BackgroundSocial support plays an important role for health outcomes. Support for those living with chronic conditions may be particularly important for their health, and even for their survival. The role of support for the survival of cancer patients after receiving an allogeneic hematopoietic cell transplant is understudied. To better understand the link between survival and support, as well as different sources and functions of support, we conducted two studies in alloHCT patients. First, we examined whether social support is related to (...) survival. Second, we examined who provides which support and which specific support-related functions and tasks are fulfilled by lay caregivers and healthcare professionals.MethodsIn Study 1, we conducted a retrospective chart review of alloHCT patients and registered availability of a dedicated lay caregiver and survival. In Study 2, we prospectively followed patients after alloHCT from the same hospital, partly overlapping from Study 1, who shared their experiences of support from lay caregivers and healthcare providers in semi-structured in-depth interviews 3 to 6 months after their first hospital discharge.ResultsPatients with a dedicated caregiver had a higher probability of surviving to 100 days than patients without a caregiver, OR = 2.84, p = 0.042. Study 2 demonstrated the importance of post-transplant support due to patients’ emotional needs and complex self-care regimen. The role of lay caregivers extended to many areas of patients’ daily lives, including support for attending doctor’s appointments, managing medications and financial tasks, physical distancing, and maintaining strict dietary requirements. Healthcare providers mainly fulfilled medical needs and provided informational support, while lay caregivers were the main source of emotional and practical support.ConclusionThe findings highlight the importance of studying support from lay caregivers as well as healthcare providers, to better understand how they work together to support patients’ adherence to recommended self-care and survival. (shrink)

This is an annotated translation of the "King Dohäs," a work by the Indian Tantric sage Saraha. It is sub-titled "A Study in the History of Buddhist Thought." The first part is commentary by the translator on "The Tradition about Saraha and His Works," "The Teaching of the Dohäs," and "Existence versus Essence." The second part is the song itself, only nine pages. The third part is two commentaries, one by the Nepalese scholar sKye-med bde-chen and the other by (...) the Tibetan Lama Karma Phrin-las-pa. The original texts are not given though two sample pages are given for the sake of satisfying curiosity about the form of the books, etc. Because the translation is interspersed with terms taken from modern existential philosophy, the average reader and even the Buddhist scholar will have difficulty with the work. It is best suited for someone who is familiar with existential works and who would like to see the terminology applied to Buddhism.--P. J. H. (shrink)

This is a very good translation of the Bhagavad Gïtä, Song of the Lord, a highly revered text for Hindus upon which the great teachers of Vedanta, Shankara, Ramanuja, and Madhva, have written commentaries. Thus, it is a source text which in this well-arranged paperback edition is a good buy. Eleven terms are left in the Sanskrit and are defined in the introduction, which includes other introductory notes. At the end are thirty-four pages of essays on the Nature of (...) Karma Yoga, the Meta-Theological Structure, the Value of Ceremonial Religion, and Freedom and Determinism. The essays are not overly technical and thus are readable by all, making this an excellent edition for the classroom and for those who want an introduction to Hindu religion, or Indian culture.--P. J. H. (shrink)

© 2017. The American Astronomical Society. All rights reserved.We present new observations of the low-mass companion to HD 984 taken with the Gemini Planet Imager as a part of the GPI Exoplanet Survey campaign. Images of HD 984 B were obtained in the J and H bands. Combined with archival epochs from 2012 and 2014, we fit the first orbit to the companion to find an 18 au orbit with a 68% confidence interval between 14 and 28 au, an eccentricity (...) of 0.18 with a 68% confidence interval between 0.05 and 0.47, and an inclination of 119°with a 68% confidence interval between 114°and 125°. To address the considerable spectral covariance in both spectra, we present a method of splitting the spectra into low and high frequencies to analyze the spectral structure at different spatial frequencies with the proper spectral noise correlation. Using the split spectra, we compare them to known spectral types using field brown dwarf and low-mass star spectra and find a best-fit match of a field gravity M6.5 ±1.5 spectral type with a corresponding temperature of K. Photometry of the companion yields a luminosity of log=2.88 ± 0.07 dex with DUSTY models. Mass estimates, again from DUSTY models, find an age-dependent mass of 34 ±1 to 95 ±4 M Jup. These results are consistent with previous measurements of the object. (shrink)

Awareness of, and respect for differences of gender, race, religion, language, and culture have liberated many oppressed groups from the hegemony of white, Western males. However, respect for previously denigrated collective identities should not be allowed to confine individuals to identities constructed around one main component used for political mobilisation, or to identities that depend on a priority of properties that are not optional, like race, gender, and language. In this article I want to sketch an approach for accommodating different (...) kinds of identity within a multicultural constitutional democracy. From a vantage point provided by a definition and explanation of personal identity, I want to show how people define, construct and change their personal identities to make themselves into unique individuals. Next I show how democratic political institutions and the personal identities of individuals reciprocally influence one another. In the final section I sketch ways in which diverse personal identities ought to be accommodated in multicultural constitutional democracies. The conclusion is that a society which gives its members the liberty, space, and opportunity to freely construct their own identities might avoid the formation of closed groups committed exclusively to their own sectional interests. (shrink)

The introduction of novel diagnostic techniques in clinical domains such as genomics and radiology has led to a rich ethical debate on how to handle unsolicited findings that result from these innovations. Yet while unsolicited findings arise in both genomics and radiology, most of the relevant literature to date has tended to focus on only one of these domains. In this article, we synthesize and critically assess similarities and differences between “scanning the body” and “sequencing the genome” from an ethical (...) perspective. After briefly describing the novel diagnostic contexts leading to unsolicited findings, we synthesize and reflect on six core ethical issues that relate to both specialties: terminology; benefits and risks; autonomy; disclosure of unsolicited findings to children; uncertainty; and filters and routine screening. We identify ethical rationales that pertain to both fields and may contribute to more ethically sound policies. Considerations of preserving public trust and ensuring that people perceive healthcare policies as fair also support the need for a combined debate. (shrink)

This handbook with exercises reveals the mathematical beauty of formalisms hitherto mostly used for software and hardware design and verification.

First published in 1935, The Life and Writings of Giambattista Vico is a succinct biography of the Italian philosopher, Giambattista Vico. Carefully documented, the book comments on Vico's life as well as his oeuvre in a bid to extend his audience to the English-speaking population. From his early childhood to the influence of his writings after his death, the book provides a keen insight into the many facets of his philosophy. This book will be of interest to students of philosophy (...) and history. (shrink)

Poverty violates fundamental human values through its impact on individuals and on human environments, and it goes against the core values of democratic societies. Drawing on numerous scientific studies as well as his own experience witnessing the systematic poverty in his home country of South Africa, H. P. P. [Hennie] Lötter presents a holistic profile of poverty and its effects on human lives all the while accounting for the complexity of each individual case. He argues that shared ethical values must (...) guide the planning and distribution of aid and that our society must reevaluate our notions of justice and reimagine the role of the state in order to enable collective human responsibility for poverty’s successful eradication. (shrink)

Philosophic anthropology, Pursuing philosophy's traditional search for reflective self-Knowledge seeks to crystallize the ideas of man underpinning empirical research and moral ideals. Neither the claim that pure speculation can produce factual knowledge nor the contention that a higher synthesis of empirical findings can become philosophy is acceptable. Philosophic anthropology is, Therefore, Most usefully conceived as a critique which traces the necessary presuppositions of the study of man in its various forms of the more rules we apply.

The relation between morality and religion has often been discussed. However, it is not always recognized that the relation varies greatly according to the variety of religions. I shall here be concerned solely with Christian theism in its traditional form. I take the latter to signify, essentially, belief in a morally perfect Creator who exists in the threefold form of Father, Son and Holy Spirit and who, in the person of the Son, became man in Christ for our salvation. I (...) thus exclude from consideration all non-theistic accounts of God or the Absolute. Also I shall consider, not simply bare theism of the kind that Christians share with Jews and Muslims, but also the distinctively Christian form of theism that is generated by distinctively Christian revelation. Many otherwise sound descriptions of the relation between morality and theism are defective because they fail to consider the distinctively Christian contribution to the theistic concept of God and of his relation to the world. (shrink)

The purpose of this paper is to resolve two paradoxes, which occur in quantum theory, by using the discussion of the theory of measurement presented in two earlier papers by the author [3], [4], [5]. The two paradoxes discussed will be the Schrödinger cat paradox and the Einstein, Podolski, Rosen paradox [2]. An introductory section will be included which summarizes the relevant results from the author's previous papers. Also a discussion will be made regarding the author's interpretation of the density (...) operator. (shrink)

Many writers often generalise about mysticism without a sufficiently close analysis of texts. Consequently the generalisations are often invalid. My present aim is to analyse one text and, in the light of this analysis, to offer some observations concerning mysticism in general and Christian mysticism in particular.

Dilthey is a figure of real importance in European philosophy and social theory. He exerted a significant influence on Husserl, Heidegger and Weber through his work on the nature of philosophy and the methodology and epistemology of human and social studies. He was also a distinguished and original historian of ideas and, indeed, many of his philosophical interests arose from the insights and practical difficulties he encountered as a historian. He produced a monumental biography of Schleiermacher, and a series of (...) shorter, but no less striking studies of Hegel, Dickens, Shakespeare, Schiller and many others. (shrink)