Nurses have moral obligations incurred by membership in the profession to participate knowingly in health policy advocacy. Many barriers have historically hindered nurses from realizing their potential to advance health policy. The contemporary political context sets additional challenges to policy work due to polarization and conflict. Nursing education can help nurses recognize their role in advancing health through political advocacy in a manner that is consistent with disciplinary knowledge and ethical responsibilities. In this paper, the authors describe an exemplar of (...) Elizabeth Barrett's “Power as Knowing Participation in Change” theory as a disciplinary lens within a doctoral nursing health policy course. Barrett (radically) emphasizes “power as freedom” instead of “power as control.” This approach is congruent with nursing disciplinary values and enhances awareness of personal freedom and building collaborative relationships in the policy process. The theory was used in concert with other traditional policy content and frameworks from nursing and other disciplines. We discuss the role of nursing ethics viewed as professional responsibility for policy action, an overview of Barrett's theory, and the design of the course. Four student reflections on how the course influenced their thinking about policy advocacy are included. While not specific to policymaking, Barrett's theory provides a disciplinary grounding to increase students' awareness of freedom and choices in political advocacy participation. Our experience suggests that Barrett's work can be fruitful for enhancing nurses' awareness of choices to participate in change across settings. (shrink)

_341_ _Objectives: _In patients with multivessel disease both the detection of the culprit lesion and the exact allocation are important preconditions for sufficient treatment and improved outcome. In a vessel based approach the combination of quantitative coronary angiography and fractional flow reserve measured by a pressure wire should be advantageous compared to myocardial SPECT, as morphological and functional information is delivered simultaneously. Therefore our aim was to evaluate MS in the detection and allocation of hemodynamically significant stenoses obtained by the (...) combined gold standard QCA plus FFR in patients with multivessel disease. _Methods: _FFR and QCA of 95 vessels in 80 patients have been evaluated. Hemodynamically significant target lesions were defined as intermediate stenoses between 50 and 75% with an FFR. (shrink)

The Arabic translation of the De Gen. Anim., made at the beginning of the ninth century by Yahyā ibn al-Bitrīq from a Syriac version, contains seven long omissions, noted by Drossaart Lulofs in his edition. Six of these represent approximately 110 letters or a multiple thereof in the Greek: 728b33–729a2 , 761a9–25 , 762a6–8 , 762b34–763a2 , 768a18–20 and 781a7–12 . The seventh omission is too long to be useful, as the scope for accidental errors is too great.

With Narrative and the Natural Law Pamela Hall brings Thomistic ethics into conversation with ongoing debates in contemporary moral philosophy, especially virtue theory and moral psychology, and with current trends in narrative theory and the philosophy of history. Pamela M. Hall's study offers a solid, challenging alternative to rigid, legalistic interpretations of the substantial discussion of law in Aquinas's Summa theologiae and defends Aquinas's ethics from charges of excessive legalism. Hall argues that Aquinas's characterization of the content and (...) relationship of natural, human and divine law indicates that his understanding of the quest for the human good is practical, communal, and historical. Hall maintains that natural law, the ongoing inquiry into what is the human good, is narrative both in terms of its internal structure and its being informed by the specific story of Scripture. According to Aquinas the discovery of natural law is enacted historically and progressively within communities and by individuals through a process of practical reasoning. Hall then goes on to show how natural law requires articulation by human law, and how both are connected to divine law (salvation history) as Aquinas understands it. Aquinas represents inquiry into the human good as a kind of historical narrative or story with stages or "chapters"; thus knowledge of natural law requires time and experience, as well as sustained reflection by individuals and by whole communities. Such learning of natural law implies the operation of prudence and the assistance of the moral virtues. (shrink)

In honoring Carroll Izard’s contributions to emotion research, we discuss infant facial activity and emotion expression. We consider the debated issue of whether infants are biologically prepared to express specific emotions. We offer a perspective that potentially integrates differing viewpoints on infant facial expression of emotion. Specifically, we suggest that evolution has prepared infants with innate action readiness patterns, which are crucial for early infant–caregiver social interaction, and in the course of social interaction specific facial configurations acquire functional significance, becoming (...) associated with specific emotions. Research has not confirmed the presence of innate neurophysiological action patterns that map onto discrete emotions but evidence indicates that the possibility has not been ruled out. (shrink)

It is generally agreed that the Topics is one of Aristotle's earliest works. But after saying this most writers are unwilling to commit themselves any further and discuss the work, if they discuss it at all, with a vagueness about dating that leads them to do it less than justice. Part of the difficulty, no doubt, lies in the fact that the Topics consists of a central, early, core, surrounded by later additions, and cannot therefore be dealt with as a (...) whole. The suggestions about its date that I wish to make now are concerned solely with what I take to be the original Topics—or such part of it as remains—which I believe can be delimited almost exactly. (shrink)

Utilitarianism has had an unfortunate history. Its most influential exponents, Bentham and John Stuart Mill, set it out in such a way as to expose it to facile criticism and even to ridicule, and it has never fully recovered from this ill-omened start. In spite of the criticism and the ridicule, however, it still bulks large in ethical studies, and many people still have a hankering sympathy with it.

It is odd that something that Wittgenstein says is clear should have been so puzzling to English-speaking philosophers. 5.542 begins:— ‘Es ist aber klar, dass “A glaubt, dass p”, “A denkt p”, “A sagt p” von der Form, “p ‘sagt p” sind.’ I would like to suggest that one reason for the difficulties that have been felt with this lies in a misleading translation, particularly of, “p ‘sagt p”. For this both English translations have “p” says p’. But since German (...) has a single present tense where English has two, ‘sagt’ may be rendered either ‘says’, or ‘is saying’, and I want to argue that ‘“p” is saying p’ is preferable. (shrink)

Geison's model of a research school is applied to the case of Agnes Chase, agrostologist at the Bureau of Plant Industry, United States Department of Agriculture, and curator, U.S. National Herbarium, Smithsonian Institution. Chase developed a geographically dispersed research school in systematic agrostology across the Americas in the first half of the twentieth century. Despite her gender-based lack of institutional power, Chase used her scientific expertise, mentoring skills, and relationships based on women's groups to develop a cohesive school of grass (...) specialists focused on her research program to collect, observe, describe, identify, and classify the grasses of the Americas. Geison's model is extended to encompass geographically dispersed schools led by a non-university based mentor without institutional power. (shrink)

The interpretation of these words is important for understanding the meaning of in Aristotle. For here, exceptionally, it has been taken to refer to sense-perceptions rather than images. I quote the Oxford translation of 462a15–24 : ‘From all this, then, the conclusion to be drawn is that the dream is a sort of presentation (), and, more particularly, one which occurs in sleep; since the phantoms just mentioned are not dreams, nor is any other a dream which presents itself when (...) the sense-perceptions are in a state of freedom. Nor is every presentation which occurs in sleep necessarily a dream. (shrink)

The interpretation of these words is important for understanding the meaning of in Aristotle. For here, exceptionally, it has been taken to refer to sense-perceptions rather than images.I quote the Oxford translation of 462a15–24 : ‘From all this, then, the conclusion to be drawn is that the dream is a sort of presentation (), and, more particularly, one which occurs in sleep; since the phantoms just mentioned are not dreams, nor is any other a dream which presents itself when the (...) sense-perceptions are in a state of freedom. Nor is every presentation which occurs in sleep necessarily a dream. (shrink)

This is a concise and easy-to-read account of the ethical philosophy of the Greeks, from the Sophists to the Stoics. With particular emphasis on Socrates, Plato, and Aristotle, the author skillfully traces the themes of law and nature, virtue, knowledge and happiness, and love and friendship, giving a comprehensive account of the meanings the Greeks attached to expressions such as "justice", "voluntary action", "virtue", and "good".