One hundred inpatients on an acute hospital elderly care unit and 43 of their relatives were interviewed shortly before hospital discharge. Eighty per cent of elderly patients and their relatives were aware of cardiopulmonary resuscitation (CPR). Television drama was their main source of information. Patients and relatives overestimated the effectiveness of CPR. Eighty-six per cent of patients were willing to be routinely consulted by doctors about their own CPR status, but relatives were less enthusiastic about routine consultation. Patients' and relatives' (...) views about the appropriateness of CPR did not differ significantly. Seventeen percent of patients did not desire CPR. However, 64 per cent of patients were ultimately willing to follow their doctor's advice about the appropriateness of CPR. The conclusion reached is that mentally competent, elderly patients but not their relatives should be routinely consulted about their own desire for CPR in order to avoid resuscitating patients against their wishes. Further research is required to find out how patients would feel about resuscitation if they were terminally ill or chronically confused, and how carers would feel about resuscitating such patients. (shrink)

This paper begins with the opposition common to almost all discussions of the nation and nationalism: that between the cultural and the civic nation. Behind this opposition, however, one can detect a certain "complicity" between the two conceptions. And in order to understand the nature of this complicity, the paper proposes to re-examine the origins of the modern nation during the French Revolution. The first nation, it is argued, was conceived in strictly contractual terms; and yet within only a few (...) years the revolutionaries began stumbling towards a more cultural understanding of the nation, which served to complement its contractual definition. This turn to a more cultural discourse must be understood as responding to three rather pressing problems faced by an exclusively contractual conception. First there is the need to find a stable anchorage for the nation in space and time. Second are the difficulties posed by a purely voluntarist conception of national citizenship. Third, and above all, there are the seemingly uncontrollable conflicts borne by the identification of the nation with its political "constitution," and with the revolutionary regime said to embody that constitution. In this perspective, the emergence of a more cultural discourse must be seen as an attempt to stabilize the post-revolutionary regime by depoliticizing the "idea" of the nation. As such, this discourse's emergence is inseparable from "the discovery" of society separate from the instance of democratic, political institutions. The nation, then, has two discourses because it has a dual nature, both political and social. The paper concludes with a reflection on the hyphen in the term "nation-state," as indicating the need to bring society and polity together, but also to keep them apart. (shrink)

Despite the importance of the co-evolution approach in various branches of research, such as strategy, organisation theory, complexity, population ecology, technology and innovation (Lewin et al., 1999; March, 1991), co-evolution has been relatively neglected in international business and ethics research (Madhok and Phene, 2001). The purpose of this article is to show how co-evolution theory provides a theoretical framework within which some issues of ethics research are addressed. Our analysis is in the context of the contrasts between business systems (North, (...) 1990), and in particular the distinction between informal systems and those systems where institutions are formalised in law. This complements the growing research on comparative corporate governance and capitalisms (Chandler and Hikino, 1990; Choi et al., 1999; Whitley, 1994). The synthesis of co-evolution and analysis of divergent institutional environments in ethics research can also complement the globalisation and MNE approaches to international business research. (shrink)

At anaphase chromosomes move to the spindle poles (anaphase A) and the spindle poles move apart (anaphase B). In vitro studies using isolated diatom spindles demonstrate that the primary mechano‐chemical event responsible for spindle elongation is the sliding apart of half‐spindle microtubules. Further, these forces are generated within the zone of microtubule overlap in the spindle midzone.

I Suppose that most believers in God, if asked what is the relation of God to the world, would reply that he is its Creator and its Lord. But, like all the language in which we express our religious convictions, the language of this reply is plainly metaphorical. It calls up the picture of a human artificer or artist, the image of a human ruler or proprietor. And yet it needs but little reflection to perceive that there must be essential (...) differences between a human artificer or artist, who has a material to work in ready to his hand, and One who makes all things, as it is said, “ out of nothing “; between a human ruler or proprietor. (shrink)

This article analyses MNCs, worker identity and the ethical vulnerability caused by over-reliance on expatriate managers and under-reliance on local managers, who are often undervalued. It is argued that MNCs not only need but also have an obligation to assess local managers’ knowledge and contributions as having not only operational and market values, but also institutional value. Local managers both give access to and form part of local social capital and the treatment they receive is an element in the CSR (...) performance of the MNCs. Recognition of the value of equal treatment creates an ethical imperative that the barriers of cultural difference be overcome. We see such an approach towards local managers as more fully taking into account the human rights of these local managers. Such a holistic approach is increasingly relevant for MNCs in the 21st century, as MNCs increasing globalize into new large emerging markets such as Brazil, Russia, India and China. (shrink)

Illegitimacy in a historic, single community at Penrith, Cumbria (1557–1812), has been studied using aggregative analysis, family reconstitution and time series analysis. This population was living under extreme conditions of hardship. Long, medium and short wavelength cycles in the rate of illegitimacy have been identified by time series analysis; each represents a different response to social and economic pressures. In a complex interaction of events, the peaks of the cycles in wheat prices were associated with rises in adult mortality which (...) promoted an influx of migrants and a concomitant rise in illegitimacy. The association between immigration and illegitimacy was particularly noticeable after the mortality crises of the late sixteenth and early seventeenth centuries. Children of immigrant families also tended to produce illegitimate offspring. Native and immigrant families responded differently to extrinsic fluctuations, and variations in their reproductive behaviour were probably related to access to resources. (shrink)

The effect of nutrition on fertility and its contribution thereby to population dynamics are assessed in three social groups (elite, tradesmen and subsistence) in a marginal, pre-industrial population in northern England. This community was particularly susceptible to fluctuations in the price of grains, which formed their basic foodstuff. The subsistence class, who formed the largest part of the population, had low levels of fertility and small family sizes, but women from all social groups had a characteristic and marked subfecundity in (...) the early part of their reproductive lives. The health and nutrition of the mother during pregnancy was the most important factor in determining fertility and neonatal mortality. Inadequate nutrition had many subtle effects on reproduction which interacted to produce a complex web of events. A population boom occurred during the second half of the 18th century; fertility did not change but there was a marked improvement in infant mortality and it is suggested that the steadily improving nutritional standards of the population, particularly during crucial periods in pregnancy (i.e. the last trimester), probably made the biggest contribution to the improvement in infant mortality and so was probably the major factor in triggering the boom. (shrink)

Sex-biased investment in children has been explored in a historic population in northern England, 1600 to 1800, following a family reconstitution study. An examination of the wills and other available data identified three social groups: the elite, tradesmen, and subsistence farmers. The community lived under marginal conditions with poor and fluctuating levels of nutrition; infant and child mortalities were high. Clear differences were found between the social groups, and it is suggested that the elite wetnursed their daughters whereas the elite (...) mother breast-fed her sons for only a short period and introduced supplementary feeding early. The wives of the tradesmen probably breast-fed both sexes for the same length of time. Subsistence farmers may have weaned their sons earlier than daughters. The results are discussed in terms of possible differences in investment strategies. The investment strategy of the elite group was probably male-biased but may, in practice, have favored the female offspring. (shrink)