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There is usually a long period of time between infection with the AIDS virus and manifestation of symptoms. Asymptomatic patients often would benefit from elective surgery for diseases such as arthritis which are unrelated to their infection. The surgeons' decisions to accept the risks to themselves, their spouses, and their operating teams in order to relieve pain and suffering appear to be based upon two covenants; one concerns their role within the doctor-patient relationship, and the other concerns their relationship to what they see as the ultimate meaning in life.  相似文献   
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This paper is a general survey of ethical issues related to the artificial heart. It begins by looking at the history of funding of the artificial heart program through the National Institute of Health in 1965. Attention is paid to the problem of the lack of planning related to social, ethical, economic, and legal implications. The paper then deals with three areas of ethical concerns. They are those issues relating to the experimental versus therapeutic benefits, the cost, and public involvement with a private interest.  相似文献   
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Crises are viewed as direct challenges to one's communal patterns of living. The individual response to crisis(-es) is mediated by the grand rituals of the culture. Ritual behaviors are adaptive behaviors. For the religious community, ritual becomes liturgy. Rite-as-liturgy is a profound statement about the meeting of the human and the divine. Ritual behaviors are understood as liturgical and/or sacramental responses to those crises that bring one to the brink of chaos.  相似文献   
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The essay examines the argument advanced by E.D. Hirsch, Jr., for instituting ‘cultural literacy’ as a fundamental priority of schools. A number of confusions and equivocations in Hirsch's reasoning are identified, and the propensity of his project to indoctrinate is exposed. Among the features of Hirsch's argument shown to be troubling are his shifting construal of ‘language’, his inconsistency about the requirements of cultural literacy, and his uncritical relation to traditional images of the American past and present. The upshot is to raise the question why Hirsch's project has elicited wide support and praise.  相似文献   
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How can we explain that an assertion on something perceived can be understood in the same manner by somebody who cannot perceive that scene? This problem bases the interest in computational linguistics in how listener modeling could possibly be harmonized with reference semantics. Mental images substituting real perception appear as a way out. The architecture of the listener model has to be adapted to the creation and use of such pictorial data structures. Furthermore, the relation between the latter and a verbal (i. e., propositional) representation must be understood. The resulting architecture of a listener model with reference semantics can be employed to solve communicational problems from three general classes in a better way, as is demonstrated by an example implementation.  相似文献   
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In this study we compare the spiritual well-being and need of healthy and ill parishioners, creating data that pastors can use as background in assessing pastoral need within their parishes. Three questionnaires generate the data, and the results demonstrate increased need of parishioners in the hospital. Specifically, women hospitalized for problem pregnancies demonstrate statistically more need than healthy parishioners, and these data suggest that pastors should assess their needs carefully. A group of patients who fight their metastasized cancer create scores statistically similar to healthy parishioners. Demographic variables also have an impact on spiritual well-being and need, particularity the parishioner's age and level of education.This research was supported in part by the Section of Graduate Education and Research, the Department of Family Medicine, The Ohio State University, Columbus, Ohio.The PIL and SONG were obtained through the Institute of Logotherapy in Saratoga, California. The Spiritual Well-Being Scale was used with permission of Craig W. Ellison.  相似文献   
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