This current study aims to know the impact of a nurse completing his educational attainment and its impact on the health services provided to society in general. It is also important to know the effect of completing his educational attainment on the quality of work and better dealing with patients and medical staff. It is also important to know its impact on increasing the organization of his time at work. Knowing its impact on increasing his efficiency in his work environment, (...) A questionnaire was prepared via Google Drive and distributed to the population aged 25-55 years, men and women, in the city of Mecca. As for the questionnaire, it was distributed via the social networking program (WhatsApp) for the purpose of distancing for fear of the presence of the Corona virus. 400 questionnaires were distributed, and 395 responses were obtained via email to the principal researcher. The current study concluded that the impact of completing the educational attainment of male and female nurses and its impact on the health service provided was a very positive impact of 94.8%, and it also helped improve the health service provided to patients by a greater percentage of 90%. (shrink)

First published in 2000. Routledge is an imprint of Taylor & Francis, an informa company.

This book traces the intellectual revolution initiated by Thales in the sixth century BC to its culmination in the metaphysics of Parmenides.

Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions—an “aspirational ethic” that exhorts physicians to treat all patients the same regardless of their ability to pay, and an “agency ethic” that calls on physicians to (...) be trustworthy advisors to their patients. In the setting of greater patient cost-sharing, physicians' aspiration and agency roles increasingly conflict. Satisfactorily navigating the new terrain of consumer-driven healthcare requires physicians to consider these two roles and how they can best be reconciled so as to maximize quality of care while respecting the heterogeneity of patients' financial resources and willingness to pay. (shrink)

Let ZF denote Zermelo-Fraenkel set theory (without the axiom of choice), and let $M$ be a countable transitive model of ZF. The method of forcing extends $M$ to another model $M\lbrack G\rbrack$ of ZF (a "generic extension"). If the axiom of choice holds in $M$ it also holds in $M\lbrack G\rbrack$, that is, the axiom of choice is preserved by generic extensions. We show that this is not true for many weak forms of the axiom of choice, and we derive (...) an application to Boolean toposes. (shrink)

This book, published in 1986, addresses questions concerned with a central normative principle in contemporary assessments of economic policies and systems. What does 'consumer sovereignty' mean? Is consumer sovereignty an appropriate principle for the optimization and evaluation of the design and performance of economic policies, institutions and systems? If not, what is a more appropriate principle? The author argues that the conception of consumer sovereignty has to be broadened so that it is not limited to the market mechanism but includes (...) environmental, work and social preferences. However, even this version runs into serious difficulties as the principle of consumer sovereignty still relies on too subjectivist a conception of the interests of individuals to be suitable for the evaluation of economic institutions. An alternative basis for such evaluation is 'human interests' that are not contingent on particular economic systems, After considering various possibilities, a basic-needs approach is proposed and its use in economic evaluation illustrated. (shrink)

Zermelo once wrote that he had anticipated Russell's contradiction of the set of all sets that are not members of themselves. Is this sufficient for having anticipated Russell's Paradox — the paradox that revealed the untenability of the logical notion of a set as an extension? This paper argues that it is not sufficient and offers criteria that are necessary and sufficient for having discovered Russell's Paradox. It is shown that there is ample evidence that Russell satisfied the criteria and (...) that Zermelo did not. (shrink)

You might think that, if you make a law, then that law binds you, because you made it. For, if you will the law, then how can you deny that it binds you, without contradicting your own will? But you might also think the opposite. You might think that, if you are the author of the law, then it cannot bind you. For how can it have authority over you when you have authority over it? How can it bind you (...) when you, the lawmaker, can change it, at will, whenever you like?Now, in that pair of arguments mutually contradictory conclusions are drawn from the selfsame premiss: the premiss that you make the law. So at least one of the arguments is invalid. But, even if they are both invalid, they might still be unignorable, because they might have elements of truth in them. They might be healthy argument–embryos out of which sound arguments could develop. And, whatever else is true, each of the arguments is sufficiently persuasive that, mutually contradictory though they are, each was affirmed in Hobbes’s Leviathan, in much the form in which I just stated them.There are, by my count, four arguments in Hobbes for the conclusion that the citizen is obliged to obey the law. Three of the arguments don’t matter here. (shrink)

After briefly reviewing the standard set-theoretic resolutions of the Burali-Forti paradox, we examine how the paradox arises in set theory formalized with plural quantifiers. A significant choice emerges between the desirable unrestricted availability of ordinals to represent well-orderings and the sensibility of attempting to refer to ‘absolutely all ordinals’ or ‘absolutely all well-orderings’. This choice is obscured by standard set theories, which rely on type distinctions which are obliterated in the setting with plurals. Zermelo's attempt ( 1930 ) to secure (...) ordinal representability of arbitrary well-orderings through relativization of quantification to set-theoretic models is reviewed and found wanting. The natural modal-structural recasting provides, it is claimed, a good repair. (shrink)

This article focuses mainly on (1) the policy of Delft University of Technology since 1992 as regards the university-wide introduction of a compulsory course on ethics and engineering, and (2) the ideal structure of such a course, including the educational goals of the course.

George Boole published the pamphlet The Mathematical Analysis of Logic in 1847. He believed that logic should belong to a universal mathematics that would cover both quantitative and nonquantitative research. With his pamphlet, Boole signalled an important change in symbolic logic: in contrast with his predecessors, his thinking was exclusively extensional. Notwithstanding the innovations introduced he accepted all traditional Aristotelean syllogisms. Nevertheless, some criticisms have been raised concerning Boole’s view of Aristotelean logic as the solution of algebraic equations. In order (...) to circumvent such criticisms, we show here how Boole’s conclusions may be deduced from the axioms and inference rules proposed in his pamphlet, from which Aristotle’s deductions in Prior Analytics (including those that are completed through an impossibility) can be stated as theorems. We clarify his method for dealing with both universal and particular premises by means of his symbol v and demystify some criticisms concerning the way he expressed particular premises. Boole’s conclusions for some of those premises for which according to Aristotle there is no deduction are also discussed. The deductive system presented here has the potential to provide a new perspective on Boole’s approach to logic in The Mathematical Analysis of Logic. (shrink)

Ludwig Wittgenstein was born in 1889, son of parents of Jewish extraction but not Jewish religion. Asked how his family came by the name ‘Wittgenstein’ Ludwig said they had been court Jews to the princely family and so had taken the name when Jews were required by law to have European-style names. The father, Karl, was a Protestant, the mother a Catholic. The Jewish blood was sufficient to bring the family later on into danger under Hitler's Nuremberg Laws. They did (...) not think of themselves as Jews or belong to the Jewish community in Vienna. The children were brought up sort-of Catholic though so far as I know only the eldest, Hermine, towards the end of her life, took this seriously and made a profession of faith before friends and household. At 9 years of age Ludwig and Paul, a year or two older than Ludwig, talked together and decided that their religion was all nonsense. Paul became a pianist of some fame, but soon after his debut in Vienna he became a wounded prisoner on the Russian front and his arm was lopped off by a surgeon who did not know he was a pianist. (shrink)

Ecological theory is built upon assumptions about the fundamental nature of organism-environment interactions. We argue that two mutually exclusive sets of such assumptions are available and that they have given rise to alternative approaches to studying ecology. The fundamentally different premises of these approaches render them irreconcilable with one another. In this paper, we present the first logical formalisation of these two paradigms.The more widely-accepted approach - which we label the demographic paradigm - includes both population ecology and community ecology (...) (synecology). Demographic ecology assumes that the environment is relatively stable and that biotic processes, governed predominantly by resource availability, are the most important of ecological and evolutionary influences. Moreover, ecological processes are assumed to translate into directional selection pressures that drive significant evolutionary change on a local scale through the process of optimisation. (shrink)

Social inequalities in health in the UK persist despite attempts to reduce them. We argue that work and pensions constitutes an area of intervention where there is potential to make change happen. We propose that workers who are exposed to significant health risks through their occupation should be allowed to draw their state pension earlier, based on a minimum number of years in the workforce. We model this proposal on similar policies in other European countries. In our modification, the pension (...) age and the retirement age would be separated, such that workers can receive a state pension whether or not they choose to continue working. This arrangement may encourage workers either to reduce their working hours or to change to less demanding or harmful work. The health of these workers would thereby benefit from reduced exposure to a harmful work environment, reduced stress and more opportunities for rest and relaxation. However, it has also been suggested that retirement is bad for mental health. In response, our proposal enables workers to phase in full retirement over a period of part-time work, and we believe that this would counter any potential negative effects on health caused by retirement. (shrink)

Markov, A. A. On constructive mathematics.--Ceĭtin, G. S. Mean value theorems in constructive analysis.--Zaslavskiĭ, I. D. and Ceĭtlin, G. S. On singular coverings and properties of constructive functions connected with them.--Maslov, S. Ju. Certain properties of E. L. Post's apparatus of canonical calculi.--Zaslavskiĭ, I. D. Graph schemes with memory.

The randomization ingredient in double-blind controlled experiments may be objectionable to patients who, in their desperation, come to such trials seeking a last chance of cure. Minogue et al., who view such a situation as inherently exploitive and undermining of patient autonomy, propose that such “desperate volunteers” instead be enrolled in the active arm, while other patients, less desperate and more committed to medical progress, continue to be randomized. Their view is critiqued as destructive of medical progress, inappropriate in its (...) lack of clinical response to such patients, and fatally flawed by unrealistic notions of autonomy and voluntariness. (shrink)

This paper examines the identity of Asian swamp buffalo (Bubalus bubalis) from different value orientations. Buffalo were introduced into Northern (Top End) Australia in the early nineteenth century. A team of transdisciplinary researchers, including an ethicist, has been engaged in field research on feral buffalo in Arnhem Land over the past three years. Using historical documents, literature review, field observations, interviews with key informants, and interaction with the Indigenous land owners, an understanding of the diverse views on the scientific, cultural, (...) and economic significance of buffalo was obtained. While the diverse stakeholders in buffalo exploitation and management have historically delivered divergent value orientations on the nature of the human–buffalo relationship, we argue that over time there is the possibility of values and ethical convergence. Such convergence is possible via transdisciplinary and transcultural agreement on the value stances that constitute the construction of the being or identity of buffalo in the face of the overwhelming need to manage population density and gross numbers. (shrink)