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When talking about decisionmaking for children with a life-threatening condition, the death of children with brain tumors deserves special attention. The last days of the lives of these children can be particularly harsh for bystanders, and raise questions about the suffering of these children themselves. In the Netherlands, these children are part of the group for whom a wide range of end-of-life decisions are discussed, and questions raised. What does the end-of-life for these children look like, and what motivates physicians and parents to make decisions that may affect the life and death of these children? This article highlights the story of the parents of the sisters Roos and Noor. When both their daughters were diagnosed with a hereditary brain tumor, they had to make similar decisions twice. Their story sheds light on the suffering of children in the terminal phase, and how this suffering may motivate parents and physicians to make decisions that influence the end of life of these children’s lives.
We argue that complete knowledge about suffering in the terminal phase of children with brain tumors is impossible. However, by collecting experiences like those of Roos and Noor, we can move toward an experienced-based understanding and better guide parents and physicians through these hardest of decisions.
In the Netherlands, euthanasia has been decriminalized. Termination of life on request and assisted suicide are criminal offences under Dutch law; but if physicians comply with the due care requirements of the Euthanasia Act and report their actions in the manner prescribed by law, they will not be prosecuted. One of the requirements relates to the act of euthanasia itself. If this is to be performed with due medical care, the physician relies on the services of a pharmacist. However, the responsibilities of the pharmacist with respect to euthanasia are not laid down in law. At present, Dutch pharmacists have to make do with professional rules that do not offer adequate solutions for the problems that may arise when euthanasia is performed.
In “Medical Ethics: Common or Uncommon Morality,”1 Rosamond Rhodes defends a specialist view of medical ethics, specifically the ethics of physicians. Rhodes’s account is specifically about the ethics of medical professionals, rooted in what these professionals do. It would seem to follow that other healthcare professions might be subject to ethical standards that differ from those applicable to physicians, rooted in what these other professions do, but I leave this point aside for purposes of this commentary. Rhodes’s view includes both a negative and a positive thesis. The negative thesis is that precepts in medical ethics—understood as the ethics of physicians—cannot be derived from principles of common morality. The positive thesis is two-fold: that precepts in medical ethics must be derived from an account of the special nature of what physicians do, and that this account is to be understood through an overlapping consensus of rational and reasonable medical professionals. While I agree emphatically with, and have learned a great deal from, Rhodes’s defense of the negative thesis, I disagree with both claims in Rhodes’s positive thesis, for reasons I will now explain after a brief observation about the negative thesis.
Rather than being a neutral phenomenon, the authors propose that medical school donations should be viewed as a social good for advancing education and improving healthcare. Seen in this light, they aim to offer a framework for analysis that will be useful to medical institutions and their stakeholders in addressing proposed donations from contentious or divisive sources, and in managing those donations that subsequently appear controversial.
Marije Brouwer et al. contend that collecting treatment experiences of newborns with life-threatening conditions can support both caregivers and parents in making difficult end-of-life decisions. They illustrate the importance of that understanding by narrating the heartbreaking story of the sisters Roos and Noor, two newborns in the last stage of their lives.1
A middle-aged woman had a massive stroke and would be dead within hours. The husband was in the ER waiting room. I took him aside and explained the grim prognosis. He paused, his expression blank, his lips searching for something to say. Finally, he blurted out, “I think I’ll go home and take a shower.”
Collecting seeds and specimens was an integral aspect of botany and natural history in the eighteenth century. Historians have until recently paid less attention to the importance of collecting, trading and compiling knowledge of their cultivation, but knowing how to grow and maintain plants free from disease was crucial to agricultural and botanical projects. This is particularly true in the case of food security. At the close of the eighteenth century, European diets (particularly among the poor) began shifting from wheat- to potato-dependence. In Britain and Ireland during these decades, extensive crop damage was caused by diseases like ‘curl’ and ‘dry rot’ – leading many agriculturists and journal editors to begin collecting data on potato cultivation in order to answer practical questions about the causes of disease and methods that might mitigate or even eliminate their appearance. Citizens not only produced the bulk of these data, but also used agricultural print culture and participation in surveys to shape and direct the interpretation of these data. This article explores this forgotten scientific ambition to harness agricultural citizen science in order to bring stability and renewed vitality to the potato plant and its cultivation. I argue that while many agriculturists did recognize that reliance upon the potato brought with it unique threats to the food supplies of Britain and Ireland, their views on this threat were wholly determined by the belief that the diseases attacking potato plants in Europe had largely been produced or encouraged by erroneous cultivation methods.
This article reports on the use of the Eighteenth-Century English Phonology Database (ECEP) as a teaching resource in historical sociolinguistics and historical linguistics courses at the University of Sheffield. Pronouncing dictionaries are an invaluable resource for students learning about processes of standardisation and language attitudes during the Late Modern English period (1700–1900), however they are not easy to use in their original format. Each author uses their own notation system to indicate their recommended pronunciation, while the terminology used to describe the quality of the vowels and consonants differs from that used today, and provides an additional obstacle to the student wishing to interrogate such sources. ECEP thus provides a valuable intermediary between the students and the source material, as it includes IPA equivalents for the recommended pronunciations, as well as any metalinguistic commentary offered by the authors about a particular pronunciation. This article demonstrates a teaching approach that not only uses ECEP as a tool in its own right, but also explores how it can be usefully combined with other materials covering language change in the Late Modern English period to enable students to undertake their own investigations in research-led courses.