Recent studies on neural pathways in a broad spectrum of vertebrates suggest that, in addition to migration and an increase in the number of certain select neurons, a significant aspect of neural evolution is a “parcellation” (segregation-isolation) process that involves the loss of selected connections by the new aggregates. A similar process occurs during ontogenetic development. These findings suggest that in many neuronal systems axons do not invade unknown territories during evolutionary or ontogenetic development but follow in their ancestors' paths (...) to their ancestral targets; if the connection is later lost, it reflects the specialization of the circuitry.The pattern of interspecific variability suggests (1) that overlap of circuits is a more common feature in primitive (generalized) than in specialized brain organizations and (2) that most projections, such as the retinal, thalamotelencephalic, corticotectal, and tectal efferent ones, were bilateral in the primitive condition. Specialization of these systems in some vertebrate groups has involved the selective loss of connections, resulting in greater isolation of functions. The parcellation process may also play an important role in cell diversification.The parcellation process as described here is thought to be one of several underlying mechanisms of evolutionary and ontogenetic differentiation. (shrink)

OBJECTIVES: To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN: Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analysis. SETTING: Five departments of internal medicine at Danish hospitals. SAMPLE: Seven discussion groups. MAIN MEASUREMENTS: Ethical content of statements, style of statements, time used by each participant. RESULTS: Danish (...) physicians and nurses do not differ in the kind of ethical reasoning they use, but physicians use more of the discussion time than nurses, they use a more assertive style of argumentation, and the solutions chosen are usually first put forward by physicians. CONCLUSION: The results and informal comparisons with similar data from long qualitative interviews indicate that groups of this kind are a useful tool for gathering data on ethical reasoning. (shrink)

This collection is about composing thought at the level of modernism and decomposing it at the postmodern level where many cocks might crow with African philosophy as a focal point. It has two parts: part one is titled 'The journey of reason in African philosophy', and part two is titled 'African philosophy and postmodern thinking'. There are seven chapters in both parts. Five of the essays are reprinted here as important selections while nine are completely new essays commissioned for (...) this book. As their titles suggest, in part one, African philosophy is unfolded in the manifestation of reason as embedded in modern thought while in part two, it draws the effect of reason as implicated in the postmodern orientation. The idea of the book is to open new vistas for the discipline of African philosophy. African philosophy is thus presented as a disagreement discourse. Without rivalry of thoughts, Africa will settle for far less. This gives postmodernism an important place, perhaps deservedly more important than history of philosophy allocates to it. It is that philosophical moment that says 'philosophers must cease speaking like gods in their hegemonic cultural shrines and begin to converse across borders with one another'. In this conversation, the goal for African philosophers must not be to find final answers but to sustain the conversation which alone can extend human reason to its furthermost reaches. (shrink)

Feminist Theory: A Philosophical Anthology addresses seven philosophically significant questions regarding feminism, its central concepts of sex and gender, and the project of centering women’s experience. Topics include the nature of sexist oppression, the sex/gender distinction, how gender-based norms influence conceptions of rationality, knowledge, and scientific objectivity, feminist ethics, feminst perspectives on self and autonomy, whether there exist distinct feminine moral perspectives, and what would comprise true liberation. Features an introductory overview illustrating the development of feminism as a philosophical (...) movement Contains both classic and contemporary sources of feminist thought, including selections by Mary Wollstonecraft, John Stuart Mill, Simone de Beauvior, Kate Millett, bell hooks, Marilyn Frye, Martha Nussbaum, Louise Antony, Sally Haslanger, Helen Longino, Marilyn Friedman, Catharine MacKinnon, and Drucilla Cornell. (shrink)

Để xem bóng đá và phát sóng video trực tiếp tốc độ cao, Xoilac là trang web lý tưởng. Đặc biệt, Xoilac không có bất cứ quảng cáo nào, vì vậy người xem vẫn thoải mái thưởng thức trận bóng đá mà không lo bị phân tâm vì bất cứ vấn đề gì. Ngoài ra, Xoilac có đội ngũ dày dặn chuyên môn, luôn đưa ra những nhận định chuẩn xác cho từng trận đấu bóng đá. Với đồ hoạ sinh (...) động, âm thanh lôi cuốn và sống động, Xoilac sẽ lưu lại dấu ấn sâu đậm trong tâm trí người xem bóng đá. (shrink)

This book is a selective anthology containing excerpts from Sartre's early as well as recent writings. The selections consist of some of his most prominent writings taken from his philosophical and literary works. The editor has written a forty-seven page introduction to the book which would be quite helpful to a student first approaching Sartre's thought. The anthology is well-arranged and documented, giving full references following all passages quoted.—E. O. T.

BackgroundDespite rapid growth of the scientific literature, no consensus guidelines have emerged to define the optimal criteria for editors to grade submitted manuscripts. The purpose of this project was to assess the peer reviewer metrics currently used in the surgical literature to evaluate original manuscript submissions.MethodsManuscript grading forms for 14 of the highest circulation general surgery-related journals were evaluated for content, including the type and number of quantitative and qualitative questions asked of peer reviewers. Reviewer grading forms for the (...) class='Hi'>seven surgical journals with the higher impact factors were compared to the seven surgical journals with lower impact factors using Fisher’s exact tests.ResultsImpact factors of the studied journals ranged from 1.73 to 8.57, with a median impact factor of 4.26 in the higher group and 2.81 in the lower group. The content of the grading forms was found to vary considerably. Relatively few journals asked reviewers to grade specific components of a manuscript. Higher impact factor journal manuscript grading forms more frequently addressed statistical analysis, ethical considerations, and conflict of interest. In contrast, lower impact factor journals more commonly requested reviewers to make qualitative assessments of novelty/originality, scientific validity, and scientific importance.ConclusionSubstantial variation exists in the grading criteria used to evaluate original manuscripts submitted to the surgical literature for peer review, with differential emphasis placed on certain criteria correlated to journal impact factors. (shrink)

OBJECTIVES: To study the ethical reasoning of nurses and physicians, and to assess whether or not modified focus groups are a valuable tool for this purpose. DESIGN: Discussion of cases in modified focus groups, each consisting of three physicians and three nurses. The discussion was taped and analysed by content analysis. SETTING: Five departments of internal medicine at Danish hospitals. SAMPLE: Seven discussion groups. MAIN MEASUREMENTS: Ethical content of statements, style of statements, time used by each participant. RESULTS: Danish (...) physicians and nurses do not differ in the kind of ethical reasoning they use, but physicians use more of the discussion time than nurses, they use a more assertive style of argumentation, and the solutions chosen are usually first put forward by physicians. CONCLUSION: The results and informal comparisons with similar data from long qualitative interviews indicate that groups of this kind are a useful tool for gathering data on ethical reasoning. (shrink)

Background Although medical ethicists and educators emphasise patient-centred decision-making, previous studies suggest that patients often prefer their doctors to make the clinical decisions. Objective To examine the associations between a preference for physician-directed decision-making and patient health status and sociodemographic characteristics. Methods Sociodemographic and clinical information from all consenting general internal medicine patients at the University of Chicago Medical Center were examined. The primary objectives were to (1) assess the extent to which patients prefer an active role in clinical decision-making, (...) and (2) determine whether religious service attendance, the importance of religion, self-rated spirituality, Charlson Comorbidity Index, self-reported health, Vulnerable Elder Score and several demographic characteristics were associated with these preferences. Results Data were collected from 8308 of 11 620 possible participants. Ninety-seven per cent of respondents wanted doctors to offer them choices and to consider their opinions. However, two out of three (67%) preferred to leave medical decisions to the doctor. In multiple regression analyses, preferring to leave decisions to the doctor was associated with older age (per year, OR=1.019, 95% CI 1.003 to 1.036) and frequently attending religious services (OR=1.5, 95% CI 1.1 to 2.1, compared with never), and it was inversely associated with female sex (OR=0.6, 95% CI 0.5 to 0.8), university education (OR=0.6, 95% CI 0.4 to 0.9, compared with no high school diploma) and poor health (OR=0.6, 95% CI 0.3 to 0.9). Conclusions Almost all patients want doctors to offer them choices and to consider their opinions, but most prefer to leave medical decisions to the doctor. Patients who are male, less educated, more religious and healthier are more likely to want to leave decisions to their doctors, but effects are small. (shrink)

In the ḥadīth sources it is being conveyed that the companions (ṣaḥāba) refrained from asking questions to the Prophet. This situation is generally associated with the verse of sūrat al-Māʾida 5:101. An-Navvās b. Samʿān (d. 50/670), Abū Umāma al-Bāhilī (d. 86/705) and Anas b. Mālik (d. 93/711-12) are among the companions who consider this situation as the ban on the asking questions. The concern that asking questions may cause additional obligations that were not presumed to be obligatory also attracts attention (...) in these records. Keeping all numerous questions addressed to the Prophet in mind we may ask if there is a Prophetic prohibition on asking questions. We will seek an answer to this question, which constitutes the main axis of this article, especially in the framework of the narrations mentioned among the reasons of the al-Māʾida 101. We will evaluate the information concerned in their historical context and internal coherence inductively. Our investigation differs in this respect from the investigations, which dealt with the disapproval of excessive and unnecessary questions. As a result of our research, we think that it is possible to talk about a ban on asking questions about religious issues in the last three years of the Medina period. We will first discuss the dating and nature of this ban, from which only Bedouin and visitors who come to Madina were excluded. Then, we especially will evaluate the theological consequences of answer of the Prophet, which mentioned in the same context, of whether the pilgrimage is religious duty for every year. In the last part of the article, the prohibition of asking questions will be discussed in the light of Hans-Georg Gadamer’s principle “Der hermeneutische Vorrang der Frage”, which deals with the effect of the questions on the direction and nature of the answer.Summary: It is reported in Qurʾān and Ḥadīth that the Prophet Muḥammad (PBUH) was asked a lot of questions and he responded based on the revealed knowledge or his own. He did not like the questions which remain outside of the daily religious life like the questions whether he is able to know the end of the world or to show miracle. There are some reports which covey that the Prophet frowned upon some questions because they could cause new assignments or lead to complicate the existing ones. The Companions like an-Nawwās b- Samʿān (d. 50/670), Abū Umāma al-Bāhilī (d. 86/705) and Anas b. Mālik (d. 93/711-12) have been describing this situation as the ban of asking of religious implications.This issue which companions formulated exactly as the ban of the asking questions was regarded in research until now just as the depreciation of the Prophet upon the unnecessary questions. In this interpretation the idea played a role that the ban of the asking may not conform to the religious pedagogic of the Prophet and the real existence of a lot of asked questions contradict that. Therefore the imperative “do not ask” in al-Māʾida 5:101 (O believers, do not ask about things which, if made known to you, may vex you) were interpreted not as the prohibition of the asking questions in real sense, but as just the depreciation of the unnecessary questions.We argue that it is possible to talk about a prohibition of the asking questions in real sense. We are of the view that the asking to religious matters was prohibited in the last years of the Medina period. In a time of Madina period when the fundamental principles of Islam emerged the questions of companions let the Prophet think that they may lead to additional religious obligations. Therefore the Prophet warned his companions in these words: “Do not ask me about the details of the things which I do not mention to you” and “Allāh Taʿālā has remained silent about some things, out of compassion for you, not forgetfulness so do not seek after them.”The imperative “do not ask” in al-Māʾida 5:101 has to been understood in the light of the Prophet’s advice as quoted above. According to the expressions of the companions reported in hadith collections, it is obvious that the imperative “do not ask” signifies not only “do not ask unnecessary questions”, but “do not ask questions related to theology matters in general”.Anas b. Mālik served the Prophet nine or ten years and was not criticised by the Prophet anytime. A companion like Anas cannot have refrained from the asking questions because they may be unnecessary. Anas interpreted “ do not ask” in al-Māʾida 5:101 in words: “We were forbidden in the Qurʾān that we ask the Prophet anything". Anas’s observation reveals that the companions considered the “do not ask” in al-Māʾida 5:101 as a general prohibition for the questions to religious issue.According to our research it seems this ban was promulgated in last three years of Medina Period, and Bedouin and visitors were excluded. Al-Nawwās b. Samʿān noticed that the ban of the asking questions was only for the residents in Medina: “I was in Medina one year. The reason why I did not stay in Medina was my wish to ask the Prophet a religious issue. So, whoever stayed in Medina was not permitted to ask the Prophet questions.” Abū Umāma al-Bāhilī interpreted the ban of the asking in al-Māʾida 5:101 as a general ban. He reported that the companions give a garment (burda) as gift to a Bedouin in order to let him ask the Prophet questions. The ban on asking questions in Medina was not related to unnecessary questions. It was indeed related to the questions that might have caused addition to already well-defined obligatory rulings in Islam. Accordingly, the questions became unnecessary because they were asked in the time of revelation. With the ban of the asking the Prophet questions accentuated that God and his Messenger are aware what necessary and what was not. It means that God can intervene if it is necessary. For that they do not need ask the Prophet. Aṭ-Ṭabarī, al-Qurṭubī, en-Nawawī, Ibn RaJab el-Ḥanbalī and Ibn Ḥajar al-ʿAsqalānī are the scholars who interpreted the ban of asking in this general sense.We especially will evaluate the theological consequences of the Prophet’s response, as reported in the sources: “ If I said yes, the pilgrimage will be a religious duty for every year.” Here one may not misconstrue that the Prophet could determine the religious obligations arbitrarily. He meant that the believers have to practice only that which were revealed to them. The Prophet wanted to teach his followers the principle that became essential rule of Islamic jurisprudence: “What is not forbidden is permitted”.The Prophet did not perform tarāwīḥ-prayer in congregation in the month of fasting due to the apprehension that it might become obligatory for the believers and they would not be able to follow it. In this human reaction of the Prophet we see that the Prophet did not consider himself as the founder of the Islamic norms. In this context the following questions are important: Does God consider the human questions when making something obligatory? Is God influenceable in terms of His orders? Ibn Ḥajar observes: The scholars of Ahl al-Sunnah accept the causality in terms of the Islamic norms. Accordingly something can become a religious norm because the humans asked about that. But God’s decision does not depend on the humans. God can consider human questions, if He so wills. (shrink)

This report describes the rationale, approaches, organization, and resource development leading to a large-scale deletion bin map of the hexaploid wheat genome. Accompanying reports in this issue detail results from chromosome bin-mapping of expressed sequence tags representing genes onto the seven homoeologous chromosome groups and a global analysis of the entire mapped wheat EST data set. Among the resources developed were the first extensive public wheat EST collection. Described are protocols for sequencing, sequence processing, EST nomenclature, and the assembly (...) of ESTs into contigs. These contigs plus singletons were used for selection of distinct sequence motif unigenes. Selected ESTs were rearrayed, validated by 5′ and 3′ sequencing, and amplified for probing a series of wheat aneuploid and deletion stocks. Images and data for all Southern hybridizations were deposited in databases and were used by the coordinators for each of the seven homoeologous chromosome groups to validate the mapping results. Results from this project have established the foundation for future developments in wheat genomics. (shrink)

科学技術の進展と共に、人間生存の理法が今新しく問われている。本書は、「思想的寛容」にもとづいて平和の砦を築こうとする異色の平和論を展開。.

There are several features of Akkadian that set it apart from other Semitic languages. One such feature is the assumption of seven alefs that descended from Proto-Semitic phonemes, *ʔ, *h, *ʕ, *ɣ, *ħ, and sometimes *w and *j. The standard account is that they merged before being lost in nearly every environment. Additionally, ʔ3-5 interact with the low-back vowel, [a], producing [e]. Two other issues regarding the shift from [a] to [e] is which environments [e] surfaces in to be (...) reanalyzed, and the fact that there are several roots that have [e] and no apparent conditioning environment. In this article I provide a solution to these issues clarifying the conditioning environments obscured by Akkadian orthography and Semitic derivational morphology. I show that voicing assimilation alone is responsible for the different outcomes of *ħ and *ʕ, which have the same distribution. This assimilation has parallels in non-guttural roots such as *√ntn, which becomes √ndn in Akkadian. Whether *ʕ and *ħ surface as or depends less on the underlying form than on assimilation to the voicing value of the adjacent consonant radical. With this analysis, there is no reason left to reject Kowenburg’s theory that gutturals became glides which cause raising to [e], with the slight amendment that it is the voiced variant *ʕ alone which becomes a glide. (shrink)

R&D collaborations between industry, government, civil society, and research ) have recently gained attention from R&D theorists and practitioners. In aiming to come to grips with their complexity, past models have generally taken a stakeholder-analytical approach based on stakeholder types. Yet stakeholder types are difficult to operationalise. We therefore argue that a processual model is more suited for studying the interaction in QHCs because it eschews matters of titles and identities. We develop such a model in which the QHC is (...) represented as a process of generating four types of value: research value, market value, political value, and societal value. We then apply this processual model in analysing real-life cases of friction in QHCs. Friction is seen, not as an interpersonal clash, but as a discrepancy between two or more value-creation processes that compete for limited resources. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:388 HISTORY OF PHILOSOPHY Beyond the Edge of Certainty: Essays in Contemporary Science and Philosophy. Edited with an Introduction by Robert G. Colodny. (Englewood Cliffs, New Jersey: Prentice-Hall, Inc., 1965.) This is the second volume of lectures on various current topics in the philosophy of the physical, biological, and social sciences which has been published under the auspices of the Center for Philosophy of Science at the University of (...) Pittsburg. Volume I, Frontiers o] Science and Philosophy, also edited by Professor Colodny, appeared in 1962. Five of the seven lectures contained in this volume treat topics which fall within the philosophy of physics. The persistent student who is without a technical background in either logic or physics will find these for the most part quite readable. Considering this, it is worthy of note that, while the lectures are not of uniform quality in this respect, several problems are treated with sufficient freshness of insight to justify the interest of the philosopher of science as such. Since I cannot discuss all of the lectures, I will restrict my comments, for the most part, to those the significance of which I think I understand best and which deal significantly with some aspect of the history of philosophy. In "Newton's First Law: A Philosopher's Door into Natural Philosophy," Norwood Russell Hanson exhibits what has become a widely accepted analysis of Newton's First Law as a model to be applied to theories in science which must be regarded as, in some sense, true, but which, in principle, are not empirically demonstrable. Briant Ellis, in "The Origin and Nature of Newton's Laws of Motion," deals in a somewhat parallel way with all three of Newton's laws of motion. It is argued that these laws are primarily conceptual in origin. Evidence is marshalled that they were derived from Cartesian physics. That no amount of empirical work could establish or provide support for a principle of natural motion is held by Ellis to be due to the fact that "force" is conceived as something that exists only in order to explain effects. "Since we are at liberty to choose to regard whatever changes or states we please as natural (i.e., as not being effects) it follows that the forces which we should say are operative in nature depend upon the choices we actually make" (65). It would, I think be difficult to show that any one of the points Ellis makes, with the exception of his interesting historical note on the probable origin of Newton's laws of motion, has not previously been made. All, or nearly all, of these points were set forth, at least in outline, for example, by William Werkmeister in A Philosophy o] Science. The approach Ellis makes to his development of the concept of "force," however, is both fresh and incisive and worthy of careful study. In "A Philosopher looks at Quantum Mechanics," Hillary Putnam exhibits the Copenhagen interpretation of quantum mechanics of Bohr and Heisenberg, viewed in historical perspective, as the most adequate of several unsatisfactory theories. He finds the locus of the problem to lie in a suitable definition of "measurement." Noting that Heisenberg's definition (improperly) appeals to the macrocosm conceived in terms of classical mechanics, he seeks to clarify some of the issues that must follow the attempt to define measurement within the context of quantum mechanics. Putnam holds the relative sharpness of macroobservables for Bohr and Heisenberg to be an underived assumption of their theory. Since the quantities of which macro-observables are supposed to be averages are not (in quantum mechanics) required always to exist, this assumption cannot be derived from a plausible definition of macro-observables together with a suitable formulation of the laws of quantum mechanics. Moving from Bohr and Heisenberg's conclusion that measurement requires interaction of a system (or part of a system) measured with respect to an outside system, and that macroobservables do not exist unless measured, measurement for quantum mechanics is defined as "an interaction in which a system A (the 'measured' system), which was previously isolated, interacts with a system B (the 'measuring' system) in such a way as to cause a... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 36.2 (2003) 168-172 [Access article in PDF] Logic and the Art of Memory: The Quest for a Universal Language. Paolo Rossi. Trans. Stephen Clucas. Chicago: University of Chicago Press, 2000. Pp. xxviii + 333. $32.00 cloth. Of the traditional five canons of rhetoric—inventio, dispositio, elocutio, memoria, and actio—the most circuitous and fascinating history belongs to memoria. From its propulsion of Homeric lore to its grounding of (...) rhetorical invention to its exile under print culture to its recent revival in public memory studies, the promiscuous and perplexing history of memory in the West may be one of the least appreciated, and perhaps least understood, elements of rhetorical and intellectual history. The publication in 1966 of Frances Yates's highly praised The Art of Memory drew the attention of contemporary scholars to the importance of mnemotechnics to the culture of late medieval and early modern Europe. 1 Yates persuasively argued that the art of memory is an integral element of European intellectual history, one that can enrich our understanding of everything from Dominican theology to Shakespearian theater. However, six years earlier, in 1960, the Italian intellectual historian Paolo Rossi published in Italian an important precursor to Yates's work entitled Clavis Universalis: Arti Della Memoria e Logica Combinatoria da Lullo a Leibniz. The book traces the encyclopaedic and mnemotechnical traditions from Aristotle through Cicero and Raymond Lull and into the early-modern period, arguing that the art of memory provides an important antecedent to the advent of method in seventeenth-century philosophy, especially in the works of Bacon, Descartes, and Leibniz. Yates, in her preface to The Art of Memory, acknowledges her debt to Rossi's work, and now this work has been made available in English translation. Stephen Clucas's translation, under the title Logic and the Art of Memory, will no doubt stimulate and supplement research into the mnemotechnical tradition in the English-speaking world, and perhaps lead us to reconsider the relationship between philosophy and rhetoric.Rossi argues that the neglect of the mnemotechnical tradition in its Ciceronian and Lullian strands has distorted our understanding of the "new" science and philosophy of the seventeenth-century, which is often interpreted as constituting, in a Kuhnian sense, a drastic paradigm shift from a [End Page 168] Renaissance worldview that still retained occult elements. Rossi places the work of Bacon, Descartes, and Leibniz within the historical strand of the logico-encyclopaedic and mnemotechnical traditions, suggesting that these figures culminate late medieval and early modern intellectual and cultural ambitions as much as they give rise to new ones. Rossi makes his argument by providing a history of mnemotechnics from Aristotle into the fifteenth century in chapter one; by examining the fascination with encyclopaedism, combinatoria, and memory in the sixteenth century in chapters two and three; by investigating the role of artificial memory in the works of key intellectual figures in the late sixteenth and seventeenth centuries in chapters four through six; and by tracing the impulse toward universal knowledge and its connection to mnemotechnics among seventeenth-century Cartesians, Baconians, and in the work of Leibniz, in chapters seven and eight.Chapter one, after showing the pervasiveness of Renaissance mnemotechnical literature, surveys its classical and medieval antecedents in philosophy and rhetoric. Rossi argues that Aristotle's De memoria et reminiscentia, Cicero's De oratore, Quintilian's De institutione oratoria, the Rhetorica ad Herennium, and the works of Albertus Magnus and Thomas Aquinas were each important to the mnemotechnical tradition into the seventeenth century. Fourteenth- and fifteenth-century treatises on the ars memorativa and the ars predicandi, drawing on these classical and medieval theories, emphasize the importance of memory places (loci), images (imagines), and order or arrangement (dispositio) in mnemotechnics. Additionally, they intimately link the memory to the imagination, stressing the importance of exciting and stimulating the imagination in memorization. The Italian Pietro da Ravenna, for example, attributed the might of his memory to, in his own words, turning "the images of the most beautiful virgins into memory places" (22). Such imaginative mnemonic techniques were considered to... (shrink)

Background: Pediatric guidelines recommend that children and adolescents participate in a developmentally appropriate way in end-of-life decision making. Shared decision making in pediatrics is unique because of the triadic relationship of patient, parents, and physician. The involvement of the patient may vary on a continuum from no involvement to being the sole decision maker. However, the effects of child participation have not been thoroughly studied. The aims of this literature review are to identify studies on end-of-life decision making in pediatrics, (...) to explore patient participation, and to assess the effects of such participation. Methods: Five databases—PubMed, PsycInfo, Medline, CINAHL, and Sociological Abstract—were searched for empirical studies on end-of-life decision making in pediatrics. Selected articles fulfilling the criteria were assessed for type of decision, participants’ characteristics, reports on participation of the minor patient, and outcome. Results: Fifty-seven articles on end-of-life decision making in pediatrics were identified. The majority of papers (n = 43, 75%) investigated parents’ and clinicians’ perspectives, while only 14 articles (25%) included perspectives of children and adolescents. Twenty-two articles (39%) reported some details on various forms of children's participation (e.g., receive information, plan care details, consulted before or after a decision was made). Positive (e.g., respect for patient's preferences) and negative (e.g., conflict due to diverging opinions) effects of children's participation in end-of-life decision making were reported. Conclusions: This systematic review highlights the need for research to identify factors that contribute to a favorable participation of minors in decision-making processes, as well as strategies to solve possible conflicts. More research should take into account the dynamics in the triadic process of decision making and emphasize children and adolescents’ perspectives. A better understanding of how to meaningfully involve children and adolescents in end-of-life decision making could facilitate the practice of patient participation in pediatrics. (shrink)

ABSTRACT In this brief article, we examine the document entitled Universal Draft Declaration on Bioethics and Human Rights, published by UNESCO in June 2005. We examine it in terms of its content and its appropriate role in global bioethics movements in the future. We make clear our view on the Declaration: the Declaration, despite a variety of serious problems, remains a valuable bioethical document and can contribute in substantial ways to the happiness of people throughout the world.

This article seeks through Ejagham women’s experience in the ritual dances of Ngbokondem and Moninkim to engage the notion of patriarchal control of African women’s sexuality in ‘female genital mutilation’ discourses as postulated by second-wave feminist theorists such as Daly, Koedt, Hosken and so on. A firmly based patriarchy threatens culture, sexuality and identity; the article shows how women use varied coping mechanisms, including aid schemes, sexual insurgency and even breaking of bodies to define their place and identity in a (...) patriarchal society. However, some Ejagham women’s practices are themselves laced with patriarchal violence where women postulate as main participants. The article coins the term ‘triple patriarchy’ to capture this phenomenon. It portrays how Ejagham women, who are interrogating domination, also act in ways that reinforce patriarchy. Using womanist theological lens as the hermeneutic framework, the article concludes that women initiation practices are the foundations through which women grasp the meanings of Christian initiation rituals such as baptism, eucharist, marriage and so on. Hence, they should not be destroyed but fine-tuned; for there is more about the women’s practices that need to be engaged than labelled. (shrink)