Introduction Globally, healthcare providers (HCPs), hospital administrators, patients and their caretakers are increasingly confronted with complex moral, social, cultural, ethical, and legal dilemmas during clinical care. In high-income countries (HICs), formal and informal clinical ethics support services (CESSs) have been used to resolve bioethical conflicts among HCPs, patients, and their families. There is limited evidence about mechanisms used to resolve these issues as well as experiences and perspectives of the stakeholders that utilize them in most African countries including Uganda. Methods (...) This phenomenological qualitative study utilized in-depth interviews (IDIs) and focus group discussions (FGDs) to collect data from Uganda Cancer Institute (UCI) staff, patients, and caretakers who were purposively selected. Data was analyzed deductively and inductively yielding themes and sub-themes that were used to develop a codebook. Results The study revealed there was no formal committee or mechanism dedicated to resolving ethical dilemmas at the UCI. Instead, ethical dilemmas were addressed in six forums: individual consultations, tumor board meetings, morbidity and mortality meetings (MMMs), core management meetings, rewards and sanctions committee meetings, and clinical departmental meetings. Participants expressed apprehension regarding the efficacy of these fora due to their non-ethics related agendas as well as members lacking training in medical ethics and the necessary experience to effectively resolve ethical dilemmas. Conclusion The fora employed at the UCI to address ethical dilemmas were implicit, involving decisions made through various structures without the guidance of personnel well-versed in medical or clinical ethics. There was a strong recommendation from participants to establish a multidisciplinary clinical ethics committee comprising members who are trained, skilled, and experienced in medical and clinical ethics. (shrink)

One of the core problems of scientific research authorship is honorary authorship. It violates the ethical principle of clear and appropriate assignment of scientific research contributions. The prevalence of honorary authorship worldwide is alarmingly high across various research disciplines. As a result, many academic institutions and publishers were trying to explore ways to overcome this unethical research practice. The International Committee of Medical Journal Editors (ICMJE) recommended criteria for authorship as guidance for researchers submitting manuscripts to biomedical Journals. However, despite (...) the ICMJE guidelines, honorary authorship is still significantly present across various health research disciplines. The aim of this study was to explore the perceptions and knowledge of health care researchers towards honorary authorship according to the ICMJE guidelines across different health care fields in Jordan, which to our knowledge was never explored before. Data from an electronic survey that was distributed among researchers working in different healthcare fields across several major universities in Jordan, revealed that most of the respondents were assistant professors working mainly in the schools of Medicine and Pharmacy. The majority of the respondents (65.5%) were not aware of the ICMJE authorship guidelines. And, around 37% reported the inclusion of an honorary author, in which the most common non-authorship task reported by 73% of the respondents was reviewing the manuscript. Our findings emphasize the need for national academic and research institutions to address the issue of authorship in their educational programs and internal policies. (shrink)

La integración del Imperio Otomano y la progresista aparición, en su seno, de estados independientes a lo largo del siglo XIX trajo consigo la inevitable confluencia del espíritu ilustrado-romántico europeo, impulsor de las revoluciones en Europa y América, y el peso de la identidad nacional, arraigada en los esquemas patriarcales tradicionales. En ese exigente proceso de remodelación sociopolítica e ideológica, surgen discursos femeninos que, pese la escasa capacidad de maniobra, sitúan a la mujer en el epicentro del cambio y diseñan (...) una estrategia de lucha feminista.Presentamos dos discursos femeninos, los de la activista griega Kalirroe Parén (1861-1940) y la libanesa-palestina Mayy Ziyada (1866-1941), afincada en Egipto. Ambos se fundamentan en la actividad intelectual y literaria de sus creadoras, en los primeros y sólidos idearios feministas griego y árabe, y en la capacidad política de cambio de la mujer en un entorno hostil. (shrink)

Classical digest, with commentary, of the Mimamsa school in Hindu philosophy.

In lieu of an abstract, here is a brief excerpt of the content:European Network of Buddhist-Christian StudiesSalzburg, Austria, June 8–11, 2007John D’Arcy MayIs it a problem for Buddhists that what is generally regarded as religion can be profoundly different from tradition to tradition? Is it appropriate or even desirable to speak of a Buddhist “theology of religions”? Does Buddhism have its own ways, however subtle, of affirming its superiority over all else that claims the name “religion”?The European Network of Buddhist-Christian (...) Studies set out to find answers to these questions at its seventh conference, held at the splendid Catholic conference center of St. Virgil on the outskirts of Salzburg, Austria.Given the demographic realities in Europe, the network has inevitably tended to be a group of Christians discussing Buddhism, as far as possible with the participation of Buddhist guests but without really providing a platform for a thoroughgoing Buddhist discussion of religious plurality. This time, more Buddhists than ever before, including significant scholars from America and Asia as well as Europe, participated in the conference. We were thus treated to a discussion of Buddhist attitudes to the religions that broke new ground and presented a vivid picture of Buddhism’s own internal diversity.In his introductory address the president of the network, Prof. John May, paid tribute to the University of Salzburg’s newly established Centre for Intercultural Theology and the Study of Religions, whose director, Prof. Gregor Maria Hoff, welcomed participants on behalf of the university. Dr. Ulrich Winkler contributed substantially to the organization of the conference.Dr. Kristin Kiblinger (Winthrop University), author of the first systematic treatment of Buddhist “inclusivism,” opened the conference proper by distinguishing between “open” and “closed” forms of inclusivism. She suggested a parallel with George Lindbeck’s “experiential-expressive” paradigm of religious doctrine in order to make clear that Buddhists, like Christians, have ways of privileging their own positions, though these generally remain unacknowledged.“One vehicle” (ekayāna) theories of Buddhism have something in common with “common core” theories of Christian pluralism in that they presuppose a “single end” [End Page 149] inclusivism. Whether the “positionless position” derived from Buddhist “emptiness” (śūnyatā) is a better guarantee of genuine pluralism than the Christian notion of “self-emptying” (kenōsis), as suggested by Masao Abe, remains an open question. The Buddhist doctrine of “two truths,” one expressed in the “higher” language (paramārthasatya) accessible only to Buddhist practitioners and the other in the “lower” language (samvrtisatya) of discourse with others, does not hold out much promise of true mutual respect between traditions.Prof. John Makransky (Boston College), an ordained lama and meditation teacher as well as a renowned scholar of Tibetan Buddhism, took up the challenge of developing a Buddhist “theology” that avoids the claim to superiority. What matters to the Buddhist practitioner is to cut through all subconscious clinging, even to approved teachings and spiritual results. “Ultimate truth” can be known, directly but nonconceptually, yielding a “nonconceptual compassion” comparable to what Christians call “totally undivided oneness with God.” Lacking historical consciousness, however, teachers have tended to project their understanding of skillful means back on to Śākyamuni Buddha, each school assuming that other schools are merely preparations for itself. The same pattern is evident in the integration into Buddhism of indigenous religions such as Shintō, which enriched Buddhism but also assimilated it to themselves. Prompted by his contacts with Christian colleagues to venture beyond practice into Buddhist self-reflection, Makransky is now prepared to see in conceptions such as the Dharmakāya (“Dharma body” of the Buddha or ultimate reality) an equivalent of what Christians understand by God. The Body of Christ, with its implications for ecclesiology, could open up a further avenue for comparison.Existing under the conditions of late or post-modernity, Buddhism is forced to come to terms with pluralism and ecumenism. Prof. Kenneth Tanaka (Musashino University, Tokyo), an ordained Jōdo Shinshū priest, sees himself as incapable of saying to a non-Buddhist, “You’re not saved,” because the practice of prajñā and karunā (wisdom and compassion) is not restricted to Buddhists. Even within traditions, however, levels of spiritual attainment are not equivalent, nor are all religions equally valid. “Prophets can’t be pluralists,” but like... (shrink)