Durante la crisis sanitaria mundial, gobiernos dictan medidas de emergencia; universidades peruanas interrumpieron la labor académica e inician enseñanza remota. Se analizan los cambios en el proceso de enseñanza no presencial y la adaptación de docentes a la enseñanza virtual. Es una investigación mixta, realizando regresiones y caracterizando cada componente. Se identifican brechas de conectividad, conocimiento en herramientas digitales, enfoque pedagógico y, tecnológico; que afectan eficiencia y productividad docente del proceso de enseñanza no presencial. La comunidad universitaria requiere desarrollar y (...) reforzar nuevas capacidades tecnopedagógicas hacia la educación híbrida en un escenario de nueva normalidad. (shrink)

En las unidades de cuidados intensivos el equipo de salud utiliza todas las medidas posibles para preservar la vida de sus pacientes. No obstante, cuando las terapias son fútiles, se decide limitar el esfuerzo terapéutico. Este artículo tiene como objetivo describir los factores que pueden llevar a enfermería a deshumanizar sus cuidados en pacientes en LET en UCI. Revisión de la literatura en bases de datos, con las palabras clave: critical care, intensive care unit, limitation of therapeutic effort, end of (...) life care, humanized/human care, nursing. Los hallazgos fueron agrupados en seis categorías que pueden influir en la deshumanización del cuidado en UCI. Se concluye que en el cuidado humanizado se destacan los roles de enfermería como defensora de los intereses del paciente y como agente comunicador. (shrink)

ABSTRACT In Mexico informed consent is a legal requirement that ensures that patients who are invited to participate in clinical trials are provided with all the information needed to decide whether to participate, or not, in a research protocol. To improve our understanding of the problems physicians in developing countries encounter, when obtaining informed consent (IC), we examined their opinion on the importance of IC in clinical research, the quantity and quality of the information provided to the participant, and the (...) conditions in which the IC is obtained. Investigators considered that IC was useful to the patients, providing information that helped the patient to make a decision about his/her participation. Nevertheless, they felt that for some aspects of the research, like drug development in general, the use of placebos, and the randomization process, many of the patients were not capable of fully understanding the information provided, referring to the complexity of the information and illiteracy as the main reasons. Many investigators were not acquainted with some of the guidelines established in the Mexican General Law of Health,1 36% of them admitting to not having completed their IC letters. Most investigators gave only minutes to the patient to make a decision and 20% of ICs were obtained while the patient was hospitalized. Except for one investigator, all of them considered that specific training in medical ethics would be useful for the daily clinical work. (shrink)

Voluntades anticipadas: desafíos éticos en el cuidado del paciente Diretivas antecipadas de vontade: desafios éticos no cuidado do paciente Advance healthcare directives are intended for the individual to personally express their will and preferences about healthcare and treatment ahead of time. This literature review aims to describe the concept and structure of advance directives and the ethical aspects involved in patient care. Using the keywords “Advance Healthcare Directive” AND “Ethical Implication” and its Spanish equivalents, five databases were accessed: ProQuest, Philosophy, (...) PubMed, Web of Science and Scielo. Publications were narrowed down to the 2010-2018 period. Thirty-one articles were obtained and read critically. Results of this review were grouped into the following categories: concept, structure, clinical situations in which advance directives apply, strengths and limitations, as well as the ethical aspects involved. End of life-related experiences in which a person loses their ability to make decisions and cannot express their wishes, so it is impossible to know their will, are more common nowadays. Most health workers are not appropriately trained in the preparation and application of advance directives, which becomes an opportunity to research and delve deeper into the subject. Advance directives are a tool that gives health workers reliable information on a patient’s values and wishes, so it is vital to train them to provide respectful quality care. Para citar este artículo / To reference this article / Para citar este artigo Forero J, Vargas I, Bernales M. Voluntades anticipadas: desafíos éticos en el cuidado del paciente. Pers Bioet. 2019;23:224-244. DOI: https://doi.org/10.5294/pebi.2019.23.2.5 Recibido: 26/01/2019 Aceptado: 22/08/2019. (shrink)

Artículos Naturaleza, carácter y violencia: derivas a partir de Schopenhauer. Nature, character and violence: roads from Schopenhauer. Grave, Crescenciano Sobre la posibilidad de un fundamento analógico y simbólico. Ensayo de hermenéutica analógica. About the possibility of an analogical and symbolic fundament. Essay of analogical hermeneutic.Maldonado, Rebeca Consideraciones biojurídicas sobre la vida en el embrión humano. Biojuridical considerations on life of the human embryo. Parra Tapia, Ivonne La Europa unificada según Leibniz: irenismo y política. A unified Europe according to Leibniz: (...) irenism and politics. Rensoli Laliga, Lourdes Repensar el "dilema" comunitarista-liberal en Venezuela. To rethink the communitarism-liberalism "dilemma" in Venezuela. Seoane C., Javier B. Una introducción a la doctrina platónica del alma. An introduction to the platonic doctrine of the soul. Suzzarini, Andrés De vuelta al tribuno. Back to the tribune. Terán Pimentel, Milagros Discusiones en torno a la reparación del daño moral. Discussions about the redress of pain and suffering. Vielma Mendoza, Yoleida Interdisciplinares El giro en la obra de Milan Kundera: un reflejo de la contemporaneidad. The turning on Milan Kundera´s work: a reflex of contemporaneity. Pérez Lo Presti, Alirio Aproximación histórica sobre el consumo de drogas en Venezuela. Historical approach about drug consumption in Venezuela. Salazar, Teresa Informaciones Índice acumulado. (shrink)

While philosophical questions about health and disease have attracted much attention in recent decades, and while opinions are divided on most issues, influential accounts seem to embrace negativism about health, according to which health is the absence of disease. Some subscribe to unrestricted negativism, which claims that negativism applies not only to the concepts of health and disease as used by healthcare professionals but also to the lay concept that underpins everyday thinking. Whether people conceptualize health in this manner has (...) implications for medical care and public health, and so we set out to examine this claim in two studies. Participants were asked to assess and compare the health states of two people presented in two vignettes. We found that both lay people and medical students conceptualize health as something more than the absence of disease. We argue that our findings highlight a need to rethink unrestricted negativism and indicate a need to rethink the way the debate has traditionally focused on disease. (shrink)

Se aborda la crítica que realiza Nélida Piñon, desde la postura de la teoría feminista que rompe con los esquemas tradicionales de la subordinación de la mujer en la cultura occidental; deconstruye la dicotomía hombre-mujer a través de un lenguaje poético erotizado que parte del cuerpo de la mujer para articular su propia experiencia. Esto lo convierte en texto clave dentro de la tradición de la escritura femenina.

Resumen En este artículo se examina el Darwinismo Neural en su explicación de la evolución de la conciencia humana, contrastando su metodología con la utilizada por Richard Lewontin, Richard Levins y Steven Rose, quienes han hecho importantes aportaciones en el estudio de los sistemas vivos desde un punto de vista dialéctico. Concluimos que la explicación interaccionista de la evolución de la conciencia planteada en el DN, supera muchas de las deficiencias del determinismo biológico; sin embargo, al compartir algunos lineamientos con (...) el cartesianismo, mantiene un carácter a-histórico insuficiente para la explicación de la conciencia humana. Finalmente, proponemos la adopción de una teoría explicativa de la conciencia humana que considere las relaciones existentes en ella, no sólo como interacciones sino también como interpenetraciones ontogénicas y filogenéticas.This article examines Neural Darwinism proposed as an explanation of evolution of human consciousness. His methodology is contrasted with that used by Richard Lewontin, Richard Levins, and Steven Rose, who made important contributions to the study of living systems from a dialectical point of view. We conclude that the interactionist explanation of the evolution of conscience put forward in ND overcomes many of the deficiencies proper to biological determinism. However, as ND also shares many of the foundations of the Cartesian approach, it maintains a non-historical character, insufficient for the account of human consciousness. We suggest the adoption of an alternative theory, able to fully explain human conscience which must consider the whole of existing relations in it, and, instead of merely considering them as interactions, they have to be observed as dialectical interpenetrations. (shrink)

The essays in _The Philosophy of Spirituality_ address spirituality as a subject of philosophical interest independent of religion and respecting diverse spiritual traditions: African, atheist, Indigenous, Indian, Stoic, and Sufic perspectives, as well as Western analytic and continental views.

We sometimes fail unwittingly to do things that we ought to do. And we are, from time to time, culpable for these unwitting omissions. We provide an outline of a theory of responsibility for unwitting omissions. We emphasize two distinctive ideas: (i) many unwitting omissions can be understood as failures of appropriate vigilance, and; (ii) the sort of self-control implicated in these failures of appropriate vigilance is valuable. We argue that the norms that govern vigilance and the value of self-control (...) explain culpability for unwitting omissions. (shrink)

This paper aims to clarify the nature of understanding in medicine. The first part describes in more detail what it means to understand something and links a type of understanding (i.e., objectual understanding) to explanations. The second part proceeds to investigate what objectual understanding of a disease (i.e., biomedical understanding) requires by considering the case of scurvy from the history of medi- cine. The main hypothesis is that grasping a mechanistic explanation of a condi- tion is necessary for a biomedical (...) understanding of that condition. The third part of the paper argues that biomedical understanding is necessary, but not sufficient for understanding in a clinical context (i.e., clinical understanding). The hypothe- sis is that clinical understanding combines biomedical understanding of a disease or pathological condition with understanding illness, which involves some degree of personal understanding of the patient. It is argued that, in many cases, clinical understanding necessitates adopting a particular second-personal stance and using cognitive resources in addition to those involved in biomedical understanding. (shrink)

El registro de la personalidad de Pablo, su formación intelectual y su misión hacen de él un hombre de controversias y de originalidades en su discurso. Este artículo pretende describir: (a) la estructura argumentativa de la llamada 'carta a Filemón' (Fm), texto considerado de autoría paulina, y (b) las maniobras estratégicas que desarrolla el autor del documento para resolver la discusión crítica, específicamente a partir del uso de estrategias de cortesía verbal. En términos generales, desde un análisis dialéctico, la carta (...) nos presenta el pedido del prisionero para que Filemón reciba a Onésimo de regreso en su casa, así como los argumentos que favorecen esta postura. Al insertar las maniobras estratégicas, es decir, el elemento pragmático y retórico, se puede observar un cambio en el punto de vista y en el argumento. Las estrategias de cortesía verbal ayudan, por un lado, a que la comunidad acoja a Onésimo y, por otro lado, aprenda que los cristianos han sido generados por la fe en Cristo. Por tanto, no sólo se declara la petición, sino una nueva verdad de fe y una práctica de vida eclesial y social. Pablo salvaguarda la imagen negativa, apelando a un nuevo estilo de autoridad y a una renovada forma de vida comunitaria que va más allá del contexto específico en el que fue escrita la carta. Todo hombre y mujer de fe son miembros dignos de la comunidad porque son “mis entrañas” (Fm 12b). (shrink)

Esta investigación se efectuó en ocho defensorías de la mujer (dos privadas y seis públicas) con el propósito de caracterizar los servicios que prestan las mismas y reflexionar sobre los mecanismos de prevención que efectúan contra de la violencia conyugal en el municipio de Sucre–Bolivia. La técnica de recolección de la información que se utilizó fue la entrevista semiestructurada. Los resultados del estudio giran en torno a tres grandes categorías: (1) servicios que brindan, (2) características de la población beneficiaria y (...) servicios que solicitan, y (3) características de las y los profesionales y de sus puestos de trabajo. (shrink)

El trabajo doméstico y de cuidados que es realizado en su gran mayoría por las mujeres es invisibilizado y no es reconocido en una sociedad que privilegia el trabajo remunerado en el espacio público realizado, en gran medida, por los hombres. Este desprecio por el cuidado del hogar y la familia ocasiona que las mujeres vayan acumulando grandes desventajas a lo largo de su vida por lo que, al llegar a la vejez, experimentan con mayor recrudecimiento las desigualdades.

This book constitutes a major contribution to our understanding of the mechanisms of knowledge construction and a rare attempt to bridge the gap between biological and connectionist models, on the one hand, and cognitive models on the other. The volume documents a revolution now occurring in the cognitive sciences and in the field of epistemic complexity, a revolution that permits the approach to the problem of knowledge construction from the standpoint of both theoretical models and simulation.The first chapter of the (...) book presents an up-to-date account of a number of recent trends in the field of self-organization theory. In particular, entropy, algorithmic complexity, self-referentiality and cellular automata are widely discussed. The second chapter focuses on some advances obtained, from a modelistic point of view, in biological computing. The alternative splicing and the interface between ruler and coder constitute the essential backbone of the chapter. This chapter also introduc .. (shrink)

Resumen El artículo tiene como objetivo revisar y analizar los pasajes referentes al territorio chileno en los poemas épicos que cantaron la Guerra de Arauco en el siglo XVI. Aun cuando su argumento central consistió en los acontecimientos bélicos, algunos pasajes dieron cabida a la descripción del espacio como un paisaje épico. Así como se demostrará, su representación no solo se configuró atendiendo a las condiciones fisonómicas del territorio, sino también a los recursos literarios propios de la epopeya que caracterizaron (...) al sur de Chile como un escenario desafiante y peligroso, espacio histórico y a la vez literario, representativo de la condición heroica e indomable del Reino de Chile.The aim of this article is to review and to analyze the passages relating to the Chilean territory in the epic poems that reported Arauco's War in the 16th century. Even if their central argument consisted of the warlike events, some passages gave content to the description of the space as an epic landscape. As it will be demonstrated, the representation of the territory not only was formed attending to the physical conditions of the land, but also to the literary resources of the epic that characterized to the south of Chile as a challenging and dangerous scene, historical and simultaneously literary space, representative of the heroic and indomitable condition of the Kingdom of Chile. (shrink)

Moral psychology is the study of how human minds make and are made by human morality. This state of the art volume covers contemporary philosophical and psychological work on moral psychology, as well as notable historical theories and figures in the field of moral psychology, such as Aristotle, Kant, Nietzsche, and the Buddha. The volume’s 50 chapters, authored by leading figures in the field, cover foundational topics, such as character, virtue, emotion, moral responsibility, the neuroscience of morality, weakness of will, (...) and the nature of moral judgments and reasons. The volume also canvases emerging work in applied moral psychology, including adaptive preferences, animals, mental illness, poverty, marriage, race, bias, and victim blaming. (shrink)

Based on onto–epistemological pluralism and social practices this work maintains that the proclamation of cultural neutrality originating in the idea of equality without any distinction of color, sex, language, religion or political opinion, really favors white racism and cultural imperialism of the liberal way of life. This article argues that the process of reasoning which justifies human rights is distorted by particular interests, such as the colonization of American territory in the case of the Declaration of the Good People of (...) Virginia in 1776. As no–one questioned the reasons upon which the false belief that some human beings were classified as inferior or superior according to their physical features, it was reiterated as if it were a truth and, consequently acted upon, thereby fixing this belief in stereotypes. In this article I argue that the present Declaration of Human Rights is the result of continuing inherited presuppositions from the 18th Century. These have not been questioned and have constituted the world in which we live as a racist world in which the liberal tradition has consolidated its political power. (shrink)

Neil Levy (2007) argues that empirical data shows that psychopaths lack the moral knowledge required for moral responsibility. His account is intriguing, and it offers a promising way to think about the significance of psychopaths for work on moral responsibility. In what follows we focus on three lines of concern connected to Levy's account: his interpretation of the data, the scope of exculpation, and the significance of biological explanations for anti-social behavior.

Este ensayo aporta una visión distinta a la interpretación de los resultados comparados de PISA 2000 contra 2015. Donde no se sobredimensiona a los países con mejores condiciones iniciales, ni se estigmatiza a aquellos cuyas condiciones de partida son más difíciles. Por tanto, México no puede ser considerado como el país de la OCDE con el sistema educativo más ineficaz. No existe evidencia que demuestre que estas evaluaciones hayan tenido como consecuencia mejoras en la calidad de la educación. Palabras clave: (...) Calidad de la educación, Evaluación educativa. PISA 2015. (shrink)

Our EcoDialogue Center is an educational space for human sustainability within the University of Veracruz. We propose that creating sustainable knowledge requires re-thinking how we conceive ourselves as human beings. This requires paying attention to what we call “the quality of being,” which means caring about and attending to the physical–emotional–mental–spiritual as the foundation of education. This way we can create a space where we can dialogue contemplatively where all dimensions of our lives interact; the physical, the emotional, the communitarian, (...) the social politic, the planetarium, and the spiritual being act with social–environmental responsibility. (shrink)

The importance of socio-economic impacts from the introduction and use of genetically modified crops is reflected in increasing efforts to include them in regulatory frameworks. Aiming to identify and understand the present knowledge on SEI of GM crops, we here report the findings from an extensive study of the published international scientific peer-reviewed literature. After applying specified selection criteria, a total of 410 articles are analysed. The main findings include: limited empirical research on SEI of GM crops in the scientific (...) literature; the main focus of the majority of the published research is on a restricted set of monetary economic parameters; proportionally, there are very few empirical studies on social and non-monetary economic aspects; most of the research reports only short-term findings; the variable local contexts and conditions are generally ignored in research methodology and analysis; conventional agriculture is the commonly used comparator, with minimal consideration of other substantially different agricultural systems; and there is the overall tendency to frame the research upon not validated theoretical assumptions, and to over-extrapolate small-scale and short-term specific results to generalized conclusions. These findings point to a lack of empirical and comprehensive research on SEI of GM crops for possible use in decision-making. Broader questions and improved methodologies, assisted by more rigorous peer-review, will be required to overcome current research shortcomings. (shrink)

It is common to distinguish between “holist” and “reductionist” views of brain function, where the former envisions the brain as functioning as an indivisible unit and the latter as a collection of distinct units that serve different functions. Opposing reductionism, a number of researchers have pointed out that cortical network architecture does not respect functional boundaries, and the neuroanatomist V. Braitenberg proposed to understand the cerebral cortex as a “great mixing machine” of neuronal activity from sensory inputs, motor commands, and (...) intrinsically generated processes. In this paper, we offer a contextualization of Braitenberg’s point, and we review evidence for the interactions of neuronal activity from multiple sensory inputs and intrinsic neuronal processes in the cerebral cortex. We focus on new insights from studies on audiovisual interactions and on the influence of respiration on brain functions, which do not seem to align well with “reductionist” views of areal functional boundaries. Instead, they indicate that functional boundaries are fuzzy and context dependent. In addition, we discuss the relevance of the influence of sensory, proprioceptive, and interoceptive signals on cortical activity for understanding brain-body interactions, highlight some of the consequences of these new insights for debates on embodied cognition, and offer some suggestions for future studies. (shrink)

Hablar de las relaciones del Estado colombiano con la sede Apostólica de Roma, constituye una seria tarea, que requiere se convierta en una reflexión equilibrada un tanto lejos de dogmatismo y apreciaciones ligeras que en muchos casos acompañan la investigación histórica. Para acercarnos a esta tarea, es necesario remitirnos a los senderos de historia Republicana, la cual se puede decir no es tan larga que digamos. Hay que tener en cuenta que al producirse la Independencia, no sólo heredamos la fe (...) católica, apostólica, romana, sino también los poderes Eclesiásticos que se hallaban en plena flor merced al patronato real, y que los patriotas una vez en el poder, lo reclamaron como cierto privilegio legado por la madre España. (shrink)

Este trabajo tiene como fin revisar los informes sobre derechos humanos en Colombia de la Oficina del Alto Comisionado de las Naciones Unidas para los Derechos Humanos, en busca de evidencia que demuestre la interrelación anulativa de los actores sociales del conflicto armado en contra de la dignidad de las victimas. La violencia y todo acto de terrorismo emergente del conflicto armado aumentan la vulnerabilidad, el silenciamiento de la memoria, la impunidad y, en gran medida, promueve una lógica evasiva de (...) responsabilidades y reparaciones que son necesarias para esclarecer los hechos victimizantes y otorgar voz a los afectados. El conflicto armado sume a las víctimas en una dinámica del terror que impacta todas sus áreas de desarrollo y limita su sentido de seguridad, confianza y credibilidad en el otro y en las instituciones sociales. (shrink)

Esta es una investigación cualitativa de tipo exploratorio, que tiene como objetivo examinar las Representaciones sociales acerca de la adopción en parejas sin hijos y con posibilidades de adoptar, para lo cual se aplicará una entrevista semiestructurada a 50 parejas, además de una ficha de caracterización sociodemográfica elaborada para esta investigación. Se concluye que las parejas tienen una representación sesgada de la adopción, y prejuicios respecto a la edad, la salud, la historia de los niños y niñas, que determinan las (...) resistencias y representaciones respecto a la adopción. Asimismo, las parejas anteponen el proyecto de vida personal, la estabilidad económica, dificultades en los procesos adoptivos, y supuestas preferencias por familias extranjeras, como criterios que dan forma a la resistencia a adoptar, aun cuando identifican que la adopción es un proceso necesario en la sociedad que debe ser fortalecido y asumido por más personas. (shrink)

I discuss the ontology and normativity of affordances by suggesting that their ontology can be dualist and that their normativity, although socioculturally shaped, has an affective biological value….

Teniendo en cuenta la intensa migración actual de diversos grupos culturales a otros Estados, en este artículo defiendo la tesis de que miembros de diferentes culturas con normas y valores antagónicos pueden llegar a acuerdos de convivencia intercultural. Comienzo explicando la concepción política de la justicia de Rawls para indicar que esta postura democrática liberal no puede responder de forma adecuada a los contextos actuales de multiculturalidad. Posteriormente, expongo las propuestas principales de la ética universalista de J. Habermas con el (...) fin de contraponerla a lo que llamo la "ética pluralista" de J. Dewey y H. Putnam, y justifico por qué las normas, los hechos y los valores son contextuales. con base en ello, concluyo que es posible establecer acuerdos éticos plurales que pueden variar de una cultura a otra y, no obstante, ser legítimos como normas mínimas de convivencia. Given the intense current migration of diverse cultural groups to other States, in this article i defend the thesis that members of different cultures with norms and values in conflict are able to reach intercultural agreements of coexistence. I start explaining Rawls' political conception of justice to point out that this liberal democratic stance cannot respond adequately to the current context of multiculturality. i show then the main points of J. Habermas' universalist ethics in order to contrast it with what i call the "pluralist ethics" of J. Dewey and H. Putnam, and justify why norms, facts and values are contextual. Based on this, I conclude that it is possible to achieve plural ethical agreements that might differ from one culture to another and yet still be legitimate as minimum norms of coexistence. (shrink)

Rorty holds that it is possible to defend a liberal democratic policy without having to substantiate it according to universal criteria linked to corresponding notions of truth, instead, he affirms that this democratic policy can be founded on a notion of truth narrowly linked to justification. Following this idea one would expect Rorty to take a position committed to pluralism understood in a strong sense, where different positions are justified and validated in relation to specific existential conditions, however, this does (...) not happen. As we will demonstrate, Rorty´s proposal, although it is partly inspired by Nietzsche´s perspectivism, as well as the ethical-political reading of plurality based on Wittgenstein´s proposal of language games, it goes no further than a contextualized pretence which is not based on a real posture of pluralism. In this article we maintain that the Rortian position, far from being pluralist, tends toward ethno-centrism and even domination through persuasion. (shrink)

Este artículo explora cómo un grupo de enfermeros/as clínicos construye discursivamente sus posturas de expertos utilizando jerga médica mientras discuten sus prácticas profesionales y los casos de los pacientes en una clínica. Guiado por la tradición analítica discursiva de la sociolingüística interaccional, el análisis se basa en conversaciones naturales que han sido grabadas en audio y video durante cuatro reuniones clínicas en una institución de la salud en Nueva Zelanda. Este artículo muestra que el uso de la jerga médica juega (...) un papel vital en la construcción de posturas de expertos que observan las necesidades interactivas, y especialmente relacionales, de los participantes en estas reuniones clínicas. En particular, el artículo analiza el papel de la jerga médica en la construcción de las posturas expertas de los enfermeros/as clínicos cuando construyen alineaciones dentro del grupo, manejan la crítica profesional y manejan los desacuerdos en las interacciones entre pares. Las observaciones finales ofrecen reflexiones sobre el papel de la jerga médica en la construcción de la postura relacional de los enfermeros/as clínicos y la necesidad de investigar más a fondo el uso de la jerga especializada en otros contextos de comunicación entre pares. (shrink)