Introduction In 2007, a national review committee was instituted in The Netherlands to review cases of active ending of life for newborns. It was expected that 15–20 cases would be reported. To date, however, only one case has been reported to this committee. Reporting is essential to obtain societal control and transparency; the possible explanations for this lack of reporting were therefore explored. Methods Data on end-of-life decision-making were scrutinised from Dutch nation-wide studies (1995, 2001 and 2005), before institution of (...) the committee. Physicians received a questionnaire about their medical decision-making for stratified samples of deceased infants up to 1 year, drawn from the central death registry. Results In 2005, 58% of all deaths were preceded by an end-of-life decision, compared with 68% in 2001 and 62% in 1995. The use of drugs with a possible life-shortening effect tended to be lower. In 2005, all four cases in the study in which an infants' life was actively ended were preceded by a decision to forego life-prolonging treatment. In three cases, the infant's life expectancy was short; one case involved a longer life expectancy. Discussion The expected number of cases is probably an overestimation due to changes in medical practice such as the tendency to attribute less life-shortening effects to opioids. The lack of reports is probably also associated with requirements in the regulation; it may be difficult to fulfil them due either to time constraints or the nature of the suffering that is addressed. If societal control of active ending of life is considered useful, changes in the regulation may be needed. (shrink)
Governments and other food system actors from the private sector, civil society, research and education institutions are being called upon to work together to enhance the sustainability, resilience and inclusiveness of food systems. The analysis presented in this study provides an insight into the process and direction of food system transformation, and the key capabilities required. It portrays the interplay of different internal and external dynamics combined with the capacity of food system actors to connect, forge alliances and commit to (...) specific actions that has enabled countries to move towards a more sustainable food system. (shrink)
The use of cost-benefit analysis (CBA) in environmental decision-making and the contingent valuation (CV) technique as input into traditional CBA to elicit environmental values in monetary terms has stimulated an extensive debate. Critics have questioned the appropriateness of both the method and the technique. Some alternative suggestions for the elicitation of environmental values are based on a social process of deliberation. However, just like traditional economic theory, these alternative approaches may be questioned on their implicit value judgements regarding the legitimacy (...) of the social-political organisation of the process of value elicitation. Instead of making assumptions a priori, research efforts should be focused on the processes by which actual public attitudes and preferences towards the environment can best be elicited and fed into environmental or other public policy decision-making. In the study presented in this paper, support was found for both the individual WTP based approach and a participatory social deliberation approach to inform the environmental decision-making process, suggesting that a combination of both approaches is most appropriate. (shrink)
Brouwer's views on the foundations of mathematics have inspired the study of intuitionistic logic, including the study of the intuitionistic propositional calculus and its extensions. The theory of these systems has become an independent branch of logic with connections to lattice theory, topology, modal logic and other areas. This paper aims to present a modern account of semantics for intuitionistic propositional systems. The guiding idea is that of a hierarchy of semantics, organized by increasing generality: from the least general Kripke (...) semantics on through Beth semantics, topological semantics, Dragalin semantics, and finally to the most general algebraic semantics. While the Kripke, topological, and algebraic semantics have been extensively studied, the Beth and Dragalin semantics have received less attention. We bring Beth and Dragalin semantics to the fore, relating them to the concept of a nucleus from pointfree topology, which provides a unifying perspective on the semantic hierarchy. (shrink)
The main questions considered in this paper are the consistency of a variant of a set theory with intuitionistic logic, with Brouwer's principle and the investigation of the comparative power of the Church's Thesis' variants at the set theory level.
The standard Brouwer–Zadeh poset Σ(H) is the poset of all effect operators on a Hilbert space H, naturally equipped with two types of orthocomplementation. In developing the theory, the question occured if (when) Σ(H) fulfils the de Morgan property with respect to both orthocomplementation operations. In Ref.3 the authors proved that it is the case provided dimH<∞, and they conjectured that if dimH=∞, then the answer is in the negative. In this note, we first give a somewhat simpler proof of (...) the known result for dimH<∞, and then we give a proof to the conjecture: We show that if dimH=∞, then the de Morgan property is not valid. (shrink)
This is a collection of essays on themes of legal philosophy which have all been generated or affected by Hart's work. The topics covered include legal theory, responsibility, and enforcement of morals, with contributions from Ronald Dworkin, Rolf Sartorius, Neil MacCormach, David Lyons, Kent Greenawalt, Michael Moore, Joseph Raz, and C.L. Ten, among others.
Everyone knows that Wales is a land of scenery. It is also known to have local customs and usages, and a peculiar language; in fact it has also its own history and historical memories. By virtue of these things Wales is a nation with its own life and culture, which merits study and demands respect.
Intuitionistically. a set has to be given by a finite construction or by a construction-project generating the elements of the set in the course of time. Quantification is only meaningful if the range of each quantifier is a well-circumscribed set. Thinking upon the meaning of quantification, one is led to insights?in particular, the so-called continuity principles?which are surprising from a classical point of view. We believe that such considerations lie at the basis of Brouwer?s reconstruction of mathematics. The predicate ?α (...) is lawless? is not acceptable, the lawless sequences do not form a well-circumscribed intuitionistic set, and quantification over lawless sequences does not make sense. (shrink)