RESUMEN El objetivo del presente estudio está dirigido a exponer particularidades éticas del trabajo anatomopatológico a la luz de la realidad histórico social. Se emplean métodos teóricos y empíricos y a partir del análisis documental se opera con referentes en los enfoques contemporáneos. El estudio de aspectos generales referidos a la moral y a la ética permitió acceder a definiciones, bases legales y evolución histórica, a la vez que se profundiza en su repercusión en el sector salud y se desarrollan (...) las peculiaridades del trabajo anatomopatológico desde sus manifestaciones en la actividad asistencial, docente e investigativa. Se concluye que los principios éticos generales de la conducta profesional y médica son aplicables al trabajo anatomopatológico en todas sus esferas; al igual que los de la bioética. ABSTRACT The objective of the present study is directed to exhibit ethical peculiarities of the anatomical-pathological work in view of the historical-social reality. Theoretical and empirical methods are used and from the documentary analysis it occurs with modality in the contemporary approaches. The study of general aspects referred to the morality and to the ethics allowed to gain access to definitions, legal bases and historical evolution, simultaneously that deepens in its aftereffect in the sector health and the peculiarities of the anatomical-pathological work develop from its declarations in the welfare, teaching and investigative activity. One concludes that the general ethical beginning of the professional and medical conduct is applicable to the anatomical-pathological work in all its spheres; as those of the bioethics. (shrink)

RESUMEN Se fundamenta la concepción teórica general de la educación axiológica en el contexto del sistema de enseñanza de postgrado para la formación de educadores ambientales. Se aplicaron los métodos del nivel teórico analítico-sintético, inductivo-deductivo, histórico-lógico y ascensión de lo abstracto a lo concreto, con la intención de sistematizar información proveniente de la bibliografía consultada y de la experiencia profesional de los autores. Se defiende la idea de considerar la existencia de una dimensión ambiental de valores universales, en lugar de (...) hacer referencia a valores estrictamente ambientales. Se enfatiza en la importancia que, para la educación, adquiere la estimulación de la actividad valorativa del sujeto, a partir de una noción precisa del sistema de virtudes y fortalezas del carácter. Se identifican cinco valores básicos a desarrollar en el educador ambiental, para asegurar, desde el punto de vista axiológico, su desempeño en la preparación de diferentes sectores sociales y consolidar la necesaria contribución de los mismos a la sostenibilidad ecológica. ABSTRACT In this paper a general theoretical conception of axiological education is systematized in the context of the postgraduate educational system in the training of environmental educators. Methods of the theoretic level to systematize information obtained from the bibliography and from the vocational experience of the author. The category value is analyzed aimed at using it unilaterally from the environmental perspective and it is concluded that it is much more objective, from the theoretical point of view, to assume the existence of an environmental dimension of universal values ​​rather than of strictly environmental values. It emphasizes on the importance of the stimulation of the person’s valuating activity for education, from a precise notion of the system of virtues and character strengths. Five basic values are identified ​​ to be developed in an environmental educator to ensure, from the axiological point of view, his performance in the preparation of different social sectors to strengthen their necessary contribution to ecological sustainability. (shrink)

Resumen En este trabajo se estudia la percepción de un grupo de estudiantes universitarios sevillanos, sin conocimientos especializados sobre la variación geográfica y social del español, hacia las variedades andaluza, canaria y castellana. Los resultados revelan la presencia significativa de juicios negativos hacia su propia modalidad de habla, tanto en lo relativo a la pronunciación como a su asociación con un estatus social bajo. No obstante, se produjo un incremento de consideraciones positivas cuando se les pidió la valoración de los (...) habitantes de su región, los andaluces. La variedad castellana, que se identificó como la forma de hablar más prestigiosa, recibió las valoraciones más positivas: fue considerada una pronunciación clara y sus hablantes se asociaron a una posición social elevada. En tercer lugar, las creencias sobre la variedad canaria reforzaron algunos tópicos como la dulzura del acento. (shrink)

Climate change is a threat to food system stability, with small islands particularly vulnerable to extreme weather events. In Puerto Rico, a diminished agricultural sector and resulting food import dependence have been implicated in reduced diet quality, rural impoverishment, and periodic food insecurity during natural disasters. In contrast, smallholder farmers in Puerto Rico serve as cultural emblems of self-sufficient food production, providing fresh foods to local communities in an informal economy and leveraging traditional knowledge systems to manage varying ecological and (...) climatic constraints. The current mixed methods study sought to document this expertise and employed a questionnaire and narrative interviewing in a purposeful sample of 30 smallholder farmers after Hurricane María to identify experiences in post-disaster food access and agricultural recovery and reveal underlying socioecological knowledge that may contribute to a more climate resilient food system in Puerto Rico. Although the hurricane resulted in significant damages, farmers contributed to post-disaster food access by sharing a variety of surviving fruits, vegetables, and root crops among community members. Practices such as crop diversification, seed banking, and soil conservation were identified as climate resilient farm management strategies, and smallholder farmer networks were discussed as a promising solution to amass resources and bolster agricultural productivity. These recommendations were shared in a narrative highlighting socioecological identity, self-sufficiency, community and cultural heritage, and collaborative agency as integral to agricultural resilience. Efforts to promote climate resilience in Puerto Rico must leverage smallholder farmers’ socioecological expertise to reclaim a more equitable, sustainable, and community-owned food system. (shrink)

Background: Nurses are the largest professional group in healthcare and those who make more decisions. In 2014, the Committee on Bioethics of the Council of Europe launched the “Guide on the decision-making process regarding medical treatment in end-of-life situations”, aiming at improving decision-making processes and empowering professionals in making end-of-life decisions. The Guide does not mention nurses explicitly. Objectives: To analyze the ethical principles most valued by nurses working in palliative care when making end-of-life decisions and investigate if they are (...) consistent with the framework and recommendations of the Guide; to identify what disputed/controversial issues are more frequent in these nurses’ current end-of-life care practices. Design: Qualitative secondary analysis. Participants/context: Three qualitative datasets including 32 interviews from previous studies with nurses working in palliative care in Portugal. Ethical consideration: Ethical approval was obtained from the Ethics Research Lab of the Instituto de Bioética. Ethical procedures are thoroughly described. Findings: All participant nurses referred to autonomy as an ethical principle paramount in end-of-life decision-making. They were commonly involved in end-of-life decision-making. Palliative sedation and communication were the most mentioned disputed/controversial issues. Discussion: Autonomy was highly valued in end-of-life care and decision-making. Nurses expressed major concerns in assessing patients’ preferences, wishes, and promoting advance care planning. Nurses working in palliative care in Portugal were highly involved in end-of-life decision-making. These processes embraced a collective, inclusive approach. Palliative sedation was the most mentioned disputed issue, which is aligned with previous findings. Communication also emerged as a sensitive ethical issue; it is surprising, however, that only three nurses referred to it. Conclusion: While the Guide does not explicitly mention nurses in its content, this study shows that nurses working in palliative care in Portugal are involved in these processes. Further research is needed on nurses’ involvement and practices in end-of-life decision-making. (shrink)

Scanlon (2008) has argued that his theory of permissibility (STP) has more explanatory power than the Doctrine of Double Effect (DDE). I believe this claim is wrong. Borrowing Michael Walzer’s method of inquiry, I will evaluate the explanatory virtue of these accounts by their understanding of actual moral intuitions originated in historical cases. Practically, I will evaluate these accounts as they explain cases of hostage crises. The main question in this context is: is it permissible that nation-states act with military (...) force in order to liberate hostages, even if those actions put the lives of the hostages at risk? The first part of this paper has an operative reconstruction of the relevant theories. In the second section, two cases of hostage crises will be considered: the Moscow theater hostage crisis of 2002, and the Jaque Operation, which occurred in Colombia in 2008. Additionally, it will be shown that DDE explains these cases better than STP. Finally, this paper offers a critical analysis of Scanlon’s account of the explanatory power of both STP and DDE. (shrink)

This essay aims to defend the need to help animals in any disaster situation, be it anthropogenic, natural, or hybrid. To this end, I will first establish a brief foundation of the antispeciesist principles that have been advocated by different theorists over the last decades. Then, I will describe the conflict between environmental and animal approaches as a problem for the consideration of animals in unfavorable situations. This will be followed by the ways in which animals can be harmed in (...) such contexts. After that, I will argue that many anthropogenic disasters affect animals, but they also deserve aid in the face of natural disasters: they are sentient beings and capable of suffering just like humans, to whom help is offered unconditionally in such cases. Finally, I will propose sentience, particularly suffering, and an ecofeminist and antispeciesist approach to address the situation of animals in disaster situations in a dialogic way between environmentalist and individual-centered positions. (shrink)

BackgroundResearch has demonstrated that exposure to suicide can lead to increased vulnerability for self-harm or suicide. As a result, ideation-to-action models of suicide recognise exposure as a significant risk factor which may be implicated in the translation of thoughts into actions. However, few studies have tested this theoretical link explicitly within an adolescent population, and examined how it compares to other types of bereavements.MethodsA 6-month prospective questionnaire study was conducted with 185 Scottish adolescents aged 11–17. The questionnaire included measures on (...) experiences with bereavement and lifetime engagement in self-harm, as well as measures of defeat, entrapment, social support, coping, and other psychological variables.ResultsAt baseline, 11% of young people reported exposure to a suicide death, and 62% to a non-suicide death. In addition, 21% of pupils reported ever engaging in self-harm, while 24% had experienced self-harm ideation without engaging in it. Cross-sectional multivariate logistic regressions showed that maladaptive coping, family social support, glorifying/normalising beliefs about suicide, and family self-harm were significantly associated with self-harm group membership. At follow-up, 9% of pupils reported exposure to a suicide death and 11% to a non-suicide death for the first time. A total of 29% of the sample reported self-harm at T2, and 23% reported self-harm ideation without engaging in it. Multivariate analyses found that stigmatising beliefs about suicide, glorifying/normalising beliefs about suicide, and self-harm ideation at baseline were the only variables to predict self-harm group membership prospectively. Bereavement experiences, whether by suicide or non-suicide, did not predict self-harm group status at baseline nor at follow-up.ConclusionsThis study provides support for the validity of a theoretical model of suicide, even though predictive ability over the 6-months period was limited. Although difficulties with recruitment may have limited the statistical power, this study provides insight into the prevalence and experiences of suicide bereavement among adolescents and the factors related to the onset and maintenance of self-harm. (shrink)

El presente artículo versa sobre la relación entre el sistema que el filósofo mexicanoJosé Vasconcelos llama monismo estético y su teoría del conocimiento, donde primalo que denomina “conocimiento emocional”. Se ubica, además, al pensamientovasconceliano en el contexto del pensamiento latinoamericano de principios delsiglo xx y la reacción antipositivista de la época.

La cuestión de la creación artística ha sido motivo de reflexiones desde hace siglos: si es un fin en sí misma o si es medio de lograr otros fines, políticos e ideológicos. El presente trabajo se encamina a estudiar cuáles son las ideas al respecto planteadas en el marxismo y cuál ha sido el origen teórico del realismo socialista, considerado como un añadido posterior, ajeno a las concepciones de Marx.

Este artículo realiza una defensa de las axiologías centradas en el sufrimiento, que sostienen la prioridad de evitar el sufrimiento frente a la promoción de otros valores. Para ello, explica en primer lugar cómo ciertas cuestiones relativas a la creación de individuos sugieren la existencia de una asimetría entre el sufrimiento y la felicidad. Continúa describiendo un conjunto de argumentos a favor de la prioridad del sufrimiento relativos a individuos ya existentes. Asimismo, señala y responde a distintas objeciones que podrían (...) ser dirigidas contra estas axiologías. Finalmente, concluye que las posiciones centradas en el sufrimiento no están todavía lo bastante exploradas y pueden tener un gran potencial. (shrink)

Tuberculosis en América Latina y el Caribe: reflexiones desde la bioética Tuberculose na América Latina e no Caribe: reflexões da bioética The objective of this article is to analyze the conditions of access to health services by people with tuberculosis in Latin America and the Caribbean, reflecting on the public health aspects involved from a bioethical perspective. A literature review of the context of tuberculosis in LAC based on epidemiological data was performed. The results were analyzed from its relationship with (...) the social determinants of health and the ethical principles that guide medical practice. Tuberculosis is a pressing public health problem in the region because of its family, social, economic and health impact. It mainly affects vulnerable individuals and populations. Health services violate ethical principles. Tuberculosis is a serious ethics and public health problem in the region that causes death, disability and increased poverty. It is imperative to ensure the right to health services and to understand the individual and public health consequences of non-adherence to treatment. It is important that national tuberculosis control strategies include principles of dignity and non-discrimination of the sick, changes in the social determinants of the disease, and respect for the ethnicity, language culture and identity of patients. Para citar este artículo / To reference this article / Para citar este artigo Muñoz del Carpio-Toia A, Sánchez-Pérez HJ, Verges de López C, López-Dávila LM, Sotomayor-Saavedra MA, Sorokin P. Tuberculosis en América Latina y el Caribe: reflexiones desde la bioética. pers. bioét. 2018; 22: 331-357. DOI: 10.5294/pebi.2018.22.2.10. (shrink)

Background The expressions of a “wish to hasten death” or “wish to die” raise ethical concerns and challenges. These expressions are related to ethical principles intertwined within the field of medical ethics, particularly in end-of-life care. Although some reviews were conducted about this topic, none of them provides an in-depth analysis of the meanings behind the “wish to hasten death/die” based specifically on the ethical principles of autonomy, dignity, and vulnerability. The aim of this review is to understand if and (...) how the meanings behind the “wish to hasten death/die” relate to and are interpreted in light of ethical principles in palliative care. Methods We conducted a meta-ethnographic review according to the PRISMA guidelines and aligned with Noblit and Hare’s framework. Searches were performed in three databases, Web of Science, PubMed, CINAHL, with no time restrictions. Original qualitative studies exploring the meanings given by patients, family caregivers and healthcare professionals in any context of palliative and end-of-life care were included. A narrative synthesis was undertaken. PROSPERO registration CRD42023360330. Results Out of 893 retrieved articles, 26 were included in the analysis, accounting for the meanings of a total of 2,398 participants. Several factors and meanings associated with the “wish to hasten death” and/or “wish to die” were identified and are mainly of a psychosocial and spiritual nature. The ethical principles of autonomy and dignity were the ones mostly associated with the “wish to hasten death”. Ethical principles were essentially inferred from the content of included articles, although not explicitly stated as bioethical principles. Conclusions This meta-ethnographic review shows a reduced number of qualitative studies on the “wish to hasten death” and/or “wish to die” explicitly stating ethical principles. This suggests a lack of bioethical reflection and reasoning in the empirical end-of-life literature and a lack of embedded ethics in clinical practice. There is a need for healthcare professionals to address these topics compassionately and ethically, taking into account the unique perspectives of patients and family members. More qualitative studies on the meanings behind a wish to hasten death, their ethical contours, ethical reasoning, and implications for clinical practice are needed. (shrink)

In this work, we focus on the problem of selecting low-level heuristics in a hyperheuristic approach with offline learning, for the solution of instances of different problem domains. The objective is to improve the performance of the offline hyperheuristic approach, identifying equivalence classes in a set of instances of different problems and selecting the best performing heuristics in each of them. A methodology is proposed as the first step of a set of instances of all problems, and the generic characteristics (...) of each instance and the performance of the heuristics in each one of them are considered to define the vectors of characteristics and make a grouping of classes. Metalearning with statistical tests is used to select the heuristics for each class. Finally, we used the Naive Bayes to test the set instances with k-fold cross-validation, and we compared all results statistically with the best-known values. In this research, the methodology was tested by applying it to the problems of capacitated vehicle routing and graph coloring. The experimental results show that the proposed methodology can improve the performance of the offline hyperheuristic approach, correctly identifying the classes of instances and applying the appropriate heuristics in each case. This is based on the statistical comparison of the results obtained with those of the state of the art of each instance. (shrink)

El objetivo del presente trabajo es evaluar si el problema de la adopción supone un obstáculo real para la revisión de la lógica. En este marco, defendemos una posición antiexcepcionalista de la lógica y examinamos la posibilidad de modificar las prácticas inferenciales a raíz de una modificación en la teoría lógica. Aun cediendo el punto central del problema, argumentamos que no solo puede salvaguardarse la posibilidad de modificar racionalmente nuestra teoría lógica, sino también la de razonar deductivamente siguiendo nuevos patrones (...) inferenciales. Es decir, consideramos que el dilema kripkeano alcanza únicamente para rechazar la posibilidad de adoptar ciertos principios lógicos, así como de razonar de acuerdo a ellos según una noción específica de “adopción”, pero no anula la posibilidad de adquirirlos mediante otros mecanismos a los que llamamos “adquisición por inmersión” y “adquisición por decodificación”. (shrink)

Background: Research must respect ethical norms and informed consent, with appropriate cultural adaptation and verification of its understanding in indigenous communities of the Andean and Amazonian regions, including social and medical research. Objective: Determine to what extent IC is understood in an Aymara community in Peru, specifically as concerns a school nutrition project. Methodology: A prospective, quasi-experimental field study of an educational intervention was conducted in Puno during 2015. The objectives and procedures of the school nutrition project in question were (...) explained to the local Aymara leaders, and a questionnaire was prepared on knowledge and practices regarding healthy lunch boxes for Aymara children. An educational nutrition program and two IC formats were drawn up. The documentation was evaluated by a research ethics committee. Results: Seventy Aymara villagers participated in the research project. The extent to which they understood the IC was modified to a statistically significant degree subsequent to the educational intervention and adaption for cultural appropriateness. (shrink)

El artículo sostiene que repensar un nuevo desarrollo es el reto en estos tiempos de encrucijadas, lo cual obliga a una relectura crítica de las teorías que permitirá aprender a desaprender. Señala que las nuevas realidades latinoamericanas se manifiestan como consecuencia de tres procesos-eje: La globalización y los efectos de los procesos de integración económica; las dificultades para la organización democrática de la vida colectiva de la sociedad, y las desigualdades sociales. Critica el hecho de que hoy se glorifica al (...) capitalismo liberal como el único modelo económico posible y deseable, el único que garantizaría la continuidad de la democracia, y postula que la nueva realidad entre la innovación social y el retorno al territorio requiere la modificación de las mentalidades individuales y colectivas e implica una vasta labor de formación de los agentes locales y de la población local. Tras exponer algunas experiencias en América Latina, concluye que sólo desde una nueva cultura del desarrollo con el compromiso de construir la gran obra de un mundo con armonía entre la vida urbana y los espacios rurales, entre el Sur y el Norte, es posible dar sentido a las políticas y las acciones. (shrink)

Se escribe que el tiempo y el espacio han perdido su significado tradicional. Por eso Manuel Castells habla de nueva Era y Alain Touraine de ruptura. El Norte está cada vez más disperso y fragmentado y el Sur también. Podría decirse que ahora hay muchos Nortesy muchos Sures. Por eso hay visiones tan distin­tas del intenso e imprevisible proceso iniciado hace apenas tres décadas. Nadie sabe hacia dónde nos va a conducir el proceso de cambio en esta nueva Era de (...) la información y la comunicaci.. (shrink)

El presente artículo versa sobre cómo el espiritismo kardeciano puede ser la contraparte religiosa del positivismo; surgidos ambos del mismo clima epocal evidencian, aunque a prima facie pueda parecer paradójico, un discurso, metodología, ideales sociales y concepciones similares. Esta tesis se sustenta a partir del análisis conceptual de la obra de Kardec, en específico, de El libro de los espíritus, su texto de aspiraciones más filosóficas. En particular la denominada ley natural kardeciana se acerca mucho a las ideas comtianas, aunque (...) quizás hayan sido desarrolladas de manera independiente, a partir de la influencia común de Saint Simons y otros autores. (shrink)

El presente trabajo versa sobre cómo se construye una cierta identidad y, por tanto, un cierto tipo de sujeto, a partir de los sistemas normativos propios de la adivinación en la santería cubana. Este análisis se realiza a partir de las experiencias en el trabajo de campo del autor durante cinco años en una “casa de santo” en Remedios, Villa Clara y del estudio exhaustivo de las llamadas “letras” de Ifá. La adivinación en esta religión no solo resulta un acto (...) predictivo, sino una manera de conformar un tipo de personalidad, a partir de un conjunto de reglas y recomendaciones individualizadas para cada creyente. (shrink)

El presente trabajo versa sobre cómo se construye una cierta identidad y, por tanto un cierto tipo de sujeto, a partir de los sistemas normativos propios de la adivinación en la santería cubana. Este análisis se realiza a partir de las experiencias en el trabajo de campo del autor durante cinco años en una “casa de santo” en Remedios, Villa Clara y del estudio exhaustivo de las llamadas “letras” de Ifá. La adivinación en esta religión no solo resulta un acto (...) predictivo, sino una manera de conformar un tipo de personalidad, a partir de un conjunto de reglas y recomendaciones individualizadas para cada creyente. (shrink)

Este artículo tiene como propósito defender que Panza de burro, la primera novela de Andrea Abreu, supone un cambio profundo en la representación de los estereotipos de género en el imaginario literario y rural canario. Con este fin, en primer lugar, esbozaré un breve contexto de la historia de las islas, marcada por la colonización y la migración, que hacen de ellas un territorio culturalmente rico y fragmentado. Esta diversidad contrasta con el binarismo y estatismo de género que ha sido (...) reflejado en algunas obras literarias canarias. Por eso, en segundo lugar, profundizaré en ciertos rasgos clave por los que Panza de burro constituye una representación alterna de los sujetos y espacios del rural canario, particularmente de Tenerife. La ópera prima de Abreu construye personajes que escapan a la heteronorma y que se identifican con los espacios naturales de forma fluida y no esencialista, como sucede a menudo con el conjunto mujer/ territorio/ naturaleza/ nación. Finalmente, recogeré unas breves conclusiones en las que ahondaré en la importancia de la literatura, y de esta novela en particular, a la hora de hacer visibles las identidades infrarrepresentadas. (shrink)

In this paper I propose a method to solve controversies in scenarios of legal pluralism. Shortly, in scenarios of legal pluralism some of the controversies involve members of culturally differentiated groups who justify their allegations with arguments that only make sense in the culture to which they belong. If the adjudicator does not share the same cultural worldview as the parts under litigation, how can he/she come to make a decision determining the parties’ rights and obligations? My answer for this (...) question includes (1) an account of knowledge to culturally differentiated groups, and (2) a method for the evaluation of the culturally-dependent arguments. (shrink)

Este artículo tiene el propósito de defender que las razones personales en sentido amplio son una postura compatible con la defensa del largoplacismo. Para ello, en primer lugar, explicaré en qué se basa el largoplacismo, esto es, la posición según la cual debemos preocuparnos principalmente por el impacto que nuestras acciones tendrán en el futuro lejano. En segundo lugar, describiré y compararé las distintas posiciones que existen en ética de poblaciones. A continuación, señalaré la problematicidad de las razones personales en (...) sentido estrecho. Finalmente, evaluaré las razones personales en sentido amplio en relación con el largoplacismo y concluiré que pueden constituir una posición no sólo válida, sino útil, para quienes se preocupan por el futuro lejano. (shrink)