Technology has expanded genomic research and the complexity of extracted gene-related information. Health-related genomic incidental findings pose new dilemmas for nurse researchers regarding the ethical application of disclosure to participants. Consequently, informed consent specific to incidental findings is recommended. Critical Social Theory is used as a guide in recognition of the changing meaning of informed consent and to serve as a framework to inform nursing of the ethical application of disclosure consent in genomic nursing research practices.

Sustained attention, a key cognitive skill that improves during childhood and adolescence, tends to be worse in some emotional and behavioural disorders. Sustained attention is typically studied in non-affective task contexts; here, we used a novel task to index performance in affective versus neutral contexts across adolescence (N = 465; ages 11–18). We asked whether: (i) performance would be worse in negative versus neutral task contexts; (ii) performance would improve with age; (iii) affective interference would be greater in younger adolescents; (...) (iv) adolescents at risk for depression and higher in anxiety would show overall worse performance; and (v) would show differential performance in negative contexts. Results indicated that participants performed more poorly in negative contexts and showed age-related performance improvements. Those at risk of depression performed more poorly than those at lower risk. However, there was no difference between groups as a result of affective context. For anxiety there was no difference in performance as a function of severity. However, those with higher anxiety showed less variance in their reaction times to negative stimuli than those with lower anxiety. One interpretation is that moderate levels of emotional arousal associated with anxiety make individuals less susceptible to the distracting effects of negative stimuli. (shrink)

"Remarkable how well Bouwsma understood Wittgenstein's approach to philosophical problems and how intelligently he was able to recount Wittgenstein's discussions. The bits about sensation are especially good. And the asides about the other philosophers--e.g. Dewey, Russell, Anscombe--are, while not frivolous, gossipy and titillating." --Riley Wallihan, Western Oregon University.

A cross-sectional study to ascertain what the Singapore population would regard as material risk in the anaesthesia consent-taking process and identify demographic factors that predict patient preferences in medical decision-making to tailor a more patient-centered informed consent. A survey was performed involving patients 21 years old and above who attended the pre-operative evaluation clinic over a 1-month period in Singapore General Hospital. Questionnaires were administered to assess patients’ perception of material risks, by trained interviewers. Patients’ demographics were obtained. Mann–Whitney U (...) test and Kruskal-Wallis one-way analysis of variance was used. Statistical significance was taken at p < 0.05. Four hundred fourteen patients were eligible of which 26 refused to participate and 24 were excluded due to language barrier. 364 patients were recruited. A higher level of education, being employed and younger age group are factors identified in patients who wanted greater participation in medical decisions. Gender, marital status, type of surgery, and previous surgical history did not affect their level of participation. The complications most patients knew about were Nausea, Drowsiness and Surgical Wound Pain. Patients ranked Heart Attack, Death and Stroke as the most significant risks that they wanted to be informed about in greater detail. Most patients wanted to make a joint decision with the anaesthetist, instead of letting the doctor decide or deciding for themselves. Discussion with the anaesthetist is the preferred medium of communication compared to reading a pamphlet or watching a video. Age and educational level can influence medical decision-making. Despite the digital age, most patients still prefer a clinic consult instead of audio-visual multimedia for pre-operative anaesthetic counselling. The local population appears to place greater importance on rare but serious complications compared to common complications. This illustrates the need to contextualize information provided during informed consent to strengthen the doctor-patient relationship. (shrink)

Mackie attempts to revise Locke's theory of the identity of persons. Locke's equation of personal identity with the unity of consciousness is set out. Mackie examines various objections to Locke's theory and his use of puzzle cases is highlighted. Recent theories of personal identity, such as Parfit's, are critically discussed. Mackie suggests that the equation of personal identity with the continuity of neurophysiological structure would resolve some of the difficulties associated with an account of personal identity.

Stephen Finlay’s proposed methodology for defending the central theses of his impressive Confusion of Tongues is an underexplored aspect of this work.1 1 His official methodology is analytic : A reduction of normative to non-normative vocabulary. Here, I argue that taking this official line at face-value forces the reader to conclude that the reductions at the heart of that book cannot be correct. In contrast, a philosophical methodology that does not proceed via analyses would better support those reductions, then understood (...) as non-analytic. As we’ll see below, there are independent, empirical reasons to reject a philosophical methodology that proceeds via analyses. I conclude that there is a method for the study of ethical language that better serves Finlay’s primary philosophical aims. The lesson, though, is generalizable: Given the array of normative and meta-normative theories, we want a semantics for normative discourse to be capable of expressing, we should expect that the more plausible such views will not be defended via analyses. (shrink)

The question discussed in this paper is the relation of the Topics to the two Analytics. The smaller works are here ignored.

How does the physics we know today-- a highly professionalized enterprise, inextricably linked to government and industry-- link back to its origins as a liberal art in ancient Greece? What is the path that leads from the old philosophy of nature and its concern with humankind's place in the universe to modern massive international projects that hunt down fundamental particles and industrial laboratories that manufacture marvels? John Heilbron's fascinating history of physics introduces us to Islamic astronomers and mathematicians, calculating the (...) size of the earth whilst their caliphs conquered much of it; to medieval scholar-theologians investigating light; to Galileo, Copernicus, Kepler, and Newton, measuring, and trying to explain, the universe. We visit the 'House of Wisdom' in 9th-century Baghdad; Europe's first universities; the courts of the Renaissance; the Scientific Revolution and the academies of the 18th century; the increasingly specialized world of 20th and 21st century science. Highlighting the shifting relationship between physics, philosophy, mathematics, and technology-- and the implications for humankind's self-understanding-- Heilbron explores the changing place and purpose of physics in the cultures and societies that have nurtured it over the centuries. (shrink)

Wykstra’s paper defends two objections to my reasoning in The Wisdom to Doubt. One says that we in fact do take evidence to be representative of all the relevant evidence that exists when forming the judgment that it makes some proposition probable, the other that our judgments as to the representativeness of evidence are often justified, and can be justified even in matters of religion. Both objections are instructive but ultimately unsuccessful, as I show here.

First published in 2003. Routledge is an imprint of Taylor & Francis, an informa company.