Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter. (shrink)

CONTORNOS JURÍDICOS, FILOSÓFICOS E SOCIAIS DA MONOGAMIA: PARADIGMAS DO POLIAMOR NO DIREITO DE FAMÍLIA.

O presente trabalho retrata os resultados de uma pesquisa realizada nos moldes da observação participante e da etnobiografia com o objetivo de compreender a dinâmica existente entre o ensino e aprendizagem e os valores civilizatórios inerentes às práticas cotidianas de uma comunidade tradicional afro-brasileira. O estudo foi realizado por meio da observação e participação de atividades litúrgicas de um terreiro de Umbanda e Candomblé – o “Ilè Asè Tobi Babá Olòrigbìn” - localizado na cidade de Ituiutaba, MG. O ensinar como (...) uma responsabilidade partilhada, a reafirmação de princípios éticos/civilizatórios (como a circularidade, a ancestralidade, a corporalidade, a conduta), a centralidade da oralidade e as relações entre a vida comunitária e uma singularidade que se funda no coletivo foram aspectos percebidos como características de uma dimensão formativa que orienta os aprendizados no interior desse grupo. Considerando que o modelo praticado por essas comunidades seja um modelo de sucesso (que tem resistido ao tempo e a um histórico de opressão), destacamos o grande desafio de aprender com os ensinamentos dos territórios afro-brasileiros e encontrar maneiras de incorporá-los às nossas práticas educativas, para que assim, vislumbremos uma escola mais diversa e humanizada. (shrink)

IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

Sin ningún afán polémico, el presente artículo aspira a presentar algunos rasgos de Menéndez Pelayo, que puedan legitimar su caracterización como filósofo ; faceta esta, quizá, la menos vistosa de este gran historiador y crítico, incansable lector y escritor fecundo. Rastreando sus obras más específicas sobre el particular, se expone su pensamiento al respecto, no solo para saber como entiende los conceptos filosóficos más básicos, sino también para ver la posibilidad de enmarcarlo en alguna corriente filosófica que admita su clasificación.

Background Professors of nursing sometimes experience specific situations in their daily practice that conflict with their values and ethical principles and may culminate in moral distress. Moral distress occurs when one is prevented from acting according to his or her knowledge or values, or what one considers to be ethically sound. Objectives To identify the profile of professors of nursing through grouping sociodemographic characteristics and intensity of moral distress. Method Cross-sectional and exploratory study addressing 373 nurses teaching in Brazilian federal (...) public higher education institutions. Data were collected from June to December 2018 through email, using the Google Docs tool. A moral distress scale directed to nurse educators was used. Data were analyzed using descriptive statistics, variance analysis, and cluster analysis. Ethical considerations The Institutional Review Board at the Federal University of Rio Grande approved this study. Findings Initially, four clusters emerged for each variable predicting the profile of Brazilian professors of nursing: sex; whether the individual worked in a graduate program; age; experience in years in their respective higher education institution; and intensity of moral distress. The profile of Brazilian professors of nursing was represented by the largest cluster, 36.5% (n = 136), composed of women working in graduate programs, aged 37 years old on average, having worked in their respective institutions for approximately 5 years, and presenting a moderate intensity of moral distress. Conclusion Assigning individuals into groups facilitates seeing similarities among the predictors that compose the profile of Brazilian professors of nursing, thus recognizing those workers experiencing moral distress in their daily work routine. In addition, this study’s results are expected to encourage reflection on the planning of efficacious interventions directed to the context of education and health. (shrink)

A pesar de que el nombre de Francisco de Vitoria no aparece en los tratados y autores del siglo xvm, no por eso su doctrina fue ignorada. Muy por el contrario, sus tesis, no obstante ser atribuidas a Hugo Grocio, son mantenidas y aceptadaspor autores tan importantes y destacados como Locke o Kant.The fact that the name of Francisco de Vitoria does not appear in the treatises and among the authors of the 18th century does not mean that his doctrine (...) was unknown. On the contrary, his thesis although credited to Grotius were known. On the contrary, his thesis although credited to Grotius were known and accepted by many important authors such as Locke or Kant. (shrink)

O presente artigo discute sobre o caráter aberto que Ricœur, em sua obra A memória, a história, o esquecimento, mantém para a questão da validade da historiografia enquanto saber científico. O fato de Ricoeur não objetivar um consenso que valide a historiografia, no sentido epistemológico, pode desanimar um leitor historiador. No entanto, o dissensus que se reflete na falta de um método paradigmático, de um significado unívoco e de uma categoria fundamental da investigação historiográfica, em Ricoeur, não condena a historiografia (...) à impossibilidade. Ao invés disso, o presente texto tem o objetivo de justificar o caráter “aberto” da historiografía, exposto por Ricoeur na obra aqui citada, apresentando a necessidade das “perspectivas cruzadas” para a relação da historiografia com o debate público. Essa discussão desemboca nas implicações éticas e políticas do discurso historiográfico. (shrink)

Francisco de Vitoria, no por su catalogación como teólogo, deja de ser auténtico filósofo; no por haber vivido en el siglo xvi, se encuentra desvinculado de la temática más candente de nuestra actualidad; no por vestir unos hábitos religiosos y vivirenmarcado en un régimen imperialista e inquisitorial, se encontró maniatado o coaccionado en sus ideas y pensamiento. En algunos puntos se encontró, incluso, más avanzado que nosotros mismos. Y. en todo caso, como asegura James Brown Scott, "la escuela moderna del (...) Derecho Internacional surgió a la vida" gracias a que hubo un "primero que expuso los principios que deberían regir"; y ése no es otro que Francisco de Vitoria. (shrink)

El presente ensayo tiene como finalidad mostrar que la pornografía es una significación imaginaria social cuyo sentido consiste en producir en el individuo una inquietud que lo lleva a una confrontación consigo mismo. Para lograr este objetivo, en primer lugar se explicará qué es una significación imaginaria a partir de la tesis que propone Cornelius Castoriadis. En segundo lugar, se analizará a la pornografía como un aspecto de la sexualidad; y en tercer lugar, se estudiará la noción de pornografía a (...) partir de las propuestas de Jean Baudrillard, Andrés Barba y Javier Montes; finalmente se presentarán las conclusiones. (shrink)

En este artículo, analizamos algunas de las causas que pudieron motivar que la traducción realizada por el «portugués» Diego de Cisneros de los _Ensayos_ de Montaigne entre 1634 y 1637 obtuviese la licencia eclesiástica, pero no la civil. Asimismo, se aclara el sentido de la nota_ caute lege_, que sirvió a Cisneros para orientar su labor como traductor. Para comprender la mentalidad desde la que efectuó su tarea, se ha llevado a cabo un estudio de su trayectoria biográfica (...) e intelectual, así como de su desempeño en la corte madrileña en defensa de los «hebreos cristianos». Nuestra investigación concluye que no fue el prólogo de Cisneros a su traducción lo que motivó la prohibición de los _Ensayos_, pues esta se había producido ya en 1632, sino el hecho de que la obra de Montaigne, según el _Index_ de libros prohibidos, había de ser expurgada previamente por los censores del Santo Oficio, lo que nunca sucedió. (shrink)

Reivindicación de Maquiavelo en la obra de Hannah Arendt -- Acercamientos a Max Weber desde una crítica a la modernidad -- La violencia como disolución de lo político.

Este ensayo propone una lectura de la VIII de las Tesis sobre la historia, de Benjamin que la “emplea”, en el sentido en que el propio Benjamin sostenía que una exposición materialista de la historia debía emplear los fragmentos del pasado para interrogar radicalmente el presente y resistir a las opresiones. Se pone en relación esta tesis con las palabras de las mujeres zapatistas, pronunciadas con motivo de la inauguración del Segundo encuentro internacional de mujeres que luchan, para argumentar que (...) el “estado de excepción” que Benjamin había advertido era en verdad la regla, lo sigue siendo hoy específicamente (aunque no únicamente) para las mujeres y otros cuerpos, individuales y colectivos, feminizados. Se argumenta también que la tradición de lucha de las mujeres indígenas producida por una colonialidad capitalista que sigue en curso es la que hoy nos muestra la normalidad del “estado de excepción” contemporáneo. Finalmente se propone que las luchas de las mujeres son, también, ejercicios críticos y prácticas de resistencia e invención, para una justicia por-venir. (shrink)

As fronteiras são um tema conceitualmente polissêmico e um objeto multidisciplinar. Estudos que tratam desse tema são de grande valia para os campos da Geografia, Relações Internacionais, Direito, História, entre outros. Visando contribuir com esse debate, essa resenha apresenta uma visão do livro Formação das Fronteiras Latino-Americanas, que caracteriza-se como uma importante contribuição, com diversas questões diferenciadas na discussão realizada.

Background: The present article aims to measure the extent to which the physical and recreational needs of elderly persons in the communities of Posorja and Puna are being met. Nowadays, it is known that physical activity is beneficial for the elderly, as it helps to diminish illness and all kinds of diseases. Method: The population in this study is comprised on 378 elderly persons between 65 and 79 years of age: 200 belong to the community of Posorja and 178, to (...) the community of Puna in Guayas Province. The tools used for this research include, among others, the ADL Test, which evaluates the degree of self-care and mobility; the Lawton and Brody Scale, which is an appropriate instrument to evaluate the level of independence and skills; and the MMT, which evaluates cognitive functions such as memory, language, praxis and attention. They all are essential to detecting and diagnosing Alzheimer´s disease. Results: Various statistical techniques were used to obtain the results, such as descriptive analysis, contingency tables and main components. Conclusions: The population between 65 and 90 years of age was analyzed and it accounted for 35.9% of the total population back in 2010, which means there was a variation. Nowadays, it represents 56.6% of the obtained sample. This generational group refers to the elderly, who should be favored by public policies that are intended to improve health programs, generate recreational areas, and create senior care centers. Generally, the demographic dynamics of Posorja show a structured pyramid, with an expanding population, a large amount of young people and adults who contribute to the economic dynamics and productivity of the area. The questionnaire could be adapted and contain the specifications required to suit the true dimensions of this population. (shrink)

Resumen: Los niveles de concreción paradigmáticos, se estudian a través de aspectos como: la ontología, la epistemología y la metodología, cada uno delineado conforme a los diferentes paradigmas según sea el caso: positivista, post positivista o interpretativo, constructivista y el socio crítico. El estudio presente propone reflexionar sobre los paradigmas de la investigación científica considerando las características importantes de la complejidad del objeto de estudio en aplicación al paradigma o paradigmas, concluyendo que a través del uso de la geometría fractal (...) los diferentes elementos obtenidos de la investigación presentan resultados que sintetizan la realidad compleja para tener una visión sistémica generando conocimientos de manera holística. (shrink)

IntroductionCardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they (...) have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.ResultsWe point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.ConclusionWe establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion. (shrink)

La doctrina de Vitoria con respecto a que los derechos humanos —naturales o «de gentes», no importa si al margen de la fe y el cristianismo—, están muy por encima del poder y la jurisdicción del Papa o el Emperador, se infiltré de tal forma en el modo de pensar posterior, que, a pesar de haber olvidado al propio Vitoria como su fundador o, al menos, su principal impulsor, prevaleció en la mente de los grandes pensadores posteriores y se va (...) viendo calcada tanto en la realidad histórica o las relaciones sociales de nuestro tiempo, como en la propia Constitución de las diferentes democracias actuales. (shrink)

This paper focuses on order-preserving logics defined from varieties of distributive lattices with negation, and in particular on the problem of whether these can be axiomatized by means Hilbert-style calculi that are finite. On the negative side, we provide a syntactic condition on the equational presentation of a variety that entails failure of finite axiomatizability for the corresponding logic. An application of this result is that the logic of all distributive lattices with negation is not finitely axiomatizable; we likewise establish (...) that the order-preserving logic of the variety of all Ockham algebras is also not finitely axiomatizable. On the positive side, we show that an arbitrary subvariety of semi-De Morgan algebras is axiomatized by a finite number of equations if and only if the corresponding order-preserving logic is axiomatized by a finite Hilbert-style calculus. This equivalence also holds for every subvariety of a Berman variety of Ockham algebras. We obtain, as a corollary, a new proof that the implication-free fragment of intuitionistic logic is finitely axiomatizable, as well as a new corresponding Hilbert-style calculus. Our proofs are constructive in that they allow us to effectively convert an equational presentation of a variety of algebras into a Hilbert-style calculus for the corresponding order-preserving logic, and vice versa. We also consider the assertional logics associated to the above-mentioned varieties, showing in particular that the assertional logics of finitely axiomatizable subvarieties of semi-De Morgan algebras are finitely axiomatizable as well. (shrink)