The aim of the study was to determine the acceptance and perception of Nigerian patients to medical photography. A self-administered questionnaire was distributed among Nigerian patients attending oral and maxillofacial surgery and plastic surgery clinics of 3 tertiary health institutions. Information requested included patients' opinion about consent process, capturing equipment, distribution and accessibility of medical photographs. The use of non-identifiable medical photographs was more acceptable than identifiable to respondents for all purposes (P = 0.003). Most respondents were favourably disposed to (...) photographs being taken for inclusion in the case note, but opposed to identifiable photographs being used for other purposes most especially in medical websites and medical journals. Female respondents preferred non-identifiable medical photographs to identifiable ones (P = 0.001). Most respondents (78%) indicated that their consent be sought for each of the outline needs for medical photography. Half of the respondents indicated that identifiable photographs may have a negative effect on their persons; and the most commonly mentioned effects were social stigmatization, bad publicity and emotional/psychological effects. Most of the respondents preferred the use of hospital-owned camera to personal camera/personal camera-phone for their medical photographs. Most respondents (67.8%) indicated that they would like to be informed about the use of their photographs on every occasion, and 74% indicated that they would like to be informed of the specific journal in which their medical photographs are to be published. In conclusion, non-identifiable rather than identifiable medical photography is acceptable to most patients in the studied Nigerian environment. The use of personal camera/personal camera-phone should be discouraged as its acceptance by respondents is very low. Judicious use of medical photography is therefore advocated to avoid breach of principle of privacy and confidentiality in medical practice. (shrink)

The paper begins with a defence of a new definition of privacy as the absence of undocumented personal knowledge. In the middle section, I criticise alternative accounts of privacy. Finally, I show how my definition can be worked into contemporary American Law.

This book brings together essays on themes of human rights and legal history, reflecting the long and distinguished career as academic writer and human rights activist of Brian Simpson. Written by colleagues and friends in the United States and Britain, the essays are intended to reflect Simpson's own legal interests. The collection opens with biography of Simpson's academic life which notes his major contribution to legal thought, and closes with an account of his career in the United States and a (...) bibliography of his writings. As a tribute to Simpson's varied interests in the law, the collection is grouped around themes in human rights, legal philosophy, and legal history. The human rights papers are concerned with the history of the right of individual petition to the European Court of Human Rights, and recent successes in which Brian Simpson played a part; the evolution of a transnational common law of human rights; the United Nations Convention on the Rights of the Child and the interpretation of the provisions on identity in France and England; the suspension of human rights which would have occurred, had the emergency War Zone Courts scheme been brought into effect during wartime; historical resistance to colonial laws in Papua New Guinea; and the ratio decidendi of the story of the Prodigal Son. Historical themes are found in essays concerned with three nineteenth-century Lord Chancellors; in two essays relating to the fate of the civil jury on either side of the Atlantic which provide a fascinating comparison; in the 'battle of the books' which led to changes in eighteenth-century copyright law; and judicial rivalry between King's Bench and Common Pleas in the early modern period. (shrink)

In an almost forgotten passage of the Postenor Analytics (Bk I, ch. III) Aristotle argues against 'another school', according to which it is possible to proof things 'by each other and in a circle'. His logical refutation of this opinion became so dominant in the Western philosophical tradition, that the 'vicious circle' has always deemed a crime since. A scientific demonstration has to be built on firm premisses in order to deduce conclusions from them in a straight, ongoing proces, in (...) which one does not have to return to the premisses for a reconsideration of them on the basis of their implications. Although Aristotle does not mention names, he in fact reacts against Plato and the mainstream of Greek thought, which stresses the essential circularity of human argumentation. In the first, the historical part of the treatise the roots of this circular logic are unearthed in the work of Heraclitus and Parmenides, who both defended a ring structure of their metaphysical explication of nature. Truth is described as well-rounded, because you can follow it in a circle, passing through each of its links in turn, back to your startingpoint. The association of circular motion with thought is fully present in the work of Plato, who speeks many times about the 'periforas tès dianoias' and the essential interdependance of our ideas. Not the theory of an anonymous alternative school but Aristotle's own rectilinear formal logic was the exceptional, untraditional standpoint, which, moreover, was in conflict with his explication of divine thinking as 'noèsis noèseôs'. In modern times Hegel, Nietzsche and Heidegger were the main representatives of an anti-Aristotelian attitude. All three reject the logical prohibition of the circular argument, because it is inadequate to the life of concrete scientific thinking. The path of science always turns around towards its origins and results in a correction of its fundamental hypotheses on a higher level. Circularity is considered as a hallmark of sound logical procedure, as a characteristic of excellence in human understanding. The famous 'hermeneutic circle' is interpreted as the modern equivalent of the Hegelian 'Kreislauf and the Greek ' to par'allèlôn'. In the second, the more systematic part of the text the circular nature of our cognitive and scientific behaviour is demonstrated along three different lines. Reflection on the natural language with its finite stock of words, whose meanings are structurally connected, leads us to the so called semiotical circularity. Natural language is a complex network in which circular argumentation is not only unavoidable, but even the only means of explication. We have to work with the material contained in our dictionary, in which the items are defined by each other. The second reason is constituted by the system-orientation of science. In science we try to systematize our knowledge by means of formalisations and abstractions. The development of science can be characterised as a succession of systems, in which every element gets its meaning from the whole organisation. If we accept systematicity as the arbiter of truth, our logic is anti-fundamentalistic and the path of our thought is in fact circular (or better : spiralistic). The third adstruction of our theory is afforded by the coupling, that is realised in a rational proof. We draw conclusions from the coherence of our perceptions, from the reciprocal implications of our ideas. Never any of our ideas is without the repercussions of the movements elsewhere in the field. When we proof something, we also disproof and correct our startingpoints at the same time. The tradition of the circular nature of human thinking is very old, but not antiquated. The accusation of committing a fallacy in the case of circularity in normal and in scientific thinking is unfouded. It is now the formal logicians turn to defend his claim. (shrink)

In this paper I argue that it is morally important for doctors to trust patients. Doctors' trust of patients lays the foundation for medical relationships which support the exercise of patient autonomy, and which lead to an enriched understanding of patients' interests. Despite the moral and practical desirability of trust, distrust may occur for reasons relating to the nature of medicine, and the social and cultural context within which medical care is provided. Whilst it may not be possible to trust (...) at will, the conscious adoption of a trusting stance is both possible and warranted as the burdens of misplaced trust fall more heavily upon patients than doctors. (shrink)

This paper will discuss the behaviour of and in the Homeric poems. These words are allotted a variety of different ‘meanings’ by the lexicographers. For example, LSJ s.v. I. pray, II. vow, III. profess loudly, boast, vaunt; s.v. I. prayer, II. boast, vaunt, or object of boasting, glory; s.v. I. thing prayed for, object of prayer, II. boast, vaunt. I shall, of course, discuss the whole range of these words; but I begin with some observations on ‘prayer’. It may appear (...) at first sight that ‘prayer’ is a simple word, with only one conceivable ‘meaning’, which must have that ‘meaning’ in any language. We might suggest that ‘request addressed to a god’ is an adequate representation of that ‘meaning’, and that when we have rendered by ‘pray’ in what appear to us to be appropriate contexts we have conveyed the full sense of the original. (shrink)

Vertaling (verkorte versie) van en commentaar op de wijsgerige verhandeling van de Nederlandse filosoof (1632-1677) over de betekenis van het christendom.

The additional data, perspectives, questions, and criticisms contributed by the commentaries strengthen our view that local cortical processors coordinate their activity with the context in which it occurs using contextual fields and synchronized population codes. We therefore predict that whereas the specialization of function has been the keynote of this century the coordination of function will be the keynote of the next.

Philosophers of science don't very often discuss the place of mathematics between other sciences or the meaning of mathematics for other sciences. They consider mathematics as a formal language with mainly analytical statements about the use of symbols (Carnap, Russell, Ayer ). Originally Wittgenstein defended this formalistic interpretation of mathematics in his TLP. Gradually, however, he develops himself towards an intuitionistic and ontological position, in which mathematics is conceived as the central and therefore normative part of our thought (of course (...) : on what there is and how it is). Mathematical science plays the role of logic in relation to other sciences. Its universal applicability and efficiency are consequences of its creating beings on a necessary level, in virtue of the number of its relations (always still by substitution). This highly important philosophy of mathematics (misinterpreted by Crispin Wright) starts with his lectures in Cambridge (in the thirties ) and reaches its culmination in the Remarks on the Foundations of Mathematics and in On Certainty. In a second part this philosophical determination of mathematical reasoning is traced backwards through history. David Hume's contribution is reinterpreted from a new point of view. Inside the total field of our beliefs he distinguishes between different sciences with the critérium of the intricacy of relations between items of our knowledge field. The more and stronger these relations, the more forceful and necessary their influence on the remaining parts of the system of our belief. So mathematics is in the centre, the loose reveries of our fancy on the periphery. Quine's representation of ‘the tribunal of sense experience’, by which the total field should be judged and corrected, must be disqualified. Hume's dictum ‘Whatever we conceive, we conceive it to be existent’ reveals sharply that this evaluative and corrective role is performed by the necessary thoughts (or, if one likes it so, ‘realities’) of mathematical science. That reason and especially mathematical reason is the highest judge on the population and structure of our world and a very precious heritage of Pythagorism and Platonism. From the sources of Sextus Empiricus and Aristotle the author tries to reconstruct exactly the original assertion of Pythagoristic mathematical philosophy, which has nothing to do with a naive hypostazation of numbers or a kabbalistic number mysticism. Philolaos' saying, that some propositions are stronger than we, is demonstrated to refer to mathematical laws. The pythagorical position is fully integrated in Plato's dialectical philosophy. Mathematics is the great mediator towards the intuition of true being, the ‘metaxu’ between sensible phenomena and ideas. This tradition of philosophical taxation of mathematics as the ‘logic of science’ is broken by Aristotle, who didn't use mathematics in his qualitative natural science and considered mathematics as an abstract science (about the quantitative aspect of being). Moreover, he disowned its logical role and created a special science for this task. Human reason is mathematical in so far it is sure of its language and thought, which is excellently expressed by the Greek μαθηματιxα (= what can be understood, learned and taught) and by the Dutch word ‘wiskunde’ (= science of what is certain). The remarks and reflections of Wittgenstein have produced a new perspective on the placevalue (‘Stellenwert’) of mathematics among all possible sciences and beliefs and have proven that its onto-logical purport is an unavoidable implication. (shrink)

The principles of equality and equity, respectively in the Bill of Rights and the white paper on health, provide the moral and legal foundations for future health care for children in South Africa. However, given extreme health care need and scarce resources, the government faces formidable obstacles if it hopes to achieve a just allocation of public health care resources, especially among children in need of highly specialised health care. In this regard, there is a dearth of moral analysis which (...) is practically useful in the South African situation. We offer a set of moral considerations to guide the macro-allocation of highly specialised public health care services among South Africa's children. We also mention moral considerations which should inform micro-allocation. (shrink)

Governments and other food system actors from the private sector, civil society, research and education institutions are being called upon to work together to enhance the sustainability, resilience and inclusiveness of food systems. The analysis presented in this study provides an insight into the process and direction of food system transformation, and the key capabilities required. It portrays the interplay of different internal and external dynamics combined with the capacity of food system actors to connect, forge alliances and commit to (...) specific actions that has enabled countries to move towards a more sustainable food system. (shrink)