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Liberal Use (liberal + use)
Selected AbstractsBUDDHISM AND NEUROETHICS: THE ETHICS OF PHARMACEUTICAL COGNITIVE ENHANCEMENTDEVELOPING WORLD BIOETHICS, Issue 2 2009ANDREW FENTON ABSTRACT This paper integrates some Buddhist moral values, attitudes and self-cultivation techniques into a discussion of the ethics of cognitive enhancement technologies , in particular, pharmaceutical enhancements. Many Buddhists utilize meditation techniques that are both integral to their practice and are believed to enhance the cognitive and affective states of experienced practitioners. Additionally, Mah,y,na Buddhism's teaching on skillful means permits a liberal use of methods or techniques in Buddhist practice that yield insight into our selfnature or aid in alleviating or eliminating dukha (i.e. dissatisfaction). These features of many, if not most, Buddhist traditions will inform much of the Buddhist assessment of pharmaceutical enhancements offered in this paper. Some Buddhist concerns about the effects and context of the use of pharmaceutical enhancements will be canvassed in the discussion. Also, the author will consider Buddhist views of the possible harms that may befall human and nonhuman research subjects, interference with a recipient's karma, the artificiality of pharmaceutical enhancements, and the possible motivations or intentions of healthy individuals pursuing pharmacological enhancement. Perhaps surprisingly, none of these concerns will adequately ground a reflective Buddhist opposition to the further development and continued use of pharmaceutical enhancements, either in principle or in practice. The author argues that Buddhists, from at least certain traditions , particularly Mah,y,na Buddhist traditions , should advocate the development or use of pharmaceutical enhancements if a consequence of their use is further insight into our self-nature or the reduction or alleviation of dukha. [source] THE THERAPEUTIC EXCEPTION: ABORTION, STERILIZATION AND MEDICAL NECESSITY IN COSTA RICADEVELOPING WORLD BIOETHICS, Issue 2 2007MARÍA CARRANZA ABSTRACT Based on the case of Rosa, a nine-year-old girl who was denied a therapeutic abortion, this article analyzes the role played by the social in medical practice. For that purpose, it compares the different application of two similar pieces of legislation in Costa Rica, where both the practice of abortion and sterilization are restricted to the protection of health and life by the Penal Code. As a concept subject to interpretation, a broad conception of medical necessity could enable an ample use of the therapeutic exception and a liberal use of both surgeries. The practice of therapeutic sterilization has been generalized in Costa Rica and has become the legitimate way to distribute contraceptive sterilization. In contrast, therapeutic abortion is very rarely practiced. The analysis carried out proposes that it is the difference in social acceptance of abortion and sterilization that explains the different use that doctors, as gatekeepers of social morality, make of medical necessity. [source] The World Development Report: concepts, content and a Chapter 12,JOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 3 2001Robert Chambers The World Development Report (WDR) process set new standards for openness and consultation. Its concepts and content are a major advance on its 1990 predecessor. The intention that its concepts and content should be influenced by voices of the poor was partly fulfilled. Conceptually, the VOP findings support the multidimensional view of poverty as ,pronounced deprivation of wellbeing', and the use of income-poverty to describe what is only one dimension of poverty (though this welcome usage is not consistent throughout in the WDR). Two concepts or analytical orientations were not adopted: powerlessness and disadvantage seen as a multidimensional interlinked web; and livelihoods. On content, three areas where the influence fell short were: how the police persecute and impoverish poor people; the diversity of the poorest people; and the significance of the body as the main but vulnerable and indivisible asset of many poor people. A weakness of the WDR is its lack of critical self-awareness. Chapter 11 is self-serving for the International Financial Institutions: it lumps loans with grants as concessional finance; it makes liberal use of the term donor, but never lender; and it does not consider debt avoidance as a strategy. The Report ends abruptly, a body without a head. Its multidimensional view of poverty is not matched by a multidimensional view of power and responsibility. A Chapter 12 is crying out to be written. This would confront issues of professional, institutional and personal commitment and change. It would stress critical reflection as a professional norm, disempowerment for democratic diversity as institutional practice, and personal values, attitudes and courageous behaviour as primary and crucial if development is to be change that is good for poor people. A new conclusion is suggested for the WDR, and a title for the World Development Report 2010. Copyright © 2001 John Wiley & Sons, Ltd. [source] Soil carbon sequestration in China through agricultural intensification, and restoration of degraded and desertified ecosystems,LAND DEGRADATION AND DEVELOPMENT, Issue 6 2002R. Lal Abstract The industrial emission of carbon (C) in China in 2000 was about 1,Pg,yr,1, which may surpass that of the United States (1,84,Pg,C) by 2020. China's large land area, similar in size to that of the United States, comprises 124,Mha of cropland, 400,Mha of grazing land and 134,Mha of forestland. Terrestrial C pool of China comprises about 35,60,Pg in the forest and 120,186,Pg in soils. Soil degradation is a major issue affecting 145,Mha by different degradative processes, of which 126,Mha are prone to accelerated soil erosion. Total annual loss by erosion is estimated at 5,5,Pg of soil and 15,9,Tg of soil organic carbon (SOC). Erosion-induced emission of C into the atmosphere may be 32,64,Tg,yr,1. The SOC pool progressively declined from the 1930s to 1980s in soils of northern China and slightly increased in those of southern China because of change in land use. Management practices that lead to depletion of the SOC stock are cultivation of upland soils, negative nutrient balance in cropland, residue removal, and soil degradation by accelerated soil erosion and salinization and the like. Agricultural practices that enhance the SOC stock include conversion of upland to rice paddies, integrated nutrient management based on liberal use of biosolids and compost, crop rotations that return large quantities of biomass, and conservation-effective systems. Adoption of recommended management practices can increase SOC concentration in puddled soil, red soil, loess soils, and salt-affected soils. In addition, soil restoration has a potential to sequester SOC. Total potential of soil C sequestration in China is 105,198,Tg,C,yr,1 of SOC and 7,138,Tg,C,yr,1 for soil inorganic carbon (SIC). The accumulative potential of soil C sequestration of 11,Pg at an average rate of 224,Tg,yr,1 may be realized by 2050. Soil C sequestration potential can offset about 20 per cent of the annual industrial emissions in China. Copyright © 2002 John Wiley & Sons, Ltd. [source] Minimally Invasive Thyroidectomy: Basic and Advanced TechniquesTHE LARYNGOSCOPE, Issue 3 2006David J. Terris MD Abstract Objective: Minimal access surgery in the thyroid compartment has evolved considerably over the past 10 years and now takes many forms. We advocate at least two distinct approaches, depending on the disease process and multiple patient factors. The technical aspects are explored in depth with liberal use of videographic demonstration. Methods: The authors conducted a comparison of two distinct surgical techniques with photographic and videographic documentation of two distinct minimal access approaches to the thyroid compartment termed minimally invasive thyroidectomy (MITh) and minimally invasive video-assisted thyroidectomy (MIVAT). Both historic and previously unpublished data (age, gender, pathology, incision length, and complications) are systematically analyzed. Results: Patients who underwent minimally invasive thyroidectomy (n = 31) had a mean age of 39.4 ± 10.7 years; seven were male and 24 were female. The most common diagnosis was follicular or Hürthle cell adenoma (29%), followed by papillary or follicular cancer (26%). The mean incision length was 4.9 ± 1.0 cm. One patient developed a hypertrophic scar and one patient developed thrombophlebitis of the anterior jugular vein. There were 14 patients in the MIVAT group with a mean age of 43.7 ± 11.4 years; one was male and 13 were female. The majority of patients had follicular adenoma (42.9%) or papillary carcinoma (21.4%) as their primary diagnosis. The mean incision length was 25 ± 4.3 mm (range, 20,30 mm), and there were no complications. Conclusions: Two distinct approaches to minimal access thyroid surgery are now available. The choice of approach depends on a number of patient and disease factors. Careful patient selection will result in continued safe and satisfactory performance of minimally invasive thyroid surgery. [source] Prognostic factors in the surgical treatment of patients with oral carcinomaANZ JOURNAL OF SURGERY, Issue 1-2 2009Rajan S. Patel Abstract The aim of the study was to analyse the clinical outcome of patients treated surgically for oral carcinoma. A retrospective cohort study was undertaken of 356 patients with oral cavity cancer whose clinicopathological information had been collected prospectively onto a dedicated head and neck database. Disease recurrence and survival were assessed. Neck metastases occurred in 42% of patients. Tumour thickness (both 2 and 5 mm) predicted the presence of nodal metastases. Both pathological T stage (P < 0.001) and tumour thickness cut-off of 5 mm (P = 0.03) were independent predictors of disease-specific survival. With a median follow up of 41 months, overall survival at 5 years was 59% and disease-specific survival was 73%. Patients with thick tumours have a high risk of nodal metastases and this supports the liberal use of elective selective neck dissection in patients with clinically negative necks. [source] | |||||||||||||