Despite the great expansion and many benefits of information and communication technologies in healthcare, the attitudes of Polish general practitioners to e-health have not been explored. The aim of this study was to determine the GPs’ perception of ICT use in healthcare and to identify barriers to the adoption of EMR in the Podlaskie Voivodeship. Online and telephone surveys were conducted between April and May 2013. Responses from 103 GP practices, 43% of all practices in the region, were analysed. The (...) results showed that 67% of the respondents agreed that IT systems improve quality of healthcare services. In the GP group who declared at least partial EMR implementation, 71.4% see the positive impact of IT on practice staff processes and 66.1% on personal working processes. In this group, more than three-quarters of GPs did not see any positive impact of ICT on the average number of patients treated per day, number of patients within the practice or scope of services. The four most common barriers to EMR implementation were: lack of funds, risk of a malfunction in the system, resistance to change, and lack of training and proper information. Although the use of ICT by Polish GPs is limited, their attitude to e-health is generally positive or neutral and resembles the overall pattern in Europe. Barriers identified by GPs need to be taken into account to ensure the effective implementation of e-health across the country. (shrink)

This paper raises a new problem for the widely held view that, according to the Confucian philosopher Mencius, being a benevolent person necessarily entails being affectively disposed in morally relevant ways. I argue that ascribing such a view to Mencius generates an inconsistent triad with two of his central philosophical commitments on what it means to be a benevolent ruler. I then consider possible ways of resolving the triad and I argue that the most attractive option is to reject the (...) view that a benevolent person must be affectively disposed in morally relevant ways; instead, being disposed to perform benevolent actions is enough. (shrink)

Wang Yangming 王陽明 (1472 – 1529) is famously associated with the view that knowledge and action are unified (zhī xíng hé yī 知行合一). Call this the Unity Thesis. Given standard assumptions about what it means for a person to know, it may seem that the Unity Thesis is clearly false: I can know that p without currently acting in p-related ways, and I can know how to φ without currently φ-ing. My aims in this paper are, first, to draw on (...) recent work in epistemology to explain and defend the Unity Thesis and, second, to argue that it offers us an attractive conceptual alternative to a standard way of thinking about the nature of intentional action. The first step of my argument draws on the idea that what distinguishes intentional actions from bodily events is the presence of knowing-to – that is, an agent is φ-ing intentionally if and only if she is currently doing something because she knows to do it as a way for her to φ. Such a notion of knowing-to allows us to explain otherwise puzzling features of the Unity Thesis, including the claim that knowing and acting occur simultaneously. In the second step, I argue that the Unity Thesis can help us avoid various long-standing issues in the philosophy of action, including the problem of deviant (formal) causation. (shrink)

I argue that, for Mengzi, the kind of knowledge that features in expressions of the form ‘knowing N’, where N is a noun or a noun phrase, is not a kind of belief but is instead a capacity for intelligently performing relevant actions. My argument proceeds by showing that, first, Mengzi is committed to the view that a person knows N iff she is relevantly capable and, second, that the best explanation for this is that the kind of knowledge involved (...) in knowing N is a capacity. Finally, I motivate such a practicalist interpretation by arguing that it offers us a general but informative explanation of what it is that knowing N makes the knower capable of doing. (shrink)

Books 31 to 40 of Livy's history chart Rome's emergence as an imperial nation and the Romans tempestuous involvement with Greece, Macedonia and the near East in the opening decades of the second century BC; they are our most important source for Graeco-Roman relations in that century. Livy's dramatic narrative includes the Roman campaigns in Spain and against the Gallic tribes of Northern Italy; the flight of Hannibal from Carthage and his death in the East; the debate on the Oppian (...) law; and the Bacchanalian Episode. (shrink)

One of the major objectives in a democratic state is ensuring health security of the citizens including combating epidemic diseases. The subject matter of this article is the presentation and analysis of legal regulations regarding preventive vaccination in Poland, in particular the aspect of imposing a legal obligation and restricting parents’ right to express consent for medical intervention. The reflections made herein are aimed at finding an answer to the question whether the adopted legal solutions are admissible in a democratic (...) state with regard to ensuring health security. The purpose of the analysis is also to assess whether the abovementioned legal regulations have been formulated in a clear way and do not raise interpretation doubts and, consequently, whether they are comprehensible to the parents obliged to comply with them. As it follows from analysis of the legal provisions, parents must not refuse to subject a child to obligatory preventive vaccination and their consent is not required by law, both as regards the medical qualifying examination to exclude contraindications to performing vaccination and the vaccination itself. It is a legal obligation, from which exemption is only possible on grounds of certain medical conditions that would render vaccination inadvisable. The legal provisions that concern obligatory preventive vaccination in Poland, including in particular those referring to its enforceability, have not been formulated in a way that is sufficiently comprehensible to parents who are under the obligation of complying with them, irrespective of the fact that the language of the provisions of law should be clear and raise no interpretative doubts. In a democratic state the protection of public health against epidemic hazards justifies the implementation of legal solutions that restrict an individual’s freedom of self-determination, thus limiting the right of patients or their statutory representatives to grant or refuse consent for a medical intervention in the form of preventive vaccination – the purpose of this legal solution being to prioritize the safeguarding of state health security. It is vitally important to engage in a social dialogue with the purpose of convincing the public of the need for vaccination, its significance and its implementation for the better good. (shrink)

In this paper I discuss Kant's and Bolzano's differing perspectives on ordinary natural language. I argue that Kant does not see ordinary language as providing semantically organized content and that, as a result, Kant does not believe that ordinary language is sufficiently well-developed to support philosophical analysis and definition. By contrast, for Bolzano, the content given in ordinary language are richly structured entities he calls 'propositions in themselves'. This contrast in views is used to explain Bolzano's criticism of Kant's belief (...) that definition is impossible for philosophical concepts. It is also used to explain Bolzano's criticism of Kant's methods of exposition of philosophical concepts. (shrink)

I examine passages from the Zhuangzi that proponents of interpreting Zhuangzian ethics as "patient moral relativism" (PMR) primarily draw on to support their view. I consider whether in these passages Zhuangzi morally evaluates agents or their actions, and if he does, whether his evaluations support ascribing to him PMR. My argument is that Zhuangzi either fails to make the required moral evaluations or he makes moral evaluations that do not accord with PMR. A PMR-friendly reading is possible only if we (...) accept contested interpretative claims about parts of the Zhuangzi that go beyond the primary textual evidence that is frequently cited in support of such a reading. (shrink)

Background and aimsFew Polish hospitals have Hospital Ethics Committee (HECs) and the services are not always adequate. In this situation, the role of HECs, in providing, among others, ethical advice on the discontinuation of persistent therapies, may be taken over by other entities. The aim of our research was to investigate, how often and on what issues hospital chaplains are asked for ethical advice in reaching difficult medical decisions.MethodsA survey of 100 Roman Catholic chaplains was conducted, that is, at least (...) 10% of all chaplains currently working in Polish hospitals.ResultsOf the participants, 29% confirmed receiving requests for advice in making a morally difficult medical decision. Receiving this type of request was not conditional on the place of their service, duration of their pastoral mission or HEC membership. The largest group of chaplains (21%) encounter questions concerning the ethical dilemmas associated with discontinuing persistent therapy. Patients and their families most often raise issues related to the methods of birth control, and the medical staff raise the issue of termination of pregnancy—as reported by 9% and 15% of chaplains, respectively. Most of the chaplains asked for help (79%) experience a deficit of specialist knowledge in the area of medicine or ethics.ConclusionsIn order to improve the quality of ethical consultations in Polish hospitals, in addition to further development of HECs, it is postulated to develop a system for bioethical education of chaplains. (shrink)

This chapter examines Mencius’s views on knowledge and how they might contribute to contemporary debates in epistemology. For this purpose, I focus on three features that I take to be characteristic (although not exhaustive) of Mencian epistemology: first, Mencius’s views on knowing things; second, the role that wisdom or intellectual virtue plays in acquiring knowledge; and third, Mencius’s views on “knowing-to”, a kind of knowledge conceptually distinct from knowing-that and knowing-how. I argue that the views we find in the Mencius (...) on these matters are relevant to contemporary debates on the nature of objectual knowledge, on the role of intellectual virtue in knowing, and on the relation between know-how and intelligent action. (shrink)

Artykuł ma na celu ukazać złożoność problemu, jakim jest prawne usankcjonowanie klauzuli sumienia dla farmaceutów. Żywa dyskusja na ten temat toczy się obecnie nie tylko w Polsce. Autor omawia wydaną przez Comitato Nazionale per la Bioetica opinię w sprawie sprzeciwu sumienia wobec sprzedaży środków antykoncepcji awaryjnej. Analiza dokumentu odsłania argumenty zwolenników i przeciwników przyznania aptekarzom prawa odmowy sprzedaży takich preparatów. Sam dokument zawiera również wskazania etyczne użyteczne dla odpowiednich władz i instytucji, których zadaniem jest zabezpieczenie dostępności leków dla pacjenta. Wskazania (...) te zachowują swoją aktualność w przypadku ewentualnej legalizacji klauzuli sumienia dla farmaceutów w Polsce. (shrink)

Filmphilosophie ist ein – im deutschsprachigen Raum noch junges – Spezialthema der Ästhetik. Der Chicagoer Philosoph Robert B. Pippin, ein international anerkannter Interpret Hegels und Nietzsches analysiert in seinen Filmbüchern – Hollywood Western and the American Myth und Fatalism in Film Noir – zwei zentrale Filmgenres und untersucht in seinen neuesten Forschungen das Kino der belgischen Brüder Dardenne. Im vorliegenden Band beschäftigen sich, nach einem Beitrag Pippins zu den Dardennes, zwölf Autorinnen und Autoren aus Europa, den USA und Kanada mit (...) Pippins Filmphilosophie: 1) allgemein mit dem Themenraum „Film und Philosophie“; 2) mit Lektüren des Western, u.a. mit der Darstellung des „American South“ in diesem Genre; 3) mit dem Film Noir, wobei Pippins Analysen mit den Interpretationen von Deleuze und Žižek verglichen werden, und eine der Schlüsselfiguren der Schwarzen Serie, die Femme Fatale, ausführlich fokussiert wird. Das Buch ist der weltweit erste Diskussionsband zur Pippinschen Filmphilosophie und von Interesse für die Disziplinen Philosophie, Amerikanistik, Filmwissenschaft, Cultural und Gender Studies. (shrink)

Many anglophone scholars take the early Confucians to be virtue ethicists of one kind or another. A common virtue ethical reading of one of the most influential early Confucians, namely Mengzi, ascribes to him the view that moral actions are partly (or entirely) moral because of the state from which they are performed, be it the agent’s motives, emotions, or their character traits. I consider whether such a reading of the Mengzi is justified and I argue that it is not. (...) I argue that there is no reason to believe that Mengzi distinguishes the moral value of actions that are performed from virtuous and non-virtuous states. Given this, virtue (as a feature of agents) is normatively posterior to virtuous actions. I conclude, first, that this poses a challenge to a wide range of common interpretations of the Mengzi, be they virtue ethical or otherwise, and second, that there might be conceptual space for an account of virtue ethics that rejects the normative priority of virtue over virtuous actions. (shrink)

Passages from the recently excavated Guodian manuscripts bear a surprising resemblance to a position ascribed to Gaozi and his followers in the Mengzi at 6A4-5, namely that righteousness is “external.” Although such a resemblance has been noted, the philosophical implications of it for the debate between Gaozi and Mengzi and, by extension, for Mengzian ethics have been largely unexplored. I argue that a Guodian-inspired reading of 6A4-5 is one that takes the debate to be about whether standing in certain family (...) relations makes a difference to whether one’s actions are righteous. Gaozi denies that it does, holding the view that one’s family relations, i.e., relations internal to the household, are irrelevant when it comes to matters of righteousness, while Mengzi disagrees, arguing that all relational properties, including family relations, are just as much reason-giving properties for performing righteous actions as they are in the case of performing benevolent actions. I argue that such a Guodian-based reading provides us a simple, yet explanatorily powerful reading of 6A4-5 that has broader implications for Mengzian ethics and our understanding of the early Chinese intellectual milieu in general. (shrink)

In the study of special languages and translation, the legal field is often insulated from other domains. This is primarily due to the extreme system dependence of the terminology of law, which results from a lack of a common legal system of reference throughout the world. The abstract nature of this human-made field and its dynamicity in view of the continuously evolving case law and constant changes in legislation make it difficult to illustrate its complex ontology through traditional terminology management (...) techniques. Therefore, this paper argues for an interdisciplinary approach to constructing the ontology of legal concepts based on structural constituents from frame semantics and comparative law. Frames allowing for the representation of interconnected knowledge segments evoked by legal concepts and the distinction between micro- and macro-dimensions in legal comparison research make it possible to capture the complex ontology of legal terminology evoked in a specific point in time and a determined legal context. The ontological knowledge structure will be exemplified by terms from German social, commercial, employment, and tax law. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Origines Veliae In Pompeius Trogus, Prologue XVIIIWaldemar HeckelThe so-called “Prologues” (more appropriately “summaries”) of Pompeius Trogus’ Philippic History contain numerous references to people, places, and events not discussed by Justin in his abbreviation of the work. In CP 62 (1969) 162–64, V. Iliescu considered Prol. xviii (origines Phoenicum et Sidonis et Veliae Carthaginisque res gestae in excessu dictae) and argued that Veliae should be “corrected” to read Tyri. 1 (...) O. Seel, in the apparatus to his Teubner edition (3rd ed., Leipzig, 1971), writes “quae urbs contextui male convenire videtur.” But Seel remained unconvinced by Iliescu’s proposal or G. Radke’s more imaginative origines... Didonis vel Elissae.... 2 The latter is, at any rate, doubtful, as Iliescu noted (163), because origines is used in the Prologues of peoples, cities and regions, but not of specific persons (but cf. Justin xi 11.2, where Alexander consults Ammon de origine sua). These emendations are, however, unnecessary. There is good reason to suppose that Pompeius did, in fact, discuss the origins of Velia in southern Italy at precisely this point in his history.Ammianus Marcellinus xv 9.2ff. (= Timagenes, FGrH 88 F2) includes the following observation:A Phocaea vero Asiaticus populus, Harpali [sic] inclementiam vitans, Cyri regis praefecti, Italiam navigio petit. Cuius pars in Lucania Veliam, alia condidit in Viennensi Massiliam: dein secutis aetatibus oppida, aucta virium copia, instituere non pauca.But, in fact, a people of Asia from Phocaea, to avoid the severity of Harpalus [read: “Harpagus”], prefect of king Cyrus, set sail for Italy. A part of them founded Velia in Lucania, the rest, Massilia in the region of Vienne. Then in subsequent ages they established no small number of towns, as their strength and resources increased.”(xv 9.7; tr. J. C. Rolfe)Now we know from Herodotus i 163ff. that, when the Phocaeans fled to the west, some of them settled in Corsica, whither they had sent colonists some twenty years earlier. They maintained themselves through piracy until a naval coalition of Etruscans and Carthaginians met them in the so-called “battle of Alalia” (Hdt. i 166) and made the Phocaean position [End Page 309] in Corsica untenable. According to Herodotus, the Phocaeans sailed to Rhegium, from which they set out to found Elea or Velia (“they founded that city in the land of Oenotria which is now called Hyele”: Hdt. i 167.3; cf. D. Ridgway, CAH iv 2 672).Trogus’ report concerning the origins of the Phocaean colony of Velia was included in his eighteenth book, which, as we can see from Justin’s “Epitome,” dealt with the early history of Carthage from its foundation to the events of the late sixth century (cf. D. Asheri, CAH iv 2 750–52). Since the confrontation at Alalia in c. 535 B.C. formed an important part of the history of Carthaginian expansion in the western Mediterranean, it is most probable that Trogus included an account of the battle and, in the discussion of its aftermath, included a digression on the foundation of Velia. The Phocaeans had, of course, founded Marseille, and their early history will have been well known to Trogus, who discussed the Greeks in Gaul in Book xliii 3ff. The Phocaeans at Velia, however, belonged, historically and geographically, in the context of Carthaginian expansion and in Book xviii. The text of Trogus, Prologue xviii, is thus correct as it stands and requires no emendation.Waldemar HeckelUniversity of CalgaryFootnotes1. Or, less likely, Tyrorum.2. RE viii A2 (1958) col. 2403.Copyright © 1996 The Johns Hopkins University Press... (shrink)