Aims: Attentional bias, alcohol craving, and anxiety have important implications in the development and maintenance of alcohol use disorder. The current study aims to test the effectiveness of a Virtual Reality Cue-Exposure Therapy to reduce levels of alcohol craving and anxiety and prompt changes in AB toward alcohol content.Method: A 49-year-old male participated in this study, diagnosed with severe AUD, who also used tobacco and illicit substances on an occasional basis and who made several failed attempts to cease substance misuse. (...) The protocol consisted of six VR-CET booster sessions and two assessment sessions over the course of 5 weeks. The VR-CET program consisted of booster therapy sessions based on virtual reality exposure to preferred alcohol-related cues and contexts. The initial and final assessment sessions were focused on exploring AB, alcohol craving, and anxiety using paper-and-pencil instruments and the eye-tracking and VR technologies at different time points.Results: Pre and post assessment sessions indicated falls on the scores of all instruments assessing alcohol craving, anxiety, and AB.Conclusions: This case report, part of a larger project, demonstrates the effectiveness of the VR-CET booster sessions in AUD. In the post-treatment measurements, a variety of instruments showed a change in the AB pattern and an improvement in craving and anxiety responses. As a result of the systematic desensitization, virtual exposure gradually reduced the responses to significant alcohol-related cues and contexts. The implications for AB, anxiety and craving are discussed. (shrink)

The nurse-patient relationship involves complex attitudes and behaviours with ethical and deontological implications. It has been linked to improvements in patient health outcomes, although there is still no consensus in the scientific literature as to the definition and characterisation of the concept. This article aim to define the concept of the nurse-patient relationship. A concept analysis was conducted using the Walker and Avant method to identify the attributes defining the nurse-patient relationship. An integrative review of the literature was conducted using (...) the PubMed, Web of Science, Scopus, and Cumulative Index to Nursing & Allied Health Literature databases. A review of the grey literature and other minor non-indexed publications on the topic was also conducted. A total of 36 articles were included in the review. A model case, a contrary case, a related case, and empirical references were produced to clarify the concept and identify its essential attributes. The concept is defined as a helping relationship involving interaction between different players. It is the basis of nursing care and is intended to meet the healthcare needs of the individual receiving this care. It is also viewed as an intervention in itself, requiring a specific training process just like any other nursing skill. The essential attributes of the relationship are empathy, presence, contact, authenticity, trust, and reciprocity. In conclusion, the nurse-patient relationship is a helping relationship established with the patient and/or their family based on interaction, communication, respect for ethical values, acceptance, and empathy in order to encourage introspection and behavioural change. Key components include communication, active listening, and respect. Bioethical values and confidentiality must also be present to ensure that the relationship is built on equality and intimacy. (shrink)

The aim of the present study was to determine statistical differences in a set of badminton competition matches in five different modalities with regard to competition level (Group Phase versus Eliminatory Phase). Data from 453 sets (125 in men’s singles; 108 sets in women’s singles; 77 sets in men’s doubles; 73 in women’s doubles and 70 in mixed doubles) from the RIO 2016 Olympics Games were recorded and classified in two groups of variables to analyse variables related to match (5) (...) and set (15). A descriptive analysis and univariate test (Mann Whitney U) for non-parametric data were conducted. The results show in men’s and women’s singles all the variables related to match were higher in the Elimination Phase than in the Group Phase (p<0.01). In Sets 1 and 3, the longest set duration, rally and average rally were found in the Elimination Phase than Group Stage (p<0.05). In women’s singles, these differences were also recorded in Set 2. For doubles, the results are more stable among groups. Men’s doubles had a longer duration of the match and set (set 1 and set 2) (p<0.01), and also scored highest for average rally strokes (set 1 and set 3) (p<0.05) and shuttles used in the Elimination Phase versus the Group Phase along the match (p<0.01). In women’s doubles, more shuttles were used in a match in the Elimination than in the Group Phase. Moreover, the same results are established for Set 2, including for average rally. Mixed doubles saw no match going to three sets. However, the greatest differences showed a longer rally and average rally being registered in the Elimination than in the Group Phase. In conclusion, the timing factors of the badminton singles and doubles games were different in the Elimination and Group Phases. This information may help players and coaches prepare and administer different types of workouts or, more specifically, competition schedules adapted to the characteristics of modern badminton. (shrink)

Clinical practices are considered one of the cornerstones in nurses' education. This study provides a framework to determine how factors in the academic environment, influence nursing student's satisfaction with their practices. A cross-sectional analytical study was conducted in a convenience sample of 574 nursing students at a private university in Valencia, during the 2016/2017 academic year, 79% were women. Two statistical methodologies were used for data analysis: hierarchical regression models and fuzzy sets qualitative comparative analysis. The HRM indicate that the (...) students' mean score influences all dimensions of satisfaction. Furthermore, in the fsQCA, the type of service and center, as well as the type of management, the preference in the choice of the practice center and the number of students per period per clinical educator influence satisfaction with clinical practices. These results could be used to understand how academic factors influence nursing students' satisfaction with their clinical practices and to create intervention programmes that improve it. This will help prepare students to be the future nursing workforce. (shrink)

Luis Jiménez abordó los problemas filosóficos fundamentalmente desde un punto de vista antropológico, teniendo siempre en cuenta la aportación de las ciencias positivas. Centrado en los autores contemporáneos, abrió tres espacios de reflexión: 1º, el humanismo práctico del pensamiento español, desde el Barroco hasta Unamuno, Ortega, d’Ors y Zubiri. 2º, el vitalismo antropológico-axiológico de Nietzsche. 3º, la libertad, la dignidad y la igualdad de los hombres en la Ilustración a partir de Rousseau y de Kant.Luis Jiménez wrote about Philosophical problems (...) bassicaly from an anthropo- logical viewpoint. He always hold in higth esteem Science’s contributions. He focused on Contemporary authors and he opened three thinking places: 1. Practical Humanism of Spanish Thougth: from Baroque age to Unamuno, Ortega, D’Ors and Zubiri. 2. Nietzsche’s Anthropological and Axiological life. 3. Freedom, Dignity and Equality from Rousseau to Kant. (shrink)

The possibility of the knowledge of God is a significant question in the philosophy of Nicolás of Cusa. This leads to a particular natural theology with its corresponding method of knowledge, in which the intellectual desire is a constituent element which is knowledge in itself.The desire is the natural way to tend towards the Absolute. Desiring means somehow knowing; above all, it means knowing what it is not known and for that same reason something which cannot stop being desired. Besides, (...) the desire is possible because God is present in some way in the mind, which is what prompts the mind to desire. The desire is infinite because it cannot cease and because its object is also infinite.God appears in our cognitive activity more as an archetypal presence than as an external object of knowledge. This presence is the cause of the intellectual activity and the condition of the possibility of the knowledge of the external objects. (shrink)

Resumen El presente trabajo, integrado en un proyecto investigador de mayor envergadura sobre el ataque descortés en el debate electoral, desarrolla el análisis de dos estrategias de descortesía que revelan un funcionamiento particularmente interesante en dichos eventos discursivos: el menosprecio y la burla hacia el adversario. Tomando como referencia el último debate cara a cara de máximo nivel celebrado en España hasta el momento, el que enfrentó a A. Pérez Rubalcaba y M. Rajoy en la campaña para las elecciones generales (...) de 2011, se analiza el valor funcional de estas estrategias y los rasgos de las diversas variantes que presentan, así como los diferentes patrones lingüístico-discursivos en que toman forma. A ello se une su caracterización desde el punto de vista teórico de la descortesía lingüística. El trabajo, además, se contextualiza en el marco de la investigación en la que se integra, un análisis global del funcionamiento de la descortesía en el debate citado, en el que se aísla una nómina de estrategias de descortesía, se realiza un inventario de los mecanismos lingüístico-discursivos que se ponen en juego para su ejecución y se lleva a cabo una caracterización de los ataques desde el prisma teórico de la descortesía. (shrink)

In this paper I study the attribute of God ́s omnipotence in Francisco Suárez. The need, perfection and infinity of the divine essence qualify this attribute crucially; potence belongs to God himself, who –as an infinite being- contains all possible perfection. God contains all by its nature, because He contains every possibility, which is infinite. Thus, undestanding Himself, God understands everything, because He contains all in its essence.

In this article it is exposed the influence that the so-call master argument has in Leibniz. It is emphasized the classic influence that has one of the central subjects of his philosophy as it is the matter of the freedom and the destiny. Leibniz avoids the necessity alluding to the free will and above all to the will of God.

En este artículo se va a estudiar la relación que existe en Leibniz entre verdad eterna, razón soberna y libertad divina. Si la razón soberana se puede constituir como juez supremo es porque contiene unas verdades eternas que Dios no ha creado sino que pertenecen a la misma esencia divina. Estas verdades en cuanto esencias, tienden a existir en la medida de su perfección, pero no existirán necesariamente, sino que Dios las pone en la existencia mediante un acto libre. Ante (...) la posibilidad de pensar que Dios pudiera verse obligado a elegir aquello que mejor, Leibniz sostendrá que Dios elige crear siempre lo mejor en un primer decreto máximamente libre y voluntario. de este modo el resto de sus elecciones son también máximamente libres y racionales. (shrink)

The purpose of this study was to examine student perceptions of teaching behavior. Additionally the aim was to examine if teacher characteristics (educational level, gender, and teaching experience) could explain differences in student perceptions of their teachers. Teaching behavior was studied from the research on teaching and teacher effectiveness perspective. Secondary students (N = 7,114), taught by 410 teachers in Spain, participated in the study. Survey data were analyzed using non-parametric tests, Kruskal-Wallis, U Mann-Whitney with Bonferroni correction, and the analysis (...) of effect sizes. Furthermore, a regression model was applied. Results showed that teaching behavior was perceived as sufficient to good, depending on the teaching behavior domain. Results indicated interesting differences between lower secondary education, upper secondary education and vocational education and training teachers. The effect size values (rU statistic) ranged between 0.43 and 0.63, highlighting the significant effect of teachers’ teaching experience on the six teaching skills domains: learning climate, efficient classroom management, clarity of instruction, activating teaching, differentiation, and teaching learning strategies. Those teachers with less teaching experience were the ones who showed higher scores. Findings from the regression model showed that educational level had a significant predictive effect on the six teaching skills domains, mainly for male teachers. However, in several domains female teachers were perceived by students to outperform their male counterparts. (shrink)

En este trabajo se estudia la aportación que Leonardo Polo hace a la ética del cuidado a partir de dos documentos inéditos que, unidos a su teoría antropológica, proporcionan elementos significativos que pueden ayudar a fundamentar esta disciplina, que apunta a situarse, desde distintos ámbitos y planteamientos intelectuales, en el contexto teórico de la ética, como una pieza importante para dotar a la sociedad de una dimensión humana imprescindible para su adecuado desarrollo como sociedad.

Las Comunidades de Castilla, como movimiento social y político, pueden caracterizarse como una tentativa de renovación de la monarquía carolina como forma de gobierno. El creciente conocimiento sobre la circulación de ideas políticas que informaron el corpus doctrinal comunero permite precisar conceptual y terminológicamente un debate revisitado con frecuencia sobre la naturaleza revolucionaria o no de tal proceso. Acudir a los textos de los principales sustentadores teóricos de las Comunidades, tanto como a los documentos de sus reivindicaciones, y no solo (...) a una interpretación de síntesis ex post, contribuye a perfilar el alcance sobre sus pretensiones de reforma respecto a la forma del Estado o a la forma del gobierno, sobre la base de la participación y la igualdad. Apoyarse en las nociones de régimen político y sistema político a la luz de tales textos permite una mejor comprensión del movimiento como reformista más que como revolucionario. (shrink)

The present study had two main aims: to determine whether deaf children show higher rates of key behaviors of ADHD and of Conduct Disorder—CD— than hearing children, also examining whether the frequency of these behaviors in deaf children varied based on cochlear implant use, type of school and level of receptive vocabulary; and to determine whether any behavioral differences between deaf and hearing children could be explained by deficits in inhibitory control. We measured behaviors associated with ADHD and CD in (...) 34 deaf and hearing children aged 9–10 years old, using the revised Spanish version of the Conners scale. We then assessed inhibitory control ability using a computerized Stroop task and a short version of the Attention Network Test for children. To obtain a measure of the level of receptive vocabulary of the deaf children we used a Spanish version of the Carolina Picture Vocabulary Test for Deaf and hearing-impaired children. Deaf children showed significantly higher rates of behaviors associated with ADHD and CD, and over 85% of cases detected with high risk of ADHD-inattentive type in the entire present sample were deaf children. Further, in the group of deaf children a negative correlation was found between receptive vocabulary and frequency of disruptive, aggressive, or antisocial behaviors associated with CD. However, inhibitory control scores did not differ between deaf and hearing children. Our results suggested that the ADHD-related behaviors seen in deaf children were not associated with a deficit in inhibitory control, at least in the interference suppression subcomponent. An alternative explanation could be that these behaviors are reflecting an adaptive strategy that permits deaf children to access information from their environment which is not available to them via audition. (shrink)

ObjectiveThis study aimed to analyze the influence and measurement of the relationship and interaction between the elderly lifestyles after the appearance of the SARS-CoV-2 variant and the factors analyzed comprised life satisfaction levels, social relationships, and daily-life activities.MethodsThe study population was ≥ 65 in Castile-La Mancha. The research design was quantitative and arose from primary data collected via an ad hoc survey carried out through the Computer Assisted Telephone Interview system by randomly stratified sampling. The sample size was made up (...) of 1,065 cases, and the participants were selected through a random sampling stratified by gender quotas, age, province, and habitat size.ResultsThe results obtained revealed two main lifestyles, from which a notable behavioral change in personal relationships led to infer toward alternative lifestyles.ConclusionNotwithstanding the variation in lifestyles of the elderly after the pandemic, certain relationships remained unaltered. Thus, from the analyzed variables, relatives and friends relationships were scarcely influenced by the supervened incident. (shrink)

La obtención de alimentos sanos y seguros requiere de técnicas de conservación inocuas para el consumidor y para el me­dio ambiente, entre las que se destaca la bioconservación. A su ca­tálogo de compuestos naturales o microorganismos, utilizados de forma habitual, la bioconservación ha incorporado recientemente los bacteriófagos y las proteínas fágicas con actividad lítica. La utilización de fagos y endolisinas en el biocontrol ofrece importantes ventajas frente a otros sistemas de conserva­ción tradicionales. Entre dichas ventajas destacan su inocuidad, especificidad y (...) versatilidad. Por otra parte, la acuciante necesidad de reducir el uso de antibióticos en la cadena alimentaria ha impul­sado la investigación basada en estos antimicrobianos con el fin de aplicarlos en producción primaria. Sin embargo, y a pesar de la gran eficacia ya demostrada en múltiples sectores, la falta de legislación de la Unión Europea sobre el uso de bacteriófa­gos junto con la necesidad de ser aceptados por los consumidores, son factores que están afectando negativamente a su implantación como bioconservantes. En este contexto, este artículo recoge los últimos resultados relacionados con este tipo de antimicrobianos en la industria agro-alimentaria, y resume los puntos clave para entender las posibilidades reales de su aplicación ante los nuevos requisitos asociados con una producción sostenible tanto desde una perspectiva económica como ambiental. (shrink)

Although subsistence hunting is cross-culturally an activity led and practiced mostly by men, a rich body of literature shows that in many small-scale societies women also engage in hunting in varied and often inconspicuous ways. Using data collected among two contemporary forager-horticulturalist societies facing rapid change, we compare the technological and social characteristics of hunting trips led by women and men and analyze the specific socioeconomic characteristics that facilitate or constrain women’s engagement in hunting. Results from interviews on daily activities (...) with 121 Tsimane’ and 159 Baka show that Tsimane’ and Baka women participate in subsistence hunting, albeit using different techniques and in different social contexts than men. We also found differences in the individual and household socioeconomic profiles of Tsimane’ and Baka women who hunt and those who do not hunt. Moreover, the characteristics that differentiate hunter and non-hunter women vary from one society to the other, suggesting that gender roles in relation to hunting are fluid and likely to change, not only across societies, but also as societies change. (shrink)

The main objective of this work is to examine the prevalence of psychopathy in the general adult population from the main currently existing theoretical perspectives of psychopathy, using for this purpose the five-factor or Big Five model as a common language that allows the comparison and integration of the personality traits considered as defining psychopathy by these different perspectives. The NEO Personality Inventory-Revised was applied to a sample of 682 adults of the general Spanish population. The prevalence of clinical and (...) subclinical psychopathy was calculated according to six different definitions of these two constructs based on Hare’s, Lilienfeld’s, triarchic, and DSM-5-hybrid models, and the simultaneous presence of a minimum number of personality traits that differed from the sample mean by one standard deviation. Prevalence rates for the different definitions were consistently low, indicating that the prevalence of clinical psychopathy in the general Spanish population is around 0.55%, and that of subclinical psychopathy is around 1.65%. There were no significant sex differences in the prevalence of psychopathy. These results question the alarmist claims that warn about the existence in society of a very high number of people with psychopathy who can cause many social, economic, physical, and psychological damage to others. (shrink)

José Luis Moreno argumenta contra lo que considera una variedad de formas de fetichismo político. Lo que tienen en común es depositar una confianza excesiva o monolítica en algún mecanismo democrático en particular. Compartimos su motivación y en esta nota crítica intentamos llevar sus argumentos más lejos preguntándonos si diferentes tipos de conocimiento políticamente relevante pueden distinguirse, si en algunos contextos es necesario dejar las decisiones en manos de expertos y si la propuesta de Moreno cae en un nuevo tipo (...) de fetichismo con respecto al sorteo como mecanismo capaz de eliminar injusticias sociales profundas. (shrink)

Although entrepreneurial intention has been widely studied using cognitive models, we still lack entrepreneurial vocation and, therefore, lack disruptive innovations. Entrepreneurship scholars have some understanding of the reasons underlying this weakness, although there is much room for improvement in our learning concerning how to promote entrepreneurship among university students, especially in the transformed context of digital technologies. This paper focuses on the early stages of start-up, and in particular seeks to evaluate what role social and psychological factors play in the (...) development of entrepreneurial intentions. Drawing on network theory, we consider the impact of social networks on entrepreneurial intention. Specifically, we analyze the influence of two types of social networks: face-to-face and online social networks, with the latter proving especially important in digital transformations. In addition, based on affective congruency theory, we relate affect with entrepreneurial intention. Particularly, we evaluate the influence of positive and negative dispositional affectivity on the formation of entrepreneurial intentions. Finally, since affect and emotions can also be related with social relationships, we analyze whether dispositional affectivities influence entrepreneurial intention through the mediation effect of social networks. Using structural equation modeling, we confirm the impact of both online and face-to-face social networks, as well as positive dispositional affectivity on entrepreneurial intention for 589 higher education students in Spain. However, negative dispositional affectivity is not seen to influence entrepreneurial intention. Furthermore, both face-to-face and online social networks are influenced by positive dispositional affectivity. Moreover, these two types of networks can even partially mediate the relationship between positive dispositional affectivity and entrepreneurial intention. Positive dispositional affectivity can thus influence entrepreneurial intention in two different ways: directly and indirectly through both face-to-face and online social networks. This study provides further insights and adds to the literature on affect, social networks, and entrepreneurial intention. From a broader perspective, we also contribute to the literature on disruptive innovations by explaining how the development of entrepreneurial intentions would have positive consequences for university students vis-à-vis achieving these disruptive innovations. (shrink)

La figura de José Carlos Mariátegui es una referencia intelectual en el pensamiento revolucionario latinoamericano. Su producción intelectual está acompañada de un compromiso político con las ideas transformadoras aplicadas al conjunto de América Latina y, de manera especial, a Perú. Sus aportaciones teóricas y sus propuestas prácticas para organizar a la clase obrera del país andino son motivo de disputa ideológica en el seno del comunismo peruano durante las décadas centrales del siglo XX. En ese ambiente surge Sendero Luminoso, una (...) organización dispuesta a impulsar el proceso revolucionario por la vía armada. Este texto busca los anclajes de su ideario a partir de los planteamientos iniciales sugeridos por el autor de Siete ensayos de interpretación de la realidad peruana. (shrink)

The guerrilla led by Fidel Castro and the political implications of his triumph in 1959 constitute a widely researched object of study. This text seeks to offer a reading of US responses through the construction of a geopolitical code, which aims to neutralise the revolutionary inspiration produced by the Cuban example in Latin America. The analysis draws on a series of primary sources to highlight the political, economic and diplomatic strands that shape White House foreign policy not only towards Cuba, (...) but also towards the whole of the region. (shrink)

The main purpose of this study was to analyze the presence and current situation of the game of skittles throughout the northern route of the Camino de Santiago. Thus, we considered its current practice, modalities, where it is played, and its different manifestations as an informal and formal game, comparing it with other traditional games on this pilgrimage route. To do this, a mixed qualitative-quantitative study was designed with 89 participants, constituting an informant for each municipality through which the Northern (...) Way passes. An ad hoc questionnaire was used for the data collection, which was processed through content analysis by expert judges and by using the IBM-SPSS statistical package. The results of the study show notable skittles activity on the Northern Camino, reflected in the number of skittles alleys, the number of clubs, associations, and peñas participating in federated leagues, and the wide range of varieties of skittles currently active on the Camino. The relationship between skittles and local culture, both symbols of identity in these northern Spanish regions, made it possible to preserve the traditional heritage in these places, keeping it alive today, despite the push toward new and more attractive leisure and sport trends. (shrink)

A growing number of recreational races are being held in different locations, drawing many local and visiting runners. This study examined the relationships between quality, value, satisfaction, and loyalty among runners in a recreational race and examines potential differences in relationships between these constructs based on the runners’ experience. The participants were 985 runners with a mean age of 40.74±9.41years. Validated, reliable ad hoc instruments were used. A multi-group analysis was performed to ascertain the existence of relationships between the constructs (...) and differences in the relationships between the different study groups. The results show that quality is a direct antecedent of value and satisfaction. Value is directly related to satisfaction and indirectly related to loyalty. Satisfaction is related to the loyalty of participants in the race. Differences in the relationship between satisfaction and loyalty were dependent upon the runners’ experience. Loyalty to a race depends primarily on satisfaction and is modified by the runners’ experience. (shrink)

This article analyzes the construction of female subjectivity in the specific context of audiovisual cyberspaces in Spain dedicated to the struggle against violence against women. Looking at the YouTube channels of two virtual feminist communities that deal with violence against women, the authors analyze how the victim-subject is configured in terms of agency and activism. The authors adopt a multimodal model of studying the sign complexes of the videos as semiotic artifacts that produce meaning. Sign complexes are always engaged because (...) representation is never neutral because what is represented in sign is meant to realize the values and positions of those who make the sign. In this article, the authors understand feminist activism in the fight against violence targeting women as constructing in its discourse not only the activist process, but also the subject of this activism: the victim-subject of gender-based violence. The analysis engages in the discussion about the various ways in which this subject is interpellated by the audiovisual texts in terms of agency. As a result, this study proposes the necessity to devise new ways of articulating this subject as a political and agential one. (shrink)