Taking regular walks when living with Parkinson’s disease has beneficial effects on movement and quality of life. Yet, patients usually show reduced physical activity compared to healthy older adults. Using auditory stimulation such as music can facilitate walking but patients vary significantly in their response. An individualized approach adapting musical tempo to patients’ gait cadence, and capitalizing on these individual differences, is likely to provide a rewarding experience, increasing motivation for walk-in PD. We aim to evaluate the observance, safety, tolerance, (...) usability, and enjoyment of a new smartphone application. It was coupled with wearable sensors and delivered individualized musical stimulation for gait auto-rehabilitation at home. Forty-five patients with PD underwent a 1-month, outdoor, uncontrolled gait rehabilitation program, using the BeatWalk application. The music tempo was being aligned in real-time to patients’ gait cadence in a way that could foster an increase up to +10% of their spontaneous cadence. Open-label evaluation was based on BeatWalk use measures, questionnaires, and a six-minute walk test. Patients used the application 78.8% of the prescribed duration and enjoyed it throughout the program. The application was considered “easy to use” by 75% of the patients. Pain, fatigue, and falls did not increase. Fear of falling decreased and quality of life improved. After the program, patients improved their gait parameters in the six-minute walk test without musical stimulation. BeatWalk is an easy to use, safe, and enjoyable musical application for individualized gait rehabilitation in PD. It increases “walk for exercise” duration thanks to high observance.Clinical Trial Registration: ClinicalTrials.gov Identifier: NCT02647242. (shrink)

Antecedentes. En el 2007 se legalizó el aborto en la Ciudad de México, acusando una elevada mortalidad materna por aborto.Objetivo. Analizar los datos generales de la mortalidad materna y por aborto en el país y en la capital.Metodología. Estudio retrospectivo, con datos obtenidos del INEGI. Cálculo de la razón de mortalidad materna general y por aborto. Análisis de correlación de Pearson y regresión lineal de los resultados. Análisis de tendencias de incremento y decremento anual. Desglose de muertes maternas.Resultado. Regresión lineal (...) sobre la RMM nacional (R² = 0.87) con tendencia a la baja; RMM por aborto nacional (R² = 0.49) con débil tendencia hacia la baja; RMM por aborto en la Ciudad de México (R² = 0.001) no muestra una tendencia hacia la baja.Conclusión. La despenalización del aborto en la Ciudad de México no mostró tener un impacto en la reducción de muertes maternas por aborto. El aborto provocado ocupa el 12° lugar de las muertes maternas en México. (shrink)

Humanización de los servicios de salud en Iberoamérica: una revisión sistemática de la literatura Humanização dos serviços de saúde na Ibero-América: uma revisão sistemática da literatura Humanization is an ethical imperative that contributes to safeguarding human dignity in harmony with bioethical principles and deontological regulations that govern health care practices. The present study aims to explore the advances in the humanization of Ibero-American health care in the last ten years through a systematic review. Results show that such advances point to (...) understanding the phenomenon based on theoretical approaches, a growing interest in the subject in recent years, and the creation of policies, programs and strategies that should be strengthened from a comprehensive view of the human being. Para citar este artículo / To reference this article / Para citar este artigo Carlosama DM, Villota NG, Benavides VK, Villalobos-Galvis FH, Hernández EL, Matabanchoy SM. Humanización de los servicios de salud en Iberoamérica: una revisión sistemática de la literatura. Pers Bioet. 2019;23:245-262. DOI: https://doi.org/10.5294/pebi.2019.23.2.6 Recibido: 21/06/2019 Aceptado: 04/09/2019. (shrink)

El propósito de este trabajo es bosquejar los principios de una antropología del silencio en la obra de Edith Stein con base en las siguientes indagaciones preliminares. En la distinción XXIII de su Ordinatio I, Duns Escoto retoma la siguiente definición de persona dada por Ricardo de San Víctor en su De Trinitate: «La existencia incomunicable de la naturaleza intelectual». El estudio de Duns Escoto a este respecto señalará que una entidad singular (haecceitas) es condición de posibilidad de la (...) persona, pero no la persona misma porque esta es incomunicable ya que no la encontramos dentro del orden óntico. Es decir, la individualidad de la persona presenta una unicidad de orden cualitativo que no puede ser expresada por ciencia alguna. De esta opinión es Mariano Crespo quien, con todo, nos marca el camino para comprender en qué consiste dicha individualidad personal en Ser finito y ser eterno en tanto: «…yo, por medio de mi libre actividad, me decido por esta o aquella posibilidad de actuación, me conformo a mí mismo, me construyo como la persona individual que soy.». (shrink)

Edith Wyschogrod presents the first full-length study in English of the important contemporary French philosopher Emmanuel Levinas. It is a revision of the author’s earlier study and includes discussions of his recent writings as well as current scholarship. Dr. Wyschogrod’s extensive discussion of Levinas's relation to Judaism, especially his use of literature from the Torah and other religious writings, will be of interest to religious scholars. The author compares Levinas’s thought with that of his contemporaries, most notably Jacques Derrida (...) and Husserl. (shrink)

With increased visibility of trans people comes increased philosophical interest in gendered language. This chapter aims to look at the research on gendered language in analytic philosophy of language so far, which has focused on two concerns: (1) determining how to define gender terms like ‘man’ and ‘woman’ such that they are trans inclusive and (2) if, or to what extent, we should use gendered language at all. We argue that the literature has focused too heavily on how gendered language (...) can harm trans people, and has not considered how trans people use gendered language to create meaning and joy for ourselves. Pulling from the literature in sociolinguistics, we look at examples of how trans people use language to make their lives better by gaining recognition, playing with gendered language, finding joy in gendered language, and taking control of definitional power, concluding that debates about gendered language need to consider not only how such language harms trans people but also how trans people use it for our own liberation. (shrink)

Coalitional games raise a number of important questions from the point of view of computer science, key among them being how to represent such games compactly, and how to efficiently compute solution concepts assuming such representations. Marginal contribution nets , introduced by Ieong and Shoham, are one of the simplest and most influential representation schemes for coalitional games. MC-nets are a rulebased formalism, in which rules take the form pattern → value, where “pattern ” is a Boolean condition over agents, (...) and “value ” is a numeric value. Ieong and Shoham showed that, for a class of what we will call “basic” MC-nets, where patterns are constrained to be a conjunction of literals, marginal contribution nets permit the easy computation of solution concepts such as the Shapley value. However, there are very natural classes of coalitional games that require an exponential number of such basic MC-net rules. We present read-once MC-nets, a new class of MC-nets that is provably more compact than basic MC-nets, while retaining the attractive computational properties of basic MC-nets. We show how the techniques we develop for read-once MC-nets can be applied to other domains, in particular, computing solution concepts in network flow games on series-parallel networks. (shrink)

El presente artículo aborda los engranajes entre escritura y ciudadanía que plantea el poemario de Elvira Hernández, Estado de sitio. Para ello, considera los factores de orden sociocultural que acompañaron su producción, circulación y recepción crítica, en el contexto del estallido social de octubre 2019 en Chile, la coyuntura feminista y el actual proceso constituyente. Hitos de nuestra historia reciente frente a los cuales la poeta se posiciona ética y estéticamente desde una concepción política de la palabra como litigio, esto (...) es, una disputa –discursiva y social– por la enunciación de (en) lo común. (shrink)

This study examines the relationship between cooperative business relations in small businesses and environmental protection, one of the most important policies of social responsibility in manufacturing. We reviewed the literature and carried out an empirical study of 930 small manufacturing firms in Spain. Results indicate that small businesses that maintain and improve their cooperative relations through business networking with universities, competitors, suppliers and customers spend more on environmental protection. The managerial, practical, research and policy implications of the obtained research findings (...) are discussed. (shrink)

The present collection of translations arises from our work within Writing Urban Places, a network of researchers interested in the different ways citizens appropriate meaningful built environments through stories, and in doing so are also better able to integrate with others. A key locus in this respect is what our network has termed the ‘mid-sized’ [or ‘intermediate’] European city. Often afforded only cursory attention in the discussion of both culture and society, overlooked in favour of more usual suspects, such urban (...) places allow for a more de-centred, and on occasions regionally focused, view of urban practices, even as they play host to a significant element of contemporary European life and experience. The quest for meaningfulness and appropriation of the urban environment through co-creative, adaptive, and transformative processes (many of which have a textual quality) became central to the theoretical framework of this initiative. Between the individual places in which such processes could be observed and documented, we hypothesized, arises the problem of intermediation – the move from place to place, and its techniques. Translation, more than a textual practice among others, emerged as a structuring consideration of the project at a European scale. Other Destinations is the outcome of this collective process presented here, offering entry into this work to an English-language readership for the first time. We hope that, even as they bring their cities of origin somewhat closer to a new readership, those readers will be uprooted and moved some distance in the direction of these ‘other destinations.’ -/- The edited volume Other Destinations. Translating the Mid-sized European City thus features English translations of 15 21st century (mainly) literary texts published in different media (books, podcasts, journals, online/social media) originally written in languages other than English and that have not previously been translated into English. The selected texts cover the topic of mid-sized European cities, where mid-sized does not solely refer to the size in terms of geographical scope or the number of inhabitants, but also to their socio-historical context of urban identity where these cities are neither metropolises nor small towns, but “other”, lesser-known European cities. The texts selected to be translated in this edited volume cover cities like Volos, Canakkale, Varna, Plovdiv, Durres, Tirana, Porto, Den Haag, Osijek, Salzburg, Naples, Zrenjanin, Loule and others…. The publication intends to enhance the dissemination and accessibility to an international readership of texts about overlooked urban contexts, “other”, lesser-known European cities, their stories and signifying practices in order to develop a better awareness of these cities, their self-constructions, and their responses to the challenges of the present. (shrink)

Como parte de las sucesivas modificaciones al marco jurídico que regula el sistema educativo mexicano, la rendición de cuentas basada en evidencias se ha convertido en una nueva responsabilidad para los docentes del nivel básico. No obstante, se sabe poco acerca de qué significa para los docentes, cómo la han asumido, más aún, qué efectos ha provocado en la práctica cotidiana. Por tal motivo, se realizó un estudio cuyo propósito fue analizar los efectos de la rendición de cuentas en el (...) trabajo docente, con particular atención a la dimensión pedagógica. Mediante entrevistas semiestructuradas a diez docentes de escuelas públicas de la Ciudad de México, se encontró lo que denominamos una autonomía relativa, limitada y mediada por múltiples disposiciones normativas; la invención de realidades como estrategia para cumplir con la entrega de informes y toda clase de evidencias requeridas por diversas autoridades; una idoneidad multitarea, reflejada en una multiplicidad de actividades más allá de la enseñanza; finalmente una profesionalización mecanicista, es decir, una búsqueda constante de cursos y talleres por cuenta propia pero siempre sobre temas y contenidos instrumentales. (shrink)

We investigate the effect on the complexity of adding the universal modality and the reflexive transitive closure modality to modal logics. From the examples in the literature, one might conjecture that adding the reflexive transitive closure modality is at least as hard as adding the universal modality, and that adding either of these modalities to a multi-modal logic where the modalities do not interact can only increase the complexity to EXPTIME-complete. We show that the first conjecture holds under reasonable assumptions (...) and that, except for a number of special cases which we fully characterize, the hardness part of the second conjecture is true. However, the upper bound part of the second conjecture fails miserably: we show that there exists a uni-modal, decidable, finitely axiomatizable, and canonical logic for which adding the universal modality causes undecidability and for which adding the reflexive transitive closure modality causes high undecidability. (shrink)

El debate reciente iniciado por Hubert Dreyfus y John McDowell ha llamado la atención sobre la relación entre racionalidad y acción no reflexiva. En este artículo propongo una forma de especificar el desacuerdo entre quienes llamaré intelectualistas y antiintelectualistas. A la luz de esta propuesta arguyo que el principal argumento antiintelectualista sólo tiene éxito si se acepta al menos uno de tres presupuestos implícitos que están lejos de ser autoevidentes y cuya verdad es puesta en duda por fenómenos familiares. Termino (...) con consideraciones que sugieren que el intelectualista ha quedado en una mejor posición argumentativa. (shrink)

As in other countries, medical ethics in Mexico has rescued the world of philosophical ethics from oblivion. The needs of clinical medicine gave birth to Mexican bioethics. After the growth of scientific and technologic subjects in medical schools, the humanities, such as medical history, deontology, and medical philosophy, were replaced by such core subjects as radiology, pharmacology, and microbiology. Since the 1950s, graduates from Mexican medical schools have not been exposed to any courses in the medical humanities.

In deduction the truth of the premises guarantees the truth of the conclusion because the conclusion is contained in the premises; because of that many philosophers have denied the possibility of gaining knowledge through deduction or through deductive reasoning, which leads to a problem known as the paradox of inference. To address this problem, I propose a distinction between deductive reasoning as a cognitive process capable of generating new knowledge, and implication as a logical relation between propositions, which accounts for (...) deduction’s validity, and I present scientific evidence to underpin this proposal. En la deducción la verdad de las premisas garantiza la verdad de la conclusión porque la conclusión está contenida en las premisas; por ello varios filósofos han negado la posibilidad de obtener conocimientos a través de la deducción o del razonamiento deductivo, dando lugar a un problema que se conoce como paradoja de la inferencia. Pare enfrentar este problema propongo distinguir entre el razonamiento deductivo como proceso cognitivo capaz de generar conocimientos nuevos y la implicación deductiva como una relación lógica entre proposiciones que da cuenta de la validez de la deducción, y presento evidencia científica que apoya esta propuesta. (shrink)

A traditional aspect of model theory has been the interplay between formal languages and mathematical structures. This dissertation is concerned, in particular, with the relationship between the languages of relevant logic and Routley-Meyer models. One fundamental question is treated: what is the expressive power of relevant languages in the Routley-Meyer framework? In the case of finitary relevant propositional languages, two answers are provided. The first is that finitary propositional relevant languages are the fragments of first order logic preserved under relevant (...) directed bisimulations. The second is that, when we restrict our attention to what can be labelled as De Morgan models, we can obtain an analogue of Lindström's theorem for finitary propositional relevant languages. Furthermore, it is shown that a preservation theorem characterizing the expressive power of infinitary relevant languages in classical infinitary languages follows as a consequence of an interpolation theorem for classical infinitary logic. In addition, algebraic characterizations of the classes of Routley-Meyer models axiomatizable in relevant propositional languages, incompactness of infinitary relevant propositional languages and the expressive power of quantificational relevant languages are discussed. A final chapter is devoted to the study of relevant languages as second order frame languages. In particular we devote our attention to the problem of which properties expressible by relevant languages are elementary and which are not. An algebraic characterization of such elementary properties together with some examples of non first order properties axiomatizable in relevant logic are given. Finally, a Sahlqvist-van Benthem algorithm showing that relevant formulas with a certain syntactic form express calculable first order properties at the level of frames is established. (shrink)

En el análisis internacional contemporáneo, es un error ignorar a uno de los países que tiene una de las mayores tasas de crecimiento de los últimos años. El autor del libro es especialista en la región de Asia y en particular de China. En el texto se ofrece un análisis serio y profundo de la evolución de un país que se mantiene por la senda del crecimiento. Jean-Luc Domenach es autor de libros como: “China: el olvidado archipiélago (1992)”; “China 1949-1994 (...) (1994)”; “Asia en situación de ri.. (shrink)