“So Quick Bright Things Come to Confusion”

1987 ◽  
Vol 13 (2-3) ◽  
pp. 169-187
Author(s):  
Alexander Morgan Capron

In the past several decades, the problems facing those of us who labor in the vineyards of health policy and ethics have been the problems of success — first medicine's and then, though to a lesser extent, our own. By this I mean that it has been the remarkable fruits of biomedicine, from research to health care delivery, that have produced the rich harvest of ethical, social and legal issues that have drawn our, and society's, attention.In the basic science laboratory, scientists have developed means to splice pieces of DNA together, raising questions from workplace safety to the reengineering of homo sapiens. Of more immediate concern, tests for genetic susceptibility to disease in one's self and one's offspring have been developed, thereby generating questions about employment and insurance discrimination, selective abortion, and adverse impacts on self-identity and well-being.

2001 ◽  
Vol 19 (1) ◽  
pp. 3-28 ◽  
Author(s):  
DIANA TAYLOR ◽  
NANCY WOODS

In this first chapter, we trace the historical roots of nursing research and scholarship focused on protecting and promoting women’s health. Beginning with Florence Nightingale, modern nursing’s first researcher, who focused on the health impact of women’s daily lives through her detailed observations of human behavior. More recently, nursing’s contributions to women’s health over the past 30 years have redefined women’s health, proposed new frameworks for understanding women’s health; provided reviews of the women’s health literature across disciplines; developed communities of nurse scholars and researchers focused on new areas of women’s health research; generated and expanded the knowledge base for women’s health practice and education; promoted a global view of women’s health; and proposed new models for women’s health care delivery. Clearly, a community of nursing scholars, developed over the past 25 years, has contributed to advancing women’s health knowledge and improving the health and well-being of women. Without the benefit of a crystal ball, we suggest that nursing will continue to provide leadership in the conduct and the application of research to improve women’s health and women’s lives.


Author(s):  
Matthew H. Bonds ◽  
Andres Garchitorena ◽  
Paul E. Farmer ◽  
Megan B. Murray

Over the past two decades, the global health agenda has increasingly embraced the concept of sustainable development in pursuit of solutions at the “systems” level. A central challenge is that the relevant social, economic and biophysical systems that influence human health and well-being operate at difference spatial and temporal scales and scopes of problem solving. Here, we explore three interconnected self-reinforcing systems of central importance to planetary health: the ecology of poverty, the ecology of disease, and systems of health care delivery. We frame these issues to inform how practical interventions can be implemented and studied to create practical systems-level change at the ground level and establish methods for evaluating that change and produce transferable knowledge for scaling or replication.


Author(s):  
Anthony McMichael

What Does the Story about human experiences of past natural cli­matic changes tell us in broad terms? At the least it points to the types of risks to the health, survival, and social stability of diverse populations likely to result from this century’s human- driven climate change. This chapter and the next look to that future, and to how humankind might avert the looming environmental and social crises. In preparation, pa­leoclimatologist Raymond Bradley argues that we should seek “insight into the nature and magnitude of past regional [climatic] anomalies and their human impacts by examining the Holocene paleoclimate record.” This chapter asks whether there are discernible patterns in the long story of past climate change and population health adversity. Have particular conditions and factors determined vulnerability to those ad­verse impacts? On this basis, how vulnerable are today’s populations, rich and poor, tropical and polar, to the climatic stressors and associ­ated risks anticipated in this twenty- first century? An overview of the Holocene’s 11,000- year climatic experience, a mere sliver of the total Homo sapiens experience of climate variation, provides a good entry point. This latest of the nine interglacial periods during the past million years has been the one in which anatomically and behaviorally modern humans began exerting increasing control over the environment and its carrying capacity by shifting toward growing crops, herding animals, managing water flows, and building settlements. That agriculturally based era is shown near the top right in Figure 10.1, a moment in geological time. Throughout the Holocene, the climate was, as ever, naturally variable, and the gods of rain, sun, wind, and warmth held great sway over harvests, hunger, and viability. We will summarize here the main points from earlier chapters as the basis for a discussion of patterns in the past which may point to future vulnerability and implications for human well- being. The Holocene has been a period of relative climatic constancy, with an average global surface temperature of 15oC Changes in temperature and rainfall spanning several centuries have occurred, as have many shorter- term fluctuations.


2019 ◽  
Vol 13 (1-2) ◽  
pp. 95-115
Author(s):  
Brandon Plewe

Historical place databases can be an invaluable tool for capturing the rich meaning of past places. However, this richness presents obstacles to success: the daunting need to simultaneously represent complex information such as temporal change, uncertainty, relationships, and thorough sourcing has been an obstacle to historical GIS in the past. The Qualified Assertion Model developed in this paper can represent a variety of historical complexities using a single, simple, flexible data model based on a) documenting assertions of the past world rather than claiming to know the exact truth, and b) qualifying the scope, provenance, quality, and syntactics of those assertions. This model was successfully implemented in a production-strength historical gazetteer of religious congregations, demonstrating its effectiveness and some challenges.


Author(s):  
Robert Klinck ◽  
Ben Bradshaw ◽  
Ruby Sandy ◽  
Silas Nabinacaboo ◽  
Mannie Mameanskum ◽  
...  

The Naskapi Nation of Kawawachikamach is an Aboriginal community located in northern Quebec near the Labrador Border. Given the region’s rich iron deposits, the Naskapi Nation has considerable experience with major mineral development, first in the 1950s to the 1980s, and again in the past decade as companies implement plans for further extraction. This has raised concerns regarding a range of environmental and socio-economic impacts that may be caused by renewed development. These concerns have led to an interest among the Naskapi to develop a means to track community well-being over time using indicators of their own design. Exemplifying community-engaged research, this paper describes the beginning development of such a tool in fall 2012—the creation of a baseline of community well-being against which mining-induced change can be identified. Its development owes much to the remarkable and sustained contribution of many key members of the Naskapi Nation. If on-going surveying is completed based on the chosen indicators, the Nation will be better positioned to recognize shifts in its well-being and to communicate these shifts to its partners. In addition, long-term monitoring will allow the Naskapi Nation to contribute to more universal understanding of the impacts of mining for Indigenous peoples.


2020 ◽  
Vol 11 (01) ◽  
Author(s):  
T. Lakshmanasamy ◽  
K. Maya

Most often the social comparison or relative income hypothesis has been used as an explanation for the lack of systematic relationship between income and happiness, using the ordered probit regression method. The identification of relevant reference group and the estimation of the differential effects of comparison income have been controversial. To overcome these twin issues, this paper uses an ordinal comparison income approach based on rich/poor dichotomy and rank income. The rank income of an individual is defined as his relative position in the income distribution within the reference group and the average income of the reference group is used to define the rich/poor classification. The differential effects of ordinal incomes across life satisfaction distribution is estimated by the panel fixed effects ordered profit regression model using the WVS data for India. The estimated results show that ordinal income comparison, rather than cardinal average reference income, is a better predictor of life satisfaction levels. Raising income level is relatively important for less satisfied people while increasing rank status is important for highly satisfied people in India.


Author(s):  
Gianfranco Pacchioni

About 10,000 years ago, at the beginning of the agriculturalrevolution, on the whole earth lived between 5 and 8 million hunter-gatherers, all belonging to the Homo sapiens species. Five thousand years later, freed from the primary needs for survival, some belonging to that species enjoyed the privilege of devoting themselves to philosophical speculation and the search for transcendental truths. It was only in the past two hundred years, however, with the advent of the Industrial Revolution, that reaping nature’s secrets and answering fundamental questions posed by the Universe have become for many full-time activities, on the way to becoming a real profession. Today the number of scientists across the globe has reached and exceeded 10 million, that is, more than the whole human race 10,000 years ago. If growth continues at the current rate, in 2050 we will have 35 million people committed full-time to scientific research. With what consequences, it remains to be understood. For almost forty years I myself have been concerned with science in a continuing, direct, and passionate way. Today I perceive, along with many colleagues, especially of my generation, that things are evolving and have changed deeply, in ways unimaginable until a few years ago and, in some respects, not without danger. What has happened in the world of science in recent decades is more than likely a mirror of a similar and equally radical transformation taking place in modern society, particularly with the advent ...


Author(s):  
Virginia L. Warren

This chapter explores the concept of moral disability, identifying two types. The first type involves disabling conditions that distort one’s process of moral reflection. Examples include the incapacity to consider the long-term future, to feel empathy for others, and to be honest with oneself. A noteworthy example of self-deception is systematically denying one’s own—and humanity’s—vulnerability to the power of others, to accidents, and to having one’s well-being linked to that of others and the eco-system. Acknowledging vulnerability often requires a new sense of self. The second type includes incapacities directly resulting from ‘moral injury’—debilitating, self-inflicted harms when one violates a deeply held moral conviction, even if trying to remain true to another moral value. Examining moral disabilities highlights the moral importance of self-identity. More progress may be made on controversial issues if we discuss who we are, how we connect, and how we can heal.


Author(s):  
Valerie L. Vaccaro

This chapter reviews multidisciplinary research from the fields of consumer behavior, humanistic and positive psychology, music education, and other areas to develop a new Transcendent Model of Motivation for Music Making. One’s “extended self” identity can be defined partly by possessions and mastery over objects, and objects can “complete” the self. Music making involves a person’s investment of “psychic energy,” including attention, time, learning, and efforts, and is a creative path which can lead to peak experiences and flow. Music making can help satisfy social needs, achieve self-actualization, experience self-transcendence, enhance well-being, strengthen spirituality, and improve the quality of life.


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