The translational research community, in general, and the Clinical and Translational Science Awards (CTSA) community, in particular, share the vision of repurposing EHRs for research that will improve the quality of clinical practice. Many members of these communities are also aware that electronic health records (EHRs) suffer limitations of data becoming poorly structured, biased, and unusable out of original context. This creates obstacles to the continuity of care, utility, quality improvement, and translational research. Analogous limitations to sharing objective data in (...) other areas of the natural sciences have been successfully overcome by developing and using common ontologies. This White Paper presents the authors’ rationale for the use of ontologies with computable semantics for the improvement of clinical data quality and EHR usability formulated for researchers with a stake in clinical and translational science and who are advocates for the use of information technology in medicine but at the same time are concerned by current major shortfalls. This White Paper outlines pitfalls, opportunities, and solutions and recommends increased investment in research and development of ontologies with computable semantics for a new generation of EHRs. (shrink)

Background: SNOMED CT is a large terminology system designed to represent all aspects of healthcare. Its current form and content result from decades of bottom-up evolution. Due to SNOMED CT’s formal descriptions, it can be considered an ontology. The Basic Formal Ontology (BFO) is a foundational ontology that proposes a small set of disjoint, hierarchically ordered classes, supported by relations and axioms. In contrast, as a typical top-down endeavor, BFO was designed as a foundational framework for domain ontologies in the (...) natural sciences and related disciplines. Whereas it is mostly assumed that domain ontologies should be created as extensions of foundational ontologies, a post-hoc harmonization of consolidated domain ontologies in use, such as SNOMED CT, is known to be challenging. Methods: We explored the feasibility of harmonizing SNOMED CT with BFO, with a focus on the SNOMED CT Clinical Finding hierarchy. With more than 100,000 classes, it accounts for about one third of SNOMED CT’s content. In particular, we represented typical SNOMED CT finding/disorder concepts using description logics under BFO. Three representational patterns were created and the logical entailments analyzed. Results: Under a first scrutiny, the clinical intuition that diseases, disorders, signs and symptoms form a homogeneous ontological upper-level class appeared incompatible with BFO’s upper-level distinction into continuants and occurrents. The Clinical finding class seemed to be an umbrella for all kinds of entities of clinical interest, such as material entities, processes, states, dispositions, and qualities. This suggests the conclusion that Clinical finding would not be a suitable upper-level class from an BFO perspective. On closer inspection of the taxonomic links within this hierarchy and the implicit meaning derived thereof, it became clear that Clinical finding classes do not characterize the entity (e.g. a fracture, allergy, tumor, pain, hemorrhage, seizure, fever) in a literal sense but rather the condition of a patient having that fracture, allergy, pain etc. This gives sense to the current characteristic of the Clinical Finding hierarchy, in which complex classes are modeled as subclasses of their constituents. Most of these taxonomic links are inferred, as the consequence of the ‘role group’ design pattern, which is ubiquitous in SNOMED CT and has often been subject of controversy regarding its semantics. Conclusion: Our analyses resulted in the proposal of (i) equating SNOMED CT’s ‘role group’ property with the reflexive and transitive BFO relation ‘has occurrent part’; and (ii) reinterpreting Clinical Findings as Clinical Occurrents, i.e. temporally extended entities in an organism, having one or more occurrents as temporal parts that occur in continuants. This re-interpretation was corroborated by a manual analysis of classes under Clinical Finding, as well as the identification of similar modeling patterns in other ontologies. As a result, SNOMED CT does not require any content redesign to establish compatibility with BFO, apart from this re-interpretation, and a suggested re-labeling. Regarding the feasibility of harmonizing terminologies with principled foundational ontologies post-hoc, our results provide support to the assumption that this does not necessarily require major redesign efforts, but rather a careful analysis of the implicit assumptions of terminology curators and users. (shrink)

The variety of devices and the socialization of consumption have decentralized access to online information which is not retrieved directly from media websites but through social networks. These same factors have driven user interest towards a wider range of both ‘hard’ and ‘soft’ topics. The aim of this article is to identify the consumption of news on these topics among digital users in Spain. The methodology used is based on an analysis of the survey conducted as part of the Digital (...) News Report 2017. Following this analysis, a conclusion has been reached that the most popular hard news stories in Spain are those related to the local and regional community itself, and to health and education, while the most popular soft news stories relate to lifestyles and arts and culture. The analysis has revealed that increased interest in news and greater topic specialization result in more diversified use of sources, formats, and complementary routes. (shrink)

BackgroundStudies and meta-analyses found individual, meso and micro-social factors that are associated with individual well-being, as well as a positive socio-emotional climate or collective well-being.AimThis article simultaneously studies and examines these factors of well-being.MethodWell-Being is measured as a dependent variable at the individual and collective level, as well as the predictors, in three cross-sectional and one longitudinal studies. Education and social intervention workers from Chile, Spain and Uruguay participate; a subsample of educators from the south central Chile and from Chile, (...) Uruguay and Spain ; workers from organizations in Latin America and Southern Europe, military cadets from Argentina ; and teams from Spanish companies.ResultsIndividual and collective well-being indicators were related, suggesting that the emotional climate as a context improves personal well-being. Individual factors, psychosocial factors were positively associated with personal well-being in education and social intervention context. Organizational dynamic or transformational culture is directly and indirectly associated with individual well-being through previously described psychosocial factors. Group processes such as internal communication and safe participation, task orientation or climate of excellence as well as leadership style that reinforces participation and belonging, were positively associated with collective well-being in labor and military context and predict team work socio-emotional climate in a longitudinal study- but were unrelated to individual well-being. Transformational leadership plays a mediating role between functional factors and social-emotional climate in work teams. Organizational role autonomy, functional organizational leadership, integration and resources were associated with collective well-being in organizations. Organizational leadership moderates the relationship between task orientation and collective well-being in military context.ConclusionIndividual and microsocial factors influence personal well-being. Meso level factors favorable to well-being through processes which reinforce social belonging, influence directly collective well-being and indirectly personal well-being. Leadership that reinforces participation and belonging play a central role for emotional climate. Stress and emotional climate playing an important pivotal role for psychological well-being. (shrink)

This is an interpretative, critical, and selective review of scholarly contributions that explore Latin America’s religious landscape. We present data, both qualitative and quantitative, from Latin America and analyze the explanations given to make sense of it. After assessing the literature that uses either secularization theory or the “religious economy” approach, we study explanations that highlight a Latin American style of “popular religiosity.” These three models, in different ways, put the emphasis on religious institutions—their vitality, commands, competition, and authority. We (...) propose, instead, a focus on the religious practices of regular believers. We speculate that embarking from that focus, the idea of an “enchanted modernity” will help make sense of Latin America’s religious landscape. Nuanced elucidation of Latin America’s religious particularities will situate them in dialogue with other regions of the world, like western Europe and the United States, while also acknowledging the fact that Latin America is experiencing a modernization process distinct from the North Atlantic one. (shrink)

Esta pesquisa realiza uma análise de rede social e prosopográfica dos processos de emigração sírio-libaneses para a Costa Rica na virada do século XIX para o século XX; os mecanismos de inserção social utilizados por esse grupo de migrantes; e as relações entre as redes de sociabilidade sírio-libanesa e maçônica durante a primeira metade do século XX. Conclui-se que os imigrantes sírio-libaneses participaram ativamente de um processo de reajuste das relações sociais do Estado e contribuíram para forjar novas representações (...) culturais do nacional no país. (shrink)

This study explores the efficacy of a specific tool – the articulation of the ideal self – in job engagement, psychological well-being, and organizational citizenship behavior. We hypothesized that employees who can visualize their jobs as part of their ideal self – in particular how it helps in its development and realization – would feel higher levels of engagement and fulfillment in their lives, as well as engage in greater amounts of helping and voice OCB. A total of 239 full (...) time employees from five companies in Costa Rica filled out the ideal self questionnaire, the job engagement, and psychological well-being surveys, and were evaluated by their peers on task behavior and helping and voice OCB. Results of the SEM model showed that the ideal self was positively related to job engagement, psychological well-being and helping and voice. These findings contribute to the research on the impact and importance for organizations to help employees find meaningfulness in their work. (shrink)

Desde tiempos remotos la apariencia ha sido uno de los instrumentos más importantes en el hombre para expresar sus sentimientos e ideologías. Como una seña de identidad ha servido siempre para establecer el orden social y el rango de cada individuo. Los monarcas conscientes del poder de la imagen, utilizaron todos los elementos a su alcance para conquistar a través de la vista a sus súbditos. La indumentaria, sus adornos, gestos y actitudes, sirvieron para suscitar la admiración y el respeto. (...) En esta escenografía el rey se presentaba como figura principal rodeado en numerosas ocasiones de su familia, jugando sus hijos un papel fundamental como continuadores de su estirpe. En España, donde no existía la ley sálica, la Infanta, como descendiente y posible heredera del rey, tenía la misión de reflejar los valores de su dinastía y asegurar su supervivencia. Isabel Clara Eugenia y Catalina Micaela, hijas de Felipe II e Isabel de Valois, encarnaron el poder de la monarquía absoluta de su padre y contribuyeron a personificar sus virtudes. A través de sus retratos y de diferentes documentos de los Archivos Generales de Palacio y de Simancas, el presente trabajo analiza la apariencia y la representación de las infantas Isabel Clara Eugenia y Catalina Micaela en la corte de Felipe II. (shrink)

En este artículo el profesor Manuel Ángel Martínez expone los temas más importantes de la reflexión teológica de Antonio Royo Marín. Se centra especialmente en una de sus obras más importantes La Teología de la Perfección. Royo Marín ha sido un predicador infatigable. Muestra de ello son los numerosos escritos que dejó y su amplia divulgación entre muchos fieles cristianos. Varios grupos, repartidos en diversos lugares del mundo, siguen nutriéndose de su teología. La profundidad con la que están escritos (...) y la claridad de su exposición permiten a muchos lectores un acercamiento a la espiritualidad cristiana y a sus fuentes. Los Santos Padres de los primeros siglos del cristianismo, Santo Tomás, Santa Teresa de Jesús, San Juan de la Cruz, Santa Teresa de Lisieux, Santa Catalina de Siena, Juan González Arintero, entre otros, inspiraron la reflexión teológica de Royo Marín.El 17 de abril se cumplirán cinco años de su fallecimiento. Con este motivo y respondiendo a las numerosas demandas que nos han llegado, ofrecemos a todos los lectores la magnífica descripción que de su teología ha escrito en Ciencia Tomista el profesor Manuel Ángel Martínez Juan. (shrink)

En este artículo el profesor Manuel Ángel Martínez expone los temas más importantes de la reflexión teológica de Antonio Royo Marín. Se centra especialmente en una de sus obras más importantes La Teología de la Perfección. Royo Marín ha sido un predicador infatigable. Muestra de ello son los numerosos escritos que dejó y su amplia divulgación entre muchos fieles cristianos. Varios grupos, repartidos en diversos lugares del mundo, siguen nutriéndose de su teología. La profundidad con la que están escritos (...) y la claridad de su exposición permiten a muchos lectores un acercamiento a la espiritualidad cristiana y a sus fuentes. Los Santos Padres de los primeros siglos del cristianismo, Santo Tomás, Santa Teresa de Jesús, San Juan de la Cruz, Santa Teresa de Lisieux, Santa Catalina de Siena, Juan González Arintero, entre otros, inspiraron la reflexión teológica de Royo Marín.El 17 de abril se cumplirán cinco años de su fallecimiento. Con este motivo y respondiendo a las numerosas demandas que nos han llegado, ofrecemos a todos los lectores la magnífica descripción que de su teología ha escrito en Ciencia Tomista el profesor Manuel Ángel Martínez Juan. (shrink)

En este artículo se estudia un peculiar recurso discursivo de un cronista barroco del virreinato del Perú: un elogio de las mujeres criollas de la ciudad de Arequipa, que se transforma en una vindicación general de los indígenas como una forma de exaltar a la ciudad criolla a través de una serie de analogías históricas con experiencias e ideales de la tradición hispánica asumibles para una audiencia metropolitana.

_Defensione delle donne_, de Agostino Strozzi, es una de las obras filóginas más significativas en lengua italiana compuesta a finales del siglo XV. Nos consta la existencia de dos versiones recogidas en dos manuscritos que presentan contrastes significativos entre ambas. Una de ellas más extensa y, sobre todo, más radical en sus argumentos en defensa de las virtudes femeninas, está dedicada a su prima Margherita Cantelmo. En esta comunicación se describe y profundiza en los contrastes presentes en ambas versiones o, (...) dicho con otras palabras, en lo que podemos considerar como dos misteriosos manuscritos. (shrink)

Darwin and the Art of Science will consist of excerpts from six of Darwin's books, chosen and introduced by James Costa. The excerpts will be arranged by plant (rather than according to which book they're from) in order to make the most of extraordinary images provided by the Oak Springs Garden Foundation library. As a group, they will provide unparalleled access to Darwin's fascinating observations and musings about the world of plants and how their distinctive features have evolved.

COSTA, Alexandre da. Fundamentos da bioética: estudo sobre o pensamento de Hugo Tristram Engelhardt Jr. FERREIRA, Amauri Carlos. O imaginário religioso e modos de vida urbana: experiência e memória da Juventude Católica em Belo Horizonte – MG, anos 80. GONÇALVES, Davidson Sepini. O Panóptico de Jeremy Bentham: por uma leitura utilitarista. GÓIS, Aurino José. Parque Municipal de Belo Horizonte: público, apropriações e significados. FARIA, Paulo Antônio Couto. Teologia no limiar da filosofia: a modernidade e o encontro fé e razão (...) na obra de Henrique Cláudio de Lima Vaz. (shrink)

Dada la actual situación de la mujer en la Iglesia es difícil pensar en un cambio a corto e incluso largo plazo, pero como éste es el tema que me han pedido desarrollar en este número monográfico de Crítica he decidido que lo mejor es soñar. Soñar es una manera de alentar el deseo y éste tiene una gran fuerza transformadora. Soñar es el primer paso para cambiar la realidad, es una manera de hacer verdad las utopías y � empujar (...) la historia en la dirección de lo soñado�. (shrink)

The aim of this paper is to study some aspects of the Medieval Latin reception of Aristotle’s theory of pleasure. First, I introduce Aristotle’s position, with special attention to the problem of the ontological status of pleasure and the relationship between pleasure and the different genera of causes, as well as the somehow ambiguous exegesis of Michael of Ephesus. Second, I take into account the interpretation given by Albert the Great in his first commentary on the Ethics. Finally, I present (...) some theological issues raised by Albert’s interpretation, in the discussions about beatific vision. The authors taken in account are James of Viterbo, Radulphus Brito, Peter Auriol and William of Ockham. (shrink)

Na obra o autor consegue reforçar a ideia de que o desenvolvimento do pensamento de Lukács ocorre a partir dos acontecimentos históricos-sociais em que vive e é por isso que no início, quando jovem, seus escritos são caracterizados como idealistas e, mais tarde, com seu amadurecimento intelectual, se tornam mais materialistas. Inclusive foi esse mesmo processo histórico-social que acarretou em penalizações a sua dialética. José Paulo Netto escreve o texto de Apresentação do livro e diz o seguinte: “à concepção de (...) dialética e de totalidade de Lukács sempre faltaram [...] suportes históricos (sócio-materiais) para que a categoria de mediação fosse plenamente saturada de concreção, o que vulnerabilizou [...] a própria categoria de totalidade concreta” (p. 21). (shrink)

Existem muitas teorias sobre democracia. Na verdade, enquanto se fala de “teoria democrática” como se existisse um consenso acerca do que esta poderia significar, a partir do momento em que nos debruçamos sobre diferentes autores, apercebemo-nos de que há tantas teorias quanto há perspectivas sobre o tema. Neste artigo tenho como interlocutores Robert Dahl, Benjamin Barber, Robert Goodin e David Plotke. O artigo tem três momentos. No primeiro, desenho o contexto geral para uma reflexão crítica sobre democracia, partindo da análise (...) dos seus conceitos constitutivos, nomeadamente, os conceitos de representação, participação e deliberação. Este é o momento “estrutural”. De seguida, apoiando-me nos critérios ou virtudes de Dahl e no conceito de “democracia forte” de Barber, defendo que a instanciação dos vários modelos democráticos depende da importância que se confere a cada um dos critérios. Este é o momento de conteúdo. Dialogando com estes autores procuro identificar as implicações dos modelos representativo, participativo e deliberativo. Por último, procuro uma forma de redefinição da democracia mais positiva para o futuro, tendo o orçamento participativo como prática exemplar a seguir. (shrink)

One of the central elements of John Rawls’ argument in support of his two principles of justice is the intuitive normative ideal of citizens as free and equal. But taken in isolation, the claim that citizens are to be treated as free and equal is extremely indeterminate, and has virtually no clear implications for policy. In order to remedy this, the two principles of justice, together with the stipulation that citizens have basic interests in developing their moral capacities and pursuing (...) their conceptions of the good life, are meant to provide a more precise interpretation of what is involved in treating citizens as free and equal. Rawls’ critics, however, have argued that satisfying the two principles of justice is not the most appropriate or plausible way to respect the status of citizens as free and equal. In relation to this debate, the present paper has two aims. The first is to examine Rawls’ account of the type of freedom that a just society must guarantee equally to its citizens. I will argue that those who think of Rawls as a theorist of freedom as non-interference are mistaken, because his notion of liberty resembles in important respects the republican notion of freedom as non-domination. Second, I will consider the extent to which Rawls’ principles of justice successfully protect the freedom as non-domination of all citizens so as to effectively treat them as free and equal. (shrink)

Se trata de una reseña del libro de Modzelewski, Helena Emociones, educación y democracia: una proyección de las emociones de Martha Nussbaum. Universidad Nacional Autónoma de México, México, 368 páginas. ARK: ark:/s18537960/i6kdhhn1o.

Ante la falta o disminución de la motivación de los alumnos universitarios la enseñanza, y con ello la Universidad se ve en la tesitura de poner en práctica nuevas metodologías más activas y motivantes que permitan a los alumnos tener un rol más protagonista en el proceso de enseñanza y aprendizaje que el que han tenido hasta ahora.En el este artículo se expone una experiencia que consiste en el diseño de un escape room on line enmarcado en el Máster en (...) Educación Especial. Se plantea como objetivo motivar a los alumnos y facilitar el aprendizaje de la asignatura. (shrink)

A LAUDATO SI: UM NOVO, NECESSÁRIO E APROFUNDADO OLHAR SOBRE A CRISE SOCIOAMBIENTAL NA SOCIEDADE CONTEMPORÂNEA.