Autonomismo y humanización de la asistencia sanitaria ¿una pareja de hecho? Autonomismo e humanização da assistência à saúde: uma parceria de fato? In recent times, a significant concern about the problem of the humanization of health care has been developed. This humanization affects the relationships of the health personnel with the patient as well as other issues such as the physical structures of the care centers and the organization of health system. This humanization of medicine has been linked to the (...) so-called bioethical principlism, and specially to the principle of autonomy as a dominant bioethical principle. In this brief article, the author expresses the concern for the development of an exaltation of this principle linked to this movement of humanization of care. Para citar este artículo / To reference this article / Para citar este artigo Solís García del Pozo J. Autonomismo y humanización de la asistencia sanitaria ¿una pareja de hecho? pers. bioét. 2018; 22: 263-270. DOI: 10.5294/pebi.2018.22.2.5. (shrink)

An emerging literature has begun to document the emotional consequences of everyday executive functions on emotional distress. Little is known, however, about whether this relation is mediated by other variables. A multiple mediation model was proposed to integrate core concepts of daily executive dysfunctions with emotional distress in order to increase understanding of their relationship to psychological well-being and emotional regulation. The working hypothesis was that dimensions of well-being and emotional regulation may be a suitable mediator. It was hypothesized that (...) dimensions of well-being and emotional regulation are a possible mediator between the executive dysfunctions and psychological distress. Participants were 122 undergraduate students from university courses in General Education and Social Education at, the Universidad Complutense de Madrid, with a mean age of 21.76. Results indicate that several dimensions of psychological well-being and emotional reappraisal strategies mediate the relationships between daily executive dysfunctions and psychological distress. Implications of these data are discussed. (shrink)

Resumen Este artículo analiza, en discusión con Joaquín García-Huidobro y Alejandro Miranda, la conveniencia de utilizar en moral sexual el argumento de la facultad pervertida, conforme al cual sería inmoral frustrar el fin natural de las facultades reproductivas. Según García-Huidobro y Miranda este argumento sólo puede utilizarse desde el “principio de totalidad”, pues su uso aislado llevaría a los absurdos denunciados por la New Natural Law Theory. Con vistas a una reconsideración de este argumento, se demuestra la importancia (...) de considerar la ética en su carácter tópico o contextual. Así, es en el ámbito de la templanza y de las inclinaciones sexuales donde el AFP cobra un papel normativo; en cambio, el “principio de totalidad” entra en juego cuando se está considerando el problema del límite de las intervenciones médicas.This paper focuses on the adequacy of using the so-called perverted faculty argument within the context of sexual morality. According to this argument, frustrating the reproductive faculty would be immoral. Professors García-Huidobro and Miranda think that this argument can be appropriately used only within the framework of the principle of totality. They argue that an unqualified use of the PFA would lead to the absurdities pointed out by the New Natural Law Theory. In order to see the PFA in a new light we demonstrate the importance of respecting the dialectical or contextual nature of Ethics. Thus, regarding temperance, and especially sexual inclinations, the PFA has a clear normative role. The principle of totality, instead, must be used when considering the problem of the moral limits of medical interventions. (shrink)

Este trabajo analiza los conceptos de justicia social y felicidad en la filosofía de Julián Marías con el fin de alcanzar tres metas: comprender su sentido; mostrar cómo pudo llegar a visiones originales de ellos gracias a que su teoría está fundamentada en una metafísica, y alumbrar cómo esta es un método para que podamos seguir pensando. Para ello, se revisan las tres grandes perspectivas filosóficas de Marías –la estructura analítica, la empírica y la de la persona– para indagar (...) qué se entiende por justicia social y felicidad. Asimismo, desde cada uno de estos puntos de vista se buscan las conexiones entre ambos temas. Finalmente se analiza si es verosímil esperar que haya una vida tras la muerte biológica, puesto que, según el filósofo, la perduración es una condición necesaria para que sea posible tanto la verdadera felicidad como la justicia social derivada de ella. (shrink)

Este artículo muestra los paralelismos y las divergencias del giro ontológico y de la antropología fenomenológica. Ambas corrientes, en fidelidad al dato etnográfico, comparten el rechazo al régimen de representación y ambas corrientes cuestionan los compromisos epistémicos del investigador. Sin embargo, el giro ontológico presenta una orientación conceptual, que deriva a menudo en tipología, mientras que la antropología fenomenológica atiende a las relaciones perceptivas del mundo de la vida desde una apertura hermenéutica.

: Este texto trata de la socialización de mujeres indígenas guatemaltecas enfocada a dos aspectos: cómo deben comportarse en relación a la vida pública y cómo deben orientar sus sentimientos. Se destaca que la formalidad en la educación moral de las mujeres contrasta con su vida social. Finalmente se sugiere la conveniencia de considerar en planos de igualdad tanto las narrativas formales como práctica social. This text is about the socialization of indigenous Guatemalan women, focusing on two aspects: how they (...) should behave in relation to public life and how they should direct their feelings. We highlight the idea that the formality of women’s moral education contrasts with their social life. Finally, the text suggests the desirability of considering both formal narratives and social practice on an equal basis. (shrink)

We present a reflection about the importance of playing as an activity inherent to the human being and its benefits in the different areas of child development: affectivity, motor skills, intelligence, creativity and sociability. Currently the game has gone into the background in early childhood education compared to other more academic tasks, however numerous studies point out its many benefits.

La didáctica geográfica en la enseñanza superior incorpora el trabajo de campo como instrumento de primer orden. Las salidas de campo constituyen la base de la investigación geográfica puesto que proporcionan conocimiento sobre los elementos configuradores y procesos del espacio geográfico. Las geotecnologías cuentan con capacidad para recrear virtualmente escenarios análogos a las salidas tradicionales. Se compararon las cualificaciones de dos grupos de alumnos sin encontrarse diferencias significativas entre los que realizaron salidas virtuales y tradicionales. La virtualización de las salidas (...) de campo es un elemento útil y de inclusividad más allá del contexto de pandemia. (shrink)

La muerte sorprendió a Arendt sin que pudiera terminar la última parte de La Vida del Espíritu, dedicada al juicio. Ello ha propiciado que, sin una posición definitiva, los interpretes de Arendt hayan dinstinguido dos fases de su teoría del juicio y hayan tratado de explicar la relación entre ambas. La primera fase estaría centrada en el actor, mientras que la segunda refleja la postura del espectador de la acción. Este artículo aborda la cuestión desde una posición fenomenológica, advirtiendo que (...) estas dos fases revelan la tensión del giro hermenéutico de la fenomenología: o bien admitimos la posibilidad de una hermenéutica sin fin para facilitar el ejercicio político del actor, o bien, establecemos ciertos ejemplares de juicio con los que identificar la realidad política, sin poder ir más allá de lo que hemos establecido como tipología. (shrink)

El presente artículo tiene por objetivo realizar un análisis del quehacer del profesional y especialista de seguridad y salud en el Trabajo de un grupo egresados de esta disciplina, este proceso parte del análisis de cuatro dimensiones, una primera enfocada a la parte demográfica, la segunda lo sociolaboral, la tercera a las barreras que se pueden presentar en la Gestión de Seguridad y Salud en el Trabajo en las empresas y la cuarta enfocada en aspectos tecnológicos y de innovación en (...) el diseño, implementación y mantenimiento del Sistema de Gestión de Seguridad y Salud en el Trabajo. (shrink)

El siguiente informe pericial se basa en la experiencia de investigación de los firmantes en relación a las exhumaciones de fosas comunes de la Guerra Civil y la postguerra, y al conocido como “movimiento para la recuperación de la memoria histórica” que están teniendo lugar en España desde el año 2000, que ha enfatizado sus demandas sobre la suerte de los desaparecidos y ha puesto en marcha un ciclo de exhumaciones de fosas comunes derivadas de la Guerra Civil y la (...) dictadura. En este peritaje se usan las exhumaciones del siglo XXI como indicadores de la persistencia en el tiempo de las políticas y culturas del miedo instaladas en la sociedad española durante la Guerra Civil y la dictadura, más allá de las profundas transformaciones políticas e institucionales acaecidas en el país tras la muerte de Francisco Franco. Fue presentado como parte de la documentación de la demanda de Fausto Canales contra España el 15 de septiembre de 2012 en el Tribunal Europeo de Derechos Humanos. (shrink)

The purpose of this article is to indicate certain fundamental aspects of life and the works of Antonio Garcia Nossa, a Latin American philosopher born in Colombia. Certain biographical information related to his life and the multifaceted character of his thought are presented. Opinions of imp..

Research into epistemic injustice, the practice of discrediting people as knowers based on their social identity, has gained broad popularity in ethics. Racism in medicine often mani...

As we wrestle with the role and limits of policing, a political philosopher who spent over two decades as a New York City police officer and Vermont chief of police presents a normative account of what it means to police a pluralist democracy. Invoking his vast experience, Brandon del Pozo argues that we all have the prerogative to use force to protect others, but police embody the government's unique duty to do so effectively and with restraint. He recasts order (...) maintenance as brokering and enforcing the fair terms of social cooperation in our public spaces, for the protection of minority interests, and for a society where diverse conceptions of the good can flourish. The reasons why we police, he says, must be ones that all citizens can evaluate as equals. His book explains the democratic commitments of policing, and lays the groundwork for meaningful police innovation and reform. (shrink)

BackgroundThe globalization of medical science carries for doctors worldwide a correlative duty to deepen their understanding of patients' cultural contexts and religious backgrounds, in order to satisfy each as a unique individual. To become better informed, practitioners may turn to MedLine, but it is unclear whether the information found there is an accurate representation of culture and religion. To test MedLine's representation of this field, we chose the topic of death and dying in the three major monotheistic religions.MethodsWe searched MedLine (...) using PubMed in order to retrieve and thematically analyze full-length scholarly journal papers or case reports dealing with religious traditions and end-of-life care. Our search consisted of a string of words that included the most common denominations of the three religions, the standard heading terms used by the National Reference Center for Bioethics Literature (NRCBL), and the Medical Subject Headings (MeSH) used by the National Library of Medicine. Eligible articles were limited to English-language papers with an abstract.ResultsWe found that while a bibliographic search in MedLine on this topic produced instant results and some valuable literature, the aggregate reflected a selection bias. American writers were over-represented given the global prevalence of these religious traditions. Denominationally affiliated authors predominated in representing the Christian traditions. The Islamic tradition was under-represented.ConclusionMedLine's capability to identify the most current, reliable and accurate information about purely scientific topics should not be assumed to be the same case when considering the interface of religion, culture and end-of-life care. (shrink)

We argue that voluntary mental health registries integrated into the 9-1-1 system, where patients and caregivers can establish a repository of this information, will help fill this information gap by enabling first responders to quickly understand the context of a call for service with a mental health component, and to make better informed decisions. Despite valid concerns about privacy, stigma, and the potential misuse of protected health information, such registries, if carefully designed and administered, can improve the health outcomes of (...) 9-1-1 calls for service involving mental health-related crises. (shrink)

Informed consent is a perennial topic in bioethics. It has given the field a place in clinical practice and the law and is often the starting point for introductory instruction in medical ethics. One would think that nearly everything has been said and done on this well-worn topic.

El presente trabajo quiere analizar la encíclica Caritas in veritate desde la idea de globalización como clave hermenéutica de todo el documento. Nos parece que este noción -comprendida en sus múltiples dimensiones sociales, éticas, políticas, culturales y espirituales- puede contribuir no sólo a una comprensión más profunda de este texto, sino que también puede ayudar a desentrañar muchas de las críticas que ha recibido esta carta, su excesiva extensión y complejidad temática, así como su silencio sobre el capitalismo y el (...) liberalismo. En una segunda etapa, pretendemos comparar la propuesta de esta encíclica social con el proyecto político de las pequeñas comunidades de Alasdair MacIntyre. La intención es mostrar que lejos de una oposición entre ambas posturas -como de alguna forma lo señaló Jeffrey Nicholas- ellas pueden comprenderse como posturas complementarias, en la medida que realicemos una nueva significación del concepto mismo de globalización, entendida ahora como un proceso dialéctico típicamente postmoderno, siguiendo para ello los análisis de autores como Roland Robertson, Zygmunt Bauman o Ulrich Beck. In this paper we seek to analyze the eneyelieal Caritas in veritate based on the idea of globalization as a hermeneutical key to the whole document. We think that this notion -understood in its multiple social, ethical, political, cultural and spiritual dimensions- can contribute not only to a deeper understanding of this text, but also help unravel many of the criticisms directed against the letter, its excessive length and thematic complexity, as well as its silence regarding capitalism and liberalism. In a second stage, we set out to compare the proposal of this social enyelieal with Alasdair Maclntyre’s political project of local communities. Our purpose lies in demonstrating that far from an opposition between the two positions -as Jeffrey Nicholas has in a way pointed out- that they can be understood as complementary, to the extent that we make a new meaning of the very concept of globalization, now understood as a typically postmodern dialectical process based on to the analyses of authors such as Roland Robertson, Zygmunt Bauman or Ulrich Beck. (shrink)

Según Alasdair MacIntyre, la Universidad liberal descansa en ficciones que encubren sus propósitos y le proporcionan una legitimidad engañosa. Esta crítica no siempre se ha entendido en su profundidad, y se suele ver en ella una actitud reaccionaria de retorno nostálgico a la Universidad medieval. Se analizan esas ficciones: la sobre-especialización como sinónimo de profundidad investigativa, la neutralidad y la objetividad como posibilitadoras de racionalidad, y la excelencia en la gestión como forma de asegurar el logro de sus objetivos. Se (...) muestra cómo, a través de esta denuncia, aparece una postura revolucionaria, influida por Marx y Nietzsche, que busca desenmascarar las contradicciones internas de la Universidad liberal. According to Alasdair MacIntyre, the liberal University is based on fictions that hide its purposes and provide a misleading legitimacy. This critique has not always been understood in its depth and is often seen as a reactionary attitude, nostalgic for the medieval University. This article analyzes these fictions: over-specialization as a synonym for deep research, neutrality and objectivity as enablers of rationalism, and excellence in management as a form of ensuring its objectives. It shows how this indictment manifests a revolutionary position, influenced by Marx and Nietzsche, which seeks to unmask the internal contradictions of the liberal University. (shrink)

Según Alasdair MacIntyre, la Universidad liberal descansa en ficciones que encubren sus propósitos y le proporcionan una legitimidad engañosa. Esta crítica no siempre se ha entendido en su profundidad, y se suele ver en ella una actitud reaccionaria de retorno nostálgico a la Universidad medieval. Se analizan esas ficciones: la sobre-especialización como sinónimo de profundidad investigativa, la neutralidad y la objetividad como posibilitadoras de racionalidad, y la excelencia en la gestión como forma de asegurar el logro de sus objetivos. Se (...) muestra cómo, a través de esta denun-cia, aparece una postura revolucionaria, influida por Marx y Nietzsche, que busca desenmascarar las contradicciones internas de la Universidad liberal. (shrink)

Sauquillo González, Julián. La reforma constitucional. Sujetos y límites del poder constituyente. Tecnos, Madrid, 2018, 406 páginas.

En este artículo describiremos la vitalidad del sistema fonológico del mapudungun hablado por escolares pewenches de la Provincia del Biobío, VIII Región. Específicamente, nos hemos propuesto: a) Determinar los fonos/fonemas, y su fonotaxis, que se relevan como indicadores de vitalidad, b) Identificar las transferencias fonético-fonológicas presentes en la fonología del pewenche hablado por estos escolares y c) Interpretar las transferencias encontradas en términos del grado de vitalidad de la fonología de la lengua. La muestra está conformada por un grupo de (...) 20 escolares bilingües de entre 12 y 15 años de edad, que se encuentran cursando 7° y 8° año básico en escuelas rurales pertenecientes a dos comunidades pewenches del valle del Queuco, en la comuna de Alto Biobío. Para la recolección del material fonológico, se aplicó a los participantes una lista léxica de 65 ítems, material que se complementó con la narración oral en mapudungun de un cuento. Según nuestros datos, hemos podido constatar la existencia de una serie de rasgos fónicos en el mapudungun hablado por los escolares pewenches que obedece a la influencia de las estructuras fonológicas del castellano. Sin embargo, el grado y la difusión de los fenómenos de transferencia se desarrollan de manera heterogénea en ambas comunidades en estudio, debido, entre otros factores, a la intensidad del contacto. In this article we will describe the vitality of the phonological system Mapudungun spoken by Pewenche schoolchildren from the Biobío province, VIII Region. We intend: a) To determine the phones/phonemes, and their phonotactics, which are revealed as vitality markers. b) To identify the phonetic-phonological transferences which are present in the Pewenche spoken by these schoolchildren, and, c) To interpret the transferences found in terms of the degree of the language phonological vitality. The sample is composed of 20 bilingual schoolchildren from 12 to 15 years old, who are in 7th and 8th grade in rural primary schools belonging to two Pehuenche comunities from Valle del Queuco, in the city of Alto Biobío. To collect the phonological material, we applied a 64-item lexical list, which was complemented with the oral narration of a tale in Mapudungun. According to our data, we have been able to verify the existence of a series of phonic features in the Mapudungun spoken by Pewenche schoolchildren, which originate because of the influence of the Spanish phonological structure. However, the degree and spread of the transference phenomena develop in a heterogeneous way in both of the studied communities. due to the contact intensity, among other possible factors. (shrink)

Electricity is an indicator that shows the progress of a civilization; it is a product that has greatly changed the way we think about the world. Electricity price forecasting became a fundamental task in all countries due to the deregulation of the electricity market in the 1990s. This work examines the effectiveness of using multiple variables for price prediction given the large number of factors that could influence the price of the electricity market. The tests were carried out over four (...) periods using data from Spain and deep learning models. Two different attribute selection methods based on Pearson’s correlation coefficient have been used to improve the efficiency of the training process. The variables used as input to the different prediction models were chosen, considering those most commonly used previously in the literature. This study attempts to test whether using time series lags improves the non-use of lags. The results obtained have shown that lags improve the results compared to a previous work in which no lags were used. (shrink)

Julián Sanz del Río, founder of the philosophical movement of Spanish krausism, evolved politically from the moderate to the progressive liberalism between 1844 and 1854. His moderate friends ignored this occurrence, and supported him, until his reviews of two french books published in the Gaceta de Madrid, denounced for heterodoxy by the traditionalist press and then by the Bishops from Barcelona and Zamora, revealed to them his true true political positions and his anticlericalism.

El humanismo, asociado históricamente a la educación –la paideia griega- merece ser repensado y recuperado para la educación en un momento de cambio tecnológico tan acelerado y tan influyente en la condición humana que ya hay quien habla de “transhumanismo”. Se analiza la riqueza polisémica de la noción de humanismo y el valor de la formación humanística al servicio de la justicia; y finalmente, su valor como aprendizaje del goce mismo de vivir. En suma, su alto valor educativo. Palabras clave: (...) Humanismo, educación, transhumanismo, justicia, goce de vivir. (shrink)

As physicians encounter an increasingly diverse patient population, socioeconomic circumstances, religious values and cultural practices may present barriers to the delivery of quality care. Increasing cultural competence is often cited as a way to reduce healthcare disparities arising from value and cultural differences between patients and providers. Cultural competence entails not only a knowledge base of cultural practices of disparate patient populations, but also an attitude of adapting one's practice style to meet patient needs and values. Gender roles, relationship dynamics (...) and boundaries are culture specific, and are frequently shaped by religious teachings. Consequently, religion may be conceptualised as a cultural repertoire, or dynamic tool-kit, by which members of a faith adapt and negotiate their identity in multicultural societies. The manner in which Islamic beliefs and values inform Muslim healthcare behaviours is relatively under-investigated. In an effort to explore the impact of Islam on the relationship between patients and providers, we present an Islamic bioethical perspective on cross-gender relations in the patient-doctor relationship. We will begin with a clinical scenario highlighting three areas of gender interaction that bear clinical relevance: dress code, seclusion of members of the opposite sex and physical contact. Next, we provide a brief overview of the foundations of Islamic law and ethical deliberation and then proceed to develop ethicolegal guidelines pertaining to gender relations within the medical context. At the end of this reflection, we offer some practice recommendations that are attuned to the cultural sensitivities of Muslim patient populations. (shrink)

Background The globalization of medical science carries for doctors worldwide a correlative duty to deepen their understanding of patients' cultural contexts and religious backgrounds, in order to satisfy each as a unique individual. To become better informed, practitioners may turn to MedLine, but it is unclear whether the information found there is an accurate representation of culture and religion. To test MedLine's representation of this field, we chose the topic of death and dying in the three major monotheistic religions. Methods (...) We searched MedLine using PubMed in order to retrieve and thematically analyze full-length scholarly journal papers or case reports dealing with religious traditions and end-of-life care. Our search consisted of a string of words that included the most common denominations of the three religions, the standard heading terms used by the National Reference Center for Bioethics Literature (NRCBL), and the Medical Subject Headings (MeSH) used by the National Library of Medicine. Eligible articles were limited to English-language papers with an abstract. Results We found that while a bibliographic search in MedLine on this topic produced instant results and some valuable literature, the aggregate reflected a selection bias. American writers were over-represented given the global prevalence of these religious traditions. Denominationally affiliated authors predominated in representing the Christian traditions. The Islamic tradition was under-represented. Conclusion MedLine's capability to identify the most current, reliable and accurate information about purely scientific topics should not be assumed to be the same case when considering the interface of religion, culture and end-of-life care. (shrink)