IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

This work was my theses to get the MA in Philosophy. Their focus is the ethics implied in digital culture and networked society. Themes are Ethics, culture, technology, political control, autonomous systems.

El libro de María González Navarro se presenta a sí mismo como una “nueva hermenéutica” (23). La novedad involucra dos aspectos: uno que llamaremos metateórico y otro hermenéutico en propiedad. Hablando metateóricamente, el libro presenta una hermenéutica gadameriana vigorizada y robustecida por las teorías pragma-dialécticas de la argumentación. Desde el punto de vista hermenéutico propiamente dicho, la novedad reposa en que se considera que la interpretación correcta está indesligablemente vinculada a la argumentación abductiva.

Este trabajo examina parte del pensamiento de Kant de cara a precisar en qué sentido puede pensarse la universalidad como una exigencia para la filosofía moral y cómo las investigaciones de ese autor pueden contribuir a esclarecer esta cuestión. El análisis de los argumentos muestra algunas inconsistencias lógicas en el desarrollo del problema de la universalización moral que los especialistas han tratado de explicar, a partir de las cuales sugerimos que una alternativa de análisis gramatical al estilo de Wittgenstein puede (...) ayudar a clarificar. El trabajo es, pues, crítico y pro positivo y conlleva una interpretación programática de tesis kantianas. (shrink)

Se busca rastrear la imagen que Platón tiene de Heráclito y articularla con la estructura argumentativa del Cratilo, para comprender las necesidades textuales a las que responde la doctrina del flujo perpetuo, es decir, la discusión sobre la corrección (ὀρθότης) del nombre. Gracias a la inclusión del testimonio heraclíteo, resulta posible rastrear la presunta consolidación de la tesis sobre los nombres primarios y los secundarios como el eje de la separación entre dos planos de realidad (uno estable y uno móvil) (...) y de la teoría de las Ideas -es decir, como la base de la epistemología platónica presente en los diálogos de madurez-. The article seeks to trace the image Plato has of Heraclitus and connect it with the argumentative structure of the Cratylus in order to understand the textual needs that give rise to the doctrine of perpetual flux, that is, the discussion regarding the correctness (ὀρθότης) of names. The inclusion of Heraclitus's testimony makes it possible to trace the alleged consolidation of the thesis regarding primary and secondary names as the axis of separation between two levels of reality (one stable, the other, changing) and the theory of Ideas -that is, as the basis of Plato's epistemology as set forth in the late dialogues-. (shrink)

En lo que sigue esbozo tres posibles vías de desarrollo de la propuesta de Pérez y Gomila sobre la perspectiva de la segunda persona de la atribución mental que, en su conjunto, dejan ver la importancia de caracterizar finamente las relaciones entre lo mental y lo normativo en la perspectiva de la segunda persona. Las tres vías que propongo parten, aunque van más allá, de algunos hallazgos de la teoría de la pragmática afectiva. Me centraré en los casos de interacción (...) en segunda persona más que en las atribuciones en segunda persona y adoptaré como caso paradigmático la relación que se establece entre un bebé y su cuidadora. (shrink)

IntroductionThis study aimed to evaluate, in adults with mild cognitive impairment, the brain atrophy that may distinguish between three AT biomarker-based profiles, and to determine its clinical value.MethodsStructural MRI was employed to evaluate the volume and cortical thickness differences in MCI patients with different AT profiles, namely, A−T−−: normal AD biomarkers; A+T−−: AD pathologic change; and A+T++: prodromal AD. Sensitivity and specificity of these changes were also estimated.ResultsAn initial atrophy in medial temporal lobe areas was found in the A+T−− and (...) A+T++ groups, spreading toward the parietal and frontal regions in A+T++ patients. These structural changes allowed distinguishing AT profiles within the AD continuum; however, the profiles and their pattern of neurodegeneration were unsuccessful to determine the current clinical status.ConclusionsMRI is useful in the determination of the specific brain structural changes of AT profiles along the AD continuum, allowing differentiation between MCI adults with or without pathological AD biomarkers. (shrink)

El presente trabajo pretende dar cuenta de qué es la subjetividad y la acción en su aspecto individual como social y para ellos es necesario tener en cuenta cómo se conforma el ser humano y la necesidad del otro para dicha conformación personal. Gracias al lenguaje y la presencia del otro se puede establecer una serie de premisas plausibles que permiten explicar cómo se lleva a cabo la acción en el ser humano. El escrito expone los elemento antropológico que permiten (...) llegan a una comprensión de la acción, elemento indispensable para comprender cómo se generan los cambios en la sociedad. (shrink)

This paper criticizes genetic naturalism, namely, the task of explaining how reason emerges from nature. We take into account Donald Davidson’s anomalous monism and his analogy of triangulation. Our aim is to criticize both the metaphysical suppositions of anomalous monism and its consequences for genetic naturalism. We propose that those suppositions and those consequences prevent the genetic question to be appropriately raised and, therefore, mislead the research for a reasonable answer to that.

L’impasse dans laquelle se trouve aujourd’hui le Venezuela ne peut être abordée sans une prise en compte préalable du chemin démocratique que le pays a parcouru jusqu’à la situation qu’il connaît de nos jours. Cette situation est l’expression d’une division radicale de la population en deux parties, « chavistas » et « anti-chavistas »1. En effet, comment expliquer ce paradoxe..

Abordamos en este trabajo la imagen de Dios que nos revela el cántico evangélico del Magnificat (Lucas 1, 46-55) y la imagen de María que en él aparece. Partiendo de su contexto en la obra de Lucas y de un breve análisis exegético del cántico, los autores profundizan en sus claves teológicas en relación con dos núcleos: la imagen de Dios y la figura de María introducida por el evangelista. El trabajo concluye con una propuesta de relectura del Magnficat acorde (...) con nuestro tiempo, centrada en su dimensión profética y liberadora. (shrink)

The emergence of the term ‘Plebanski’ as a topic trend in the scientific literature is studied as a significant communication event resulting from its use by authors to refer to the relevant aspects of Jerzy Plebanski scientific work in the area of mathematical physics. We searched the ‘Plebanski’ topic included in the titles, abstracts and key words of the papers registered in five databases: ADS/NASA, MathSciNet, SCOPUS, SPIRES and Web of Science. Our results clearly show the evolution of the JP’s (...) scientific work from a cited reference to a recognized term in the indexes of the published literature, then to a nodal concept in the scientific communication process and finally as an eponym in the Latin American scholar literature. (shrink)

En su reciente libro Social Cognition and the Second Person in Human Interaction, Pérez y Gomila presentan una forma novedosa de entender nuestra capacidad de atribuir estados mentales a otras personas basada en lo que llaman interacciones en la segunda persona. Este artículo cuestiona la conceptualización y el papel explicativo que este tipo de interacciones pueden desempeñar.

BackgroundMonitoring recovery–stress balance in sport is becoming more relevant to prevent training maladaptation and reach the optimal performance for each athlete. The use of questionnaires that identify the athlete’s recovery–stress state have much acceptance in sports due to reliability and useful, furthermore for its low cost. Identifying possible differences between sport modalities and sex is important to determine specific needs and possible intervention ways to keep a recovery–stress balance. The aim was to analyze the differences in the recovery–stress state and (...) mood states by sex and sport type during the competitive phase in young Mexican athletes. As a secondary objective, the psychometric properties of the Mexican version of the Recovery–Stress Questionnaire for Athletes were analyzed.MethodsA cross-sectional study was carried on with 461 athletes, 17.95 years old, from six sports disciplines. The RESTQ-Sport and Profile of Mood States were applied in a single moment. Differences by sex and sports modality were analyzed. RESTQ-Sport’s confirmatory factor analysis was performed after the stress and recovery theoretical structure of two stress and two recovery dimensions, and last, the concurrent validation with the POMS was carried on.ResultsSignificant differences by sex were found in the General Recovery and Sport Stress dimensions of the RESTQ-Sport as well as Vigor factor of the POMS, being higher for men; furthermore, both the Sport Recovery dimension of RESTQ-Sport and Cholera and the Fatigue and Depression factors from POMS also had differences by sport type, showing a less recovery and high stress for individual sport athletes. Goodness-of-fit indexes of the model for the RESTQ-Sport were acceptable. Pearson’s correlation between questionnaires was moderate.ConclusionThe recovery–stress state shows differences in the function of sex and sport modality. More special attention is suggested for women and individual sport athletes. The higher punctuation for men compared with women in sport stress dimension did not negatively affect the recovery–stress balance for male athletes. Finally, the Mexican context adaptation of the RESTQ-Sport provides a psychometric instrument suitable to assess the recovery–stress balance in Mexican athletes. (shrink)

The aim of the present study was to assess the impact of past traumatic war experiences on preadolescents in the Gaza Strip, which could be useful for psychological intervention with current and future child victims. Participants were 521 preadolescents from United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) schools, aged 11 and 13 years old. Sections I to IV from Iraqi Version-Arabic of Harvard Trauma Questionnaire was used to assess trauma experiences and Post-Traumatic Stress (...) Disorder (PTSD). The results show that the preadolescents in the Gaza Strip witnessed the destruction of their homes and the murder of family members and friends. A quarter of the individuals assessed either suffered torture or witnessed others undergoing it, including sexual assaults. Almost half of them experienced a lack of food and clean water. The traumatic and torture experiences seriously affected preadolescents’ mental health as 26.29% met criteria for the diagnosis of PTSD. The data analysis revealed two PTSD modalities, with the severity of impact depending on whether social implications were involved. Further research is required to check whether these two modalities fit to PTSD and complex PTSD. Understanding the effects of past wars on preadolescents in Gaza and distinguishing between different PTSD types could enhance comprehension of the impacts of current attacks on child victims. It can also aid in determining the type of intervention needed to minimize the impact on the mental health of Palestinian youth, enhancing their resilience through psychological and social support. (shrink)

RESUMEN En este trabajo discutimos tres formulaciones semánticas del condicional: la material, la estricta y la relevante. Defendemos que, desde un punto de vista formal, el condicional relevante responde mejor a nuestras intuiciones que los otros dos. Ahora bien, dado que la interpretación semántica del mismo es terreno disputado, proponemos hacerlo pragmáticamente. Dividimos el texto en tres secciones. En la primera proponemos el criterio de adecuación para evaluar distintas teorías de los condicionales: la teoría no debe dar lugar a los (...) casos más conocidos de sobregeneración inferencial. En la segunda mostramos que el condicional material y el condicional estricto sobregeneran, pues ambos admiten paradojas bien conocidas. En la última mostramos que si se interpreta pragmáticamente, el condicional relevante bloquea la aparición de las paradojas que los dos anteriores no pueden evitar, y, en esa medida responde mejor que ellos al criterio establecido y, por tanto, a nuestras intuiciones. ABSTRACT In this paper we discuss three semantic formulations of conditional: material, strict and relevant. Our aim is to show that the relevant conditional shapes our intuitions better than the other two. Since the semantic interpretation of the relevant conditional is an unsettled issue nowadays, we propose a pragmatic interpretation of it. In the first part of the paper we present the criteria to which a theory of conditionals must answer, i.e. the theory must not overgenerate. In the second one, we show that the material and the strict conditionals overgenerate because both lead to paradoxes. In the last part we show that the relevant conditional with a pragmatic interpretation solves the problem of the other conditionals. (shrink)

Este artículo reseña: Miguel Ángel PRESNO LINERA, Derechos fundamentales e inteligencia artificial, Marcial Pons, Madrid, 2022, 144 pp.

Background:The first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students.Objectives:To explore the ethical dilemmas and ethical conflicts experienced by final-year nursing students who worked during the first outbreak of the COVID-19 pandemic in Spain.Research design:A qualitative exploratory study was conducted using purposive sampling. Semi-structured interviews were carried out using a question guide. Interviews took place via a private video chat room platform. A thematic, inductive (...) analysis was performed of the information gathered.Participants and research context:Eighteen nursing students were recruited from two universities of Madrid, aged between 18 and 65 years old, enrolled in the fourth year of nursing studies and who were hired under a relief contract for health professionals during the pandemic.Ethical considerations:The present study was carried out in accordance with the Declaration of Helsinki, and the study was approved by the Local Ethics Committee of Universidad Rey Juan Carlos.Results:Three specific themes emerged: (a) coping with patient triage, (b) difficulties in providing end-of-life care, and (c) coping with patient death. Nursing students participated in the process of patient selection for resource allocation and ICU bed occupancy. They were shown how to care for patients who were not admitted to the ICU, in their last moments and were faced with the difficulties of applying end-of-life care. Finally, the nursing students were confronted with the death of their patients, in overwhelming numbers and under adverse conditions.Conclusions:These findings can help shed light on the ethical dilemmas and ethical conflicts faced by novice nursing students, incorporated into the workforce during the COVID-19 pandemic. Moreover, it was described that students may normalize the death due to the exhaustion and overwhelmed routine. (shrink)

From the development of Literature Theory wich based on the analogy with Architecture the author analyze the relationships between Cervantes and Vargas Llosa works. Research on Cervantes reception in Latin America it is a work to keep doing. In Peru Vargas Llosa has received Cervantes works in a peculiar way. This paper tries to clarify what are the structural relations between these two literary architecture.

Este artículo aborda dos temáticas de la novela La muerte es una vieja historia de Hernán Rivera Letelier: la construcción de la identidad de la mujer pentecostal y el uso de la música tanto en el templo como en la vida de un fiel pentecostal. En el primer apartado abordamos tres aspectos del primer tema relacionados con la mujer pentecostal: la inteligencia social y cognitiva, la corporalidad y sensualidad, y la violencia sexual. En el segundo apartado hacemos referencia a la (...) importancia que tiene la música en los templos y la vida cotidiana de los pentecostales, que en la novela se refleja en las anécdotas y experiencias que se cuentan de la protagonista, la hermana Tegualda. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Defending a Phenomenological–Behavioral Perspective: Culture, Behavior, and ExperienceMarino Pérez-Álvarez (bio), José M. García-Montes (bio), Adolfo J. Cangas (bio), and Louis A. Sass (bio)KeywordsBehavior, contextual phenomenology, culture, experienceWe should like to express our sincere thanks to all the authors for their commentaries on our articles. Given the restrictions of space (a limitation they too had to contend with), we can only respond to a few aspects of their interesting remarks. (...) We shall reply of course on the basis of our own approach—an approach that sets out to integrate culture, behavior, and experience, and that might be termed contextual phenomenology, phenomenological behaviorism, or perhaps most accurately (albeit more awkwardly), the phenomenological–behavioral perspective.In her commentary, Ibáñez-Guerra (2008), referring to the target articles “Phenomenology and behaviorism” (Pérez-Álvarez, Sass, and Cangas 2008) and “The role of superstition in psychopathology” (García-Montes et al. 2008), wonders whether our maintaining of the spirit of Skinner, as well as our recourse to phenomenology, might not themselves represent forms of superstitious behavior. She points out that it is not always a good idea to put new wine in old barrels. For her, the new wine and new barrels would be represented by social constructivism, of which she is reminded by some aspects of our work. But in making her own case, Ibáñez-Guerra (2008) reveals certain common prejudices concerning behaviorism, prejudices that have apparently persisted even after reading our article. Thus, for example, she does not see operant behavior as incorporating intentionality (what, in the target article, is presented in terms of final causality), because she assumes that intentionality would necessarily imply a mentalist and dualist notion involving a supposed internal mental entity that causes behavior. Skinner (1974) himself noted and rejected this very assumption in a passage that clearly distinguishes his own approach from what he calls a “stimulus-response formula”: “Possibly no charge,” he wrote,is more often leveled against behaviorism or a science of behavior than that it cannot deal with purpose or intention. A stimulus-response formula has no answer, but operant behavior is the very field of purpose and [End Page 281] intention. By its nature it is directed toward the future: a person acts in order that something will happen, and the order is temporal.(pp. 55–6)The place Skinner gives to intentionality and purpose is elaborated in our target article.Furthermore, Ibáñez-Guerra (2008) assumes that, on methodological grounds, Skinner rejects all that is not observable, or at least that cannot be operationalized. This, however, is simply incorrect, at least as regards Skinner’s radical behaviorism. As the reader may recall, radical (as opposed to methodological) behaviorism is neither operationalist nor does it reject private or subjective events because of their unobservability. Indeed, Skinner specifically acknowledges that such events are in fact observable—at least for one person: the subject him- or herself. The question for Skinner is to understand how the part of the world that is only observable and experiential for oneself is constructed or formed. In the end, it turns out that radical behaviorism is more radical, in the Aristotelian ontological sense (see Pérez-Alvarez, Sass, and García-Montes 2008), than post-modern constructionism. Indeed, as we remarked, radical behaviorism can still surprise us today. Similarly, phenomenology is starting to be missed in the clinical context (Andreasen 2007). We believe that radical behaviorism and phenomenology, mutually readjusted, are in fact excellent wines for the times we live in—if only we knew how to appreciate them.In their commentary on “Phenomenology and behaviorism: A mutual readjustment,” Fletcher and Hayes (2008) argue that the philosophy and theory of Acceptance and Commitment Therapy (ACT)/Relational Frame Theory (RFT) already contain the salutary aspects of phenomenology that we highlight in our target article. Their insistence on reducing the affinities we find between phenomenology and behaviorism to ACT/RFT consists, in our view, in a scientific–technical argument that is more scientistic than strictly philosophical in nature. Their insistence on the scientific–technical argument itself implies an unclarified philosophical assumption. On what grounds do experimental data constitute the last word? Has... (shrink)

Este artículo propone una explicación e interpretación del contenido y estructura de Différence et répétition de Gilles Deleuze. La obra expone un sistema de filosofía contemporánea cuyo objetivo es determinar las condiciones de la experiencia real. El sistema se compone de varias partes: crítica de la forma y contenido del concepto filosófico; métodos filosóficos; estesiología trascendental; dialéctica de las Ideas; estética de las intensidades. Esta interpretación muestra el recorrido y función de la razón suficiente en varios descubrimientos: el método como (...) procedimiento de determinación filosófica, la afectividad diferencial, las nociones no-categoriales, la función de los imperativos ontológicos, la triple figura de la determinación, la determinación individuante, la apertura a la ética de las cantidades intensivas. Esta manera de interpretar la obra incorpora la filosofía de Deleuze a preocupaciones ontológicas, gnoseológicas, éticas, estéticas, de la filosofía tradicional. Además, puede ser útil para dar un sentido al conjunto de su obra posterior. (shrink)

Este trabajo tiene como objetivo comentar algunas prohibiciones del padre Miguel Ángel de Tamburini y del padre Francisco Retz explicando los conceptos fundamentales de dichas prohibiciones a través de un método analítico y relacionándolos posteriormente bajo un método sintético con los argumentos presentados. Esto último permitirá realizar una reconstrucción de las prohibiciones cuyo ensamble se consolidará en argumentos breves. Asimismo, evaluar cuáles pueden ser las causas o los fundamentos que subyacen en las prohibiciones mismas, es decir, evaluar las causas (...) de su veto. Finalmente, determinar las implicaciones filosóficas de las prohibiciones desde Descartes, Leibniz y Spinoza y sus correspondientes visiones de la Creación, la voluntad, el determinismo y el principio de individuación. (shrink)