Background The birth plan is a tool that allows the self-learning and thoughtful analysis of the women during the birthing process, facilitating their making of decisions and participation, in agreement with the bioethical principles of autonomy and no malfeasance. Goal: To understand the perception and satisfaction of women who presented a birth plan. Methodology: Qualitative, descriptive, observational, retrospective and cross-sectional study. The population of the study was composed of 21 women who presented a birth plan regulated in a Hospital ever (...) since the recording of the presentation of the birth plan was started (2011) until 2015. Place: Cartagena (Murcia, Spain). Techniques/methods: Semistructured interview. Results-Discussion: Most women considered the plan as a useful self-learning tool on the meaning of the birthing process, as it favored the communication between the expectant mothers/health professionals. Our informants sought information related to the birthing process from informal sources; most perceived a level of respect of their wishes during the process of giving birth. The use of the birth plan did not imply the perception of loss of the degree of control during the birth, although attention to the written document could be improved. Conclusions The use of the birth plan is a very satisfactory and useful experience for their involvement in their self-care, although in some cases, the births did not proceed according to their plans. Nevertheless, the prevalence of the principle of Non-Malfeasance over Autonomy was evidenced. (shrink)

El fracaso político de la Revolución francesa deja un regusto amargo de que el problema del ser humano se encuentra en la Modernidad y, concretamente, en la escisión radical que abre la conciencia. Los ideales del Bien y la Verdad son señaladas como formas muertas, carentes de potencia erótica, inservibles para movilizar al ser y, por tanto, anacrónicos para una época que quiere despertar bajo el signo de la Belleza. Un joven Schelling escribe bajo este sol naciente una obra en (...) la que el arte aparece como una praxis capaz de suturar aquella herida que abre la conciencia. La imaginación y la síntesis poética son elementos ineludibles en el transitar por una vida humana que busca su plenitud en el retorno a la unidad originaria con lo Absoluto. El gesto del genio artístico será el privilegiado para este tránsito al origen. (shrink)

In this work, we examine the debate over thecommodification of agricultural germplasm in Mexico using aneo-Marxist theoretical framework. Specifically, we examine Mexico's movement away from a ``Farmers' Rights'' framework, whichtreats germplasm as a ``common good'' towards the passage of theMexican Federal Law on Plant Varieties, which sees germplasm as acommodity. In order to understand this legal change, the recenthistory of this discourse in Mexico is examined. Usingtheoretical insights based in an analysis of this discourse, weexamine the ideological elements of this (...) debate. It is arguedthat an international hegemonic bloc has arisen to address thisissue, superceding the bounds of any single state entity andfunctioning through the international bodies of free trade.Taking the Mexican state to be relatively autonomous fromcapital, we argue that the hegemonic bloc influenced the changein Mexican policy. We conclude with a discussion of the possibleeffects of this legal change in Mexico. (shrink)

The aim of this study was to explore the role of voices as cues to adults of children’s needs for potential caregiving during early childhood. To this purpose, 74 college students listened to pairs of 5-year-old versus 10-year-old children verbalizing neutral-content sentences and indicated which voice was better associated with each of 14 traits, potentially meaningful in interactions between young children and adults. Results indicated that children with immature voices were perceived more positively and as being more helpless than children (...) with mature voices. Children’s voices, regardless of the content of speech, seem to be a powerful source of information about children’s need for caregiving for parents and others during the first six years of life. (shrink)

Este texto trae un intento de explicar un poco la complejidad de la Espiritualidad P’urhépecha y la distinción frente a las corrientes de pensamiento de la filosofía occidental que muestra una idea de espiritualidad a partir de la oposición entre materia y espíritu. La idea central es explicar que la Espiritualidad P’urhépecha está más allá que un concepto y que el hombre p’urhé encuentra raíces profundas para vivir una relación armónica de reciprocidad y gratitud para con la natura, para con (...) la divinidad y para todos los seres humanos. El texto está desarrollado bajo reflexiones de Baracs (2023) y Maturino (1983), con una metodología cualitativa, desde una perspectiva de antropología engajada, desde relatos vividos por el autor. Como resultados de la discusión se percebe que no se puede imbuir en la cultura p’urhépecha, si no se toman en cuenta su espiritualidad y su religiosidad. (shrink)

Se plantea una reflexión sobre qué es y cómo se elabora el sentido ético presente en toda forma de vida humana. Se propone un itinerario que comienza con la narración de algunas situaciones en las que se ponen de manifiesto preguntas que se antojan urgentes en estos tiempos: conflictos reales entre formas de valoración y acercamiento a la realidad con tintes en general muy violentos. En un segundo paso se trata de encauzar los posibles desarrollos de esas preguntas, de manera (...) que podamos agudizar un cierto olfato respecto al sentido ético de la existencia humana describiendo y analizando los mecanismos racionales y afectivos implicados en su elaboración, para terminar con algunos apuntes que permitan seguir pensando y desarrollando los aspectos positivos de las formas de vida sin perder de vista sus patologías. (shrink)

El objetivo de este trabajo consiste en oponer dos modos de fundamentar los sistemas políticos: el primero se basa en apelar a la historia y a la identidad nacional; mientras que el segundo pone el acento en los mecanismos institucionales. Vamos a tratar estas dos maneras de entender la política a partir del ejemplo de la Holanda de los siglos xvi y xvii, con la utilización que en esta época se hizo del mito Bátavo y del mito de Venecia. Mientras (...) que el mito bátavo es sólo histórico, el mito de Venecia tiene un componente histórico y un aspecto político y constitucional, que representa Espinosa. (shrink)

Background: Pain has been associated with structural changes of the brain. However, evidence regarding white matter changes in response to acute pain protocols is still scarce. In the present study, we assess the existence of differences in brain white matter related to pain intensity reported by patients undergoing surgical removal of a mandibular impacted third molar using diffusion tensor imaging analysis.Methods: 30 participants reported their subjective pain using a visual analog scale at three postsurgical stages: under anesthesia, in pain, and (...) after the administration of an analgesic. The diffusion data were acquired prior to surgery.Results: DTI analysis yielded significant positive associations of fractional anisotropy in white matter areas related to pain processing with the differences in pain between the three postsurgery stages. Extent and location of these associations depended on the magnitude of the subjective pain differences. Tractography analysis indicated that some pain–tract associations are significant only when pain stage is involved in the contrast, while others are only when anesthesia is involved in the contrast.Conclusions: The association of white matter fractional anisotropy and connectivity, measured before the pain stages, with subjective pain depends on the magnitude of the differences in pain scores. (shrink)

El artículo propone una reflexión sobre la incidencia del contexto en el pensar teológico sobre la cristología. Con ella se quiere mostrar la necesidad no solo de una reflexión, sino igualmente de una didáctica que ayude a los alumnos a apropiarse significativamente de los contenidos dogmáticos de forma que puedan insertarlos en la dinámica de la evangelización. La idea de fondo es que no existe una cristología acontextual, sino solo contextuada o descontextuada, lo que obliga a una continua reapropiación de (...) sus contenidos que muestre que el señorío de Cristo puede asumir todas las culturas y todos los momentos de la historia humana consumándolos salvíficamente. (shrink)

Este artículo trata sobre el filósofo chileno Jenaro Abasolo. Se expone en él, primeramente, la producción literaria de Abasolo y la nula receptividad que su obra tuvo en los círculos intelectuales de su tiempo, aludiendo, a la vez, al concepto central de su filosofía, es decir, la idea de personalidad. Luego, y más extensamente, se presentan las consideraciones de Abasolo respecto de algunas de las problemáticas sociales y económicas discutidas en los inicios de la República, abordando temas como la moral, (...) la religión, el fin social y la libertad. This artick is a treatise on the Chilean philosopher Jenaro Abasólo. Vrimarilj, it exposes Abasólo, his literary production, and the complete lack of attention that his oeuvre recieved from the intellectual áreles of his period. It alludes, at the same time, to the central concept of his philosophy, Le., the idea of personality. Later and more extensively, it presents Abasolo’s considerations regarding social and economic issues discussed at the beginning of the Republic, addressing topics such as morality, religión, social order and freedom. (shrink)

ObjectiveThis study aimed to analyse how stereotypes towards older people moderate the relationship between burnout and quality of life of professionals working in nursing homes.MethodA total of 312 professionals were asked to complete questionnaires of burnout Maslach Burnout Inventory quality of Life and aging stereotypes. The moderation effects were tested using linear regression models.ResultsA negative association was observed between burnout and QoL. It was also found a statistically significant moderator effect of the total score of stereotypes and the health stereotypes, (...) besides a marginally statistically significant moderator effect for motivational stereotypes. The moderator effects were different for people with low and high negative stereotypes. QoL was more affected under conditions of high burnout, in which people with more negative stereotypes tended to present higher QoL than people with lower negative stereotypes.ConclusionHighly burned-out professionals in nursing homes may avoid their negative feelings projecting them to residents through stereotypes, as a way of coping with burnout and increasing their QoL. However, this mechanism is an “aggressive reaction” and may have negative effects for both the older adult and the professional. The comprehension of these variables is essential for developing adequate intervention programs. (shrink)

Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low‐income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open‐ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in (...) public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low‐income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed. (shrink)

Intentamos mostrar las líneas genealógicas de la estructura político-legislativa de nuestro mundo a través del juego dinámico entre el Derecho natural y el Derecho positivo. El Derecho positivo de los grupos sociales implica una pseudo especialización cultural social a partir de la cual se justifica la guerra. Por otro lado, la guerra nunca puede ser justificada a través del derecho natural. En este trabajo vamos a tratar los siguientes aspectos: I) La Historia del Derecho Natural; II) El inicio de los (...) valores sociales de la época moderna en el lusnaturalismo clásico español: Fr. Suárez, Fr. de Vitoria y Fr. Bartolomé de las Casas; III) Valores como la libertad, la igualdad y la solidaridad (propiedad común). (shrink)

Worldwide, vulnerable neighbourhoods of large cities are often the scene of collective violent conflicts linked with migration and ethnic minorities’ struggles for social justice. However, urban conflicts of this kind have not taken place in Spanish cities with high immigration rates, even though the country has been deeply affected by two recent socioeconomic crises (2009 and 2020). This article reports findings of a study aimed at understanding what lies behind this apparent social peace. The research methodology was based on an (...) analysis of secondary socio-economic and socio-relational data from the Spanish Institute of Statistics and from key national surveys and reports. Results confirmed that immigrant population living in the country are strongly segregated in the lower strata of the labour and socioeconomic structure and have been disproportionately affected by the crises. However, research findings also pointed to the existence of strong closed support networks where social capital has been effective at palliating members’ disadvantage and unrest. Drawing on the Theory of Rupture Frames, we argue that this is a fragile and unsustainable social peace, rooted in social injustice, and anticipate that unless actively prevented, uncontrolled conflict will eventually emerge in main cities’ neighbourhoods in Spain. (shrink)

The fate of cellular RNAs is largely dependent on their structural conformation, which determines the assembly of ribonucleoprotein (RNP) complexes. Consequently, RNA‐binding proteins (RBPs) play a pivotal role in the lifespan of RNAs. The advent of highly sensitive in cellulo approaches for studying RNPs reveals the presence of unprecedented RNA‐binding domains (RBDs). Likewise, the diversity of the RNA targets associated with a given RBP increases the code of RNA–protein interactions. Increasing evidence highlights the biological relevance of RNA conformation for recognition (...) by specific RBPs and how this mutual interaction affects translation control. In particular, noncanonical RBDs present in proteins such as Gemin5, Roquin‐1, Staufen, and eIF3 eventually determine translation of selective targets. Collectively, recent studies on RBPs interacting with RNA in a structure‐dependent manner unveil new pathways for gene expression regulation, reinforcing the pivotal role of RNP complexes in genome decoding. (shrink)

Míguez Barciela, A.: La visión de la Odisea, La Oficina, Madrid, 2014, 272 pp.; Mortal y Fúnebre. Leer la Ilíada, Dioptrías, Madrid, 2016, 206 pp.

The US poultry industry based on flexible accumulation has been advanced as the model of agro-industrial development for agrifood globalization. Similarly, Mexico has been presented as a noteworthy example of the negative effects of neoliberal restructuring associated with the globalization project. In this paper we use both of these assertions as points of departure to guide an investigation of the case of the restructuring of the Mexican poultry industry. Informed by a commodity systems analysis, archival data and key informant interviews (...) are used to generate an overview of the history of the poultry industry in Mexico. A sociology of agrifood theoretical framework informed by regimes theory is employed to analyze the events of the case. We conclude that neoregulation related to the IMF and NAFTA restructuring in Mexico facilitated the diffusion of the US model of poultry production. (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)

Este artículo examina el significado del desarrollo humano integral propugnado por Benedicto XVI en Caritas in veritate, destacando su continuidad con Populorum progressio y, en general, con el magisterio social precedente. Tras dar razón del vínculo existente entre la economía, la ética y la antropología, el autor trata de espigar las principales orientaciones ético-económicas que han sido propuestas en esa última encíclica social con vistas a un tal desarrollo, articulándolas a partir de dos concepciones antropológicas de honda raigambre en la (...) doctrina social de la Iglesia, a saber, la dignidad humana y el personalismo comunitario.Comenta, finalmente, la relevancia económica de la antropología cristiana y su potencial crítico frente al homo oeconomicus, así como la capacidad de interlocución con diversas corrientes de pensamiento contemporáneas que dicha antropología proporciona a la doctrina social de la Iglesia.This article examines the meaning of the human, complete development defended by Benedict XVI in Caritas in veritate, emphasizing its continuity with Populorum progessio and with the previous social teaching in general. After stating the existing link between economy, ethics and anthropology, the author tries to select the main ethic-economic orientations proposed in that last social encyclical in relation to a such development, and structures them beginning with two anthropological conceptions deep-rooted in the social doctrine of the church, that is, human dignity and personalism of the community. Finally, the article comments on the economic importance of Christian anthropology and its critical potential against the homo oeconomicus, as well as the capacity of being an interlocutor with several contemporary trends of thought that anthropology provides the social doctrine of the church with. (shrink)

El autor busca reflejar –a partir de la propuesta de Habermas para diferenciar las acciones correctas moralmente- cómo la perspectiva comunicativa puede aportar a los procesos educativos universitarios y cómo ella puede constituir un buen referente para mejorar tanto la eficacia como la corrección moral de éstos. Propone luego un diseño educativo universitario comunicativo que no parta de la coacción, sabiendo que ello exigirá profundas transformaciones personales y sociales.

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)

Resumen Este artículo da cuenta de la forma en que el liberalismo del filósofo chileno Jenaro Abasolo (1833-1884), al conceder un rol activo al Estado en la “habilitación de la masa desheredada”, responde al adjetivo “social”. En Abasolo, el deber de asegurar en lo posible la prosperidad de las personas, se sostiene en el derecho natural y en una teología de la historia pan[en]teísta afín al krausismo. Abasolo piensa que la redención del desheredado en naciones aun juveniles debe apoyarse en (...) una forma de Estado “casi socialista”. Esto implica una acción de centralización y de tutela del pueblo que enfrenta a los autores del artículo a la gran dificultad de determinar cómo el autor chileno realiza la transición de una habilitación consumada a través de un buen grado de despotismo, hacia la libertad. Es decir, resulta controversial establecer la factibilidad de la realización de esta vía cuasi socialista a un liberalismo contrafácticamente orientado por el laissez faire. Abstract This article shows how the liberalism of the Chilean philosopher Jenaro Abasolo (1833-1884), by granting an active role to the State in the “empowerment of the disinherited mass”, responds to the adjective “social”. In Abasolo, the duty to ensure as far as possible the prosperity of the people is based on natural law and on a pan[en]theistic theology of history akin to Krausism. Abasolo thinks that the redemption of the disinherited in even juvenile nations must be supported by an “almost socialist” form of state. This implies an action of centralization and guardianship of the people that confronts the authors of the article with the great difficulty of determining how the Chilean author makes the transition from an empowerment consummated through a good degree of despotism, towards freedom. That is to say, it is controversial to establish the feasibility of the realization of this quasi-socialist path to a liberalism counterfactually oriented by laissez faire. (shrink)

A partir del conjunto de datos bíblicos, donde se muestra la existencia de una doctrina asentada en lo concerniente a las relaciones de la fe y los sacramentos, el artículo ofrece algunas reflexiones y prospectivas que ayuden al derecho y a la pastoral sacramental a superar la dificultad que representan en la actualidad muchas situaciones de inadecuación entre la fe y el sacramento. Las principales cuestiones tratadas son: el papel de la fe personal en el proceso de la iniciación cristiana, (...) la recuperación del carácter “sacramental” del catecumenado y el valor propedéutico e iniciático de las celebraciones pre-sacramentales. (shrink)

Background: The field of voice and speech analysis has become increasingly popular over the last 10 years, and articles on its use in detecting neurodegenerative diseases have proliferated. Many studies have identified characteristic speech features that can be used to draw an accurate distinction between healthy aging among older people and those with mild cognitive impairment and Alzheimer's disease. Speech analysis has been singled out as a cost-effective and reliable method for detecting the presence of both conditions. In this research, (...) a systematic review was conducted to determine these features and their diagnostic accuracy.Methods: Peer-reviewed literature was located across multiple databases, involving studies that apply new procedures of automatic speech analysis to collect behavioral evidence of linguistic impairments along with their diagnostic accuracy on Alzheimer's disease and mild cognitive impairment. The risk of bias was assessed by using JBI and QUADAS-2 checklists.Results: Thirty-five papers met the inclusion criteria; of these, 11 were descriptive studies that either identified voice features or explored their cognitive correlates, and the rest were diagnostic studies. Overall, the studies were of good quality and presented solid evidence of the usefulness of this technique. The distinctive acoustic and rhythmic features found are gathered. Most studies record a diagnostic accuracy over 88% for Alzheimer's and 80% for mild cognitive impairment.Conclusion: Automatic speech analysis is a promising tool for diagnosing mild cognitive impairment and Alzheimer's disease. The reported features seem to be indicators of the cognitive changes in older people. The specific features and the cognitive changes involved could be the subject of further research. (shrink)

El objetivo del presente trabajo es evaluar en qué sentido se puede decir que el marxismo tiene una dimensión utópica y abogar por un marxismo de la contingencia abierto a la novedad y no determinista de manera rígida. Aunque los tiempos de las grandes utopías ya han pasado, quizás el socialismo fue la última gran utopía, se puede plantear que sí haya lugar para pequeñas utopías ligadas al surgimiento de nuevas singularidades, nuevas subjetividades y nuevas objetividades en lo social y (...) hace falta una cierta tensión del pensamiento, que quizás ya no se pueda seguir llamando utópica por no tener ese carácter global y perfecto de las grandes utopías, que se niegue a considerar el futuro como una mera repetición del presente. (shrink)