Theology and the ethics of sex: A study of patristic and medieval writings

This thesis investigates the influence that patristic and medieval theology exerted upon the ethics of sex. We deal first with Tertullian, who argued that a new dispensation of the Holy Spirit required Christians to submit their wills to a discipline in which severe restrictions were placed on sexual relations. Athough Tertullian claimed that these restrictions were implicit in the New Testament, he also sought to justify them by means of metaphysical dualism which opposed the duties of the spirit to those of the flesh. However, the frequency with which he refers to a decline in catholic morality indicates that an important factor in his conception of Christian obligation was anxiety about the preservation of Christian identity in a social environment that was becoming lees hostile to the church. This helps to explain why Cyprian, Ambrose, and Jerome accepted his account of spirituality, even thought they denied that every member of the church had to practise the discipline it involved. The early writings of Augustine reveal that a neo-Platonic conception of moral excellence can allow for a moderate enjoyment of temporal goods, including those that the church associated with marriage. Through experience and theological reflection, however, Augustine began to appreciate the sinfulness of man and the importance of divine grace. When the Pelagians challenged his teaching, then, he was prompted to elaborate a doctrine of original sin which cast aspersion on the sexual desire of man. His theological insights led him to qualify some of the views that others expressed on the subject of chastity but he was able to assure the anxious monks that his conception of divine grace did not conflict with their conception of Christian identity. The monastic version of the Christian life developed from the protest which ascetics had been making against the moral laxity of the church. This confirms our view that patristic and early medieval ethics was designed largely to cope with a crisis of confidence in Christian identity. The monasteries provided the early medieval church with its leadership and so successive generations of the faithful had the ascetic pattern of virtue impressed upon them. An improvement in social conditions led theologians of the High Middle Ages to express new confidence in human reason and greater interest in the temporal prospects of man. Anselm of Canterbury developed a theory of the atonement in which the monastic conceptions of divine justice and human obedience were extended and room was made for an appreciation of the dynamics of historical existence. Hence he found no fault in marriage. Nevertheless, he maintained the superiority of celibacy, partly because the loyalty that celibates gave to the church was an important factor in the power that it wielded over medieval society. The premium that Peter Abelard placed upon human reason led him to challenge many traditional doctrines and practical abuses of the church but it also led him to attack the sensual nature of man. Although he denied that sexual pleasure was intrinsically sinful, then, he went so far as to claim that marriage was an obstacle to salvation. Hugh of St. Victor accepted the Augustinian account of the human predicament but his sacramental view of the world enabled him to discern something of value in marital love. The responsibility that ecclesiastical courts were assuming for matrimonial affairs also gave Hugh the opportunity to emphasize the freedom with which a couple should choose to enter into a relationship of mutual love. The cautions approval that some theologians were now giving to marital sex could not avert the romantic protest against this aspect of Christian ethics. However superficial or idealistic courtly lyrics and romances may have been, they emphatically rejected the theological estimates of woman and sexual love. The thesis concludes with an analysis of the ethical system of Thomas Aquinas. With his knowledge of Aristotle, Thomas was able to appreciate the order that reason could discern in, and impose upon, the world. His doctrine of natural law affirmed both the power of human reason and the goals of social life. However, respect for the authority of the church led him to maintain the traditional view of Christian perfection. Since he also confused the status of medieval woman with natural law and made room for the Augustinian doctrine of original sin, his account of marriage was not as favourable as it might have been. From this analysis we conclude that theological principles did help to determine to patristic and medieval ethics of sex but that the most important factors were sociological

Sulfur isotope and trace element systematics of zoned pyrite crystals from the El Indio Au-Cu-Ag deposit, Chile

We present a comparative study between early, massive pyrite preceding (Cu–Ag) sulfosalt mineralization in high-temperature feeder zones (‘early pyrite’) and late pyrite that formed during silicic alteration associated with Au deposition (‘late pyrite’) at the El Indio high-sulfidation Au–Ag–Cu deposit, Chile. We use coupled in situ sulfur isotope and trace element analyses to chronologically assess geochemical variations across growth zones in these pyrite crystals. Early pyrite that formed in high-temperature feeder zones shows intricate oscillatory zonation of Cu, with individual laminae containing up to 1.15 wt% Cu and trace Co, As, Bi, Ni, Zn, Se, Ag, Sb, Te, Au, Pb and Bi. Late pyrite formed after (Cu–Ag) sulfosalt mineralization. It contains up to 1.14 wt% As with trace Cu, Zn, Pb, V, Mn, Co, Ni, Ge, Se, Ag, Sb, Te, Pb and Bi, as well as colloform Cu-rich growth bands containing vugs toward the outer edges of some crystals. Plotting the trace element data in chronological order (i.e., from core to rim) revealed that Co and Ni were the only elements to consistently co-vary across growth zones. Other trace elements were coupled in specific growth zones, but did not consistently co-vary across any individual crystal. The δ34S of early pyrite crystals in high-temperature feeder zones range from −3.19 to 1.88 ‰ (±0.5 ‰), consistent with sublimation directly from a high-temperature magmatic vapor phase. Late pyrite crystals are distinctly more enriched in δ34S than early pyrite (δ34S = 0.05–4.77 ‰, ±0.5 ‰), as a consequence of deposition from a liquid phase at lower temperatures. It is unclear whether the late pyrite was deposited from a small volume of liquid condensate, or a larger volume of hydrothermal fluid. Both types of pyrite exhibit intracrystalline δ34S variation, with a range of up to 3.31 ‰ recorded in an early pyrite crystal and up to 4.48 ‰ in a late pyrite crystal. Variations in δ34Spyrite at El Indio did not correspond with changes in trace element geochemistry. The lack of correlation between trace elements and δ34S, as well as the abundance of microscale mineral inclusions and vugs in El Indio pyrite indicate that the trace element content of pyrite at El Indio is largely controlled by nanoscale, syn-depositional mineral inclusions. Co and Ni were the only elements partitioned within the crystal structure of pyrite. Cu-rich oscillatory zones in early pyrite likely formed by nanoscale inclusions of Cu-rich sulfosalts or chalcopyrite, evidence of deposition from a fluid cyclically saturated in ore metals. This process may be restricted to polymetallic high-sulfidation-like deposits

Self-reported quality of care for older adults from 2004 to 2011: a cohort study

Background: little is known about changes in the quality of medical care for older adults over time. Objective: to assess changes in technical quality of care over 6 years, and associations with participants' characteristics. Design: a national cohort survey covering RAND Corporation-derived quality indicators (QIs) in face-to-face structured interviews in participants' households. Participants: a total of 5,114 people aged 50 or more in four waves of the English Longitudinal Study of Ageing. Methods: the percentage achievement of 24 QIs in 10 general medical and geriatric clinical conditions was calculated for each time point, and associations with participants' characteristics were estimated using logistic regression. Results: participants were eligible for 21,220 QIs. QI achievement for geriatric conditions (cataract, falls, osteoarthritis and osteoporosis) was 41% [95% confidence interval (CI): 38–44] in 2004–05 and 38% (36–39) in 2010–11. Achievement for general medical conditions (depression, diabetes mellitus, hypertension, ischaemic heart disease, pain and cerebrovascular disease) improved from 75% (73–77) in 2004–05 to 80% (79–82) in 2010–11. Achievement ranged from 89% for cerebrovascular disease to 34% for osteoarthritis. Overall achievement was lower for participants who were men, wealthier, infrequent alcohol drinkers, not obese and living alone. Conclusion: substantial system-level shortfalls in quality of care for geriatric conditions persisted over 6 years, with relatively small and inconsistent variations in quality by participants' characteristics. The relative lack of variation by participants' characteristics suggests that quality improvement interventions may be more effective when directed at healthcare delivery systems rather than individuals

Glucocorticoids Target Ependymal Glia and Inhibit Repair of the Injured Spinal Cord

Following injury, the mammalian spinal cord forms a glial scar and fails to regenerate. In contrast, vertebrate fish spinal cord tissue regenerates significantly to restore function. Cord transection in zebrafish (Danio rerio) initially causes paralysis and neural cell death. Subsequently, ependymal glia proliferate, bipolar glia extend across the lesion, and new neurons are born; axons from spared and nascent neurons extend along trans-lesional glial bridges to restore functional connectivity. Here we report that glucocorticoids, used in the clinical management of spinal cord injury, directly inhibit neural repair by targeting ependymal glia independently of hematogenous cells and microglia. After transecting injury, the glucocorticoid receptor in ependymal glia is regulated differentially in zebrafish (becoming inactive) vs. the rat (becoming active). Glucocorticoid blockade of neural regeneration via a direct effect on ependymal glia has important therapeutic implications for the putative benefit of corticosteroids in early management of spinal cord injury

Population Monte Carlo algorithms

We give a cross-disciplinary survey on ``population'' Monte Carlo algorithms. In these algorithms, a set of ``walkers'' or ``particles'' is used as a representation of a high-dimensional vector. The computation is carried out by a random walk and split/deletion of these objects. The algorithms are developed in various fields in physics and statistical sciences and called by lots of different terms -- ``quantum Monte Carlo'', ``transfer-matrix Monte Carlo'', ``Monte Carlo filter (particle filter)'',``sequential Monte Carlo'' and ``PERM'' etc. Here we discuss them in a coherent framework. We also touch on related algorithms -- genetic algorithms and annealed importance sampling.Comment: Title is changed (Population-based Monte Carlo -> Population Monte Carlo). A number of small but important corrections and additions. References are also added. Original Version is read at 2000 Workshop on Information-Based Induction Sciences (July 17-18, 2000, Syuzenji, Shizuoka, Japan). No figure

A Genomic Pathway Approach to a Complex Disease: Axon Guidance and Parkinson Disease

While major inroads have been made in identifying the genetic causes of rare Mendelian disorders, little progress has been made in the discovery of common gene variations that predispose to complex diseases. The single gene variants that have been shown to associate reproducibly with complex diseases typically have small effect sizes or attributable risks. However, the joint actions of common gene variants within pathways may play a major role in predisposing to complex diseases (the paradigm of complex genetics). The goal of this study was to determine whether polymorphism in a candidate pathway (axon guidance) predisposed to a complex disease (Parkinson disease [PD]). We mined a whole-genome association dataset and identified single nucleotide polymorphisms (SNPs) that were within axon-guidance pathway genes. We then constructed models of axon-guidance pathway SNPs that predicted three outcomes: PD susceptibility (odds ratio = 90.8, p = 4.64 × 10−38), survival free of PD (hazards ratio = 19.0, p = 5.43 × 10−48), and PD age at onset (R2 = 0.68, p = 1.68 × 10−51). By contrast, models constructed from thousands of random selections of genomic SNPs predicted the three PD outcomes poorly. Mining of a second whole-genome association dataset and mining of an expression profiling dataset also supported a role for many axon-guidance pathway genes in PD. These findings could have important implications regarding the pathogenesis of PD. This genomic pathway approach may also offer insights into other complex diseases such as Alzheimer disease, diabetes mellitus, nicotine and alcohol dependence, and several cancers

Development of a Protocol for Obtaining Biological Samples for Genetic Testing from Remote Individuals

Pharmacogenomic sequencing allows individuals to learn more about how they will respond to certain medications but requires shipping of a biological sample. One complication of sending biological samples to remote laboratories is stability. Blood generally yields sufficient quantities of high-quality DNA but requires a clinic visit. Saliva and buccal swabs are routinely used for DNA extractions, but the DNA quality is notoriously low due to the presence of bacteria in the mouth. Additionally, elderly individuals have difficulty producing enough saliva for testing, and the tubes contain several milliliters of liquid and shipping requires special considerations. Dried blood spot cards, which serve as an alternative to saliva and buccal swabs, yield high-quality DNA and ship easily, but may produce a lower yield. This project aims to determine which biological sample methods can reasonably be obtained from remote individuals