L. Johnson

There is little information about the content of ethics consultations in pediatrics. We sought to describe the reasons for consultation and ethical principles addressed during EC in pediatrics through retrospective review and directed content analysis of EC records at St. Jude Children's Research Hospital. Patient-based EC were highly complex and often involved evaluation of parental decision making, particularly consideration of the risks and benefits of a proposed medical intervention, and the physician's fiduciary responsibility to the patient. Nonpatient consultations provided guidance in the development of institutional policies that would broadly affect patients and families. This is one of the few existing reviews of the content of pediatric EC and indicates that the distribution of ethical issues and reasons for moral distress are different than with adults. Pediatric EC often facilitates complex decision making among multiple stakeholders, and further prospective research is need..

To underscore the moral crisis that plagues liberal democracy, the author seeks answers by drawing from both Western and Asian thought in this outstanding analysis in political ethics. Starting with Gamwell's theory, which is grounded on God and offers a common goal for political community and establishes a firm ground for morality and political ethics the author advances and reformulates Gamwell's theory, using the insights and resources provided by Gandhi bringing a global dimension to this original critique.

Race Matters, Animal Matters challenges one of the grand narratives of African American studies: that African Americans rejected racist associations of blackness and animality through a disassociation from animality. Analyzing canonical texts written by Frederick Douglass, Charles Chesnutt, Ida B. Wells, and James Weldon Johnson alongside slaughterhouse lithographs, hunting photography, and sheep "husbandry" manuals, Lindgren Johnson argues instead for a critical African American tradition that at pivotal moments reconsiders and recuperates discourses of animality weaponized against both African Americans and animals. Johnson articulates a theory of "fugitive humanism" in which these texts fl ee both white and human exceptionalism, even as they move within and seek out a humanist space. The focus, for example, is not on how African Americans shake off animal associations in demanding recognition of their humanity, but on how they hold fast to animality and animals in making such a move, revising "the human" itself as they go and undermining the binaries that helped to produce racial and animal injustices. Fugitive humanism reveals how an interspecies ethics develops in these African American responses to violent dehumanization. Illuminating those moments in which the African American canon exceeds human exceptionalism, Race Matters, Animal Matters ultimately shows how these black engagements with animals and animality are not subsequent to efforts for racial justice -- a mere extension of the abolitionist or antilynching movements-- but, to the contrary, are integral to those efforts. This black- authored temporality challenges widely accepted humanist approaches to the relationship between racial and animal justice as it anticipates and even critiques the valuable insights that animal studies and posthumanism have to offer in our current moment. aking such a move, revising "the human" itself as they go and undermining the binaries that helped to produce racial and animal injustices. Fugitive humanism reveals how an interspecies ethics develops in these African American responses to violent dehumanization. Illuminating those moments in which the African American canon exceeds human exceptionalism, Race Matters, Animal Matters ultimately shows how these black engagements with animals and animality are not subsequent to efforts for racial justice -- a mere extension of the abolitionist or antilynching movements-- but, to the contrary, are integral to those efforts. This black- authored temporality challenges widely accepted humanist approaches to the relationship between racial and animal justice as it anticipates and even critiques the valuable insights that animal studies and posthumanism have to offer in our current moment.

For many immigrants to the United States, between 1892 and 1924, admission was contingent upon a medical inspection at an immigration centre, such as the one located at Ellis Island in the harbour of New York City. Much like passing through customs or security at airports today, these medical inspections were dreaded by immigrant travellers, and United States Government and Public Health Service publications show that these medical inspections were escalating in intensity and emphasis during the early twentieth-century. The purpose of the PHS inspections becomes especially evident when looking at the gender considerations, or lack thereof, which arose during medical inspections at Ellis Island. A gender analysis of the PHS medical inspections, examined through the use of oral histories and photographs, provides a window into understanding the primary concern of the United States Public Health Service.

This research calls for attention to complexity theory and the integration of complexity methodologies in policy research. A complexity approach in research practice requires a systems worldview and recognition of non-linearity, networks, self-organization, emergence, and feedback in policy. Simply, if a phenomenon is complex and can be explored from varied contexts and scales, the conceptual frame, and the methodical approach should be able to address the complexity. Complexity science has the capacity to account for complexity in varied contexts, on varied scales, and with an interrelated and interdependent environment. Further, if policy systems are at times simple, complicated, complex, and chaotic, then complexity mythologies combined with traditional qualitative and quantitative methods can bring to light the workings of the elusive black box. Complexity allows for triangulation of both linear and non-linear methodologies integrating qualitative, quantitative, network analysis, and agent-based models, as well as other methodologies. Complexity science is not the panacea to solve all policy problems with perfection. But if you do not acknowledge the complexity you will be missing out on the opportunity to shape patterns of sustainability, to effectively manage complex policy problems to someday solve them.

This volume provides an easily understood presentation of Roy's Adaptation Model of nursing theory which views the person as a biopsychosocial being in constant interaction with the changing environment. Roy believes nursing is needed when unusual stressors or weakened coping mechanisms make the person's usual attempts to cope ineffective. The goal of nursing is thus to promote the adaptation of the patient, leading to a higher level of wellness. Roy's model has been a guiding influence on numerous critical care research studies.