The dilemma of whether and how to disclose a diagnosis of cancer or of any other terminal illness continues to be a subject of worldwide interest. We present the case of a 62-year-old Japanese woman afflicted with advanced gall bladder cancer who had previously expressed a preference not to be told a diagnosis of cancer. The treating physician revealed the diagnosis to the family first, and then told the patient: "You don't have any cancer yet, but if we don't treat (...) you, it will progress to a cancer". In our analysis, we examine the role of family consent, communication patterns (including ambiguous disclosure), and advance directives for cancer disclosure in Japan. Finally, we explore the implications for Edmund Pellegrino's proposal of "something close to autonomy" as a universal good. (shrink)

The variety of residuated lattices includes a vast proportion of the classes of algebras that are relevant for algebraic logic, e.g., \-groups, Heyting algebras, MV-algebras, or De Morgan monoids. Among the outliers, one counts orthomodular lattices and other varieties of quantum algebras. We suggest a common framework—pointed left-residuated \-groupoids—where residuated structures and quantum structures can all be accommodated. We investigate the lattice of subvarieties of pointed left-residuated \-groupoids, their ideals, and develop a theory of left nuclei. Finally, we extend some (...) parts of the theory of join-completions of residuated \-groupoids to the left-residuated case, giving a new proof of MacLaren’s theorem for orthomodular lattices. (shrink)

In debates about criteria for human death, several camps have emerged, the main two focusing on either loss of the "organism as a whole" (the mainstream view) or loss of consciousness or "personhood." Controversies also rage over the proper definition of "irreversible" in criteria for death. The situation is reminiscent of the proverbial blind men palpating an elephant; each describes the creature according to the part he can touch. Similarly, each camp grasps some aspect of the complex reality of death. (...) The personhood camp, in contrast to the mainstream "organism" camp, recognizes that a human organism can still be a biological living whole even without brain function. The mainstream camp, in contrast to the personhood camp, recognizes that a person can be permanently, even irreversibly unconscious, and still be a living person so long as his/her body is alive. The author proposes that hylomorphic dualism incorporates both these key insights. But to complete the picture of the entire "death elephant," a fundamental paradigm shift is needed to make sense of other seemingly conflicting insights. The author proposes a "semantic bisection" of the concept of death, analogous to the traditional distinction at the beginning of life between "conception" and "birth." To avoid the semantic baggage associated with the term "death," the two new death-related concepts are referred to as "passing away" (or "deceased") and "deanimation," corresponding, respectively, to sociolegal ceasing-to-be (mirror image of birth) and ontological/theological ceasing-to-be of the bodily organism (mirror image of conception). Regarding criteria, the distinguishing feature is whether the cessation of function is permanent (passing away) or irreversible (deanimation). If the "dead donor rule" were renamed the "deceased donor rule" (both acronyms felicitously being "DDR"), the ethics of organ transplantation from non–heart-beating donors could, in principle, be validly governed by the DDR, even though the donors are not yet ontologically "deanimated." Thus, the paradigm shift satisfies both those who insist on maintaining the DDR and those who claim that it has all along been receiving only lip service and should be explicitly loosened to include those who are "as good as dead." Even so, a number of practical caveats remain to be worked out for non–heart-beating protocols. (shrink)

Signals to the brain from the flows of energy around the body, varied primarily by declining amounts of food energy in the stomach, can explain the pattern of meals in the laboratory rat, the differences between dark and light phases, and the development of obesity ion the rat wioth VMH lesions but normal sating.

This study aimed to determine if people would use social usefulness as a criterion when allocating a kidney to potential recipients. Participants ranked hypothetical patients in order of priority to receive the kidney, using only information on the patients’ volunteering record, intelligence, emotional intelligence, and attractiveness. The results showed that volunteers were prioritized over nonvolunteers, highly intelligent patients over those with average intelligence, patients with high emotional intelligence over those with average emotional intelligence, and good-looking patients over average-looking patients. There (...) was little evidence of personal favoritism. Implications and limitations are discussed. (shrink)

Revisiting African philosophy’s classic questions, D. A. Masolo advances understandings of what it means to be human—whether of African or other origin. Masolo reframes indigenous knowledge as diversity: How are we to understand the place and structure of consciousness? How does the everyday color the world we know? Where are the boundaries between self and other, universal and particular, and individual and community? From here, he takes a dramatic turn toward Africa’s current political situation and considers why individual rights and (...) freedoms have not been recognized, respected, demanded, or enforced. Masolo offers solutions for containing socially destructive conduct and antisocial tendencies by engaging community. His unique thinking about community and the role of the individual extends African philosophy in new, global directions. (shrink)

A critical appraisal of the theories founded on the theorem of the multiaxial flower , shows an evolution fromWettstein's original version of 1907 to various hypotheses founded on the the same theme and partly derived from the Wettsteinian doctrine. A number of circumstances such as semantic inconsistencies, but principally the choice of inadequate archetypes, prevented the success of the theory of a polystachyous floral region, because the deductions and interpretations emanating from this concept were not sufficiently convincing to defeat the (...) opposed theory of the uniaxial euanthous flower or anthostrobilus hypothesis. Only after the amendation of the theory of a multiaxial reproductive region on the basis of the anthocorm concept can one arrive at a plausible idea of the evolution of the angiospermous flower which is compatible with all aspects of the phylogeny of the Flowering Plants , and with the floral morphology and anatomy of the various kinds of flowers.Eine kritische Bewertung der Theorien die auf dem Theorem der mehrachsigen Blüte gegründet worden sind zeigt die Entwicklung von einer vonWettstein in 1907 vorgeschlagenen Originalversion zu mehreren, teilweise davon abgeleiteten, Theorien über das Thema der Entstehung der Angiospermenblüte. Verschiedene Umstände, wie z.B. semantische Widersprüche, aber in erster Stelle die Wahl eines inadäquaten Prototypus, verhinderten anfänglich den Erfolg der Hypothese eines mehrachsigen Blütenbereiches, weil es den hervorgehenden Schlussfolgerungen und Deutungen zu viel an Ueberzeugungskraft mangelte um die gegnerische Theorie der einachsigen Ranalesblüte oder Anthostrobilushypothese endgültig zu verdrängen. Erst die Ergänzung der Theorie einer vielachsigen Blüte ermöglichte die plausibele Darstellung der Evolution der Angiospermenblüte, welche Erörterung in befriedigender Weise in Uebereinstimmung ist mit allenA spekten der Phylogenie der Blütenpflanzen , und auch mit den morphologischen and anatomischen Verhältnissen bei Blüten jeder Art im Anklang ist.Une évaluation critique des différentes théories fondées sur le théorème de la fleur pluriaxiale montre une évolution qui commence avec une version originale proposée parWettstein en 1907 et qui mène à plusieurs théories, partiellement dérivées de l'idée wettsteinienne, sur le thème de l'origine de la fleur. Quelques circonstances, comme par exemple des contrariétés sémantiques, mais surtout la choix d'un prototype inadéquat, ont prévenu au début le triomphe de l'hypothèse d'une région florale pluriaxiale, puisque les conclusions et les interprétations qui provenaient de cette théorie étaient privées de toute conviction pour suppléer la théorie opposée de la fleur ranalienne et uniaxiale . Une explication recevable de l'évolution de la fleur angiospermique qui harmonise avec tous les aspects de la phylogénie des plantes floriales , et aussi avec les conditions morphologiques et anatomiques de toutes sortes de fleurs, ne gagnait de terrain qu'après le perfectionnement de la théorie de la fleur pluriaxiale. (shrink)

The different aspects of floral evolution—Angiosperm descent, floral morphology and pollination ecology—are discussed on the basis of the anthocorm theory of the angiospermous flower. Opposed ideas are critically compared and rejected mainly on account of several inconsistencies and flaws in old floral concepts. Floral evolution passed from a very early phase of dicliny, anemophily and aphananthy of the anthocorm to a phase of incipient entomophily soon associated with a partial sex reversal within the anthocorm. This second phase culminated in the (...) monoclinous and primarily zoophilous flower types, whereas other floral types, more particularly the primarily anemophilous, diclinous flowers, are the direct descendants of the anthocorms of the initial phase. The second phase gave rise to at least two morphologically different flower types and two separate semophyletic lines of floral evolution , in each of which the primary zoophily is almost always associated with the development of intrafloral semaphylls usually of androecial derivation. Early flower types were aphananthous and clearly anthocormoid and assumed the morphology and other characteristics of a true flower by contractions, condensations, readjustments, oligomerisations, reductions and modifications leading to the great variety of adaptive floral patterns.Divers aspects de l'évolution de la fleur — à savoir la descendance des Angiospermes, la morphologie de la fleur, et l'écologie de la pollination — sont discutés à partir de l'hypothèse florale de l'anthocorme. Les opinions opposées, après d'être comparées et critisées, sont rejetées principalement à cause des inconséquences et inconsistances des anciens théorèmes morphologiques concernant l'origine de la fleur. L'évolution de la fleur commençait avec une phase d'antan de diclinie, anémophilie et aphananthie, et s'avançait graduellement dans la direction d'une phase entomophilique initiale, bientôt accompagnée d'un renversement de sexe partiel à l'intérieur de l'anthocorm. La deuxième phase culminait vers les types florals monoclines avec zoophilie primaire pendant que des autres types florals, particulièrement les fleurs diclines avec anémophilie primaire, sont les descendants directs du stade initiale de l'anthocorme. A partir de la phase II , au moins deux types florals différents et aussi deux sémophylèses florals séparés se développaient. Dans chacun de ses phases III et III A la zoophilie primaire est presque toujours accouplée avec l'origine des sémaphylles intrafloraux le plus souvent dérivés des étamines. Les anciens types des fleurs ayant été aphanantique et au début encore nettement anthocormoïdes , graduellement prenaient la forme d'une des plusieurs types floraux adaptifs par une contraction de l'axe florale et par l'entassement, l'oligomérisation et la modification des pièces de la fleur.Die drei Aspekte der Evolution der Blüte — die Abstammungsgeschichte der Angiospermen, Blütenmorphologie und Bestäubungsökologie — werden, ausgehend von der Anthokormtheorie der Angiospermenblüte, eingehend besprochen. Entgegengesetzte Meinungen werden kritisch verglichen und hauptsächlich auf Grund mehrerer Strittigkeiten und Fehler der älteren blütenmorphologischen Axiomen abgelehnt. Die Evolution der Blüte fing an mit einer frühen Phase mit Diklinie, Anemophilie und Aphananthie des Anthokorms und schritt allmählich weiter in die Richtung von beginnender Entomophilie, bald mit einer partiellen Geschlechtsinversion innerhalb des Anthokorms zusammengehend. Diese zweite Phase kulminierte in den monoklinen und primär zoophilen Blütentypen, während andere Blütengestalten, besonders die primär anemophilen und diklinen Angiospermenblüten, die unmittelbaren Abkömmlinge der Initialphase des Anthokorms sind. Aus der zweiten Phase entwickelten sich wenigstens zwei morphologisch differenzierte Blütenformen und auch zwei geschiedene Blütensemophylesen , in jeder die primäre Zoophilie fast immer verbunden ist mit der Entwicklung von intrafloralen und meistens von Staubblättern angeleiteten Semaphyllen . Die frühen Blütentypen waren aphanantisch und anfänglich noch deutlich anthokormoid und nahmen allmählich die entgültige Gestalt von einer der vielen adaptiven Blütentypen an durch eine Verkürzung der Blütenachse, und durch ein Zusammendrängen, Oligomerisation und Abänderung der Blütenteile. (shrink)

" -- Africa Today "The excellence of this book lies in the wealth of perspectives that it brings to the discussion on what constitutes philosophy, rationality, ...

Ruhollah Khomeini views on clergy and professional ethics.

The article "What works when working with athletes" by Fifer, Henschen, Gould, and Ravizza offers an interesting array of information and insights used by three highly experienced applied sport psychology consultants. This response article, however, contends that it may be possible to glean a further, and crucial, level of understanding by exploring the metacognition behind the selection of such courses of action. This may be provided through applied cognitive task analysis techniques to access the cognitive mechanisms underpinning professional practice. A (...) suggested research direction is to use ACTA techniques such as in-depth interviews and cognitive mapping with highly experienced applied sport psychology consultants. Specifically, these techniques would enable readers to access judgments and decisions, attentional demands, critical cues and patterns, and problem solving strategies. This level Of understanding may help to establish how these cognitive processes impact on the support provided to clients, and in turn, assist in developing more conceptually rigorous training methods. (shrink)

An Arabic language summary of the history and principles of four key Hellenic schools of philosophy: Cynicism, Skepticism, Epicureanism, and Stoicism.

The author has recently shown that a mathematical question regarding the fundamental constituents of hardrons cannot be resolved unless the classical axioms of nonfinite mathematics are revised in such a way as to produce a new theory of particle motion in continuous space-time. Under this new theory, the instantaneous position of a moving object has a magnitude that is increasing as the object's velocity. The purpose of this paper is to show that, quite apart from the question of Cantorian axiomatics, (...) the new theory of motion is more consistent with what physicists really believe than the traditional theory of motion. (shrink)

Collection of research papers on various aspects of Hindu philosophy, Puranas and Sanskrit literature.