Despite the increase in global research on health inequalities, more needs to be done to strengthen efforts to inform local interventions. In this article, we ask what determines the local capacity to engage in research on health inequalities. A bibliometric analysis identified Spain as the 10th highest global contributor to this research field (1966–2015), yet a significant proportion of this production was affiliated to just a few institutions in Barcelona. How and why has the city produced so much health inequalities (...) research over four decades? A realist explanatory case study was conducted to test and refine six causal mechanisms, and identify the contextual conditions that might have activated them to generate this outcome. Data was triangulated from 10 semi-structured interviews, and scientific and grey literature. Our findings confirmed that several of our proposed mechanisms - functioning under certain conditions over time - explain the large volume of health inequalities research in Barcelona. Based on these findings, key lessons from the city's experience are suggested. Further research is needed on this topic. (shrink)

Por paradójico que resulte, la crítica de Schopenhauer a la filosofía de Hegel es tan famosa como desconocida, lo que con seguridad se debe principalmente al harto caótico modo en el que Schopenhauer optó por presentarla al público. Frente a lo que opinan ciertos intérpretes, el presente artículo no sólo muestra la existencia de una crítica propiamente dicha, la cual a veces se ha negado, sino que establece y determina como núcleo de dicha crítica las objeciones de Schopenhauer a la (...) «Lógica» de Hegel; ante todo, las relativas a la Ontología hegeliana y, en segundo plano, las tocantes a la metodología dialéctica, sistematizando los argumentos que Schopenhauer presentó en multitud de pequeños pasajes dispersos. Aunque su crítica es original y heterodoxa en ciertos aspectos, se muestra como mínimo a la altura de la discusión sobre el hegelianismo de mediados del siglo XIX. (shrink)

Social representations can be conveyed through language, which expresses a construction of the reality. Assuming the complex task of analyzing the results of a qualitative study, this article exposes from a structuralist approach, a proposal to analyze and construct social representations from the central core theory. Thus validate in methodological terms, a way to graphically express results for a holistic analysis and interpretation of these central and peripheral notions. The proposal is elaborated for application in studies with primary sources such (...) as interviews and their treatment through a content analysis. (shrink)

The development and use of advanced and innovative neuroscience, neurotechnology and some forms of artificial intelligence have exposed potential threats to the human condition, including human rights. As a result, reconceptualizing or creating human rights (i.e. neurorights) has been proposed to address specific brain and mind issues like free will, personal identity and cognitive liberty. However, perceptions, interpretations and meanings of these issues—and of neurorights—may vary between countries, contexts and cultures, all relevant for an international-consensus definition and implementation of neurorights. (...) Thus, we encourage reflecting on the proactive inclusion of transnational, cross-cultural and contextual considerations and concerns to contribute to the global discourse. This inclusion does not mean endorsing ethical relativism but rather a call to foster a universal understanding of key concepts and concerns. Including contextual and cultural perspectives may truly anticipate global concerns which could be addressed while developing and implementing neurorights. Consequently, any ethical and/or legal regulatory framework(s) for the translational and transnational use of advanced neuroscience, neurotechnology and some forms of artificial intelligence intended to protect and safeguard human dignity should be contextually and culturally mindful, responsible, respectful and inclusive of not only human rights and fundamental freedoms but also of neurocognitive cultural diversity. (shrink)

This article builds on the notion of legal tolerance and analyzes the scope of its definition. It situates the notion in the complex set of relations occurring between the major systems of society. Generally, legal tolerance, as a concept, is understood in light of the possibilities of the legal system of influencing other major systems? responses. On the other hand, tolerance is also the response of the legal system in respect to other major systems? communications. Although there is a common (...) understanding of tolerance as ?under punishing bias? in criminology or as political tolerance in political science, 1 the focus of this article is different. The central points here are, first, the analysis of legal tolerance as part of systemic communications and, second, the historicity of the transformations of the nation-state in its ability to cope with the growth of separate, distinct and partial systems of society. Tolerance seems relational and raises questions such as: ?How much can the legal system tolerate?? And also, ?Which societal topics belong to the social system's domain-matter?? These questions are relevant given that the concept of legal tolerance depends on the possibilities of a given system to steer, to direct or to influence other major systems? behavior, or to resist, respond or to address other systems, which are in its environment. The concept of legal tolerance requires an analysis of a cluster of related definitions to assess the implications of the concept. These definitions are the following: (1) The concepts that result from the historical process of structuration and that explain the emergence of social systems. (2) The definition of reflexivity and its relation with the ?second order cybernetics dilemma.? This is the place where heuristic and epistemological problems are found. Such problems result from both the problem of representation and from the ontological status of the real. This analysis will show why reflexivity is a key concept to explaining the transformations suffered by such systems. Then, legal tolerance is a newer development in respect to the idea of planning. As an alternative to hard planning, legal tolerance creates a fostering environment. Instead of a single system directing other systems, legal tolerance is relational and created collectively by the organizational national state using its (limited) power of legal creation. Legal tolerance also stems from the concerned subsystems of the society (economy, law, politics, science, along with others) by means of a variety of legislative products, public policies, alliances, and legal and other scientific communications that emerge as coordinating mechanisms among the alluded major subsystems. (shrink)

Cette étude, à partir du cas colombien, présente une théorie globale novatrice du trafic des drogues, qu'elle présente comme le symptôme de la situation générale de l'homme contemporain confronté aux problèmes de la mondialisation. Elle pose ainsi le problème du trafic des drogues comme la rencontre entre des subjectivités et les productions des grands systèmes économiques, politiques et juridiques, dans une perspective sociale et anthropologique critique.

Aunque con cierta frecuencia se ha hablado de la influencia del «Tratado sobre la libertad»de Schelling sobre la metafísica de Schopenhauer, la tradición apenas ha prestado atención a losnumerosos pero muy dispersos materiales, publicados e inéditos, que conciernen a la relación y lapolémica de Schopenhauer con dicho tratado. El artículo ofrece una exposición ordenada de talesmateriales, mostrando cuáles fueron las objeciones fundamentales de Schopenhauer al escrito y tratandode determinar la motivación última de la polémica. Asimismo, se comentan las declaraciones del (...) propioSchopenhauer con respecto a la supuesta influencia, ofreciendo claves para una interpretación de lasmismas distinta a la usual. (shrink)

Los inconmensurables impactos del conflicto armado experimentado en Colombia, transforman las distintas esferas de la vida cotidiana. En este contexto, el eje cafetero experimenta un imaginario social negacionista del conflicto armado en aras de consolidar un proyecto desarrollista en su territorio. El presente artículo resultado de un proyecto de investigación de cohorte cualitativo surge como resultado del dialogo entre la sociología relacional y filosofía histórica con la cual se analizan las relaciones entre transiciones y memorias en contextos matizados por históricas (...) violencias, reconociendo dispositivos de control que generan ocultamiento del conflicto, pero también prácticas de resistencia en la región cafetera. (shrink)

Objective: To measure the stability of life-sustaining treatment preferences amongst older people and analyse the factors that influence stability. Design: Longitudinal cohort study. Setting: Primary care centres, Granada (Spain). Eighty-five persons age 65 years or older. Participants filled out a questionnaire with six contexts of illness (LSPQ-e). They had to decide whether or not to receive treatment. Participants completed the questionnaire at baseline and 18 months later. Results: 86 percent of the patients did not change preferences. Sex, age, marital status, (...) hospitalisation, and self-perception of health and pain did not affect preferences. Morbidity and the death of a relative did. Conclusion: Stability of preferences of older persons in relation to end-of-life decisions seems to be more probable than instability. Some factors, such as the death of a relative or the increase in morbidity, can change preferences. These findings have implications for advance directives (ADs) and advance care planning. (shrink)

During the last decade, Network Science has become one of the most active fields in applied physics and mathematics, since it allows the analysis of a diversity of social, biological and technological systems [24]. From the diversity of applications of Network Science, in this Opinion paper we are concerned about its potential to analyse one of the most extended group sports, Football (soccer in U.S. terminology) [29], since it allows addressing different aspects of the team organization and performance not captured (...) by classical analyses based on the performance of individual players. The reason behind relies on the complex nature of the game, which, paraphrasing the foundational paradigm of complexity sciences “can not be analysed by looking at its components (i.e., players) individually but, on the contrary, considering the system as a whole” or, in the classical words of after-match interviews “it’s not just me, it’s the team”. The recent ability of obtaining datasets of all events occurring during a match, including the position of the players and the interactions between them has opened the door to new kind of studies where it is possible to analyse and quantify the behaviour of a team as a whole, together with the role of a single player [17]. Under this framework, the organization of a team can be considered as the result of the interaction between its players, creating a network based on passes. In this way, we can create passing networks, which are directed (i.e.,... (shrink)

ObjectiveTo increase knowledge of how doctors perceive futile treatments and scarcity of resources at the end of life. In particular, their perceptions about whether and how resource limitations influence end-of-life decision making. This study builds on previous work that found some doctors include resource limitations in their understanding of the concept of futility.SettingThree tertiary hospitals in metropolitan Brisbane, Australia.DesignQualitative study using in-depth, semistructured, face-to-face interviews. Ninety-six doctors were interviewed in 11 medical specialties. Transcripts of the interviews were analysed using thematic (...) analysis.ResultsDoctors’ perceptions of whether resource limitations were relevant to their practice varied, and doctors were more comfortable with explicit rather than implicit rationing. Several doctors incorporated resource limitations into their definition of futility. For some, availability of resources was one factor of many in assessing futility, secondary to patient considerations, but a few doctors indicated that the concept of futility concealed rationing. Doctors experienced moral distress due to the resource implications of providing futile treatment and the lack of administrative supports for bedside rationing.ConclusionsDoctors’ ability to distinguish between futility and rationing would be enhanced through regulatory support for explicit rationing and strategies to support doctors’ role in rationing at the bedside. Medical policies should address the distinction between resource limitations and futility to promote legitimacy in end-of-life decision making. (shrink)

Apology is arguably the central act of the reparative work required after wrongdoing. Claudia Card’s (1940-2015) analysis of complicity in collectively perpetrated evils moves one to ask whether apology ought to be requested of persons culpably complicit in institutional evils. To better appreciate the benefits of and barriers to apologies offered by culpably complicit wrongdoers, this article examines doctors’ complicity in a practice that meets Card’s definition of an evil, namely, the non-medically necessary, nonconsensual “normalizing” interventions performed on babies born (...) with intersex anatomies. It argues that in this instance, the complicity of doctors is culpable on Card’s terms, and that their culpable complicity grounds rightful demands for them to apologize. (shrink)

Os heróis japoneses estão cada vez mais presentes no cotidiano brasileiro, influenciando o público infanto-juvenil e pré-adolescente. O animê ganhou força na década de 60 através de Osamu Tezuka. Os personagens são orientais, mas a narrativa é construída a partir da cultura pop. Hoje a preocupação se volta para Bey Blade -desenho atuante no inconsciente, colocando a razão em último plano, prevalecendo a alienação e a exclusão social.

Este artigo é um recorte do projeto de pesquisa “Leitura de imagens no ensino de História: um estudo sobre mudanças e permanências nas prescrições, livro didático e representações culturais”. Ele apresenta uma análise, dentre as muitas possíveis, da condição leitora na obra Cuore, escrita por Edmondo De Amicis, traduzida para o português brasileiro com o título Coração. Centenário, o livro teve sua primeira edição publicada no ano de 1886, na Itália, e tornou-se um grande sucesso editorial, principalmente por ter sido (...) adotado nas escolas. Nesta investigação, foram analisados quatro exemplares publicados na metade do século XX no Brasil, com enfoque na materialidade da obra. Buscou-se identificar as relações entre as características de apresentação do livro, identificadas nas capas, nas ilustrações e na escolha da linguagem, com a prática de leitura. Esta investigação baseia-se nas considerações de Chartier sobre o livro escolar como objeto de circulação. Outros estudos fundamentais, que tratam da análise do projeto gráfico, da função da ilustração e da leitura enquanto prática social, são aqui apresentados e discutidos, respectivamente, a partir de Collaro, Camargo e Kleiman. Como método de análise, optou-se pelo estudo bibliográfico, pela busca e análise de diálogos informais sobre a experiência leitora da obra, e por pesquisa de campo em bibliotecas e hemerotecas. Em relação aos resultados, a presente investigação permitiu concluir que: o livro Coração circulou no Brasil, sobretudo na região nordeste do Estado do Rio Grande do Sul; a padronização dos exemplares no formato bolso do livro possibilitou acessar mais facilmente os seus destinatários, inclusive pelo valor de venda, possível graças ao investimento em altas tiragens para distribuição e circulação interna na Itália e também no exterior; o projeto editorial, no decorrer do tempo, reuniu aspectos visuais que dinamizam e promovem o estímulo à leitura; a prática de leitura do livro em voz alta, usada pelos professores na escola, foi força persuasiva à leitura e contribuiu à sensibilização dos alunos aos conteúdos dos contos presentes na obra. (shrink)

BackgroundThis paper investigates the content of Australian policies that address withholding or withdrawing life-sustaining treatment to analyse the guidance they provide to doctors about the allocation of resources.MethodsAll publicly available non-institutional policies on withholding and withdrawing life-sustaining treatment were identified, including codes of conduct and government and professional organization guidelines. The policies that referred to resource allocation were isolated and analysed using qualitative thematic analysis. Eight Australian policies addressed both withholding and withdrawing life-sustaining treatment and resource allocation.ResultsFour resource-related themes were (...) identified: doctors’ ethical duties to consider resource allocation; balancing ethical obligations to patient and society; fair process and transparent resource allocation; and legal guidance on distributive justice as a rationale to limit life-sustaining treatment.ConclusionOf the policies that addressed resource allocation, this review found broad agreement about the existence of doctors’ duties to consider the stewardship of scarce resources in decision-making. However, there was disparity in the guidance about how to reconcile competing duties to patient and society. There is a need to better address the difficult and confronting issue of the role of scarce resources in decisions about life-sustaining treatment. (shrink)

Nuestro frenesí de comunicación e información hace que las cosas des- aparezcan y devengan en no-cosas, también llamadas informaciones (Han, 2021: 10). El marco ontológico presente es resultado de un desplazamiento que va del ocaso de las cosas al consumo rápido y frenético de no-cosas. En este entorno intangible el ser humano ya no maneja ninguna cosa. Las no cosas son aquellas cosas puramente intangibles, que no pueden aprehenderse con las manos. Lo único que le queda de las manos al (...) ser humano que habita este entorno son las yemas de los dedos con las que presiona las teclas para jugar con símbolos (Flusser, 2002: 107). ¿Qué efectos contrae este nuevo paradigma vital en el campo de la educación? ¿Qué significa educar en y trabajar con no-cosas? (shrink)

The “boomerang thesis” enjoys widespread currency in contemporary scholarship: that the means and ends of colonial domination would “spin back” to the metropole is an idea with intuitive grip. This article extrapolates the depth of meaning this metaphor contains, as well as what it conceals. It first considers the “boomerang” as it appears in Aimé Césaire’s Discourse on Colonialism, a poetic work that captures the moral and experiential return-effects of imperial violence. Turning to Hannah Arendt’s The Origins of Totalitarianism—the only (...) articulation of the thesis that uses the word “boomerang”—the article disaggregates the teleological, ideological, and institutional elements that spun back from European colonies in the imperial era. Finally, it traces the development of the thesis in Michel Foucault’s “Society Must Be Defended,” where it is transformed into a more general explanatory mechanism. Each theorist indicates how distance operates to transform dubious, even hateful ideas into acceptable practices. (shrink)

Manuel Herrera Gómez es Profesor Titular de Sociología de la Universidad de Granada (1998). Sus publicaciones más recientes son Las políticas sociales en las sociedades complejas (2003), Sociedades complejas (2004), Metateoría de las Ciencias Sociales (2005), La cultura de la sociedad en Talcott Parsons (2005) y Teorías y métodos de planificación social (2005). También ha coordinado las obras Administración Pública y Estado de Bienestar (2004) y Teorías sociológicas de la acción (2005). En las últimas décadas se ha desarrollado un (...) intenso debate que contrapone a los defensores de un modelo liberal de sociedad y a los que apuestan por un modelo comunitario. Bajo el manto liberal se engloban todas aquellas teorías políticas cuyo objetivo es buscar procedimientos, universalmente compartidos, de agregación de los intereses individuales. Por su parte, en el bando comunitarista, nos encontramos aquellos planteamientos -cuyo denominador común es una crítica a toda visión puramente procedimentalista de la filosofía pública-, que consideran que sólo se posee una comunidad política cuando se recurre a un patrimonio común de contenidos, valores y tradiciones, en el que todos los miembros de la comunidad se sienten radicados. En esta obra se presenta un análisis detallado de los protagonistas y de las etapas de este debate, proponiendo como conclusión un modelo de sociedad que pretende dar respuesta tanto a las instancias radicadas en el modelo procedimental como a las presentes en el modelo comunitario. (shrink)

Emotional processing and episodic memory are closely related throughout childhood development. With respect to emotional episodic memory, available evidence shows that the consolidation of information is accompanied by an arousal that generates longer duration and persistence of the memory representations. In the case of early stages of development (i.e., first 5 years), it is less clear how these associations emerge and are modulated by individual and environmental factors. In this study, 116 4- to 5-years old Argentinean children from different socio-environmental (...) contexts (i.e., favorable or unfavorable living conditions at home), performed a task of visual emotional memory in which they observed a set of 15 images with variable emotional valences (negative, neutral, and positive). The child’s task was to appraise each image using one of the following three possible valences: (a) drawings of faces with smiles (positive valence), (b) drawings of faces with tears and round mouth with edges down (negative valence), or (c) drawings of faces with horizontal mouth (neutral valence). Five years-old children exhibited greater accuracy appraisal. Individual differences in emotional accuracy appraisal allowed us to observe different performances in free recall of negative visual images. Accuracy appraisal did not vary between children with respect to gender, living conditions at home, or language ability. Seven to ten days after the emotional appraisal children were asked to tell the experimenter all the images they remembered (variables of interest: free recall of negative, positive, or neutral images). Results showed individual (age) differences. Specifically, 5-years-old children evoked more images than 4-years-old children. These findings contribute to the understanding of emotional memory in early developmental stages and raise the need to include emotional appraisal in the assessment of episodic memory. (shrink)

En las últimas décadas, se ha consolidado un campo de estudios alrededor de la expertise que articula enfoques y programas de investigación heterogéneos, según los modos de conceptualizar la relación entre ciencia y política, saber y poder, de fijar sus conexiones y de determinar el nivel del análisis para su abordaje. El corpus foucaulteano contiene herramientas analíticas fructíferas para el tratamiento sustantivo de la politicidad inherente a los saberes, al cuestionar las lecturas instrumentales de aquella relación e inscribir la actividad (...) especializada en estrategias de gobierno y en formas de resistencia hacia ellas. Sin embargo, las conceptualizaciones del saber experto desde una matriz foucaulteana registran cierta dispersión y, pese al avance de los estudios sobre gubernamentalidad en este aspecto, la ausencia de una reflexión sobre la categoría de expertise introduce el riesgo de que en estos análisis se establezca una cuestionable relación de coherencia y correspondencia entre saberes y racionalidades de gobierno. En este artículo, nos proponemos revisar el corpus foucaulteano y sistematizar otras claves de lectura sobre los saberes y su condición política, a fin de aportar con ello al campo de estudios sobre expertise. Examinamos la “hipótesis de la guerra”, mostramos su pulso en el ejercicio de saber y ponemos en juego estas coordenadas analíticas en un pequeño trabajo de archivo sobre una serie documental de textos de Hayek, a propósito de la articulación de la racionalidad neoliberal de gobierno. La conformación del corpus y el análisis de los textos se valieron, metodológicamente, de una traducción instrumental de tales coordenadas mediada por una perspectiva materialista del discurso. (shrink)

As Heraclitus, Cioran conceives man as a being that possesses lógos and is ruled in his life by it in its multiple aspects. Man not only makes use of word; this word also shapes him and traverses him entirely. Word is the necessary and intrinsic expression of every human being, and, as a result, he cannot elude it. In many of his works, Cioran warns us about the dangers that lógos has for man: not to find his genuine expression in (...) the midst of so many words, and to fall into totalizing fictions that lead us to deception and indoctrination. For this reason, in the midst of this misfortune, Cioran even considers silence as the only possible way out. However, if man denies the mark of language by avoiding all forms of expression, the anguish that his own existence entails will end up destroying him. Paradoxically, Cioran finds that the expression of lógos is the only possible salvation for man from the clutches of death, and that is, why by expressing oneself through lógos, one's own unhappiness becomes a necessary condition of life. (shrink)

O artigo apresenta reflexões teóricas sobre a atividade de ensino que se torna práxis bem-sucedida. Essa discussão gira em torno de duas categorias teóricas: atividade e afetação. A atividade, categoria teórica de base marxista, é discutida a partir dos aportes da psicologia sócio-histórica. A categoria afetação é aqui analisada com base na filosofia de Baruc de Espinosa. Realizamos este estudo a partir de pesquisa bibliográfica que tem como objetivo refletir sobre o que contribui para que o professor consiga realizar um (...) ensino capaz de afetar com alegria seus alunos levando ao desenvolvimento de uma práxis bem-sucedida. A pesquisa bibliográfica é realizada a partir dos teóricos da psicologia sócio-histórica, sobretudo Vygotsky e Leontiev. Da filosofia de Espinosa pesquisamos a obra Ética. Os resultados revelam que professores e alunos são sujeitos que se constituem historicamente, a partir de múltiplas mediações. Significados, sentidos e afetações são parte das mediações que constituem professores e alunos envolvidos em atividades de ensino consideradas exitosas. O estudo aprofundado acerca dessas categorias poderá contribuir de forma determinante para que o ensino, como atividade social que se realiza entre pessoas, possa tornar-se um encontro alegre, gerador de afetos que potencializem desejos e aumentem a potência de agir e pensar de professores e alunos, fato que contribui para a emancipação humana. Palavras-chave: Atividade de ensinar. Sentido e significado. Encontros alegres. Afetação. (shrink)

Background Victoria was the first Australian state to legalize voluntary assisted dying (elsewhere known as physician-assisted suicide and euthanasia). Some institutions indicated they would not participate in voluntary assisted dying. The Victorian government issued policy approaches for institutions to consider Objective To describe and analyse publicly available policy documents articulating an institutional objection to voluntary assisted dying in Victoria. Methods Policies were identified using a range of strategies, and those disclosing and discussing the nature of an institutional objection were thematically (...) analysed using the framework method. Results The study identified fifteen policies from nine policymakers and developed four themes: (1) extent of refusal to participate in VAD, (2) justification for refusal to provide VAD, (3) responding to requests for VAD, and (4) appeals to state-sanctioned regulatory mechanisms. While institutional objections were stated clearly, there was very little practical detail in most documents to enable patients to effectively navigate objections in practice. Conclusion This study demonstrates that despite having clear governance pathways developed by centralized bodies (namely, the Victorian government and Catholic Health Australia), many institutions’ public-facing policies do not reflect this guidance. Since VAD is contentious, laws governing institutional objection could provide greater clarity and regulatory force than policies alone to better balance the interests of patients and non-participating institutions. (shrink)

Active white ignorance is accompanied by an epistemic and affective insensitivity that allows American white people to avoid the negative affect that might typically accompany harmdoing. Resisting active ignorance about racism and white supremacy, therefore, often gives rise to shame. Yet, thinkers have debated the value of shame for white people’s antiracism. This article asserts that shame is an appropriate response for white people recognizing our culpability for and complicity in racist injustices and violence. However, the article exposes problems with (...) philosophical accounts of white shame, and draws on recent psychological research to show that contextual factors actually determine whether shame can support white antiracism. The article proposes a role for shame in what José Medina calls an “ethics and epistemology of discomfort,” arguing that there are conditions under which shame may encourage the sustained self-interrogation, sensitivity, and humility required if white people are to contribute meaningfully to antiracist action. (shrink)

Background:Decision-making and assessment in emergency situations are complex and result many times in ethical conflicts between different healthcare professionals.Aim:To analyse and describe situations that can generate ethical conflict among nurses working in emergency situations.Methods:Qualitative analysis. A total of 16 emergency nurses took part in interviews and a focus group.Ethical considerations:Organisational approval by the University Hospital, and informed consent and confidentiality were ensured before conducting the research.Result/conclusion:Two categories emerged: one in ‘ethical issues’ and one in ‘emotions and feelings in caring’. The (...) four ethical subcategories are presented: Autonomy, the first sub category: first, the nurse’s ability to practise care on an emergency ward and, second, to support the patient and/or relatives in terms of care and medical treatment. The conflicts arise when the nurse ends up in the middle between the patient and the physician responsible for the diagnosis and treatment from a nature scientific perspective. Reification of injured body: patient was often reified and fragmented, becoming just a leg or arm. Different factors contributed in this perspective. Pain: pain relief was often inadequate but more effectively treated in the emergency medical services than at the emergency department. The nurses highlighted the phenomenon of suffering because they felt that pain was only an object, forgetting the patients’ care need, like separating mind from body. Death: the nurses felt that the emergency services are only prepared to save lives and not to take care of the needs of patients with ‘end-of-life’ care. Another issue was the lack of ethical guidelines during a cardiac arrest. Resuscitation often continues without asking about the patient’s ‘previous wishes’ in terms of resuscitation or not. In these situations, the nurses describe an ethical conflict with the physician in performing their role as the patient’s advocate. The nurses express feelings of distress, suffering, anger and helplessness. (shrink)

The aim of this research is to develop and validate a measurement scale for consumer’s perceptions of corporate social responsibility using the three-dimensional social, environmental and economic conceptual approach as a theoretical basis. Based on the stages of measurement scale creation and validation suggested by DeVellis and supported by Churchill Jr.’s :64–73, 1979) suggestions, five different empirical studies are developed expressly and applied to consumers of tourist services. This research involves 1147 real tourists from 24 countries in two different cultural (...) and geographical contexts. A three-dimensional 18-item scale is proposed for measuring consumer perceptions of corporate social, environmental and economic responsibilities. This paper presents the complete development of the scale, as well as the implications and limitations of the main findings and the managerial implications. (shrink)

Une théorie qui veut établir les principes d'une science du droit, mais dont les fondements épistémologiques remontent aux premières années du XXe siècle, peut-elle garder sa validité de nos jours ?

Apology is arguably the central act of the reparative work required after wrongdoing. The analysis by Claudia Card of complicity in collectively perpetrated evils moves one to ask whether apology ought to be requested of persons culpably complicit in institutional evils. To better appreciate the benefits of and barriers to apologies offered by culpably complicit wrongdoers, this article examines doctors’ complicity in a practice that meets Card's definition of an evil, namely, the non-medically necessary, nonconsensual “normalizing” interventions performed on babies (...) born with intersex anatomies. It argues that in this instance the complicity of doctors is culpable on Card's terms, and that their culpable complicity grounds rightful demands for them to apologize. (shrink)

El texto presenta un adelanto de un profundo “trayecto” de trabajo colectivo en curso impulsado por un grupo de jóvenes investigadores y docentes que integran el Programa “Problemáticas comunicacionales barriales, organizacionales y políticas. Experiencias de lucha y resistencia a comienzos de siglo XXI en la provincia de Córdoba” (Argentina), desde el año 2011. La sistematización de las distintas experiencias, que presenta el libro, permite poner en común las peculiaridades de los contradictorios escenarios de conflicto y resistencia analizados, organizada en tres (...) capítulos que repasan con cuidadosa “vigilancia epistemológica” los procesos realizados con los actores sociales que integran los proyectos a saber: habitantes de las ciudades-barrio, trabajadores de la economía solidaria y vecinos e instituciones que forman parte de instancias participativas en los gobiernos locales. (shrink)

Much of the commentary in the wake of the Charlie Gard litigation was aimed at apparent shortcomings of the law. These include concerns about the perceived inability of the law to consider resourcing issues, the vagueness of the best interests test and the delays and costs of having disputes about potentially life-sustaining medical treatment resolved by the courts. These concerns are perennial ones that arise in response to difficult cases. Despite their persistence, we argue that many of these criticisms are (...) unfounded. The first part of this paper sets out the basic legal framework that operates when parents seek potentially life-sustaining treatment that doctors believe is against a child’s best interests, and describes the criticisms of that framework. The second part of the paper suggests an alternative approach that would give decision-making power to parents, and remove doctors’ ability to unilaterally withhold or withdraw life-sustaining treatment that they regard is futile. This proposal is grounded in several values that we argue should guide these regulatory choices. We also contend that the best interests test is justifiable and since the courts show no sign of departing from it, the focus should be on how to better elucidate the underlying values driving decisions. We discuss the advantages of our proposed approach and how it would address some of the criticisms aimed at the law. Finally, we defend the current role that the judiciary plays, as an independent state-sanctioned process with a precedent-setting function. (shrink)

Partiendo de una serie de tesis respecto del significado de la negación lógica, se ofrece una reflexión acerca de la relación entre el pluralismo lógico y el estatus de ciertos principios lógicos fundamentales. El objetivo de este trabajo es mostrar que el Problema de la Adopción, tal como se encuentra formulado por Kripke-Padró, no representa un conflicto para una visión antiexcepcionalista de la lógica. Las leyes lógicas no poseen un status privilegiado, independientemente de que existan algunas que no podemos adoptar, (...) porque sí podemos decidir abandonar principios lógicos y es abandonando reglas y no adoptándolas como se revisa una teoría lógica; en consecuencia es aceptable un tipo de pluralismo lógico que parta de considerar que más de un conjunto de principios capturan de manera adecuada el significado de la negación. (shrink)

Medications of choice, necessary supplies, and evidence-based health care now seem like luxuries. The contrast between my experience at a well-funded health unit and the Lev El Lev (“heart to heart”) African Refugee Clinic in Tel Aviv, Israel, is staggering. The complex personal, social, health, psychological, educational, and economic difficulties create a unique ethical environment for the health care provider.

The article is an approach to the work of Colombian writer Manuel Mejía Vallejo having as starting point the recognition of the importance of memory for literary creation, especially the remembrance of childhood. It is evident in the work of Mejía Vallejo the intention of leaving proof of the time and space in which he lived, as well as a concern to work out the role of memory in the life of the human being. It is argued in the article (...) that the literary style of the author might be understood as a narrative of memory, where memory reaches the category of poetic. (shrink)