Background During the first weeks of March 2020 in Spain, the cases of severe respiratory failure progressively increased, generating an imbalance between the clinical needs for advanced life support (ALS) measures and the effective availability of ALS resources. To address this problem, the creation of triage committees (TC) was proposed, whose main function is to select the best candidates to receive ALS. The main objective of our study is to describe the clinical characteristics of the patients evaluated by the TC (...) of the Alcorcón Foundation University Hospital (AFUH) during the first wave of SARS CoV-2. Other objectives are to determine if there are differences between the patients considered candidates / not candidates for ALS and to analyze the functioning of the TC. Methods Retrospective observational study of all patients assessed by the AFUH TC. Results There were 19 meetings, in which 181 patients were evaluated, 65.4% male and with a mean age of 70.1 years. 31% had some degree of functional dependence, the Barthel median was 100 and Charlson 4. 58.5% were not considered a candidate for ALS at that time. The patients considered candidates to receive ALS were younger (72 vs 66; _p_ Conclusions The patients evaluated by the TC had a mean age of 70 years, high comorbidity and almost a third had some degree of functional dependence. More than half were not considered candidates for ALS at that time, these patients being older, with more comorbidity and a worse previous functional situation. TC decisions, based on objective clinical criteria, were almost always respected. Public institutions must get involved in triage procedures, which should and in our opinion must include the creation of TC in health centers. The implementation of Anticipated Decision programs (ADP) would help enable patients affected by triage decisions to participate in them. (shrink)

South Africa shared with the world the warning of a new strain of SARS-CoV2, Omicron, in November 2021. As a result, many high-income countries (HICs) instituted complete travel bans on persons leaving South Africa and other neighbouring countries. These bans were unnecessary from a scientific standpoint, and they ran counter to the International Health Regulations. In short, South Africa was penalized for sharing data. Data sharing during pandemics is commonly justified by appeals to solidarity. In this paper, we argue that (...) solidarity is, at best, an aspirational ideal to work toward but that it cannot ground an obligation to share data. Instead, low-and-middle income countries (LIMCs) should be guided by the principle of reciprocity, which states that we ought to return good for good received. Reciprocity is necessarily a conditional principle. LMICs, we argue, should only share data during future pandemics on the condition that HICs provide enforceable assurances that the benefits of data sharing will be equitably distributed and that LMICs won’t be penalized for sharing information. (shrink)

It is generally agreed that one of the key differences between ancient skepticism and modern and contemporary skepticism is that the ancient skeptic does not call into question the existence of the external world, but only our ability to know the properties or qualities of external objects. In this paper, I argue that in Sextus Empiricus's attack on the Epicurean criterion of truth one finds evidence that the ancient Pyrrhonist also suspends judgment about the existence of external objects.

The distinctive security features of the Spanish electronic national identity card, known as Documento Nacional de Identidad electrónico, allow us to propose the usage of this cryptographic smart card in an authentication framework that can be used during the registration and login phases of internet services where the validation of the user’s age and real identity are key elements, as it is the case for example of the so-called social networks. Using this mechanism with NFC-capable devices, the identity and age (...) of the potential user can be determined, allowing or denying the access to the service based on that information. (shrink)

Scholarship on ancient Pyrrhonism has made tremendous advances over the past three decades, thanks especially to the careful reexamination of Sextus Empiricus’ extant corpus. Building on this momentum, the authors of the eight essays collected here examine some of the most vexed and intriguing exegetical and philosophical questions posed by Sextus’ presentation of this form of skepticism. The essays explore in a new light the skeptical interpretation of Plato, the differences between Pyrrhonism and Cyrenaicism, the Pyrrhonist’s stance on ordinary life, (...) religion, language, and ethics, Sextus’ discussion of our access to our own mental states, and the relationship between Pyrrhonism and epistemic internalism and externalism. These new essays represent a substantial contribution to the advancement of scholarship on Pyrrhonian skepticism. (shrink)

En este conciso estudio se explicará la concepción de la luz que encontramos en Francisco Suárez. Si bien distinta, y por cierto distante, de las teorías modernas (corpuscular y ondulatoria), encontramos en Suárez un corpus de principios, de base y raigambre aristotélica, que dan cuenta de una mecánica del todo exótica para nuestra men- talidad, pero abundante y enriquecida en contenido lógico y filosófico: la filosofía natural de Francisco Suárez está basada, en términos generales, en los conceptos de virtud, necesidad, (...) esfera de acción y energía en el sentido originario de esta palabra. Para sorpresa del lector mínimamente aficionado a estos temas, encontraremos en la física de Suárez explicaciones por momentos mucho más naturales, más claras y más satisfactorias sobre la propagación de la luz y sobre la acción a distancia de lo que han propuesto hasta hoy las teorías en vigencia. Francisco Suárez, desde ya, queda excluido del proyecto de Galileo y de Francis Bacon; no ofrece ni persigue resultados mate- máticos, sino un conocimiento ontológico del Universo y una interesante mecánica esencialista. (shrink)

Several scholars familiar with Sextus Empiricus’s Pyrrhonism who have attentively read his Against the Ethicists have gotten the impression that something strange is going on in this book. For, at variance with the ‘official’ Pyrrhonian attitude of universal suspension of judgment, a number of passages of Against the Ethicists seem to ascribe to the Pyrrhonist both a type of negative dogmatism and a form of realism, which together amount to what may be called ‘moderate ethical realism’. The purpose of this (...) paper is to determine whether Sextus does embrace such a position in Against the Ethicists. (shrink)

Estudio preliminar. I. La era de Darwin. II. Las coordenadas españolas de la polémica darwinista. III. Algunos datos sobre la introducción del darwinismo en España. IV. Breve historia de la controversia ideológica. V. Implicaciones filosóficas e ideológicas del darwinismo. Nota sobre los textos. ANTOLOGÍA DE TEXTOS. I. Un debate largo y virulento. I.1. Defensores. I.2. Adversarios. I.3. Posturas conciliadoras. II. Tres acontecimientos polémicos. II.1. El drawinismo en Granada. II.2. El I Congreso Católico Español. II.3. El cementerio del nacimiento de Darwin. (...) III. Darwinismo social. IV. Darwinismo y socialismo. IV.1. Anarquismo. IV.2. Socialismo marxista. V. La muerte de Darwin en la Prensa. V.1. Prensa católico-tradicional. V.2. Prensa liberal. V.3. Prensa obrera. Bibliografía y cronología del darwinismo en España [1859-1900]. (shrink)

Esse texto propõe a hipótese da “máquina s’imaginante” como sendo o constructo fundamental da teoria da imaginação de Spinoza e pretende justificar certa leitura que permita tal denominação. Para tanto, parte-se da noção de _contemplari externè_ para, em seguida, explanar a noção interpretativa de _simul desconcertante_, a qual desempenha importante papel a fim de forjar a noção de _centramento em si_, noção que permite captar os efeitos de interioridade e exterioridade relativas ao indivíduo humano e cujo engendramento faz a natureza (...) das coisas ser apreendida teleologicamente. A partir do _centramento em si _são examinadas e interpretadas categorias relevantes da imaginação, sendo a mais importante delas a _concatenatio_. Por fim, são indicados alguns desdobramentos da hipótese de leitura proposta. (shrink)

The Pyrrhonian skeptic’s stance, as described by Sextus Empiricus, is in good part defined by his suspending judgment or belief about all the matters he has so far investigated. Most interpreters of Pyrrhonism maintain that it is a mistake to understand this form of skepticism in terms of doubt because suspension as conceived of by the Pyrrhonist is markedly different from the state of doubt. In this article, I expound the reasons that have been offered in support of that prevailing (...) view and assess their strength. (shrink)

As an instrument for participatory technology development, Scenario-Based Design offers significant potential for an early inclusion of future users. Over the course of a 3-year research project, this method was examined as a procedure for participatory technology development. Methods and instruments aimed at achieving a potential user’s participation, and the resulting cooperation of heterogeneous social groups can be seen as translation tools. Their purpose is to act as translators between different social fields and the specific knowledge associated with them. These (...) translation capabilities and participatory methods should result in the best possible convergence of different orientations and purposes. In this paper, attempting to achieve the best possible convergence is described as a dilemma of alignment. Several approaches will be used to describe the dynamic of the alignment dilemma within the above-mentioned project. The reconstruction follows one question that is proposed as a heuristic pattern to meet the requirements of an accurate analysis of holistic participatory methods: Who or what has to adjust to whom or what, why, when, and in which way? The main conclusions include the finding that the alignment dilemma is not equally balanced, that the agency of epistemic objects within the process has to be captured, and that it is easy for translation—provided primarily by core instruments of the participatory method used—to begin to overwrite the needs and purposes of one social group with the interests and orientations of another. (shrink)