Caracterizando como alternativa las reflexiones en torno a la noción de “diferencia” que hacen autores como Lazzarato, Virno, Agamben, ‘Bifo’, Rancière y Negri, entre otros, acerca de las posturas políticas que, o bien parten de la identidad sociológica, o bien de la igualdad o el acuerdo como axioma de lo político, el texto propone un llamado de atención respecto de la necesaria ampliación que, en la concepción de lo político, implican estas perspectivas, sobre todo entendiéndolas como prisma de análisis de (...) los procesos de producción de subjetividades en nuestros tiempos. (shrink)

BackgroundMinorities are an underrepresented population in clinical trials. A potential explanation for this underrepresentation could be lack of willingness to participate. The aim of our study was to evaluate willingness to participate in different hypothetical clinical research scenarios and to evaluate the role that predictors could have on the willingness of minorities to participate in clinical research studies.MethodsWe conducted a mixed-methods study at the Miami VA Healthcare system and included primary care patients with hypertension. We measured willingness to participate as (...) a survey of four clinical research scenarios that evaluated common study designs encountered in clinical research and that differed in degree of complexity. Our qualitative portion included comments about the scenarios.ResultsWe included 123 patients with hypertension in our study. Of the entire sample, ninety-three patients were minorities. Seventy per cent of the minorities were willing to participate, compared to 60 per cent of the non-minorities. The odds ratio of willingness to participate in simple studies was 0.58; 95 per cent CI 0.18–1.88 p=0.37 and the OR of willingness to participate in complex studies was 5.8; 95 per cent CI 1.10–1.31 p=0.03. In complex studies, minorities with low health literacy cited obtaining benefits as the most common reason to be willing to participate. Minorities who were not willing to participate, cited fear of unintended outcomes as the main reason.ConclusionsMinorities were more likely to be willing to participate in complex studies compared to non-minorities. Low health literacy and therapeutic misconception are important mediators when considering willingness to participate in clinical research. (shrink)

Evaluating the Knowledge and Practice of Limitation of Therapeutic Effort in Health Workers at a Health Care Institution for Cancer Patients in Medellín, 2018Avaliação do conhecimento e da prática da limitação de esforço terapêutico em equipe de atendimento de uma instituição prestadora de serviços de saúde para pacientes oncológicos de Medellín, 2018Limitation of therapeutic effort is any action that involves suspending or not initiating medical treatment or therapeutic measures in patients who will not receive any clinical benefit. In Latin America, (...) some research has proven a lack of familiarization and disagreement with the subject and its practices. The present study tried to objectify the knowledge of LTE of healthcare personnel at an institute in Medellín using a self-administered survey that allowed conducting a cross-sectional descriptive study with non-probabilistic sampling. Within the results, 56.5 % of respondents understood the concept of LTE, and 90 % applied it actively. However, there were discrepancies regarding the core concepts of the definition and practice.Para citar este artículo / To reference this article / Para citar este artigoVallejo LI, Palacio AM, Marulanda V, Restrepo A, Yepes LA, Valencia NL, Cruz MA. Evaluación del conocimiento y práctica de la limitación del esfuerzo terapéutico en personal asistencial de una institución prestadora de servicios de salud para pacientes oncológicos de Medellín, 2018. 2020;24:177-87. DOI: https://doi.org/10.5294/pebi.2020.24.2.5Recibido: 19/07/2019Aceptado: 08/08/2020Publicado: 27/11/2020. (shrink)

En este artículo argumento que la distinción entre los términos “ética” y “moral” es estipulativa y que nada nos impone un cierto significado de los términos: ni su etimología ni la tradición filosófica. Argumento específicamente en contra de una estipulación según la cual “ética” se refiere a la afirmación de la conciencia individual autónoma o auténtica, mientras que “moral”, a la esfera de la observancia de reglas impuestas por la sociedad. Si el propósito de la estipulación es mostrar la mayor (...) importancia relativa de la primera sobre la segunda, por sí sola, esta distinción no nos da ninguna justificación de por qué la conducta ética es superior a la moral. Nada realmente significativo, fuera del ámbito de la teoría que hace la distinción, depende de la estipulación terminológica entre “ética” y “moral”. (shrink)

Sin duda, Altazor o el viaje en paracaídas de Vicente Huidobro constituye una de las obras cumbre de la literatura hispanoamericana y, por extensión, de la literatura hispanoamericana. Indagar en su construcción literaria desde los códigos vanguardistas del erotismo como detonante, y de la estética de la sublimidad como marco de creación, constituye el mejor modo para comprender la poética del vacío y la sistematización de recursos literarios que articulan lo sublime. Así, el creacionismo singularmente y las Vanguardias, en general, (...) encuentran su demiurgo entrópico en la disolución de límites que dinamiza la sublimidad. (shrink)

Several countries have implemented COVID-19 health passes or certificates to promote a safer return to in-person social activities. These passes have been proposed as a way to prove that someone has been vaccinated, has recovered from the disease, or has negative results on a diagnostic test. However, many people have questioned their ethical justification. This article presents some practical and ethical problems to consider in the event of wishing to implement these passes. Among the former, it is questioned how accurate (...) diagnostic tests are as a means of ensuring that a person is not contagious, whether vaccination guarantees immunity, the fact that health passes can be forged, whether they encourage vaccination, and the problem that there is no universally recognized health pass. Among the ethical issues, it is discussed whether health passes promote discrimination and inequality and whether they violate rights to privacy and freedom. It is concluded that health passes have enough ethical justification to be implemented. (shrink)

Determining what constitutes an anticipatable incidental finding from clinical research and defining whether, and when, this IF should be returned to the participant have been topics of discussion in the field of human subject protections for the last 10 years. It has been debated that implementing a comprehensive IF-approach that addresses both the responsibility of researchers to return IFs and the expectation of participants to receive them can be logistically challenging. IFs have been debated at different levels, such as the (...) ethical reasoning for considering their disclosure or the need for planning for them during the development of the research study. Some authors have discussed the methods for re-contacting participants for disclosing IFs, as well as the relevance of considering the clinical importance of the IFs. Similarly, other authors have debated about when IFs should be disclosed to participants. However, no author has addressed how the “actionability” of the IFs should be considered, evaluated, or characterized at the participant's research setting level. This paper defines the concept of “Actionability at the Participant's Research Setting Level” for anticipatable IFs from clinical research, discusses some related ethical concepts to justify the APRSL concept, proposes a strategy to incorporate APRSL into the planning and management of IFs, and suggests a strategy for integrating APRSL at each local research setting. (shrink)

Background Clinical empathy is an essential part of healthcare, and patient-centered care models require clinical empathy to be established. Despite this, little is known about its measurement in the neonatal scenario. Research Aim To measure clinical empathy in health professionals who work with medium and high-risk neonates and build a construct of this empathy. Research Design Single-center survey study. Participants and Research Context The Jefferson Scale of Empathy for Health Professionals questionnaire was applied to health professionals who work in an (...) intensive care unit and a medium-risk unit, in Brazil. Analysis was done using descriptive statistics and a factor analysis model, to build the construct of empathy. Overall empathy was calculated, and the domains’ punctuations were analyzed and compared to the maximum punctuation possible. The study followed the STROBE checklist. Ethical Considerations This study was approved by the Research Ethics Committee of the institution. All participants signed the informed consent form. Participants’ confidentiality and anonymity were protected. Findings Median empathy was 117 (IQR 113–124). The domain of Walking in the Patient’s Shoes had lower scores and represented 77.6% of the maximum punctuation possible. The factor analysis included three factors named Understanding, Experiences, and Treatment, and Emotional Relationships, explaining 64.3% of the overall variance. The domain Walking in the Patient’s Shoes was not included in the model. Conclusions In this scenario, clinical empathy should improve. There is a need to improve the domain of Walking in the Patient’s Shoes, in this case, the neonate, and provide more empathic care to them. (shrink)

Fomentar la educación abierta inclusiva es responsabilidad de todos. Se presenta el diseño instruccional de un libro electrónico para el desarrollo de competencias de información y alfabetización digital. Está enfocado a personas con deficiencia visual. Se utiliza el modelo ADDIE y los principios de Diseño Universal para el Aprendizaje. Se realizó una hoja de ruta para la definición de aspectos iniciales. Como trabajo futuro se contempla desarrollar el libro y compartirlo como recurso educativo abierto con licencia Creative Commons BY-SA para (...) fomentar su reutilización. Se sugiere medir el desarrollo de otras competencias a partir de su uso. (shrink)

BackgroundSchool violence and bullying are prevalent problems that affect health in general, especially through the development of emotional and behavioral problems, and can result in the deterioration of the academic performance of the student victim. The objective of this study was to determine the prevalence rates of aggressive behaviors according to types of school violence and bullying, sociodemographic characteristics, and variation by department, region, and time in the period between 2014 and 2018 in Peru.MethodsThe design was observational and cross-sectional based (...) on data from the Specialized System for Reporting Cases of School Violence (Sistema Especializado en Reporte de Casos sobre Violencia Escolar—SíseVe) in Peru, which covers a population of 23,641 students at the initial, primary, and secondary levels of Basic Regular Education [Educación Básica Regular (EBR)], for the 2014–2018 period. The prevalence rates of the different types of school violence and bullying, the sociodemographic characteristics, and the variation by department, region, and time in the period between 2014 and 2018 were estimated.ResultsPsychological violence/bullying occurred at higher prevalence rates (185.8 and 62.6 per 100,000 residents). Women from public institutions reported greater sexual violence, mostly by teachers (67.8%) than by other students (32.2%). The Selva region had the highest prevalence rate of sexual violence (10.1 per 100,000 residents). The departments of Tacna and Piura had the highest and lowest rates of psychological/verbal violence and bullying in 2018 (95.79 and 25.31 per 100,000 residents).ConclusionPsychological/verbal violence and bullying is highly prevalent among students; women report being victims of sexual violence by administrative personnel of public institutions. The Selva region had the highest rate of sexual violence, and Piura and Tacna had the highest and lowest rates of violence and psychological/verbal bullying. Based on these results, it is suggested to conduct evidence-based prevention programs in Peruvian schools to reduce these social problems. (shrink)

Tienen razón Francisco Lara y Olga Campos en afirmar en la introducción de su libro que “un mérito importante de este libro es que, de manera muy divulgativa, pretende dar respuestas filosóficas al debate sobre nuestra relación con los animales al aplicar ideas bási- cas a cuestiones prácticas como si debemos ser o no vegetarianos, si hay que experimentar con animales o hasta qué punto son justifica- bles las corridas de toros” (p. 15). Y efectivamente, de una manera muy clara, (...) el libro no sólo pretende, sino que en efecto da respuestas a cuestiones centrales sobre nuestra relación con los animales, en particular a la cuestión acerca de cuál es su estatus o su valor moral y, por ende, sobre si tenemos obligaciones morales hacia ellos. Su tesis es que los animales sí tienen un estatus moral independiente de los intereses humanos, que tienen derechos y que es nuestra obligación moral respetarlos. Parte de ese respeto consiste en no tratarlos como meros instrumentos o recursos al servicio de los inte- reses de los humanos. (shrink)

Within the current theoretical and methodological conceptions that approach the educational processes and phenomena there are several levels that, with a systemic character, offer coherence and unity from their more general argumentation to the description of how they should be studied. However, this reality, that is implicit in the different theories, is unnoticed by the researchers and thus it brings about theoretical and methodological in-consequences in the investigation which damage the strictness of the research process. The aim of this article (...) is to analyse each level in the theoretical foundation of investigations about the educational process. A deep analysis of the various ways in which the state of the art has been approached by different authors from the theoretical and methodological points of view is made and the importance of each of one is analysed with new elements that can be enrich according to criterion of the author of this article. Dentro de las concepciones teóricas y metodológicas actuales que abordan los procesos y fenómenos educativos, existen varios niveles que con carácter de sistema les brindan coherencia y unidad, desde su argumentación más general hasta la prescripción de cómo deben ser estudiados. Sin embargo, esta realidad implícita en las teorías con frecuencia es inadvertida por los investigadores, provocando inconsecuencias teóricas y metodológicas en las investigaciones que lesionan la severidad del proceso investigativo. El objetivo de este artículo es analizar los niveles en la fundamentación teórica de las investigaciones sobre el proceso educativo. Se valora el estado del arte acerca de cómo han sido abordados los niveles teóricos y metodológicos por parte de diferentes autores y posteriormente, se precisa cada uno, destacando nuevos elementos que, a juicio del autor, pueden enriquecerlos. (shrink)

Para muchos filósofos y poetas, la poesía es una forma de conocimiento. A esta tesis la llamo cognoscitivismo poético. Aquí analizo qué podemos entender por esta tesis, proponiendo diferentes interpretaciones y tratando de responder a las preguntas acerca de qué conocemos y cómo lo conocemos. Argumento que hay formas de conocimiento que difícilmente pueden ser cuestionadas y que, tal vez por lo mismo, han hecho aparecer la tesis como trivial. Sin embargo, tradicionalmente esta tesis se ha tratado de extender a (...) objetos que nos darían tipos discutibles de conocimiento: aquí el cognoscitivismo poético debe ser seriamente cuestionado. Finalmente, argumento que el modo en que la poesía puede ser fuente de conocimiento es a través de las perspectivas que nos da de la realidad, y en este sentido también puede tener un impacto cognoscitivo sobre nosotros y sobre nuestra comprensión del mundo. (shrink)

En Vértigos argumentales, Carlos Pereda propone una clasificación de teorías fundacionistas sobre la justificación epistémica y sugiere que algo similar se puede hacer para la justificación práctica. Aquí desarrollo una clasificación de teorías acerca de la justificación moral en los mismos términos. Finalmente, analizo cómo sería lo que Pereda llama una teoría multifundacionista de la justificación en ética.

Game Transfer Phenomena refers to a cluster of involuntary phenomena related to playing videogames, including sensory and cognitive intrusions, transient changes in perception and self-agency. The Game Transfer Phenomena Scale has been used to measure the frequency of GTP with respect to five factors. The present study aimed to validate an instrument for assessing the multiple dimensions of GTP that helps clarify the distinction between GTP experiences. GTP were contextualized onto the spectrum of intrusive cognitions, perceptual distortions, and dissociations. The (...) relationship between GTP, involuntary phenomena without game content in terms of, e.g., hallucinations and perceptual distortions, and game-biased perceptions, as well as the positive and negative impact of GTP and level of distress were also examined. The data were collected using a survey. Separate confirmatory factor analyses of the dimensions of “inner intrusions/misperceptions,” “outer intrusions/distortions,” and “dissociations/mix-ups” produced acceptable fit indices. The findings show that phenomena manifesting as internal experiences are more common, while those manifesting as externalized intrusions are less common. Correlations between the GTP dimensions, INVWG, and GBPA, such as the insertion of game elements in thoughts, perceptions, and dreams, supported convergent validity. The correlations between the GTP dimensions and hours played supported criterion validity. Distress was correlated with outer intrusions and dissociations/mix-ups, but not with inner intrusions. Taken together, these results support the validity and reliability of the proposed assessment of GTP constructs. (shrink)

The present work aims to study the knot formed between ontology, normativity and subjetivation in order to tackle the problem of materiality of domination relations. Along these lines, a materialist aproach will explore the movements, relationships and multiple implications among these dimensions. This method seeks to dismantle the tendency of philosophical idealism that appeals to the suture, blocking and closure of the plurality of events through some normative principle of a, let´s say, a priori trascendental or empirical character. As a (...) counterpart, it seeks to show the constitutive paradox of the subjectivation process and, at the same time, its possibilities of singular, autonomous and immanent constitution. (shrink)

Martin Heidegger planteó la pregunta acerca del sentido del ser a través de dos tipos de análisis propedéuticos, autodestructivos y autotranscendentes, según Apel y Polo. La comunicación analiza este primer supuesto, donde el análisis del ente y del ser generó una autoenajenación y perplejidad insalvable. La aparición de deficiencias semióticas y gnoseológicas inevitables hizo que el proyecto programático a favor de la metafísica propuesto por Heidegger ya no pudiera otorgar un alcance transcendental y ontológico a sus propias propuestas, generando una (...) autoenajenación y una perplejidad cada vez mayor. La comunicación concluye mostrando la complementariedad inicial de estas dos críticas del sentido en Heidegger. (shrink)

El intento de esta breve nota es mostrar que en una filosofía de corte materialista, el Ego Trascendental es un filosofema, al menos, ocioso. Es evidente que hablamos de filosofía materialista cuando se procede a un descentramiento de la realidad y, a partir del mundo adspectable somos conducidos, no a un más allá nouménico que sigue siendo la sombra del Ser, sino a la materia en tanto que pluralidad radical. Descentramiento que a la postre resulta doble: del Ser pero también (...) del Sujeto. (shrink)

La pensée de Ricardo Sánchez Ortiz de Urbina n’a cessé de s’approfondir, sans toujours laisser le temps à ses lecteurs de reprendre leur souffle. La halte que représente « Que diez años es mucho… », dut ainsi être accueillie avec soulagement et reconnaissance! Situé à mi-parcours entre les écrits proprement stromatologiques et ceux qui donneront naissance à Orden oculto (2021), ne laissant rien pressentir des plus récentes percées, ce texte néanmoins rassemble avec patience et rigueur des années de réflexion (...) sur le sens d’une philosophie qui s’opère au niveau de l’eikôn et du microscopique, sans renoncer à son caractère systématique. Il constitue un préalable nécessaire à la bonne compréhension de l’épistémologie phénoménologique que RSOU bâtira quelques années plus tard. Surtout, il fournit un complément indispensable à ce que nous nous proposons d’appeler sa « perspective stromatologique » : celle qui entend révéler, dans la Sache, une diversité de couches (stromata) tenues ensemble par une structure « foliatile », la superposition ou le millefeuille des niveaux ainsi articulés. Seulement une philosophie des stromata phénoménologiques ne fait pas encore un monde. D’autres paramètres conceptuels sont requis, plus englobants ; qui n’avaient peut-être encore jamais fait l’objet d’un traitement systématique sous la plume de Ricardo. Le risque de confusion entre ces termes est désormais conjuré. (shrink)