The author recounts his experience with an uDCD program that ran for three years at the Washington Hospital I Center in Washington, D.C. in the 1990s. Challenges, I benefits, and lessons learned are considered in depth. A I primary focus is the importance of community education, Organ Procurement Organization support, and the need for immediate in-situ preservation of organs.
In the fall of 1991, voters in Washington state were asked to consider a public initiative that sought to legalize physician-assisted death: Initiative 119. Drafted by Washington Citizens for Death with Dignity, the initiative was intended to amend the existing state natural death act in several ways:1) expand the definition of “terminal condition” to include patients in irrevers ible coma or persistent vegetative state;2) specifically name “artificial nutrition and hydration” as life-sustaining medical procedures that could be refused or (...) withdrawn;3) legally allow mentally competent patients with certifiably terminal conditions to request and receive “aid-in-dying” from their physician as a medical service.The first two proposed amendments were widely acknowledged as timely and appropriate; a coalition of medical, religious, and community organizations had been actively working on such additions for several years. It was the proposal to legalize “aid-in-dying,” however, that represented a radical shift in the conduct of physicians towards their patients and a dramatic shift in social policy. (shrink)
When Washington Shut Down Wall Street unfolds like a mystery story. It traces Treasury Secretary William Gibbs McAdoo's triumph over a monetary crisis at the outbreak of World War I that threatened the United States with financial disaster. The biggest gold outflow in a generation imperiled America's ability to repay its debts abroad. Fear that the United States would abandon the gold standard sent the dollar plummeting on world markets. Without a central bank in the summer of 1914, the (...) United States resembled a headless financial giant. William McAdoo stepped in with courageous action, we read in Silber's gripping account. He shut the New York Stock Exchange for more than four months to prevent Europeans from selling their American securities and demanding gold in return. He smothered the country with emergency currency to prevent a replay of the bank runs that swept America in 1907. And he launched the United States as a world monetary power by honoring America's commitment to the gold standard. His actions provide a blueprint for crisis control that merits attention today. McAdoo's recipe emphasizes an exit strategy that allows policymakers to throttle a crisis while minimizing collateral damage. When Washington Shut Down Wall Street recreates the drama of America's battle for financial credibility. McAdoo's accomplishments place him alongside Paul Volcker and Alan Greenspan as great American financial leaders. McAdoo, in fact, nursed the Federal Reserve into existence as the 1914 crisis waned and served as the first chairman of the Federal Reserve Board. (shrink)
Washington eludes us, even in the city named for him. Other leaders are accessible there—Lincoln brooding in square-toed rectitude at his monument, a Mathew Brady image frozen in white, throned yet approachable; Jefferson democratically exposed in John Pope’s aristocratic birdcage. Majestic, each, but graspable.Washington’s faceless monument tapers off from us however we come at it—visible everywhere, and perfect; but impersonal, uncompelling. Yet we should remember that this monument, unlike the other two, was launched by private efforts. When government (...) energies were stalled, in the 1830s, subscriptions kept the project alive. Even when Congress took over the project, stones were added by the citizenry, those memorial blocks one can study while descending the long inner stairway. The classical control of the exterior hides a varied and spontaneous interior—an image of the puzzle that faces us, the early popularity of someone lifted so high above the populace. The man we can hardly find was the icon our ancestors turned to most easily and often. We are distanced from him by their generosity, their willingness to see in him something more than human.The larger they made Washington, the less they left us to admire—until, in Horatio Greenough’s George Washington, he becomes invisible by sheer vastness. Greenough took for his model what the neoclassical period believed was the greatest statue ever created, by the greatest sculptor who ever lived—the Elean Zeus of Phidias. Since that chryselephantine wonder was no longer extant, artists had to rely on the description given by Pausanias in the Description of Greece, and on coins of Elis that celebrated the work. Here is what Pausanias had to say.The seated god is himself fashioned from gold and ivory; the garland on his head appears to be real olive shoots. In his right hand he holds a Victory, also of gold and ivory, offering a ribbon, a garland on her head. In the god’s left hand there is a scepter, encrusted with every kind of metal, and the bird on the tip is an eagle.1 1. Pausanias Description of Greece 5. 11. Garry Wills, a prize-winning author and journalist, is Henry R. Luce Professor of American Culture and Public Policy at Northwestern University. Among his many books are Nixon Agonistes , Inventing America , and The Kennedy Imprisonment . His forthcoming book, Cincinnatus: George Washington in the Englightenment, will appear in June 1984. His previous contribution to Critical Inquiry was “Critical Inquiry in Clausewitz”. (shrink)
But Williams had created a field of historical study, where his white counterparts had not. Single-handedly and without the blessing or approval of the academic community, Williams had called attention to the importance of including Afro-Americans in any acceptable and comprehensive history of the nation long before the historians of various groups of European-Americans or Asian-Americans had begun to advocate a similar treatment for their groups. And if Williams did not impress the white professional historians, he gave heart and encouragement (...) to future Afro-American historians. When the History of the Negro Troops appeared in 1887, nineteen-year-old W. E. B. Du Bois was a college senior at Fisk University and editor-in-chief of the student magazine, The Fisk Herald. In the columns of the Herald Du Bois wrote, "At last we have a historian; not merely a Negro historian, but a man who judged by his merits alone has written a splendid narrative. The Herald congratulates George W. Williams, and the race, which may justly be . . . [proud] of him."1 Many years later, Carter G. Woodson, the founder of the Association for the Study of Negro Life and History and of the Journal of Negro History, described Williams' History of the Negro Troops as "one of the most valuable accounts of the Civil War."2 With words like these from Du Bois and Woodson, on whose shoulders much of the second stage of Afro-American historiography would rest, it is not too much to say that George Washington Williams was responsible for the beginnings of Afro-American historiography. · 1. The Fisk Herald, January 1888, p. 8.· 2. Woodson's appraisal of Williams was found among his papers and made available to me by Dr. Charles H. Wesley when he was executive director of the Association for the Study of Negro Life and History, which had been founded by Woodson in 1915. John Hope Franklin, president-elect of the American Historical Society, has written a biography of George Washington Williams. He is the John Matthews Manly Distinguished Service Professor of History at the University of Chicago and the author of, among other works, From Slavery to Freedom: A History of Negro Americans and A Southern Odyssey: Travelers in the Antebellum North. (shrink)
As of January 1, 2008, over 98,000 people are waiting for organ transplants in the United States of America. Of those, nearly 75,000 are waiting for a kidney. In this calendar year, fewer than 15,000 will receive a kidney transplant from a deceased donor. The average waiting time for a deceased donor kidney now exceeds five years in virtually all metropolitan areas. Sadly, nearly as many people die waiting as there are deceased donors each year, despite monumental efforts by the (...) entire transplant community to increase both the number of organ donors and the number of organs recovered from each donor. The imbalance between demand and supply has led to considerable efforts to expand the criteria for what is considered an acceptable organ donor by the Organ Procurement and Transplant Network, thereby hoping somewhat to assuage the shortfall of donor organs. So-called Expanded Criteria Donors may be older than 50, have history of hypertension, or have died from intracerebral hemorrhage and/or have impaired renal function. ECDs now make up nearly 40% of the donor population. (shrink)
Lester Brown called me up at my office one morning, two months after returning from Beijing, and invited to a press conference he was giving in Washington in early September on a new book he had written after returning from Beijing, entitled Who Will Feed China? I asked him how he had managed to write a book so quickly, and he replied: "I dictated the book and my secretary entered it directly into her computer. It was completed in less (...) than a month.". (shrink)
O objetivo deste trabalho reside na elaboração de um breve apanhado das discussões acadêmicas acerca das relações étnico-raciais no âmbito da educação matemática brasileira. Em especial, pontuarei um dos tópicos que as pesquisas indicam como necessidade urgente para que haja avanços nessa área: a implementação de um debate profícuo na formação de professoras/ies/es que ensinam matemática. Pretendo, neste trabalho, chamar atenção para a necessidade das/des/dos pesquisadoras/ies/es em educação matemática lançarem um olhar para os currículos da formação inicial de professoras/ies/es de (...) matemática em escala nacional para investigar a presença das discussões sobre questões raciais no projeto dos cursos de licenciatura das Instituições de Ensino Superior (IES). Tal necessidade se mostra importante dado que as pesquisas que discutem as relações étnico-raciais na educação matemática vêm apontando a falta de formação docente como um dos grandes desafios para implementar as Leis 10.639/2003 e 11.645/2008. Por meio de trabalhos de investigação como o que aqui indico, poderemos visualizar o panorama da formação de professoras/ies/es no Brasil no que diz respeito às questões raciais, possibilitando o aprendizado a partir das instituições que já contam com essas discussões prescritas em seus currículos. Assim como incentivar a aderência àquelas que ainda não estão seguindo a resolução do Conselho Nacional de Educação, que institui a obrigatoriedade das IES que ofertam cursos de formação de professores a terem disciplinas e atividades que abarquem a educação das relações étnico-raciais nos currículos desses cursos. (shrink)
It is now taken for granted in many circles that substantial psychological variability exists across human populations; we do not merely differ in the ways we behave, but in the ways we think, as well. Versions of this view have been around since early interest in ‘cultural relativism’ in cultural psychology and anthropology, but Joe Henrich, Steven Heine, and Ara Norenzayan’s 2010 paper, ‘The Weirdest People in the World?’ has had an exciting and catalyzing impact on the field, getting researchers (...) involved in discussions of human nature to take cross-cultural cognitive diversity seriously. Reviewing a broad selection of comparative studies from across the behavioral sciences, in social psychology, cognitive... (shrink)
Este artigo tem por objeto fazer uma discussão sobre a música e a resistência anticolonial em Angola a partir da história de Liceu Vieira Dias e do grupo musical N’gola Ritmos. Para tanto acompanharemos a trajetória de Liceu e do N’gola, de que forma eles usaram a música como resistência, além disso a atuação política de seus membros em organizações clandestinas de contestação do poder metropolitano antes de 1961. Palavras-Chave: Angola, Música, Resistências.
A paper given at the Conference on “Issues Facing the New Administration”, Pepperdine University, January 1989. The nuclear family of much nostalgic conservative Christian rhetoric is a product of the industrial revolution making the father the absent bread winner. The family farm model where both parents shared parenting and providing roles is a better model for work patterns that enable boys and girls to relate to good role models of both genders in their childhood.