Clinical Ethics Consultation (CEC) aims to resolve ethical dilemmas at the bedside. Through a structured process, CEC allows practitioners and patients to consult ethicists at times of moral conflict or uncertainty. Over the past few decades, CEC has become an invaluable part of healthcare practice. In Saudi Arabia, however, CEC services remain inexplicably underutilized. This study attempts to understand the factors associated with Saudi physicians’ utilization of CEC to better meet the needs of practitioners and patients. Results indicate that although (...) physicians routinely experience moral dilemmas, they seldom request a CEC. This is not due to unfamiliarity, lack of accessibility, or suspicion of ethical expertise. Rather, reluctance is likely due to an ingrained medical cultural stronghold that pressures practitioners to act heroically, and to resolve ethical dilemmas independently. Recommendations to improve the utilization of CEC services include wider availability, active collaborations with clinical practitioners, routine quality improvements, and managerial and national support. (shrink)

The objective of this article is to clarify the conceptual domains of organizational identity, image, and reputation. To initiate this theory development process, we present a “social actor” conception of organizational identity. Identity-congruent definitions of image and reputation are then specified and an integrated model proposed. With the aid of this model, a structural flawin the organizational reputation literature is identified and suitable remedies proposed. In addition, the authors explore the implications of invoking identity and identification in explanations and justifications (...) of organizational reputation. (shrink)

Anistia e as Ambivalências do Cinismo- A ADPF 153 e Micropolíticas da Memória consiste em uma primeira aproximação da pesquisa dos problemas contemporâneos suscitados por um tema cujo aparente anacronismo revela progressivamente sua extemporânea atualidade- o da anistia no Brasil, suas consequências éticas e políticas na transição do Estado brasileiro, e de suas instituições à democracia. Estes estudos foram escritos na atmosfera do debate público suscitado por ocasião do julgamento da ADPF 153 - sob todos os aspectos - sua propositura, (...) pelo Conselho Federal da OAB, consistiu em um gesto simbólico com o potencial de reabrir internamente o debate jurídico, ético e político sobre os temas da anistia e da responsabilização de agentes de Estado, civis e militares, violadores de direitos humanos no Brasil. Decantados nos anos seguintes, os textos que apresentamos ao leitor foram revistos e ampliados à luz de alguns encontros e oportunidades para debater o tema em espaços de pesquisa e de divulgação acadêmica privilegiados. (shrink)

Background: The magnitude of bullying and harassment among psychiatrists is reportedly high, yet no peer-review published studies addressing this issue could be found. Therefore, it was decided to conduct a pilot study to assess the degree of the problem, the types of bullying/harassment and to provide some insights into the situation.Methods and Principal Findings: Following multiple focus group meetings, a yes/no response type questionnaire was developed to assess the degree and type of bullying and harassment experienced by psychiatrists. Over a (...) 3-month period the questionnaire was administered to a random sample of 60 psychiatrists. 57 out of the 60 psychiatrists reported harassment and bullying. Frequencies of the following response variables are presented in descending order: rumours 40% ; defamation 20% ; passing remarks 20% ; false accusations 15% ; threats 13.3% ; verbal abuse 13.3% ; unjustified complaints 13.3% ; promotion blocked 13.3% ; humiliation 13% ; bad reference given 10% ; credentials questioned 8.3% ; physical attacks 5% ; termination 5% ; derogatory remarks 1.7% and 1.7% were subjected to personal work. As a result of being subjected to harassment, 66.7% of the psychiatrists did not take any action, whereas 33.3% confronted the person they believed responsible. Asked whether the bullying and harassment caused distress, 18.3% of the psychiatrists did not report any effect, 30% reported mild distress, 40% moderate distress and severe distress was reported by 11.7%.Conclusions: It was concluded that the magnitude of bullying and harassment among psychiatrists may be quite high, as evidenced by this pilot study. There is a need for extensive systematic studies on this subject and to establish strategies to prevent and address this issue at a national and regulatory level. (shrink)

Not being satisfied with the interpretation offered by Sankara and his followers, or some other teachers the author has attempted in the following pages to present to the readers his own interpretation of the work as he has understood it. But in no way does he claim that his interpretation is the interpretation, i.e., the interpretation intended by Gaudapada himself. In the present volume the author has given a new edition of the text of the Agamasastra based on a number (...) of MSS and different editions, followed by an English translation. After this comes his annotation. At the end there are Appendixes including the text and English translation of the Mandukya Upanisad, VAriants of the MSS used for the edition of the text of the Agamasastra, and different indexes. (shrink)

Festschrift in honor of 60th birthday of Āgamānaṅdasvāmikaḷ, 1896-1961; collection of his speeches and writings on Vedanta and other aspects of Hindu philosophy.

In the present paper, we introduce new models of pendulum motions for two cases: the first model consists of a pendulum with mass M moving at the end of a string with a suspended point moving on an ellipse and the second one consists of a pendulum with mass M moving at the end of a spring with a suspended point on an ellipse. In both models, we use the Lagrangian functions for deriving the equations of motions. The derived equations (...) are reduced to a quasilinear system of the second order. We use a new mathematical technique named a large parameter method for solving both models’ systems. The analytical solutions are obtained in terms of the generalized coordinates. We use the numerical techniques represented by the fourth-order Runge–Kutta method to solve the autonomous system for both cases. The stabilities of the obtained solutions are studied using the phase diagram procedure. The obtained numerical solutions and analytical ones are compared to examine the accuracy of the mathematical and numerical techniques. The large parameter technique gives us the advantage to obtain the solutions at infinity in opposite with the famous Poincare’s method which was used by many outstanding scientists in the last two centuries. (shrink)

Multiprofessional teams have become in recent years one of the distinguishing features of services, where professionals with different competences work together. The core of our interest is addressed to the équipe of a palliative care ward; in particular, to that series of working activities that consists of communicative acts, as équipe meetings, for instance. Our research focuses on the analysis of the process by which the development of knowledge in multiprofessional practice is built to establish more information on recurrent patterns (...) in the interaction and connect them to the specific context that these are shaped by. In this sense we will underline how components of knowing are shared among team members in constructing medical prognosis and we will analyse the connection among language processes, cognitive activities and social structures. More specifically, we will study the role of language and the context in the definition of linguistic acts in cognitive activities and in hierarchies involved in decision-making processes by exploring and pointing out how it is organised and structured. In particular through the study of talk-in-interaction where interchange of information is realised, we will emphasise how, in the multiprofessional équipe meeting, the realisation of practices and the knowledge useful to collaborative management of ward working life are established. To reach this aim, we adopted an ethnographic approach connected to the analysis of the situated interaction. (shrink)

The issue of democracy is alive once more. There is a growing number of works debating the current state of democracy both in theory and practice.1 In particular a pragmatist conception of democracy has also been revived. Not only has a Deweyan version of a participatory democracy become the focus but the intricacies of a Rortian version have also come to the forefront, from both sympathetic as well as critical viewpoints.2 Thus the impression that the contemporary world is in quite (...) an exigent need of reconsidering—and perhaps even forming a novel conception of—democracy seems to be obvious, at least from a global point of view.3 Moreover, the fact that the idea or ideal of democracy still seems to be .. (shrink)

On the philosophy of death in Hindu traditions; study based on Mr̥tyupurāṇa of Svāmī Mr̥tyujayānanda.

This book is one of the definitive accounts of Steiner-Waldorf education by the founder of the first Waldorf School in the UK. In clear and insightful terms, Cecil Harwood presents the heart of this unique approach to children's development, learning and wellbeing as a much-needed antidote to modern educational methods. Harwood's book is full of still-fresh ideas for both parents and teachers, and is a must-read for anyone interested in Steiner-Waldorf education. The classic work has been edited for the modern (...) age, with a contextualising introduction by Professor Douglas Sloan. (shrink)

Background: Only data of published study results are available to the scientific community for further use such as informing future research and synthesis of available evidence. If study results are reported selectively, reporting bias and distortion of summarised estimates of effect or harm of treatments can occur. The publication and citation of results of clinical research conducted in Germany was studied.Methods: The protocols of clinical research projects submitted to the research ethics committee of the University of Freiburg in 2000 were (...) analysed. Published full articles in several databases were searched and investigators contacted. Data on study and publication characteristics were extracted from protocols and corresponding publications.Results: 299 study protocols were included. The most frequent study design was randomised controlled trial , followed by uncontrolled studies , laboratory studies and non-randomised studies . 182 were multicentre studies including 97 international collaborations. 152 of 299 had commercial funding and 46 non-commercial funding. 109 of the 225 completed protocols corresponded to at least one full publication ; the publication rate was 48%. 168 of 210 identified publications were cited in articles indexed in the ISI Web of Science. The median was 11 citations per publication .Conclusions: Results of German clinical research projects conducted are largely underreported. Barriers to successful publication need to be identified and appropriate measures taken. Close monitoring of projects until publication and adequate support provided to investigators may help remedy the prevailing underreporting of research. (shrink)

The logical flow graphs of sequent calculus proofs might contain oriented cycles. For the predicate calculus the elimination of cycles might be non-elementary and this was shown in [Car96]. For the propositional calculus, we prove that if a proof of k lines contains n cycles then there exists an acyclic proof with O(k n+l ) lines. In particular, there is a polynomial time algorithm which eliminates cycles from a proof. These results are motivated by the search for general methods on (...) proving lower bounds on proof size and by the design of more efficient heuristic algorithms for proof search. (shrink)

Erratum to: Synthese DOI 10.1007/s11229-015-0705-5In line 3 of footnote 8 on page 4, ‘allow’ should be ‘disallow’.In line 8 of page 5, \ should be \ and \ should be \. Similarly for lines 1, 2, 3, 7, 8, 13 and 14 of page 6.The entry in row 20 column 6 of the table on page 5 should be 1 rather than 0.The entry \ in row 30 column 5 of the table on page 5 should be \.In line 27 (...) of page 13, ‘it’ should be ‘them’.Four lines from the end of section 12.3 on page 20, ‘premisses’ should be ‘premiss sets’, and .. (shrink)

On the theory of Teilhard de Chardin, P.

On conduct of life and ethics of Islamic seminarians.