The Role of Compassion in Medical Ethics and Its Reintegration in Modern Practice

Compassion has been an integral part of medical ethics since its origins, but as medicine progressed, compassion slowly disappeared from practice. The development of any industry results from many complex factors, but the decline of compassion in medicine can be largely attributed to the evolution of technology and role of medical ethics committees. Change is not always negative, but in this case, medicine neglected one of its foundational principles. This is seen by analyzing the history and progression of medical ethics and its four pillars. Plato and Aristotle defined justice in Greek philosophy, Hippocrates used the concept of non-maleficence in his oaths, the philosophy of John Gregory and Kant brought autonomy into a medical context, and the work of Thomas Percival sought to view medicine a beneficent undertaking. These critical principles were summarized by Joseph Fletcher. Each of these individuals also acknowledged the great role compassion played in medical practice. However, as the medical field developed, its reliance on compassion was in part replaced by a thirst for progress and acting ethics committees. Medicine needs compassion because it was built on compassion. It is not simply an ideal drawn from philosophers, it is a necessity for the wellness of both patients and practitioners

Multi-thermal dynamics and energetics of a coronal mass ejection in the low solar atmosphere

The aim of this work is to determine the multi-thermal characteristics and plasma energetics of an eruptive plasmoid and occulted flare observed by Solar Dynamics Observatory/Atmospheric Imaging Assembly (SDO/AIA). We study an event from 03-Nov-2010 (peaking at 12:20UT in GOES soft X-rays) of a coronal mass ejection and occulted flare which demonstrates the morphology of a classic erupting flux rope. The high spatial, and time resolution, and six coronal channels, of the SDO/AIA images allows the dynamics of the multi-thermal emission during the initial phases of eruption to be studied in detail. The Differential Emission Measure (DEM) is calculated, using an optimised version of a regularized inversion method (Hannah & Kontar 2012), for each pixel across the six channels at different times, resulting in emission measure maps and movies in a variety of temperature ranges. We find that the core of the erupting plasmoid is hot (8-11, 11-14MK) with a similarly hot filamentary "stem" structure connecting it to the lower atmosphere, which could be interpreted as the current sheet in the flux rope model, though is wider than these models suggest. The velocity of the leading edge of the eruption is 597-664 km s$^{-1}$ in the temperature range $\ge$3-4MK and between 1029-1246 km s$^{-1}$ for $\le$2-3MK. We estimate the density (in 11-14 MK) of the erupting core and stem during the impulsive phase to be about $3\times10^9$ cm$^{-3}$, $6\times10^9$ cm$^{-3}$, $9\times10^8$ cm$^{-3}$ in the plasmoid core, stem and surrounding envelope of material. This gives thermal energy estimates of $5\times10^{29}$ erg, $1\times10^{29}$ erg and $2\times10^{30}$ erg. The kinetic energy for the core and envelope is slightly smaller. The thermal energy of the core and current sheet grows during the eruption, suggesting continuous influx of energy presumably via reconnection.Comment: Submitted to A&A: in revisio

Basic Human Factors Task Data Relationships in Aerospace System Design and Development Final Report, Aug. - Dec. 1965

Basic human factors task data relationships in aerospace system design and developmen

Co-morbidity burden in Parkinson’s disease : Comparison with controls and its influence on prognosis

Financial support This study was funded by Parkinson’s UK, the Scottish Chief Scientist Office, NHS Grampian endowments, the BMA Doris Hillier award, RS Macdonald Trust, the BUPA Foundation, and SPRING. The funders had no involvement in the study. Acknowledgements We acknowledge funding for the PINE study from Parkinson’s UK (G-0502, G-0914, G-1302), the Scottish Chief Scientist Office(CAF/12/05), the BMA Doris Hillier award, RS Macdonald Trust, the BUPA Foundation, NHS Grampian endowments and SPRING. We thank the patients and controls for their participation and the research staff who collected data and supported the study database.Peer reviewedPostprintPostprintPublisher PD

Alternate multiple-outer-planet missions using a Saturn-Jupiter flyby sequence

A study has been made of a method for providing more frequent launch opportunities for multiple-planet Grand Tour type missions to the outer solar system. A Saturn-Jupiter flyby sequence was used in the analysis to initiate the mission instead of the normal Jupiter-Saturn sequence. The Saturn-first approach is shown to yield several new launch opportunities following the 1980 cutoff date for Jupiter-first missions. Results are given for various two-planet, three-planet, and four-planet Jupiter-first and Saturn-first missions. A unique five-planet Saturn-first mission and a Saturn-Jupiter flyby which returns to earth are also discussed. Mission performance is evaluated for each flyby technique by comparing Saturn-first and Jupiter-first missions with respect to launch energy requirements, available launch windows, planetary encounter conditions, and total mission times

Flutter Investigation of 60 Degree to 80 Degree Delta-Planform Surfaces at a Mach Number of 7.0

The flutter characteristics of a series of half-span delta surfaces which had leading-edge sweep angles ranging from 60 degrees to 80 degrees were investigated in helium flaw at a Mach number of 7.0 in the Langley hypersonic aeroelasticity tunnel. For each value of sweep angle both wedge and double-wedge airfoil sections were tested at two pitch-axis positions, The models were mounted so that a rigid-body flapping-pitching type of flutter was encountered. Analysis of the results and comparison with theory show that the wedge models are more stable than the corresponding double-wedge models; the pitch-axis location at or near the center of gravity is more stable than the more forward location; the effects of leading-edge sweep angle on the flutter characteristics appear to be small; and an uncoupled-mode piston-theory analysis gave the best agreement with the experimental results