The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated (...) ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved. (shrink)

En países como Colombia la falta de cobertura, la dispersión geográfica y el conflicto armado se han posicionado como obstáculos que impiden que una parte de la población pueda acceder a la universidad, perpetuando las desigualdades y la vulnerabilidad. Los resultados de este estudio apuntan a que la educación superior virtual puede convertirse en una alternativa útil para ofrecer oportunidades de formación a estas poblaciones si se ofrecen las condiciones adecuadas en cuanto a un contenido útil y actual, atención personalizada (...) e infraestructura accesible. Las conclusiones alcanzadas pueden orientar a las Instituciones de Educación Superior (IES) en el diseño de estrategias virtuales de calidad. (shrink)

La educación superior virtual está creciendo significativamente y se caracteriza por la necesidad de articular eficazmente la tecnología y el proceso académico e instructivo. Este estudio ha tratado de analizar los requisitos para que las instituciones ofrezcan un servicio de calidad cercano a las necesidades de los estudiantes. Para ello, se aplicó una encuesta a una muestra aleatoria de 350 estudiantes. Los resultados confirmarían la fuerte asociación entre los factores relacionados con la infraestructura tecnológica, el servicio académico y el apoyo (...) institucional. Estos resultados pueden ser una referencia para tener en cuenta por las IES cuando planifican sus programas virtuales. (shrink)

Introduction: Congruence, understood as the agreement between the patient's preferred place of death and their actual place of death, is emerging as one of the main variables indicating the quality of end-of-life care. The aim of this research was to conduct a systematic literature review on levels and determinants of congruence in palliative patients over the period 2010–2021.Method: A systematic review of the literature in the databases of PubMed, Scopus, Web of Science, PsycINFO, CINAHL, Cuiden, the Cochrane Library, CSIC Indexes, (...) and IBECS. Information was extracted on research characteristics, congruence, and associated factors.Results: A total of 30 studies were identified, mainly of retrospective observational design. The congruence values varied substantially between the various studies, ranging from 21 to 100%. The main predictors of congruence include illness-related factors, individual factors, and environmental factors.Conclusion: This review, in comparison with previous studies, shows that treatment-related factors such as physical pain control, marital status, having a non-working relative, age, discussing preferred place of death with a healthcare professional, and caregiver's preference have been associated with higher levels of congruence. Depending on the study, other factors have been associated with either higher or lower congruence, such as the patient's diagnosis, gender, or place of residence. This information is useful for designing interventions aimed towards greater congruence at the end of life. (shrink)

BackgroundImplementing the routine consultation of patient advance directives in hospital emergency departments and emergency medical services has become essential, given that advance directives constitute the frame of reference for care personalisation and respect for patients’ values and preferences related to healthcare. The aim of this study was to assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and to determine the correlated and predictor variables (...) of favourable attitudes towards advance directives.MethodsObservational, descriptive, and cross-sectional study. The study was conducted in the emergency department of a second-level hospital and in the emergency medical service. Data collection was performed from January 2019 to February 2020. The STROBE guidelines were followed for the preparation of the study.ResultsA total of 173 healthcare professionals responded to the questionnaire. Among them, 91.3% considered that they were not sufficiently informed about advance directives, and 74% acknowledged not having incorporated them into their usual practice. Multinomial analysis indicated a statistically significant relationship between the variable emergency medical service and having more favourable attitudes towards consulting the advance directives in their practical application (OR 2.49 [95% CI 1.06–5.88]; p = 0.037) and compliance in complex scenarios (OR 3.65 [95% CI 1.58 − 8.41]; p = 0.002). Working the afternoon and night shift was a predictor variable for obtaining a higher score with respect to attitudes in complex scenarios.ConclusionThere is an association between the level of knowledge that nursing and medical professionals have about advance directives and the scores obtained on the attitude scales at the time of practical implementation and in complex scenarios. This shows that the more knowledge professionals have, the more likely they are to consult patients' advance directives and to respect their wishes and preferences for care and/or treatment. (shrink)

Background The COVID-19 pandemic has influenced the approach to the health-disease system, raising the question about the principles of bioethics present in physician–patient relations. The principles while widely accepted may not be sufficient for a comprehensive ethical analysis. Therefore, the aim of this study was to explore the perception of these principles and the physician–patient relationship during a hospital stay through a qualitative approach. Method Sixteen semi-structured interviews took place to know the patients’ perception during their 2020 hospitalization for COVID-19. (...) The data was analyzed through the constant comparison method, creating categories and comparing them. In the end, seven categories were established and were grouped in three: bioethical principles (dignity, charity, vulnerability, autonomy), doctor-patient relationship (participant commitment, informed consent, health staff-patient relationship) and the experience of the disease (illness, the role of the family). Results The research found that most patients described a positive experience, with the feeling of having been well cared for with no sense of discrimination or injustice done. The majority also reported that their autonomy was respected in the treatment decisions. The evaluation of these attitudes is an area of opportunity, especially when the patients' vulnerability is at risk. Conclusions The ethics of virtue offers a better reflection of how human beings manifest themselves by emphasizing the development of virtuous character and behaviors that allow them to realize their values in life. Authorized by the Research Ethics Committee with registration: DI/18/105-B/3/308. (shrink)

While rooted in careful study of Mead’s original writings and transcribed lectures and the historical context in which that work was carried out, the papers in this volume have brought Mead’s work to bear on contemporary issues in metaphysics, epistemology, cognitive science, and social and political philosophy.

After the end of their time as a caregiver, former caregivers have needs and feelings that have been subject to little study to date. The aim of the study is to determine and analyse the feelings, perceptions and practices of former caregivers in the reconstruction of their daily lives. This is a qualitative study based on the Grounded Theory developed by Charmaz. The study involved 14 former caregivers who had cared for their relative for more than 2 years and who (...) had stopped caring for them more than 2 years previously. Fourteen in-depth interviews were conducted and data were collected over 13 months between 2015 and 2017. Data were analysed using the Grounded Theory Method. In addition, this study was approved by the ethics committee of the Institut Universitari d’Investigació en Atenció Primària Jordi Gol. The former caregiver experiences a transition, which begins in the days before the death of their relative and may continue for more than 3 years. Three critical moments in the post-caring transition were found: the post-caring emptiness; the end of the period as a caregiver; and the movement towards a new life. Family and professional support is needed during this transition. Former caregivers experience a transition in the rebuilding of their daily lives; furthermore, former caregivers may be a source of support for other caregivers, which is linked to positive mental health factors. Healthcare organisations need to acknowledge the emotional, psychosocial and psychological health of former caregivers. (shrink)

Regularization may be used as an alternative to dimensionality reduction when the number of variables in a model is much larger than the number of available observations. In a recent study from our group regularized regression was employed to quantify brain functional connectivity in a sample of healthy controls using a brain parcellation and resting state fMRI images. Here regularization is applied to evaluate resting state connectivity abnormalities at the voxel level in a sample of patients with schizophrenia. Specifically, ridge (...) regression is implemented with different degrees of regularization. Results are compared to those delivered by the weighted global brain connectivity method, which is based on averaged bivariate correlations and from the non-redundant connectivity method, a dimensionality reduction approach that applies supervised principal component regressions. Ridge regression is able to detect a larger set of abnormally connected regions than both GBC and NRC methods, including schizophrenia related connectivity reductions in fronto-medial, somatosensory and occipital structures. Due to its multivariate nature, the proposed method is much more sensitive to group abnormalities than the GBC, but it also outperforms the NRC, which is multivariate too. Voxel based regularized regression is a simple and sensitive alternative for quantifying brain functional connectivity. (shrink)

RESEÑA / RESSENYA / REVIEW Elogio de la razón mundana. Antropología y política en Kant, por Nuria Sánchez Madrid.

This paper proposes an epistemological approach to analyse social-ecological systems from a process perspective in order to better tackle the co-constitution of the social and the ecological and the dynamism of these systems. It highlights the usefulness of rethinking our conceptual tools taking processes and relations as the main constituents of reality instead of fundamental substances or essences. We introduce the concept of experience as understood in radical empiricism to critically revise our available concepts through focusing on the concept of (...) difference, exploring apparent contradictions and engaging in assemblage thinking. (shrink)

Recent debates on phenomenal consciousness have shown renewed interest for the idea that experience generally includes an experience of the self – a self-experience – whatever else it may present the self with. When a subject has an ordinary experience (as of a bouncing red ball, for example), the thought goes, she is not just phenomenally aware of the world as being presented in a certain way (a bouncy, reddish, roundish way in this case); she is also phenomenally aware of (...) the fact that it is presented to her. This supposed phenomenal dimension has been variously called “mineness”, “for-me-ness”, “pre-reflective self-awareness” and “subjective character”, among others. This view, associated with historical figures such as William James, Husserl, Merleau-Ponty and Sartre, is attracting a new surge of attention at the crossroads of phenomenology, analytic philosophy of mind and the philosophy of cognitive science, but also intense controversy. This book explores some of the questions running through the ongoing debate on the putative subjective dimension of experience: Does it exist?, the existence question; What is it?, the essence question; What is it for?, the function question; and What else does it explain?, the explanation question. The volume also surveys various domains of human experience, both normal and pathological, where a “sense of self” might be at play, including agency, bodily awareness, introspection, memory, emotions and values, and offers insights into the possible relations between the notions of subjective awareness involved. The first part of the book is devoted to more sceptical or deflationary views about self-experience, and the second, to more robust ones. (shrink)

Social network sites are a new communication channel to convey CSR information. They are interactive channels that let users participate, spread content and generate positive and negative electronic word-of-mouth about companies that can dramatically affect their reputation and future business. To identify the factors behind this behaviour, we designed a causal model to explain the intention to both comment on and share a negative corporate social responsibility news posted on Facebook. We included the following as explanatory variables: social consciousness, environmental (...) consciousness, information usefulness, corporate image and attitude towards sharing and commenting on CSR news. We surveyed 208 Facebook users who evaluated a fictitious news item about an environmental issue. We observed that social and environmental consciousness influences the usefulness of information and the attitude towards behaviour, which may explain the eWOM intention of the specific news. However, corporate image can cause people to refrain from generating eWOM and spreading the news on their friend social network. (shrink)

Using a prototype approach, we assessed people’s lay conceptions of intuition and analysis. Open-ended descriptions of intuition and analysis were generated by participants (Study 1) and resulting exemplars were sorted into features subsequently rated in centrality by independent participants (Study 2). Feature centrality was validated by showing that participants were quicker and more accurate in classifying central (as compared to peripheral) features (Study 3). Centrality ratings suggested a single-factor structure describing analysis but revealed that participants held lay conceptions of intuition (...) as involving two different types of processes: (1) as an automatic, affective, and non-logical processing, and (2) as a holistic processing that can assist in problem-solving. Additional analyses showed that the centrality ratings of intuition’s facets were predicted by participants’ self-reported intuitive style, suggesting intuition is differently perceived by intuitive and non-intuitive people. We discuss the implications of these results for the study of intuition and analysis. (shrink)

Recent debates on phenomenal consciousness have shown renewed interest for the idea that experience generally includes an experience of the self—a self-experience—whatever else it may present the self with. When a subject has an ordinary experience (as of a bouncing red ball, for example), the thought goes, she is not just phenomenally aware of the world as being presented in a certain way (a bouncy, reddish, roundish way in this case); she is also phenomenally aware of the fact that it (...) is presented to her. This supposed phenomenal dimension has been variously called “mineness,” “for-me-ness,” “pre-reflective self-awareness,” and “subjective character,” among others. This view, associated with historical figures such as William James, Husserl, Merleau-Ponty, and Sartre, is attracting a new surge of attention at the crossroads of phenomenology, analytic philosophy of mind, and the philosophy of cognitive science, but also intense controversy. This book explores some of the questions running through the ongoing debate on the putative subjective dimension of experience: Does it exist?, the existence question; What is it?, the essence question; What is it for?, the function question; and What else does it explain?, the explanation question. The volume also surveys various domains of human experience, both normal and pathological, where a “sense of self” might be at play, including agency, bodily awareness, introspection, memory, emotions, and values, and offers insights into the possible relations between the notions of subjective awareness involved. The first part of the book is devoted to more skeptical or deflationary views about self-experience, and the second, to more robust ones. (shrink)

"Epistola a Memeceo, Maximas capitales, Sentencias vaticanas, fragmentos y testimonios; texto griego y traduccion": p. [87]-161.

ABSTRACTPrior research has found a relationship between perceived facial attractiveness and perceived personal trustworthiness. We examined the time course of attractiveness relative to trustworthiness evaluation of emotional and neutral faces. This served to explore whether attractiveness might be used as an easily accessible cue and a quick shortcut for judging trustworthiness. Detection thresholds and judgment latencies as a function of expressive intensity were measured. Significant correlations between attractiveness and trustworthiness consistently held for six emotional expressions at four intensities, and neutral (...) faces. Importantly, perceived attractiveness preceded perceived trustworthiness, with lower detection thresholds and shorter decision latencies. This reveals a time course advantage for attractiveness, and suggests that earlier attractiveness impressions could bias trustworthiness inferences. A heuristic cognitive mechanism is hypothesised to ease processing demands by relying on simple a... (shrink)

RESUMENEn este artículo vamos a tratar la complejidad de la noción de cultura. La cultura ha sido tratada por muchos movimientos y por muchos pensadores. Nos centraremos en algunos de ellos y sobre todo en García Morente. La cultura es el ámbito en que se mueve todo y de modo especial el lenguaje; el marco ineludible y el mayor reto de la traducción.PALABRAS CLAVECULTURA – CIVILIZACION – TRADUCCION ABSTRACTThe complex notion of culture is the main subject of this article. (...) It has been studied by many movements and scholars, notably by García Morente, whose thesis on culture will be discussed. Everything, as well as language, in its own special way, comes under the scope of culture. Thus culture bound lexical items and concepts being the greatest challenge for the translator.KEYWORDSCULTURE – CIVILIZATION - TRANSLATION. (shrink)

The idea that natural selection acts on many levels—and not only at the level of organisms or individual genes—is increasingly accepted among biologists. However, it is not easy to reconcile this idea with the strictly “individualistic” conception of the evolutionary process that has always characterized Darwinian thought. Moreover, the individuality of some forms of life is a vague concept and therefore controversial. This is the case of Candidatus Magnetoglobus multicellularis, whose discovery immediately inspired the following question: Does the concept of (...) individuality have degrees? Alternatively, how far is this structure of prokaryotic cells from deserving to be called an organism? In this article, we propose a new conceptual scheme based on an idea of individuality that is not limited to organisms and that makes sense in terms of Darwinian evolution. In this conceptual scheme, selection at levels above that of the individual organism is interpreted as the evolutionary emergence of higher-level individuality. This proposal may serve as a basis on which to construct a promising hierarchical evolutionary theory. (shrink)

The introduction of a new analytical method, due fundamentally to François Viète and René Descartes and the later dissemination of their works, resulted in a profound change in the way of thinking and doing mathematics. This change, known as process of algebrization, occurred during the seventeenth and early eighteenth centuries and led to a great transformation in mathematics. Among many other consequences, this process gave rise to the treatment of the results in the classic treatises with the new analytical method, (...) which allowed new visions of such treatises and the obtaining of new results. Among those treatises is the Arithmetic of Diophantus of Alexandria which was written, using the new algebraic language, by the French mathematician Jacques Ozanam, who in addition to profusely increasing the original problems of Diophantus, solved them in a general way, thus obtaining many geometric consequences. The work is handwritten, it has never been published, it has been lost for almost 300 years, and the known references show its importance. We will show that Ozanam’s manuscript was quoted as an important work on several occasions by others mathematicians of the time, among whom G. W. Leibniz stands out. Once the manuscript has been located, our aim in this article is to show and analyze this work of Ozanam, its content, its notation and its structure and how, through the new algebraic method, he not only solved and expanded the questions proposed by Diophantus, but also introduced a connection between the algebraic solutions and what he called geometric determinations by obtaining loci from the solutions. (shrink)

This essay concerns the causation involved in divine sustenance—the “pressure of the will of God” that continually upholds things in existence and supplies them with their properties and powers. My aim is to consolidate the theological doctrine of sustenance and a metaphysical theory of properties. Towards that end, I develop and motivate two consolidatory proposals, which together secure a more parsimonious theistic ontology and integrate the doctrine of sustenance and a theory of properties in a mutually enhancing way. The bulk (...) of the essay concerns the first proposal, which I explain and motivate in the first three sections. In the last two sections I explain and motivate the second proposal. (shrink)

Drawing on Brown and Fraser’s (in: Giles, Scherer (eds) Social markers in speech, Cambridge University Press, Cambridge, pp 33–62, 1979) framework for the analysis of communicative situations and Fuentes Rodríguez’s (Lingüística pragmática y Análisis del discurso, Arco Libros, Madrid, 2000; in Estudios de Lingüística: Investigaciones lingüísticas en el siglo XXI, 2009. https://doi.org/10.14198/ELUA2009.Anexo3.04 ) model of pragmatic analysis, this paper examines three home-made recordings featuring some of the members of the terrorist cell responsible for the 2017 vehicle-ramming attacks in Barcelona and (...) Cambrils weighted as evidence during the trial held between November 2020 and May 2021 in the Spanish National High Court. The aim of this qualitative analysis is to test whether the linguistic evidence available supports the allegation that the participation in these recordings by one of the accused, Mohamed Houli Chemlal, had been planned by his interlocutors. Results show, first, that the exchanges analyzed present features indicative of both spontaneity and (limited) planification. Second, that Houli makes key contributions to the unfolding of the interactions shown in the recordings and that he does so in a cooperative and apparently relaxed manner, which could at best provide only partial support to his allegations. It is claimed that forensic linguistic analysis can generate valuable insights within terrorism-related legal proceedings. (shrink)

Les pràctiques d’okupació que sorgeixen a mitjans dels 80 al nostre país son considerades un moviment social per múltiples autors (Calle, 2005; Pruijt, 2004; Martínez, 2002). L’any 2006 apareix arreu de l’Estat un nou moviment social diferenciat, el moviment per l’habitatge. Aquest moviment organitzà joves d’arreu de l’Estat espanyol i, els anys posteriors, consolidà centenars de plataformes d’afectats per les hipoteques de totes les edats. Les seves propostes i demandes han estat un full de ruta en l’aterratge pràctic del moviment (...) del 15-M. L’objectiu d’aquest article és comparar aquests dos moviments urbans que es poden entendre també com a pràctiques emancipadores de la joventut i noves formes de participació dels joves en la societat civil.The practical of squatting that arrived to our country in the 80’s is considered a social movement by multiple authors (Calle, 2004; Pruijt, 2004; Martínez, 2002). The year 2006 appears a new and differentiated social movement, the housing movement. This movement organized young people of all over the country, and therefore consolidated hundreds of platforms of affected by the mortgages of different ages. Their proposals and demands have been a rate routing coming from the 15-M movement. The aim of this article is to compare these two urban movements that could be also understood as emancipation practices and new shapes of participation of the civil society. (shrink)

ResumenEl artículo presenta una de las versiones de la teoría sociológica del riesgo, en la tradición de estudios sobre la diosa Fortuna. En concreto, la desarrollada por Ulrich Beck. Desde esta posición, analiza la interpretación que beck hace de la modernidad en los términos de «modernidad reflexiva» y extrae las consecuencias que se derivan para una concepción moderna y reflexiva de lo políticoPALABRAS CLAVEMODERNIDAD-POLITICA-RIESGO-BECK-FORTUNAABSTRACTThe paper deals with one of the versions of the sociological theory of risk, within the tradition of (...) studies on the goddess Fortune. Namely, the one developed by Ulrich Beck. From this position, it examines Beck's interpretation of modernity in terms of «reflexive modernity» and draw its consequences for a modern, reflexive conception of the political KEYWORDSMODERNITY- POLITICS-RISK-BECK-FORTUNE. (shrink)

El presente artículo sostiene la siguiente hipótesis: la inmensa mayoría de las conceptualizaciones teóricas con las que, a inicios del siglo XXI, se intenta dar cuenta de la subjetividad contemporánea son explícita o subrepticiamente reelaboraciones del concepto de superhombre. De ciborgs a posthumanos, pasando por una amplia y variada gama de sujetos contemporáneos, se puede apreciar que el concepto de Übermensch aporta las claves fundamentales con las cuales deconstruir el concepto de identidad fija que pone en juego el universalismo abstracto. (...) Siguiendo la teorización de Nietzsche, estas nuevas posiciones teóricas proponen una forma particular y concreta de vida como alternativa a las dicotomías y trasmundos con que la metafísica construyó a los sujetos del pasado. Sin embargo, estas propuestas han pasado por alto algo fundamental. Para demostrarlo, proponemos una relectura de Nietzsche y de dichos conceptos con el objetivo de plantear una nueva manera de pensar sobre la vida. (shrink)