American society has a history of turning to physicians during times of extreme need, from plagues in the past to recent outbreaks of communicable diseases. This public instinct comes from a deep seated trust in physician duty that has been earned over the centuries through dedicated and selfless care, often in the face of personal risks. As dangers facing our communities include terroristic events physicians must be adequately prepared to respond, both medically and ethically. While the ethical principles that govern (...) physician behavior—beneficence, nonmaleficence, autonomy, and social justice—are unchanging, fundamental doctrines must change with the new risks inherent to terroristic events. Responding to mass casualty disasters caused by terrorists, natural calamities, and combat continue to be challenging frontiers in medicine. Preparing physicians to deal with the consequences of a terroristic disease must include understanding the ethical challenges that can occur. (shrink)

This unique textbook utilizes an integrated, case-based approach to explore how the domains of bioethics, public health and the social sciences impact individual patients and populations. It provides a structured framework suitable for both educators (including course directors and others engaged in curricular design) and for medical and health professions students to use in classroom settings across a range of clinical areas and allied health professions and for independent study. The textbook opens with an introduction, describing the intersection of ethics (...) and public health in clinical practice and the six key themes that inform the book's core learning objectives, followed by a guide to using the book. It then presents 22 case studies that address a broad spectrum of patient populations, clinical settings, and disease pathologies. Each pair of cases shares a core concept in bioethics or public health, from community perspectives and end-of-life care to medical mistakes and stigma and marginalization. They engage learners in rigorous clinical and ethical reasoning by prompting readers to make choices based on available information and then providing additional information to challenge assumptions, simulating clinical decision-making. In addition to providing a unique, detailed clinical scenario, each case is presented in a consistent format, which includes learning objectives, questions and responses for self-directed learning, questions and responses for group discussion, references, and suggested further reading. All cases integrate the six themes of patient- and family-centered care; evidence-based practice; structural competency; biases in decision-making; cultural humility and awareness of the culture of medicine; and justice, social responsibility and advocacy. The final section discusses some challenges to evaluating courses and learning encounters that adopt the cases and includes a model framework for learner assessment. (shrink)

In this single-blind within-subject study, autonomic and EEG variables were compared during 10-min, order-balanced eyes-closed rest and Transcendental Meditation (TM) sessions. TM sessions were distinguished by (1) lower breath rates, (2) lower skin conductance levels, (3) higher respiratory sinus arrhythmia levels, and (4) higher alpha anterior-posterior and frontal EEG coherence. Alpha power was not significantly different between conditions. These results were seen in the first minute and were maintained throughout the 10-min sessions. TM practice appears to (1) lead to a (...) state fundamentally different than eyes-closed rest; (2) result in a cascade of events in the central and autonomic nervous systems, leading to a rapid change in state (within a minute) that was maintained throughout the TM session; and (3) be best distinguished from other conditions through autonomic and EEG alpha coherence patterns rather than alpha power. Two neural networks that may mediate these effects are suggested. The rapid shift in physiological functioning within the first minute might be mediated by a ''neural switch'' in prefrontal areas inhibiting activity in specific and nonspecific thalamocortical circuits. The resulting ''restfully alert'' state might be sustained by a basal ganglia-corticothalamic threshold regulation mechanism automatically maintaining lower levels of cortical excitability. (shrink)

This volume explores the role of some of the most prominent twentieth-century philosophers and political thinkers as teachers. It examines what obstacles they confronted as teachers and how they overcame them in conveying truth to their students in an age dominated by ideological thinking.

It is with great pleasure and a sense of urgency that we present this KIEJ double issue on ethical issues raised by the COVID-19 pandemic. The sheer range of ethical concerns raised by the pandemic, combined with the speed with which these problems emerged, is staggering and unprecedented in our generation. We have tried to give space to papers that raise immediately pressing ethical issues that have not received much discussion in popular media. Topics range from fundamental questions about how (...) we set up our public health infrastructure, to ethical issues in scientific communication and the translation of science into policy, to the impact of the pandemic on people with intellectual disabilities, to the ethics of... (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)

How do we access the authentic self in order to live fulfilling, meaningful lives? In straightforward terms, The Heart of the Matter: Gifts in Strange Wrapping Paper explains a simple but extraordinarily powerful technique called the See, Feel, Hear Challenge that enables people to easily gain entry into the storehouse of their subconscious core beliefs. In the process, it cracks the coded messages that those beliefs release in the form of disease, suffering, addictions, unhappy relationships, and victimized circumstances. Based in (...) the latest findings in neuroscience and neurocardiology, this book guides readers to an uncomplicated understanding of the astounding power of our emotions and how life automatically delivers experiences that trigger negative reactions that subconsciously impact us. These emotions form the foundation of core beliefs that create unhealthy attitudes and dis-ease patterns that keep us from experiencing the authentic, satisfying lives we desire. Using clear examples and true stories from clients, Dr. Weissman’s latest work demonstrates how we can release these stored emotions and their wisdom via the See, Feel, Hear Challenge. It then explains how to use this simple method to evoke feelings that positively impact the quantum field, remolding our bodies, minds, and everyday lives into purposeful expressions of inner joy and radiant well-being. Whether you’re dealing with addictions, dysfunctional relationships, or illness, or are focused on becoming an Olympic champion, The Heart of the Matter gives you a potent tool for positive change and transformation that you can use for the rest of your life. (shrink)

Research misconduct is harmful because it threatens public health and public safety, and also undermines public confidence in science. Efforts to eradicate ongoing and prevent future misconduct are numerous and varied, yet the question of “what works” remains largely unanswered. To shed light on this issue, this study used data from both mail and online surveys administered to a stratified random sample of tenured and tenure-track faculty members (N = 613) in the social, natural, and applied sciences at America’s top (...) 100 research universities. Participants were asked to gauge the effectiveness of various intervention strategies: formal sanctions (professional and legal), informal sanctions (peers), prevention efforts (ethics and professional training), and reducing the pressures associated with working in research-intensive units. Results indicated that (1) formal sanctions received the highest level of support, (2) female scholars and researchers working in the applied sciences favored formal sanctions, and (3) a nontrivial portion of the sample supported an integrated approach that combined elements of different strategies. A key takeaway for university administrators is that a multifaceted approach to dealing with the problem of research misconduct, which prominently features enhanced formal sanctions, will be met with the support of university faculty. (shrink)

Schellenberg’s hiddenness argument against the existence of God has generated a great deal of discussion. One prominent line of reply has been the idea that God refrains from making His existence more apparent in order to safeguard our moral freedom. Schellenberg has provided extensive counter-replies to this idea. My goal here is to pursue an alternate line of response, though one that still makes some reference to the importance of free-will. It will be argued that God may remain temporarily (...) ‘hidden’ to some people not merely in order to allow their free moral choice, but because His proper allowance of such choice has led to a great deal of suffering on the part of the victims of wicked choices. If His existence were constantly obvious to those victims, even in the midst of their victimization, many of them would be led to an attitude of enmity, even hatred, toward God. (shrink)

R. Jay Wallace argues in this book that moral accountability hinges on questions of fairness: When is it fair to hold people morally responsible for what they do? Would it be fair to do so even in a deterministic world? To answer these questions, we need to understand what we are doing when we hold people morally responsible, a stance that Wallace connects with a central class of moral sentiments, those of resentment, indignation, and guilt. To hold someone responsible, he (...) argues, is to be subject to these reactive emotions in one's dealings with that person. Developing this theme with unusual sophistication, he offers a new interpretation of the reactive emotions and traces their role in our practices of blame and moral sanction. With this account in place, Wallace advances a powerful and sustained argument against the common view that accountability requires freedom of will. Instead, he maintains, the fairness of holding people responsible depends on their rational competence: the power to grasp moral reasons and to control their behavior accordingly. He shows how these forms of rational competence are compatible with determinism. At the same time, giving serious consideration to incompatibilist concerns, Wallace develops a compelling diagnosis of the common assumption that freedom is necessary for responsibility. Rigorously argued, eminently readable, this book touches on issues of broad concern to philosophers, legal theorists, political scientists, and anyone with an interest in the nature and limits of responsibility. (shrink)

Eschatological issues have received a great deal of attention in recent analytic philosophy of religion. Most of that attention has revolved around the metaphysics and ethics of heaven, hell, and bodily resurrection; this is unsurprising, as these doctrines are universally affirmed among theologically orthodox Christians. By contrast, the doctrine of purgatory is not the subject of universal affirmation. Nevertheless it boasts a growing literature. After an introduction to the doctrine and its place in historical theology, I proceed to survey (...) this recent literature. I conclude by providing some suggestions for future research. (shrink)

Geographical Information Systems (GIS) – either as “standard” GIS or custom made Historical GIS (HGIS) – have become quite popular in some historical sub-disciplines, such as Economic and Social History or Historical Geography. “Mainstream” history, however, seems to be rather unaffected by this trend. More generally speaking: Why is it that computer applications in general have failed to make much headway in history departments, despite the first steps being undertaken a good forty years ago? With the “spatial turn” in full (...) swing in the humanities, and many historians dealing with spatial and geographical questions, one would think GIS would be welcomed with open arms. Yet there seems to be no general anticipation by historians of employing GIS as a research tool. As mentioned, HGIS are popular chiefly among Historical Geographers and Social and Economic Historians. The latter disciplines seem to be predestined to use such software through the widespread quantitative methodology these disciplines have employed traditionally. Other historical sub-disciplines, such as Ancient History, are also very open to this emerging technology since the scarcity of written sources in this field can be mitigated by inferences made from an HGIS that has archaeological data stored in it, for example. In most of Modern History, however, the use of GIS is rarely seen. The intellectual benefit that a GIS may bring about seems not be apparent to scholars from this sub-discipline (and others). This book wants to investigate and discuss this controversy. Why does the wider historian community not embrace GIS more readily? While one cannot deny that the methodologies linked with a GIS follow geographical paradigms rather than historical ones, the potential of GIS as a 'killer application' for digital historical scholarship should be obvious. This book brings together authors from Geography and History to discuss the value of GIS for historical research. The focus, however, will not be on the "how", but on the "why" of GIS in history. (shrink)

In this note, we construct a distal expansion for the structure $(R, +, <, H)$, where $H \subseteq R$ is a dense $Q$-vector space basis of $R$ (a so-called Hamel basis). Our construction is also an expansion of the dense pair $(R, +, <, Q)$ and has full quantifier elimination in a natural language.

Contemporary physics and cosmology have accumulated a great deal of empirical evidence for the claim that in order for our universe to contain life, an array of incredibly precise laws, constants, and specific initial conditions had to be in place. The minuscule odds of this happening purely by chance have prompted some Christian thinkers to suggest that this can be seen as novel evidence that the universe was fine-tuned specifically to give rise to biological life. And yet some Christian (...) thinkers also wish to make the case that molecular biology provides new evidence to the effect that life could not have arisen naturally in our universe, but rather that the origin of life required additional special divine intervention. There is at least a prima facie tension between these two ideas. Relatedly, some have raised the question of why, if the universe were fine-tuned for life, it was also set up in such a way that the origin of life was preceded by more than 10 billion years of lifelessness. If life was the whole point, why the seeming delay? In this paper I suggest a way Christian thinkers might address both issues: namely, the cosmos was not fine-tuned for life, but merely for the possibility of life. Perhaps God wanted a universe in which biological organisms were possible but in which their non-existence was also a live possibility. I develop this solution in dialogue with related ideas arising from the demonologies of St. Augustine, Boethius, and St. Anselm. (shrink)

One possible way of dealing with the strange art of rhetoric is to claim one knows nothing about it. This is the tack taken by Chaucer's Franklin in his prologue to his Canterbury tale.

This paper proposes that an organism's integrated repertoire of operant behavior has the status of a biological system, similar to other biological systems, like the nervous, cardiovascular, or immune systems. Evidence from a number of sources indicates that the distinctions between biological and behavioral events is often misleading, engendering counterproductive explanatory controversy. A good deal of what is viewed as biological (often thought to be inaccessible or hypothetical) can become publicly measurable variables using currently available and developing technologies. Moreover, (...) such endogenous variables can serve as establishing operations, discriminative stimuli, conjoint mediating events, and maintaining consequences within a functional analysis of behavior and need not lead to reductionistic explanation. I suggest that explanatory misunderstandings often arise from conflating different levels of analysis and that behavior analysis can extend its reach by identifying variables operating within a functional analysis that also serve functions in other biological systems. (shrink)

“La théorie, c'est bon, mais ça n'empêche pas d'exister”J. M. CharcotRoughly speaking, references relate what is said to just those things about which it is said. A theory of reference is commonly taken to be a statement or characterization of that relation which references effect — that relation, that is, which holds between something that is said and some object just in case in that which is said reference is made to that object. Such a theory is often further conceived (...) as answering one or both of the questions: For any given object X, what is it for a reference to be made to X, and For any given reference, R, what is it for an object X to be the referent of R. Let us call a theory which correctly answers at least some of these questions a classical theory of reference. (shrink)

“La théorie, c'est bon, mais ça n'empêche pas d'exister”J. M. CharcotRoughly speaking, references relate what is said to just those things about which it is said. A theory of reference is commonly taken to be a statement or characterization of that relation which references effect — that relation, that is, which holds between something that is said and some object just in case in that which is said reference is made to that object. Such a theory is often further conceived (...) as answering one or both of the questions: For any given object X, what is it for a reference to be made to X, and For any given reference, R, what is it for an object X to be the referent of R. Let us call a theory which correctly answers at least some of these questions a classical theory of reference. (shrink)

How can a system of criminal punishment be justified? In particular can it be justified if the moral demand that we respect each other as autonomous moral agents is taken seriously? Traditional attempts to justify punishment as a deterrent or as retribution fail, but Duff suggests that punishment can be understood as a communicative attempt to bring a wrong-doer to repent her crime. This account is supported by discussions of moral blame, of penance, of the nature of the law's demands, (...) and of the proper meaning and purpose of the criminal process of trial and verdict: it deals both with the ideals that should inform a system of criminal law and the extent to which those ideals are actualised in existing institutions and practices. The conclusion is pessimistic: punishment cannot be justified within our legal system; and this gap between the ideal and the actual presents us with serious moral dilemmas. (shrink)

Health care professionals often face moral dilemmas. Not dealing constructively with moral dilemmas can cause moral distress and can negatively affect the quality of care. Little research has been documented with methodologies meant to support professionals in care for the homeless in dealing with their dilemmas. Moral case deliberation is a method for systematic reflection on moral dilemmas and is increasingly being used as ethics support for professionals in various health-care domains. This study deals with the question: What is the (...) contribution of MCD in helping professionals in an institution for care for the homeless to deal with their moral dilemmas? A mixed-methods responsive evaluation design was used to answer the research question. Five teams of professionals from a Dutch care institution for the homeless participated in MCD three times. Professionals in care for the homeless value MCD positively. They report that MCD helped them to identify the moral dilemma/question, and that they learned from other people’s perspectives while reflecting and deliberating on the values at stake in the dilemma or moral question. They became aware of the moral dimension of moral dilemmas, of related norms and values, of other perspectives, and learned to formulate a moral standpoint. Some experienced the influence of MCD in the way they dealt with moral dilemmas in daily practice. Half of the professionals expect MCD will influence the way they deal with moral dilemmas in the future. Most of them were in favour of further implementation of MCD in their organization. (shrink)