In the international context of a progress toward more inclusive educational systems and practices, the role of Special Education teachers is being transformed. From an inclusive perspective, these professionals increasingly support students and their teachers in the mainstream classroom, avoiding segregation. However, Special Education teachers often struggle to reach and support all students with special needs and their teachers to provide quality inclusive education. For this reason, more research is still needed on in-service training strategies for the inclusion of students (...) with special needs that effectively translate into evidence-based school practices that improve the education of all students. This article analyses the impact of two evidence-based dialogic training programs of Special Education teachers working in mainstream schools carried out in Mexico during the 2018–2019 school year. Through in-depth interviews with participants, it was identified how, after the training, teachers increasingly grounded their actions on scientific evidence and promoted interactive learning environments that improved the educational inclusion of their students with special needs. This training also became the venue to make evidence-based educational actions available to other students without special needs, improving the quality of education provided to all students. (shrink)

IntroductionThe assessments of the motor symptoms in Parkinson’s disease are usually limited to clinical rating scales, and it depends on the clinician’s experience. This study aims to propose a machine learning technique algorithm using the variables from upper and lower limbs, to classify people with PD from healthy people, using data from a portable low-cost device. And can be used to support the diagnosis and follow-up of patients in developing countries and remote areas.MethodsWe used Kinect®eMotion system to capture the spatiotemporal (...) gait data from 30 patients with PD and 30 healthy age-matched controls in three walking trials. First, a correlation matrix was made using the variables of upper and lower limbs. After this, we applied a backward feature selection model using R and Python to determine the most relevant variables. Three further analyses were done using variables selected from backward feature selection model, movement disorders specialist, and all the variables from the dataset. We ran seven machine learning models for each model. Dataset was divided 80% for algorithm training and 20% for evaluation. Finally, a causal inference model using the DoWhy library was performed on Dataset B due to its accuracy and simplicity.ResultsThe Random Forest model is the most accurate for all three variable Datasets followed by the support vector machine. The CIM shows a relation between leg variables and the arms swing asymmetry and a proportional relationship between ASA and the diagnosis of PD with a robust estimator.ConclusionsMachine learning techniques based on objective measures using portable low-cost devices are useful and accurate to classify patients with Parkinson’s disease. This method can be used to evaluate patients remotely and help clinicians make decisions regarding follow-up and treatment. (shrink)

This study aimed to investigate the student-athletes' capability to face the academic, sport, and social challenges during the coronavirus disease 2019 (COVID-19) lockdown and to disclose novel aspects of dual careers. A 32-item online survey encompassing demographic characteristics, sport and university engagement, support and dual-career benefits, physical activity, sitting time, and the time deemed necessary to recover the previous level of performance was developed. Four hundred sixty-seven student-athletes (males: 57%, females: 43%) from 11 countries, competing in 49 different sports (individual: (...) 63.4%, team: 36.6%) at regional (17.5%), national (43.3%), and international (39.2%) levels, and enrolled at high school (21.9%) and university (78.1%) levels completed the survey. During the lockdown, the respondents decreased the time dedicated to sport and academics, although they maintained an active lifestyle. Student-athletes from countries under severe contagion were more likely to train at home, dedicate to academics, and receive support from the coach but less likely receive support from their teachers. With respect to their team sport counterparts, athletes competing in individual sports trained more and were more likely to receive support from their coaches. International athletes showed the highest training time and support from their coaches and as student-athletes. High school students received more support from their coaches and teachers, whereas university students were more likely considering dual careers useful to cope with the COVID-19 pandemic. This study substantiates the relevant role of competitive sports participation in the maintenance of active lifestyles, with student-athletes considering home training and e-learning valuable resources during the lockdown. Furthermore, their sport and academic commitments helped student-athletes cope with the emergency of the COVID-19 pandemic. (shrink)

IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process (ICP). 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 (with a focus on kidney biopsy benefits, how the biopsy is done and potential complications) 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 (achieved by 98.9% of the candidates) but significantly reduced for potential complications (37.8%) and biopsy description (42.2%). Only 17.8% of the candidates mentioned the legal perspective of ICP. Death (as a potential complication) was omitted by the majority of the candidates (93.3%); 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 (≥80%), 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)

Reseña a García Figueroa, Alfonso. Moral de victoria. Terrasa: Hexis, 2021, 368 pp.

Las células madre embrionarias humanas son células pluripotentes con potenciales aplicaciones en medicina regenerativa e interés considerable en investigación y biotecnología. Sin embargo, dada la estrecha relación con principios morales y bioéticos, ha existido una considerable discusión sobre la posibilidad de patentar o no este tipo de células madre. En el presente artículo, se revisa la legislación europea en materia de propiedad industrial, y la tradición del sistema jurídico continental en el reconocimiento de la dignidad humana como principio fundamental y (...) su relación con la protección de invenciones biotecnológicas, centrados en la reciente sentencia del caso Brüstle v. Greenpeace e.V. (shrink)

El presente trabajo se propone determinar un criterio con que interpretar de modo global el desarrollo del pensamiento de Giovanni Gentile. Su caracterización como pensador neohegeliano no da razón del sentido global de su filosofía ni de sus efectivos puntos de partida ni de los pensadores con los que directamente se midió. El trabajo hace ver que, con Donato Jaja, su maestro universitario, la tradición idealista iniciada por Bertrando Spaventa se separa definitivamente de la interpretación de Hegel y se constituye (...) como tradición autónoma. En ese sentido, buscamos precisar los rasgos característicos de la personalidad filosófica de Gentile dentro de dicha tradición y concluimos que Vico ocupó un papel nuclear en ella. (shrink)

Democracies face an epistemic crisis: incentivizing bullshit. Here “bullshit”—coined by philosopher Harry Frankfurt—means convincing truth-insensitive statements or claims. This paper focuses on several democratic factors that incentivize bullshit: deliberative transparency, epistemic spillover effects, and rational irrationality. These factors pollute the epistemic commons, decrease institutional trust, and enact epistemic injustice. Unfortunately, it is difficult to separate democratic governance from incentivizing bullshit.

Este artículo analiza una de las facetas más relevantes del pensamiento político de Lord Acton: la relación entre catolicismo y liberalismo. Se utilizan algunos de sus escritos más significativos de esa temática durante las décadas de 1850 a 1870, complementados con datos procedentes de su correspondencia y teniendo muy presente los principales estudios disponibles sobre su biografía intelectual. Aquí se sostiene que Acton planteó una simbiosis de catolicismo y liberalismo significativamente particular, deudora de la tradición liberal inglesa, pero con un (...) componente de análisis historiográfico y ético que la singulariza de forma notable. Su forma de entrelazar cristianismo e individualismo moral, a partir de lo que denominó “the Christian notion of conscience”, enfrentaba radicalmente a la iglesia con cualquier forma de despotismo y se amparaba en una ineludible separación de esferas. Esto explica su rechazo a los decretos conciliares proclamados por Pío IX en 1870 y su incómoda y ambigua posición dentro de la iglesia tras esa fecha. Pero también su aportación singular y no exenta de contradicciones al intento de conciliación entre catolicismo y liberalismo en la Europa del último cuarto del siglo XIX. (shrink)

Silence is reserved for what cannot be verbally expressed. The well-known Wittgensteinian quote summarizes an established understanding of the relationship between language and silence: because language is not enough to account for reality and thinking, it must be transcended by other means of expression, like music or silence. But what if the opposite is the case and silence is not the extension but the precondition of language, the ultimate source of meaning? This paper explores how this is the phenomenological and (...) Derridean philosophical framework of Coetzee’s novels, a literary universe created from the will to signify and build singular meanings. (shrink)

Este trabajo analiza la huella del estoicismo clásico en el cine de Aki Kaurismäki. Distingue tres tipos de aproximaciones a la obra de Epicteto a lo largo de la trayectoria cinematográfica del director finlandés: películas protoestoicas, dramas antiestoicos que muestran el fracaso del Enquiridión y películas de un estoicismo revisado que lo hacen compatible con la empatía, la solidaridad y el carácter fundamental de las relaciones afectivas para la vida humana en nuestro presente. Frente a la visión triunfante del individuo (...) hecho a sí mismo, preconizada por el «neoestoicismo» en boga, los estoicos perdedores humanos de Aki Kaurismäki nos llevan de regreso al verdadero propósito del arte de vivir epictetiano: aminorar y evitar el sufrimiento humano. (shrink)

Fernando González Ochoa es un referente de la filosofía colombiana y latinoamericana y como tal ha sido tomado en cuenta seriamente por grandes escritores y pensadores a nivel mundial. Entre ellos se encuentra el filósofo francés Jean-Paul Sartre, considerado como uno de los grandes precursores del existencialismo y que presuntamente elogió abiertamente el pensamiento de González. Ante ello, en este artículo se indagará sobre algunas consideraciones que configurarían la construcción de un sujeto existencial en ambos pensadores, colocando entre otras temáticas (...) la mala fe, la remembranza del tiempo y la construcción de una reflexión basada en la existencia que tiene como punto central la aceptación, convicción y certeza de la realidad humana. (shrink)

There is an important debate in the philosophy of mind that has roots in the phenomenological tradition, namely: what are the primitive forms of consciousness, that is, what are the fundamental ingredients or aspects of consciousness. This paper wants to contribute to partially answering this general question by providing an answer to a required sub-question within this question: is emotional phenomenology fundamental? I will answer in the affirmative and will offer an argument focused on contemplative emotions elicited by fiction. Another (...) type of contemplative emotions, namely, esthetic emotions, have been invoked in the literature but I will argue that the phenomenology of emotions elicited by fiction, given their continuity and sameness in kind with the phenomenology of garden variety emotions, are more dialectically efficient vis-à-vis the debate on the irreducibility of emotional phenomenology. (shrink)

El texto recoge una conferencia sobre los desafíos de fondo que se plantean a la teología hoy, situando esta tarea en el marco del magisterio del papa Francisco. El autor presenta la tarea teológica como parte de la vida del Pueblo de Dios, de su dinámica intrínseca de inculturación del Evangelio en la cultura de su tiempo. Desarrolla brevemente esta perspectiva a partir de la primera gran inculturación en las sociedades grecorromanas, subrayando rasgos que manifiestan esta vinculación de la teología (...) con el camino del Pueblo de Dios. Después el autor evidencia algunas exigencias que tiene la teología hoy para mantener tal identidad y realizar su misión: evitar la tentación racionalista que reinterpreta la intervención de Dios en la historia; ensanchar los límites de una razón reducida a lo empírico-matemático; y responder al desafío hermenéutico implicado en afirmar la novedad evangélica presente históricamente en el Pueblo de Dios. Se concluye con la identificación de algunas de estas coordenadas en las enseñanzas en la Veritatis Gaudium de Francisco. (shrink)

En el presente trabajo se pretende reconstruir la noción de imaginación expuesta por Kant en la "Crítica de la razón pura", en su primera edición, y en la "Crítica del juicio" con el fin de poder dilucidar un posible papel de este concepto en el marco de la ética kantiana. -/- .

Zygmunt Bauman, la tarea de construir un nuevo orden para reemplazar al viejo y oxidado actualmente ya no forma parte de ninguna agenda. La modernidad de hoy vive en una continua licuefacción: es la modernidad líquida. Por eso, advertida la dificultad de la tarea –dado que nos enfrentamos a un escenario en permanente transformación– y teniendo en cuenta que las reflexiones de nuestro autor distan mucho de ser una catalogación exhaustiva, el objetivo de este artículo es señalar una distinción primordial: (...) la contraposición entre ética y moral que trasluce en los textos de Zygmunt Bauman. Este contraste es necesario como presupuesto para secundar una aspiración de Bauman: la de hacer de la modernidad líquida un periodo histórico un poco más moral. Además, la relevancia de establecer este contraste se hace manifiesta al adquirir la convicción de que muchas de las ideas de fondo que subyacen detrás de las afirmaciones de Bauman no se nos presentan directamente ante los ojos, sino que han de ser reconstruidas. Por eso, comenzaremos por justificar la importancia de establecer tal distinción, para después ahondar en las nociones que el sociólogo polaco denominaba ética moderna y ética posmoderna, y, a partir de ahí, dilucidar mejor lo que sería para Bauman la moral. Cerraremos nuestro artículo haciendo una valoración de esta perspectiva de Bauman que, como él mismo reconoce, adolece de la misma ingénita incertidumbre del fenómeno analizado. (shrink)

Resumen En el presente artículo repasaremos someramente algunos de los hitos más reseñables de la historia militar del Imperio Romano Tardío, haciendo hincapié en el papel de los bárbaros que luchaban junto a los romanos, puesto que la barbarización del ejercito romano ha sido uno de los puntos de referencia en las investigaciones acerca de la decadencia y caída del Imperio Romano. En este sentido, haremos referencia al papel integrador que tuvo el ejército romano durante buena parte de la historia (...) del Imperio Romano, y señalaremos los principales hechos que condujeron al final de dicho papel; esbozando también las desastrosas consecuencias que tuvo este hecho para el futuro del Imperio, especialmente del Occidental. Palabras clave: Bárbaros, ejército, integración, migración, godos, reclutamiento.In this article we will briefly review some of the most important milestones in the military history of the Late Roman Empire. In it we will emphasize the role of the barbarians who fought with the Romans, since the barbarización of the Roman army is one of the points of reference in the investigations about the decay and fall of the Roman Empire. In this sense, we will refer to the role played by the Roman army in the integration of foreigners during a large part of the history of the Roman Empire. In addition, we will point out the main events that led to the end of this integrating role; we will also indicate the disastrous consequences this fact had for the future of the Empire, especially for the Western part. Key words: Barbarians, army, integration, migration, goths, recruitment. (shrink)

RESUMEN Largamente desatendida o malinterpretada, la noción de caos en la filosofía de Nietzsche es una pieza constitutiva de la particular concepción del ser que este autor habría dejado apenas esbozada. El artículo se propone elaborar este concepto en la obra nietzscheana, siguiendo algunas de las metáforas que lo iluminan. Desde allí se busca plantear los rasgos centrales de una ontologia del caos, de sesgo no metafísico, que, al afirmar el carácter acontecimental de la realidad, puede verse como precursora de (...) la ontología hermenéutica contemporánea. ABSTRACT The notion of chaos, which has long been neglected or misinterpreted, is a constitutive element of a peculiar conception of being that the philosopher only had time to outline. The objective of this article is to elaborate on this concept in Nietzschean philosophy, guided by some of the metaphors that shed light on it. This serves as the basis to set forth the main characteristics of a non-metaphysical ontology of chaos that asserts the eventful nature of reality and can thus be seen as a precursor of contemporary hermeneutic ontology. (shrink)

The adoption of an individualistic perspective on reasoning, choice and decision is a spring of paradoxes of conflicts. Usually the agents immerse in conflicts are drawn or modelled as rational individuals with targets well defined and full capabilities to access to information, without both temporal limitations and perfect reasoning abilities to obtain their preferences are taken account.However, other models of agent, in the bounded rationality perspective, could help to understand better the interrelationships. I adopt embedded argumentative reasoning processes as satisfying (...) criteria to analyze the expert function in a new socio technical environment that has changed deeply the mechanism and tools to access and to aggregate information. The open access to information and institutional arrangements addressed towards team knowledge could offer other kind of tools to affront the conflict, even its possible benefits.The “crowd expertise” is emerging as an actual possibility and it must be incorporated to affront with conflicts. The very possibility of obtaining knowledge generated by “many minds”, collective wisdoms, brings up a real challenge to the conservative or elitist conception of the masses, because masses now emerge as a smart collective user, with new mechanisms to select and produce quality knowledge. These new collective actions differ deeply from the traditional modes of social organization. A new mass society is emerging now as a hybrid one that breaks some conceptual traditional models, such as Ortega y Gasset’s ones, and induces a structured way of flourishing both new practices and new knowledge with transforming capabilities. (shrink)

El art. 35 de la Constitución española de 1978 reconoce a los españoles "el deber de trabajar y el derecho al trabajo, a la libre elección de profesión u oficio, a la promoción a través del trabajo y a una remuneración suficiente para satisfacer sus necesidades y las de su familia, sin que en ningún caso pueda hacerse discriminación por razón de sexo".

Background Physicians play a fundamental role in the care of patients at the end of life that includes knowing how to accompany patients, alleviate their suffering and inform them about their situation. However, in reality, doctors are part of this society that is reticent to face death and lack the proper education to manage it in their clinical practice. The objective of this study was to explore the residents’ concepts of death and related aspects, their reactions and actions in situations (...) pertaining to death in their practice, and their perceptions about existing and necessary training conditions. Methods A qualitative approach was used to examine these points in depth based on interviews conducted with seven oncology residents. Results Participants do not have a clear concept of death and, although it is seen as a common phenomenon, they consider it an enemy to beat. The situations to which respondents react more frequently with frustration and sadness after the death of patients were when they felt emotionally involved, if they identify with the patient, in cases of pediatric patients and with patients who refuse treatment. To deal with death, participants raise barriers and attempt to become insensitive. Although residents in this study recognize the importance of training to learn how to better deal with death, it seems they are not fully invested in reaching more of it. Conclusions Participants face death in a daily basis without the necessary training, which appears to impact them more than they are willing to accept. They do not achieve their goals managing situations regarding death as well as they assume they do. Despite recognizing the need of more training and support for better coping with death, they prefer to continue to learn from their experience. Trial registration Not applicable. (shrink)