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The starting point for this article is the question of the relationship between Darwinism and Christian theology. I suggest that evolutionary theory presents three broad issues of relevance to theology: the phenomena of continuity, naturalism, and contingency. In order to formulate a theological response to these issues I draw on the semiotics (theory of signs) and cosmology of the American philosopher Charles Sanders Peirce. Peirce developed a triadic theory of signs, underpinned by a threefold system of metaphysical categories. I propose a semiotic model of the Trinity based on Peirce's semiotics and categories. According to this model the sign-processes (such as the genetic “code”) that are fundamental to life may be understood as vestiges of the Trinity in creation. I use the semiotic model to develop a theology of nature that addresses the issues raised by evolutionary theory. The semiotic model amounts to a proposal for a new metaphysical framework within which to understand the relationship between God and creation and between theology and science. [ABSTRACT FROM AUTHOR]

This paper describes the process of developing a guidebook for people with ulcerative colitis by involving patients and self-help groups from the outset. Medical information in the guidebook is based on evidence of effective treatment obtained from results of randomized controlled trials reported in the medical literature. Such information is presented in a way designed to empower patients and allow them to participate in making informed choices about their medical and surgical care. Initial evaluation in the form of feedback from patients has shown that the guidebook is well liked and easy to understand. The principles used in the development could be extended to devise similar guidebooks for other chronic conditions. [ABSTRACT FROM AUTHOR]