BackgroundThe COVID-19 pandemic has created ethical challenges for intensive care unit (ICU) professionals, potentially causing moral distress. This study explored the levels and causes of moral distress and the ethical climate in Dutch ICUs during COVID-19.MethodsAn extended version of the Measurement of Moral Distress for Healthcare Professionals (MMD-HP) and Ethical Decision Making Climate Questionnaire (EDMCQ) were online distributed among all 84 ICUs. Moral distress scores in nurses and intensivists were compared with the historical control group one year before COVID-19. ResultsThree (...) hundred forty-five nurses (70.7%), 40 intensivists (8.2%), and 103 supporting staff (21.1%) completed the survey. Moral distress levels were higher for nurses than supporting staff. Moral distress levels in intensivists did not differ significantly from those of nurses and supporting staff. “Inadequate emotional support for patients and their families” was the highest-ranked cause of moral distress for all groups of professionals. Of all factors, all professions rated the ethical climate most positively regarding the culture of mutual respect, ethical awareness and support. “Culture of not avoiding end-of-life-decisions” and “Self-reflective and empowering leadership” received the lowest mean scores. Moral distress scores during COVID-19 were significantly lower for ICU nurses (p < 0.001) and intensivists (p < 0.05) compared to one year prior.ConclusionLevels and causes of moral distress vary between ICU professionals and differ from the historical control group. Targeted interventions that address moral distress during a crisis are desirable to improve the mental health and retention of ICU professionals and the quality of patient care. (shrink)

We consider an oscillator subjected to a sudden change in equilibrium position or in effective spring constant, or both—to a “squeeze” in the language of quantum optics. We analyze the probability of transition from a given initial state to a final state, in its dependence on final-state quantum number. We make use of five sources of insight: Bohr-Sommerfeld quantization via bands in phase space, area of overlap between before-squeeze band and after-squeeze band, interference in phase space, Wigner function as quantum (...) update of B-S band and near-zone Fresnel diffraction as mockup Wigner function. (shrink)

In this paper, we re-examine a series of gedanken welcher Weg (WW) experiments introduced by Scully, Englert and Walther that contain the essential ideas underlying the quantum eraser. For this purpose we use the Bohm model which gives a sharp picture of the behaviour of the atoms involved in these experiments. This model supports the thesis that interference disappears in such WW experiments, even though the centre of mass wave function remains coherent throughout the experiment. It also shows exactly (...) what it means to say ‘that the interference can be restored by manipulating the WW detectors long after the atoms have passed’. It does not support Wheeler’s notion that ‘the past is undefined and undefinable without the observation (in the present)’. (shrink)

Bereiter-Hahn, J. Biologische Aspekte des Begriffes "Tod".--Walther, G. F. Die Feststellung des Todes.--Schmied, G. Einstellungen zu Tod und Unsterblichkeit in den westlichen Industriegesellschaften.--Nieder, G. Tod als "Letzter Ausweg"?--R.-Alföldi, M. Der Tod, Glaube und Aberglaube im antiken Rom.--Ricken, F. Die Unsterblichkeitsgewissheit in Platons "Phaidon".--Schreiner, J. Alttestamentliche Vorstellungen von Tod und Unsterblichkeit.--Manser, J. Tod und ewiges Leben in der Sicht des christlichen Glaubens.

Diese Festschrift für Michael Fischer ist ein Patchwork und eine wunderbare Mischung aus Wissenschaft, Persönlichem, Freundschaft und Genuss. Sie setzt sich aus unterschiedlichen und vielseitigen Texten, Zeichnungen und Bildern zusammen, von Menschen, die ihn begleitet haben, manche viele Jahre, manche nur eine kurze, aber entscheidende Zeit. Studentinnen und Studenten, die von ihm gelernt haben, Kolleginnen und Kollegen, die mit ihm Ideen entwickelt, Projekte initiiert und geforscht haben, Freunden aus Kunst und Kultur, Theater, Oper und den Bühnen des Lebens, nämlich: Eric (...) Hobsbawm, Claudio Magris, André Glucksmann, Wolf Singer, Johannes Hahn, Volker Gerhardt, Thomas Fischer, Rudolf (+) und Gundl Hradil, Helga Rabl-Stadler, Gerard Mortier, Jürgen Flimm, Brita Steinwendtner, Veit Heinichen, Peter Ruzicka, André Tubeuf, Thomas Oberender, Stefan Zweifel, Hermann Lübbe, Eduardo Chitas, Wilhelm Donner, Hans Eichhorn, Reinhard Kacianka, Tina Perisutti, Ulrich H. J. Körtner, Markus Hengstschläger, Henriette und Conrad Ulrich-Hürlimann, Michael Hagner, Thomas Macho, Johann Weyringer, Birgit Recki, Walther Ch. Zimmerli, Andreas Cesana, Kurt Seelmann. (shrink)

Schon seit ihrer Gr ndung in den 1970er-Jahren ist die Reihe Germanistische Linguistik (RGL) exponiertes Forum des Faches, dessen Namen sie im Titel f hrt. Hinsichtlich der thematischen Breite (Sprachebenen, Variet ten, Kommunikationsformen, Epochen), der Forschungsperspektiven (Theorie und Empirie, Grundlagenforschung und Anwendung, Inter- und Transdisziplinarit t) und des methodologischen Spektrums ist die Reihe offen angelegt. Das Aufgreifen neuer Trends hat in ihr ebenso Platz wie das Fortf hren von Bew hrtem. Die Publikationsformen reichen von Monographien und Sammelb nden bis zu (...) W rterb chern. Wissenschaftlicher Beirat (ab November 2011): Prof. Dr. Karin Donhauser (Berlin) Prof. Dr. Stephan Elspa (Augsburg) Prof. Dr. Helmuth Feilke (Gie en) Prof. Dr. J rg Fleischer (Marburg) Prof. Dr. Stephan Habscheid (Siegen) Prof. Dr. R diger Harnisch (Passau). (shrink)

Since Leibniz's time, Cartesian mental causation has been criticized for violating the conservation of energy and momentum. Many dualist responses clearly fail. But conservation laws have important neglected features generally undermining the objection. Conservation is _local_, holding first not for the universe, but for everywhere separately. The energy in any volume changes only due to what flows through the boundaries. Constant total energy holds if the global summing-up of local conservation laws converges; it probably doesn't in reality. Energy conservation holds (...) if there is symmetry, the sameness of the laws over time. Thus, if there are time-places where symmetries fail due to nonphysical influence, conservation laws fail there and then, while holding elsewhere, such as refrigerators and stars. Noether's converse first theorem shows that conservation laws imply symmetries. Thus conservation trivially nearly entails the causal closure of the physical. But expecting conservation to hold in the brain simply assumes the falsehood of Cartesianism. Hence Leibniz's objection begs the question. Empirical neuroscience is another matter. So is Einstein's General Relativity: far from providing a loophole, General Relativity makes mental causation _harder_. (shrink)

ABSTRACTThe seminal work of David Marr, popularized in his classic work Vision, continues to exert a major influence on both cognitive science and philosophy. The interpretation of his work also co...

Book reviewed in this article: Ezekiel 2: A Commentary on the Book of the Prophet Ezekiel, Chapters 25–48. By Walther Zimmerli. The Prophets, Vol. II: The Babylonian and Persian Periods. By Klaus Koch. Intertestamental Literature by Martin McNamara. Palestinian Judaism and the New Testament by Martin McNamara. Jesus and the World of Judaism. By Geza Vermes. The Rediscovery of Jesus's Eschatological Discourse. By David Wenham. Sexism and God Talk: Towards a Feminist Theology. By Rosemary Ruether. In Memory of Her: (...) A Feminíst Theological Reconstruction of Christian Origins. By Elisabeth Schüssler Fiorenza. Equal Woman: A Christian Feminist Perspective. By Myrtle Langley. Sexual Desire and Love, Origins and History of the Christian Ethic of Sexuality and Marriage. By Eric Fuchs. What Are They Saying about Peace and War? By Thomas A. Shannon. The Dangers of Deterrence: Philosophers on Nuclear Strategy Edited by Nigel Blake and K. Pole. The Cross and the Bomb: Christian Ethics and the Nuclear Debate. Edited by Francis Bridger. Foundations of Ethics. Edited by Leroy S. Rouner. Freud and Human Nature. By Ilham Dilman. What is a Law of Nature By D.M. Armstrong. Bentham. By Ross Harrison. Locke. By John Dunn. Leibniz. By G. Macdonald Ross. Berkeley. By J.O. Urmson. Kant. By Roger Scruton. Marx's Social Critique of Culture. By Louis Dupré. The Hermeneutical Theory of Paul Ricoeur: A Constructive Analysis. By David E. Klemm. Science, Folklore and Ideology: Studies in the Life Sciences in Ancient Greece. By G.E.R. Lloyd. Averroes' Middle Commentaries on Aristotle's ‘Categories’ and ‘De Interpretatione’. Translated, with Notes and Introductions, by Charles E. Butterworth. Miracle in the Early Christian World: A Study in Sociohistorical Method. By Howard Clark Kee. Pagan‐Christian Conflict over Miracle in the 2nd Century. By Harold Remus. Frame of the Universe: A History of Physical Cosmology. By Frank Durham and Robert D. Purrington. The Changing of the Gods. By Frank E. Manuel. English Romanticism: The Grounds of Belief. By John Clubbe and Ernest J. Lovell, Jr. A Short History of the Catholic Church. By J. Derek Holmes and Bernard W, Bickers. The Life and Writings of the Historical Saint Patrick. By R.P.C. Hanson. Rupert of Deutz. By John H. Van Engen. Thomas More. By Anthony Kenny. Luther in Mid‐Career 1521–30. By Heinrich Bornkamm. The Night Battles: Witchcraft and Agrarian Cults in the 16th & 17th Century. By Carlo Ginzburg. Piety and Politics: Religion and the Rise of Absolutism in England, Württemberg, and Prussia. By Mary Fulbrook. Doctor Russell of Maynooth. By Ambrose Macaulay. Paul Cardinal Cullen and the Shape of Modern Irish Catholicism. By Desmond Bowen. The 1980 Synod of Bishops ‘On the Role of the Family’. By Jan Grootaers and Joseph Selling. The Godly Order: Texts and Studies relating to the Book of Common Prayer. By Geoffrey Cuming. (shrink)

Part intellectual autobiography and part exposition of complex yet contemporary economic ideas, this lively conversation with renowned scholar and public intellectual Kenneth J. Arrow focuses on economics and politics in light of history, current events, and philosophy as well. Reminding readers that economics is about redistribution and thus about how we treat each other, Arrow shows that the intersection of economics and ethics is of concern not just to economists but for the public more broadly. With a foreword by Amartya (...) Sen, this book highlights the belief that government can be a powerful force for good, and is particularly relevant in the current political climate and to the lay reader as well as the economist. (shrink)

Gaston Fessard employs Hegel’s dialectical logic to clarify how St. Ignatius’s _Spiritual Exercises_ envisage and prepare the decisions and choices between contrasting options or major turning points in spiritual life, in moments of what Ignatius would call _Election_.