The incorporation of hybrid systems based on renewable sources for the optimization of electricity distribution systems and planning of power supply strategies using genetic algorithms is studied. A series of characteristics of electrical sub-stations was chosen and through simulations, data were obtained for the optimization of the existing infrastructure, which provides reliability, security, economic supply and quality of service. An algorithm was obtained with the optimal configuration of various components: photovoltaic panels, batteries, AC generator, fuel cell and inverter, which in (...) the case of mono-objective optimization, minimized total system costs throughout its useful life. The most appropriate control strategy or combination of control variables was obtained to minimize costs. Keywords: Electrical distribution, Hybrid systems, Genetic algorithms. References [1]D. F. Pinzón, «Diseño óptimo de Sistemas de Distribución,» Universidad Nacional de Colombia, Bogotá, 2014. [2]F. A. Mendoza Lameda, «Diseño multiobjetivo y multietapa de sistemas de distribución de energía eléctrica aplicando algoritmos evolutivos,» Universidad de Zaragoza, Zaragoza, 2010. [3]L. Miró Hernández and R. Vizcón Toledo, «Sistema Hibrido Propuesto Para la Generación de Electricidad en un Policlínico,» Revista Avanzada Científica, vol. 9, nº 2, pp. 50-56, 2006. [4]J. Lagunas M., C. Ortega S. and P. Caratozzolo M., «Control supervisorio para sistemas híbridos de geración eléctrica basado en lógica difusa,» Boletin UE, Monterrey, 2005. [5]J. L. Bernal Agustín, «Aplicación de algoritmos genéticos al diseño óptimo de sistemas de distribución de energía eléctrica,» Universidad de Zaragoza, Zaragoza, 1998. [6]V. MIranda, J. V. Ranito and L. Proenca, «Genetic Algorithms in Optimal Multistage Distribution Network Planning, » IEEE, Porto, 1994. [7]I. Ramirez-Rosado and J. Dominguez-Navarro, «Computer Aided Desing of Power Distribution Systems: Multiobjective Mathematical Simulations» International Journal of Power and Energy Systems, vol. 19, nº 4, pp. 1801-1810, 2004. (shrink)

Los planteamientos de A. C. Danto sobre el pluralismo en el arte y la crítica de arte contemporáneos toman como punto de referencia los años ochenta, un corto periodo en el que el pluralismo afloró como tema para la conciencia artística. Movimientos artísticos de los sesenta como el pop, el minimalismo, fluxus, habían derogado la estética como criterio para la definición del arte: obra de arte podía ser cualquier cosa. Esto ya no lo podía asimilar la crítica sino la filosofía (...) del arte, única capaz de un concepto del arte transhistórico y pluralista de por sí. Sin embargo, el pluralismo en el arte requiere también de la crítica. El artículo expone la diferencia entre filosofía del arte y crítica de arte, y para afrontar el reto del pluralismo, la diferencia entre crítica de arte libre y crítica dependiente del mundo del arte institucionalizado. Finalmente, el artículo aprovecha una alusión de Danto para asociar el espíritu del pluralismo en el arte y la política. (shrink)

El artículo tiene como objetivo mostrar la ejemplaridad del modelo de la critica de arte que practica A. C. Danto, en una época marcada por la tensión entre la globalización y el multiculturalismo. En primer lugar se aborda la relación entre crítica de arte y filosofía del arte, pues en el caso de Danto se trata de dos aspectos inseparables; Duchamp introdujo la reflexión filosófica en el corazón del discurso artístico, y Danto responde a esta situación como filósofo y como (...) crítico. El arte es para Danto una forma de pensamiento, y la experiencia del arte consiste en engranar pensamiento con pensamiento. Esta posición polemizo con lo respuesta puramente estética, puramente sensible, que el formalismo ha cultivado con lo reducción de la obra de arte a objeto estético. En segundo lugar, se describen tres tareas de la crítica: 1.) La descripción del significado de la obro y del modo como lo encarna. 2.) El compromiso de la crítica con el público lector y no con el lector erudito. 3.) La independencia y la solvencia ética del crítico. El arte no es una demanda de la globalización sino una necesidad fundamental de la subjetividad humana; la crítica de arte de Danto pretende hacer de la experiencia del arte una contribución para aprender a vivir en el pluralismo. (shrink)

El Romanticismo hizo aportes fundamentales en la teoría de la pintura: por un lado centró la atención en su visualidad como arle de la apariencia y su idealización: por el otro, la coaccionó con el significado, poniéndola al servicio de la religión y el poder, estimuló el goce y la crítica del arte, pero los condenó también en favor de una actitud reverencial ante él. La pintura de los Nazarenos representa la intención romántica de una nueva pintura cristiana, alemana y (...) patriótica que habría de reorientar el espíritu de la época. Hegel se opuso radicalmente a este proyecto: su tesis del fin del arte no tiene sólo una explicación sistemática, sino que responde igualmente a un debate histórico concreto. El artículo aborda las posiciones de Wackenroder, August y Friedrich Schlegel, y Overbeck. (shrink)

Hegel’s assertion that, for us moderns, art is a matter of the past has obscured his genuine interest in the art of his time and modern art in general. This article attempts to correct this situation. First, it contextualizes the claim in its historical and conceptual aspects; second, it returns to Hegel’s approaches to modern art, neglected hitherto by interpreters. This revision implies clarifying what for Hegel is the modern, whose concept comes from the freedom and autonomy of thought, and (...) does not conform to what, in developments of Aesthetics, after Hegel, represent tendencies and prescriptions such as the avant-garde or turns such as aesthetic modernity and postmodernity. Modern art is the product of an artist who freely disposes of the means and content of art since he places himself above them. (shrink)

La integración de libros electrónicos como elementos destinados a favorecer la construcción de aprendizajes en los procesos educativos, supone una serie de conocimientos previos concernientes a las tendencias hipertextuales del e-book que los estudiantes universitarios deberían poseer, dadas las características de la sociedad actual en la que los jóvenes hacen uso cotidiano de ese tipo de tecnología para llevar a cabo diversas tareas. En ese tenor, el presente trabajo da cuenta de una investigación realizada con una población estudiantil de la (...) Carrera de Cirujano Dentista, cuyo objetivo se encaminó a identificar aquellos elementos involucrados con la adopción del libro en formato electrónico como apoyo didáctico para la asignatura Metodología de la Investigación. (shrink)

Uno de los grandes problemas que enfrenta la educación en la actualidad, radica en el hecho de que los profesores de pronto se ven invadidos, y en su caso, obligados a utilizar las computadoras, los dispositivos móviles e Internet en el salón de clase. La falta de programas efectivos de capacitación y formación docente en el uso y aplicación de las TIC en los procesos de enseñanza aprendizaje, se ha convertido en un problema de grandes dimensiones que alcanza prácticamente a (...) todos los niveles educativos. Ante tal escenario, el presente trabajo pretende la adopción por parte de los profesores, de una herramienta que les sea de utilidad para orientar su formación en el campo de las TIC: “El árbol diagnóstico de las competencias digitales”, el cual ofrece un panorama general acerca de los recursos informáticos y de la Web que hemos identificado como relevantes en el ejercicio de la docencia. Este “árbol diagnóstico” es el resultado de un proceso de evaluación y seguimiento llevado a cabo con grupos de profesores que ya utilizan la tecnología en su práctica docente; y tiene la finalidad de orientar y facilitar el aprendizaje autónomo de los profesores que se inician en el uso de las TIC. (shrink)

ObjectiveTo investigate the association of pre-existing migraine in patients hospitalised and who recovered from severe acute respiratory syndrome coronavirus 2 infection with the presence of post-coronavirus disease symptoms.BackgroundNo study has investigated the role of migraine as a risk factor for development of post-COVID symptoms.MethodsA case-control study including individuals hospitalised during the first wave of the pandemic was conducted. Patients with confirmed previous diagnosis of migraine were considered cases. Two age- and sex-matched individuals without a history of headache per case were (...) also recruited as controls. Hospitalisation/clinical data were collected from hospital medical records. Patients were scheduled for a telephone interview. A list of post-COVID symptoms was systematically evaluated, but participants were invited to freely report any symptom. The Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index were used to assess anxiety/depressive symptoms and sleep quality. Multivariable conditional logistic regression models were constructed.ResultsOverall, 57 patients with confirmed diagnosis of migraine and 144 non-migraine controls who had recovered from COVID-19 were assessed at 7.3 months after hospital discharge. The number of post-COVID symptoms in the migraine group was significantly greater than in the non-migraine group. Fatigue was significantly more prevalent in the migraine group. However, no between-groups difference in the prevalence of headache as a post-COVID symptom was detected.ConclusionPatients with a history of migraine who recovered from COVID-19 exhibited more long-term fatigue as post-COVID sequelae than those without migraine. Some of the pathophysiological changes associated with migraine could predispose to the occurrence of post-COVID symptoms. (shrink)

Background: COVID-19 has taken many lives worldwide and due to this, millions of persons are in grief. When the grief process lasts longer than 6 months, the person is in risk of developing Complicated Grief Disorder. The CGD is related to serious health consequences. To reduce the probability of developing CGD a preventive intervention could be applied. In developing countries like Mexico, the psychological services are scarce, self-applied interventions could provide support to solve this problem and reduce the health impact (...) even after the pandemic has already finished.Aims: To design and implement a self-applied intervention composed of 12 modules focused on the decrease of the risk of developing CGD, and increasing the life quality, and as a secondary objective to reduce the symptomatology of anxiety, depression, and increase of sleep quality. The Intervention Duelo COVID follows the principles of User Experience and is designed according to the needs and desires of a sample of the objective participants, to increase the adherence to the self-applied intervention, considered one of the main weaknesses of online interventions.Methods: A Randomized Controlled Trial will be conducted from the 22nd of December of 2020 to the first of June 2021. The participants will be assigned to an intervention with elements of Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Mindfulness and Positive Psychology. The control group will be a wait-list condition, that will receive the intervention 1.5–2 months after the pre-measurement were taken. The Power Size Calculation conducted through G*Power indicated the need for a total of 42 participants, which will be divided by 21 participants in each group. The platform will be delivered through responsive design assuring with this that the intervention will adapt to the screen size of cellphones, tablets, and computers.Ethics and Dissemination: The study counts with the approval of the Research Ethics Committee of the Autonomous University of Ciudad Juárez, México, and it is registered in Clinical Trials. The article is sent and registered in clinical trials before the recruitment started. The results will be reported in future conferences, scientific publications, and media. (shrink)

La vida cotidiana y la cultura contemporáneas experimentan un alto grado de estetización que parece hacer superfluo el arte. El presente artículo responde a esta problemática y plantea la pregunta por la función del arte en la sociedad moderna, e ilustra el debate con las tesis de W. Welsch, R. Bubner, J. Ritter, O. Marquard y K. Konig. El artículo se inclina por las tesis de Marquard, quien aboga por un arte estético contra un arte escatológico. Sólo un arte estético (...) como "organon" de la experiencia puede compensar la pérdida de percepción, de juicio autónomo y el fomento de la ficción que genera el poder de los medios en la cultura actual. Un arte escatológico como "organon" de la idea, por el contrario, se hace cómplice de dicha perversión cultural. (shrink)

El artículo tiene como objetivo mostrar la ejemplaridad del modelo de la critica de arte que practica A. C. Danto, en una época marcada por la tensión entre la globalización y el multiculturalismo. En primer lugar se aborda la relación entre crítica de arte y filosofía del arte, pues en el caso de Danto se trata de dos aspectos inseparables; Duchamp introdujo la reflexión filosófica en el corazón del discurso artístico, y Danto responde a esta situación como filósofo y como (...) crítico. El arte es para Danto una forma de pensamiento, y la experiencia del arte consiste en engranar pensamiento con pensamiento. Esta posición polemizo con lo respuesta puramente estética, puramente sensible, que el formalismo ha cultivado con lo reducción de la obra de arte a objeto estético. En segundo lugar, se describen tres tareas de la crítica: 1.) La descripción del significado de la obro y del modo como lo encarna. 2.) El compromiso de la crítica con el público lector y no con el lector erudito. 3.) La independencia y la solvencia ética del crítico. El arte no es una demanda de la globalización sino una necesidad fundamental de la subjetividad humana; la crítica de arte de Danto pretende hacer de la experiencia del arte una contribución para aprender a vivir en el pluralismo. (shrink)

El artículo contrasta la intuición y la imaginación estéticas, frente a la versión científico-objetiva e ilustrática que tienen también los términos, cuya confusión le ha traído dificultades a la Estética y a la Filosofía del arte. Adorno y Gadamer han actualizado nuevamente estos conceptos, enfatizando su potencial autonomía e interpretabilidad, renovando así la relación entre verdad filosófica y experiencia del arte.

La autonomía del arte ha sido un concepto siempre discutido. En el caso de la concepción moderna del arte, la autonomía se confundió en algunos casos con la soberanía de un concepto determinado del arte, excluyente de otros. Esta concepción se radicalizó a tal punto, que su crisis en los años ochenta dio origen a consignas como "La muerte del arte", paradójicamente, cuando el arte en sus diferentes formas mostraba una gran vitalidad. Estas contradicciones han servido para elaborar la distinción (...) entre arte moderno y arte contemporáneo, y redefinir la autonomía en términos de pluralismo artístico. (shrink)

Ambas posiciones son filosóficas y no sólo historiográficas: en Hegel, para comprender el arte en la modernidad; en Danto, en la posmodernidad. El "fin del arte" no significa para Hegel el acabamiento, sino un cambio fundamental de función dentro de las figuras de la verdad que el arte en la época moderna tiene que compartir con la religión y la filosofia. La forma absoluta de representar la verdad, forma clásica, cede a la forma romántica. El "fin del arte" en Danto (...) significa el ingreso del arte a la época poshistórica puesto que la historia del arte dejó de ser la necesidad interna de renovación permanente, y a la posfilosófica pues la reflexión ha convertido el arte en una praxis cognitiva de sí mismo que lo ha hecho equiparable a la filosofía. (shrink)

El Romanticismo hizo aportes fundamentales en la teoría de la pintura: por un lado centró la atención en su visualidad como arle de la apariencia y su idealización: por el otro, la coaccionó con el significado, poniéndola al servicio de la religión y el poder, estimuló el goce y la crítica del arte, pero los condenó también en favor de una actitud reverencial ante él. La pintura de los Nazarenos representa la intención romántica de una nueva pintura cristiana, alemana y (...) patriótica que habría de reorientar el espíritu de la época. Hegel se opuso radicalmente a este proyecto: su tesis del fin del arte no tiene sólo una explicación sistemática, sino que responde igualmente a un debate histórico concreto. El artículo aborda las posiciones de Wackenroder, August y Friedrich Schlegel, y Overbeck. (shrink)

La filosofía de H. G. Gadamer propone un modelo de racionalidad que polemiza con el de la racionalidad científica moderna, pero más por razones ético-políticas que epistemológicas. Su intención es legitimar la Retórica en el marco de la cultura de las ciencias, para recuperar el momento comunicativo y de persuasión de la racionalidad humana, que dicha cultura sacrifica. Para este objetivo, el modelo de la filosofía práctica de Aristóteles aporta una orientación útil.

Formelle Bildung es el concepto de Hegel para determinar la función histórica del arte en el mundo moderno. Esta función contrasta con la inhaltliche o la substantielle Bildung que proporcionó el arte en el mundo oriental y el mundo clásico griego, y en general, con la función decisiva que desempeña el arte en el ethos de culturas donde el arte es inseparable de la religión, donde según Hegel, el arte opera según su determinación suprema. Pero si bien el arte en (...) la cultura moderna ya no puede ser Kunstreligion, religión de arte, ello no significa que haya perdido su función como factor de cultura, sino que sigue siendo imprescindible en ella, aunque ya no para que la comunidad se identifique con los contenidos que el arte le representa, sino para que los individuos se confronten con ellos de un modo crítico-reflexivo. En el mundo moderno el arte ya no es arte de una comunidad, sino de y para una sociedad, de modo que el Estado y la institucionalidad están de por medio. El arte ya es autónomo y no determina doctrinaria o ideológicamente el ethos, pero por la forma de proporcionarle sus intuiciones y sus representaciones a la reflexión, fomenta el ejercicio libre del juicio de los individuos. Según Hegel, el carácter "formal" de la cultura que proporciona el arte en el mundo moderno hace que el arte se convierta en asunto fundamental de política cultural, donde arte y público pasan al primer plano. (shrink)

Reflections on the influence of Spinoza, Bergson or Nietzsche on Gilles Deleuze’s thinking are recurrent, but what happened to Hume, to whom Deleuze dedicated one of his first works? The intention of this article is to show Deleuze’s reading of Hume in Empiricism and Subjectivity and the relevance of the interpretation of the habit in one of his most relevant books Difference and Repetition.

Libro reseñado: Genealogía del giro lingüístico. Autor: Carlos Rojas.

Burnout syndrome and obesity are two growing conditions that affect employees’ health and company productivity. Recently, several studies have pointed to a possible relationship between both phenomena. However, such a relationship has not been clearly defined. This research analyzes the relationship between BS dimensions and body mass index, the latter being treated as a moderator variable among obese senior and middle managers in the Mexican maquiladora industry through a structural equation model. A total of 361 senior and middle managers completed (...) both the Maslach Burnout Inventory-General Survey [with emotional exhaustion, cynicism, and professional efficacy as subscale dimensions] and a sociodemographic questionnaire. The results showed a statistically significant relationship between EE and PE, with BMI acting as a moderator variable. The results showed that when BMI increases as a moderator variable, the strength of the relationship between EE and PE also changes. For example, although PE had a negative value of 0.14 before the moderator effect, the value increased up to 0.32 when the BMI was factored into the relationship. Therefore, maquiladora industries are being advised to increase their investments on the identification and prevention of employees’ EE and obesity. Such interventions would promote a better quality of life and could prevent economic losses resulting from poor employee performance. (shrink)

Background Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician’s personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor–patient relationship characterized by low paternalism/autonomy. Methods A self-report study on communication patterns in (...) a sample of 761 mental healthcare professionals in Central and Western Mexico was conducted. Multiple ordinal logistic regression models were used to analyse paternalism and associated factors. Results A high prevalence of paternalism was observed among mental health professionals in Mexico. The main determinants of low paternalism/autonomy were medical specialty and gender, with female physicians being more likely to explicitly share diagnoses and therapeutic strategies with patients and their families. A pattern of highly explicit communication was strongly associated with low paternalism/autonomy. Finally, a modifying effect of age strata on the association between communication pattern or specialty and low paternalism/autonomy was observed. Conclusions Among mental health professionals in Mexico, high paternalism prevailed. Gender, specialty, and a pattern of open communication were closely associated with low paternalism/autonomy. Strengthening health professionals’ competencies and promoting explicit communication could contribute to the transition towards more autonomist communication in clinical practice in Mexico. The ethical implications will need to be resolved in the near future. (shrink)

Quoting Flaubert through time, Mieke Bal and Michelle Williams Gamaker’s Madame B brings Madame Bovary’s reflections on love and emotions to the present day, in a productive anachronism. Their work produces an intertemporal space where the past is relevant for the present, and the present enables us to understand the past. Intimacy and routine are central in their exploration of Flaubert’s contemporaneity. Those issues are precisely one of the keys in Karl Ove Knausgård’s project of literary autobiography, where he expands (...) narration foreclosing the ellipsis and giving visibility to small things and emotions; a project with some resonances with Munch’s crude-obscene uses of intimacy. This essay explores how both proposals, Bal and Williams Gamaker in film, and Knausgård in literature, can serve us to connect present and past sensibilities and, more than that, demonstrate resistances to the hegemonic discourses of temporality. (shrink)

In Mexico, there is little research on the study of self-injury and even less on possible explanatory models. With this in mind, this study aimed to determine the relationship between self-injury and depression, emotional dysregulation, and coping styles, to generate an explanatory model of the problem. The study was carried out using a quantitative, cross-sectional, explanatory scope, design and a sample of 5835 adolescents enrolled in 62 public high schools in the state of Sonora. Logistic regressions were performed for data (...) analysis, and as a result it was found that, for students with severe self-injury, the model explains 61 % of the variance in the data and correctly classifies 84.1 % of the participants; whereas, in mild self-injury, the model explains 72 % of the variance in the data and correctly classifies 88.2 % of the students. Likewise, the depression dimensions showed the highest explanatory level and positive correlations with emotional dysregulation and avoidance coping style, as well as negative correlations with approach coping style. At the end, the importance of the independent variables for future research is discussed, as well as anomalous results and other data of interest. (shrink)

The aim of this study was to explore the role of voices as cues to adults of children’s needs for potential caregiving during early childhood. To this purpose, 74 college students listened to pairs of 5-year-old versus 10-year-old children verbalizing neutral-content sentences and indicated which voice was better associated with each of 14 traits, potentially meaningful in interactions between young children and adults. Results indicated that children with immature voices were perceived more positively and as being more helpless than children (...) with mature voices. Children’s voices, regardless of the content of speech, seem to be a powerful source of information about children’s need for caregiving for parents and others during the first six years of life. (shrink)

The participation of families in schools where their children study is a recurring research topic. This field tends to address the perception of parents or teaching staff. This work is novel in that it considers what teachers, and not families, do to facilitate this participation. The purpose of this work has been to contrast a theoretical model with a multidimensional questionnaire designed to obtain information on the assistance provided by teachers to improve parental involvement in schools. It will allow us (...) to lay the foundations for the content necessary for the initial and permanent training of teachers. Then, an initial questionnaire was created and, after being subjected to expert judgment, it was applied to 225 Spanish teachers, using a quantitative and a non-experimental methodology. After calculating the exploratory and confirmatory factor analysis and applying the structural equation model, a questionnaire was obtained that had satisfactory construct validity and reliability. (shrink)

BackgroundMonitoring recovery–stress balance in sport is becoming more relevant to prevent training maladaptation and reach the optimal performance for each athlete. The use of questionnaires that identify the athlete’s recovery–stress state have much acceptance in sports due to reliability and useful, furthermore for its low cost. Identifying possible differences between sport modalities and sex is important to determine specific needs and possible intervention ways to keep a recovery–stress balance. The aim was to analyze the differences in the recovery–stress state and (...) mood states by sex and sport type during the competitive phase in young Mexican athletes. As a secondary objective, the psychometric properties of the Mexican version of the Recovery–Stress Questionnaire for Athletes were analyzed.MethodsA cross-sectional study was carried on with 461 athletes, 17.95 years old, from six sports disciplines. The RESTQ-Sport and Profile of Mood States were applied in a single moment. Differences by sex and sports modality were analyzed. RESTQ-Sport’s confirmatory factor analysis was performed after the stress and recovery theoretical structure of two stress and two recovery dimensions, and last, the concurrent validation with the POMS was carried on.ResultsSignificant differences by sex were found in the General Recovery and Sport Stress dimensions of the RESTQ-Sport as well as Vigor factor of the POMS, being higher for men; furthermore, both the Sport Recovery dimension of RESTQ-Sport and Cholera and the Fatigue and Depression factors from POMS also had differences by sport type, showing a less recovery and high stress for individual sport athletes. Goodness-of-fit indexes of the model for the RESTQ-Sport were acceptable. Pearson’s correlation between questionnaires was moderate.ConclusionThe recovery–stress state shows differences in the function of sex and sport modality. More special attention is suggested for women and individual sport athletes. The higher punctuation for men compared with women in sport stress dimension did not negatively affect the recovery–stress balance for male athletes. Finally, the Mexican context adaptation of the RESTQ-Sport provides a psychometric instrument suitable to assess the recovery–stress balance in Mexican athletes. (shrink)

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)

An Asian Indian Hindu family chose no intervention and hospice care for their newborn with hypoplastic right heart syndrome as an ethical option, and the newborn expired after five days. Professional nursing integrates values-based practice and evidence-based care with cultural humility when providing culturally responsive family-centered culture care. Each person’s worldview is unique as influenced by culture, language, and religion, among other factors. The Nursing Team sought to understand this family’s collective Indian Hindu worldview and end-of-life beliefs, values, and practices, (...) in view of the unique aspects of the situation while the team integrated evidence-based strategies to provide family-centered culture care. Parental care choices conflicted with those of the Nursing Team, and some nurses experienced moral distress and cultural dissonance when negotiating their deeply held cultural and religious views to advocate for the family. The inability to reconcile and integrate a stressful or traumatic experience impacts nurses’ well-being and contributes to compassion fatigue. Nurses need to be intentional in accessing interventions that promote coping and healing and moral resilience. Reflection and cultural humility, assessment, and knowledge in context, increase evidence-based culture care and positive outcomes. U.S. society’s views on ethical behavior continue to evolve, and some may argue that the law should place more limits on parents’ right to choose or to refuse treatment for their infants and children. Moral distress can lead to moral resilience and satisfaction of compassion when nurses provide family-centered culture care with cultural responsiveness and integrate values-based practice with evidence-based care, and aim to first do no harm. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Knock at the Door: Utopian Dreams for Post-Covid TimesPedro Mora-Ramírez, María Amo-Hernández, and Paula García-RodríguezAnswering the Knock at the Door, Welcoming Utopian Futures, The Knock at the Door: Utopian Dreams for Post-Covid Times, May 21–24, 2023, University of Huelva, Spain, and University of Calgary, CanadaThe COVID-19 pandemic has fostered new adversities and vulnerabilities, prompting reflection on the economic, social, and political paradigms that endanger human and nonhuman (...) lives. For many, it was anxiety and uncertainty that “knock[ed] at the door”; for others, however, those same feelings of unease prompted one of hopefulness: reflecting on the possibilities for resilience and regeneration in the process of changing our vision of the world.1 The Knock at the Door conference brought contemporary utopianism to the forefront of thinking about how to respond to global crises while remaining attentive to other adversities of daily life. Scholars and artists answered the knock in an attempt to examine paths toward utopia, and to take advantage of the regenerative and resilient potential of the present.The conference was the culmination of author/activist Larissa Lai’s fellowship period at the University of Huelva. The 2022–23 María Zambrano Fellowship for the academic year2 allowed Lai to complete the project “Utopian Dreams for Post-Covid Times,” carried out in collaboration with the Huelva research group led by Professor Pilar Cuder-Domínguez, who hosted a number of online and in-person seminars on speculative fiction with Lai. The Knock at the Door conference, marking the end of Lai’s fellowship, created yet another space for scholars, artists, and critics to discuss the potential of utopian narratives. Lai asks: “What does our cultural moment require, and how can we get where we need to go from where we are? How can literature, especially speculative fiction literature, help us get from here to there?”3 [End Page 641] The intention of the conference was to encourage others to continue Lai’s work on how to imagine futures where human and posthuman beings need to remain vigilant to adversities. Utopian scholars, among others, might find the complications of “getting there from here” closely related to Lai’s conception of “insurgent utopias,” or “emergent insurgency.” They could find Lai’s concept of “insurgent utopianism” interesting as it lays the foundations of futurity in terms of crisis responses.The aim of the conference was to explore the imagination of better futures through utopian thinking and practice. In addition, it focused on “the knock at the door,” which is “a moment of contingent arrival... open to cooptation, destruction, bastardization, incorporation, death, or defusal.” Yet, it presents “the powerful possibility of critique—narratively or discursively, in its very materiality.”4 One way of doing this might be to look back at the past century of utopianism and ask who or what has been missing. The conference took up Lai’s idea of insurgent utopianism as a method of paving a path toward a multitude of dreams and actions, all shaped by the unique circumstances of one’s positionality.After the COVID-19 pandemic, the need for utopian thinking has become more pressing than ever. New horizons of hope must be created in the face of emerging anxieties. In a world where anthropocentrism is showing signs of its deadly potential, conference participants reflected on the relevance of the utopian imagination to political resistance and resilience building.Utopian Visions: Contesting Better Worlds in Neoliberal and Feminist UtopiasThe first two panels of the conference addressed the critique of two dominant theoretical (and interrelated) frameworks: capitalism and neoliberalism. Speakers reflected on both in light of theoretical interventions by theorists Rosi Braidotti and Francesca Ferrando. Panelists Benjamin Ghan and Marc Lynch reflected on how creative writers envision ideal worlds and temporalities. In Ghan’s view, utopian narratives create a symphony of voices historically excluded from the category of “the human”: women; LGBTQ+ people; Indigenous peoples. In a similar vein, Lynch described his own novel, A Wasp’s Waist, as highlighting the impossibility of imagining utopias within the capitalist paradigm—and thus the necessity of imagining futures beyond capitalism, and beyond... (shrink)