Infertility specialists may be confronted with the ethical dilemma of whether to disclose misattributed paternity (MP). Physicians should be prepared for instances when an assumed father’s evaluation reveals a condition known for lifelong infertility, for example, congenital bilateral absence of vas deferens (CBAVD). When there is doubt regarding a patient’s comprehension of his diagnosis, physicians must consider whether further disclosure is warranted. This article describes a case of MP with ethics analysis that concludes that limited nondisclosure is most consistent with (...) a physician’s principled duties to inform, to respect patients’ autonomy, and to employ nonmaleficence (including the avoidance of psychosocial harms). (shrink)

This article examines mixed ℋ -infinity and passivity synchronization of Markovian jumping neutral-type complex dynamical network models with randomly occurring coupling delays and actuator faults. The randomly occurring coupling delays are considered to design the complex dynamical networks in practice. These delays complied with certain Bernoulli distributed white noise sequences. The relevant data including limits of actuator faults, bounds of the nonlinear terms, and external disturbances are available for designing the controller structure. Novel Lyapunov–Krasovskii functional is constructed to verify the (...) stability of the error model and performance level. Jensen’s inequality and a new integral inequality are applied to derive the outcomes. Sufficient conditions for the synchronization error system are given in terms of linear matrix inequalities, which can be analyzed easily by utilizing general numerical programming. Numerical illustrations are given to exhibit the usefulness of the obtained results. (shrink)

Autism spectrum disorders (ASD) are thought to result in part from altered cortical excitatory-inhibitory balance; this pathophysiology may impact the generation of oscillations on EEG. We investigated premotor-parietal cortical physiology associated with praxis, which has strong theoretical and empirical associations with ASD symptomatology. 25 children with high-functioning ASD (HFA) and 33 controls performed a praxis task involving the pantomiming of tool use, while EEG was recorded. We assessed task-related modulation of signal power in alpha and beta frequency bands. Compared with (...) controls, subjects with HFA showed 27% less left central (motor/premotor) beta (18-22 Hz) event-related desynchronization (ERD) (p = 0.030), as well as 24% less left parietal alpha (7-13 Hz) ERD (p = 0.046). Within the HFA group, blunting of central ERD attenuation was associated with impairments in clinical measures of praxis imitation (r = -0.4; p = 0.04) and increased autism severity (r = 0.48; p = 0.016). The modulation of central beta activity is associated, among other things, with motor imagery, which may be necessary for imitation. Impaired imitation has been associated with core features of ASD. Altered modulation of oscillatory activity may be mechanistically involved in those aspects of motor network function that relate to the core symptoms of ASD. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The Ambedkar-Gandhi Debate: On Identity, Community and Justice by Bindu PuriMeena Dhanda (bio)The Ambedkar-Gandhi Debate: On Identity, Community and Justice. By Bindu Puri. Singapore: Springer, 2022. Pp. xv + 266, Paper $119.90, ISBN 978-981-16-8685-6.Written from a philosophical perspective, this ambitious book by Professor Bindu Puri draws attention to an old and well know opposition between two great minds of the last century. The distance between Mohandas Karamchand Gandhi (...) (1869--1948) and Dr. Bhimrao Ambedkar (1891--1956) surfaced in the political domain when both were engaged in challenging British colonial rule in their respective, unique, and often opposing ways. Faced with a common enemy from whom political independence was sought, both Indian leaders battled with each other to define the meaning of that independence for the masses they represented. How would independence from the British bring freedom and equality to the most underprivileged? Both drew on their understanding of India’s past: Gandhi at pains to revise, reform, and rewrite his complex inheritance with an eye to continuity, and Ambedkar labouring to extract and underline the undeniable, inescapable core, the scourge of caste, which the republic of India would have to break from if genuine freedom and equality were to become attainable goals.Puri’s book addresses these conflicting notions of the past and builds two incommensurable world views underpinning their political positions, thus presenting the political and intellectual rivalry between Gandhi and Ambedkar as ultimately irreconcilable. Their world views are distilled by defining the relationship between underlying conceptions of the self, community and justice. These form the foci of five chapters, each elaborating the difference between the two thinkers. A broad framework of a binary opposition between the “modern” (Ambedkar) and the “Indic” (Gandhi), inspired by authors like D.R. Nagraj and Ashish Nandy, is followed, occasionally allowing for seepage of common elements from one to the other. It is a significant feature of their life histories that both Gandhi and Ambedkar were trained as lawyers, both studied outside British India, and both returned to practice law in British India. In my view, their “modern” training shaped the argumentative methods deployed by both, albeit, when writing in the vernacular, Ambedkar (in Marathi) and Gandhi (in Gujarati), both used appeals to “native” intelligence in dissimilar ways. Ambedkar did not spare the sphere of the “sacred” from critical scrutiny, whereas Gandhi was careful to protect the “sacred” from criticism. [End Page 1]The book makes extensive use of a distinction between “itihaas” and history, borrowed from an essay by Ajay Skaria (2010), “The Strange Violence of Satyagraha: Gandhi, Itihaas, and History.” Both notions are meant to encapsulate the “past,” but apparently in different ways. This crucial distinction, stressing on the meaning of “itihaas” as “it so happened” introduced in Chapter 1 (p. 2) is followed by its extensive deployment in Chapter 2 (pp. 25-53), where Skaria’s essay is first referenced (p. 33). Many of the key references to Gandhi’s writings in this chapter are strikingly identical with those used by Skaria (2010). He, however, has used his own translations of the original Gujarati text of Hind Swaraj into English, carefully explaining the differences between his and Gandhi’s translations into English, but Puri has relied on either the Collected Works of Mahatma Gandhi or Hind Swaraj and Other Writings (ed. Anthony Parel). A long quotation from Veyne (1984) seems to be taken from Skaria’s essay—all the ellipses are exactly where Skaria placed them. The interlinkages between key Gandhian concepts—e.g., between satyagraha and atmabal; the importance of “singularity” for itihaas; khaas lakshan and humanity; unilateral obligation (ekpakshi farj); ownmost orientation (swabhava)—are all found in Skaria (2010). The reliance on Ajay Skaria’s interpretations of Gandhi’s idea of samadarshan (seeing things with an equal eye), especially in the context of the Bhagwad Gita continues in chapter 4 (pp. 152-160), in her discussion of “absolute equality,” only this time it is with reference to Skaria’s (2016) Unconditional Equality: Gandhi’s Religion of Resistance.The comparison of Gandhi’s reading of the Gita with orthodox readings by Tilak and Ramanujan (apparently also derived from... (shrink)

We formalize what it means to have permission to say something. We adapt the dynamic logic of permission by van der Meyden (J Log Comput 6(3):465–479, 1996 ) to the case where atomic actions are public truthful announcements. We also add a notion of obligation. Our logic is an extension of the logic of public announcements introduced by Plaza ( 1989 ) with dynamic modal operators for permission and for obligation. We axiomatize the logic and show that it is decidable.

This paper explores the philosophical aspects of the "Great Introduction" of Abū Ma'šar, one of the great figures of Arabic astrology and an associate of al-Kindī, the great 9th century philosopher. I argue that the following points of philosophical interest may be found in this text: 1. Astrology is described as a "master science" along the lines proposed by Aristotle, i.e. it provides principles for lower sciences. Also he supplies arguments to ground astrology on methodological grounds, such as the use (...) of empirical evidence and testimony. 2. Abū Ma'šar broadly follows al-Kindī's explanation of how the stars influence the sublunary world, by heating the elements. This agrees with al-Kindī's work "On the Proximate Agent Cause of Generation and Corruption," and I identify some parallels between the two works. 3. Finally, Abū Ma'šarr considers whether human freedom is compatible with this causal account. He holds that human actions do fall under the class of the "possible" and not the "necessary," but only because for him the "possible" is what happens sometimes, not always. Thus he seems tacitly to hold that genuine choice is compatible with causal necessitation. (shrink)

Jewish law takes an approach to self-defense that differs dramatically from the conventional assumptions of Western secular legal systems. The central theme of Talmudic jurisprudence is that self-defense rests on a duty not to stand idly by while one's neighbor suffers. “Do not stand on the blood of one's neighbor,” as the point is cryptically put in Leviticus 19:16. This way of thinking about self-defense departs in two significant ways from common Western assumptions. First, it stresses that the roots of (...) self-defense are a duty rather than a right to act; second, it treats the case of third-party defense as logically prior to the first-party case of self -defense. (shrink)

The Nuremberg Trials of leading National Socialists established the principle that individuals may be legally punished, even by death, for obeying the laws of their country. Is there then a higher law by which enacted valid positive laws may be judged, so that persons subject to such laws would be duty-bound to defy them? In recent years the theory of natural law has been revived by a number of philosophers and jurists, who however often disagree sharply among themselves about the (...) proper methods for defining and deriving natural law. Howard Kainz surveys the history of natural law from its foreshadowing in ancient Greece down to the most recent controversies. Natural Law both introduces the subject to newcomers and sheds fresh light on such figures as Plato, Aristotle, Hume, Kant, Veatch, McInerny, Grisez, and Finnis. (shrink)

The author clarifies the existential philosophy that is implicit in Kurt Goldstein's philosophy of organism (Goldstein, 1963; 1995). Situated in response to the growing trend that psychological phenomena are reducible to the nervous system, the author argues for the reverse: that the significance of nervous system activity can only be understood by viewing it as background to foreground performances. Like the organization of perception into meaningful figure-- ground Gestalts, the existential modes of embodiment, sociality, temporality, spatiality, and attunement are organized (...) together to accomplish foreground performances. It is only within this context that the activity of the nervous system may be understood as significant or insignificant. Speech is given as an example. The article concludes with a commentary on how the trend of reducing psychological phenomena to neurological phenomena has impaired our understanding of brain disorders and psychological disorders. (shrink)

This discussion paper is drawn from a qualitative research project comparing the effect of special and ordinary schools on the lives of children, young people and their families. Special schools are recommended by health professionals who seldom know how ineffective these schools are. We question the beneficence and justice of health professionals' advice on education for children with disabilities and other difficulties. Cooperation with local education authorities (LEAs) plays a considerable part in the work of community paediatricians, clinical medical officers, (...) therapists and other health professionals encountering children with "special needs". The "needs" range from physical disability and sensory impairment to learning difficulties and emotional or behavioural difficulties. This cooperation involves routine administrative problems, but it raises broad ethical issues too, particularly in respect of current tendencies in state schooling towards the integration or inclusion of these children in mainstream schools and classes. (shrink)

Even for persons who hold to the ethical acceptance of abortion practices in general, questions of detail often arise. If you assume the distinction between the physical human organism alone and the person that is associated with that organism, then you must face the question of whether it is permissible to abort a fetus if the corresponding person has come into being. We take the position that the abortion of a fetus that has achieved this level of development should be (...) declared unethical except in special circumstances. Our purpose here is to identify the point in the development of the fetus that serves as the marker for this level. (shrink)

It is widely accepted that EinstcinRi7;s general theory of relativity is an satisfactory description of gravity 0nly in the macroscopic limit, where quantum eiTcc1;s may be neglected. Presumably this theory is inapplicable at the Planck length, but recently much attention has been devoted to gravitational theory at intermediate length scales where quantum affects 0f matter are inescapable, but where there is an general assumption that the gravitational Held may bc treated as a classical background, augmented if necessary by quamtizcd linearized (...) pertur-. (shrink)

The clinical decision is supposed to be based on evidence. In fact, what counts as evidence is far from being established. Some definition of "proof" is needed to distinguish between scientific medicine and charlatanism. My thesis is that unfortunately a clear-cut boundary between evidence and lack of evidence cannot be found, for several reasons that I summarise in the paper. Evidence in medicine very often has fuzzy boundaries, and dichotomising fuzziness and uncertainty can have serious consequences. Physicians and patients should (...) accept the irreducible fuzziness of many of the concepts they use when dealing with health and disease. (shrink)

These are details of research conducted in November and December 2007. The file is meant as a supplement to publication, and I have not attempted here to provide any analysis of the results.