The COVID-19 pandemic swept through New York City swiftly and with devastating effect. The crisis put enormous pressure on all hospital services, including the clinical ethics consultation team. This report describes the recent experience of the ethics consultants and Columbia University Irving Medical Center during the COVID-19 surge and compares the case load and characteristics to the corresponding period in 2019. By reporting this experience, we hope to supplement the growing body of COVID-19 scientific literature and provide details of the (...) human toll the virus took on our hospitals and communities. We also aim to highlight the role of the clinical ethics consultant as well as areas of policy and law that may need to be addressed in order to be better prepared for a future public health crisis. (shrink)

This paper briefly reviews highlights from decades of debates in medicine, law, bioethics, psychology and social research about children’s and parents’ views and consent to medical treatment and research. There appears to have been a rise and later a fall in respect for children’s views, illustrated among many examples by a recent book on the zone of parental discretion, which is reviewed. A return to greater respect for children’s views and consent is advocated.

In this paper we introduce a poset of subvarieties of BL-algebras, whose completion is the entire lattice of subvarietes; we exhibit also a description of this poset in terms of finite sequences of functions on the natural numbers.

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)

New empirical evidence on the long-term effects of oestrogen treatment for tall adolescent girls has shown that the intended psychosocial benefit of the treatment may not have been realised. This paper describes recent trends in the prevalence of the treatment and the results of a large Australian cohort study evaluating girls assessed between 1959 and 1993 for excessive growth. The paper concludes that oestrogen treatment to prevent extreme tallness should belong to the past, not to the future.

RésuméLa psychanalyse se pose comme savoir quant à certains aspects de l'esprit humain et comme instrument pour y apporter des changements. II y a relativement peu de travaux consacrés à la structure de ce savoir ou aux modalités ?action de cet instrument. Ce travail se propose ?examiner brièvement ce qui dans l'oeuvre du pionnier de la psychanalyse – Sigmund Freud –, ou à partir ?elle, permet ?entrevoir les réponses qui pourraient être apportées à de telles questions.

We generalize the concept of a cooperative non-transferable utility game by introducing a socially structured game. In a socially structured game every coalition of players can organize themselves according to one or more internal organizations to generate payoffs. Each admissible internal organization on a coalition yields a set of payoffs attainable by the members of this coalition. The strengths of the players within an internal organization depend on the structure of the internal organization and are represented by an exogenously given (...) power vector. More powerful players have the power to take away payoffs of the less powerful players as long as those latter players are not able to guarantee their payoffs by forming a different internal organization within some coalition in which they have more power.We introduce the socially stable core as a solution concept that contains those payoffs that are both stable in an economic sense, i.e., belong to the core of the underlying cooperative game, and stable in a social sense, i.e., payoffs are sustained by a collection of internal organizations of coalitions for which power is distributed over all players in a balanced way. The socially stable core is a subset and therefore a refinement of the core. We show by means of examples that in many cases the socially stable core is a very small subset of the core.We will state conditions for which the socially stable core is non-empty. In order to derive this result, we formulate a new intersection theorem that generalizes the KKMS intersection theorem. We also discuss the relationship between social stability and the wellknown concept of balancedness for NTU-games, a sufficient condition for non-emptiness of the core. In particular we give an example of a socially structured game that satisfies social stability and therefore has a non-empty core, but whose induced NTU-game does not satisfy balancedness in the general sense of Billera. (shrink)

Selon un lieu commun, la géographie médiévale se réduirait à une vaste parenthèse ouverte entre la fin du siècle d'or de l'Empire romain et la renaissance des grandes découvertes du XV° siècle. Mais quelle réalité s'agit-il de représenter ? Car toute représentation est tributaire, non seulement de conceptions particulières, mais aussi de moyens techniques qui ont présidé à son élaboration. Dans cet article, le lien entre la réalité et ses images, qui organise habituellement l'histoire de la cartographie, sera relâché au (...) bénéfice des représentations comme un système de signes appelé à prendre sens dans une production et une réception . L'enquête médiévale révèle l'attention des contemporains à la complexité de ces relations et représentations.According to common understanding, medieval geography would be reduced to a vast parenthesis, open between the end of the golden century of the Roman Empire and the renaissance of the great discoveries of the 15th century. But what is the reality being represented ?For every representation is tributary, not only of particular conceptions, but also of the technical capacities that preceded its elaboration. In this article, the connection between reality and its images, which habitually organized the history of cartography, will be set aside for the benefit of representations as a system, of signs called to have meaning in a production and a reception . This medieval inquiry reveals the attention that contemporaries have given to the complexity of its relations and representations. (shrink)