El proceso de atención de enfermería es la aplicación del método científico en la práctica asistencial de la disciplina, de modo que se pueda ofrecer cuidados sistematizados, lógicos y racionales. El artículo que presentamos tiene como objetivo describir un sistema de acciones y operaciones para desarrollar la habilidad diagnosticar en el proceso de atención de enfermería y ser aplicado en la docencia de manera que contribuya en la calidad del egresado. A partir del análisis del perfil profesional y del grado (...) de desarrollo científico-técnico alcanzado y su relación con la identificación de los problemas que constituyen la base del plan de cuidados en el proceso de atención de enfermería se estructuran las acciones y operaciones con una secuencia lógica para llegar al diagnóstico. The process of nursing primary health care is the application of the scientific method in the assistencial practice of this discipline in such a way that it can offer systematic, logical and rational care. The present article has the objective to describe a system of actions and procedures to develop the ability of diagnosing in the process of nursery primary health care and be applied in teaching to favour the increasement of the egressed quality. Actions and procedures have been structured with a logical secuence to reach the diagnosing, starting with the analysis of the professional profile, the level of scientific and technical development reached and its relation with the identification of problems that constitute the base of the patient plan of care in the process of nursery primary health care. (shrink)

RESUMEN Se aplicó una intervención socio sanitaria en el asentamiento rural El León de Camagüey basada en los resultados de un estudio anterior, desde la comunicación social, educativa, así como aspectos socioculturales evaluados que permitieron la realización de este estudio. Su objetivo fue implementar una estrategia de intervención basada en acciones sociales y educativas colectadas en un manual que organizó contenidos de antropología socio cultural, psicología, sociología de la salud y trabajo social comunitario, la que fue conducida por profesionales de (...) enfermería como prestadores, cuyo encargo social les asigna una mayor permanencia e intercambio con los pobladores, potenciándose el trabajo comunitario a partir de febrero de 2016,como etapa de sostenibilidad. La investigación constituyó un diseño mixto, con un estudio cuasi experimental sin grupo control combinado con métodos cualitativos. La evaluación final efectuada en el periodo 2017-2018 exhibió modificaciones positivas en indicadores de las historias clínicas familiares de los pobladores, repercutiendo en el Análisis de la Situación de Salud, realizado en abril de 2018 y el entorno comunitario. Se demostró la importancia de la aplicación de la estrategia de intervención comunitaria desde las disciplinas de las ciencias sociales, por el personal de enfermería como agente de cambio de desarrollo local y protagonista de sostenibilidad. ABSTRACT A social sanitary intervention was applied in the rural establishment El León of Camagüey, based on social and educational actions collected in a manual that organized social cultural anthropology contents, psychology, sociology of the health and community social work, which was led by infirmary professionals like lenders, whose social order assigns a major permanence and exchange of them with the settlers. The investigation constituted a mixed design, with a study quasi experimentally without control group combined with qualitative methods. The final evaluation carried out in the period 2017-2018 exhibited positive modifications in indicators of the familiar clinical history of the settlers, what reverberated in the Analysis of the Situation of Health, carried in April, 2018 and the community environment. It was demonstrated the importance of the application of the strategy of community intervention from the disciplines of the social sciences, by the infirmary personnel as change agent of local development and protagonist of sustainability. (shrink)

Nuestro objetivo es mostrar que una caracterización adecuada de las locuciones modales del lenguaje natural depende fundamentalmente de una correcta descripción de sus propiedades lógicas. Mostramos cómo los análisis escalares en pragmática fracasan porque siguen la lógica modal estándar al tratarlos como operadores preposicionales. Esto produce contradicciones, ya que, en sentido estricto, el estatus lógico de la locución modal es el mismo que el de la proposición simple. Estas expresiones invocan la presencia del hablante y la evidencia que respalda a (...) su afirmación, y tienen por lo tanto un carácter eminentemente deíctico/pragmático.It is our aim in this article to show that an adequate characterization of the interpretation of modally qualified utterances in natural language depends crucially on a correct description of their logical properties. We show that pragmatic analyses in terms of scales fail because they rely on the standard treatment of these expressions in modal logic as operators, and this makes the wrong predictions since, in a strict sense, the logical status of the modally- qualified utterance is the same as that of the bare proposition. We argue that these expressions directly invoke the presence of the speaker and act as indexes to sets of assumptions s/he is relying on as evidence for his/her assertion. (shrink)

En su obra La rebelión de los genes, Manuel Zapata Olivella plantea una teoría del mestizaje en la que se concilia este concepto con la diversidad y la alteridad. El mestizaje no implica exclusión de la otredad ni eliminación de la diversidad. La diversidad no es subsumida en una sola identidad y la otredad no es una perspectiva ajena al sí mismo, sino constitutiva de su idiosincrasia. El otro es parte del sí mismo y el reconocimiento de tal situación constituye (...) un proceso desalienador y descolonizador. Para explorar este planteamiento, en primer lugar, examinamos las concepciones de colonialismo y alienación, teniendo como eje articulador la categoría de idiosincrasia. Seguidamente, examinamos la relación entre diversidad y mestizaje en la teoría de Zapata Olivella. Luego, analizamos la relación entre su concepto de mestizaje y la alteridad. Finalmente, estudiamos el horizonte normativo de la descolonización y la desalienación. (shrink)

Este artículo reconstruye la concepción del reconocimiento presente en la obra _El retorno del sujeto reprimido_de Franz J. Hinkelammert. Plantea que para este autor el reconocimiento implica concebir al otro como “sí mismo”. Dado que la permanencia de la vida propia está determinada por el respeto hacia el otro inmerso en los ciclos naturales de la vida, un reconocimiento recíproco pasa por comprender que el otro habita en el “sí mismo”, es parte de mí y, en consecuencia, el asesinato es (...) suicidio. Por esa razón, esta teoría del reconocimiento deviene en una ética del bien común. Para desarrollar este planteamiento, el texto se estructura en tres partes. La primera reconstruye la crítica de Hinkelammert a la racionalidad instrumental; la segunda se centra en su concepción del sujeto y la última examina su concepción del reconocimiento y la ética del bien común. (shrink)

Despite abundant evidence associating CD38 overexpression and CD4 T cell depletion in HIV infection, no causal relation has been investigated. To address this issue, a series of mechanisms are proposed, supported by evidence from different fields, by which CD38 overexpression can facilitate CD4 T cell depletion in HIV infection. According to this model, increased catalytic activity of CD38 may reduce CD4 T cells’ cytoplasmic nicotin‐amide adenine dinucleotide (NAD), leading to a chronic Warburg effect. This will reduce mitochondrial function. Simultaneously, CD38's (...) catalytic products ADPR and cADPR may be transported to the cytoplasm, where they can activate calcium channels and increase cytoplasmic Ca2+ concentrations, further altering mitochondrial integrity. These mechanisms will decrease the viability and regenerative capacity of CD4 T cells. These hypotheses can be tested experimentally, and might reveal novel therapeutic targets. (shrink)

Lisímaco Parra Paris (ed.)Bogotá, Universidad Nacional de Colombia, 2012. pp. 329.

The multiobjective optimization on the basis of ratio analysis method captures diverse features such as the criteria and alternatives of appraising a multiple criteria decision-making problem. At the same time, the multiple criteria problem includes a set of decision makers with diverse expertise and preferences. In fact, the literature lists numerous approaches to aid in this problematic task of choosing the best alternative. Nevertheless, in the MCDM field, there is a challenge regarding intangible information which is commonly involved in multiple (...) criteria decision-making problem; hence, it is substantial in order to advance beyond the research related to this field. Thus, the objective of this paper is to present a fused method between multiobjective optimization on the basis of ratio analysis and Pythagorean fuzzy sets for the choice of an alternative. Besides, multiobjective optimization on the basis of ratio analysis is utilized to choose the best alternatives. Finally, two decision-making problems are applied to illustrate the feasibility and practicality of the proposed method. (shrink)

Background: This research explores how public awareness and attitudes toward donation and transplantation policies may contribute to Spain's success in cadaveric organ donation. Materials and Methods: A representative sample of 813 people residing in Andalusia (Southern Spain) were surveyed by telephone or via Internet between October and December 2018. Results: Most participants trust Spain's donation and transplantation system (93%) and wish to donate their organs after death (76%). Among donors, a majority have expressed their consent (59%), and few nondonors have (...) expressed their refusal (14%). Only a minority are aware of the presumed consent system in force (28%) and feel sufficiently informed regarding the requirements needed to be an organ donor (16%). Participants mainly consider that relatives should represent the deceased's preferences and be consulted when the deceased's wishes are unknown, as is the case in Spain. Conclusion: Public trust in the transplant system may contribute to Spain's high performance in organ donation. High levels of societal support toward organ donation and transplantation do not correspond with similar levels of public awareness of donation and transplantation policies in Spain. (shrink)

Although entrepreneurial intention has been widely studied using cognitive models, we still lack entrepreneurial vocation and, therefore, lack disruptive innovations. Entrepreneurship scholars have some understanding of the reasons underlying this weakness, although there is much room for improvement in our learning concerning how to promote entrepreneurship among university students, especially in the transformed context of digital technologies. This paper focuses on the early stages of start-up, and in particular seeks to evaluate what role social and psychological factors play in the (...) development of entrepreneurial intentions. Drawing on network theory, we consider the impact of social networks on entrepreneurial intention. Specifically, we analyze the influence of two types of social networks: face-to-face and online social networks, with the latter proving especially important in digital transformations. In addition, based on affective congruency theory, we relate affect with entrepreneurial intention. Particularly, we evaluate the influence of positive and negative dispositional affectivity on the formation of entrepreneurial intentions. Finally, since affect and emotions can also be related with social relationships, we analyze whether dispositional affectivities influence entrepreneurial intention through the mediation effect of social networks. Using structural equation modeling, we confirm the impact of both online and face-to-face social networks, as well as positive dispositional affectivity on entrepreneurial intention for 589 higher education students in Spain. However, negative dispositional affectivity is not seen to influence entrepreneurial intention. Furthermore, both face-to-face and online social networks are influenced by positive dispositional affectivity. Moreover, these two types of networks can even partially mediate the relationship between positive dispositional affectivity and entrepreneurial intention. Positive dispositional affectivity can thus influence entrepreneurial intention in two different ways: directly and indirectly through both face-to-face and online social networks. This study provides further insights and adds to the literature on affect, social networks, and entrepreneurial intention. From a broader perspective, we also contribute to the literature on disruptive innovations by explaining how the development of entrepreneurial intentions would have positive consequences for university students vis-à-vis achieving these disruptive innovations. (shrink)

The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this particular context. We focus mainly on nonracial biases (...) that may be less considered when addressing biases in AI systems in the existing literature. In the manuscript, we found that the existence of bias in AI systems used for COVID-19 can result in algorithmic justice and that the legal frameworks and strategies developed to prevent the apparition of bias have failed to adequately consider social determinants of health. Finally, we make some recommendations on how to include more diverse professional profiles in order to develop AI systems that increase the epistemic diversity needed to tackle AI biases during the COVID-19 pandemic and beyond. (shrink)

Sobre el libro: Con el siglo XX ha finalizado una época de la historia. Las dos guerras mundiales acentúan las tensiones que abren paso a un orden que sucumbe en 1989 con la caída del muro de Berlín. El desarrollo de la técnica y la aparición de la televisión anulan la distancia entre sujeto y objeto característica del pensamiento moderno. Las nuevas tecnologías se convierten en plataforma de importantes cambios sociales cuando comienza un nuevo milenio. Los analistas de tendencias descubren (...) el nacimiento de una nueva sensibilidad que busca pensar de otro modo al hombre, el mundo y la cultura. Romano Guardini anticipó algunos de los problemas que recibía el siglo XX y que debían encontrar una nueva orientación. En 1918 afirma la primacía del Logos sobre el Ethos subrayando cómo el respeto al ser, a la verdad y al sentido de la realidad protegen al hombre. Desde una profunda confianza en la capacidad humana de conocer, ofrece como respuesta a los problemas que plantea la tradición intelectual que le precede un modo de contemplar al hombre desde la revelación que puede ayudar a pensar el curso de la cultura contemporánea. Sobre la autora: Mónica Codina es profesora de la Facultad de Comunicación de la Universidad de Navarra. Entre sus publicaciones hay que destacar El sigilo de la memoria. Tradición y nihilismo en la narrativa de Dostoyevski (Pamplona, 1997), una visión de la antropología subyacente a la narrativa de Dostoyevski; De la ética desprotegida. Ensayos sobre deontología de la comunicación (Pamplona, 2001), sobre la dimensión ética de las profesiones ligadas a la comunicación; y Jornalism for Integration. The Muhammad Cartoons, en colaboración con Jordi Rodríguez-Virgili, publicado en Javnost-The Public, vol. 14 (2007), nº 2, donde se discute el concepto europeo de libertad de expresión. (shrink)

In recent years, the issue of corporate social responsibility has become particularly relevant. Accelerating technological advances and increasing consumption are increasingly causing negative impacts on the environment and society that is why the organizations’ social responsibility is becoming more and more relevant every year. The experience of foreign countries shows that social responsibility is useful not only for business but also for its environment, determines the increasing number of socially responsible organizations in Lithuania and a more favorable attitude of consumers (...) towards the activities of organizations [36]. According to Mauriciene and Pauzuoliene, the priority of socially responsible organizations is the expectations and needs of consumers. Socially responsible organizations emphasize in their activity reports the importance of socially responsible activities to the organization, its employees, society and consumers. Consumers are more likely to appreciate such an organization, prefer to choose its products, encourage others to do the same, and believe more in what it does. Analysis of the literature. The issues of corporate social responsibility are investigated by both Lithuanian and foreign scientists and others). It is noticed that foreign scientists Henderson, 2007; Rodriguez, Cruz, 2007; Grosbois, 2012; Dolores, Vargas-Sanchez, 2014; Joon-Ho, Bong-Ihn, Ki-Tai, Jong-Pil, 2017, Ponnapureddy et al. Robin et al, Mensah, Lee and Heo et al sufficiently widely analyze hotel social responsibility. The aim of the work is to investigate the social responsibility of the organization from the point of view of consumers. The objectives raised in the work: To discuss the concept of corporate social responsibility and the peculiarities of implementing in the activities; To describe the models of corporate social responsibility; To assess the social responsibility of accommodation providers in terms of consumers. The following research methods were used to achieve the aim and objectives: analysis of scientific literature, questionnaire survey and statistical analysis of the obtained data. The result of the study. Taking into account the social responsibility of accommodation companies from the point of view of consumers, as an interested party and one of the most important market participants, according to the ethical, legal and economic responsibility components it is stated that the social responsibility of accommodation companies is of medium level and should be improved according to all criteria. (shrink)

Here is a discussion that deals with storytelling by the teacher for the children, considering their contributions to the development of languages in the early years of lementary school. We assumed as the fact that a recovery of the first contact of children with the texts, which are normally through the oral narratives, potentiates the development of oral, reading and writing in an integrated manner. Therefore, we work with oral language and its importance is often overlooked by most schools. Understand, (...) according to Barthes, Echeverría, Sholles and Kellog, that the narratives are grown in different social groups, especially through the spoken, and is what makes the narrative form is the way to fundamentally discursive for humans formation. Furthermore, we believe, as Andaló, that work with oral narratives allow children, even before being literate, playing the stories and understand them, telling yourself with them and with the world. Most of the experiences we have in working with this approach in the public schools who teach in the towns of Candelaria and Vera Cruz , or in theoretical discussions with students in the Courses of Pedagogy -UNISC, shows that the creation of adequate space in school to playing oral stories is like a trigger mechanism for integrated learning – under the gaze of the multidimensional complexity – of speaking, reading and writing capabilities to understand how action and reflection in the world . That is, supported by authors such as Kaufman and Rodríguez, Gil Neto, Bettelheim, Busatto, Abramovich, Amarilha and Saraiva, we defended the thesis that storytelling enhances the development of oral, to training children as readers and texts producers, inserting them into living a socially desirable.Apresentamos aqui uma discussão que trata da contação de histórias pela professora e pelas crianças, considerando suas contribuições para o desenvolvimento das linguagens nas séries iniciais do Ensino Fundamental. Adotamos como pressuposto o fato de que uma valorização do primeiro contato das crianças com os textos, que normalmente se dá por meio de narrativas orais, potencializa o desenvolvimento da oralidade, leitura e escrita de forma integrada. Por isso, debatemos o trabalho com a linguagem oral e sua importância, muitas vezes negligenciada pela maioria das escolas. Compreendemos, de acordo com Barthes, Echeverría, Sholles e Kellog, que as narrativas são cultivadas nos diversos grupos sociais, specialmente através da oralidade, e é isso que faz com que a narração se constitua em uma forma discursiva básica para a formação dos seres humanos. Além disso, pensamos, conforme Andaló, que o trabalho com narrativas orais permite que as crianças, ainda antes de estarem alfabetizadas, contem e compreendam as histórias e a si mesmas, narrando-se com elas e com o mundo. A maioria das vivências que temos no trabalho com essa abordagem, seja nas escolas públicas em que lecionamos, nos municípios de Candelária e Vera Cruz , seja nos debates teóricos com alunas nos cursos de Pedagogia da Unisc, dão conta de que a criação de espaços adequados na escola para a contação de histórias constitui-se em um mecanismo desencadeador das aprendizagens integradas – sob o olhar multidimensional da complexidade – da expressão oral, da leitura e da escrita, que compreendemos como capacidades de ação e reflexão no mundo . Ou seja, respaldados em autores como Kaufman e Rodríguez, Gil Neto, Bettelheim, Busatto, Abramovich, Amarilha e Saraiva, defendemos a tese de que contar histórias potencializa tanto o desenvolvimento da oralidade quanto a formação das crianças como leitoras e produtoras de textos, inserindo-as em uma convivência social desejável. (shrink)

This original article outlines a theoretical path and posterior critical analysis regarding two relevant matters in modern nursing: patterns of knowing in nursing and commodification contexts in contemporary health systems. The aim of our manuscript is to examine the development of basic and contextual nursing knowledge in commodified contexts. For this purpose, we outline a discussion and reflexive dialogue based on a literature search and our clinical experience. To lay the foundation for an informed discussion, we conducted a literature search (...) and selected relevant articles in English, Spanish, and Portuguese that included contents on patterns of knowing, commodification, and nursing published from 1978 to 2017. Globalization, commodification, and austerity measures seem to have negative effects on nursing. Work conditions are worsening, deteriorating nurse–patient relationships, and limiting reflection on practice. Nurses must develop knowledge to challenge and participate in institutional organization and public health policies. Development of nursing knowledge may be difficult to achieve in commodified environments. Consequently, therapeutic care relationships, healthcare services, and nurses' own health are compromised. However, by obtaining organizational, sociopolitical, and emancipatory knowledge, nurses can use strategies to adapt to or resist commodified contexts while constructing basic knowledge. (shrink)

This Element focuses on three challenges of evolution to religion: teleology, human origins, and the evolution of religion itself. First, religious worldviews tend to presuppose a teleological understanding of the origins of living things, but scientists mostly understand evolution as non-teleological. Second, religious and scientific accounts of human origins do not align in a straightforward sense. Third, evolutionary explanations of religion, including religious beliefs and practices, may cast doubt on their justification. We show how these tensions arise and offer potential (...) responses for religion. Individual religions can meet these challenges, if some of their metaphysical assumptions are adapted or abandoned. (shrink)

The commodification of health care, particularly primary care, presents challenges to care and knowledge development. The purpose of this study is to examine how nurses perceive and develop their knowledge in a commodified context. A mixed‐methods study was conducted that included a closed‐question survey and in‐depth interviews with nurses in public primary care in Catalonia. There were 104 valid responses to the questionnaire and 10 in‐depth interviews. The main findings of the survey were related to workload and limited time for (...) nursing care. Six themes emerged from the in‐depth interviews: (1) limited time for nursing, (2) feelings of burnout, (3) awareness of patient and family satisfaction, (4) organizational factors that favor nurses' needs, (5) organizational factors that hinder nurses' needs, and finally (6) public administration requirements. Participants perceive excessive workload and time constraints and feel that this affects their nursing care and their physical and mental health. However, nurses purposefully use knowledge patterns to cope with the problems associated with commodification. Nurses have multidimensional, contextualized, and integrated knowledge that allows them to optimize their care based on the needs of their patients. This research examines many challenges related to nursing practice and the nursing discipline and opens the door for further research that encompasses all areas of nursing. (shrink)

Este trabajo ha sido seleccionado para la V Olimpiada de Filosofía queorganiza FICUM en la modalidad de secundaria y bachillerato, para promocionar la filosofía entre los jóvenes.