Background:The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students.Objectives:To explore the ethical dilemmas and ethical conflicts experienced by final-year nursing students who worked during the first outbreak of the COVID-19 pandemic in Spain.Research design:A qualitative exploratory study was conducted using purposive sampling. Semi-structured interviews were carried out using a question guide. Interviews took place via a private video chat room platform. A thematic, inductive (...) analysis was performed of the information gathered.Participants and research context:Eighteen nursing students were recruited from two universities of Madrid, aged between 18 and 65 years old, enrolled in the fourth year of nursing studies and who were hired under a relief contract for health professionals during the pandemic.Ethical considerations:The present study was carried out in accordance with the Declaration of Helsinki, and the study was approved by the Local Ethics Committee of Universidad Rey Juan Carlos.Results:Three specific themes emerged: (a) coping with patient triage, (b) difficulties in providing end-of-life care, and (c) coping with patient death. Nursing students participated in the process of patient selection for resource allocation and ICU bed occupancy. They were shown how to care for patients who were not admitted to the ICU, in their last moments and were faced with the difficulties of applying end-of-life care. Finally, the nursing students were confronted with the death of their patients, in overwhelming numbers and under adverse conditions.Conclusions:These findings can help shed light on the ethical dilemmas and ethical conflicts faced by novice nursing students, incorporated into the workforce during the COVID-19 pandemic. Moreover, it was described that students may normalize the death due to the exhaustion and overwhelmed routine. (shrink)

Brings together a range of practitioners and academics from the world of business who examine corporate social responsibility in policy and practice in a series of case studies from across the globe.

Science fiction cinema proposal for Bioethic education Proposta do cinema de ficção científica para educar em Bioética Posthumanism state that technologies will eliminate aging, improve cognitive, physical and psychological skills and keep alive human minds by uploading them in machines as artificial intelligence. These beliefs, as constant features in science fiction films, could be useful to educate medical students in Bioethics. We propose some of these science fiction films related with technological changes of humans and the noxious consequences: Being turned (...) into a humanoid created by genetic engineering; a slave or a merchandize without rights; discrimination because of eugenesic genetic manipulation; and/or the creation of cyborgs of mass destruction. Also, the movies can show the reader issues of ethnic supremacy dilemmas, identity impersonate and ambition, impersonal intelligence and conscience and identity transpass after death. These films will help teachers to analyze with students the moral limits of science and technologies. Para citar este artículo / To reference this article / Para citar este artigo Alerm-González AJ, González-Pérez U. Propuesta del cine de ciencia ficción para educar en Bioética. Pers Bioet. 2019; 22: 14-33. DOI: https://doi.org/10.5294/pebi.2019.23.1.2 Recibido: 10/11/2017 Aceptado: 20/10/2018. (shrink)

The removal of water from mines was one of the key issues that former miners had to deal with. Roman colonists brought new technology to the Iberian Peninsula that addressed this problem. However, they did not invent this technology because it had already been applied to the growth of other endeavours in the Hellenistic society throughout the Eastern Mediterranean. In the mine, the Archimedes screw, waterwheels, bucket pulleys, and Ctesibius pumps were the primary drainage systems. In this essay, the primary (...) characteristics, and modes of operation of machines are examined. Without leaving out the most significant finds made in the southwest of the Iberian Peninsula, one of the regions with the longest history of mining exploitation. To serve as a foundation for future research in this field, this work compares the primary mining mechanisms in ancient Huelva on a qualitative and quantitative level by the implementation of a TOPSIS methodology, a multi-criteria decision analysis method. (shrink)

Researchers are concerned about whether manipulations have the intended effects. Many journals and reviewers view manipulation checks favorably, and they are widely reported in prestigious journals. However, the prototypical manipulation check is a verbal (rather than behavioral) measure that always appears at the same point in the procedure (rather than its order being varied to assess order effects). Embedding such manipulation checks within an experiment comes with problems. While we conceptualize manipulation checks as measures, they can also act as interventions (...) which initiate new processes that would otherwise not occur. The default assumption that manipulation checks do not affect experimental conclusions is unwarranted. They may amplify, undo, or interact with the effects of a manipulation. Further, the use of manipulation checks in mediational analyses does not rule out confounding variables, as any unmeasured variables that correlate with the manipulation check may still drive the relationship. Alternatives such as nonverbal and behavioral measures as manipulation checks and pilot testing are less problematic. Reviewers should view manipulation checks more critically, and authors should explore alternative methods to ensure the effectiveness of manipulations. (shrink)

Diferentes investigaciones han abordado el fenómeno de cómo el jugador de ajedrez alcanza un nivel alto de experticia; sin embargo, la gran mayoría se han llevado a cabo desde una perspectiva en tercera persona, es decir, sin tomar en cuenta la experiencia subjetiva del ajedrecista. El presente trabajo tiene como objetivos: 1) analizar la experticia de ajedrecistas de nivel proficiente desde una perspectiva fenomenológica, esto es, desde la experiencia subjetiva del jugador; 2) señalar los estados internos que parecen ser cognitivamente (...) relevantes en las acciones de los ajedrecistas; 3) teorizar sobre el eventual papel que juega la intuición en las acciones de los jugadores de ajedrez. Para ello se realizó un estudio exploratorio con cinco jugadores de ajedrez durante una competencia de corte nacional en México, utilizando como método la entrevista microfenomenológica propuesta por Claire Petitmengin. Los resultados indican que hay regularidades en los estados internos de los jugadores a nivel intra e interpersonal asociadas implícitamente a momentos críticos de las partidas. Lo anterior permite ofrecer una definición operacional de la intuición y afirmar que esta, en efecto, forma parte de los procesos cognitivamente relevantes de los ajedrecistas de nivel proficiente, aunque las acciones de estos aún dependen, en buena medida, de los cálculos explícitos que realizan durante los momentos críticos. (shrink)

This paper analyzes the process of perceptual recalibration (PR) in light of two cases of technologically-mediated cognition: sensory substitution and perceptual modification. We hold that PR is a very useful concept - perhaps necessary - for explaining the adaptive capacity that natural perceptive systems display as they respond to functional demands from the environment. We also survey critically related issues, such as the role of learning, training, and nervous system plasticity in the recalibrating process. Attention is given to the interaction (...) between technology and cognition, and the case of epistemic prostheses is presented as an illustration. Finally, we address the following theoretical issues: (1) the dynamic character of spatial perception; (2) the role of functional demands in perception; (3) the nature and interaction of sensory modalities. We aim to show that these issues may be addressed empirically and conceptually - hence, the usefulness of sensory-substitution and perceptual-modification studies in the analysis of perception, technologically-mediated cognition, and cognition in general. (shrink)

En el presente artículo se evidencia la vinculación que establece Rama entre lengua/literatura y espacio/poder en La ciudad letrada. Este nuevo paradigma ha permitido pensar y repensar la literatura latinoamericana y los estudios culturales, sin embargo, entraña contradicciones dentro del mismo pensamiento del uruguayo. La tajante división que el autor establece entre ciudad real y ciudad letrada hace imposible pensar el rol de la literatura fuera de la esfera del poder institucional, al mismo tiempo que relega ontológicamente la realidad de (...) esta última a una meramente instrumental. Nuestra propuesta es leer a la luz del concepto de transculturación esta oposición, para establecer una dialéctica que permita considerar la politicidad propia de la ciudad real y su rol activo en la expresión de una literatura de resistencia política. (shrink)

Las crisis económicas están generando desigualdades, producto de la violencia estructural; éstas están derivando en las maneras en que los jóvenes construyen y dibujan los sentidos sociales. Los jóvenes deberían ser sujetos que se mueven en toda una temporalidad sin embargo, sus condiciones materiales de vida, no les permiten pensar en un futuro con certezas. Más bien, éstas se desdibujan para ellos y hoy más que nunca aparecen sus sueños postergados y aplazados por la propia violencia de la que son (...) objeto. De ahí, nuestro interés en ver cómo los jóvenes egresados de la universidad, están construyendo dichos sentidos.Economic crises are generating inequalities resulting from structural violence; they are drifting in the ways in which young people build and draw social senses. Young people should be the subjects of movement along temporariness; nevertheless, their material living conditions do not allow them to think in their future with certainty. For our young generations these conditions are blurred, and now more than ever their dreams are deferred and delayed by the violence they are subjected to. Hence, our interest in finding out how young university graduates are building these senses. (shrink)

In a variety of synaesthesia, photisms result from affect-laden stimuli as emotional words, or faces of familiar people. For R, who participated in this study, the sight of a familiar person triggers a mental image of "a human silhouette filled with colour". Subjective descriptions of synaesthetic experiences induced by the visual perception of people's figures and faces show similarities with the reports of those who claim to possess the ability to see the aura. It has been proposed that the purported (...) auric perception may be easily explained by the presence of a specific subtype of cross-modal perception. We analyse the subjective reports of four synaesthetes who experience colours in response to human faces and figures. These reports are compared with descriptions of alleged auric phenomena found in the literature and with claims made by experts in esoteric spheres. The discrepancies found suggest that both phenomena are phenomenologically and behaviourally dissimilar. (shrink)

Several European countries are approving legislative reforms moving to a presumed consent system in order to increase organ donation rates. Nevertheless, irrespective of the consent system in force, family's decisional capacity probably causes a greater impact on such rates. In this contribution we have developed a systematic methodology in order to analyse and compare European organ procurement laws, and we clarify the weight given by each European law to relatives' decisional capacity over individual's preferences (expressed or not while alive) regarding (...) the destination of his or her organs after death. In this sense, the results constitute the first comprehensive and comparative legislative mapping on European transplantation laws. (shrink)

Resumen: En el presente artículo se evidencia la vinculación que establece Rama entre lengua/literatura y espacio/poder en La ciudad letrada. Este nuevo paradigma ha permitido pensar y repensar la literatura latinoamericana y los estudios culturales, sin embargo, entraña contradicciones dentro del mismo pensamiento del uruguayo. La tajante división que el autor establece entre ciudad real y ciudad letrada hace imposible pensar el rol de la literatura fuera de la esfera del poder institucional, al mismo tiempo que relega ontológicamente la realidad (...) de esta última a una meramente instrumental. Nuestra propuesta es leer a la luz del concepto de transculturación esta oposición, para establecer una dialéctica que permita considerar la politicidad propia de la ciudad real y su rol activo en la expresión de una literatura de resistencia política. Abstract: In the present article we show the relationship that Rama establish between language/power and space/power in the Ciudad Letrada. This new paradigm has allowed us to think and rethink Latin American literature and cultural studies, non the less, it also brings out contradictions inside the own thinking of the Uruguayan author. The strong division that the author establishes between the real city and the literate city does not allow one to think of the role of literature outside the field of institutionalized power, at the same time that he relegates the ontological reality of the latter to a merely instrumental one. Our proposal is to read this opposition in the light of the notion of transculturation, establishing a dialectic that allows us to consider the very policy of the real city and its active role in the expression of a political resistance literature. (shrink)

Organ shortage constitutes an unsolved problem for every country that offers transplantation as a therapeutic option. Besides the largely implemented donation model and the eventually implemented market model, a theorized automatic organ procurement model has raised a rich debate in the legal, medical and bioethical community, since it could show a higher potential to solve organ shortage. In this paper, we study the main arguments for and against this model. We show how, in the light of empirical data extracted from (...) countries with a universal health care system, its implementation could lead to a positive impact on organ procurement rates. Three factors are envisioned as fundamental in the comprehension and a possible regulation of the automatic organ procurement model: the lack of recognition of the conscientious objection, the preservation of the right to choose end of life conditions, and the need to avoid incentives for families or healthcare professionals. (shrink)

Se realizó el análisis curricular de los planes de estudios D y modificados D1 y D2 y el análisis cuantitativo de las mallas curriculares o plan del proceso docente a partir de la organización de las asignaturas por ciclos, distribución de los componentes académico y laboral, frondosidad y quantum de flexibilidad del currículo. El objetivo de la investigación es evaluar el diseño curricular del plan de estudios de la carrera de Bioanálisis Clínico. Se concluye que hay deficiencias en el nuevo (...) plan al no definirse los aspectos que deben integrarse en el macro, meso y micro currículo de una carrera universitaria, no están diseñadas las estrategias curriculares, los programas de las disciplinas ni el plan de la bibliografía básica, lo cual atenta contra la planificación y organización del proceso docente educativo, una asimilación consciente y por ende una correcta formación de conocimientos y habilidades que permitan solucionar exitosamente los problemas profesionales. The curriculum analysis of the syllabus D, D1 and D2 were performedas well as the quantitative analysis of the curricular nets or plan of the teaching process from the organization of the subjects by cycles, distribution of academic and labour components, luxuriance and quantum of flexibility within the curriculum. The objective of the research is to evaluate the curriculum design of the syllabus for the Bioanalysis Clinical Degree. It is concluded that there are lacks in the new plan as the aspects that should be integrated in the macro, meso and micro curriculum of a college degree are not well defined, the curricular strategies are not designed neither the disciplines programs nor the plan of the basic bibliography, which infringes on the planning and organization of the educational teaching process. A conscious assimilation and therefore a correct formation of knowledge and skills that allow to solve successfully the professional problems. (shrink)

Following Goldman’s seminal work, most contemporary philosophical contributions on the novice-expert relation have adopted a normative, expert-focused approach. In this paper, we aim to shift the focus of the philosophical analysis towards the characteristics of the novices, and how they might determine the choices that experts make. On the bases of recent empirical evidence from social psychology, we discuss how novices evaluate the messages that they receive and distinguish diverse kinds of novices according to their competence in message assessment. Building (...) on that analysis, we discuss the difficulties of approaches to expertise that focus only on the standpoint of novices or assume novices are homogeneous. In our analysis, we introduce the standpoint of experts, and we pay special attention to the heterogeneity of novices. This approach allows us to identify and address the difficulties faced by experts in the context of science communication. In the last part of the paper, we characterise and discuss the problem of experts when choosing a strategy in the issuing of a public campaign to advise or inform certain populations of novices. (shrink)

One of the main challenges in medicine is to guarantee an appropriate drug supply according to the real needs of patients. Closed-loop strategies have been widely used to develop automatic solutions based on feedback variables. However, when the variable of interest cannot be directly measured or there is a lack of knowledge behind the process, it turns into a difficult issue to solve. In this research, a novel algorithm to approach this problem is presented. The main objective of this study (...) is to provide a new general algorithm capable of determining the influence of a certain clinical variable in the decision making process for drug supply and then defining an automatic system able to guide the process considering this information. Thus, this new technique will provide a way to validate a given physiological signal as a feedback variable for drug titration. In addition, the result of the algorithm in terms of fuzzy rules and membership functions will define a fuzzy-based decision system for the drug delivery process. The method proposed is based on a Fuzzy Inference System whose structure is obtained through a decision tree algorithm. A four-step methodology is then developed: data collection, preprocessing, Fuzzy Inference System generation, and the validation of results. To test this methodology, the analgesia control scenario was analysed. Specifically, the viability of the Analgesia Nociception Index as a guiding variable for the analgesic process during surgical interventions was studied. Real data was obtained from fifteen patients undergoing cholecystectomy surgery. (shrink)

The expressivist account of knowledge attributions, while claiming that these attributions are nonfactual, also typically holds that they retain a factual component. This factual component involves the attribution of a belief. The aim of this work is to show that considerations analogous to those motivating an expressivist account of knowledge attributions can be applied to belief attributions. As a consequence, we claim that expressivists should not treat the so-called factual component as such. The phenomenon we focus on to claim that (...) belief attributions are non-factual is that of normative doxastic disagreement. We show through several examples that this kind of disagreement is analogous to that of the epistemic kind. The result will be a doxastic expressivism. Finally, we answer some objections that our doxastic expressivism could seem to face. (shrink)

Background: The COVID-19 pandemic has produced high stress in nurses, affecting their professional quality of life. Different variables affect psychological stress response and professional quality of life. In this context, the role of professional values represents an interesting object of research. Objectives: To analyze the relationship between professional values, perceived stress, and professional quality of life among nurses during the COVID-19 crisis. Research design, participants, and research context: Descriptive cross-sectional study. Participants were 439 registered nurses from the public health system. (...) Perceived stress, professional quality of life, and professional values were evaluated by using measuring instruments adapted and validated in the geographic context of research. Data were collected online in December 2020 during the second wave of the COVID-19 pandemic in Spain. Ethical considerations: This study was approved by the Ethics Committee on Clinical Research of the Principality of Asturias. Findings: Within professional values, ethics obtained higher scores showing the primacy of ethical values among nurses. Moderate correlations between ethics, mastery, expertise, and compassion satisfaction were found. Frontline nurses informed high perceived stress. The correlations between professional values and compassion satisfaction were higher in non-frontline nurses. A moderate negative correlation between perceived stress and compassion satisfaction was found in both groups, which implies that the higher the stress, the lower the satisfaction in the helping relationship. Conclusion: Professional values positively influence compassion satisfaction during the COVID-19 pandemic. Compassion satisfaction presents a negative correlation with fatigue compassion and burnout in frontline and non-frontline nurses. Given the functionality of values both to guide clinical practice professionally and ethically, and prevent dissatisfaction with one’s professional quality of life by reinforcing compassion satisfaction, it is necessary to reinforce them with an intensive and cross-sectional learning during the university training. (shrink)

Extrapolation of causal claims from study populations to other populations of interest is a problematic issue. The standard approach in experimental research, which prioritises randomized controlled trials and statistical evidence, is not devoid of difficulties. Granted that, it has been defended that evidence of mechanisms is indispensable for causal extrapolation. We argue, contrarily, that this sort of evidence is not indispensable. Nonetheless, we also think that occasionally it may be helpful. In order to clarify its relevance, we introduce a distinction (...) between a positive and a negative role of evidence of mechanisms. Our conclusion is that the former is highly questionable, but the latter may be a trustworthy resource for causal extrapolation. (shrink)

Automatic control of physiological variables is one of the most active areas in biomedical engineering. This paper is centered in the prediction of the analgesic variables evolution in patients undergoing surgery. The proposal is based on the use of hybrid intelligent modelling methods. The study considers the Analgesia Nociception Index to assess the pain in the patient and remifentanil as intravenous analgesic. The model proposed is able to make a one-step-ahead prediction of the remifentanil dose corresponding to the current state (...) of the patient. The input information is the previous remifentanil dose, the ANI variable and the electromyogram signal. Modelling techniques used are Artificial Neural Networks and Support Vector machines for Regression combined with clustering methods. Both training and validation were done with a real dataset from different patients. Results obtained show the potential of this methodology to calculate the drug dose corresponding to a given analgesic state of the patient. (shrink)

The past two decades have witnessed an increase in interest in social mechanisms and mechanistic explanations of social macro-phenomena. This paper addresses the question of what the components of social mechanisms in mechanistic explanations of social macro-phenomena must be. Analytical sociology’s initial position and the main new proposals by analytical sociologists are discussed. It is argued that all of them are faced with outstanding difficulties. Subsequently, a minimal requirement regarding the components of social mechanisms is introduced. It is held that (...) a component of a social mechanism in a mechanistic explanation of a social macro-phenomenon must not have the explanandum phenomenon as a part of it. (shrink)

The purpose of this descriptive and exploratory study was to measure the perceptions regarding a variety of science, technology, and society (STS) topics among a sample of Uruguay underclassmen college students. These perceptions were compared with the viewpoints of a group of professional scientists. It was found that, for some STS topics, such as the role of humans in global climate change, the perceptions of Uruguay underclassmen and scientists were statistically identical. For topics, such as the problem of human overpopulation, (...) both groups find themselves on the same side of the issue but with a statistically significant gap between them. Uruguay underclassmen and professional scientists have opposite views on STS topics such as the use of animals for scientific research. A sizable proportion of Uruguay underclassmen were not familiar with several STS topics, such as the scientific work of the International Space Station. Implications for formal and informal STEM education efforts are discussed. (shrink)

In this paper, we address the question whether a mechanistic approach can account for evolutionary causes. The last decade has seen a major attempt to account for natural selection as a mechanism. Nevertheless, we stress the relevance of broadening the debate by including the other evolutionary causes inside the mechanistic approach, in order to be a legitimate conceptual framework on the same footing as other approaches to evolutionary theory. We analyse the current debate on natural selection as a mechanism, and (...) extend it to the rest of the evolutionary causes. We focus on three approaches that we call the stochastic view, the functional view, and the minimalist view. We argue that all of them are unable to account for evolutionary causes as mechanisms. It is concluded that the current mechanistic proposals cannot be accepted as a common framework for evolutionary causes. Finally, we outline some guidelines and requirements that any mechanistic proposal should meet in order to be applied to evolutionary theory. (shrink)

Current research has focused on gender as a conditioning factor in students’ study choices, highlighting the existence of gender stereotypes associated with these choice. The general objective of this article is to analyse if there are differences based on sex in the choice of musical instruments in music conservatories. The methodology used is quantitative. We have analysed the data on enrolment in the different instrumental specialities of two public music conservatories in Seville (Spain) at the three levels of music education: (...) Basic, Professional and Higher Music Education. This article contrasts if there are instrumental specialities that are mostly chosen by one or the other sex, and to check if this sexual segregation has been produced by chance or can be explained by other causes. This investigation was carried out for a total of 4120 students from two different conservatories. The main conclusions of the study were the existence of feminized and masculinized instrumental families, and the relationship between the variables “students’ sex” and “instrumental families and musical specialities” was significant with a medium effect size. This research confirms that men and women choose the instruments that have traditionally been associated with their male or female roles respectively. (shrink)