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The need for organs to transplant is clear. Due to the lack of transplants, people suffer, they die, and the cost of taking care of them until they die is huge. There is general agreement that it would be good to increase the supply of organs in order to meet the demand for organ transplantation.
The present paper reports findings from a controlled large-scale (N = 1018) experimental study investigating how four different gender-fair forms influenced native French speakers’ estimated percentage of women compared to the masculine form (interpretable as generic) in 22 non-stereotyped French role nouns. The findings show that the masculine form generated lower perceived percentages of women compared to all other tested forms. In addition, gender-neutral and double forms were found equally efficient in resolving the male bias induced by the masculine form. Since the role nouns were non-stereotyped in terms of gender, these results suggest that the actual form of a role noun has indeed a strong influence on how the gender ratio of that role noun will be perceived. Moreover, the direction of the questionnaire’s response scale had a significant effect on the results, which entails methodological implications for future research. Finally, the provided ratios can be used for future studies investigating French role nouns in different gender-fair forms. In sum, our study suggests that gender-fair forms in French are an efficient tool for increasing the visibility of women, at least in nouns representing non-stereotypical activities.
The demand for liver transplants continues to far exceed the number of available viable donor organs; hence, it is of utmost importance to determine those individuals who are best able to care for these valuable, limited resources as potential recipients. At the same time, psychiatric comorbidity is common in the course of end-stage liver disease and can be mutually complicating. This article focuses on liver transplant candidacy from a psychiatric perspective, using illustrative cases to underscore the foundational facets of medical ethics that serve as the guide to these complex medical and ethical decisions.
Organ trafficking in all its various forms is an international crime which could be entirely eliminated if healthcare professionals refused to participate in or be complicit with it. Types of organ trafficking are defined and principal international declarations and resolutions concerning it are discussed. The evidence for the involvement of healthcare professionals is illustrated with examples from South Africa and China. The ways in which healthcare professionals directly or indirectly perpetuate illegal organ transplantation are then considered, including lack of awareness, the paucity of both undergraduate and postgraduate education on organ trafficking, turning a blind eye, advocacy of organ commercialism, and the lure of financial gain.
In his The Salvation and The Remarks and Admonitions, Avicenna presents a well-known argument for the existence of God as a necessary being by itself. I will suggest, first of all, that the two pivotal notions employed in the argument, namely those of a necessary being by itself and a contingent being by itself, can be construed in different ways, leading to different versions of Avicenna's argument. I then turn to a specific version of the argument which seeks to show that there is at least one independently existing entity. This version constitutes the core of other versions of Avicenna's argument. Next, I shall explore how one might move from the existence of an independently existing entity to that of a necessary being by itself (variously construed). Finally, I will argue that the Avicennian argument for an independently existing entity suffers from a severe problem in that it fails to take account of the possibility of many-to-one causal relation.
In the following interview, philosophers Leonard Fleck and Arthur Ward discuss the latter’s recent experience of being a nondirected kidney donor. The interview took place in the Center for Bioethics and Social Justice at Michigan State University.
Organ shortage is a major survival issue for millions of people worldwide. Globally 1.2 million people die each year from kidney failure. In this paper, we critically examine and find lacking extant proposals for increasing organ supply, such as opting in and opt out for deceased donor organs, and parochial altruism and paired kidney exchange for live organs. We defend two ethical solutions to the problem of organ shortage. One is to make deceased donor organs automatically available for transplant without requiring consent from the donor or their relatives. The other is for society to buy nonvital organs in a strictly regulated market and provide them to people in need for free.
Some people oppose abortion on the grounds that fetuses have full moral status and thus a right to not be killed. We argue that special obligations that hold between mother and fetus also hold between parents and their children. We argue that if these special obligations necessitate the sacrifice of bodily autonomy in the case of abortion, then they also necessitate the sacrifice of bodily autonomy in the case of organ donation. If we accept the argument that it is obligatory to override a woman’s bodily autonomy for the sake of an unborn child’s survival, we must continue to override the bodily autonomy of parents to ensure the survival of their living children, until the parent no longer has a special obligation to their child to the same degree as their special obligation to the fetus. And if the life of a child is truly more important than the bodily autonomy of its parents, as must be the case to force women to carry unwanted pregnancies to term, this should remain true until such a time that their children are no longer considered their responsibility. Thus, parity of reasoning suggests that policies compelling the gestation of a fetus should be accompanied by policies compelling organ donation.
As a transplant surgeon at California Pacific Medical Center in San Francisco, I cannot forget those cases where I faced forks in the road and had to decide whether the right direction lay in the well-charted direction of objective metrics or immeasurable feelings of intuition. I carry those cases with me still.
Organs for transplantation are a scarce resource. Markedly, the transplant community’s primary challenge is the stark disparity between the number of patients awaiting deceased donor organ transplants and the rate at which organs become available. However, the allocation of a limited number of organs poses another constant challenge: maintaining an equilibrium between renal transplant utility and equity, that is, striking a balance between the utilitarian argument of medical efficiency and the principle of equity. In this comprehensive overview, the authors delve into the challenge of maintaining an acceptable balance between equity and efficiency and elaborate on some of the factors that might inform a decisionmaker’s evaluation of the extent to which a given allocation scheme is efficient or equitable.
The syntax of Clitic Left Dislocation (CLLD) has been widely debated due to its mixed properties, which in some cases indicate movement (e.g. island sensitivity, certain connectivity effects) and in other cases base generation of the CLLD-ed phrase (wide scope, lack of weak crossover). In this paper we discuss scope facts with CLLD in Greek, revealing a contrast depending on the type of quantifier. We present experimental evidence that whereas CLLD-ed plain indefinites take wide scope, CLLD-ed numerals can get a low scope interpretation. We argue that the inverse scope interpretation with CLLD-ed numerals is only apparent, presenting, in fact, an instance of split scope between the degree quantifier and the existential operator. This analysis presents evidence in favor of a movement analysis for CLLD, thus patterning with the observation that binding reconstruction is possible. At the same time, the non-availability of scope reconstruction with CLLD is attributed to stricter locality constraints which have been discussed for quantifier raising as opposed to other types of movement and dependencies.
This article studies the interactions of travelling musicians with the Russian court and aristocracy from the 1830s to the 1870s. Drawing on a broad corpus of memoirs, travel reports and personal documents of musicians who visited St Petersburg and Moscow in the course of their careers, it discusses the courtly dimensions of the Italian Opera; the role of the aristocracy and court in the organization of concert life under Nicholas I (r. 1825–1855); the relevant changes and continuities under Alexander II (r. 1855–1881), when concert life would undergo rapid professionalization; and finally, the symbolic dimensions of the rewards offered by the Russian elites.
The persistent significance of imperial and noble recognition in this period, it is argued, added considerably to Russia's appeal for foreign musicians. Many visitors developed a positive, reciprocal relation with the Russian regime and its elites, even if the values, hierarchies and traditions of the autocratic regime could be at odds with the social status and sense of independence of successful performers. In musical discourse, reports of musicians’ visits circulated an image of Russia – an urban image of luxury, refinement and high society – that contrasted with the stereotype of wild and barbarous expanses that have so far attracted most attention in music historiography; and their descriptions of the imperial court and family tended to match the image – of imposing authority and benevolence – the Romanov monarchy sought to project.
Organ donation after brain death has been practiced in China since 2003 in the absence of brain death legislation. Similar to international standards, China’s brain death diagnostic criteria include coma, absence of brainstem reflexes, and the lack of spontaneous respiration. The Chinese criteria require that the lack of spontaneous respiration must be verified with an apnea test by disconnecting the ventilator for 8 min to provoke spontaneous respiration. However, we have found publications in Chinese medical journals, in which the donors were declared to be brain dead, yet without an apnea test. The organ procurement procedures started with initiating “intratracheal intubation for mechanical ventilation after brain death,” indicating that a brain death diagnosis was not performed. The purpose of the intubation was not to resuscitate the patient but rather was directly related to facilitating the explantation of organs. Moreover, it was unmistakably stated in two of these publications that the cardiac arrest was induced in these patients without brain death determination by cold St. Thomas cardioplegic solution or other cold myocardial protection solutions. This means that the condition of these donors neither met the criteria of brain death nor that of cardiac death. In other words, the “donor organs” may well have been procured in these cases from living human beings. Thus, brain death definition is abused in China by some individuals for organ harvesting, and a systematic investigation is needed to clarify the situation of organ donation after brain death in China.
Cet article propose une méthode de classification sémantique des noms qui repose sur l’application de tests distributionnels. Sont présentées 14 classes sémantiquement simples regroupées en trois pôles : (i) les noms dénotant des entités (comme cerf, pont, table), (ii) les noms dénotant des situations (comme promenade, intelligence, délabrement) et (iii) les noms relevant de classes en marge des deux précédentes (comme minute, hypothèse, euro). S’y ajoutent 7 classes complexes permettant de rendre compte du sens hybride que présentent nombre de noms, tel que, par exemple, le nom déposition qui renvoie de manière combinée à une action et à un objet cognitif (Elle a lu la déposition effectuée par le jeune homme). Cette classification permet non seulement d’attribuer aux noms, de manière contrôlée, des types sémantiques linguistiquement pertinents, mais également de traiter les différents cas de noms à sens multiples (homonymie, polysémie, hybridité).
In this paper, the author describes her personal experiences with liver disease and the challenges both before and after receiving an organ transplant. She describes how organs are currently allocated and offers her perspective on what fairness entails in situations where organs fail and patients need multiple organs.