Like nuclear energy, most technologies could have dual use—for health and well being and disaster and terror. Some research publications have brought to the forefront the tragic consequences of the latter potential through their possible use. Monitoring life science research and development (R&D) to prevent possible misuse is a challenging task globally, more so in developing economies like India, which are emerging as major biotech hubs. As a signatory to the Biological and Toxin Weapons Convention, India has put in motion (...) a process of evolving a series of measures to manage dual-use technology. The Indian Council of Medical Research (ICMR) has taken a lead in drafting model codes of conduct, ethics and practice for use by other S&T agencies to tailor them as per their requirements. Taking cue from the discussions held by the editors of the various medical and science journals in the developed world, the Indian Journal of Medical Research, the official publication of the ICMR, is working on policy and uniform practice of publication of dual-use research results. The Government of India too has promulgated legal provisions to minimize the risks of misuse of technology, like the Weapons of Mass Destruction Act. Clearly, no single agency would be able to manage the dual-use of technology effectively. Multiple agencies have to come together to work in tandem for effective implementation of various measure and also like Janus, ensure that they are neither too restrictive nor intrusive to discourage the development of science. (shrink)

Familialism is a significant mindset within Singaporean culture. Its effects through the practice of familial determination and filial piety, which calls for a family centric approach to care determination over and above individual autonomy, affect many elements of local care provision. However, given the complex psychosocial, political and cultural elements involved, the applicability and viability of this model as well as that of a physician-led practice is increasingly open to conjecture. This article will investigate some of these concerns before proffering (...) a decision-making process based upon a multidisciplinary team approach. It will be shown that such a multidimensional and multiprofessional approach is more in keeping with the inclusive and patient-centred ethos of palliative care than prevailing practices. It will be shown that such an approach will also be better placed to deliver holistic, coherent and sensitive end-of-life care that palliative care espouses. (shrink)

Technology Integration (TI) has been incorporated into education and how it has affected both the efficacy of coaching and the development of teams. The research used a blended-techniques approach, integrating qualitative interviews, consciousness businesses, and quantitative surveys to provide a comprehensive understanding of the role that generations play in schooling. As part of the inquiry, 150 educators and administrators participated in awareness seminars and surveys. The findings demonstrate significant gains in instructional efficacy due to technology-enabled tools like interactive software and (...) digital platforms that provide individualized instruction and instant feedback. Employees report higher levels of involvement and improved accessibility awareness.Staff readiness for TI is likewise evaluated, revealing that, while many educators are assured and prompted, there remains a need for continuing help and education. Statistical analysis, the usage of Cronbach's Alpha, confirms high internal consistency across the examinee’s constructs, inclusive of cronbach's Alpha values across the Technological Integration (TI)(0.81), Teaching Effectiveness (TE) (0.87), and Staff Development (SD)(0.80).There is generally positive emotion toward the role that technology plays in career advancement, despite the persistence of some challenging circumstances. Overall, the findings underscore the transformative ability of generation in education while emphasizing the need for strategic assistance and assets to maximize its benefits. (shrink)

“At-own-risk discharges” or “self-discharges” evidences an irretrievable breakdown in the patient–clinician relationship when patients leave care facilities before completion of medical treatment and against medical advice. Dissolution of the therapeutic relationship terminates the physician’s duty of care and professional liability with respect to care of the patient. Acquiescence of an at-own-risk discharge by the clinician is seen as respecting patient autonomy. The validity of such requests pivot on the assumptions that the patient is fully informed and competent to invoke an (...) at-own-risk discharge and that care up to the point of the at-own-risk discharge meets prevailing clinical standards. Palliative care’s use of a multidisciplinary team approach challenges both these assumptions. First by establishing multiple independent therapeutic relations between professionals in the multidisciplinary team and the patient who persists despite an at-own-risk discharge. These enduring therapeutic relationships negate the suggestion that no duty of care is owed the patient. Second, the continued employ of collusion, familial determinations, and the circumnavigation of direct patient involvement in family-centric societies compromises the patient’s decision-making capacity and raises questions as to the patient’s decision-making capacity and their ability to assume responsibility for the repercussions of invoking an at-own-risk discharge. With the validity of at-own-risk discharge request in question and the welfare and patient interest at stake, an alternative approach to assessing at-own-risk discharge requests are called for. The welfare model circumnavigates these concerns and preserves the patient’s welfare through the employ of a multidisciplinary team guided holistic appraisal of the patient’s specific situation that is informed by clinical and institutional standards and evidenced-based practice. The welfare model provides a robust decision-making framework for assessing the validity of at-own-risk discharge requests on a case-by-case basis. (shrink)

Application of sedation at the end of life has been fraught with ethical and clinical concerns, primarily focused on its potential to hasten death. However, in the face of clinical data that assuage most of these concerns, a new threat to this treatment of last resort has arisen. Concern now pivots on its effects on the personhood of the patient, underpinned by the manner in which personhood has been conceptualised. For many authors, it is consciousness that is seen to be (...) the seat of personhood, thus its loss is seen to rob a patient of their moral and ethical worth, leaving them in a state that cannot ethically be differentiated from death. Here I proffer a clinically based alternative to this view, the Ring Theory of Personhood, which dispels these concerns about sedation at the end of life. The Ring Theory envisages personhood as a coadunation of three domains of concern: the innate, the individual and the relational elements of personhood. The innate element of personhood is held to be present among all humans by virtue of their links with the Divine and or their human characteristics. The individual elements of personhood pivot on the presence of consciousness-dependent features such as self-awareness, self-determination and personality traits. The relational component of personhood envisages an individual as being ‘socially embedded’ replete with social and familial ties. It is these three equally important inter-related domains that define personhood. (shrink)

BackgroundThe COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus far has collated the deeply personal reflections of physicians and ascertained how their self-concept, self-esteem and perceived self-worth has altered during this crisis. Without adequate intervention, this may (...) have profound effects on their mental and physical health, personal relationships and professional efficacy.MethodsWith mentions of the coronavirus pervading social media by the millions, this paper set out to collate and thematically analyse social media posts containing first-person physician reflections on how COVID-19 affected their lives and their coping mechanisms. A consistent search strategy was employed and a PRISMA flowchart was used to map out the inclusion/exclusion criteria.ResultsA total of 590 social media posts were screened, 511 evaluated, and 108 included for analysis. Salient themes identified include Disruptions to Personal Psycho-Emotional State, Disruptions to Professional Care Delivery, Concern for Family, Response from Institution, Response from Society and Coping Mechanisms.ConclusionIt is evident that the distress experienced by physicians during this time has been manifold, multi-faceted and dominantly negative. Self-concepts were distorted with weakened self-esteem and perceived self-worth observed. The Ring Theory of Personhood (RToP) was adopted to explain COVID-19’s impact on physician personhood as it considers existential, individual, relational and social concepts of the self. These entwined self-concepts serve as ‘compensatory’ to one another, with coping mechanisms buffering and fortifying the physician’s overall personhood. With healthcare institutions playing a vital role in providing timely and targeted support, it was further proposed that a comprehensive assessment tool based on the RToP could be developed to detect at-risk physicians and evaluate the presence and effectiveness of established support structures. (shrink)

Facing the possibility of a surge of COVID-19-infected patients requiring ventilatory support in Intensive Care Units, the Singapore Hospice Council and the Chapter of Palliative Medicine Physicians forward its position on the guiding principles that ought to drive the allocation of ICU beds and its role in care of these patients and their families.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work.As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Noticia del texto El escrito cuya traducción el lector tiene entre sus manos nunca llegó a publicarse en vida de Kant, sino años más tarde por obra de Dilthey (1889). Fue redactado en el contexto de una polémica intelectual que, por ese entonces, agitaba la vida académica alemana. En efecto, luego de la publicación de la Crítica de la razón pura en 1781, las reacciones –tanto positivas como negativas– no se hicieron esperar. Entre las negativas se cuenta la de (...) Johann August Eberhard (1739-1809), férreo defensor de Leibniz y Wolff, quien edificó una trinchera en contra del kantismo desde la Universidad de Halle. Para estos fines, fundó la Philosophisches Magazin (1788-1792), órgano destinado a difundir las ideas en contra del filósofo crítico. En 1790, Kant respondió a estos ataques publican do el escrito Über eine Entdeckung nach der alle neue Kritik der reinen Vernuft durch eine ältere entbehrlich gemacht werden soll ( Ak. VIII ) 1 y dio la disputa por terminada. En lo que respecta al texto que hemos traducido, ocurre que, en la cuarta sección del tomo segundo de la Philosopisches Magazin (1790), se publicaron tres artículos del matemático alemán Kästner (1719-1800): “¿Qué significa “posible” en la geometría euclideana?” ( cf. 391-402), “Sobre el concepto matemático del espacio” ( cf. 403-419) y “Sobre los axiomas geométricos” ( cf. 420-430). Estos artículos tenían el objetivo de demostrar la superioridad de la postura de Eberhard. Sin embargo, en un osado movimiento, Kant redacta (también en 1790) una recen sión argumentando que, por el contrario, las afirmaciones de Kästner le dan la razón a él y no a Eberhard. (shrink)

With an Introduction by renowned Kant scholar Allen W. Wood, this is the only available one-volume edition of the essential works of the Enlightenment's greatest philosopher and one of the most influential thinkers of modern times. Containing carefully selected excerpts from his most frequently taught essays and book-length publications, including Critique of Pure Reason, Critique of Judgment, and Eternal Peace , the Basic Writings of Kant is an indispensable collection. This revised edition was edited by Carl J. Friedrich.

The use of Nasogastric (NG) feeding in the provision of artificial nutrition and hydration at the end of life has, for the most part, been regarded as futile by the medical community. This position has been led chiefly by prevailing medical data. In Singapore, however, there has been an increase in its utilization supported primarily by social, religious and cultural factors expressly to prolong life of the terminally ill patient. Here this article will seek to review the ethical and clinical (...) impact of this treatment and provide some understanding for such decisions in the light of the Duty of Palliative Care [DoPC]. Complemented by virtue ethics theory, the DoPC highlights and seeks to realize the individual case specific goals of care that maximize comfort and quality of life of the patient in the face of rapid attenuation of treatment options and the eminence of the final outcome by considering each of these factors individually in order to provide the best outcome for the patient and the family. (shrink)

Familial determination, replete with its frequent usurping of patient autonomy, propagation of collusion, and circumnavigation of direct patient involvement in their own care deliberations, continues to impact clinical practice in many Asian nations. Suggestions that underpinning this practice, in Confucian-inspired societies, is the adherence of the populace to the familial centric ideas of personhood espoused by Confucian ethics, provide a novel means of understanding and improving patient-centred care at the end of life. Clinical experience in Confucian-inspired Singapore, however, suggests that (...) personhood is conceived in broader terms. This diverging view inspired a study of local conceptions of personhood and scrutiny of the influence of the family upon it. From the data gathered, a culturally appropriate, clinically relevant and ethically sensitive concept of personhood was proposed: the Ring Theory of Personhood that better captures the nuances of local conceptions of personhood. The Ring Theory highlights the fact that, far from being solely dependent upon familial centric ideals, local conceptions of personhood are dynamic, context dependent, evolving ideas delineated by four dimensions. Using the Ring Theory, the nature of familial influences upon the four dimensions of personhood – the Innate, Individual, Relational and Societal – are examined to reveal that, contrary to perceived knowledge, conceptions of personhood within Confucian societies are not the prime reason for the continued presence of this decision-making model but remain present within local thinking and practices as a sociocultural residue and primarily because of inertia in updating ideas. (shrink)

Religion within the Boundaries of Mere Reason is a key element of the system of philosophy which Kant introduced with his Critique of Pure Reason, and a work of major importance in the history of Western religious thought. It represents a great philosopher's attempt to spell out the form and content of a type of religion that would be grounded in moral reason and would meet the needs of ethical life. It includes sharply critical and boldly constructive discussions on (...) topics not often treated by philosophers, including such traditional theological concepts as original sin and the salvation or 'justification' of a sinner, and the idea of the proper role of a church. This new edition includes slightly revised translations, a revised introduction with expanded discussion of certain key themes in the work, and up-to-date guidance on further reading. (shrink)

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Addresses Kant's crucial belief that we must clearly distinguish and fully honor the separate demands of science and morality in our souls.

La logique est une science rationnelle non seulement selon la forme, mais selon la matiere; une science a priori des lois necessaires de la pensee, non pas relativement a des objets particuliers, mais bien relativement a tous les objets en general; c'est donc une science du droit usage de l'entendement et de la raison en general, non pas de facon subjective, c'est-a-dire non pas selon des principes empiriques (psychologiques): comment l'entendement pense - mais de facon objective, c'est-a-dire selon des principes (...) a priori: comment il doit penser. (shrink)

The application of continuous deep sedation in the treatment of intractable suffering at the end of life continues to be tied to a number of concerns that have negated its use in palliative care. Part of the resistance towards use of this treatment option of last resort has been the continued association of CDS with physician-associated suicide and/or euthanasia, which is compounded by a lack clinical guidelines and a failure to cite this treatment under the aegis of a palliative care (...) approach. I argue that reinstituting a palliative care-inspired approach that includes a holistic review of the patient’s situation and the engagement of a multidisciplinary team guided by clearly defined practice requirements that have been lacking amongst many prevailing guidelines will overcome prevailing objections to this practice and allow for the legitimization of this process. (shrink)

This article attempts to examine the portrayal of the character of Arthur Fleck in Todd Phillips’s Joker (2019). In the initial part of the film, Arthur exhibits signs that reveal he is headed towards committing a violent crime. Arthur displays signs of psychopathy and a lack of empathy. This article links criminal behaviour analysis to the Bible of the Arya Samaj, an Indian text, to find out how ancient Indian literature’s empirical theories, which are intertwined with philosophical and religious content, (...) shed light on criminal behaviour. The primary purpose of this article is to analyse the behavioural pattern in the character of Fleck and establish links to Dayanand Saraswati’s Satyarth Prakash, which discusses different types of Avidyas, a key concept in Indian philosophy that can be translated as ignorance or unwisdom, which is seen as a fundamental cause of suffering and bondage. It is certainly a significant factor in a person’s personality and behaviour. The major aim of this character analysis is not only to establish the link between Indian ancient texts and criminological behavioural patterns but also to reconceptualize evil through the lenses of Vedic hermeneutics. Vedic hermeneutics is the study of interpreting and understanding the ancient Vedic texts of Hinduism, where an important aspect is the recognition of different levels of meaning within the texts. (shrink)

The original edition of Kant: Political Writings was first published in 1970, and has long been established as the principal English-language edition of this important body of writing. In this new, expanded edition two important texts illustrating Kant's view of history are included for the first time, his reviews of Herder's Ideas on the Philosophy of the History of Mankind and Conjectures on the Beginning of Human History, as well as the essay What is Orientation in Thinking?. In (...) addition to a general introduction assessing Kant's political thought in terms of his fundamental principles of politics, this edition also contains such useful student aids as notes on the texts, a comprehensive bibliogaphy and a new postscript, looking at some of the principal issues in Kantian scholarship that have arisen since the first edition. (shrink)

Kant is the central figure of modern philosophy. He sought to rebuild philosophy from the ground up, and he succeeded in permanently changing its problems and methods. This revised edition of the Prolegomena, which is the best introduction to the theoretical side of his philosophy, presents his thought clearly by paying careful attention to his original language. Also included are selections from the Critique of Pure Reason, which fill out and explicate some of Kant's central arguments, and in (...) which Kant himself explains his special terminology. The first reviews of the Critique, to which Kant responded in the Prolegomena, are included in this revised edition. The volume is completed by a historical and philosophical introduction, explanatory notes, a chronology, and a guide to further reading. (shrink)

Critique of pure reason.--Metaphysic of morality.--Critique of practical reason.--Critique of judgment.--Index.

Kant was centrally concerned with issues in the philosophy of natural science throughout his career. The Metaphysical Foundations of Natural Science presents his most mature reflections on these themes in the context of both his 'critical' philosophy, presented in the Critique of Pure Reason, and the natural science of his time. This volume presents a new translation, by Michael Friedman, which is especially clear and accurate. There are explanatory notes indicating some of the main connections between the argument of (...) the Metaphysical Foundations and the first Critique - as well as parallel connections to Newton's Principia. The volume is completed by an historical and philosophical introduction and a guide to further reading. (shrink)

Comment introduire a la philosophie? Ou comment donner au debutant a la fois une idee d'ensemble et une sorte de carte de la philosophie? Cette question fit l'objet d'un cours que Kant professa une dizaine de fois pendant les annees dites silencieuses qui precederent la parution de la Critique de la raison pure. Le cours s'intitulait Lecons sur l'encyclopedie philosophique et devait constituer, explicitement, un Abrege de philosophie a l'usage des etudiants. Kant y enseignait a philosopher par son (...) exemple meme: Un professeur de philosophie ne doit pas simplement expliquer un auteur, mais instruire en meme temps de la methode selon laquelle on doit philosopher. La philosophie a pour objets toutes les connaissances humaines des choses, quelles qu'elles soient. La philosophie traite precisement des regles de l'usage correct de l'entendement et de la raison. Elle est en meme temps le plus haut tribunal de la raison. (shrink)

Arnold Kowalewski (1873-1945) war der letzte Vertreter der Königsberger Kant-Forschung, die mit dem Ende des Zweiten Weltkrieges abbrach. Von dem unabgeschlossenen Projekt einer Volksausgabe der Kantischen Schriften in 5 Bänden, mit dem er von der Stadt Königsberg 1941 beauftragt worden war, um einen Überblick über das Kantische Schaffen zu erleichtern, ist allein das Typoskript für Band 1 vollständig ausgearbeitet worden. Der wissenschaftlichen Öffentlichkeit war der erreichte Stand der Realisierung unbekannt. Typoskript, korrigierte Druckfahnen und weitere Dokumente zur Entstehung der Ausgabe (...) blieben bis in den Sommer 1998 Teil des unveröffentlichten Nachlasses. Die besondere Bedeutung des im Nachlaß von Arnold Kowalewski bewahrten Manuskripts mit Dokumenten und Quellentexten zu Kants Lehrtätigkeit liegt heute darin, daß der anerkannte Kant-Philologe und -Interpret für seine Edition noch auf Texte und Zeugnisse aus den Beständen der Königsberger Bibliotheken zugreifen konnte, die seit 1945 verschollen sind. Dies gilt vor allem für die ausgewählten Texte aus Kants Vorlesungen über Anthropologie, Geographie, Logik und Metaphysik, die - wenn auch in sekundärer Überlieferung - durch den vorliegenden Band erhalten sind. (shrink)