Moral Case Deliberations are reflective dialogues with a group of participants on their own moral dilemmas. Although MCD is successful as clinical ethics support, it also has limitations. 1. Lessons learned from individual MCDs are not shared in order to be used in other contexts 2. Moral learning stays limited to the participants of the MCD; 3. MCD requires quite some organisational effort, 4. MCD deals with one individual concrete case. It does not address other, similar cases. These limitations warrant (...) research into complementary ways of providing CES to healthcare professionals. Our research objective was therefore to develop a low threshold CES tool based on a series of MCDs on autonomy in long-term care. We used a qualitative research design in which we analyzed the process and content of a series of MCDs, combined with reflections on the theoretical background of MCD. In total 28 MCDs were analyzed by means of a thematic content analysis. In various rounds of development, the results of the analysis were combined with theoretical reflections on CES. Consequently, the tool was evaluated in three focus groups and adjusted. The CES tool, called ‘moral compass’, guides the users through a series of six subsequent questions in order to methodically reflect on their concrete moral dilemma, in the form of a booklet of 23 pages. It combines a methodical element that encourages and structures a reflection process with a substantive element, including norms, values, options, strategies, and insights regarding dealing with client autonomy. By using data from a series of MCDs, combined with theoretical reflections on MCD, ethics support and moral learning, we developed a thematic, low-threshold CES tool that supports healthcare professionals in daily practice in dealing with moral questions regarding client autonomy. It integrates examples and insights from earlier MCDs on the same topic. The moral compass is not a replacement of, but can be used complementary to MCD. The feasibility and impact of the moral compass need to be investigated in an evaluative follow-up study. The methodology presented in this paper may be used to develop moral compasses on different topics in various healthcare organizations. (shrink)

Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into the personality traits of such perpetrators is warranted.

A new formulation involving fulfillment of all the Kolmogorov axioms is suggested for acomplete probability theory. This proves to be not a purely mathematical discipline. Probability theory deals with abstract objects—images of various classes of concrete objects—whereas experimental statistics deals with concrete objects alone. Both have to be taken into account. Quantum physics and classical statistical physics prove to be different aspects ofone probabilistic physics. The connection of quantum mechanics with classical statistical mechanics is examined and the origin of the (...) Schrödinger equation is elucidated. Attention is given to the true meaning of the wave-corpuscle duality, and the incompleteness of nonrelativistic quantum mechanics is explained. (shrink)

Many studies have documented gender differences in attitudes toward and experiences with science. Compared to men, for example, women are less likely to study science and to pursue careers in science-related fields. Given these findings, should we expect gender differences in support for scientific involvement in U.S. environmental policy? This study empirically examines the relationship of gender to attitudes toward science and preferred roles of scientists in environmental policy among various environmental policy participants. Data collected in 2006 and 2007 from (...) national surveys of four different groups involved in environmental policy and management suggest that social context, including education and occupation, shapes the way that gender matters. Specifically, we find that gender is less important among scientists and managers than among interest groups and the general population regarding attitudes toward science and views about preferred roles of scientists in environmental decision making. (shrink)

Some problems relating to the probabilistic description of a free particle and of a charged particle moving in an electromagnetic field are discussed. A critical analysis of the Klein-Gordon equation and of the Dirac equation is given. It is also shown that there is no connection between commutativity of operators for physical quantities and the existence of their joint probability. It is demonstrated that the Heisenberg uncertainty relation is not universal and explained why this is so. A universal uncertainty relation (...) for canonically conjugate coordinates and momenta is suggested. (shrink)

The emergence of macroscopic variables can be effected through coarse graining. Despite practical and fundamental benefits conveyed by this partitioning of state space, the apparently subjective nature of the selection of coarse grains has been considered problematic. We provide objective selection methods, deriving from the existence of relatively slow dynamical time scales. Using a framework for nonequilibrium statistical mechanics developed by us, we show the emergence of both spatial variables and order parameters. Although significant objective criteria are introduced in the (...) coarse graining, we do not provide a unique prescription. Most significantly, the grains, and by implication entropy, are only defined modulo a characteristic time scale of observation. (shrink)

The famous early fragment (B1 D-K) of Anaximander, Greek thinker of the sixth century B.C.E., was transmitted to us by Byzantine Alexandrian authors of the sixth century C.E.: the pagan Simplicius in his commentary on Aristotle’s Physics, and the Monophysite Christian to whose earlier Physics commentary Simplicius was replying, John Philoponus. When these commentators were writing, the Mediterranean world was polarized by the Monophysite-Chalcedonian theological controversy. First Philoponus adduced some of Anaximander’s words in his argument for a single principle of (...) the universe, in keeping with his own theological position. Then Simplicius gave a fuller form of the text, reproving Philoponus for what he considered “uncultured” Christian views. This transmission tells us something about Byzantine theological attitudes as well as preserving archaic philosophical formulations. (shrink)

Tape-recorded semi-structured interviews were conducted with 21 nursing aides and enrolled nurses in the geriatric clinic in Umeå, Sweden. The interviews focused on the difference between the care of demented and non-demented patients and ethical conflicts in dementia care. The results indicate that caregivers have problems in providing the demented patients with opportunities to act autonomously in everyday matters on the ward, mainly due to the difficulty of understanding what the patients wish and the fact that their wishes, when understood, (...) often seem irrational. Measures to provide the demented patients with more opportunities to act autonomously in everyday matters are suggested. (shrink)

Objectives: Medical decision support and other intelligent applications in the life sciences depend on increasing amounts of digital information. Knowledge bases as well as formal ontologies are being used to organize biomedical knowledge and data. However, these two kinds of artefacts are not always clearly distinguished. Whereas the popular RDF(S) standard provides an intuitive triple-based representation, it is semantically weak. Description logics based ontology languages like OWL-DL carry a clear-cut semantics, but they are computationally expensive, and they are often misinterpreted (...) to encode all kinds of statements, including those which are not ontological. Method: We distinguish four kinds of statements needed to comprehensively represent domain knowledge: universal statements, terminological statements, statements about particulars and contingent statements. We argue that the task of formal ontologies is solely to represent universal statements, while the non-ontological kinds of statements can nevertheless be connected with ontological representations. To illustrate these four types of representations, we use a running example from parasitology. Results: We finally formulate recommendations for semantically adequate ontologies that can efficiently be used as a stable framework for more context-dependent biomedical knowledge representation and reasoning applications like clinical decision support systems. (shrink)

General regularities related toLagrangian andHamiltonian equations are revealed. Probability distributions for functions ofHamiltonian random variables are considered. It is shown that all probability distributions of this kind are fully determined by the probability distributions for the random variables satisfying the corresponding Lagrangian equations. Some formulas related tocanonically conjugate operators are given. The similarity of these formulas to those related to Hamiltonian random variables is demonstrated. The “quantum approach” to the treatment of Hamiltonian random variables is discussed, and the origin of (...) some peculiarities related to this approach is elucidated; it is explained, in particular, why it is impossible to form the joint probability density for canonically conjugate random variables when using this approach. The peculiarities revealed prove to be common for any objects possessing Hamiltonian random variables, irrespective of the nature of the objects, and coincide, therefore, with those in quantum mechanics. The existence of joint probability distributions for canonically conjugate random variables in the general case is demonstrated through the calculation of the corresponding joint mathematical expectations in an illustrative example. This proves, in particular, that joint probability distributions for canonically conjugate coordinates and momenta exist indeed in the case of mechanical microsystems. The results obtained prove once again that the pecularities of quantum mechanics are not related to the specificity of the measurements of physical quantities for microsystems. (shrink)