An Ethical Issue Scale for Community Pharmacy Setting (EISP): Development and Validation

Many problems that arise when providing pharmacy services may contain some ethical components and the aims of this study were to develop and validate a scale that could assess difficulties of ethical issues, as well as the frequency of those occurrences in everyday practice of community pharmacists. Development and validation of the scale was conducted in three phases: (1) generating items for the initial survey instrument after qualitative analysis; (2) defining the design and format of the instrument; (3) validation of the instrument. The constructed Ethical Issue scale for community pharmacy setting has two parts containing the same 16 items for assessing the difficulty and frequency thereof. The results of the 171 completely filled out scales were analyzed (response rate 74.89 %). The Cronbach’s α value of the part of the instrument that examines difficulties of the ethical situations was 0.83 and for the part of the instrument that examined frequency of the ethical situations was 0.84. Test–retest reliability for both parts of the instrument was satisfactory with all Interclass correlation coefficient (ICC) values above 0.6, (for the part that examines severity ICC = 0.809, for the part that examines frequency ICC = 0.929). The 16-item scale, as a self assessment tool, demonstrated a high degree of content, criterion, and construct validity and test–retest reliability. The results support its use as a research tool to asses difficulty and frequency of ethical issues in community pharmacy setting. The validated scale needs to be further employed on a larger sample of pharmacists.     

Comments on “The Ketamine Model of the Near-Death Experience: A Central Role for the N-Methyl-D-Aspartate Receptor”

Although ketamine can induce a state similar to a near-death experience (NDE), there is a striking difference between experiences induced by ketamine used in a recreational context and in an operating room. Ketamine is a noncompetitive antagonist of the N-methyl-D-aspartate receptor, as is ibogaine, the main alkaloid of a shrub used in Central Africa to induce NDEs in a religious context. Ibogaine can also elicit different experiences when used in a hallucinatory context or in initiatic rituals, where a superficial state of coma is induced. These data raise the question of whether the chemically-induced NDE-like experience is related to the use of a particular kind of substance or to a genuine comatose state.     

Book reviews

Techniques of Photostimulation in Biology. Edited by B. H. Crawford. Amsterdam: North-Holland Publishing Company. 1968. Pp. 317. £5 17s.

The Figure-ground Phenomenon in Experimental and Phenomenological Psychology. By Jan C. Bauman. Stockholm: Published by the author. 1968. Pp. 269.

Methods for the the Measurement of Psychological Performance. (IBP Handbook No. 10). By S. Bieshevel. Oxford and Edinburgh: Blackwell Scientific Publications, 1969. Pp. iv + 98. 20s.

Experimental Neuropsychology—A Laboratory Manual. By Benjamin L. Hart. San Francisco. W. H. Freeman and Company. 1969. Pp. 102. £2.

Studies in Cognitive Development. Edited by D. Elkind and J. H. Flavell. London: Oxford University Press. 1969. Pp. xix + 502. 84s.     

Inclined Weight-Loaded Walking at Different Speeds: Pelvis-Shoulder Coordination,Trunk Movements and Cost of Transport

Although studied at level surface, the trunk kinematics and pelvis-shoulder coordination of incline walking are unknown. The aim of this study was to evaluate the speed effects on pelvis-shoulder coordination and trunk movement and the cost of transport (C) during unloaded and loaded (25% of body mass) 15% incline walking. We collected 3-dimensional kinematic and oxygen consumption data from 10 physically active young men. The movements were analyzed in the sagittal plane (inclination and range of trunk motion) and the transverse plane (range of shoulder and pelvic girdle motion and phase difference). The rotational amplitude of the shoulder girdle decreased with load at all speeds, and it was lower at the highest speeds. The rotational amplitude of the pelvic girdle did not change with the different speeds. The phase difference was greater at optimal speed (3 km.hr^?1, at the lowest C) in the loaded and the unloaded conditions. The trunk inclination was greater with load and increased with speed, whereas the range of trunk motion was lower in the loaded condition and decreased with increasing speed. In conclusion, the load decreased the range of girdles and trunk motion, and the pelvis-shoulder coordination seemed to be critical for the incline walking performance.     

Sexual abuse and HIV-risk behaviour among black and minority ethnic men who have sex with men in the UK

Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. It was hypothesised that sexual abuse would predict sexual risk-taking, and that this relationship would be mediated by victimisation and maladaptive coping variables. Four hundred and thirty-two BME MSM completed the survey; 54% reported no sexual abuse and 27% reported sexual abuse. Mann–Whitney tests showed that MSM with a history of sexual abuse reported higher frequency of drug use, and of homophobia and racism than those reporting no prior sexual abuse. A structural equation model showed that the experience of sexual abuse was positively associated with sexual risk-taking and that this relationship was mediated by victimisation variables: frequency of racism and frequency of homophobia and by the maladaptive coping variable: frequency of drug use. The findings can inform the design of psycho-sexual and behavioural interventions for BME MSM.     

Chemosignalling effects of human tears revisited: Does exposure to female tears decrease males’ perception of female sexual attractiveness?

Gelstein et al. reported the results of three experiments suggesting a dampening influence of inhalation of female emotional tears on males’ arousal and perception of female sexual attractiveness, specifically in non-sexual situations. This prompted the hypothesis that crying exerts its influence on others not only via the auditory and visual mode but also via chemosignals. In three studies, we attempted to replicate and extend Gelstein et al.’s findings by including an additional condition with irritant tears, by using pictures of sexually attractive women, and by testing related hypotheses on the pro-social effects of exposure to tears. All three studies, separately or combined in a meta-analysis, failed to replicate the original inhibitory effects of tears. In addition, sniffing tears did not affect measures of connectedness, aggression and pro-social behaviour. It is concluded that the effects of female tears on male arousal and perception of female sexual attractiveness, if any, are very weak at best. Rather, it seems that crying exerts its strong inter-personal effects through the visual and auditory sensory channels.     

East–West European Project: Transforming and Shaping Research Through Collaboration

This article tells the story of the journey made by an international research group of social psychologists in their collaborative projects carried out over a number of years after the collapse of communism in Europe in 1989. The article explores some relations between the aims of research conducted during a period of rapid political, social and economic change in Central and Eastern Europe, and the ways these studies were shaped and transformed through collaboration. It shows how the collaboration of researchers in the team affected the development of theoretical concepts and methodological ideas over the years, as well as how the team learned from mistakes. Collaborative efforts cannot be viewed separately from the content of research. Moreover, this international collaborative research has shown that the relationships between institutional and cultural changes cannot be understood by means of comparing phenomena across different countries but by case studies in individual countries.

Combining finite and infinite elements: Why do we use infinite idealizations in engineering?

Synthese - This contribution sheds light on the role of infinite idealization in structural analysis, by exploring how infinite elements and finite element methods are combined in civil engineering...     

Sexual topologies in the Aristotelian cosmos: revisiting Irigaray’s physics of sexual difference

Irigaray’s engagement with Aristotelian physics provides a specific diagnosis of women’s ontological and ethical situation under Western metaphysics: Women provide place and containership to men, but have no “place of their own,” rendering them uncontained and abyssal. She calls for a reconfiguration of this topological imaginary as a precondition for an ethics of sexual difference. This paper returns to Aristotelian cosmological texts to further investigate the topologies of sexual difference suggested there. In an analysis both psychoanalytic and phenomenological, the paper rigorously traces a teleological and oedipal narrative implicit in the structure of the Aristotelian cosmos, in which desire for the mother is superseded by love for the father. Further, the paper argues that this narrative is complicated by certain other elements in the Aristotelian text—aporias involving the notion of boundary and the relationship between space and time, the fallenness of the feminine, and the ineliminably aleatory qualities of matter. The paper concludes that such elements may provide material for disrupting this teleology of gender, opening onto not merely an ethics of sexual difference, but providing space and place for a proliferation of non-normative, queer, transgender and intersex modes of sexed and gendered subjectivity.     

La musica contemporanea statunitense e i suoi elementi fenomenologici

This article seek to highlight the aspects — explicit or implicit — that indicate the close attention paid by much American musicology of this century to the phenomenological level of musical events or, more generally, of the sound event. Starting from general considerations on American music and some of its protagonists, the article focuses on Elliott Carter, on his poetics, and on his theories expressed in his writings.Carter's compositional choices and his consciousness of the intrinsic complexity they assume theoretically provide a starting point for a phenomenological study of many aspects of compositional experience: from consideration of instrumental language with its structural phenomenological (and historical) implications, to more global evaluation of the centrality of temporal and rhythmic subjects.Carter's music corresponds to the theories of many American phenomenologists of music. This also proves the community of interests evident in United States both in music and phenomenological theories.