Background Safeguarding the right to die according to the principles of autonomy and freedom of each person has become more important in the last decade, therefore increasing regulation of Euthanasia and Medically Assisted Suicide (MAS). Aims To learn the opinions that the nurses of the autonomous region of Madrid have regarding Euthanasia and Medically Assisted Suicide. Research design Cross-sectional descriptive study. Participants and research context All registered nurses in Madrid. The study was done by means of a self-completed anonymous questionnaire. (...) The variables studied were social-demographic, giving opinions about Euthanasia and MAS. Ethical considerations Each participant was assured maximum confidentiality and anonymity, ensuring the ethical principles set out in the Declaration of Helsinki, as well as in the Organic Law 3/2018, on Personal Data Protection and guarantee of digital rights. Findings A total of 489 nurses answered the questionnaire. In total, 75.7% of the nurses confirmed that Euthanasia should be regulated in Spain. 66.3% indicated that information on Euthanasia should be provided jointly by doctors and nurses, and 42.3% considered that it could be applied by both medical and nursing professionals. A total of 87.2% advocated the participation of nurses in health policy, influencing the drafting of the law. In the face of possible regulation, 35% would request Conscientious Objection, being closely related to their religious beliefs. Discussion Different authors point out that nurses’ perceptions and attitudes towards Euthanasia are conditioned by different factors, such as religion, gender, poor palliative care, legality and the patient's right to die. Conclusion Nurses are positioned in favour of the regulation and practice of Euthanasia and MAS, depending on their age, years of experience, training, model of care and especially religious beliefs. (shrink)

En este artículo se pretende poner de manifiesto las restricciones impuestas por el Estado español a la libertad de movimiento. Una vez descritas estas restricciones en las tres primeras olas de la pandemia de la Covid-19, se reflexiona sobre los posibles excesos del gobierno aumentando su control sobre una ciudadanía preocupada y con temor hacia la pandemia. Sin embargo, existe una consecuencia inesperada en las actitudes políticas de las personas: una reducción de las preferencias hacia la democracia, a favor del (...) autoritarismo. (shrink)

El presente artículo aborda las connotaciones y los fundamentos de la paráfrasis cum canere vellem en Serv. Ecl. 6. 3. El análisis del sentido del verbo volo en este contexto y la confrontación del pasaje con Serv. Ecl. 6. 5 revelan que Servio interpreta la frase cum canerem reges et proelia como referencia a un temprano empeño de Virgilio en componer poesía épica, del que pronto desistió. Esta interpretación está condicionada por la idea de que la secuencia cronológica Églogas - (...) Geórgicas - Eneida tiene un correlato jerárquico, idea que se funda en noticias biográficas y en la teoría de la tripertita varietas. This paper focuses on the connotations and grounds of the paraphrase cum canere vellem in Serv. Ecl. 6. 3. The analysis of the sense of verb volo within this context, as well as the confrontation between that passage and Serv. Ecl. 6. 5, show that Servius interprets the clause cum canerem reges et proelia as a reference to Virgil's early endeavor to compose an epic poem, from which he shortly desisted. This interpretation is conditioned by the idea that the chronological sequence Eclogues - Georgics - Aeneid has a hierarchical correlate, an idea which is founded on biographical information and the theory of tripertita varietas. (shrink)

Este trabajo tiene como objetivo revelar el verdadero nombre de Finlay y la trascendencia de su firma a fin de salvaguardar cómo llega hasta hoy la autenticidad denominativa del científico. Para ello fue necesaria la revisión bibliográfica de diversas fuentes documentales. Destacan las Obras Completas del médico, artículos científicos de revistas indexadas de la nación y el exterior: Educación Médica Superior, Cuadernos de Historia de la Salud Pública, Biomédica, Acimed, Asclepio, entre otras; periódicos, así como entrevistas a especialistas de la (...) Casa Natal de Carlos J. Finlay. This work aims to real the true name of Finlay and the significance of his signature in order to safeguard its authenticity in present times. To this end, the bibliographic revision of several documentary sources was necessary. Revisions were made of his Complete Works, scientific articles indexed in national and foreign scientific journals, newspaper articles and interviews with specialists from the Carlos J. Finlay Birth House Museum. (shrink)

Escuchamos hablar con frecuencia de la importancia de las competencias blandas en la educación y en el mundo laboral. Sería primordial que la educación, en todos sus niveles, se plantee un cambio de paradigma y que las incluya en los planes de estudio, dándole el mismo valor que a las competencias duras. Sería conveniente que el alumnado las desarrolle para que los prepare en el ámbito laboral y en su transitar en este mundo cada vez más cambiante. El Coaching Educativo (...) permite desarrollar estas competencias en el alumnado, un cambio de observador, un modo distinto de ser y de hacer. (shrink)

This article explores medical responsibility and negligence from an ethical and legal perspective within the Colombian context. It highlights causes of negligence such as deficiencies in professional training and organizational problems. The article emphasizes "objective imputation as key to determining the criminal responsibility of the physician" (Alvarado D. 2019). The objectives include analyzing the current legal framework in Colombia and assessing the link between medical ethics and legal responsibility. The methodology builds upon a thorough examination of specialized literature, including peer-reviewed (...) scientific articles in medicine and law, as well as legal documents and ethical regulations. A targeted search was conducted across various bibliographic databases including Google Scholar, Redalyc, Scielo, Dialnet, Biomed Central, Miguel De Cervantes Virtual Library, and BVS virtual health library. (shrink)

En este artículo se quiere analizar un período histórico de la ciudad de Salamanca desde el punto de vista del desarrollo de las «dos culturas». Se pretende salvar el tópico de que en Salamanca sólo ha habido espacio para la cultura humanística. Con este fin se estudia no sólo la ciencia que había en la Universidad, sino también la cultura técnica vinculada con ciertos gremios como los maestros arquitectos o los impresores, el otro aspecto de la cultura científico-tecnológica que suele (...) pasarse por alto. (shrink)

This work focuses on the application of machine learning techniques to assist the clinicians in the administration of analgesic drug during general anaesthesia. Specifically, the main objective is to propose the basis of an intelligent system capable of making decisions to guide the opioid dose changes based on a new nociception monitor, the analgesia nociception index. Clinical data were obtained from 15 patients undergoing cholecystectomy surgery. By means of an off-line study, machine learning techniques were applied to analyse the possible (...) relationship between the analgesic dose changes performed by the physician due to the hemodynamic activity of the patients and the evolution of the ANI. After training different classifiers and testing the results under cross validation, a preliminary relationship between the evolution of ANI and the dosage of remifentanil was found. These results evidence the potential of the ANI as a promising index to guide the infusion of analgesia. (shrink)

Feminist reflections on the sexual division of labour have given rise to a body of knowledge on the ethics of care from different disciplines, including philosophy, in which outstanding contributions to the topic have been formulated. This approach is applicable to the analysis of any phenomenon and particularly that of disasters. As various investigations have highlighted, the consequences on the population throughout all of a disaster’s phases (prevention, emergency, and reconstruction) require an analysis of differentiated vulnerabilities based on gender and (...) other identity categories, such as social class, ethnicity, age, disability, sexual identity, etc. The interrelation between all these variables gives rise to differentiated impacts that cannot be ignored in catastrophic contexts, where survival and sustaining life are at stake, so care becomes a central issue. Research on the topic has also identified that, along with the analysis of social vulnerability, we must consider the capacity for agency, both individual and collective, where care is once again of vital importance. Considering the gender approach and its multiple intersections is thus a fundamental theoretical-practical proposal for the study of disasters from philosophy, as it implies an unavoidable epistemic, ontological, and ethical reflection in the face of risk reduction. (shrink)

1. Bioética y Filosofía del derechoEste número de la revista ACFS está dedicado a la bioética y eso constituye un acontecimiento importante tanto para la filosofía del derecho como para la bioética, ya que implica reconocer oficialmente —en una revista filosófico-jurídica de tanta raigambre en nuestro país— que los temas de la bioética son parte de la filosofía del derecho. Para muchos es algo obvio, ya que la bioética se ocupa de analizar las implicaciones éticas, jurídicas y sociales de los (...) descubrimientos científicos y las aplicaciones biotecnológicas y de proponer pautas justas para su tratamiento,... (shrink)

Automatic control of physiological variables is one of the most active areas in biomedical engineering. This paper is centered in the prediction of the analgesic variables evolution in patients undergoing surgery. The proposal is based on the use of hybrid intelligent modelling methods. The study considers the Analgesia Nociception Index to assess the pain in the patient and remifentanil as intravenous analgesic. The model proposed is able to make a one-step-ahead prediction of the remifentanil dose corresponding to the current state (...) of the patient. The input information is the previous remifentanil dose, the ANI variable and the electromyogram signal. Modelling techniques used are Artificial Neural Networks and Support Vector machines for Regression combined with clustering methods. Both training and validation were done with a real dataset from different patients. Results obtained show the potential of this methodology to calculate the drug dose corresponding to a given analgesic state of the patient. (shrink)

Introduction: Resilience is a multidimensional and dynamic construct associated with positive growth and the capacity to transform stressful and negative factors into opportunities of personal development and self-improvement when faced with difficult experiences. The resilience process of each individual integrates multiple analysis levels, which range from genetic-environmental interactions to a complex process of adaptation between the individual and his/her family, friends, co-workers, society, and culture.Objective: To determine whether resilience improves in students of occupational therapy when exposed for the first time (...) to practice placement education.Methodology: Quasi-experimental, prospective, observational, multi-center study with a sample composed of students from the Degree of Occupational Therapy of the public universities of Málaga and Castilla-La Mancha. Two weeks prior to the beginning of the practice education period, the participants completed a questionnaire that included sociodemographic data and the area of their internships. They were also given the Spanish version of the Connor-Davidson's resilience scale. All these instruments were also completed 1 week after the end of the clinical practice.Results: There were statistically significant differences between the variables that make up resilience and the different internship areas. On the other hand, there was a significant improvement of global resilience after the clinical practice period, in both women and men, when the internship area was not considered.Conclusions: The results show that resilient students are more optimistic and work to improve a situation beyond doing simply what is expected of them, knowing how to control their feelings. This is beneficial for students in practice education, since, during these, they face difficult situations that require a resilient pattern, which helps reduce stress and the burnout syndrome. (shrink)

Com o diagnóstico de uma enfermidade, pacientes e familiares enfrentam situações como exames médicos, aceitar as limitações e possibilidades, mas também questões relativas aos processos comunicacionais no entorno da doença. Sendo assim, objetivamos, compreender a construção das subjetividades de pacientes com Síndrome de Turner nas plataformas digitais, em uma sociedade em vias de midiatização. Portanto, traz-se os conceitos de midiatização (GOMES, 2016), e subjetividades (MORI; GONZALÉZ REY, 2012). Compreendemos que a elaboração das subjetividades de pacientes se torna mais complexa com (...) o processo de midiatização, pois envolve formas tentativas de partilha de experiências. Assim, a alteridade se mostra como central para a auto elaboração, autocompreensão e formação das percepções individuais e coletivas. (shrink)

BackgroundInformation and communication technology solutions have the potential to support active and healthy aging and improve monitoring and treatment outcomes. To make such solutions acceptable, all stakeholders must be involved in the requirements elicitation process. Due to the COVID-19 situation, alternative approaches to commonly used face-to-face methods must often be used. One aim of the current article is to share a unique experience from the Pharaon project where due to the COVID-19 outbreak alternative elicitation methods were used. In addition, an (...) overview of common functional, quality, and emotional goals identified by six pilot sites is presented to complement the knowledge about the needs of older adults.MethodsOriginally planned face-to-face co-creation seminars were impossible to carry out, and all pilot sites chose alternative requirements elicitation methods that were most suitable in their situation. The elicited requirements were presented in the form of goal models. In one summary goal model, we provide an overview of common functional, quality, and emotional goals.ResultsDifferent elicitation methods were combined based on the digital literacy of the target group and their access to digital tools. Methods applied without digital technologies were phone interviews, reviews of literature and previous projects, while by means of digital technologies online interviews, online questionnaires, and virtual co-creation seminars were conducted. The combination of the methods allowed to involve all planned stakeholders. Virtual and semi-virtual co-creation seminars created collaborative environment comparable to face-to-face situations, while online participation helped to save the time of the participants. The most prevalent functional goals elicited were “Monitor health,” “Receive advice,” “Receive information.” “Easy to use/comfortable,” “personalized/tailored,” “automatic/smart” were identified as most prevalent quality goals. Most frequently occurring emotional goals were “involved,” “empowered,” and “informed.”ConclusionThere are alternative methods to face-to-face co-creation seminars, which effectively involve older adults and other stakeholders in the requirements elicitation process. Despite the used elicitation method, the requirements can be easily transformed into goal models to present the results in a uniform way. The common requirements across different pilots provided a strong foundation for representing detailed requirements and input for further software development processes. (shrink)

Child-to-parent violence is a growing public health problem with consequences for perpetrators and families. Most research has focused on individual and family risk factors. However, little is known about its links with individual outcomes. The aim of this study was to analyze the relationships between CPV and psychological distress, suicidal ideation, and self-concept in school-aged adolescents, taking into account the gender perspective. A study was conducted with a sample of 8,115 adolescents, aged between 11 and 16 years from the State (...) of Nuevo León, Mexico. A MANOVA 3 × 2 was performed to analyze the data. The results revealed that adolescents involved in CPV showed higher levels of psychological distress and suicidal ideation and lower levels of family and social self-concept. It was also observed that girls with higher levels of CPV scored the lowest levels of psychological distress and suicidal ideation, as well as the lowest levels of family self-concept. The findings highlight that adolescents and especially girls involved in CPV also report internal maladjustment outcomes. Finally, the results and their implications for research and intervention with adolescents involved in CPV are discussed. (shrink)

Las personas dedicadas a otorgar servicios de la salud tienen el compromiso legal, ético, profesional y humano de velar por la salud y el bienestar de la sociedad. Un médico no sólo debe formarse en el ámbito académico y técnico, también debe construir y trabajar en su ética profesional. La actualización médica continua en medicina basada en evidencia y el continuo adiestramiento en el área práctica y clínica, si bien son de suma importancia, deben ir de la mano con la (...) aplicación de los principios éticos tales como el respeto por la autonomía, la beneficencia, no maleficencia al paciente y la justicia. El análisis de casos clínicos reales a la luz de la ética es un ejercicio muy enriquecedor para trascender en nuestra práctica diaria. No solamente es de gran ayuda para detectar y prevenir conductas que pudieran vulnerar o atentar contra la dignidad de los pacientes, sino para reafirmar el valor y la centralidad de la persona humana en el abordaje médico. (shrink)

En los relatos de María, la madre de Jesús, encontramos un modelo de la realidad personal humana en el dinamismo de su realización como un continuo estar-dando-de-sí que muestra su desbordamiento como realidad educanda, realidad abierta. En otros relatos se muestra a mujeres como testigos del encuentro con Jesús después de su muerte, un testimonio que es recibido por el grupo de Jesús y corroborado por los varones de la comunidad para hacerlo llegar más allá de sus fronteras. En el (...) testimonio recibido y la acción compartida se muestran los cimientos de una sociedad que se construye en igualdad. (shrink)

RESUMEN Una vez que el foco de la reflexión pasa de las teorías ideales a la aplicación de la justicia social, centrada en las instituciones de las sociedades democráticas, se requiere prestar especial atención a los estilos de vida. Estos tienen una alta incidencia en cómo la justicia es realizada y afectan tanto a la desigualdad económica como a la disponibilidad de los recursos naturales. En nuestras sociedades es posible establecer restricciones a los estilos de vida, especialmente en aquellos casos (...) en que, por el efecto de algunas dinámicas sociales, aquellos se desacoplan de las concepciones del bien. Se defiende que, en tales casos, la base normativa que permite exigir el respeto a los estilos de vida se disuelve y por ello es posible justificar su restricción. ABSTRACT Now that the focus of reflection has shifted from ideal theories to the application of social justice, centered on the institutions of democratic societies, it is necessary to pay special attention to lifestyles, since they not only influence the realization of justice, but also have an effect on economic inequality and the availability of natural resources. In our societies, it is possible to place restrictions on lifestyles, especially in those cases in which, influenced by certain social dynamics, they disengage from conceptions of the good. The article argues that, in those cases, the normative base grounding the demand that lifestyles be respected is dissolved, thus justifying their restriction. (shrink)

We can say that Picasso’s images speak to us, and, as writing, speak to us from that space in which any text – far from being reduced to a single sense – “disseminates” its “truths”. Using the figure and the story of the Minotaur, Picasso devoted himself to one of the great themes of his pictorial work. The word “labyrinth” connotes, to the European mind, Greece, Knossos, Dedalus, Ariadne and the Minotaur. However, the Greek formula already represents a mythic and (...) poetic outcome thoroughly developed from an imagery forged in the remotest eras of our evolution. The relationship between the image, the spiral, and the word, labyrinth is also linked to the perception of a drilled earth, excavated, with numberless tortuous tunnels which, in our imagination, provoke concern because they lead to the world of the inferi, the unknown depths of the realms of the dead. Juan Larrea, a little-known essayist in the sphere of philosophical studies, although, from the outset of international renown for Picasso’s work, he gives what is perhaps the best interpretation of Guernica and consequently also sheds much light on the engravings immediately preceding the execution of this painting, the Minotauromachy among them. The artist is not a prophet. He is not foreseeing what the future holds for humanity, but he does possess a heightened sensitivity that drives him to minutely scrutinise the conditions of the time that he has had to live, and he has a transforming eye for the symbols that constitute the deepest threads in the fabric of his culture. (shrink)

The objective of this article is to identify and analyze the changes made to IFRS 3, 9, 10 and 16 since the beginning of COVID-19, and how these affect the presentation of financial statements, influencing decision-making. With the use of the deductive method and applying a qualitative approach, collecting information through the database of the Superintendency of Companies of Ecuador, an evaluative analysis of each company was carried out and how they applied the modifications offered by the IFRS, reviewing the (...) financial statements of 60 companies in the Commercial, Real Estate and Financial sectors where it was obtained that 15% of these companies presented changes in their financial statements, of this percentage 8.3% belong to companies in the commercial sector, 5. 1% comes from entities in the real estate sector and 1.6% are from companies in the financial sector. It is concluded that there is no significant change in the presentation of financial information since COVID-19. (shrink)

Resumo: Focamos neste trabalho algumas das tensões vivenciadas por professores pesquisadores vinculados ao sistema de Pós-graduação brasileiro, no contexto das transformações recentes da universidade. Os protagonistas da PG buscam alternativas éticas para o que consideram descaminhos na produção de conhecimentos no contexto científico. O trabalho decorre dos resultados de um conjunto de pesquisas sobre temas associados à produção em nível stricto sensu, desenvolvidas na última década por diversos pesquisadores em grupos ou projetos de investigação. Os resultados vêm mostrando cada vez (...) maior interferência de organismos nacionais de regulação, controle e avaliação do sistema de PG no funcionamento da universidade, ferindo a sua autonomia. Em consequência, os professores pesquisadores que atuam na PG veem-se compelidos a obedecer a dois ‘patrões’, ou ‘senhorios’, cujas exigências são distintas e não raro antagônicas. Diante dos frequentes conflitos entre as exigências, prevalece a subserviência ao órgão externo, já que as próprias IES estão sob avaliação destes órgãos. Neste contexto, emerge o debate sobre a excelência da produção acadêmico-científica, trazendo-se à tona os limites da produção/produtivismo. Como contribuição trazemos a noção de pertinência territorial para pensar outra possível modalidade de excelência. Por fim, enriquecemos a discussão da problemática, a partir da perspectiva do pensamento decolonial, que envolve a crítica ao eurocentrismo vigente em nossa academia e propõe o ‘penso onde sou’ como caminho para que a produção científica encontre alternativas, conectadas com as realidades e necessidades dos territórios em que estão instaladas as universidades e seus programas de PG. (shrink)

Por incorporar a esperança na pedagogia crítica para, um só tempo, humanizar radicalmente a educação e transformar a sociedade, ele faz aumentar nossas expectativas sobre o que são capazes de fazer uma teoria e uma pedagogia ao construir um caminho que demonstra a indissociabilidade de ordem teórica e prática.

Hay una relación estrecha entre monumento y fotografía, que es prácticamente inseparable en el caso del símbolo de la ciudad. El monumento y más el símbolo de una ciudad necesita ser reproducido, lo cual quiere decir en primer lugar: fotografiado. ¿Pero vemos realmente la ciudad cuando contemplamos los monumentos o bien la reproducción de los mismos? La vida actual de la ciudad se manifiesta de mil maneras. Pero no son mil imágenes las que componen el rostro de la ciudad. Para (...) reflejarlo, no basta con reproducir lo que se presenta ostensivamente; hay que atrapar al vuelo lo que aparece desapareciendo en un momento fugaz. Para ello hace falta atrapar las huellas casuales tras aquellas intencionales. En diálogo con Walter Benjamin y también con Alfred Döblin se reflexiona en este texto sobre la relación de la imagen con el recuerdo y las diferentes dimensiones del tiempo, y en este contexto sobre posibilidades y límites de la representación de la vida y el carácter de una ciudad. (shrink)

Our paper reveals Professor Grigore T. Popaʼs view on medical ethics of anatomical teaching as he was bringing in Romania the experience of the Anglo-Saxon education from both England and the United States. We analysed his lecture: “What Anatomy is or is not?” where he introduced some ideas of medical ethics. Professor Popa considered that medical ethics and deontology are required whenever someone studies the anatomy of the human body. Anatomy teaches us the lesson of respect towards human body, and (...) so it can never be reduced to a useless science, since it expresses the spiritual nature of mankind. (shrink)

El presente artículo determina cómo una empresa ética, convertida en escuela de virtudes morales, puede contribuir a mejorar la sociedad. La empresa sólo puede mejorar la sociedad y generar un impacto positivo en la misma desde la ejemplaridad de todas y cada una de sus personas. Se entiende la empresa como una comunidad de personas en la que ha de existir un equilibrio esencial entre lo individual y lo colectivo. Se parte de la premisa de que la empresa es, también, (...) un espacio ético que puede llegar a convertirse en una escuela de valores y virtudes en la que los profesionales desarrollen sus capacidades humanas en interrelación con los demás. Se argumenta la relevancia de la virtud empresarial, desde la perspectiva de la transformación del ethos individual, de los hábitos de las personas que forman la organización. Se considera que la empresa puede llegar a convertirse en una “escuela de valores y virtudes”. La forja del ethos ético y virtuoso de los profesionales es, a su vez, la esencia de la construcción del ethos ético de la empresa que tendrá su correspondiente impacto en el ethos de una buena sociedad. A partir de estas aseveraciones nos hacemos las siguientes preguntas en nuestra investigación: ¿De qué manera puede influir el ethos de la empresa en la configuración de los ethos particulares de los profesionales que forman parte de ella? y ¿cómo puede la empresa contribuir al desarrollo de las virtudes morales de sus personas? Asumiendo estas dos cuestiones como base de la investigación, se argumenta que la empresa puede llegar a ser, a través del trabajo, una ‘escuela’ para el desarrollo de las virtudes morales y, desde ahí, contribuir a la construcción de una sociedad más humana. (shrink)

Stress has been being pointed as the evil of the current world and can affect as much adults as children. The disorders associated with stress are varied, and people who suffer from it frequently present physical and psychological problems, influencing their behavior and social environment. The care..

This paper raises the possibility of a female authorship for the anonymous 14th century work The Cloud of Unknowing, which academics always attribute to a man. It points out four premises: firstly the error of sexual attribution of the authorship of The Mirror of Simple Souls, maintained until 20th century; secondly, the conception of woman by the English mystical male writers Rolle and Hilton, which is not found in the writings attributed to the author of The Cloud; thirdly, the literary, (...) theological and mystical greatness of a English woman writer of 14th century, Julian of Norwich; and, finally, the scholars' considerations about the author (man for them) of The Cloud and its related treatises, which, notwithstanding, could perfectly be attributed to a woman of the fourteenth century in England. So, the conclusion invites to question the male authorship of this masterpiece, perhaps, for the first time. (shrink)