[Living in abundance in the ancient and modern worlds from a medical and cultural-historical point of view]. / Weiterleben im Uberfluss in der antiken und modernen Welt aus medizin- und kulturhistorischer Sicht.

Comparative investigations centre on attitudes of demand and consumption in ethnic groups living in affluence, beginning with the first pre-Christian century in the Roman Empire on the one hand and in Western countries in the post-industrial age of hight-tech in times of far advanced globalization on the other. In this context medical, psycho-social and socio-economical aspects will be treated considering ideal and cultural breaks. Renowned Roman and Greek historians, physicians and philosophers are vouching as witnesses of the times for developments in the antique world with their literary works, in excerpts and verbatim. Obviously general moral decay is a side effect of any affluence. Even in the antiquitiy the "ideology of renewal" proclaimed by the Emperor Augustus died away mostly in emptiness just as do the appeals for improving one's state of health for surviving directed to all citizens in our time. With the rise of Rome as a world power general relative affluence was widespread to such an extent that diseases caused by affluence have occured as mass phenomena. The old Roman virtues of temperance and frugality turned into greed and addiction to pleasure. In this way the Roman people under the banner of affluence degenerated into a society of leisure time, consumption, fun and throwaway mentality. The decline of the Empire was predetermined. The promise of affluence which modern Europe is addicted to is demanding its price following the principle of causality. "How the pictures resemble each other!"

Is there such a thing as Latin bioethics?

This paper reflects on the presumption that there are distinct ethical differences between the supposedly 'Anglo-Saxon liberal' and 'Latin (Southern European) paternalist' ethical traditions. The predominance of the bioethical paradigm (principalism) is measured by a comparative analysis of regional moral opinion reflected in nation-state health laws. By looking at the way the ethico-legal concept figures into various national ordinances, we attempt to ascertain the extent and nature of variation (if any) between localities by exploring the understanding and application of principalism's keystone: patient autonomy.

The Ayala Mazar-Xiaohe culture: new archaeological discoveries in the Taklamakan desert, China.

This article, accompanied by colour photos, records the author's recent archaeological expedition in the Taklamakan Desert. His advance northwards along the now mostly sand-covered beds of the Keriya River proved to be a march backward through time, from the Iron Age city of Jumbulakum to the early Bronze Age necropolis of Ayala Mazar. The artifacts he found are contemporary with, and similar to Chinese discoveries at Xiaohe. This proves that Xiaohe was not an isolated case and provides evidence for a whole culture based on some sort of fertility cult. The remains also suggest that some, at least, of the peoples concerned had Indo-European affiliations.

Light still shines in the darkness: decent care for all.

Health care is in crisis at the global, national, and local levels, with hundreds of millions living without basic care, or with insufficient care. Current health care models seem to have ignored, muted, or excluded the voices of the people they were intended to serve, resulting in health systems and care delivery models that do not respond to the needs of the people. This article describes a values-based approach to health and health care services in which the voices of the people are heard and listened to, and in which individuals and communities are informed participants in their own care. We draw parallels between contemporary concerns for decency in care giving to Florence Nightingale's path-breaking work, first with the British military medical system and then Great Britain as a whole.