Young children with cancer are treated with interventions that can have a high risk of compromising their reproductive potential. ‘Fertility preservation’ for children who have not yet reached puberty involves surgically removing and cryopreserving reproductive tissue prior to treatment in the expectation that strategies for the use of this tissue will be developed in the future. Fertility preservation for prepubertal children is ethically complex because the techniques largely lack proven efficacy for this age group. There is professional difference of opinion (...) about whether it is ethical to offer such ‘experimental’ procedures. The question addressed in this paper is: when, if ever, is it ethically justifiable to offer fertility preservation surgery to prepubertal children? We present the ethical concerns about prepubertal fertility preservation, drawing both on existing literature and our experience discussing this issue with clinicians in clinical ethics case consultations. We argue that offering the procedure is ethically justifiable in certain circumstances. For many children, the balance of benefits and burdens is such that the procedure is ethically permissible but not ethically required; when the procedure is medically safe, it is the parents’ decision to make, with appropriate information and guidance from the treating clinicians. We suggest that clinical ethics support processes are necessary to assist clinicians to engage with the ethical complexity of prepubertal fertility preservation and describe the framework that has been integrated into the pathway of care for patients and families attending the Royal Children’s Hospital in Melbourne, Australia. (shrink)

The role of reciprocal causation in Extended Evolutionary Synthesis (EES) is controversial. Proponents of EES argue that reciprocal causation is a key innovation, underpinning the necessity of EES. Conversely, critics of the EES maintain that Standard Evolutionary Theory (SET) adequately encompasses the concept of reciprocal causation, challenging the need for EES. This skepticism is rooted in two primary critiques. First, the mischaracterization of causal dynamics within SET by EES advocates leads to a misrepresentation of SET. Second, the oversight of how (...) SET incorporates and acknowledges instances of reciprocal causation leads to claims about the empirical inaptness of SET. As a result, the debate has reached an impasse, with limited progress towards a constructive examination of reciprocal causation’s significance to evolutionary explanations. This paper introduces the scope argument, which examines reciprocal causation through timescales and grain of explanations. This approach revitalizes the debate in two ways. First, reframing the debate in terms of scope clarifies the role of reciprocal causation by allowing research programs to specify targets of explanation. Second, the elements of scope (timescales and grain) elucidate the epistemic advantage of reciprocal causation in the respective research programs in question. (shrink)

An increasing number of non-governmental organisations provide humanitarian assistance, including healthcare. Some faith-based NGOs combine proselytising work with humanitarian aid. This can result in ethical dilemmas that are rarely discussed in the literature. The article explores several ethical issues, using four generic activities of faith-based NGOs: It is discriminatory to deny aid to a needy community because it provides less opportunity for proselytising work. Allocating aid to a community with fewer health needs but potential for proselytising work is unjust, since (...) it neither maximises welfare nor assists the most needy . Faith-based-NGOs may state that proselytising work combined with humanitarian assistance improves spiritual wellbeing and overall benefit. However, proselytising work creates religious doubts, which could transiently decrease wellbeing. Proselytising work is unlikely to be a perceived need of the population and, if carried out without consent, breaches the principle of autonomy. Such work also exploits the vulnerability of disaster victims. Governments that decline the assistance of a faith-based NGO involved in proselytising work may deprive the needy of aid. Three strategies are proposed: Increase knowledge to empower communities, individuals and governments; information on NGOs could be provided through an accessible register that discloses objectives, funding sources and intended spiritual activities. Clearly demarcate between humanitarian aid from proselytising work, by setting explicit guidelines for humanitarian assistance. Strengthen self-regulation by modifying the Code of Conduct of the Red Cross to state criteria for selecting communities for assistance and procedures for proselytising work. (shrink)

How kids play in virtual worlds, how it matters for their offline lives, and what this means for designing educational opportunities.

Racial bias and language discrimination are recognized in the health sector in countries such as Sri Lanka. This may extend to images used in health communication and educational literature. We analyzed the racial and ethnic representation in a sample of newspapers and websites related to health obtained over a period. Most of the human figures in health-related messages in newspapers had an overrepresentation of Caucasians. This trend was absent in websites where 73% of the images of Sri Lankans. The reasons (...) for this pattern could be due to the availability of image-quality photographs and exposure to a norm that is racially biased. For example, a majority of images in medical textbooks and prestigious journals are of white Caucasians. A predominance of such images could have two impacts. At an individual level, it would affect acquiring skills of visual diagnoses. At a societal level, it may reinforce a view that most forms of health-related knowledge are created in the West and could add to existing discrimination based on skin color (i.e., colorism). The latter is a known psychosocial stressor that contributes to psychological distress among socially disadvantaged populations and promotes behaviors adverse to health and residential segregation. These may contribute to poorer physical, mental, and infant health outcomes in dark-skinned individuals compared to lighter-skinned in the USA and Canada. Such discrimination within the health system would compromise basic human dignity, disempower patients, and violate the principle of autonomy. Sri Lankan media, the healthcare profession, and educationists need to recognize the relevance and importance of using images that appropriately reflect the realities of their own environment, its people, and patients. (shrink)

Este escrito muestra que el método que surge a partir del pensamiento cartesiano, con un propósito explicativo, revela una radical insuficiencia que conducirá a una nueva propuesta metódica que tiene ahora un propósito comprensivo: la hermenéutica. El método cartesiano se revela suficiente para comprender fenómenos de la naturaleza, pero se muestra insuficiente para hacerse cargo del fenómeno humano. Este método, originalmente orientado a la comprensión de textos, especialmente la escritura sagrada, con Schleiermacher se amplía para convertirse en un procedimiento de (...) comprensión de lo humano en general. This paper shows that the method emerging from Cartesian thinking, with an explanatory purpose, reveals a radical insufficiency that will lead to a new methodical proposal that has a comprehensive purpose: hermeneutics. The Cartesian method shows itself sufficient for the comprehension of natural phenomena, but it shows itself insufficientfor the human phenomena. This method—primarily oriented toward the comprehension of lexts. in particular Holy Scriptures— broadens in Schleiermacher's work so as to turn into a procedure for the comprehension of what is in general human. (shrink)

A lo largo de la historia, las relaciones de la poesía con las otras bellas artes han sido objeto de numerosos estudios basados principalmente en criterios de comparación. El lenguaje poético, trasciende las fronteras de la literatura y se convierte en un elemento clave para determinar si la obra es arte. La forma, la percepción y la ejecución de la performance, que en sus orígenes estaba ligada al acto representativo basado en el texto, como medio artístico de expresión en el (...) contexto latinoamericano se convierte en una herramienta de denuncia en las movilizaciones sociales relativas a la defensa de los derechos humanos. El máximo exponente del arte performance en Guatemala, Regina José Galindo (nacida en 1974), comenzó su trayectoria desde el ámbito de la poesía. Sus acciones performativas establecen conexiones formales y funcionales con el lenguaje poético, creando metáforas a través del sujeto, el objeto y la acción, que sirven como catalizador del mensaje a transmitir y que provocan otro tipo de recepción, que va más allá de los límites habituales que se circunscriben a ambas disciplinas. Las metáforas performativas de la artista, además de cuestionar la posición social de la mujer, logran que el observador, a través de la identificación, alcance la plenitud de la experiencia emancipatoria. (shrink)

The issue of communicated accountability is particularly important in Faith-Based Charity Organisations as the donated funds and use of those funds are often meant to fulfil religious obligations for the well-being of society. Integrating Stewart’s (1984) ladder of accountability with the Statement of Recommended Practice guidance for charities, this paper examines communicated accountability practices of Muslim and Christian Charity Organisations in England and Wales. Our content analysis results indicate communicated accountability to be generally limited, focusing on providing basic descriptive information (...) rather than judgement-based information. Our interviews with trustees and preparers of Trustee Annual Reports in Muslim Charity Organisations identified the reasons being due to high donor trust and consequently weak demand by stakeholders for the latter type of information, as well as internal organisational issues related to the organisational structure and culture, lack of internal professional expertise and high accountability cost. (shrink)

Jaegwon Kim (1998a, 2005) claims that his exclusion problem follows a priori for the non-reductive physicalist given her commitment to five apparently inconsistent theses: mental causation, non-identity, supervenience, causal closure and non-overdetermination. For Kim, the combination of these theses entails that mental properties are a priori excluded as causes, forcing the non-reductive physicalist to accept either epiphenomenalism, or some form of reduction. In this thesis, I argue that Kim’s exclusion problem depends on a particular conception of causation, namely sufficient production, (...) and that when causation is understood in interventionist terms, the non-reductive physicalist can avoid the exclusion problem. I argue that Woodward’s (2003, 2008a, 2011a) version of interventionism not only provides an account of mental causation that avoids the exclusion problem, but argue that it also upholds all of the minimal commitments of non-reductive physicalism, thereby providing a successful non-reductive physicalist solution to the exclusion problem. In Chapter 2, I argue that all five theses are minimal commitments of non-reductive physicalism that cannot be rejected in order to avoid the exclusion problem. Chapter 3 identifies the assumptions that I take to underlie the exclusion problem. Chapter 4 introduces and outlines the central features of Woodward’s (2003) interventionism and Chapter 5 argues that Woodward’s interventionist account of mental causation provides a solution to the exclusion problem. I examine two alternative interventionist accounts of mental causation[1] that fail to provide satisfactory solutions to the exclusion problem and conclude that Woodward’s account therefore provides the only satisfactory account of mental causation and solution to the exclusion problem. Chapter 6 addresses some challenges proposed by Michael Baumgartner (2009, 2010) and argues that the interventionist is able to defend her position against these objections and uphold the interventionist solution to the exclusion problem outlined in this thesis. [1. Proposed by List and Menzies (2009) and Campbell (2007, 2008a, 2008b, 2010).]. (shrink)

Chronic stroke survivors with severe contralesional arm paresis face numerous challenges to performing activities of daily living, which largely rely on the use of the less-affected ipsilesional arm. While use of the ipsilesional arm is often encouraged as a compensatory strategy in rehabilitation, substantial evidence indicates that motor control deficits in this arm can be functionally limiting, suggesting a role for remediation of this arm. Previous research has indicated that the nature of ipsilesional motor control deficits vary with hemisphere of (...) damage and with the severity of contralesional paresis. Thus, in order to design rehabilitation that accounts for these deficits in promoting function, it is critical to understand the relative contributions of both ipsilesional and contralesional arm motor deficits to functional independence in stroke survivors with severe contralesional paresis. We now examine motor deficits in each arm of severely paretic chronic stroke survivors with unilateral damage to determine whether hemisphere-dependent deficits are correlated with functional independence. Clinical evaluation of contralesional, paretic arm impairment was conducted with the upper extremity portion of the Fugl-Meyer assessment. Ipsilesional arm motor performance was evaluated using the Jebsen-Taylor Hand Function Test, grip strength, and ipsilesional high-resolution kinematic analysis during a visually targeted reaching task. Functional independence was measured with the Barthel Index. Functional independence was better correlated with ipsilesional than contralesional arm motor performance in the left hemisphere damage group [JTHFT: [r = −0.73, p = 0.017]; grip strength: [r = 0.64, p = 0.047]], and by contralesional arm impairment in the right hemisphere damage group [UEFM: [r = 0.66, p = 0.040]]. Ipsilesional arm kinematics were correlated with functional independence in the left hemisphere damage group only. Examination of hemisphere-dependent motor correlates of functional independence showed that ipsilesional arm deficits were important in determining functional outcomes in individuals with left hemisphere damage only, suggesting that functional independence in right hemisphere damaged participants was affected by other factors. (shrink)

Sponsorship of medical conferences by the pharmaceutical industry has led to many ethical issues, especially in resource-poor developing countries. The core issue in these instances is to reduce or avoid conflicts of interests. COI is a set of circumstances that creates a risk that professional judgment or actions regarding a primary interest will be unduly influenced by secondary interests. Disruption of social trust should also be considered. This deontological approach should be complemented by a consequentialist approach. Towards this, the concept (...) ofdistal interests is introduced. DI lies beyond the immediately visible COIs and the consequences of immediate decisions. They are ‘distal’ in time or place: ‘DI in time’ means consequence of the decision in future scenarios, while ‘DI in space’ means those that impinge on other institutions or bodies. In judging the consequences, it is also necessary to consider the reality of the existing relationship between the pharmaceutical industry and organisers of conferences. In more developed countries, these relationships are governed by stricter regulations, adherence to codes of conduct by both parties and stronger institutional oversights. In contrast, developing countries such as Sri Lanka the regulatory environment is lax and the demarcation of interests between the pharmaceutical industry and the medical profession is considerably blurred. Therefore, establishing clear rules of engagement between the stakeholders should be considered as an attempt to clear the muddy waters. The paper proposes a set of guidelines to capture these approaches. (shrink)

Color charts, or grids of evenly spaced multicolored dots or squares, appear in the work of modern artists and designers. Often the artist/designer distributes the many colors in a way that could be described as “random,” that is, without an obvious pattern. We conduct a statistical analysis of 125 “random-looking” art and design color charts and show that they differ significantly from truly random color charts in the average distance between adjacent colors. We argue that this attribute generalizes results in (...) subjective randomness in a black/white setting and gives further evidence supporting a connection between subjective randomness and what is esthetically pleasing. (shrink)

Sri Lanka, once a colony of Britain, gained independence in 1948. However, especially the health sector continues to use English as its main medium of communication. Such language bias leads to marginalization of those less fluent in English, and hinders achieving a higher level of health literacy. Discrimination of people or social groups based on their language is termed linguicism. Tackling linguicism requires an understanding of its historic roots and an exploration of potential links to colonial racial prejudices. Published literature (...) presents evidence that traces linguicism to language policies of the British colonial government. Though an exhaustive survey of historical records is not presented, there is reasonable evidence to suggest a close link. British colonial rule derived its justification from supremacist and racist ideology. As a result, English became the medium in all forms of official communications, a situation that persisted after independence. A similar situation exists in many parts of the worlds. We should recognize language-based discrimination and linguicism as public health issues. They are detrimental to health of vulnerable groups and have the potential to worsen health disparities. (shrink)

La cimatheque, un centre alternatif du film, situé dans le centre du Caire a ouvert ses portes le 3 juin 2015. Elle est née d’abord du désir de jeunes cinéastes de créer une société de production indépendante. Avec la révolution le projet s’est étoffé, et la Cimathèque est devenue un lieu de rencontre, de projection, de production, de digitalisation, d’archivage, de débats à l’adresse de tous les cinéphiles. L’Égypte possède une longue tradition cinématographique, interrompue par des années de négligence, de (...) corruption et un manque d’ambition pour un art profondément aimé par la population. La question de l’archivage du patrimoine cinématographique mais aussi des productions contemporaines sur divers supports est centrale dans le projet de la Cimathèque, surtout dans une époque de déconstruction du sens de l’histoire collective. (shrink)

A growing number of lay Buddhist practitioners have sought out alternative ways to incorporate Buddhist teachings in their daily practices and make positive changes in society by “doing good” for others. Sometimes recognized as part of “humanistic Buddhism,” this approach emphasizes general morality and focuses on people who need help as a way to fulfill Buddhist teachings in this world. Some Chinese Buddhist practitioners who follow the Tibetan Buddhist tradition also carry out similar humanistic engagements but use more subtle space-making (...) processes and often “brand” these as Buddhist practices. Drawing on the ethnographic observations of lay Buddhist practitioners in urban China, this article examines how urban practitioners promote (middle-class) morality and well-being lifestyles through what I call “atmospheric Buddhism.” Ultimately, the article argues that an alternative mode of Buddhist practice is emerging in Chinese urban environments in order to cope with politically constrained environments. (shrink)

Prior work shows limited success in retail firms’ efforts to create socially responsible supply chains by enforcing suppliers’ compliance with labor standards, partly due to conflicting sourcing demands exerted on the supplier by siloed functional units within the retail firm. To ensure the substantive adoption of labor standards throughout its supply chain, we argue that the retail firm must improve their degree of “supply chain labor compliance integration” by minimizing cross-functional tensions in human capital, identities, processes and goals. We define (...) supply chain labor compliance integration, identify its determinant organizational practices that reduce cross-functional tensions, and explain the mechanisms by which it improves the retail firm’s supply chain labor standards performance. This work offers theoretical and practical insights on the retail firm’s capacity for managing socially responsible supply chains, and more broadly, on how systematically minimizing intra-organizational tensions arising in the pursuit of competing organizational priorities is a prerequisite for their simultaneous execution in inter-organizational business exchanges. (shrink)

This clinical vignette stems from French research into sedative practices and their influence on bereavement in spouses of cancer patients. We worked with hospital departments to recruit participants. They were offered a questionnaire and were invited to a research interview. This led us to explore the various issues that palliative care providers may face, including their relationship with the patient’s loved ones, questions about bereavement, and how best to support the bereaved. Feelings of bereavement are difficult to put into words, (...) and there is often concern that talking about it may increase the suffering of the person concerned. The question we raise in this case study is whether fears about talking about bereavement come from the bereaved person or from the caregiver. In other words, for whom is talking about bereavement more painful? This point relates to two ethical challenges in our study: first, we seek to better understand the relationship between spouses of cancer patients and healthcare providers, starting with how to narrate the experience of grief. The second question relates to the ethics of research and specifically the possibility of including patients and family members in the research process. (shrink)

Engagement with genomic medicine and research has increased globally during the past few decades, including rapid developments in Sri Lanka. Genomic research is carried out in Sri Lanka on a variety of scales and with different aims and perspectives. However, there are concerns about participants' understanding of genomic research, including the validity of informed consent. This article reports a qualitative study aiming to explore the understanding, knowledge, and attitudes of the Sri Lankan public towards genomic medicine and to inform the (...) development of an effective and appropriate process for informed consent in that setting. Purposive sampling was employed. Participants were recruited from a sub-group of the public in Colombo, Sri Lanka who had either consented or refused to donate genetic material for a biobank. Data were collected using face-to-face semi-structured interviews. Interview data were transcribed verbatim and translated into English. Conventional content analysis was used. The analysis developed three key themes: a) ‘Scientific literacy’ describes an apparent lack of scientific knowledge that seems to affect a participant’s ability to understand the research, b) ‘Motivation’ describes narratives about why participants chose (not) to take part in the research, despite not understanding it, and c) ‘Trust’ describes how trust served to mitigate the apparent ethical deficit created by not being fully informed. In this article, we argue that informed trust is likely an acceptable basis for consent, particularly in settings where scientific literacy might be low. However, researchers must work to be worthy of that trust and ensure that misconceptions are actively addressed. (shrink)

This article re-examines the distinction between the libertarian approach and the egalitarian approach to the regulation of campaign finance. The conventional approach (as exemplified by the work of Owen Fiss and Ronald Dworkin) is to reconcile the competing values of liberty and equality. By contrast, this article advances the normative claim that democracies should seek to incorporate both the libertarian and the egalitarian approaches within constitutional law. I argue that instead of emphasizing one value over the other, the ideal position (...) is one that simultaneously recognizes the values of liberty and equality despite the irreconcilable tension between them. Rather than choosing one value over the other, or reconciling these values by redefining them, I claim that it is vital to maintain the tension between liberty and equality by instantiating the conflict in law. Democracy is better served when the law contains an explicit tension between these foundational values.After setting forth this normative framework, I then apply it to the campaign finance decisions of the Supreme Courts of the United States and Canada, respectively. I make two main claims. First, I argue that although the libertarian/egalitarian distinction is usually presented as a binary choice, the laws of a given jurisdiction often simultaneously display both libertarian and egalitarian characteristics. For this reason, I claim that the libertarian/egalitarian distinction is better conceived of as a “libertarian-egalitarian spectrum.” Second, I argue that in recent years, the U.S. Supreme Court and the Supreme Court of Canada, respectively, have privileged one value—liberty or equality—at the expense of the other. The U.S. Supreme Court has over-emphasized the value of liberty (most notably in itsCitizens Uniteddecision), with the result that political equality is markedly undermined. By the same token, the Supreme Court of Canada’s commitment to equality has become too one-sided in recent cases (HarperandBryan), with the result that there are significant impairments to free speech liberties. I argue that both of these approaches are detrimental to democratic participation and governance. Finally, this article offers a preliminary proposal for how courts and legislatures can allow for the conflict between liberty and equality to be instantiated in law. (shrink)

Survival is obviously important, but sometimes, under particular circumstances, life can become miserable, difficult, or intolerable; at that point, survival can seem like a punishment or misfortune. A patient who is in a vegetative state, unable to sustain life with dignity, and who is suffering from a terminal illness, has freedom to choose between life and death. The practice of "mercy killing," or euthanasia is an ongoing debate in the discussion of medical ethics. When it comes to making euthanasia decisions (...) for their incompetent patients, medical practitioners are faced with a problem. The moral dilemma of whether something is morally acceptable or not is moral in nature. The "end of life" issue is related to euthanasia should be legally acceptable under specific circumstances, such as when a patient is terminally sick, death is imminent, and treatment is unsuitable and ineffective. It is morally acceptable when a patient makes the autonomous decision to end his life or asks someone else to help him. In order to make an informed decision, the patient needs to be thoroughly informed about the diagnosis and prognosis of an incurable, deadly condition. However, in the context of a Muslim-majority population, where any argument for the legality of suicide (and, by extension, physician-assisted suicide) would be automatically rejected as contrary to Islamic moral and jurisprudential principles, this is an extraordinary request for the health service authorities of a developing country to consider. This paper discusses mainly non-voluntary active euthanasia. The discussion is conducted by giving a case study from Bangladesh. The situation in Bangladesh will also be examined in the paper's last section with regard to the permissibility of active euthanasia, specifically whether it can be done in our state given the socio-cultural-religious practices that are now in place. (shrink)

Fragile states and developing countries increasingly contract out health services to non-state providers (NSPs) (such as non-governmental organisations, voluntary sector and private sector). The paper identifies ethical issues when contracts involve devolution of health services to NSPs and proposes procedures to prevent or resolve these ethical dilemmas. Ethical issues were identified by examining processes of contracting out. Health needs could be used to select areas to be contracted out and to identify service needs. Health needs comprise “disease-burden-related needs”, “health-service needs”, (...) and “urgency of health-service needs”. The mix of services should include an analysis of cost-effectiveness. NSPs should be selected fairly, without bias, and conflicts of interest during their work must be avoided. The population’s views must be respected and accountability structures established. Devolved health services should ensure equity of access to healthcare. The services ought to be sustainable and evaluated objectively. Of these issues, conflicts of interest among NSPs and sustainability of health services have not attracted attention in the literature on ethics of health policy. Fair procedures could address these ethical issues—for example, public consultation on issues; decisions based on the public consultation and made on evidence; principles of decisions stated and reasonable; decisions given adequate publicity; a mechanism established to challenge decisions; assurance that mechanisms meet the above conditions; and regular review of the policies. These procedures are complemented by improving self-governance of NSPs, countries’ development of guidelines for devolving health services, and measures to educate the public of the client countries on these issues. (shrink)

Responding to claims of Anthropocene geoscience that humans are now geological agents, social scientists are calling for renewed attention to the social, cultural, political and historical differentiation of the Anthropos. But does this leave critical social thought’s own key concepts and categories unperturbed by the Anthropocene provocation to think through dynamic earth processes? Can we ‘socialize the Anthropocene’ without also opening ‘the social’ to climate, geology and earth system change? Revisiting the earth science behind the Anthropocene thesis and drawing on (...) social research that is using climatology and earth systems thinking to help understand socio-historical change, this article explores some of the possibilities for ‘geologizing’ social thought. While critical social thought’s attention to justice and exclusion remains vital, it suggests that responding to Anthropocene conditions also calls for a kind of ‘geo-social’ thinking that relates human diversity and social difference to the potentiality and multiplicity of the earth itself. (shrink)

O presente artigo tem por objetivo apresentar os argumentos de Oyèrónkẹ́ Oyěwùmíem sua obra A invenção das mulheres: construindo um sentido africano para os discursos ocidentais de gênero, (1997), para ser pensado a relação entre o corpo e a ética na cosmovisão e na cosmopercepção. Para demonstrar que a epistemologia ocidental engendra sobre si e os demais povos a universalidade da categoria gênero e os problemas sociais oriundos desta generificação, a epistemóloga iorubana escreve A invenção das mulheres com um caráter (...) dialético, em que é demonstrada sua crítica ao passo que são descritos os costumes autóctones Iorubás, com objetivo de demonstrar que para tal povo o corpo não determinava papéis sociais antes da colonização. A partir de sua defesa de que o gênero é uma categoria criada socialmente, mas que esta não foi parte originária de todos os povos é que se inicia a escrita deste texto. Para apresentar a complexidade do pensamento oyewumiano, as categorias de cosmovisão e cosmopercepção foram retomadas, através do alinhavemento do que elucida a autora sobre a bio-lógica, raciocínio corporal, somatocentralidade e senioridade. Com a apresentação destes conceitos é que se conclui como cada cultura cunha seus liames éticos. (shrink)

Background and ObjectivesThe purpose of this study was to draw the attention toward the implications of COVID-19 and the related restrictions imposed worldwide especially in Pakistan. The primary objective was to highlight the levels of psychological distress, anxiety, family violence, suicidality, and well-being due to COVID-19 and the secondary objective was to associate it to social demographic factors.Materials and MethodsIt is designed as a cross-sectional study by employing an online questionnaire in the English language and obtaining responses using a snowball (...) sampling technique. We used three validated measures including Kessler Psychological Distress Scale (K10), Generalized Anxiety Disorder (GAD-7) index and World Health Organization Well-Being Index (WHO-5).ResultsA sample of 420 participants was recruited from across Pakistan, with most participants were females (79%), students (89.8%) and belonging to Punjab (54%). Nearly one-fourth of the participants (23.8%) scored above the minimum value set for moderate or high psychological distress (K10 > 12). There was a higher prevalence of distress among females and resident of province Punjab. The majority of individuals reported that they were living with their family (94.5%) and more than half (52.6%) were neutral regarding their satisfaction with their living conditions. 40.5% believed that the lockdown has had a negative impact on their mental health. 31.4% have reported that they themselves have experienced abuse from a family member. 48.6% scored high on the GAD-7 scale and low wellbeing score was found among 80.2%. Students were found to be more vulnerable to mental illness and anxiety.ConclusionWith the lockdown restrictions, psychosocial distress has become prevalent in Pakistan. (shrink)

O conceito tardio de plano de imanência na filosofia de Gilles Deleuze diz respeito não apenas à recusa de um segundo mundo transcendente, mas também de um campo transcendental organizado sob a determinação recíproca entre sujeito universal e forma geral de objeto. A construção desse conceito passa, portanto, pela crítica do fundamento transcendental kantiano desenvolvida por Deleuze através de um resgate original do empirismo de Hume. A discussão gira em torno do estatuto da subjetividade: segundo a crítica empírica, o sujeito (...) não pode ser entendido como um pressuposto a _priori_, mas deve, sim, ser compreendido como um produto _a_ _posteriori_ cuja emergência remete, em última instância, a um princípio de repetição. Assim, buscando compreender a amplitude da noção de imanência na filosofia deleuziana, analisamos a leitura do filósofo francês a respeito do problema do fundamento transcendental, sobretudo em _Empirismo e Subjetividade_. Por fim, indicamos brevemente de que maneira o conjunto dessa problemática reaparece em _Diferença e Repetição_. (shrink)

ABSTRACT The aim of this article was to develop an interpretation of the relation between Deleuzian transcendental empiricism and Deleuze-Guattarian political philosophy in the “Treatise on Nomadology,” which focuses on the concept of the nomadic war machine. To understand this concept, it is necessary to keep in mind that this is a transcendental Idea or virtual multiplicity, correlated of an effondement (‘ungrounding’), which sustains a difference by right in relation to the State apparatus and the military institution. On the basis (...) of this premise, the three aspects of the nomadic war machine are analyzed: a spatial-geographical one (the smooth space), a numerical one (the numbering number), and an affective one (the weapons). Finally, we conclude with an examination of the authors’ critical reading of the notion of absolute war in Clausewitz, which allows us to strengthen the interpretation of the concept of nomadic war machine as transcendental Idea. (shrink)

Nosso objetivo foi discutir a análise do estatuto das armas e do armamento no quadro de uma reflexão sobre a tecnologia como apresentada por Gilles Deleuze e Félix Guattari na obra Mil Platôs. Os autores oferecem uma interpretação sobre a especificidade desses elementos técnicos a partir de sua ligação com o processo de inovação das sociedades guerreiras nômades. Esse processo é indissociável de certo modo de operação da metalurgia artesanal e itinerante sobre o phylum maquínico, definido como matéria-movimento composta por (...) singularidades e manifesta em traços de expressão determinados. Porém, o phylum maquínico e a linhagem tecnológica do armamento também podem ser capturados por um aparelho de Estado, passando a funcionar de maneira distinta daquela em que operavam quando conexos ao espaço nômade. Essa captura está na gênese de uma indústria armamentista, cerne problemático da relação entre guerra, técnica e capital para o qual se direciona nossa reflexão final. (shrink)

Para construir seu próprio edifício filosófico em _Diferença e Repetição_, Deleuze dedicou-se no início de sua trajetória à pesquisa sistemática daquilo que chamou de “linhagem menor” em história da filosofia. Neste artigo buscamos explorar especificamente o embate deleuziano com o pensamento de Leibniz, situado no limiar dessa linhagem. Embora uma monografia mais extensiva tenha sido publicada por Deleuze apenas décadas mais tarde, seguimos a hipótese de que seus primeiros esboços críticos sobre o pensamento leibniziano aparecem já no seminário _O que (...) é fundar?_, endereçado ao problema do fundamento. À luz desse texto, abre-se uma perspectiva produtiva para a compreensão da relação entre as filosofias dos dois pensadores. (shrink)

In Sri Lanka’s armed conflict, gender, sexuality, and sex work are intermeshed with militarized nationalism. Militarization entrenches gender performances and heteronormative schemes while enabling women to transgress these—whether as combatants or as sex workers. Familiarly, in this nationalist encounter, women are expected to safeguard culture, notably through proper dress and sexual conduct. Sexualactivity that challenges containment arouses anxiety because loyalty to military groupor communal boundary can be compromised. Drawing on three examples—adress codecall by a Liberation Tigers of Tamil Eelam women’s (...) wing, consequences for a woman alleged to be a sex worker, and the public stripping of an alleged suicide bomber at a military checkpoint—this article explores how gendered behaviors and sexualities marked as culture are constructed and controlled in the interests of militarized, nationalist projects; how women can be both agents and objects of these controls; and the implications for women who refuse to comply. (shrink)

The concept of downward causation is frequently used in an explanatory capacity in biology to account for certain regularities and processes. Some philosophers, however, argue that downward causation is metaphysically incoherent, providing three main objections. Underlying these objections is the assumption that entities are connected by compositional hierarchies of levels of organization. In this paper, I introduce the notions of weak and strong compositional relations using examples from evolutionary developmental biology. I argue that downward causation becomes unproblematic if we use (...) features of interventionist theories of causation to explain the causal relations between levels. I show that an interventionist account of downward causation successfully responds to the three central objections to downward causation in the philosophical literature and I clarify the explanatory usefulness of the concept in biology. As such, this paper provides an epistemic solution to demystify downward causation in the context of scientific practice. The solution proposed is compatible with how biologists seem to use a concept of downward causation fruitfully in their work. (shrink)

The ability to bear witness to human trauma and devastation through technologies in the new media age endorses suffering as a form of mass spectacle which can negotiate distance between an exterior world as well as the unfamiliar and the unknown. Our engagements with these forms of mediated suffering in postmodernity can be public and complex and conditioned by both media power and our ability to domesticate suffering in the private confines of our homes. This article reviews the domestication of (...) suffering historically in mainstream media. It contends that mediated suffering has become an entrenched ritual in the media landscape and is a multi-faceted device which can be functionalist and therapeutic yet too pervasive to be rendered meaningful in people’s everyday lives. (shrink)

Mobile technologies such as tablets, iPads, laptops, netbooks as well as mobile phones with internet connectivity and recording features present new challenges to the academy. In the age of convergence and with the encoding of several features into mobile telephony, private spaces of the classroom can be reconfigured through the mediation of technologies. In most cases, existing rules and regulations of higher education institutions do not comprehensively address these challenges. The introduction of new technologies into the classroom has been often (...) framed historically as vital and relevant for a progressive academic society or as part of a national imperative to transform the ways in which the authors access and engage with knowledge. This paper surveys British universities to examine how they govern the phenomenon of recording content through mobile technologies. The results reveal a pervasive use of mobile devices in UK universities and clear divergences in approaches to enacting mobile device-specific policies to govern the usage of these technologies. (shrink)

Data on patterns of marriage, differential fertility and mortality were collected from 211 Kotia women residing in Visakhapatnam district of Andhra Pradesh, India. Consanguineous marriages made up just over a quarter of the total, and of these, father's sister's daughter (FSD) were more common than mother's brother's daughter (MBD). The mean inbreeding coefficient for the sample (F) was 0·0172. Women in consanguineous marriages had a lower mean number of total conceptions, live births and living offspring (net fertility) than women in (...) non[hyphen]consanguineous marriages. Significant heterogeneity was found in the means of living offspring for FSD, MBD and non-consanguineous couples, but not for conceptions and live births. (shrink)

Charity governance is undergoing a crisis of confidence. In this paper, we suggest an alternative approach to how governance could be perceived and conceptualized by considering the ethical notions of governance embedded in religious enquiry, with a specific focus on the Islamic perspective of governance. We firstly develop an ethical framework for charity governance, utilizing insight from the Islamic perspective. Secondly, we undertake an empirical study to assess the experience of governance within Islamic charity organizations. Our theoretical framework provides a (...) comprehensive approach to viewing organizational governance with an emphasis on governance as a mechanism for working towards social justice and the public good. However, our empirical findings reveal an ‘ethical gap’ between the ideals of the Islamic Ethical Framework and the reality of governance practice within Muslim charity organizations. We consider the implications of these findings and outline avenues for future research. (shrink)