It is unknown whether hospital-based medical professionals in Spain educate patients about advance directives. The objective of this research was to determine the frequency of hospital-based physicians’ and nurses’ engagement in AD discussions in the hospital and which patient populations merit such efforts. A short question-and-answer-based survey of physicians and nurses taking care of inpatients was conducted at a university hospital in Madrid, Spain. In total, 283 surveys were collected from medical professionals, of whom 71 per cent were female, with (...) an average age of thirty-four years. Eighty-four per cent had never educated patients about ADs because of lack of perceived responsibility, time, or general knowledge of ADs. Patient populations that warranted AD discussions included those with terminal illnesses, chronic diseases, and elderly patients. Regarding degree of AD understanding in medical professionals: 57 per cent of medical professionals claimed sufficient general knowledge of ADs, 19 per cent understood particulars regarding AD document creation, and 16 per cent were aware of AD regulatory policies. Engagement in AD discussions was considered important by 83 per cent of medical professionals, with 79 per cent interested in participating in such discussions themselves. The majority of hospital physicians and nurses do not educate their patients about ADs, despite acknowledging their importance. Patient populations of highest priority included those with terminal diseases or chronic illness or who are of advanced age. (shrink)

The status of constructivism as a metaethical or metanormative theory is unclear partly due to the lack of a clear semantics for central normative terms such as ‘reason’ and ‘ought’. In a series of recent papers, Sharon Street has attempted to clarify the central commitments of constructivism by focusing on the idea of a practical point of view and what follows from it. We improve upon the informal understanding provided by Street and attempt to provide a semantics for ‘ought’. Our (...) semantics respects the core intuition of the constructivist that normative claims are made true because of our practical commitments as agents and also reflects the constructivist’s commitment to the centrality of practical deliberation to normative truth. On our view, a normative claim of the form ⌜S ought to ϕ⌝ is true if ϕ is entailed from S’s set of evaluative attitudes. We argue that a virtue of our definition is that it allows us to see precisely what is distinctive about constructivism as opposed to realism and expressivism. (shrink)

Este trabajo tiene como objeto fundamental llevar a cabo una reconstrucción de la teoría trascendental del conocimiento en las experiencias filosóficas de Kant y Habermas. En ambas se produce un peculiar tránsito de la subjetividad a la intersubjetividad, gracias al cual se rompe el paradigma de la filosofía de la conciencia y emerge una específica experiencia comunicativa a través del sensus communis y de la razón comunicativa. A lo largo de esta investigación se intenta poner de manifiesto el paralelismo entre (...) ambos proyectos filosóficos, cuyo fundamento es la ilustración o la autonomía de la razón. Subjetividad trascendental, sensus communis, intereses del conocimiento y razón comunicativa representan distintas soluciones al problema de la comunicabilidad de los juicios mediante los que declaramos la posibilidad, realidad y necesidad de los estados de cosas. (shrink)

Eight focus groups were conducted in four public hospitals in Madrid to explore healthcare professionals’ perceptions of advance directives in order to improve the understanding of their lack of success among physicians and patients. A purposive sample of sixty healthcare professionals discussed ADs and reasons for their infrequent use. Three main themes were identified: perceptions about their meaning, appraisals of their use in clinical practice, and decision-making about them. Healthcare professionals perceived a lack of clarity about their definition and implementation. (...) There is insufficient awareness of their efficacy in improving the quality of clinical relationships and decision-making, and they are often perceived only as a bureaucratic procedure. Advance directives are not integrated in the clinical practice of Madrid’s healthcare specialist services because their application is exceedingly complex, because of insufficient education about them, and because of lack of procedural clarity. Consequently, healthcare professionals are not aware of how ADs could improve clinical decision-making, of when and for whom their use is appropriate, and of who has responsibility for providing ADs-related information to patients. These circumstances contribute to patients’ lack of interest in completing these documents and to physicians’ sceptical views about their usefulness. (shrink)

Although learning English as a Foreign Language is needed all over the world nowadays, it is still difficult for some Spanish students to learn it. Considering that teacher’s decisions on the use of methodologies is essential in class, we look at future teachers.In this study we focus on future teachers’ training as a key element to match theory and practice and bring to Foreign Language (FL) classes innovative approaches such as Project Based Learning (PBL). A recent experienced (2021-22) in the (...) Faculty of Education of Málaga has been analysed and important conclusions have been drawn from results obtained. (shrink)

The European project European and Latin American Systems of Ethics Regulation of Biomedical Research Project (EULABOR) has carried out the first comparative analysis of ethics regulation systems for biomedical research in seven countries in Europe and Latin America, evaluating their roles in the protection of human subjects. We developed a conceptual and methodological framework defining ‘ethics regulation system for biomedical research’ as a set of actors, institutions, codes and laws involved in overseeing the ethics of biomedical research on humans. This (...) framework allowed us to develop comprehensive national reports by conducting semi-structured interviews to key informants. These reports were summarised and analysed in a comparative analysis. The study showed that the regulatory framework for clinical research in these countries differ in scope. It showed that despite the different political contexts, actors involved and motivations for creating the regulation, in most of the studied countries it was the government who took the lead in setting up the system. The study also showed that Europe and Latin America are similar regarding national bodies and research ethics committees, but the Brazilian system has strong and noteworthy specificities. (shrink)

Families play an essential role in deceased organ procurement. As the person cannot directly communicate his or her wishes regarding donation, the family is often the only source of information regarding consent or refusal. We provide a systematic description and analysis of the different roles the family can play, and actions the family can take, in the organ procurement process across different jurisdictions and consent systems. First, families can inform or update healthcare professionals about a person’s donation wishes. Second, families (...) can authorize organ procurement in the absence of deceased’s preferences and the default is not to remove organs, and oppose donation where there is no evidence of preference but the default is to presume consent; in both cases, the decision could be based on their own wishes or what they think the deceased would have wanted. Finally, families can overrule the known wishes of the deceased, which can mean preventing donation, or permitting donation when the deceased refused it. We propose a schema of 4 levels on which to map these possible family roles: no role, witness, surrogate, and full decisional authority. We conclude by mapping different jurisdictions onto this schema to provide a more comprehensive understanding of the consent system for organ donation and some important nuances about the role of families. This classificatory model aims to account for the majority of the world’s consent systems. It provides conceptual and methodological guidance that can be useful to researchers, professionals, and policymakers involved in organ procurement. (shrink)

Intelligent Transportation Systems are expected to automate how parking slots are booked by trucks. The intrinsic dynamic nature of this problem, the need of explanations and the inclusion of private data justify an agent-based solution. Agents solving this problem act with a Believe Desire Intentions reasoning, and are implemented with JASON. Privacy of trucks becomes protected sharing a list of parkings ordered by preference. Furthermore, the process of assigning parking slots takes into account legal requirements on breaks and driving time (...) limits. Finally, the agent simulations use the distances, the number of trucks and parkings corresponding to the proportions of the current European Union data. The performance of the proposed solution is tested in these simulations with three different distances against an alternative with complete knowledge. The difference in efficiency, the number of illegal breaks and the traveled distances are measured in them. Comparing the results, we can conclude that the nonprivate alternative is slightly better in performance while both alternatives do not produce illegal breaks. In this way the simulations show that the proposed privacy protection does not impose a relevant handicap in efficiency. (shrink)

Knowledge and true relations represent the principal task of Theory of Knowledge. This paper argues about various solutions to the justification of knowledge, given by William James, Richard Rorty and Jürgen Habermas. For classic Pragmatism Knowledge and Truth converge with the idea of a guideline, direction and orientation with an effective value for men. The Newpragmatism represented by Rorty tries out the way of the widest possible widening of justification contexts, taking as last referent the features of a western liberal (...) culture. Habermas pleads for a strong idealization in his discussion with Rorty up to the ideal speech situation. (shrink)

The purpose of this article is to explore the concept of Philosophy within the works written by Wittgenstein if we take into account the ambivalent sense of the term phármakon. Thus, it will be outlined a contest of paradoxes between, on the one hand, healthiness, sanity, and the adaptable confidence produced by western rationality materialized into objective science, and, on the other hand, sickness, insanity, the world of perplexities, and the realm of desire and death, essential to philosophical thought. Bearing (...) in mind last Wittgenstein’s approaches, we will understand the Tractatus both critical to the deficiencies of western Reason and imprisoned within them. But the “enchanting” power of western Reason, conducting to identify rationality and scientificity in that work, will be conjured in the last Wittgenstein through the opening of plural realms of rationality and of discourses. In this way, philosophical questions will be rescued from silence and absurdity. (shrink)

ABSTRACT:A wide range of research uses patterns of genetic variation to infer genetic similarity between individuals, typically referred to as genetic ancestry. This research includes inference of human demographic history, understanding the genetic architecture of traits, and predicting disease risk. Researchers are not just structuring an intellectual inquiry when using genetic ancestry, they are also creating analytical frameworks with broader societal ramifications. This essay presents an ethics framework in the spirit of virtue ethics for these researchers: rather than focus on (...) rule following, the framework is designed to build researchers’ capacities to react to the ethical dimensions of their work. The authors identify one overarching principle of intellectual freedom and responsibility, noting that freedom in all its guises comes with responsibility, and they identify and define four principles that collectively uphold researchers’ intellectual responsibility: truthfulness, justice and fairness, anti-racism, and public beneficence. Researchers should bring their practices into alignment with these principles, and to aid this, the authors name three common ways research practices infringe these principles, suggest a step-by-step process for aligning research choices with the principles, provide rules of thumb for achieving alignment, and give a worked case. The essay concludes by identifying support needed by researchers to act in accord with the proposed framework. (shrink)

This paper presents an axiomatic characterization of the Owen set of transportation games. In the characterization we use six properties including consistency (CONS2) and splitting and merging (SM) which are firstly proposed and defined for this setup in the present paper.

La tesis que deseo discutir en este trabajo es la siguiente: las ciencias humanas (ciencias del espíritu según Dilthey, ciencias histórico-hermenéuticas según Habermas) son posibles en la medida en que pueda ser epistemológicamente justificado el método que las hace posibles, a saber, la comprensión hermenéutica del sentido cuyo núcleo central lo constituye el círculo hermenéutico. Se trata, pues, de justificar epistemológicamente la hermenéutica como comprensión del sentido de las vivencias propias y ajenas, para lo cual es preciso analizar la reflexividad (...) y reciprocidad que impregna la estructura del lenguaje ordinario. En el diálogo que Habermas establece con Dilthey en Conocimiento e interés aparecen los suficientes argumentos para dicha fundamentación. Nuestro texto hará especial hincapié en los siguientes tópicos: distinción entre ciencias de la naturaleza y ciencias del espíritu, comprensión hermenéutica del sentido, lenguaje ordinario y reflexividad, especificidad del círculo hermenéutico, ciencia y contexto vital, y, finalmente, haremos un balance de la interpretación habermasiana de Dilthey a partir de las relaciones entre ciencias histórico-hermenéuticas e interés práctico del conocimiento. (shrink)

En su Teoría postmetafísica del conocimiento, Antonio M. López Molina muestra detallada y rigurosamente que el vaciamiento sustantivo de la razón y, junto con él, el desmoronamiento de la vieja pretensión filosófica de acceder de manera privilegiada a la verdad (como al Bien o a Dios), no comportan su definitiva quiebra, sino más bien la urgencia de reelaborarla en términos falibilistas y procedimentales; con tal fin –y, a su vez, para asignarle a la filosofía el papel que le ha (...) de corresponder tras el ocaso de todas y cada una de las ilusiones metafísicas– analiza López Molina el concepto de acción comunicativa, capaz de imbricar a las ciencias positivas con el mundo de la vida y proveer el fin –ni utópico ni teológico– de una intersubjetividad no falseada, apoyada en relaciones simétricas de libre reconocimiento recíproco. (shrink)

From a gender perspective, female immigrant domestic caregivers have been particularly impacted during the COVID-19 pandemic: first, as female immigrants, and second, due to their work within the domestic care sector, which has been so badly affected in this pandemic. This study investigates the emotions and experiences of 15 female Latin American immigrant domestic workers, caregivers in five Andalusian cities who were cohabiting with their employees/patients during the COVID-19 pandemic lockdown, using qualitative research through in-depth interviews and life stories. The (...) results show the moral debt accrued by the caregivers with the family who employ them, while worsening the physical and psychological health of many of the caregivers, due to both work overload and fear of the global pandemic. (shrink)

We introduce a multimodal logic for order of magnitude reasoning which considers a new logic-based alternative to the notion of closeness, we provide an axiom system and prove its soundness and completeness.

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)

Este trabajo consiste en una reconstrucción de los motivos de reflexión en ese ámbito privilegiado de la experiencia filosófica al que de la mano de Habermas, vamos a denominar pensamiento postmetafísico, como superación mediadora de la eterna disputa entre el pensar metafísico y el pensar antimetafísico. En él desarrollaremos aquellas categorías empírico-trascendentales que van a constituir las condiciones de posibilidad de esta nueva experiencia filosófica, a saber, racionalidad procedimental, razón sin trascendencia, razón comunicativa, giro lingüístico y deflación de lo extracotidiano.