This paper presents an overview of the dimensions of unsafe motherhood, contrasting data from economically developed countries with some from developing countries. It addresses many common factors that shape unsafe motherhood, identifying medical, health system and societal causes, including women's powerlessness over their reproductive lives in particular as a feature of their dependent status in general. Drawing on perceptions of Jonathan Mann, it focuses on public health dimensions of maternity risks, and equates the role of bioethics in conscientious medical care (...) to that of human rights in public health care. The microethics of medical care translate into the macroethics of public health, but the transition compels some compromise of personal autonomy, a key feature of Western bioethics, in favour of societal analysis. Religiously‐based morality is seen to have shaped laws that contribute to unsafe motherhood. Now reformed in former colonizing countries of Europe, many such laws remain in effect in countries that emerged from colonial domination. UN conferences have defined the concept of ‘reproductive health’ as one that supports women's reproductive self‐determination, but restrictive abortion laws and practices epitomize the unjust constraints to which many women remain subject, resulting in their unsafe motherhood. Pregnant women can be legally compelled to give the resources of their bodies to the support of others, while fathers are not legally compellable to provide, for instance, bone‐marrow or blood donations for their children's survival. Women's unjust legal, political, economic and social powerlessness explains much unsafe motherhood and maternal mortality and morbidity. (shrink)

I may venture to offer another belated suggestion on the text of Clement.

I may venture to offer another belated suggestion on the text of Clement.

The idiomatic use of ;xs1F24λλ' xs1F24 found in classical writers is familiar in Aristotle; but there is a set of passages for which the ordinary renderings of it fail, and the difficulty is such that the text has been suspected. Bonitz, for instance, Index Aristotelicus, 33b2O, says of two of these passages, Pol. 1257b21, Metaph. 1038a 14, that xs22EFλλxs22EF is enough by itself, or even that xs22EFλλxs22EF without xs1F24 seems required , and it has been proposed in the second of (...) these places to read xs1F96 for xs1F24. It must be contended that the text is sound in all the difficult passages in question. (shrink)

The excellent article in the January number of the Classical Quarterly upon a mistaken interpretation of Philebus 31 c contains the somewhat incorrect statement that this interpretation is the general one: and the article itself is anticipated by a short note in a paper which I published in the Transactions of the Oxford Philological Society for 1881–2. I have nothing to complain of, for it may partly serve me right. Besides, my paper, though duly registered in the Revue de Philologie, (...) is omitted from the index of that periodical; the aforesaid Transactions are out of print, and by some mischance my correction of the wrong rendering did not appear in the last edition of Jowett's Plato, though Jowett intended it should. (shrink)

The excellent article in the January number of the Classical Quarterly upon a mistaken interpretation of Philebus 31 c contains the somewhat incorrect statement that this interpretation is the general one: and the article itself is anticipated by a short note in a paper which I published in the Transactions of the Oxford Philological Society for 1881–2. I have nothing to complain of, for it may partly serve me right. Besides, my paper, though duly registered in the Revue de Philologie, (...) is omitted from the index of that periodical; the aforesaid Transactions are out of print, and by some mischance my correction of the wrong rendering did not appear in the last edition of Jowett's Plato, though Jowett intended it should. (shrink)

In the last number of the Journal of Philology a change of punctuation in Sophist 244 C, together with a new interpretation, is proposed. To this serious exception must be taken; or perhaps not too serious, because the proposal can hardly be due to anything but haste and want of revision.It is not only in disagreement with a familiar idiom, but is easily seen to be inconsistent with the context, which can have barely received attention.The passage is as follows: ξE.

Spermatogenesis is an elaborate process involving both cell division and differentiation, and cell‐cell interactions. Defects in any of these processes can result in infertility, and in some cases these can be genetic in cause. Mapping experiments have defined at least three regions of the human Y chromosome that are required for normal spermatogenesis. Two of these contain the genes encoding the RNA binding proteins RBM and DAZ, suggesting that the control of RNA metabolism is likely to be an important control (...) point for human spermatogenesis. A similar analysis in mice has shown that at least two regions of the mouse Y chromosome are essential for spermatogenesis. Both genetic and reverse genetic approaches have been used to identify mouse autosomal genes required for spermatogenesis. These studies have shown that genes in a number of different pathways are essential for normal spermatogenesis, and also provide putative models of human infertility. (shrink)

PURPOSE: To evaluate the effects of social support on comprehension and recall of consent form information in a study of Parkinson disease patients and their caregivers.DESIGN and METHODS: Comparison of comprehension and recall outcomes among participants who read and signed the consent form accompanied by a family member/friend versus those of participants who read and signed the consent form unaccompanied. Comprehension and recall of consent form information were measured at one week and one month respectively, using Part A of the (...) Quality of Informed Consent Questionnaire .RESULTS: The mean age of the sample of 143 participants was 71 years . Analysis of covariance was used to compare QuIC scores between the intervention group and control group . In the 1-week model, no statistically significant intervention effect was found . However, the intervention status by patient status interaction was statistically significant . In the 1-month model, no statistically significant intervention effect was found . Again, however, the intervention status by patient status interaction was statistically significant . At both time periods, intervention group patients scored higher on the QuIC than did intervention group caregivers, and control group patients scored lower on the QuIC than did control group caregivers.IMPLICATIONS: Social support played a significant role in enhancing comprehension and recall of consent form information among patients. (shrink)

We are printing, by kind permission of the Law Commission, two sections of the report of the Law Commission on injuries to unborn children. This report was the result of a request to the Law Commission by the Lord Chancellor at the time (Lord Hailsham of Saint Marylebone) to advise on `what the nature and extent of civil liability for antenatal injury should be'. The Law Commission followed its usual practice in such circumstances of consulting various bodies and obtaining expert (...) advice on the subject and then embodying the results in a working paper (Working Paper No. 47 - injuries to unborn children) published on 19 January 1973, which preceded their report (Cmnd 5709). Meanwhile a Royal Commission is considering much wider issues of civil liability for injury (including antenatal injury) but the terms of reference for the Law Commission were much narrower and confined to the position of children injured before birth. In the section relating to the present law the report makes it clear that it is probable that liability under the common law already exists. The Scottish Law Commission has also issued a report (Cmnd 5371). They were given different terms of reference and came to somewhat different conclusions. We are printing from this long report the paragraphs discussing the medical background and the summary of recommendations. As will be evident on reading the paragraphs on the medical background to injuries to the unborn child, events are moving very rapidly, particularly in the study of congenital defects and the effects of drugs but the problems of proof present great difficulty. Other causes of injury to the unborn child are better known to the general public: for example, those following the illness, infection and disease of the mother during pregnancy, injury caused in attempted termination of pregnancy and the risks resulting from the mother's condition. The summary of the recommendations sets out very clearly the legal position of the unborn child, as the Law Commission sees it, arising from injury before birth, the final conclusion being that `legislation is desirable'. These extracts from the report, apart from their intrinsic interest, lead on to the paper by Mr Kennedy and Dr Edwards in which they set out their criticisms of it, and provide quick references to the original document. (shrink)

This paper considers some questions related to the determination of epistemic modal domains. Specifically, given situations in which groups of agents have epistemic states that bear on a modal domain, how is the domain best restricted? This is a metasemantic project, in which I combine a standard semantics for epistemic modals, as developed by Kratzer, with a standard story about conversational dynamics, as developed by Stalnaker. I show how a standard framework for epistemic logic can model their interaction. I contend (...) that if groups have epistemic states that bear on the modal domain, as the data suggests, then careful attention must be paid to the method of combination selected for the epistemic states of the individuals within the group. Specifically, there should be some explanation of the flow of information in a group-deliberative setting. Through this study we find a novel explanation of modal disagreement and uptake. (shrink)