Disability has been traditionally understood as a medical condition. However, people with disabilities have claimed in recent decades for a dephatologized social model of disability—i.e. the functi...

“Hacia una nueva ética médica” es el título del capítulo 5 de Confesiones de un médico (Triacastela, Madrid, 2011), la versión española del libro del médico y filósofo norteamericano Alfred Tauber, cuidadosamente traducida por Antonio Casado da Rocha. En él, se abordan cuestiones relacionadas con la alteración identitaria que supone la enfermedad, la deshumanización de la medicina y sus causas y la necesidad de un cambio radical en el enfoque de la relación médico-paciente para combatirla. En una sociedad que prioriza (...) la autonomía individual, dice Tauber, conviene recordar que estar enfermo supone la pérdida de esa autonomía y autosuficiencia. Por tanto, los profesionales sanitarios, cuya relación con los usuarios es necesariamente asimétrica, no sólo han de aplicar los correspondientes procedimientos técnicos, sino que han de asumir la obligación moral de restaurar la salud de sus pacientes. .. (shrink)

¿Por qué recurren las mujeres migrantes a un método abortivo clandestino cuando existen cauces regulados y gratuitos para interrumpir el embarazo? A partir de un caso relatado en una noticia de prensa, el presente trabajo pretende ofrecer argumentos capaces de fundamentar una posible respuesta. Frente al modelo médico hegemónico, el uso del misoprostol extiende el debate no sólo a la identificación de las disfunciones del sistema sanitario español, sino a discursos relacionados con la identidad y a planteamientos autogestionarios de empoderamiento (...) para las mujeres. (shrink)

Este libro es un homenaje a la trayectoria intelectual y académica de la profesora María Teresa López de la Vieja, Catedrática emérita de la Universidad de Salamanca. En él se trazan algunos de los caminos que, con su obra, nos invita a transitar. El volumen recoge contribuciones de colegas de varias nacionalidades y procedentes de diversos ámbitos de reflexión que le son afines: la filosofía moral y política, la literatura, la teoría de la argumentación, los estudios feministas, las éticas aplicadas, (...) la bioética. Los capítulos que componen este libro dan voz a varias generaciones de investigadoras e investigadores que han acompañado y acompañan su andadura académica y que aquí dialogan con ella haciendo propias sus preocupaciones intelectuales. Con su participación contribuyen al justo reconocimiento de su dedicación a la labor docente e investigadora. (shrink)

En diciembre de 2011, Samba Martine, interna del Centro de Internamiento para Extranjeros de Aluche, muere de una infección evitable por no haber sido diagnosticada y tratada de manera adecuada, a pesar de haber solicitado insistentemente asistencia sanitaria. La madre de Samba, con el apoyo de varias entidades sociales, denuncia los hechos y llega a los tribunales. Ocho años más tarde, en junio de 2019, se anuncia la absolución por homicidio imprudente del único responsable procesado. Nueve años más tarde, en (...) octubre de 2020, el Ministerio de la Presidencia, Relaciones con las Cortes y Memoria Democrática emite una Resolución por la que se atiende la reclamación de responsabilidad patrimonial por el fallecimiento de Samba Martine. Tomando como punto de partida este caso, este trabajo tiene como objetivo analizar los factores que hacen de él un ejemplo de injusticia epistémica en tres niveles interrelacionados: micro, meso y macro. La relevancia de esta propuesta radica en mostrar cómo la dejación de funciones por parte de la Administración y sus instituciones contribuye a generar una ignorancia, que, combinada con la falta de credibilidad del testimonio de la víctima, tiene como resultado final su muerte. Lejos de ser un caso anecdótico, situaciones de injusticia epistémica como esta forman parte de la cotidianeidad de numerosas personas migrantes indocumentadas, que después de periplos de sufrimiento terminan internadas en limbos legales como los CIE. (shrink)

In this commentary, we criticize the argument that allowing euthanasia for people with disabilities is ableist. We analyze the distinction between facts and values in medical assistance in dying, the expressivist objection, and the problem of crypwashing.

Blind, deaf, and mute: the healthcare system regarding conscientious objection to abortion Resumen: A la luz de la obra de Fernando Broncano, Conocimiento expropiado (2020), este trabajo plantea la objeción de conciencia generalizada al aborto como un fenómeno que origina situaciones de injusticia epistémica. El acceso a la información, el disvalor del testimonio de las mujeres y el silencio cómplice, individual e institucional, perpetuador de la ignorancia sistémica son realidades que afectan a un número indeterminado de mujeres que requiere la (...) interrupción de su embarazo. Para hacer frente al daño generado, se plantea cómo las redes y movimientos pro-elección distribuyen información y recursos sobre el aborto fuera del ámbito clínico y se organizan como fuerzas de resistencia epistémica, capaces de crear y compartir conocimiento en un ejercicio de democracia radical, en el sentido expresado por Broncano. Abstract: In accordance with Fernando Broncano’s work, Conocimiento expropiado (2020), this paper considers the widespread conscientious objection to abortion as a phenomenon that creates situations of epistemic injustice. Access to information, devaluation of women’s testimony, as well as individual and institutional complicit silence that perpetuates systemic ignorance, are realities that affect an indeterminate number of women who require the termination of their pregnancies. In order to address the damage generated, we consider how pro-choice networks and movements distribute information and resources on abortion outside the clinical sphere. They also organise themselves as forces of epistemic resistance, capable of creating and sharing knowledge in an exercise of radical democracy, in the sense expressed by Broncano. Palabras clave: Objeción de conciencia, aborto, injusticia epistémica, ignorancia institucional, resistencia epistémica. Keywords: Conscientious objection, abortion, epistemic injustice, institutional ignorance, epistemic resistance. (shrink)

The so-called uncontrolled donation after circulatory determination of death (uDCDD) have been implemented in several countries, including Spain and France, to increase the availability of organs for transplantation. These protocols allow obtaining kidneys, livers and lungs of patients who do not survive cardio-pulmonary resuscitation performed in out-of-hospital settings. Simultaneously with the development and recent proliferation of these protocols, some emergency teams have begun to employ unconventional methods of CPR, with still uncertain but promising results. The coexistence of these two possibilities (...) raises some questions: At what point should attempts to save a patient with circulatory arrest be abandoned so that this individual can begin to be considered as a potential organ donor? How to manage potential conflicts of loyalties that may arise within emergency and procurement teams? How should the information to the families of those patients and potential organ donors be managed? This article gathers the conclusions of a workshop in which an interdisciplinary working group addressed these and other questions related to DCDD and non-conventional CPR. (shrink)

Currently, a central question in biology is how signals from the cell surface modulate intracellular processes. In recent years phosphoinositides have been shown to play a key role in signal transduction. Two phosphoinositide pathways have been characterized, to date. In the canonical phosphoinositide turnover pathway, activation of phosphatidylinositol‐specific phospholipase C results in the hydrolysis of phosphatidylinositol 4,5‐bisphospate and the generation of two second messengers, inositol 1,4,5‐trisphosphate and diacylglycerol. The 3‐phosphoinositide pathway involves protein‐tyrosine kinase‐mediated recruitment and activation of phosphatidylinositol 3‐kinase, resulting (...) in the production of phosphatidylinositol 3,4‐bisphosphate and phosphatidylinositol 3,4,5‐trisphosphate. The 3‐phosphoinositides are not substrates of any known phospholipase C, are not components of the canonical phosphoinositide turnover pathway, and may themselves act as intracellular mediators. The 3‐phosphoinositide pathway has been implicated in growth factor‐dependent mitogenesis, membrane ruffling and glucose uptake. Furthermore the homology of the yeast vps34 with the mammalian phosphatidylinositol 3‐kinase has suggested a role for this pathway in vesicular trafficking.In this review the different mechanisms employed by protein‐tyrosine kinases to activate phosphatidylinositol 3‐kinase, and its involvement in the signaling cascade initiated by tyrosine phosphorylation, are examined. (shrink)

v. 1. Globalización y derecho, justicia y profesión jurídica -- v. 2. Regulación, cultura jurídica, multiculturalismo, pluralismo jurídico y derechos humanos.

Dos místicos relativamente contemporáneos: Etty Hillesum y Benjamín González Buelta; dos estilos, dos contextos y una coincidencia establecida desde sus experiencias espirituales, en profunda conexión con la realidad, en medio de la vida y sus desafíos. Hillesum no habla propiamente de la experiencia mística, sin embargo, su proceso personal existencial en el duro contexto de guerra que le tocó vivir, la condujo a descubrirse profundamente habitada. Su experiencia de Dios le hizo posible comprender y gestionar el dolor en medio de (...) la guerra, así como la necesidad de ‘hacerse bálsamo sobre las heridas’ de sus hermanos judíos. Etty es una mística de ojos abiertos. Benjamín González Buelta ha profundizado en la comprensión de la mística, describiéndola y analizándola desde la experiencia de Dios en el contexto latinoamericano. Su reflexión permite hoy leer a Etty Hillesum desde la perspectiva del místico de ojos abiertos. (shrink)

Contemporary biological research has suggested that some host–microbiome multispecies systems (referred to as “holobionts”) can in certain circumstances evolve as unique biological individual, thus being a unit of selection in evolution. If this is so, then it is arguably the case that some biological adaptations have evolved at the level of the multispecies system, what we call hologenomic adaptations. However, no research has yet been devoted to investigating their nature, or how these adaptations can be distinguished from adaptations at the (...) species-level (genomic adaptations). In this paper, we cover this gap by investigating the nature of hologenomic adaptations. By drawing on the case of the evolution of sanguivory diet in vampire bats, we argue that a trait constitutes a hologenomic adaptation when its evolution can only be explained if the holobiont is considered the biological individual that manifests this adaptation, while the bacterial taxa that bear the trait are only opportunistic beneficiaries of it. We then use the philosophical notions of emergence and inter-identity to explain the nature of this form of individuality and argue why it is special of holobionts. Overall, our paper illustrates how the use of philosophical concepts can illuminate scientific discussions, in the trend of what has recently been called metaphysics of biology. (shrink)

Functions and objectives serve as an incentive for children living in Brazil to question their role as a child in society.

In this paper I analyze the use of the concepts of «God» and «Sovereign» in the Later Middle Age. I try to show the analogies between the properties of both concepts. On the other hand I analyze: 1 o the epistemological problems of the relation God-World and State-Law; 2° the analogy between the miracle and the original constitutive power; 3° the resemblance between the pope infallibility and the sentence of a supreme tribunal. At the end I make reference to the (...) legitimatory role of these analogies to enhance the institution of the sovereign in these historical context. (shrink)

The last years of the 20th Century have been somewhat contradictory with respect to values like loyalty, trust or truthfulness. On the one hand, (often implicitly, but sometimes very explicitly), self-interest narrowly defined seems to be the dominant force in the business world, both in theory and in practice. On the other hand, alliances, networks and other forms of cooperation have shown that self-interest has to be at least "enlightened".The academic literature has reflected both points of view, but frequently in (...) an ambiguous way, since the concepts of loyalty and trust are somewhat elusive and equivocal. This paper attempts to analyze the concept of loyalty in depth, examining the different conceptions about the word that can be found in the literature. We begin by going to the management classics (specifically, Follett, Barnard and Simon), and we then turn to the anthropological approach of Pérez López (1993), with its built-in ethical analysis, and show how trust and loyalty are crucial to the development of organizations. We end by suggesting in what ways loyalty and trust can be created and fostered in organizations. (shrink)

In this paper, we review the conventional analyses of management control systems, to conclude, first, that the illusion of control can mislead managers into believing that everything can be controlled and monitored, and, second, that no incentive system based only on extrinsic rewards can motivate individuals properly. Then, we investigate the philosophical foundations of the basic assumptions that, implicitly or explicitly, are made about the nature of the acting person. Based on personalist phenomenology, we show how the development of technical (...) and moral values is crucial to the long-run survival of organizations. We end by offering some guidelines as to what control systems should be like in order to be compatible with the nature of human persons. (shrink)

Holobionts are symbiotic assemblages composed by a host plus its microbiome. The status of holobionts as individuals has recently been a subject of continuous controversy, which has given rise to two main positions: on the one hand, holobiont advocates argue that holobionts are biological individuals; on the other, holobiont detractors argue that they are just mere chimeras or ecological communities, but not individuals. Both parties in the dispute develop their arguments from the framework of the philosophy of biology, in terms (...) of what it takes for a “conglomerate” to be considered an interesting individual from a biological point of view. However, the debates about holobiont individuality have important ontological implications that have remained vaguely explored from a metaphysical framework. The purpose of this paper is to cover that gap by presenting a metaphysical approach to holobionts individuality. Drawing upon a conception of natural selection that puts the focus on the transgenerational recurrence of the traits and that supports the thesis that holobionts are units of selection, we argue that holobionts bear emergent traits and exert downward powers over the entities that compose them. In this vein, we argue, a reasonable argument can be made for conceiving holobionts as emergent biological individuals. (shrink)

Traditionally the study of chemical elements has been limited to well-known concepts like the periodic properties and chemical families. However, current information shows a new and rich language that allows us to observe relations in the elements that are not limited to their positions in the table. These relations are evident when reactions are represented through networks, as in the case of similar reactivity of organic compounds sharing functional groups. For the past two decades, it has been argued that network (...) reactions may be considered the core of chemistry. This network, which constitutes the basic set of chemical knowledge, provides the basis for classification and delivers routes to obtain new and known substances. In order to provide an example, we constructed and analyzed a network of chemical elements from the formation of stoichiometric binary compounds, providing to the chemistry, a formal structure of extracting the chemical knowledge. Thus, we explored all possible presence of relationships among elements. Concepts like degree centrality and centralization, the relationships among metals, semimetal and nonmetal classes, blocks, and chemical families were analyzed. We observed that the network structure had a small core set of elements of high reactivity and also a peripheral set of elements of low reactivity. The classes, blocks and families show the following increasing order of reactivity: nonmetals > semimetals > metals; p > s > d > f; and families: boron, carbon, pnictogens, chalcogens, halogens, lanthanoids > other families. This example shows, from the network perspective, that the elements and their classifications exhibit properties such as the reactivity, order, and similarity. (shrink)

There are many theories about organizations that are mutually inconsistent with each other, which explain phenomena to very similar extents. Most of them ignore the ethical dimension completely. In this paper I put forth the basic principles for a theory of decision-making in organizations, which integrates ethics in the core of the theory. It is based on the work of Juan Antonio Pérez López [1991, Teoría de la Acción humana en las organizaciones (Ediciones Rialp, Madrid), 1993, Fundamentos de la Dirección (...) de Empresas (Ediciones Rialp, Madrid)] and is essentially a humanistic view of the interrelationships between people and its implications for organizational decision-making. I will first show that in any relationship between two people, the learning of the two is crucial for such a relationship to last; and then I will expand on the different aspects of that learning. This analysis will then be applied to the organizational context as a basis for organizational decision-making, Second, it applies the previous analysis to the organizational context as a basis for organizational decision making, showing how any decision in an organization needs to be analyzed on the basis of three criteria (short-run effectiveness, development of distinctive competence, and unity and identification with the organization) and how ethics is included in the last two. (shrink)

Our aim is to put into consideration the topics of “semantics”, “types”, “lifeworld” and “intersubjectivity” following the social theories of Alfred Schutz and Niklas Luhmann. First of all, and inversely to Luhmann’s perspective which receives the schutzian theory comparing equal types and semantics, we will show that types are inherent to subjectivity. Secondly, and consequently, we state that the social systems theory in the analysis of the “lifeworld”, does not pay attention to the past character of its constitution. Last, but (...) not least, we will point out that all these aspects are framed in a critique of the phenomenological notion of intersubjectivity, which from the luhmannian point of view, ignores the autonomy of consciousness, as well as the emergent character of the social. (shrink)

Pan es un dios peculiar en muchos aspectos. Al contrario que los restantes dioses del panteón griego, él no es antropomorfo, sino que tiene patas, cola y cuernos de carnero. Un dios con características tan arcaicas sólo puede sobrevivir confinado a la Arcadia, una región que conserva numerosos arcaísmos religiosos. Sin embargo, a partir del 490 a.C. en que se instaura su culto en Atenas, el dios comienza a cambiar. En su evolución, Pan se asimila cada vez más a Dioniso. (...) El acercamiento entre ambas figuras deja su huella en el mito, pero sobre todo en el culto. Así, un dios que en Arcadia era venerado en santuarios construidos por la mano del hombre, en el resto de Grecia recibe culto en parajes agrestes, fundamentalmente cuevas. No parece casual el hecho de que también fuera de Arcadia la gruta sea el lugar reservado a los cultos mistéricos, incluidos los dionisíacos Pan is a god peculiar in many respects. In contrast to the other gods of the Greek pantheon, he is not anthropomorphic, but he has the legs, tail and horns of a goat. These features show his age. A god like Pan can only survive in Arcadia, a region that preserves many religious archaisms. However, from 490 BC, when his cult is established in Athens, this god begins to change. In his evolution, Pan becomes increasingly assimilated the god Dionysus. The rapprochement between the two gods left his mark on the mythology, but especially in the cult of Pan. Thus, a god who was worshiped in Arcadia in sanctuaries built by men, in the rest of Greece is worshiped in wild shrines, mainly caves. Out of Arcadia, the grotto also is the place reserved for the mystery cults, including the Dionysian ones. Does not seem a coincidence. (shrink)

El análisis pretende acercarse a las cuestiones que se derivan del reconocimiento de la educación como un componente clave de la reconversión productiva de las ciudades. La construcción local de prioridades educativas constituye, a nuestro juicio, unos de los territorios en los que hemos de problematizar los modos en que es tematizada la reconversión de la ciudad de rango medio en el discurso social de Olavarría, Argentina. Para ello se procura dar cuenta de aquellos factores estructurales que contribuyen a la (...) emergencia de nuevos actores, nuevos discursos y nuevos significados al tiempo que abrevan en el pasado, lo redefinen y resignifican. (shrink)

This paper addresses the possibility of robots engaging in sports. Recently, several movies like Ex-Machina, Chappi, and Transcendence challenge the spectator to think of the consequences of creating artificial intelligences. Although we refer to athletes who have outstanding sporting performances as machines, for example, in cycling people say ‘the cyclist looked like a machine with wheels,’ the potential participation of such AI in sport has not been addressed. For our argument’s sake, we will assume that the creation of human-like robots (...) who will mirror human athletes’ behavior in the playing field will be possible. Recent advances in cybernetics and robotics point in this way. As argued in the literature on philosophy of mind, the fact that intelligent robots seem to be doing something does not imply they are actually doing it. Understood in this way, sport can be conceived as a particular ‘imitation game’ or Turing test, which permits us to distinguish between an artificial intelligence... (shrink)

Este artículo se pregunta qué se conmemorará realmente en el 40° aniversario de la guerra de Malvinas (1982-2022), contrastando las modalidades de recordación pública que tendrán lugar en 2022 y las lecturas que ha aportado la academia sobre lo sucedido en aquel entonces. La reflexión elabora comparativamente estos significados y describe qué hemos hecho los investigadores argentinos en ciencias sociales con el conflicto armado anglo-argentino por las Malvinas e Islas del Atlántico Sur, examina los fundamentos que subyacen a esos significados (...) y sostiene la tesis de que los académicos universitarios hemos ignorado el carácter bélico de la iniciativa de la tercera junta de la última dictadura militar, el autodenominado Proceso de Reorganización Nacional (1976-1983). Así, este artículo muestra que los protagonistas directos de la guerra y sus analistas postulan sentidos alternativos que se reelaboran como una paradoja de difícil comprensión: una causa popular originada en una cuestión de soberanía territorial pendiente fue acometida, con éxito y respaldo popular, por una ya antipopular y sangrienta dictadura militar. (shrink)

La disfasia es un término que conceptualiza una entidad gnoseológica relacionada con la organización del lenguaje en su evolución. Es un trastorno grave y de prolongada duración que afecta a niños desde el inicio del desarrollo del lenguaje, se extiende a toda la infancia y la adolescencia y puede dejar secuelas en el estado adulto. En esta revisión bibliográfica se propone un acercamiento a la comprensión de sus dimensiones, concepto, síntomas y pautas para el diagnóstico e intervención desde el enfoque (...) de la Comunicación. Dysphasia is a term that conceptualizes a gnoseologic entity related to the organization of language in its evolution. It is a severe and prolonged duration disorder that affects children since the beginning of the language development and extends to all children and adolescents; it can also leave consequences in the adult stage. This review proposes an approach to the understanding of its dimensions, concept, symptoms and guidelines for the diagnosis and involvement from a communication perspective. (shrink)

RESUMEN El presente trabajo de revisión expone cómo las prácticas de gestión en la anestesiología deben ser modificadas para encarar las cambiantes necesidades de pacientes, otros profesionales y sistemas sanitarios, a fin de mantener una función significativa en la atención sanitaria. Los servicios de anestesia han adoptado una amplia variedad de modelos para hacer frente a las necesidades del medio local, la relación entre los anestesiólogos y la comunidad, y los papeles desempeñados por los anestesiólogos en el tratamiento perioperatorio. El (...) sistema sanitario cubano se encuentra inmerso en un proceso de permanente adecuación de sus servicios a los problemas, demandas y necesidades de la población cubana y sus determinantes. Por ello, objetivo es exponer consideraciones teóricas en función del perfeccionamiento del servicio de Anestesiología y Reanimación. ABSTRACT This review paper presents how anesthesiology management practices must be modified in order to deal with the changing needs patients, other professionals and health systems have, in order to maintain a significant function in health care. Anesthesiology services have adopted a wide variety of models to face up to the needs the city, the relationship between anesthesiologists and the community and the role anesthesiologists play in perioperative treatment have. The Cuban health system services are in a process of permanent adaptation to the problems, demands and needs the Cuban population and its determinants have. For that reason, this paper aims at presenting theoretical considerations towards the improvement of the Anesthesiology and Resuscitation service. (shrink)