scholarly journals You Are the Perfect Age: An Inquiry into Surgical Ethics during the Arc of a Career

2019 ◽  
Vol 22 (1) ◽  
pp. E050-E056
Author(s):  
Curt G Tribble

There is an old saying that history only makes sense in retrospect. I am sure that I am as susceptible to this adage as any other person. However, I will tell the story of my long history as an amateur medical ethicist, which is, to this day, how I would describe myself. My interest in the ethics of medicine, particularly as these ethical principles apply to interventions or procedures, started at a young age, fairly frequently going to the hospital with my father, a General and Thoracic Surgeon. I think that I found myself agreeing to accompany him, when invited, presuming that doing so would be a chance to spend some time with my dad, who was, throughout my childhood, either a surgical resident or a busy practicing surgeon. I will admit that I probably also figured that, at least late at night on the way home, we would stop by some establishment where we could get burgers and fries. However, I will start my reminiscences and reflections on these issues with a more recent story, as it prompted me to think back on my perceptions of those experiences of my youth.

2020 ◽  
Vol 15 (4) ◽  
pp. 467-480
Author(s):  
Eric Fruchart ◽  
Patricia Rulence-Pâques ◽  
Cantisano Nicole

The study’s objective was to map ethical positions with regard to the way in which 219 participants (45 non-athletes, 91 amateur athletes, 28 professional athletes, 17 amateur coaches, 8 professional coaches, and 30 physiotherapists) used various informational cues (an athlete’s indispensability for the team, the importance of the competition, the opinion given by sports medicine professionals, and the injured athlete’s attitude) to judge the acceptability of a coach’s decision to select (or not) an injured athlete just before a competition. The participants specified their judgment of acceptability in 16 scenarios created by combining these information cues under two conditions (selection and non-selection). The data were analyzed using cluster analyses, analyses of variance, and chi-squared tests. We found four clusters. Not selecting an injured athlete was always judged to be acceptable. The four clusters differed in terms of the type of role in sport and the level of acceptability of selecting an injured athlete. A coach’s decision with regard to an athlete’s health may be judged differently, according to the rater’s profile. Enabling athletes to compete while injured might violate ethical principles. Coaches and medical staff should also be aware of and understand their legal responsibilities.


2017 ◽  
Vol 7 (6) ◽  
pp. 221
Author(s):  
Sharipah Nur Mursalina Syed Azmy

This paper discusses the use of words and expressions in the metaphorical dialogues used in the film Puteri Gunung Ledang (PGL). The Malays are known for their gentle and amiable characters. These features include the way they speak. This can be observed when they covertly deliver messages in a conversation. The habit of not being straightforward and subtly conveying message are nurtured since a very young age. This act is regarded as a way of being courteous and practiced among themselves or others while communicating. As the result, the Malays often use metaphor in communication to make comparison on matters or things, covertly. Such comparison led to the use of different words comparing other things. Since the life of the Malays is heavily connected to their natural environment, they tend to interpret these elements in their daily use of language. In addition, this study has discovered that the Malays are really close with their natural environment. These relationships were expressed through the use of figurative language with words and phrases that are environment-oriented. The use of words oriented by anatomy, natural environment, flora and fauna, behaviour, jewellery and food is distributed as metaphor in PGL movie. These are the elements related to the natural human environment. In fact, due to this close connection, it was found that the Malays feel comfortable to relate these elements with nature and human behaviour in life.


2019 ◽  
Vol 9 (2) ◽  
pp. 98
Author(s):  
Michiko Maruyama

My doctors said it was impossible... After all the radiation and chemotherapy, I was told that I would not be able to have children. We searched for a surrogate, we looked into adoption… it seemed so hopeless and then, it happened. I was a bit nervous to tell my program because I am the first University of Alberta cardiac surgery resident to become pregnant. I did not expect their response, “Michiko, our job is to create excellent surgeons. Being an excellent surgeon does not just include being technically skilled. It involves being well rounded and excelling at all areas of life. If part of your life involves being a mother and having a family, then we are here to support and encourage you all the way.” I am proud to share that I am the mother of a beautiful baby boy. "Welcome to Motherhood” is an illustrative photograph that represents my experience as a surgical resident and, at the time, a soon to be mother. I am the first cardiac surgery resident at the University of Alberta to become pregnant. I am so thankful to my program for all their support and encouragement throughout my pregnancy and after, when I entered motherhood. The relevance to cardiovascular science is that I feel it is important to acknowledge my cardiac surgery programs response to my pregnancy announcement. In a male dominated field with no experience of pregnant trainees, they did an incredible job to support and encourage me along the way.


2019 ◽  
Vol 12 (2) ◽  
pp. 179-194
Author(s):  
Shih-Wen Sue Chen

Chih-Yuan Chen is one of Taiwan's most successful picturebook author–illustrators, having won international recognition for his books, which have been translated into many languages. In Taiwan, several of Chen's works have been repackaged as bilingual books, highlighting the way publishers' marketing strategies are attuned to the desire of Taiwanese parents to help their children learn English from a young age. Even for distinguished creators such as Chen, however, this process is not straightforward. Using a combination of comparative analysis and picturebook theory, this article examines how the relationship between words and pictures has been changed in English translations of two of Chen's picturebooks. Such changes are inconsistent and problematic: bilingual editions contain omissions that raise questions about attitudes toward the function and purpose of dual language books, and the formatting and packaging of bilingual editions privilege verbal text over visual text.


Author(s):  
Sanne Akkerman

This chapter discusses the way in which imagination is key to being and learning at school, given the fact that education is inherently oriented to that which is, for a large part, outside and beyond it. First, attention will be given to students’ life-wide imagination across parallel participations outside the educational context, showing how education is not isolated from other domains of life. Second, lifelong imagination is discussed as a process by which students narrate the past and anticipate the future; specifically at stake are the successive choices that students are required to make, often starting at a relatively young age during secondary education. Referring to existing studies on identity development and interest research, it is argued that the imaginary work of students is a plausible but also essential way to determine their own pathways, even in partly restricted educational settings.


1969 ◽  
Vol 22 (1) ◽  
pp. 60-77
Author(s):  
I. G. Whitchurch

In the Apology Socrates moves immediately to focus the issue: ‘Let the witness speak the truth and the judge decide with equity.’ Truthfulness is an implied claim in every kind of judgment we make, even as justice raises a norm for living at its best. These inseparables shadow our every decision within the knowing process. A scrupulous honesty in thinking is as necessary for the natural scientist as for the ethicist. That common necessity is too often slighted, but the cost is never reduced. In one way or another this kind of conscience identifies us all. Every caricature of it proportionately restricts the prime conditions for human advance. One of the commonest ways of distorting the situation is to confuse morals with morality, transient ideas about the right and the good with valid ethical principles. Both suneidēsis and conscio put descriptive conditions within a moral value-context as the pivotal point of experience. Here truthfulness sets conditions for weaving judgments together and a moral climate guarantees integrity in the product. If this idea has validity, the perennial problem concerns keeping the way open for a genuine forum on conscience in its efforts to epitomise the thinking process at its highest reach. At this point our intellectual climate contributes special difficulties.


Britannia ◽  
2016 ◽  
Vol 47 ◽  
pp. 31-42 ◽  
Author(s):  
Laurens E. Tacoma ◽  
Tatiana Ivleva ◽  
David J. Breeze
Keyword(s):  

AbstractThis article discusses a not well-known funerary monument commemorating a centurion of British descent. IGLS 13.1.9188 records the centurion, T. Quintius Petrullus, ‘from Britain’, of the Third Cyrenaican Legion, who died aged 30 at Bostra in Arabia. This was a young age for a centurion and the article suggests that he had entered the army by a direct commission rather than risen through the ranks. Accordingly, he is likely to have belonged to a high-status family. The Bostra appointment was probably his first. The appointment is put into context alongside other similar equestrian career paths and the Jewish War during the reign of Hadrian is proposed as a possible occasion for the posting. In addition, the article examines this Briton alongside other Britons abroad.


2021 ◽  
pp. 279-299
Author(s):  
Katarzyna Flader-Rzeszowska

The inspiration that Tadeusz Kantor drew from the works by Schulz can be seen in many of his theatre performances. Like he did with Gombrowicz, Kantor never used one specific work to be staged in his theatre. The Dead Class is a piece where one can find influences by Witkacy, Gombrowicz and Schulz – probably the three most important writers for Kantor. In this article, I discuss the way Schulz, with his short story A Pensioner, is handled in the ‘Cricot 2’ performance. Even though many studies concerning this performance have been written and the connections between Kantor and Schulz seem to have been covered, I have not found any study of Dead Class which would indicate any specific references to A Pensioner. In the bruno schulz w umarłej klasie tadeusza kantora article, the following questions are explored: Can Schulz’s protagonist be recognized in the senile, childlike old people from Dead Class? Which passages of the short story were used by Kantor? How differently is the notion of death treated in the short story and in the performance? And finally, why – having been so fascinated with The Cinnamon Shops at a young age – did Kantor come back to Bruno Schulz’s writings only as a mature artist? In the article, I also discuss the strategies utilized by Kantor to adapt the non-theatrical prose for the stage.


Author(s):  
Andrew Douglas

Building on a distinction made by Anne Querrien in “The Metropolis and the Capital” (1986) between “two different ethical principles” and “two different modes of human distribution” associated with urban place, this paper considers the founding, in 1841, of Tāmaki Makaurau /Auckland. Serving as both New Zealand’s capital and its colonial commercial hub, a particularly poignant mixing of metropolitan and state imperatives or solutions can be observed in the town’s establishment, a ‘mixture’ precisely calibrated to head off the systematic colonisation ambitioned by the New Zealand Company for Wellington and other colonial towns in the country. To the extent that both the New Zealand Company and Auckland’s founder, Governor William Hobson, favoured compact townships to better assert a colonial foothold and European hegemony in the colony, their respective solutions are strikingly different. A detailed reading of the largely unrealised ‘Felton Mathew Plan’ for Tāmaki Makaurau /Auckland is undertaken, one that seeks to contextualise the proposal relative to classical romantic European precedents and what can be thought of as epic-lyric sensibility transposed to the Tāmaki Isthmus. It is argued that while the town-making occurring in Auckland’s case effected a territorial inscription other than that intended by Mathew, a lyric-epic sensibility persists to this day, albeit one parceled out according to an emerging governance structure predicated on a broadly applied mercantilism and a colonising mandate run all the way to the psychical level of the city’s citizenry. While the result in Tāmaki Makaurau /Auckland and elsewhere amongst New Zealand’s townships is anything but compact, the problem of a commensurability between the social and topography tackled by Mathew remains an enduring motivator.


2019 ◽  
Vol 3 (28) ◽  
pp. 101
Author(s):  
Jeanneth Salvador Brito ◽  
Lorena Bodero Arízaga

Introduction.Divorce is the dissolution of marriage, this behavior of the couple directly affects the children, even more so when they oscillate four years of age. Emotions in children are violated, affecting them in their actions and acquiring disruptive behaviors; showing aggressive, impulsive and conflicting with their parents, teachers and colleagues. Objective.Analyze the damage that this causes directly to children, in this way hurt feelings and emotions are altered, because their young age does not understand that being separated does not mean that their parents stop "loving". Materials and methods.Field research was used, which helps to determine the possible causes and as a determining factor the effect of the emotional development of children in childhood. To obtain information, instruments were used, such as surveys of parents and an observation card for children, allowing to corroborate that the emotional factor in children is fundamental for their biopsychosocial development. Results.They were tabulated and analyzed. Conclusion. Children of parents divorced children feel affected in their development, which is evident in their behavior, in the way they feel and express their emotions before others.


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