Die Autoren sind katholische Priester und stellen das christliche Menschenbild und die Ethik der Gesundheitssorge in den Mittelpunkt. Herausgearbeitet wird die ihrer Ansicht nach besondere ethische Verantwortung der Pflegekräfte in ihren Beziehungen zu Patienten, Angehörigen und Ärzten bei Fragen der Lebens- und Sterbehilfe.

Individuals regaining reliable day-to-day walking function after incomplete spinal cord injury report persisting unsteadiness when confronted with walking challenges. However, quantifiable measures of walking capacity lack the sensitivity to reveal underlying impairments of supra-spinal locomotor control. This study investigates the relationship between intramuscular coherence and corticospinal dynamic balance control during a visually guided Target walking treadmill task. In thirteen individuals with iSCI and 24 controls, intramuscular coherence and cumulant densities were estimated from pairs of Tibialis anterior surface EMG recordings during (...) normal treadmill walking and a Target walking task. The approximate center of mass was calculated from pelvis markers. Spearman rank correlations were performed to evaluate the relationship between intramuscular coherence, clinical parameters, and center of mass parameters. In controls, we found that the Target walking task results in increased high-frequency intramuscular coherence, which negatively related to changes in the center of mass movement, whereas this modulation was largely reduced in individuals with iSCI. The impaired modulation of high-frequency intramuscular coherence during the Target walking task correlated with neurophysiological and functional readouts, such as motor-evoked potential amplitude and outdoor mobility score, as well as center of mass trajectory length. The Target walking effect, the difference between Target and Normal walking intramuscular coherence, was significantly higher in controls than in individuals with iSCI [F = 13.042, p < 0.001]. Intramuscular coherence obtained during challenging walking in individuals with iSCI may provide information on corticospinal gait control. The relationships between biomechanics, clinical scores, and neurophysiology suggest that intramuscular coherence assessed during challenging tasks may be meaningful for understanding impaired supra-spinal control in individuals with iSCI. (shrink)

Resumen: Esta investigación busca dar cuenta de los espacios que habitan los personajes del cuento Alegres, libres y ruidosas de Pedro Juan Gutiérrez. Mediante los detalles que nos entrega el narrador, revisaremos los “operadores tonales”, estableciendo los enunciados descriptivos y los detalles inherentes a ellos, en cuanto a la composición de los personajes, así como el tipo de espacio en que se realizan, construyendo una identidad transgresora bajo la perspectiva de la poética de lo soez. En este sentido, los personajes (...) serán “máquinas deseantes” que irrumpen en la realidad con un flujo sistemático de líquidos descompuestos que arrastran residuos políticos, éticos y estéticos presentes en la Cuba contemporánea. Así, podríamos hablar de un sexo eminentemente político que no se presenta denotativamente en el cuento sino en las metáforas construidas por aquellos operadores que fijan el “tono” del relato. Por último, postulamos que los detalles funcionan como “pistas” de una historia secreta que funciona bajo la historia visible que se narra en el cuento.: This research seeks to explain the spaces inhabited by characters from the story Alegres, libres y ruidosas by Pedro Juan Gutiérrez. Thoughout the details provided by the narrator, we will review “tone operators”, determining their descriptive and inherent statements, concerning characters, the space in which they are realized by building a transgressor identity under the view poetics of the vulgar. In this sense, the characters are "desiring machines" that burst into reality with a systematic flow of decomposed liquids that drag political, ethical and aesthetic residues present in contemporary Cuba. Thus, we could speak of an eminently political sex that does not occur denotatively in the story but in the metaphors constructed by those operators who fix the "tone" of the story. Finally, we postulate that the details function as "clues" of a secret story that works under the visible story told in the tale. (shrink)