symbolise a wide series of affiliations. Jamin Pelkey’s semiotic typology of chiasmus was utilised as a heuristic prism to explore (...) the chiastic structure(s) referred to in LXX Esther’s Addition C (17k–z) and Addition D. A crucial question is in what ways and how these chiasmi contribute to communicate intersections or meeting points between two possibilities. Chiasmus can be employed both to outline contradictions or rifts between some set of oppositions and at the same time bring these differences into dialogue. It was illustrated how oppositions and contradictions related to the prayer of Esther are transcended. Contribution: Referring to the narrative of LXX Esther, this article contributed to contested historical thought, source interpretation and literary studies. (shrink)

This essay is informed by five different but interrelated conversations all focusing on the relationship between the city and the university. Suggesting the clown as metaphor, I explore the particular role of the activist scholar, and in particular the liberation theologian that is based at the public university, in his or her engagement with the city. Considering the shackles of the city of capital and its twin, the neoliberal university, on the one hand, and the city of vulnerability on the (...) other, I then propose three clown-like postures of solidarity, mutuality and prophecy to resist the shackles of culture and to imagine and embody daring alternatives. (shrink)

The account of the hero is often depicted as a narratological journey which, with reference to the ground-breaking work of Campbell, is referred to as the monomyth. The basic outline of all monomyths is an account of how a hero embarks on a journey, meets a major crisis and then returns back home altered in some way. This change does not only benefit the hero but is also to the advantage of the community that he or she hails from. This (...) study examines the possibility that the story of Esther fits the prerequisites of a monomyth and argues that the additions to LXX-Esther give emphasis to and reinforce the impression of the hero-myth underlying the story. The therapeutic and transforming qualities of the hero story, narrated in LXX-Esther, are examined in more detail. It is concluded that this hero story fulfils two basic human functions: an epistemic function and a restorative function.Contribution: This article contributes to HTS Teologiese Studies/Theological Studies’s’ contested Historical Thought and Source Interpretation by focusing on textual and hermeneutical studies, and narratives behind the Abrahamic religion as expressed in the Hebrew Scriptures, Apocrypha, Pseudepigrapha and the Septuagint. (shrink)

E. S. de Beer>'s eight-volume edition of the correspondence of John Locke is a classic of modern scholarship. The intellectual range of the correspondence is universal, covering philosophy, theology, medicine, history, geography, economics, law, politics, travel and botany. This first volume covers the years 1650 to 1679.

This article proposes a 'fusion of horizons' in constructing urban public theologies in South Africa. This is done through the introduction of five interrelated themes that have emerged from the on-going knowledge and idea production by a distinguishable counterpoint in contemporary scholarly, intellectual and activist engagement with the urban, in the authors' own South African context but also wider internationally. In advancing a praxis-agenda for urban public theology, the authors subsequently identify the following, albeit not exhaustive, themes: southern urbanisms and (...) the factor of unprecedented urban migration; 'right to the city' and urbanisation from below; a reclaiming of the commons; the making of 'good cities'; and actors of faith in relation to urban social life. (shrink)

In the past decade, significant social movements emerged in South Africa, in response to specific urban challenges of injustice or exclusion. This article will interrogate the meaning of such urban social movements for theological education and the church. Departing from a firm conviction that such movements are irruptions of the poor, in the way described by Gustavo Gutierrez and others, and that movements of liberation residing with, or in a commitment to, the poor, should be the locus of our theological (...) reflection, this article suggests that there is much to be gained from the praxis of urban social movements, in disrupting, informing and shaping the praxis of both theological education and the church. I will give special consideration to Ndifuna Ukwazi and the Reclaim the City campaign in Cape Town, the Social Justice Coalition in Cape Town, and Abahlali baseMjondolo based in Durban, considering these as some of the most important and exciting examples of liberatory praxes in South Africa today. I argue that theological education and educators, and a church committed to the Jesus who came ‘to liberate the oppressed’, ignore these irruptions of the Spirit at our own peril. (shrink)

Ivan Petrella argues that the goals of liberation theology can sometimes be better served by doing it undercover. This article reflects on responses to homelessness during Covid-19 in the City of Tshwane, describing and reflecting upon it from the perspective of a researcher-theologian as well as activist-urbanist. It employed two lenses in its reflection: Petrella’s notion of the ‘undercover liberation theologian’, as well as what is known as deliberative public administration theory, as possibly complementary approaches. It traces ways in which (...) people of faith/theologians participated in the City of Tshwane through means other than explicit theological discourse. It implies that such engagement was not less theological but perhaps more strategic, describing that task of the undercover liberation theologian as that of making space, making plans, making known and making change. Ultimately, it calls for a subversion of suspect models of theological education, suggesting that it is in losing ourselves in the messiness of public processes and multiple solidarities with the poor, that the unfree might experience freedom, and liberation theological goals might find concrete expression.Contribution: This article reflects on responses in the City of Tshwane to street homelessness during Covid-19. It unpacks the notion and role of the ‘undercover’ liberation theologian in local political processes, and how losing ourselves in public processes and multiple solidarities with the urban poor, might help gain freedom for the unfree. (shrink)

In this paper the system IL for relative interpretability is studied.

In this article, the authors bring two personal journeys together: one author’s liberationist journey, sparked by a search for justice and liberation in the slums of Guatemala City, and the other’s lifelong commitment to practical theology and spatial justice in South Africa. A practical theology of liberation is the result of life experiences in countries of the Global South amidst the search for justice and liberation. The worlds that come together in this article are René Girard’s mimetic theory, liberation theology (...) and practical theology. This article raises the question of the cross-contextuality of practical theology and the theological application of mimetic theory to develop innovative theological methodologies that respond to the collective woundedness of the urban context in the Global South.Contribution: The main contribution of this article is the use of three seemingly different theological approaches in conjunction. This article opens the door to inform practical theology with René Girard’s mimetic theory and liberation theology. (shrink)

In this article, the authors bring two personal journeys together: one author’s liberationist journey, sparked by a search for justice and liberation in the slums of Guatemala City, and the other’s lifelong commitment to practical theology and spatial justice in South Africa. A practical theology of liberation is the result of life experiences in countries of the Global South amidst the search for justice and liberation. The worlds that come together in this article are René Girard’s mimetic theory, liberation theology (...) and practical theology. This article raises the question of the cross-contextuality of practical theology and the theological application of mimetic theory to develop innovative theological methodologies that respond to the collective woundedness of the urban context in the Global South.Contribution: The main contribution of this article is the use of three seemingly different theological approaches in conjunction. This article opens the door to inform practical theology with René Girard’s mimetic theory and liberation theology. (shrink)

In ethical debates about euthanasia, the focus is often exclusively on the involvement of physicians and the involvement of nurses is seldom given much attention. Yet nurses occupy a central position in the care of terminal patients, where being confronted with a euthanasia request is an ever present possibility. To assess the involvement of nurses in euthanasia, this article provides an overview of relevant findings from the scientific literature. From this it becomes apparent that nurses are involved in various phases (...) of the euthanasia process: observing the request for euthanasia, decision making, carrying out of euthanasia, and the aftercare for the patient’s family members. (shrink)

This article seeks to present challenges of negotiating difference and diversity in Christiancommunities in South Africa today. It reflects the intersectional nature of racial, gender, ethnicand economic difference, and ways in which land, capital and other power constructs continueto underpin and deepen exclusion. It then considers the status of diversity in Christiancommunities highlighting ways in which the fault lines in society are running throughChristian communities, and how such communities almost spontaneously engage in ‘othering’more naturally than in ‘embracing’. The article proposes (...) the re-conceptualisation of diversitywithin the bigger South African project of socio-economic transformation, and that theconversation about difference and diversity in Christian communities should be brought intodialogue with critical diversity theory, which considers diversity in relation to equity, humanrights and social justice. Finally, the article provides an overview of the contributions that formpart of this collection of articles, tracing how a number of Christian communities seek tonegotiate diversity and difference ecclesially and theologically. (shrink)

This article sets out to describe how churches have responded and continue to respond to fast-changing urban environments in Pretoria Central and Mamelodi East, animating Henri Lefebvre’s sociological perspective of citadins or urban inhabitants. We make tentative interpretations and offer critical appreciation. Churches, which were historically separated from the city centre, now directly participate in claiming a right to the city. With necessary fluidity, churches express lived African urbanisms through informality, place-making, spatial innovation and everyday rituals. Though not exhaustive, the (...) article focuses on rituals shared among historic urban Christians and contemporary African urban Christians, namely prayer, listening to the Bible and worship. These rituals, when combined with the churches’ spatial innovation, to a certain degree contribute to place-making. (shrink)

Grounded in a postcolonial, liberationist urban vision, this article lamented the theological and political paralysis of urban denialism that fails African cities and African urban populations. Considering different possible urban trajectories towards 2063 – ranging from floundering to flourishing, implosion to explosion, and apocalyptic disaster to complete rebirth – it then proposed theologies of African urban citizenship, as response. It sought to articulate a vision of citizen-driven African cities, remaking cities ‘from below’, through interconnected and intersectional urban movements. It considered (...) urban citizenship not as the decent and orderly conduct of subjects of the nation-state but as the disruptive and transformative presence and participation of citizens of God’s new city, breaking into cities across the African continent. While it bemoaned the absence of ‘Africa’s urban revolution’ from mainstream theologies and politics practised in the African context, and the insufficient attention paid to it even by the Africa 2063 manifesto, it dared to evoke hope, in spite of evidence to the contrary. This should be viewed as a conceptual contribution, fusing literature study with deep urban immersion. Contribution: Grounded in a postcolonial, liberationist urban vision, this article lamented the theological and political paralysis of urban denialism that fails African cities and African urban populations, contemplating theologies of African urban citizenship instead. (shrink)