Increasingly, companies implement social and environmental standards as instruments towards corporate social responsibility (CSR) in supply chains. This is based on the assumption that such standards increase legitimacy among stakeholders. Yet, a wide variety of standards with different requirement levels exist and companies might tend to introduce the ones with low exigencies, using them as a legitimacy front. This strategy jeopardizes the reputation of social and environmental standards among stakeholders and their long-term trust in these instruments of CSR, meaning that (...) all expenses for their implementation are of no avail for the companies. Therefore, this paper highlights which criteria are important for the selection, implementation and improvement in order to achieve a company's aim, but also to strengthen the legitimacy of social and environmental standards. This research is based on conceptual thought and some existing empirical research, comparing four different social and environmental standards, revealing weaknesses and strengths. It exposes the basic conditions for the success of such standards among stakeholders and identifies the need for more empirical data. (shrink)

Resenha: SANTOS, Boaventura de Sousa. A difícil democracia: reinventar as esquerdas. São Paulo: Boitempo, 2016. ISBN 978-85-7559-509-1.

The term sustainability has become one of the most significant in the current era. It seems to be ubiquitous amongst academics, politicians, business leaders, media personnel and even the general public. It is no exaggeration to state that it is considered all over the world to be the most pressing issue to be addressed for the long-term future of the planet and its inhabitants. The topic is of course complex, and the issue of sustainability is under much debate as to (...) what it actually is and how it can be achieved, but it is completely certain that the resources of the planet are fixed in quantity and, once used, cannot be reused except through being reused in one form or another. At present, much of the discourse of sustainability has focused upon the environment and in particular upon climate change and the effects that this is having. Thus, the discourse has tended to be about mitigation. Sustainability of course requires all three pillars of the triple bottom line—economic, environmental and social—to be addressed. Indeed, it might be considered that the effects upon the social, and how we choose to live our lives, might well be the most profound effect of achieving sustainability. This book therefore focuses upon some of the many aspects of the social and how we can adapt our lives to accommodate the requirements of sustainability. it therefore takes a very different approach to addressing the issues of sustainability, while of course not ignoring the other pillars. This book therefore sets out to examine various aspects of the changes to personal, corporate and institutional behaviour which may have to come about in our search for sustainability. It is tended to address some of the issues and how they are being dealt with in various parts of the world. As always, our concept is to share best practice and thereby enrich both the discourse and our progress towards sustainability. Thus, we focus upon the current situation while also considering the extent to which the focus is changing so much that we need to think about new approaches to our understanding of behaviour and differing effects in practice. The international origins of the contributors to this book make this an original contribution taking some of the best ideas from around the world. This book therefore addresses these issues from a perspective not generally addressed by researchers, or even by politicians and the press. It therefore provides fresh perspectives upon the important issue of our common future. As always, this approach is based on the tradition of the Social Responsibility Research Network srrnet.org (a worldwide body of scholars with membership of several thousand), which in its 20-year history has sought to broaden the discourse and to treat all research as inter-related and relevant to business. This tradition has always been to explore the subject widely and to seek relevant solutions, while also sharing best practice. This book is based primarily upon some of the contributions from the network at our recent conference and shows both commonality and diversity in approaches and effects. (shrink)

Increasingly, companies implement social and environmental standards as instruments towards corporate social responsibility in supply chains. This is based on the assumption that such standards increase legitimacy among stakeholders. Yet, a wide variety of standards with different requirement levels exist and companies might tend to introduce the ones with low exigencies, using them as a legitimacy front. This strategy jeopardizes the reputation of social and environmental standards among stakeholders and their long-term trust in these instruments of CSR, meaning that all (...) expenses for their implementation are of no avail for the companies. Therefore, this paper highlights which criteria are important for the selection, implementation and improvement in order to achieve a company's aim, but also to strengthen the legitimacy of social and environmental standards. This research is based on conceptual thought and some existing empirical research, comparing four different social and environmental standards, revealing weaknesses and strengths. It exposes the basic conditions for the success of such standards among stakeholders and identifies the need for more empirical data. (shrink)

Statistics are key elements of contemporary life. They figure prominently in the media, in political discourse, and in daily conversations. They also weigh heavily within the economic and political spheres of modern societies. Yet, the study of statistics in the public sphere has been neglected by social scientists in favor of a focus on their production and history. This article remedies this lacuna by focusing on the public life of statistics. Through a case study of a financial indicator—country risk—that exhibited (...) a rich public life in Argentina in 2001, it argues that statistics are not simply transparent fragments of information, but rich symbols and collective representations able to condense multiple meanings and generate deep emotional reactions. Using in-depth interviews, newspaper covers, headlines, and leads, cartoons and archival materials, this article shows that country risk became a powerful collective representation and introduces a new concept, the fact-totem, to make visible the cultural life of statistics. A fact-totem is a statistic with high media presence that captures the imagination of diverse publics and becomes articulated with basic identity narratives of a collectivity. This article begins to elaborate dramatic dimensions of statistics in public. (shrink)

In a time marked by the development of innovative treatments in healthcare and the need for health professionals to deal with resulting ethical dilemmas in clinical practice, this study was developed to determine the influence of the bioethics teaching on the moral competence of medical and nursing students. The authors conduct a longitudinal study using the Moral Competence Test extended version before and after attending the ethics curricular unit, in three nursing schools and three medical schools of Portugal. In this (...) questionnaire the participant is confronted with three ethical dilemmas and asked to evaluate arguments for and against the attitude of the main character. For both nursing and medical students, C-score was lower after the attendance of the ethics curricular units, with a statistically significant decrease in the total score for nursing students and a decrease not statistically significant for medical students. A multivariate analysis did not find any association between this decrease and gender, course, or age. The phenomenon of moral segmentation was observed, with better performance in the worker and judge dilemma, than in the doctor dilemma. These results highlight the need to reflect on the curricular strategies that can be implemented for health professionals to better develop moral competence and decision-making, allowing for the provision of humanized health care. (shrink)

O ensaio tentar realizar um exercício hermenêutico de explicitar os sentidos de tempo que surgem no poema O tempo o homem, do poeta paraense Max Martins. Neste ensaio, as premissas interpretativas partem sobretudo do pensamento do filósofo paraense Benedito Nunes, tendo, no horizonte a Ontologia fundamental de Martin Heidegger, mas também de outros pensadores, como Giorgio Agamben. Além disto, o horizonte hermenêutico deste ensaio alcança um dos poetas que marcaram determinantemente a poesia de Max Marins, que foi seu amigo Mário (...) Faustino. Assim, o problema central desta investigação ensaística é a busca por saber o sentido dos tempos Ampulheta, Era, hera e Hora. A hipótese é que o aporte hermenêutico fenomenológico desenvolvido por Benedito Nunes para a relação dialógica, de “transa”, entre poesia e filosofia, viabilizada pelo que chamou de “passagem para o poético” (Kehre), oferece a tese de que o poema de Max Martins é um poema sobre o próprio poetar e sobre a “aventura” enquanto “evento” (Ereignis) da Hora que o artista faz. (shrink)

Synthetic biologists design and engineer organisms for a better and more sustainable future. While the manifold prospects are encouraging, concerns about the uncertain risks of genome editing affect public opinion as well as local regulations. As a consequence, biosafety and associated concepts, such as the Safe-by-design framework and genetic safeguard technologies, have gained notoriety and occupy a central position in the conversation about genetically modified organisms. Yet, as regulatory interest and academic research in genetic safeguard technologies advance, the implementation in (...) industrial biotechnology, a sector that is already employing engineered microorganisms, lags behind. The main goal of this work is to explore the utilization of genetic safeguard technologies for designing biosafety in industrial biotechnology. Based on our results, we posit that biosafety is a case of a changing value, by means of further specification of how to realize biosafety. Our investigation is inspired by the Value Sensitive Design framework, to investigate scientific and technological choices in their appropriate social context. Our findings discuss stakeholder norms for biosafety, reasonings about genetic safeguards, and how these impact the practice of designing for biosafety. We show that tensions between stakeholders occur at the level of norms, and that prior stakeholder alignment is crucial for value specification to happen in practice. Finally, we elaborate in different reasonings about genetic safeguards for biosafety and conclude that, in absence of a common multi-stakeholder effort, the differences in informal biosafety norms and the disparity in biosafety thinking could end up leading to design requirements for compliance instead of for safety. (shrink)

Este artigo tem por objetivo identificar e discutir alguns encontros e desencontros existentes entre a epistemologia qualitativa, a fenomenologia e a pesquisa-ação, no que diz respeito à natureza, aos objetivos e procedimentos adotados. Nesse sentido, realizamos uma revisão teórica para identificar as características comuns e divergentes entre as categorias de pesquisa investigadas. Para tanto, buscamos as contribuições teóricas de González Rey acerca da teoria da subjetividade e de sua epistemologia qualitativa, de Moreira e seus estudos sobre a fenomenologia e, por (...) fim, de Thiollent, que apresenta as principais características da pesquisa-ação. (shrink)

Exploro os conceitos de campo e de estado de exceção e tento mostrar como Giorgio Agamben, por um lado, é coerente com sua obra, além de estar certo no diagnóstico do presente, mas, por outro, exagera na desconfiança da real mortalidade do Coronavírus e, também, como este posicionamento do filósofo italiano não serve à experiência brasileira, especialmente quanto à problemática de uma aparente concordância do ministro Araújo do Governo Bolsonaro com seu alerta para o estado de exceção permanente.

As proposições condicionais receberam atenção teórica concentrada, embora intermitente, desde a Antiguidade. A atenção durante últimos quarenta anos tem sido intensa. Nesse artigo, apresentaremos os principais desenvolvimentos da análise lógica acerca das proposições condicionais e discutiremos como elas desempenham papel central em muitas teorias filosóficas. Na primeira parte dessas observações introdutórias, mostraremos como os antigos, principalmente as escolas megárica e estoica, envolveram-se com a questão dos condicionais e quão importante isso foi para os posteriores desenvolvimentos da análise lógica dos condicionais (...) no medievo e na Idade Moderna. Por fim, apresentaremos, já na contemporaneidade, C. I. Lewis expondo sua teoria da implicação estrita em franca oposição à doutrina da implicação que ele julgava errada. Espera-se que este trabalho sirva como a apresentação panorâmica de um campo que em lógica ainda é muito frutífero e fecundo para aprofundamentos e novas ideias. (shrink)

O climatério/menopausa é caracterizado por intensas alterações morfofisiológicas e comportamentais. O objetivo foi identificar os sinais e sintomas do climatério/menopausa e a sua relação com a Imagem corporal de mulheres ribeirinhas de uma região da Amazônia Brasileira. Estudo incluiu 100 mulheres de seis comunidades ribeirinhas de Itaituba/Pará. Os instrumentos utilizados foram: o questionário sociodemográfico, a Escala dos Sinais e Sintomas da Menopausa (MRS) e a Escala de Silhuetas de Stunkard. Para avaliar as associações entre as variáveis categóricas, o teste qui-quadrado (...) de Pearson e teste exato de Fisher foram utilizados, (p≤0,05). Os resultados indicaram que 76% das mulheres estavam insatisfeitas com a sua imagem corporal, seja porque queriam ter corpos menores ou corpos maiores. Em relação aos sintomas do climatério/menopausa, estes são percebidos de forma moderada pelas mulheres. Conclusão: Se faz necessário levar as mulheres o conhecimento desta fase da vida e assim promover saúde neste importante período da vida. (shrink)

This study aimed to synthesize literature data on male judo combat time in international competitions between 2010 and 2019. The search was carried out from May 8th to June 11th, 2021, in electronic databases using the following keywords: AND. After the selection process, 8 articles were included in the systematic review and 7 in the meta-analysis. These studies analyzed 2,562 international male judo combats over the years 2010 to 2019. We observed that the average male judo combat time changed after (...) each rule change. There was a significant difference between combats that ended up to the regular time and those that needed overtime. There were differences between 60kg and +100kg categories and the others in 2011-2012. However, no significant difference was found between the combat time by weight division after the 2017 rule changes, although there are still differences in relation to the end of the combats. There were significant changes in the male judo combat time with each rule change, and the data from the included studies point to a trend of homogeneity in the combat time spent between the weight divisions over the years, and an increase in the occurrence of Golden Score. More studies need to be carried out to identify the new temporal behaviors of athletes. (shrink)

Este ensaio teórico trata de uma elaboração conceitual sobre a condição de altas habilidades/superdotação, fundamentada nos pressupostos da teoria sociológica figuracional de Norbert Elias em associação à Psicanálise freudiana. As reflexões desenvolvidas neste ensaio sustentam a compreensão de altas habilidades como uma condição peculiar que se constitui em meio à emocionalidade vivida nas inter-relações humanas. De maneira mais evidente, a condição de altas habilidades é constituída em um processo de sublimação de emoções específicas que, vividas mais intensamente por algumas pessoas (...) em meio às tensões que narram a dinâmica das inter-relações que elas mesmas constituem, impulsionam um investimento libidinal em atividades valorizadas dentro de um processo histórico, cultural e social. (shrink)

The main objective of this work is to understand the daily practices of user management in post-reformist devices in the Brazilian mental health field. Through Foucault's genealogical work on government practices, understood as forms of conducting the behavior of others, it is possible to open a possible field for the study of the practices of psi knowledge, considering them as forms of management that act by through the free and natural acts of individuals. More specifically, our goal is to examine (...) day-to-day practices on some reformist devices such as CAPS through user files. Basically, two driving models have been found in the new devices: 1) Cases with frank intervention of production of commitments and agreements with users, seeking the entry of this to varied activities and political leadership ; 2) Cases with little response from the user, in which the forms of conduction are implemented by policies of inclusion of family members and close reference characters in the management of the patient's life. (shrink)

O artigo enfoca o individualismo metodológico de Jon Elster e suas análises a respeito dos pré-compromissos constitucionais. O problema do trabalho diz respeito as possibilidade e limites da opção metodológica do autor para este debate no contexto dos regimes políticos democráticos. Para tanto, o texto analisa revisões feitas pelo próprio autor no decorrer da sua obra, como também objeções e críticas desenvolvidas a partir do referencial da Teoria Democrática contemporânea.

This book is dedicated to clarify ambiguous concepts from the world of creativity and innovation. One of the initial triggers for the development of the book was the perceived ambiguity of the binomials Design vs. Design Thinking and Innovation vs. Invention. Frequently, designers and innovation consultants are questioned by their clients about the relationships between these kind of concepts. Has the second emerged through the first, or vice-verse? Is one part of the other? Where are the similarities and which are (...) the differences? This conceptual incomprehension makes itself noticeable between many ambiguous concepts in the world of innovation and creativity. What is the difference between Radical and Disruptive Innovation? Or is Social Innovation the same as Social Intervention? And regarding Creativity, are Creativity and Creative Thinking the same? In this book the reader will find answers to these kinds of questions and doubts. 28 authors from 10 different countries and cultural backgrounds are questioning current definitions and perceptions, by comparing different sources and ideas, or simply by giving their personal opinions. Some of the authors have an academic background, others a practical one, being either entrepreneurs, working with innovation in companies, or being innovation/design consultants. (shrink)

Research on the capacity to understand others' minds has tended to focus on representations ofbeliefs,which are widely taken to be among the most central and basic theory of mind representations. Representations ofknowledge, by contrast, have received comparatively little attention and have often been understood as depending on prior representations of belief. After all, how could one represent someone as knowing something if one does not even represent them as believing it? Drawing on a wide range of methods across cognitive science, (...) we ask whether belief or knowledge is the more basic kind of representation. The evidence indicates that nonhuman primates attribute knowledge but not belief, that knowledge representations arise earlier in human development than belief representations, that the capacity to represent knowledge may remain intact in patient populations even when belief representation is disrupted, that knowledge (but not belief) attributions are likely automatic, and that explicit knowledge attributions are made more quickly than equivalent belief attributions. Critically, the theory of mind representations uncovered by these various methods exhibits a set of signature features clearly indicative of knowledge: they are not modality-specific, they are factive, they are not just true belief, and they allow for representations of egocentric ignorance. We argue that these signature features elucidate the primary function of knowledge representation: facilitating learning from others about the external world. This suggests a new way of understanding theory of mind – one that is focused on understanding others' minds in relation to the actual world, rather than independent from it. (shrink)

ABSTRACT The presence of truth and honesty is a permanent demand, and becomes vital the more committed and intimate a relationship is. Medical practice is relevant to this discussion when one questions whether or not a physician should always tell their patient the truth in the face of a progressive or potentially fatal disease, regarding the diagnosis, outcome, therapy and evolution of the specific disease. From this discussion we aim, with the present report, to look at the truth applicable to (...) the patient‐physician relationship, and its ethical and moral implications; and also to look at where the Brazilian Code of Medical Ethics (BCME) and the medical literature stand regarding this issue. One concludes that there are only two moments not to tell a patient the truth: when the patient does not want to be informed, and when the truth could be iatrogenic. The question now is, when would the truth be iatrogenic? Physicians, in our opinion, would not be able to judge solitarily when the truth might be deleterious to their patient. Alternatively, we propose the appointment of a multidisciplinary commission to help the doctor with such a decision. (shrink)

O presente texto narra uma experiência de formação de alfabetizadores de jovens e adultos: uma alfabetização filosófica de 40 horas com 300 alfabetizadores em julho de 2022, como primeira etapa do Programa “Supera RN” em Pau dos Ferros, dentro da Política de Superação do Analfabetismo do Estado do Rio Grande do Norte (RN). O texto tematiza em que sentido a experiência de Alfabetização filosófica se inspira e ao mesmo tempo se diferencia do curso de Alfabetização oferecido por Paulo Freire em (...) Angicos em 1963. Inspirado na curiosidade e no compromisso de Paulo Freire com os esfarrapados do mundo, o conceito “alfabetização filosófica” propõe uma formação experiencial sustentada nas seguintes disposições: escutar atentamente o mundo humano e não humano que nos rodeia; pensar juntos com cuidado e calma; relacionarmo-nos cooperativa e não competitivamente com as ideias das outras pessoas; perguntarmo-nos, colocando em questão, nossa vida e a maneira como nos relacionamos com ela, num tempo especial, singular, suspendido; conversar como iguais na busca de enfrentar as exigências de nossa comunidade; inventar novas formas de estar com outras e outros. O texto apresenta como essas disposições foram pensadas e praticadas durante a alfabetização filosófica em Pau dos Ferros, RN, através de cinco princípios (perguntar; escutar; tempo de infância; igualdade; pensar juntos) e lança algumas perguntas sobre possíveis desdobramentos da alfabetização filosófica no campo de formação de professores. (shrink)

O presente texto narra uma experiência de formação de alfabetizadores de jovens e adultos: uma alfabetização filosófica de 40 horas com 300 alfabetizadores em julho de 2022, como primeira etapa do Programa “Supera RN” em Pau dos Ferros, dentro da Política de Superação do Analfabetismo do Estado do Rio Grande do Norte (RN). O texto tematiza em que sentido a experiência de Alfabetização filosófica se inspira e ao mesmo tempo se diferencia do curso de Alfabetização oferecido por Paulo Freire em (...) Angicos em 1963. Inspirado na curiosidade e no compromisso de Paulo Freire com os esfarrapados do mundo, o conceito “alfabetização filosófica” propõe uma formação experiencial sustentada nas seguintes disposições: escutar atentamente o mundo humano e não humano que nos rodeia; pensar juntos com cuidado e calma; relacionarmo-nos cooperativa e não competitivamente com as ideias das outras pessoas; perguntarmo-nos, colocando em questão, nossa vida e a maneira como nos relacionamos com ela, num tempo especial, singular, suspendido; conversar como iguais na busca de enfrentar as exigências de nossa comunidade; inventar novas formas de estar com outras e outros. O texto apresenta como essas disposições foram pensadas e praticadas durante a alfabetização filosófica em Pau dos Ferros, RN, através de cinco princípios (perguntar; escutar; tempo de infância; igualdade; pensar juntos) e lança algumas perguntas sobre possíveis desdobramentos da alfabetização filosófica no campo de formação de professores. (shrink)

Background:Essential for the help relation, empathy is the ability to understand, share, and perceive the subjective experience of other human beings.Objective:The objective in this non-experimenta...

Following the publication of Pope Francis’ Apostolic Exhortation Amoris Laetitia, four aged Cardinals wrote to him asking him to clarify positions in the Exhortation they charged were causing confusion to the faithful. They even suggested he had changed some Catholic doctrines. This essay answers their questions, arguing that Francis has not changed any Catholic doctrine but has changed, in the sense that he has renewed, Catholic pastoral practice. It also argues that, while not changing any Catholic doctrines, he has reprioritized (...) some of them, especially the doctrines of the authority and inviolability of conscience and what he calls the “irregular situations” of cohabitation, same-sex unions, and divorce and remarriage without annulment. (shrink)

En la actualidad se habla de la anomalía dentomaxilofacial como una enfermedad inherente a la civilización, cuya prevalencia varia en las distintas partes del mundo, el alto índice se relaciona a la heterogeneidad genética. Estas anomalías tienen una etiología multifactorial donde intervienen diversos factores internos o externos, que provocan variabilidad en su forma de presentación; cada una tiene características muy particulares y diversos grados de complejidad a la hora de ser tratadas, sin embargo poseen un aspecto común, afectan por lo (...) general la estética y la psiquis de los pacientes que las padecen. Con el objetivo de determinar afectaciones psicológicas en niños y adolescentes con anomalías dentomaxilofaciales se realizó un estudio no experimental descriptivo transversal. Se ejecutó en dos etapas y se emplearon métodos empíricos la recolección de la información a través de interrogatorio y examen clínico, incluido el Test Auto reporte vivencial para determinar la afectación psicológica del niño o adolescente. Se evidenció que los adolescentes resultaron ser afectados psicológicamente en presencia de anomalías de origen dentario. Presently, while prevalence varies in different parts of the world, dentomaxillofacial anomaly is regarded as a disease of our civilization. Its high rate is related to genetic heterogeneity. These anomalies have a multifactorial etiology since various internal or external factors that cause variability in its presentation are involved. Each of these anomalies has unique characteristics and varying degrees of complexity when being treated. However, they have a common feature: they usually affect the aesthetics and psyche of patients who suffer from them. In order to determine the psychological effects of dentomaxillofacial anomalies in children and adolescents, a non-experimental, descriptive, cross-sectional study was conducted. It was carried out in two stages and empirical methods were used for collecting information through interview and clinical examination, including Experiential Self-Report to determine the psychological effects in the child or adolescent. Through this study, adolescents were found to be affected psychologically in the presence of anomalies of dental origin. (shrink)

From its very beginning, Pope Francis’s Petrine ministry has been full of surprises and he has been a man of contradictions. He has given hope to many, Christians, other believers, and secular humanists, especially with his pastoral approach of mercy, but he has also met with fierce opposition, even among the upper echelon of the hierarchy, some of whom have publicly attacked his orthodoxy and called for his resignation. In his teachings on evangelization, marriage and sexuality, ecology, and social friendship, (...) Francis has opened new paths and challenged the church to make visible the merciful face of God to the world.On interreligious dialogue, the pope, as to be expected, has largely reiterated the teachings of Vatican II and so far has not issued an apostolic exhortation or encyclical on the subject. Consistent with his pastoral outlook he has emphasized the socio-political and cultural aspects of interreligious dialogue and has largely avoided still controverted doctrinal issues. On the other hand, his friendship with many non-Christian leaders and his several obiter dicta have enlarged the interreligious horizon and opened the door for further explorations in the theology of religion and the scope of the interreligious encounter. His explicit acknowledgment of non-Christian religions as “channels” of the Holy Spirit hints at their role as ways of salvation not only for their adherents but also in certain ways for Christians. Furthermore, the four principles of Francisian metaphysics suggest novel and effective ways of conducting interreligious dialogue. (shrink)

Pulmonary rehabilitation has demonstrated patients’ physiological and psychosocial improvements, symptoms reduction and health-economic benefits whilst enhances the ability of the whole family to adjust to illness. However, PR remains highly inaccessible due to lack of awareness of its benefits, poor referral and availability mostly in hospitals. Novel models of PR delivery are needed to enhance its implementation while maintaining cost-efficiency. We aim to implement an innovative community-based PR programme and assess its cost-benefit. A 12-week community-based PR will be implemented in (...) primary healthcare centres where programmes are not available. Healthcare professionals will be trained. 73 patients with CRD and their caregivers will compose the experimental group. The control group will include dyads age- and disease-matched willing to collaborate in data collection but not in PR. Patients/family-centred outcomes will be dyspnoea, fatigue, cough and sputum, impact of the disease, emotional state, number of exacerbations, healthcare utilisation, health-related quality of life and family adaptability/cohesion. Other clinical outcomes will be peripheral and respiratory muscle strength, muscle thickness and cross sectional area, exercise capacity, balance and physical activity. Data will be collected at baseline, at 12 weeks, at 3- and 6-months post-PR. Changes in the outcome measures will be compared between groups, after multivariate adjustment for possible confounders, and effect sizes will be calculated. A cost-benefit analysis will be conducted. This study will enhance patients access to PR, by training healthcare professionals in the local primary healthcare centres to conduct such programmes and actively involving caregivers. The cost-benefit analysis of this intervention will provide an evidence-based insight into the economic benefit of community-based PR in chronic respiratory diseases. The trial was registered in the ClinicalTrials. gov U.S. National Library of Medicine, on 10th January, 2019. (shrink)

Cuando se leen los relatos que los grandes santos hacen de su experiencia de Dios, encontramos expresiones que rompen las reglas de la lógica lingüística, prueba de que hay experiencias que no son fáciles de describir y transmitir. San Agustín, en el contexto de una de las más célebres páginas de sus Confesiones, esa en la que exclama: “Tarde te amé, hermosura tan antigua y siempre nueva”, dice, por una parte, que Dios está “dentro” de él, para añadir a (...) renglón seguido que las cosas están dentro de Dios, pues si no estuvieran en él, no serían . En San Pablo encontramos expresiones similares: por una parte, se puede leer en sus cartas que “Cristo vive en mí” , y por otra, el autor de los Hechos de los Apóstoles pone en su boca que “en Dios vivimos, nos movemos y somos” . Este doble modo de concebir la relación de Dios con la realidad creada, con el cosmos y con el ser humano, resulta paradójico y es una provocación para el pensamiento.¿Dios está en la realidad, se hace presente en ella de algún modo, o es más bien la realidad la que está en Dios? Posiblemente no hay contradicción entre ambas imágenes, sino complementariedad. Tomás de Aquino, como veremos, afirma las dos cosas. Dios es de una naturaleza tal que, por una parte puede hacerse presente en la realidad mundana y humana y, por otra, llevar dentro de sí estas mismas realidades. ¿Hay alguna analogía, alguna imagen que pueda servir para describir una naturaleza así y ayudarnos a comprender mejor el ser divino? En definitiva, ¿qué significa “estar en” o “dentro de” las criaturas por parte de Dios y en o dentro de Dios por parte de las criaturas? ¿Se trata de simples imágenes o estas imágenes son modelos que tienen alguna correspondencia con la realidad?When you read the accounts that the great saints do of their experience of God, you find expressions that break the rules of linguistic logic, what proves that there are experiences not easy to describe and transmit. St Augustine in the context of one of the most known pages of his Confessions, where he exclaims: “Late have I loved you, beauty so ancient and so new”, says that God is inside him and adds immediately after that things are inside God, since if things were not in him they wouldn’t exist. We find similar expressions in St Paul: On the one hand, one can read in one of his letters: “Christ lives in me”, on the other hand, the author of the Acts of the Apostles puts in his mouth: “in God we live and move and have our being” . This double way of understanding God’s relation to created things, the cosmos and human beings, is paradoxical and becomes a provocation to reason.Is God inside reality, is he present in it someway, or is rather reality which is in God? Possibly there is not contradiction between the two images, but they complement each other. Thomas Aquinas, as we’ll see later, states the two. God is such a nature, that, on the one hand, he can be present in wordly and human reality, on the other hand, he can contain inside himself these realities. Is there any analogy, any image able to describe a nature like this that could help us to understand better his divine being? In short, what does it mean to be in or inside the creatures in relation to God and to be in or inside God in relation to creatures? Is it about simple images or these images are models with some relation to reality? (shrink)