IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

"CAMINOS DEL PENSAR DE NUESTRA AMÉRICA se integra con 27 ensayos, cuyos autores escriben en torno a siete materias principales: Eticidad y educación; Circunstancialidad y liberación; Literatura y expresión; Movimientos sociales ¿antiguos y modernos?; Epistemologías actuales en América Latina; Tecnología ecología y ciencia, y cierra con Temas en el tintero en América Latina, todos ellos con un objetivo común: la historia de las ideas. Gracias al trabajo metodológico y guía del doctor Mario Magallón Anaya fue posible conjuntar temas diversos entrelazando (...) ideas; este libro es resultado de sesiones de análisis en las que distintas generaciones convergieron desde sus disciplinas para pensar a nuestro mundo en estas primeras dos décadas del siglo XXI."--Back cover. (shrink)

Unfounded—conspiracy and health—beliefs about COVID-19 have accompanied the pandemic worldwide. Here, we examined cross-nationally the structure and correlates of these beliefs with an 8-item scale, using a multigroup confirmatory factor analysis. We obtained a two-factor model of unfounded (conspiracy and health) beliefs with good internal structure (average CFI = 0.98, RMSEA = 0.05, SRMR = 0.04), but a high correlation between the two factors (average latent factor correlation = 0.57). This model was replicable across 50 countries (total N = 13,579), (...) as evidenced by metric invariance between countries (CFI = 0.96, RMSEA = 0.06, SRMS = 0.07) as well as scalar invariance across genders (CFI = 0.98, RMSEA = 0.04, SRMS = 0.03) and educational levels (CFI = 0.98, RMSEA = 0.04, SRMS = 0.03). Also, lower levels of education, more fear of COVID-19, and more cynicism were weakly associated with stronger conspiracy and health beliefs. The study contributes to knowledge about the structure of unfounded beliefs, and reveals the potential relevance of affective (i.e., fear of COVID-19) and cognitive (i.e., cynicism) factors along with demographics, in endorsing such beliefs. In summary, we obtained cross-cultural evidence for the distinctiveness of unfounded conspiracy and health beliefs about COVID-19 in terms of their structure and correlates. (shrink)

Este artículo revisa la concepción de la Independencia de Antonio Caso, Alfonso Reyes, José Vasconcelos, Samuel Ramos, Juan Hernández Luna, Leopoldo Zea, Emilio Uranga y Luis Villoro. La pregunta por las “raíces ideológicas” de la Independencia guio en buena medida esta discusión intergeneracional. Miguel Hidalgo era considerado, de manera casi unánime, un héroe, ya fuese uno de la latinidad (para Caso o Reyes) o un héroe existencialista (para Villoro). El artículo adopta el presupuesto metodológico del historicismo: una idea (...) no es sino la forma de reacción de un ser humano concreto frente a sus circunstancias. (shrink)

Mathematical explanations are poorly understood. Although mathematicians seem to regularly suggest that some proofs are explanatory whereas others are not, none of the philosophical accounts of what such claims mean has become widely accepted. In this paper we explore Wilkenfeld’s suggestion that explanations are those sorts of things that generate understanding. By considering a basic model of human cognitive architecture, we suggest that existing accounts of mathematical explanation are all derivable consequences of Wilkenfeld’s ‘functional explanation’ proposal. We therefore argue that (...) the explanatory criteria offered by earlier accounts can all be thought of as features that make it more likely that a mathematical proof will generate understanding. On the functional account, features such as characterising properties, unification, and salience correlate with explanatoriness, but they do not define explanatoriness. (shrink)

In this article, we report a study in which 109 research-active mathematicians were asked to judge the validity of a purported proof in undergraduate calculus. Significant results from our study were as follows: (a) there was substantial disagreement among mathematicians regarding whether the argument was a valid proof, (b) applied mathematicians were more likely than pure mathematicians to judge the argument valid, (c) participants who judged the argument invalid were more confident in their judgments than those who judged it valid, (...) and (d) participants who judged the argument valid usually did not change their judgment when presented with a reason raised by other mathematicians for why the proof should be judged invalid. These findings suggest that, contrary to some claims in the literature, there is not a single standard of validity among contemporary mathematicians. (shrink)

Two experiments are reported which investigate the factors that influence how persuaded mathematicians are by visual arguments. We demonstrate that if a visual argument is accompanied by a passage of text which describes the image, both research-active mathematicians and successful undergraduate mathematics students perceive it to be significantly more persuasive than if no text is given. We suggest that mathematicians’ epistemological concerns about supporting a claim using visual images are less prominent when the image is described in words. Finally we (...) suggest that empirical studies can make a useful contribution to our understanding of mathematical practice. (shrink)

This book introduces readers to central concepts and ideas in Mexican philosophy. Couched in stories and anecdotes from the author's life, the book offers these concepts and ideas as orientations, recommendations, or exhortation for navigating today's world. The structure and the style of the book aims at making these accessible to both specialists and non-specialist or anyone who may have had some experience with contemporary forms of marginalization, alienation, objectification, or any of the various forms of dread and accidentality familiar (...) to modern life. This, the author thinks, is most of us. Narrowing down the scope of the tradition, the author draws from the history of Mexican philosophy in the 20th century, as it is at this time that Mexican philosophy comes into its own. The book begins with two short introductions, one is an introduction philosophy in Mexico, the other to Mexican philosophy. Here, readers are introduced to Alfonso de la Veracruz, who offered the first philosophy course in the Americas in 1540 in the monastery of a small town in Michoacán, Mexico. From there, it presents four main themes from Mexican philosophy that recur in the philosophical literature. The remainder of the book serves as a "guide" for living a better, more fulfilling life. The main characters in what the author considers an uncontroversial retelling of Mexican philosophy are Antonio Caso, Samuel Ramos, Emilio Uranga, Leopoldo Zea, Jorge Portilla, Rosario Castellanos, Elsa Cecilia Frost, and, of course, persons in the author's own life. (shrink)

In this article we present an approach to the new spirituality. In contemporary world we find atheistic and spiritual people. How is this possible? We try to analyze. First we make an approach to the concept of religion. We present a historical perspective of the concept. An atheistic religion is possible depending on the definition of religion we use. Also we analyze, as an example of the context of the twentieth century, Sigmund Freud forecast around the end of religions and (...) analyze the causes of failure. (shrink)

RESUMO Entre a vasta produção de Eduardo Coutinho, destaca-se o documentário Jogo de cena, celebrado como “objeto solar” da filmografia do cineasta, no qual a entrevista ocupa um lugar central. O objetivo deste artigo é refletir discursivamente sobre ela a partir de cenas de fala postas a circular em relação às escolhas estéticas e à materialidade do documentário; natureza da relação entrevistador-entrevistadas, marcada pela recusa a uma “suposta neutralidade” e produção de agenciamentos, cenografias e mundo ético. Para isso, são acionados (...) conceitos basilares da Análise do Discurso, como interdiscurso, cenografia, agenciamento e ethos discursivo, conforme formulados por Dominique Maingueneau. Os resultados mostram que é possível estabelecer diálogos profícuos com os dispositivos metodológicos de Coutinho e conceitos da Análise do Discurso. A partir de uma aura mística do seu silêncio acolhedor, pode-se depreender um ethos respeitoso e atencioso do entrevistador em relação às falas das personagens. ABSTRACT Among Eduardo Coutinho’s vast production, the documentary Jogo de cena stands out and is celebrated as being the centerpiece of the filmmaker's filmography, in which the interviews occupy a central place. The purpose of this article is to reflect upon these interviews, discursively, based on: speech scenes put in perspective and in relation to the aesthetic choices and materiality of the documentary; nature of the interviewer-interviewee relationship, marked by the refusal of an “alleged neutrality” and the production of settings, scenographies, and ethical worlds. For this, we articulated basic concepts of Discourse Analysis, as theorized by Dominique Maingueneau, such as interdiscourse, scenography, setting and discursive ethos. The results demonstrate that it is possible to establish a dialogue between Coutinho’s methodological apparatus and concepts of Discourse Analysis. From a mystical aura of his welcoming silence, the interviewer’s respectful and considerate ethos in relation to the characters' speeches can be inferred. (shrink)

This paper aims to offer an image of Nietzsche as a reader of Schopenhauer, putting aside some fundamental issues, such as the influence of Wagner and the critique of his former master in his late philosophy. Trying to isolate these aspects, I will take Nietzsche as one of the most important reader of Schopenhauer. His deep veneration does not exclude relentless criticism and his relentless criticism does not exclude his deep veneration of Schopenhauer.

El concepto de autopoiesis ha tenido un importante impacto en el ámbito de las ciencias sociales, en la filosofía y las humanidades en general. Algunos intelectuales contemporáneos han llevado a cabo una apropiación crítica del mismo y otrxs han realizado una traspolación directa desde la biología hacia sus respectivas disciplinas y campos de interés. El objetivo del presente artículo es desarrollar un estudio comparativo sobre ciertos usos críticos y no críticos del concepto de autopoiesis que, en su mayoría, hasta el (...) momento no han sido examinados en profundidad y menos aún de una manera comparativa. Se trata de trabajos de investigadorxs con recorridos, intereses y posiciones ético-políticas diversas: Terry Winograd y Fernando Flores, Arturo Escobar, Félix Guattari, Rosi Braidotti, Sylvia Wynter y Donna Haraway. (shrink)

Mediante un examen crítico de los ensayos publicados en Ideas y Valores acerca de la filosofía de Ludwig Wittgenstein, el escrito busca establecer qué tan rica es nuestra asimilación del pensamiento de uno de los grandes filósofos de la historia, si tal trabajo muestra una evolución a lo largo del devenir de la revista y si el examen que hago aquí puede darnos algún indicio acerca de nuestro desarrollo filosófico. Finalmente, se hacen algunas breves consideraciones acerca de lo que significa (...) hacer filosofía desde la periferia y algunas posibles ventajas que eso tiene, así como señalar la necesidad de realizar una labor más colectiva. (shrink)

En la ciudad de Medellín se hace uso de herramientas y dispositivos, en el marco de la llamada Gestión Social, para ejecutar importantes obras para el llamado desarrollo urbano, que bien pueden configurar una “Gestión social del despojo”, en el marco de una “Planeación institucional de la miseria y el desarraigo”, generando víctimas ya no del conflicto armado sino del desarrollo. Es necesario problematizar esta suerte de modelo de desarrollo urbano, su gestión e implementación.

Los derechos sociales no han estado incorporados en las Comunidades Europeas, sino como consecuencias de la libre circulación de personas. Poco a poco a través de la política social se han ido asumiendo exigencias sociales que han desembocado en la formulación de derechos sociales denominados hoy "derechos de la solidaridad" en la Carta de Derechos Fundamentales de la Unión. No obstante, su efectividad y su justicialidad continúan siendo un interrogante y expresión del déficit de la U.E.

“Artemisa” supone una oportunidad excelente para acercarse al tema de la maternidad desde un punto de vista problemático, alejado de la idealización que, frecuentemente, observamos en tantos textos literarios. En este artículo, trataremos de ver cómo y por qué se fragua en el cuento una visión insoportable del hecho de ser madre, así como una imagen monstruosa del hijo cuya pulsión de vida termina desgastando y debilitando el cuerpo de la mujer a través del amamantamiento forzoso. Por otro lado, reflexionaremos (...) en torno al papel subordinado de Luisa y su interiorización tanto del poder patriarcal como del rol de objeto y no sujeto de deseo. Las principales herramientas metodológicas de nuestro trabajo se desarrollarán desde una perspectiva de género. (shrink)

A EVOLUÇÃO DO CONCEITO DE FAMÍLIA NO ÂMBITO DO ORDENAMENTO JURÍDICO BRASILEIRO.

Perscrutar os processos semânticos do conceito de justiça, no espaço bíblico, conduz-nos à descoberta de percursos de sinonímia, em que os múltiplos campos semânticos se cruzam com outros instrumentos conceptuais, no intuito de recolher numa fórmula aquilo que é essencial. Por este caminho podemos contemplar as modalidades com que as culturas do mesmo contexto organizam as suas evidências mais profundas, em sistemas harmónicos de referência e numa hierarquia orgânica de valores.

"Do I believe to understand or do I understand to believe? From an analysis of chapters II and III of Fides et ratio, and the texts of St. Thomas Aquinas, an analysis is sought that aims to offer a response that reconciles these two ambits within an anthropological perspective.".

En este articulo relaciono dos asuntos que no se relacionan comunmente en la literatura sobre Frege: el argumento de Frege sobre la interpretacion de las oraciones de identidad y su problema de referirse a las funciones. Primero expongo el argumento y concluyo que es plausible. Luego caracterizo las relaciones semanticas que el argumento le permite introducir. A continuacion trato el problema antes mencionado y muestro corno afecta a la semantica de Frege: esas relaciones semanticas se vuelven innominables y, por tanto, (...) su seolantica resulta ser inexpresable. Finalmente considero una solucion posible a este probierna.In this paper, I relate two items not commonly related in the literature on Frege: Frege’s argument on the interpretation of identity statements and his problem of referring to functions. First, I expound the argument and conclude that it is sound. Second, I characterize the semantical relations which the argument allows him to introduce. In what follows, I deal with the above mentioned problem and show how it affects Frege’s semantics: those semantical relations become unnameable and, therefore, his semantics turns out to be unexpressible. I consider a possible solution of this problem. (shrink)

El artículo presenta los resultados de una investigación empírica que busca caracterizar el campo de las ciencias sociales en Chile, en el período 2000-2006, en cuanto a su proceso cognitivo, comparando entre las disciplinas. Para ello se constituyó un corpus de 479 publicaciones en las cuales se re..

Le texte qui suit est extrait d’un livre à paraître, une anthologie dont le titre rappellera celui d’un livre publié en 1890. Dans la littérature de la fin du XIXe siècle, ce livre posthume de Jean-Marie Guyau fait figure de production originale tant par la forme que par le contenu. Il rassemble plusieurs textes tirés de l’œuvre du philosophe-poète auxquels l’éditeur avait voulu donner une unité en faisant d..

El presente estudio trata de las influencias y difusión de la fenomenología en España desde su introducción en 1913 hasta 1929, año en que se hacen explícitas las primeras críticas y comienza a hacerse perceptible la influencia de Heidegger, que a partir de ese momento ocupará el primer plano de la atención filosófica. Aun reconociendo el papel central de Ortega en este episodio, se hace ver la existencia de otros nombres significativos, del mismo modo que Husserl no es el único (...) fenomenólogo relevante. (shrink)

1. Hipótesis. El perfil del hombre y la cultura en México. Más allá de la moral de Kant. Apéndice.--2. Hacia un nuevo humanismo. Veinte años de educación en México. Historia de la filosofía en México.--3. Estudios de estética. Filosofía de la vida artística.

Introduction: Nurses who work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective: The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design: Data were analysed, codified and (...) triangulated using qualitative ethnographic content analysis. Participants and research context: This research is set in a large emergency department in the Midlands area of England. Data were collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies. Ethical considerations: Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results: The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations among the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion: The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion: The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen. (shrink)

Cada concepción de la persona responde a un modelo antropológico determinado. Sin embargo, todas confluyen como mínimo, en dos aspectos: todas las personas son receptoras de su vida y todas comparten un anhelo último de felicidad. Pero, ¿qué implicaciones tiene esto en la búsqueda del éxito del hombre? ¿Es compatible con la vinculación al otro? ¿Qué implica ser altruista y qué rol desempeña esta conducta en la consecución del éxito? ¿Es el ser humano altruista de forma innata? De este modo, (...) se pretende analizar el fenómeno del altruismo, su origen y su sentido en la persecución del éxito de la persona desde las dimensiones biológica, psicológica y antropológica que conforman a la persona. (shrink)

El presente texto procura esclarecer la noción de verdad en las Notas sobre el cinematógrafo de Robert Bresson. El análisis nos llevará a establecer una separación entre los conceptos de “realidad” y “verdad”, a pesar de estar vinculados. La noción de “realidad” estará conectada, fundamentalmente, a la noción de la indexicalidad. La “verdad” consistirá, por otro lado, en la apertura o posibilidad del sentido de eso “real” que no se ofrece. Esta tensión entre “verdad” y “realidad” integra, en sí mismo (...) otras dos dialécticas: entre la inmanencia y la trascendencia y entre la actividad y la pasividad de eso “real”. (shrink)