SummaryIntense, sustained nursing lengthens inter-birth intervals and is causally linked with low natural fertility. However, in traditional settings, the effects of such nursing on fertility are difficult to disentangle from those of nutrition. Results from an prospective, direct observational study of reproductive function in well-nourished Amele women who nurse intensively and persistently but who also have high fertility are here presented. Endocrine measures show that ovarian activity resumes by median 11·0 months postpartum. Median duration of postpartum amenorrhoea is 11·3 months, (...) time to next conception is 19·0 months, and the inter-birth interval is 28·0 months. Average life time fertility is 6·8. High fertility in Amele women is due both to refractoriness of reproductive function to suckling stimuli, and to maintenance of equivalent age-specific fertility rates across the reproductive life span. (shrink)

Dutch developments on euthanasia have drawn much attention over the years. Defenders and opponents have been telling very different stories about the practice of euthanasia and the frequency of cases, and the Dutch government has been struggling with the legal and moral problems involved. Concern about the procedures followed by physicians as well as questions on the “real” figures led the government to decide to organize an epidemiological study on the extent and the decision making. The results of the study (...) were published in November 1991. Interpretation of the data may lead to a final settlement of the debate on euthanasia and has inevitably led to a revival of the moral debate of the 1970s. For the moment it has been decided that euthanasia will remain officially illegal under the Penal Code. However, in cases where euthanasia does occur, Attorneys General will continue to check the procedures followed by physicians to ensure no abuses have occurred and to safeguard physicians against prosecution. In this contribution, we discuss the development and intertwinement of legal, medical, and moral aspects of euthanasia in The Netherlands and the effects of the empirical studies of 1991, both on definitions and procedures for medical decisions at the end of life. (shrink)

The King Report on Corporate Governance (1994) evoked unprecedented interest in corporate governance in South Africa. This does not mean that corporate governance was not an issue of concern before the release of this historical report. To the contrary, corporate governance in its broader sense has been at stake since the inception of the first publicly owned companies in South Africa. This article intends to give an overview of corporate governance in South Africa. It starts by making a distinction between (...) broad and narrow conceptions of corporate governance. Before applying this distinction to the practice of corporate governance in South Africa, a brief overview of the corporate landscape in South Africa is provided. Then the South African situation with regard to broad and narrow corporate governance respectively is analysed. The article ends with a discussion of the review of corporate governance that currently is in the making in South Africa. Throughout the article both the financial and ethical dimensions of corporate governance is attended to. (shrink)

Respect for autonomy is well known as a core element of normative views on good care. Most often it is interpreted in a liberal way, with a focus on independence and self-determination. In this article we argue that this interpretation is too narrow in the context of care in nursing homes. With the aim of developing an alternative view on respect for autonomy in this setting we described four interpretations and investigated the moral intuitions (i.e. moral judgements) of caregivers regarding (...) these approaches. We found that these caregivers seemed to value different notions relating to respect for autonomy under different circumstances. There was no significant difference in moral judgements between men and women or between doctors and nurses. We conclude that a multidimensional understanding of this principle would best fit this context. We end this article with a description of a modest theory of respect for autonomy in nursing homes. (shrink)

NG van Kampen is a well-known theoretical physicist who has had a long and distinguished career. His research covers scattering theory, plasma physics, statistical mechanics, and various mathematical aspects of physics. In addition to his scientific work, he has written a number of papers about more general aspects of science. An indefatigable fighter for intellectual honesty and clarity, he has pointed out repeatedly that the fundamental ideas of physics have been needlessly obscured. As those papers appeared in various journals, partly (...) in Dutch, it was felt that it would be worthwhile to collect them (translating the Dutch material into English) and make them available to a larger audience. This is a book of major importance to scientists and university teachers. (shrink)

Nietzsches Philosophie ist ein hermeneutische. H.-G. Gadamer kennzeichnet die hermeneutik als ein parktische Philosophie. In diesem Aufsatz wird versucht Nietzsches Bedeutung für ein Hermeneutik als parktische Philosophie zu skizzieren an Hand einer Behandlung des Themas 'Scham' in seinen Schriften. Im ersten Teil wird die Entwicklung von Nietzsches Gebrauch des Begriffs 'Scham' verfolgt. im zweiten Teil werden die Ergbnisse gesammelt in einer Beschreibung von Nietzsches 'Hermenuetik der Scham'. Scham ist ein Form des praktischen Vorveständnis der Welt. Der Philosoph muss, Nietzsche zufolge, (...) einerseits 'schamlos unerschocken' sein, wird andererseits aber gekennzeichnet durch, 'Ehfurcht, Scham und Teif'. Zum Schluss wird den Underschied zwischen dieser und die gadamersche Hermeneutik angedeuter.Nietzsche's philosophy is hermeneutical. Hermeneutics is according to H.-G. Gadamer: practical philosophy. The article tries to explain Nietzsche's contribution to a hermeneutics as practical philosophy, by way of a discussion of the meaning of "shame" in his writings. In the first part the development of the concept of shame in Nietzsche's writings is outlined in four stages. In the second part the results of this overview are collected in a description of Nietzsche's hermenuetics of shame: shame is part of our practical preunderstanding of the world. The philosopher has, according to Nietzsche, to be 'fearlessly shameless' on the one hand, but is characterised by 'modesty [Scham] and delicate reverence' on the other. Hermeneutical consciousness can be characterised in terms of shame. (shrink)