Advances in perinatology have permitted the survival of fragile neonates. Quality of life has been considered a key element in medical decision-making. In this review we analyse the role of Q...

The symbols of the Feminine throughout the dystopian novel The Handmaid’s Tale are the object of study of the article. It is argued that feminine symbology is a unifying thread that makes possible an analysis of the main features of dystopian societies and the possibility of a critical dystopia. The category of analysis is the symbol understood from the perspective of Ricoeur’s hermeneutics of symbols, which proposes that the understanding of a text should be based on what they pretend to (...) say. Therefore, the symbols of the Feminine make possible the resistance within dystopian regimes, and without resistance there is no dystopia. As a result, it is possible through the symbols of the Feminine to interpret the main features of dystopias and, particularly, to develop the possibility of a feminist critical dystopia. (shrink)

This article carried out an analysis from the hermeneutical category of the symbol in the novel Blindness by José Saramago, following Paul Ricoeur, in which the symbols of sin, stain and guilt were chosen to be developed after defining the relevance and the impact of the category of analysis on current situations in our society. Making use not only of the texts referring to Ricoeur's hermeneutics, but also of The Symbolic of Evil, a conceptual journey is proposed to elucidate how (...) the senses and meanings of the symbols of evil are configured in our culture and, through this understanding, address the situation of the symbolic apparatus of Saramago's novel. Carrying out an analysis of these hermeneutical categories in a novel such as Blindness becomes the opportunity to show a different meaning and sense of a novel that has clearly shown its relevance in previous times and that today, in the middle of a pandemic, invites us to rethink that world and to face the fact of understanding our own blindness and the blindness of the world in the midst of a dizzying speed that requires us to assume our reality in another way. In the words of Ricoeur, the symbol gives food for thought and it is time for us to think through our own symbols about the reality that is presented to us in Saramago's novel and to extrapolate it to the realities that are configured every day in our Western world. (shrink)

The acquisition and evolution of speech production, discourse and communication can be negatively impacted by brain malformations. We describe, for the first time, a case of developmental dynamic dysphasia (DDD) in a right-handed adolescent boy (subject D) with cortical malformations involving language-eloquent regions (inferior frontal gyrus) in both the left and the right hemispheres. Language evaluation revealed a markedly reduced verbal output affecting phonemic and semantic fluency, phrase and sentence generation and verbal communication in everyday life. Auditory comprehension, repetition, naming, (...) reading and spelling were relatively preserved, but executive function was impaired. Multimodal neuroimaging showed a malformed cerebral cortex with atypical configuration and placement of white matter tracts bilaterally and abnormal callosal fibers. Dichotic listening showed right hemisphere dominance for language and functional magnetic resonance imaging (fMRI) additionally revealed dissociated hemispheric language representation with right frontal activation for phonology and bilateral dominance for semantic processing. Moreover, subject D also had congenital mirror movements (CMM), defined as involuntary movements of one side of the body that mirror intentional movements of the other side. Transcranial magnetic stimulation and fMRI during voluntary unimanual (left and right) hand movements showed bilateral motor cortex recruitment and tractography revealed a lack of decussation of bilateral corticospinal tracts. Genetic testing aimed to detect mutations that disrupt the development of commissural tracts correlating with CMM (e.g., Germline DCC mutations) was negative. Overall, our findings suggest that DDD in subject D resulted from the underdevelopment of the left inferior frontal gyrus with limited capacity for plastic reorganization by its homologous counterpart in the right hemisphere. Corpus callosum anomalies probably contributed to hinder interhemispheric connectivity necessary to compensate language and communication deficits after left frontal involvement. (shrink)

Our goal in this paper is to articulate a precise concept of at least a certain kind of disease-mongering, showing how pharmaceutical marketing can commercially exploit certain diseases when their best definition is given through the success of a treatment in a clinical trial. We distinguish two types of disease-mongering according to the way they exploit the definition of the trial population for marketing purposes. We argue that behind these two forms of disease-mongering there are two well-known problems in the (...) statistical methodology of clinical trials (the reference class problem and the distinction between statistical and clinical significance). Overcoming them is far from simple. (shrink)

This article is an extended promenade strolling along the winding roads of identity, equality, nameability and completeness, looking for places where they converge. We have distinguished between identity and equality; the first is a binary relation between objects while the second is a symbolic relation between terms. Owing to the central role the notion of identity plays in logic, you can be interested either in how to define it using other logical concepts or in the opposite scheme. In the first (...) case, one investigates what kind of logic is required. In the second case, one is interested in the definition of the other logical concepts in terms of the identity relation, using also abstraction. The present paper investigates whether identity can be introduced by definition arriving to the conclusion that only in full higher-order logic a reliable definition of identity is possible. However, the definition needs the standard semantics and we know that with this semantics completeness is lost. We have also studied the relationship of equality with comprehension and extensionality and pointed out the relevant role played by these two axioms in Henkin’s completeness method. We finish our paper with a section devoted to general semantics, where the role played by the nameable hierarchy of types is the key in Henkin’s completeness method. (shrink)

Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients (...) with gambling disorder. Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited. Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate and heart rate variability data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups. Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men. (shrink)

Ethical issues are very relevant in the field of women’s, gender and/or feminist studies. The aim of this article is to highlight the ethical challenges faced by the authors in their research process, with specific reference to two projects on gender and disasters in which they have been involved. In general, we try to avoid sexist bias throughout the complete research process, from the definition of the objectives themselves to the methodology design, where we ensure diversity in the selection of (...) participants in order to take into consideration the variety of voices present in society, especially those of women. Also, when developing our research, we take into account the power relationships involved, both between those who participate in the fieldwork and with the researchers themselves. To counteract the effects of such relations, we have considered people’s wellbeing and the humanization of the whole process. Finally, when it comes to the dissemination of the results and their transfer to society at large, we follow the same principles and actively integrate the people involved. Considering these issues benefits the research process and makes the resultant knowledge more ethical and socially useful, in addition to promoting more egalitarian gender relations. (shrink)

This article is a continuation of our promenade along the winding roads of identity, equality, nameability and completeness. We continue looking for a place where all these concepts converge. We assume that identity is a binary relation between objects while equality is a symbolic relation between terms. Identity plays a central role in logic and we have looked at it from two different points of view. In one case, identity is a notion which has to be defined and, in the (...) other case, identity is a notion used to define other logical concepts. In our previous paper, [16], we investigated whether identity can be introduced by definition arriving to the conclusion that only in full higher-order logic with standard semantics a reliable definition of identity is possible. In the present study we have moved to modal logic and realized that here we can distinguish in the formal language between two different equality symbols, the first one shall be interpreted as extensional genuine identity and only applies for objects, the second one applies for non rigid terms and has the characteristic of synonymy. We have also analyzed the hybrid modal logic where we can introduce rigid terms by definition and can express that two worlds are identical by using the nominals and the @ operator. We finish our paper in the kingdom of identity where the only primitives are lambda and equality. Here we show how other logical concepts can be defined in terms of the identity relation. We have found at the end of our walk a possible point of convergence in the logic Equational Hybrid Propositional Type Theory, [14] and [15]. (shrink)

El Tribunal Europeo de Derechos Humanos ha rechazado que el artículo 2 del Convenio Europeo de Derechos Humanos (derecho a la vida) incluya un derecho a morir; en cambio, ha reconocido que el artículo 8 del mismo Convenio (derecho a la vida privada) comprende la autodeterminación de la persona sobre cómo y cuándo poner fin a su vida. Sin embargo, como explicamos en este trabajo, los presupuestos conceptuales en que apoya su interpretación del derecho a la vida privada son discutibles (...) y, en consecuencia, es dudoso que este derecho sirva de fundamento, de “caballo de Troya”, para legitimar/legalizar la eutanasia (activa, particularmente). (shrink)

En este trabajo sostenemos que la maternidad subrogada, en la que hoy están focalizados buena parte de los debates en torno a las biotecnologías y la reproducción humana asistida, constituye un (otro) terreno (más) en que se despliegan los afanes biopolíticos de las sociedades (occidentales) contemporáneas. Tomando como referente los análisis de Michel Foucault en torno al biopoder ilustramos cómo de los distintos discursos (sociales, políticos y jurídicos) en torno a la maternidad subrogada se desprenden determinadas pautas dominantes que serían (...) evidencias de un poder que se ejerce sobre la vida humana natural, no mediante la coerción sino mediante su exaltación y su incitación. (shrink)

In this article I analyze the connection between the concepts of “actuality”, “upcoming” and “origin” found in the early reflections of Walter Benjamin and Theodor W. Adorno to expose some of the defining borders of the transposition of criticisms made by both philosophers. Through the identification of “actuality” as a reflection on the conditions in which philosophy is legitimate, “upcoming” as a requisite for self-justification of philosophical knowledge, and “origin” as the claim of the historically unfinished, I show in what (...) sense a critical horizon is recovered by Benjamin and Adorno as an inexorable exercise of philosophical praxis. (shrink)

El siguiente trabajo tiene como objetivo principal describir y analizar la percepción de Manuel Baldomero Ugarte sobre Estados Unidos. Ugarte fue literato y político, pero también fue un pensador interesado por los asuntos internacionales de América Latina. Evidencia de ello son sus propuestas integracionistas y antiimperialistas, en las cuales la presencia de Estados Unidos era evidente. Debido a lo anterior, se estima conveniente explicar qué pensó Ugarte sobre la nación norteamericana, y desde esa perspectiva, contribuir a la discusión sobre tan (...) trascendental intelectual latinoamericano. The purpose of this work is to describe and analyze the perception of Manuel Baldomero Ugarte about the United States. Ugarte was a writer and a politician, but it was also a thinker interested in the Latin America’s international affairs. Testimony of this are his integrationist and anti-imperialist proposals, in which the U.S. presence was evident. Thus, it is considered advisable to explain what he thought about the American nation, and from this perspective, to contribute to the discussion around this important Latin American intellectual. (shrink)

Este artículo sostiene que, a partir del contraste tácito entre obra de arte y naturaleza, Walter Benjamin y Theodor Adorno exploran una estética en la que el proceder antropocéntrico y subjetivista asociado al desencantamiento del mundo retrocede. El propósito del texto, entonces, consiste en articular diversos elementos provenientes de las filosofías de ambos pensadores para configurar un montaje conceptual que evidencie un tratamiento de la relación entre el objeto artístico y el natural, relación que fundamenta la potencia de la experiencia (...) estética como enclave crítico de la razón moderna. A tal fin, en primer lugar, se indica la determinación antropocéntrica de la razón moderna y la especificidad que cobra el objeto artístico en relación a ella. Luego, se señala la remisión de la experiencia estética al objeto natural. Finalmente, se explica la dinámica entre objeto artístico y naturaleza, ampliando su noción. Así, se espera explicitar algunas de las discusiones en relación a la tensión arte-naturaleza a partir de las cuales Adorno y Benjamin buscan desmontar las aporías del antropocentrismo racional. (shrink)

El presente texto procura articular una serie de aristas surgidas de una práctica docente en torno al saber filosófico diagramado académicamente. En concreto, constituye una reflexión sobre la alfabetización académica en las carreras de Filosofía de nivel universitario y, más específicamente, en relación con una inquietud fundamental: ¿cómo enseñar a comprender/producir un texto académico en tal marco institucional? Con el objetivo de determinar algunos indicios que ayuden a reflexionar sobre lo que abre tal pregunta, en este trabajo se busca exponer (...) algunos aspectos emanados de mi experiencia como docente universitaria y abordar la comprensión/producción de textos académicos desde una perspectiva filosófica. En concreto, se trata de un ejercicio docente específico desarrollado durante el período 2019-2021 en el espacio curricular “Comprensión y Producción de Textos Académicos”, correspondiente al primer año de la Licenciatura en Filosofía y del Profesorado Universitario en Filosofía, ambas carreras de la Universidad Nacional de Cuyo. (shrink)

El presente artículo centra su atención en dos textos de la producción temprana de Walter Benjamin, Sobre el lenguaje en general y el lenguaje de los humanos y Para una crítica de la violencia, con el fin de detectar ciertas huellas conceptuales vinculadas al pensamiento kantiano. A partir de ellas se bosquejan algunos fragmentos del panorama teórico dentro del cual Walter Benjamin plantea aquella tensión tan particularmente dialéctica mediante la que, a pesar de objetar la ilustración, reivindica la crítica como (...) el modo inexcusable de actualizarse el pensamiento filosófico. (shrink)

Este trabajo muestra una concurrencia patente en la resonancia de las categorías ‘industria cultural’ [Kulturindustrie] –empleada por Theodor Adorno para indicar ciertas zonas de la dialéctica subjetiva– e ‘industria de recreo’ [Vergnügungsindustrie] –referida por Walter Benjamin en relación a la dialéctica objetiva–. Me detengo en esta poco explorada concomitancia para determinar por qué Adorno evidencia una dialéctica de la subjetividad administrada en la renuncia sacrificial y Benjamin elabora una dialéctica de la objetividad fetichizada signada por su carácter de fantasmagoría cadavérica. (...) Así, señalo una dimensión de la incardinación entre la veta expansiva de la racionalidad moderna y la instrumentalización de sujetos y objetos. (shrink)

Este trabajo explora una línea posible del diálogo entre Walter Benjamin y Hannah Arendt mediante la presentación de algunas intermitencias entre dos figuras relevantes de su pensamiento sobre la historia, la figura que Benjamin determina en su abordaje del Angelus Novus pintado por Paul Klee, y la figura de Er en los términos en que Arendt la elabora a partir de una parábola kafkiana. Retomamos ambas figuras con el objetivo de mostrar en ellas el intento filosófico de organizar un pensamiento (...) crítico que resista la esclerosis del concepto moderno y progresivo de historia: en un contexto en que el pasado pareciera diluirse en la impotencia de su presencia y el futuro se presenta como reproducción apocalíptica del desastre, sostenemos que Benjamin y Arendt convocan al Angelus Novus y al Er kafkiano como imágenes capaces de dislocar el anquilosamiento de la crítica y el flujo epistemológico implicado en la crisis moderna de la experiencia. (shrink)

Este trabajo reanuda y continúa la pregunta por la actualidad de la filosofía benjaminiana. Para ello, se prioriza la exploración de ciertos lineamientos epistemológicos y políticos determinantes de su concepción de la crítica (y no, en cambio, los enclaves estéticos, antropológicos y/o culturales). Se afirma como punto de partida que en el pensamiento de Walter Benjamin puede identificarse el sufrimiento como el origen de una epistemología crítica. A partir de ello, se aduce que la concepción benjaminiana de la crítica depende (...) de su concepción de la historia. Luego, se procura indicar que la crítica es expresión de la experiencia del sufrimiento y, al mismo tiempo, vivificación de la débil voz mesiánica de los muertos. Por último, se indaga la actualización aquí y ahora de la crítica benjaminiana: se argumenta que la filosofía que pone en el centro la colonialidad en cuanto configuración marginal del sufrimiento permite actualizar la teoría crítica en la medida en que evita la formalización de tal concepto. (shrink)

RESUMEN Walter Benjamin y Theodor W. Adorno elaboran una reflexión en torno a la actualidad y porvenir de la filosofía a raíz de la desavenencia entre verdad y conocimiento que eclosiona en el seno de la modernidad. En este trabajo nos proponemos, en consecuencia, rastrear de qué manera Adorno y Benjamin dirigen sus reflexiones sobre la praxis filosófica hacia la inquietud epistemológica sobre la interpretación de lo inconcluso. El recorrido que proponemos nos permite mostrar, en primer lugar, que ambos pensadores (...) desarrollan una crítica de la racionalidad filosófica atravesada por la advertencia dialéctica acerca de la presencia de lo inacabado. En segundo lugar, que la Teoría crítica gestada por ellos encuentra en la interpretación la vía práctica de la que depende la actualidad filosófica, pues, según exponemos en nuestro análisis, interpretar constituye la posibilidad teórica de reparar lo despreciado en el despliegue dialéctico de la modernidad. ABSTRACT Walter Benjamin and Theodor W. Adorno elaborate a reflection on the actuality of philosophy as a result of the disagreement between truth and knowledge that hatches in the bosom of modernity. Consequently, in this work we propose to trace how Adorno and Benjamin direct their reflections on philosophical praxis towards the epistemological concern about the interpretation of the unclosed. The route that we propose allows us to show, first of all, that both thinkers develop a critique of philosophical rationality crossed by the dialectical warning about the presence of the unfinished. Secondly, that the Critical Theory conceived by them finds in interpretation the practical way on which philosophical actuality depends, because -as we expose in our analisis- to interpret constitutes the theoretical possibility of repairing the despised in the dialectical deployment of modernity. (shrink)

The goal of this article is to examine the incardination of the critical notion "limit of reason" and the dialectical notion "threshold" within the framework of Walter Benjamin's philosophy. To this end, in the first place, this article investigates Benjamin's determination of rational limits according to the correlation between the weakening of the mimetic experience and the instrumentalization of language. Then, based on an analysis of the dialectic of the media, it indicates why Benjamin's philosophy can be conceived as the (...) attempt to dialectically transform the "limits of reason" into "thresholds" open to another rational experience. In this way, it is hoped to show one aspect of Walter Benjamin's thought: the updating of the critique of reason as one of the foundations of his program for a coming philosophy. (shrink)

Obituario de nuestro compañero Rogelio Rubio.

(2009). Transitions to democracy: the role of moral and citizenship education in Latin America. Journal of Moral Education: Vol. 38, Moral and Citizenship Education in Latin America: Towards Reconciliation, Community Development and Democracy, pp. 391-406.

Este artículo se centra en ciertas reflexiones tempranas de la filosofía de Walter Benjamin y sostiene que en ellas se advierte un pasaje del concepto de verdad comprendido como misterio [Geheimnis] a uno en que la verdad es abordada en cuanto enigma [Rätsel]. En primer lugar, se establece la determinación de la preminencia subjetivista de la modernidad y se muestra en qué sentido el programa benjaminiano de una filosofía venidera avanza hacia una reflexión liberada del yo, capaz de experimentar lo (...) no-dicho por la totalidad subjetivista. Luego, se señala por qué la búsqueda de una relación sujeto-objeto distinta a la de la síntesis se concentra en la objetividad estética. A continuación, se indica la aproximación entre verdad y belleza efectuada por el filósofo y se sugiereuna conexión entre tal aproximación y la actualización benjaminiana de la filosofía platónica, fundamentalmente, la asociada a la figura medial de Eros. Por eso, finalmente, se expone el abordaje de la búsqueda tensional del δαίμων como la vía benjaminiana para desmontar la concepción misteriosa de la verdad y afirmar, en cambio, su carácter enigmático. (shrink)

This article postulates that the criticality of epistemology elaborated by Walter Benjamin and Theodor W. Adorno is based not so much on the reformulation of a philosophical praxis against modern reason, but mainly on the metamorphosis of the concept of truth. Specifically, it is affirmed that the critique of modern reason carried out by both thinkers is associated with the determination of the temporal nucleus of truth as negativity and mourning. In the context of a rational crisis, Benjamin and Adorno (...) open the possibility of a relationship with objectivity in the form of a critical interpretation of that temporal nucleus. This, linked to the dialectic of modern catastrophe, deals with exposing the fragments produced by the subjectivist super-determination governed by the logic of identity. To justify this, first, we explain the identification made by both philosophers between the temporal nucleus of truth and the concept of sad-negative truth; imbrication that tries to condense the consequences of the subjectivist constitution of reason. Then, we point out the conjugation of this definition of truth with the production of suffering. Next, we determine in what sense the negativity of the truth opens up the dialectical character of the modern catastrophe. Finally, we indicate the necessary association of such a critical epistemology with the historical apocatastasis. (shrink)

En este trabajo busco exponer que la crítica de la modernidad de Walter Benjamin ampara una dimensión natural en tanto material residual y arruinado de la dialéctica sujeto-objeto. Para ello, primero, aludo la crisis racional moderna en función del empobrecimiento de la experiencia y el conocimiento, cuya consecuencia se traduce en la tristeza natural y un desbalance subjetivista. A continuación, exploro el materialismo benjaminiano en función de la configuración mercantil de los objetos en el marco del capitalismo. Finalmente, presento la (...) modalidad dual de la técnica y la cuestión de la historia natural. Así, espero mostrar que el materialismo benjaminiano no se detiene en la exposición de la objetividad arruinada, sino que abre una vía racional en la que la naturaleza derruida constituye una materia inacabada de la objetividad, índice de un conocimiento del porvenir no antropocéntrico y, por eso, fundamento para una experiencia histórica divergente. (shrink)

The aim of the present study is to analyze individual differences in academic self-efficacy within a population of Unaccompanied Foreign Minors from the European cities of Ceuta and Melilla. Variables describing educational level and length of stay were considered in a sample of 377 individuals being cared for in different youth centers. Of these, 63.4% belonged to the group who had stayed at the center for less than 9 months and 36.6% reported a length of stay of more than 9 (...) months. The age of participants ranged between 8 and 17 years old. Once the quality parameters of the instrument were elaborated, reliability and validity was confirmed through Confirmatory Factor Analysis using Structural Equation Modeling methodology. Data collection was then initiated. The results overall indicate that 87.6% of those who completed the questionnaire reported a higher level of self-efficacy with regards to working with any classmate, whilst at the same time seeing themselves as capable of achieving good marks. ANOVA results indicated significant differences with respect to educational level and length of stay. In this regard, students who had received professional training and had been at the Center for more than 9 months, were the ones who developed greater academic self-efficacy for spending more time working when tasks were judged to be difficult. The results obtained demonstrate that any intervention will be positive as long as it promotes different institutions to develop strategies that cater to a length of stay of more than 9 months and target education, academic self-efficacy, socialization and strengthening the future workforce. Such interventions can be directed through new European, Spanish or local level policies. It is clear that institutions still have a lot of work left to do. (shrink)

Patients’ beliefs about the effectiveness of their treatments are key to the success of any intervention. However, since these beliefs are usually formed by sequentially accumulating evidence in the form of the covariation between the treatment use and the symptoms, it is not always easy to detect when a treatment is actually working. In Experiments 1 and 2, we presented participants with a contingency learning task in which a fictitious treatment was actually effective to reduce the symptoms of fictitious patients. (...) However, the base-rate of the symptoms was manipulated so that, for half of participants, the symptoms were very frequent before the treatment, whereas for the rest of participants, the symptoms were less frequently observed. Although the treatment was equally effective in all cases according to the objective contingency between the treatment and healings, the participants’ beliefs on the effectiveness of the treatment were influenced by the base-rate of the symptoms, so that those who observed frequent symptoms before the treatment tended to produce lower judgments of effectiveness. Experiment 3 showed that participants were probably basing their judgments on an estimate of effectiveness relative to the symptom base-rate, rather than on contingency in absolute terms. Data, materials, and R scripts to reproduce the figures are publicly available at the Open Science Framework. (shrink)

Background The birth plan is a tool that allows the self-learning and thoughtful analysis of the women during the birthing process, facilitating their making of decisions and participation, in agreement with the bioethical principles of autonomy and no malfeasance. Goal: To understand the perception and satisfaction of women who presented a birth plan. Methodology: Qualitative, descriptive, observational, retrospective and cross-sectional study. The population of the study was composed of 21 women who presented a birth plan regulated in a Hospital ever (...) since the recording of the presentation of the birth plan was started until 2015. Place: Cartagena. Techniques/methods: Semistructured interview. Results-Discussion: Most women considered the plan as a useful self-learning tool on the meaning of the birthing process, as it favored the communication between the expectant mothers/health professionals. Our informants sought information related to the birthing process from informal sources; most perceived a level of respect of their wishes during the process of giving birth. The use of the birth plan did not imply the perception of loss of the degree of control during the birth, although attention to the written document could be improved. Conclusions The use of the birth plan is a very satisfactory and useful experience for their involvement in their self-care, although in some cases, the births did not proceed according to their plans. Nevertheless, the prevalence of the principle of Non-Malfeasance over Autonomy was evidenced. (shrink)

BackgroundComorbidity between diabetes mellitus and depression is highly prevalent. The risk of depression in a person with diabetes is approximately twice that of a person without this disease. Depression has a major impact on patient well-being and control of diabetes. However, despite the availability of effective and specific therapeutic interventions for the treatment of depression in people with diabetes, 50% of patients do not receive psychological treatment due to insufficient and difficult accessibility to psychological therapies in health systems. The use (...) of information and communication technologies has therefore been proposed as a useful tool for the delivery of psychological interventions, but it continues to be a field in which scientific evidence is recent and controversial. This systematic review aims to update the available information on the efficacy of psychological interventions delivered through ICTs to improve depressive symptomatology in patients with diabetes.MethodsA systematic review of the literature was performed following the PRISMA guidelines and using MEDLINE, Embase, PubMed, Web of Science, PsycINFO, Scopus, and Cochrane Library databases to search for randomized clinical trials of eHealth treatments for patients with diabetes and comorbid depression from 1995 through 2020. In addition, studies related to follow-up appointments were identified. Inclusion criteria were as follows: randomized clinical trials ; patients with type 1 and type 2 diabetes; adult population over 18 years of age; presence of depressive symptomatology assessed with standardized instruments; treatments for depression based on established psychotherapeutic techniques and principles; delivered through eHealth technologies. We did not limit severity of depressive symptomatology, delivery setting or comparison group. Two coauthors independently reviewed the publications identified for inclusion and extracted data from the included studies. A third reviewer was involved to discuss discrepancies found. The PEDro scale was used to assess the quality of the RCTs. No meta-analysis of the results was performed. The protocol used for this review is available in PROSPERO.ResultsThe initial search identified 427 relevant scientific publications. After removing duplicates and ineligible citations, a total of 201 articles were analyzed in full text. Ten articles met the criteria of this review and were included, obtaining very good scientific quality after evaluation with the PEDro scale. The main results show that the eHealth psychological intervention for depression in patients with diabetes showed beneficial effects both at the end of treatment and in the short and long term for the improvement of depressive symptomatology. The methodology used was very heterogeneous. However, all studies were based on cognitive-behavioral tools and used standardized assessment instruments to evaluate depressive symptomatology or diagnosis of MDD. Glycemic control was assessed by glycosylated hemoglobin, but no benefits were found in improving glycemic control. Only four studies included psychoeducational content on diabetes and depression, but none used tools to improve or enhance adherence to medical prescriptions or diabetes self-care.ConclusionsICT-based psychological interventions for the treatment of depression in people with diabetes appear to be effective in reducing depressive symptomatology but do not appear to provide significant results with regard to glycemic control. Nonetheless, the scientific evidence reported to date is still very limited and the methodology very diverse. In addition, no studies have implemented these systems in routine clinical practice, and no studies are available on the economic analysis of these interventions. Future research should focus on studying and including new tools to ensure improvements in diabetes outcomes and not only on psychological well-being in order to advance knowledge about these treatments. Economic evaluations should also be undertaken to analyze whether these treatment programs implemented using eHealth technologies are cost-effective. (shrink)

Este es artículo es una reflexión en torno a la sociedad VUCA y BANI en la que nos hallamos inmersos. Tras caracterizar a una y otra, se describe las dos crisis que han marcado a esta sociedad: la primera, es la crisis económico-financiera del 2008 y, la segunda, es la crisis que generó la COVID-19 (2019). A estas dos, se le unía otra subyacente, en la sociedad, que es la llamada “crisis de valores” que alcanzó a distintas partes de la (...) sociedad. También, se describe cómo en las últimas dos décadas se ha agravado una crisis medio ambiental que se está produciendo a escala mundial. Además, a estas dos crisis, se añade una crisis geopolítica de alcance imprevisibles, para el conjunto, de la población mundial que se refleja en la invasión por parte de Rusia de Ucrania y el agravado conflicto palestino-israelí con las consecuencias que tienen tanto una como la otra en la población mundial. El impacto de esta situación que se refleja en la sociedad lleva al autor a plantearse su impacto en las personas, en las distintas partes implicadas en la tarea de educar y el reflejo/la necesidad de unas voces éticas en la Educación. (shrink)

Quality of Life Reach in Medical Care Alcance da qualidade de vida no atendimento médico The term quality of life has increasingly widespread use in biomedical practice, especially in end-of-life situations. Experience shows that the expression is often used with very different —and sometimes conflicting— scopes. The present article presents the results of a literature review that show diverse positions, while delimitating the subject. The analysis compares the terms “quality of life,” “human dignity,” and “value of human life.” Para citar (...) este artículo / To reference this article / Para citar este artigo Páez G, López-Gabeiras MP, Moreno-D’Anna M. Alcance de la “calidad de vida” en atención médica. Pers Bioet. 2020;24:14-27. DOI: https://doi.org/10.5294/pebi.2020.24.1.2 Recibido: 06/11/2019 Aceptado: 04/03/2020 Publicado: 07/05/2020. (shrink)

Perfectionism is a multidimensional construct with both positive and negative aspects. Recently, the concept of appearance-oriented perfectionism has been introduced, which is associated with body image dissatisfaction and weight and shape control behaviors. The Physical Appearance Perfectionism Scale is a 12-item two-factor instrument developed to assess this new dimension of perfectionism. The aim of the study is to validate the Spanish version of PAPS among a representative sample of 850 male university students in Spain. Exploratory and confirmatory factorial structure, internal (...) consistency, convergent and concurrent validity, and associated predictor variables analyses have been carried out. Results showed that the Spanish version of the PAPS maintains the original factor structure with all items and proves to be a reliable instrument. Physical appearance-oriented perfectionism is associated with general perfectionism, higher body dissatisfaction, Eating Disorders and Muscle Dysmorphia symptomatology, and compulsive exercise, particularly in the Worry about Imperfection subscale. These variables also act as predictors of physical appearance perfectionism. The use of the PAPS-S and the analysis of its subscales is recommended in the context of body image-related pathologies such as Eating Disorders and Muscle Dysmorphia. (shrink)