Background: Discussions about medical errors facilitate professional learning for physicians and may provide emotional support after an error, but little is known about physicians’ attitudes and practices regarding error discussions with colleagues.Methods: Survey of faculty and resident physicians in generalist specialties in Midwest, Mid-Atlantic and Northeast regions of the US to investigate attitudes and practices regarding error discussions, likelihood of discussing hypothetical errors, experience role-modelling error discussions and demographic variables.Results: Responses were received from 338 participants . In all, 73% of (...) respondents indicated they usually discuss their mistakes with colleagues, 70% believed discussing mistakes strengthens professional relationships and 89% knew at least one colleague who would be a supportive listener. Motivations for error discussions included wanting to learn whether a colleague would have made the same decision , wanting colleagues to learn from the mistake and wanting to receive support . Given hypothetical scenarios, most respondents indicated they would likely discuss an error resulting in no harm , minor harm or major harm . Fifty-seven percent of physicians had tried to serve as a role model by discussing an error and role-modelling was more likely among those who had previously observed an error discussion .Conclusions: Most generalist physicians in teaching hospitals report that they usually discuss their errors with colleagues, and more than half have tried to role-model discussions. However, a significant number of these physicians report that they do not usually discuss their errors and some do not know colleagues who would be supportive listeners. (shrink)

Some of the authors of the essays on Chinese philosophers prefer the pin yin system of romanization for Chinese names and words, while others prefer the Wade‐Giles system. Given that both systems are in wide use today, important names and words are given in both their pin yin and Wade‐Giles formulations. The author's preference is printed first, followed by the alternative romanization within brackets.

Alzheimer's disease is characterized by plaques of amyloid-beta peptide, cleaved from amyloid-beta protein precursor . Our hypothesis is that lifespan profiles of AD-associated mRNA and protein levels in monkeys would differ from mice and that differential lifespan expression profiles would be useful to understand human AD pathogenesis. We compared profiles of AbetaPP mRNA, AbetaPP protein, and Abeta levels in rodents and primates. We also tracked a transcriptional regulator of the AbetaPP gene, specificity protein 1 , and the beta amyloid precursor (...) cleaving enzyme . In mice, AbetaPP and SP1 mRNA and their protein products were elevated late in life; Abeta levels declined in old age. In monkeys, SP1, AbetaPP, and BACE1 mRNA declined in old age, while protein products and Abeta levels rose. Proteolytic processing in both species did not match production of Abeta. In primates, AbetaPP and SP1 mRNA levels coordinate, but an inverse relationship exists with corresponding protein products as well as Abeta levels. Comparison of human DNA and mRNA sequences to monkey and mouse counterparts revealed structural features that may explain differences in transcriptional and translational processing. These findings are important for selecting appropriate models for AD and other age-related diseases. (shrink)

On Roger Bacon's life and works, by A. G. Little. -- Der Einfluss des Robert Grosseteste auf die wissenschaftliche Richtung des Roger Bacon, von L. Baur. -- La place de Roger Bacon parmi les philosophes du xiie siècle, par F. Picavet. -- Roger Bacon and the Latin vulgate, by F. A. Gasquet. -- Roger Bacon and philology, by S. A. Hirsch. -- The place of Roger Bacon in the history of mathematics, by D. E. Smith. -- Roger Bacon und seine (...) Verdienste um die Optik, von E. Wiedemann. -- Roger Bacon's Lehre von der sinnlichen Spezies und vom Sehvorgange, von S. Vogl. -- Roger Bacon's art des wissenschaftlichen Arbeitens dargestellt nach seineer Schrift De speculis, von Würschmidt. -- Roger Bacon et l'horreur du vide, par P. Duhem. -- Roger Bacon : his relations to alchemy and chemistry, by M. M. P. Muir. -- Roger Bacon and gunpowder, by H. W. L. Hime. -- Roger Bacon and medicine, by E. W, Withington. -- Roger Bacon in English literature, by Sir J. E. Sandys. -- Roger Bacon's works with references to the mss. printed editions, by A, G. Little (p. [375]-425). (shrink)

On Roger Bacon's life and works, by A. G. Little.--Der einfluss des Robert Grosseteste auf die wissenschaftliche richtung des Roger Bacon, von Ludwig Baur.--La place de Roger Bacon parmi les philosophes du XIIIe siècle, par François Picavet.--Roger Bacon and the Latin vulgate, by Francis Aidan, cardinal Gasquet.--Roger Bacon and philology, by S. A. Hirsch.--The place of Roger Bacon in the history of mathematics, by David Eugene Smith.--Roger Bacon und seine verdienste um die optik, von Eilhard Wiedemann.--Roger Bacons lehre von der (...) sinnlichen spezies und vom seḣvorgange, von Sebastian Vogl.--Roger Bacons art des wissenschaftlichen arbeitens dargestellt nach seiner schrift De speculis, von J. Würschmidt.--Roger Bacon et l'horreur du vide, par Pierre Duhem.--Roger Bacon, his relations to alchemy and chemistry, by M. M. Pattison Muir.--Roger Bacon and gunpowder, by H. W. L. Hime.--Roger Bacon and medicine, by E. Withington. (shrink)

The lack of a standardized reliable and valid instrument makes it difficult to measure attitudes toward lesbian women and gay men consistently and thus poses a challenge to compare and contrast intervention measures. This study aimed to validate Herek’s ATLG scale among undergraduates in mainland China and identify factors associated with negative attitudes toward LG. A total of 6,036 eligible undergraduates conveniently drawn from 30 provinces across mainland China were randomly split in half. Item analysis was first used to select (...) unrelated or redundant items for deletion. Exploratory factor analysis were then conducted on the first half of the sample, followed by confirmatory factor analysis and reliability analysis in the second half. Logistic regression analyses were finally carried out to identify their determinants. Six items were removed from the item analysis. EFA supported the existence of two factors. CFA results indicated that the two-factor model fit the data better than the one-factor model. Logistic regression analyses indicated that being female, majoring in non-health-related disciplines, attributing homosexuality to uncontrollable causes, non-adherence to traditional gender norms and exposure to homosexual content were significantly associated with less negative attitudes toward both L and G. Urban students were marginally less likely to express negative attitudes toward L but not G, while non-heterosexuals and those who had prior personal contact with homosexuals exhibited less negative attitudes toward G but not L. However, grade showed no significant associations with either ATL or ATG. The retained 14-item version of Herek’s ATLG scale has been proven to be a reliable and valid tool. Furthermore, ATL and ATG were determined by different factors and thus would be treated separately. In order to reduce negative attitudes toward LG among undergraduates in mainland China, a comprehensive intervention plan such as conducting comprehensive sex education and pushing the process of legalizing same-sex marriage should be designed, implemented and evaluated. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Books ReceivedThe Ambitions of Curiosity: Understanding the World in Ancient Greece and China. By G.E.R. Lloyd. Cambridge: Cambridge University Press, 2002. Pp. xvi + 175. Price not given.The Art of the Han Essay: Wang Fu's Ch'ien-Fu Lun. By Anne Behnke Kinney. Tempe: Center for Asian Studies, Arizona State University, 1990. Pp. xi + 154. Paper $10.00.The Autobiography of Jamgön Kongtrul: A Gem of Many Colors. By Jamgön Kongtrul Lodrön (...) Thayé and translated by Richard Barron (Chökyi Nyima). Ithaca, New York: Snow Lion Publications, 2003. Pp. xxii + 549. Price not given.Awesome Nightfall: The Life, Times, and Poetry of Saigyō. By William R. LaFleur. Boston: Wisdom Publications, 2003. Pp. xiii + 173. Paper $14.95.Becoming the Compassion Buddha: Tantric Mahamudra for Everyday Life. By Lama Thubten Yeshe, edited by Robina Courtin, and foreword by Geshe Lhundub Sopa. Boston: Wisdom Publications, 2003. Pp. xi + 194. Paper $14.95.Between Two Worlds East and West: An Autobiography. By J. N. Mohanty. New Delhi: Oxford University Press, 2002. Pp. ix + 134. Hardcover RS 525.00.The Chinese Face of Jesus Christ. Edited by Roman Malek, S.V.D. Sankt Augustin, Germany: Institut Monumenta Serica and China-Zentrum; and Nettetal, Germany: Steyler Verlag, 2002. Pp. 391. EUR 40.00.Chinese Medicine in Contemporary China: Plurality and Synthesis. By Volker Scheid. Durham and London: Duke University Press, 2002. Pp. xiv + 407. Hardcover $69.95. Paper $23.95.Confucian Feminist: Memoirs of Zeng Baosun (1893-1978). Translated and adapted by Thomas L. Kennedy. Philadelphia: American Philosophical Society, 2002. Pp. xxi + 170. Price not given.Consciousness Studies: Cross-Cultural Perspectives. By K. Ramakrishna Rao. Jefferson (North Carolina) and London: McFarland and Company, 2002. Pp. 367. Hardcover $65.00.Constituting Communities: Theravāda Buddhism and the Religious Cultures of South and Southeast Asia. Edited by John Clifford Holt, Jacob N. Kinnard, and Jonathan S. Walters. Albany: State University of New York Press, 2003. Pp. viii + 224. Hardcover $65.50. Paper $21.95.Developments in Indian Philosophy from Eighteenth Century Onwards: Classical and Western. By Daya Krishna. Volume X Part 1 of History of Science, Philosophy and Culture in Indian Civilization, edited by D. P. Chattopadhyaya. New [End Page 110] Delhi: Centre for Studies in Civilizations, 2001. Pp. xxiii + 417. Hardcover RS 1200.East and West: Identità e dialogo interculturale. By Giangiorgio Pasqualotto. Venezia: Marsilo Editori, 2003. Pp. 210. EUR 16.00.Effortless Action: Wu-wei as Conceptual Metaphor and Spiritual Ideal in Early China. By Edward Slingerland. New York: Oxford University Press, 2003. Pp. xii + 352. Price not given.Encountering Kā lī: In the Margins, at the Center, in the West. Edited by Rachel Fell McDermott and Jeffrey J. Kripal. Berkeley and Los Angeles: University of California Press, 2003. Pp. xviii + 321. Hardcover $55.00, £37.95. Paper $21.95, £15.95.Encyclopedia of Chinese Philosophy. Edited by Antonio S. Cua. New York and London: Routledge, 2003. Pp. xx + 1020. Hardcover $150.00.Essays on Indian Philosophy. By J. N. Mohanty and edited by Purushottama Bilimoria. New Delhi: Oxford University Press, 2002. Pp. xxxvii + 347. Paper RS 525.00.Faith, Humor, and Paradox. By Ignacio L. Götz. Westport, Connecticut: Praeger Publishers, 2002. Pp. 136. Hardcover $61.95.Four Illusions: Candrakīrti's Advice for Travelers on the Bodhisattva Path. Translated by Karen C. Lang. New York: Oxford University Press, 2003. Pp. xv + 240. Price not given.The Great Awakening: A Buddhist Social Theory. By David R. Loy. Boston: Wisdom Publications, 2003. Pp. 223. Paper $16.95.The Hidden History of The Tibetan Book of the Dead. By Bryan J. Cuevas. New York: Oxford University Press, 2003. Pp. xi + 328. Price not given.Huang Di nei jing su wen: Nature, Knowledge, Imagery in an Ancient Chinese Medical Text. By Paul U. Unschuld. Berkeley and Los Angeles: University of California Press, 2003. Pp. xii + 520. Hardcover $75.00, £52.00.In Dewey's Wake: Unfinished Work of Pragmatic Reconstruction. Edited by William J. Gavin. Albany: State University of New York Press, 2003. Pp. vi + 249. Hardcover $71.50. Paper $23.95.Knowledge and Freedom in Indian Philosophy. By Tara Chatterjea. Lanham, Maryland: Lexington Books, 2002. Pp. xvi + 159. Hardcover... (shrink)

There is widespread agreement among philosophers that William James's well-known attempt to justify religious faith in ‘The Will to Believe’ is a failure. But despite the fact that James wrote his essay as a reply to the ‘tough-minded’ ethics of belief represented by such thinkers as W. K. Clifford and T. H. Huxley, the reasons commonly given today for rejecting James's position seem to be mostly based on the same principle of intellectual ethics that motivated Clifford and Huxley. Clifford, it (...) may be recalled, maintained that ‘It is wrong always, everywhere, and for everyone, to believe anything upon insufficient evidence’. Although this is a rather rhetorical way of stating it, the principle is basically the same one adhered to by most scientists and philosophers who consider themselves rigorous and ‘objective’ thinkers. Even philosophers not associated with the hardheaded modern Anglo-American style of empiricism commonly pledge their allegiance to such a principle. For example, Brand Blanshard holds that the ‘main principle’ of the ethics of belief is that one should ‘equate one's assent to the evidence’ and he then goes on to criticize James, on the basis of this principle, for advocating self-deception and intellectual dishonesty. (shrink)

Patient requests for “inappropriate” medical treatment based on religious beliefs should have special standing. Nevertheless, not all such requests should be honored, because some are morally disturbing. The trouble lies in deciding which ones count. This paper proposes criteria that would qualify a religious belief as medically valid to help physicians decide which requests to respect. The four conditions suggested are that the belief is shared by a community, is deeply held, would pass the test of a religious interpreter and (...) does not harm others. (shrink)

Epaminondas the soldier has been much admired. His two great battles rank as masterpieces of the military art. Epaminondas himself perhaps regarded them as his greatest achievements, to judge by his last words as reported by Diodorus . He had been carried from the battlefield of Mantinea with a spear stuck in his chest. The doctors declared that when the spear was removed he would die. After hearing that his own shield was safe and that the Boeotians had won, he (...) ordered that the spear be removed. One of his friends said to him ‘But you die without a son.’ He answered ‘I do, by God, but I leave two daughters, my victory of Leuctra and my victory of Mantinea’, and then he died. Nor were his ‘daughters’ unadmired. By remarkable chance the future Philip II of Macedon was hostage at Thebes at the very time of Epaminondas' pre-eminence and did not fail to learn, as Chaeronea was to show. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy and Rhetoric 36.3 (2003) 207-222 [Access article in PDF] Burke Contra Kierkegaard:Kenneth Burke's Dialectic via Reading Søren Kierkegaard G. L. Ercolini Isaac—to his children Lived to tell the tale— Moral—with a Mastiff Manners may prevail. —Emily Dickinson Kenneth Burke employs the term dialectic throughout his works and yet, despite its profuse recurrence, the term remains ambiguous. Much secondary scholarship has focused on Burke and dialectics, and still the (...) term in Burke remains—if not already complicated—cloudy. 1 Part of the difficulty regarding this term stems from Burke's own ambiguity; another part from critics' tendency to rely on Burke's own use and definitions for clarification of this concept. The arguments have been helpful and illuminating, yet Burke's dialectic can be further clarified by going beyond what Burke means by the term by focusing on how he deploys dialectical criticism in his own work. 2 This article focuses on Burke's appropriation of the existential thinker Søren Kierkegaard as a particularly clear and remarkable instance of the operation of Burke's dialectic in his criticism. I maintain that although Burke's reading of Kierkegaard is arguably a misreading, his strategic appropriation of Kierkegaard in A Rhetoric of Motives (1950) not only serves as a clear deployment of the dialectic, but also functions as a foil against which Burke defines his own critical method. Burke's reading of Kierkegaard emphasizes the function of resolution in Burke's critical project.The current literature, although quite informative, does not put Burke's dialectic in sharp focus. Rueckert argues that Burkean dialectics "is really a branch of what Burke was to later call logology, the study of words, of language, of symbol systems" (1994, 14). Heath claims that dialectic "is an analytical tool to help us diagnose perspectives so that we can [End Page 207] examine whether they make sense and consider their implications for social relations" (1986, 162). Crusius contends that, "dialectic for Burke is the study of verbal universes, the disinterested pursuit of a vocabulary's implications" (1986, 24). While Brummett and Crusius show similarity between Hegel's and Burke's dialectic, Heath and Wess distinguish Burke's dialectic from Hegelian idealism and teleological history respectively. 3 Most of the arguments concerning Burke and dialectic focus on "The Dialectic of Constitutions" in A Grammar of Motives (1969), while A Rhetoric of Motives (1962), where Burke identifies humankind as homo dialecticus, is hardly engaged with regard to this concept. 4 Burke's working through Kierkegaard in A Rhetoric of Motives demonstrates Burke's dialectical criticism—thus providing an operational account of Burke's dialectic—and allows for his revelation of the three motives in the realm of rhetoric: the Order, the Secret, and the Kill. 5 And yet, despite this centrality of Fear and Trembling, surprisingly little has been said about Burke's Kierkegaard beyond passing mention. 6Despite editorial advice to the opposite regarding an article that would later become a part of the book, Burke evidently regarded his reading of Kierkegaard as important. Joseph Bennett, editor of Hudson Review, responded as follows to Burke's 1948 submission of the article entitled "Imagery of Killing": "I would like to request that you eliminate Kierkegaard from the article in question, confining it simply to literary exegesis and excluding the philosopher theologian." 7 Although he complied for the article, Burke retained his reading of Kierkegaard in A Rhetoric of Motives. Despite the lack of attention given to it, Burke's engagement with Kierkegaard clearly demonstrates how Burke views ethical criticism as that which resolves opposition, negation, and paradox to a higher order. Burke contra Kierkegaard The section entitled "Order" in A Rhetoric of Motives contains a detailed, twenty-three-page discussion of Kierkegaard's Fear and Trembling. In this discussion, Burke primarily attacks Kierkegaard for encouraging what Burke enigmatically and elliptically identifies as the "cult of the Kill."Burke's portrayal of Kierkegaard is hardly flattering: at the crescendo of his analysis in A Rhetoric of Motives he claims that thinking such as Kierkegaard... (shrink)

In this paper I want to discuss a certain way of understanding the concept of religion which I think is more satisfactory than other ways that have often been proposed in the literature, arguing, in brief, that the way to an adequate understanding does not lie through an analysis of the concept of ‘worship’ or ‘the worshipful’ or any notions derivative from these, as some writers have maintained, but instead through a comparative analysis of the various concepts of a ‘highest (...) good’, thought of as a final salvation or ‘liberation’ for its seekers, found in the major religions. I shall also discuss some of the advantages of this way of regarding religion, as well as what I take to be certain of its consequences for the philosophy of religion. The discussion will also lay the groundwork for a pragmatic justification of religious belief , and will, I hope, help to shed light on the question of what would constitute a religiously satisfactory notion of the highest good. (shrink)

In CQ n.s. 26 . 62–84 I argued that the defeat of Sparta in 371 B.C. was not due to the pursuit of unwise policies towards the other Greek states. Unwise policies there had been. Sparta being by no means superior to Athens in the formulation of foreign policy, but these did not affect the position on the eve of Leuctra when, with Thebes politically isolated, and with some of the Boeotians disaffected, Cieombrotus at the head of a numerically superior (...) Spartan and allied army was poised for the, destruction of Theban power; a triumph of policy it must have seemed. Sparta failed for military reasons. Her army was unequal to the military genius of Epaminondas. (shrink)

In 404 Sparta stood supreme, militarily and politically master of Greece, in concord with Persia. By 362, the year at which Xenophon terminated his history on the sad note of ‘even greater confusion and uncertainty’, she was eclipsed militarily, never to win a great battle again; and so far from being master even of the Peloponnese that she would spend the rest of time struggling to recover her own ancestral domain of Messenia, no longer a world power, merely a local (...) wrangler. The reasons for all this which are to seek are of absorbing interest and prime importance for the history of Greece, but it is hard to resist the temptation to connect the change with the policies of Agesilaus whose reign virtually coincided with the period in question. He was king for forty-one years and over thirty of them well before the battle of Leuctra and he had influence in the state unequalled as far as we can tell by any other king. (shrink)