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BackgroundUpper limb impairment is common after stroke, and many will not regain full upper limb function. Different technologies based on surface electromyography (sEMG) have been used in stroke rehabilitation, but there is no collated evidence on the different sEMG-driven interventions and their effect on upper limb function in people with stroke.AimSynthesize existing evidence and perform a meta-analysis on the effect of different types of sEMG-driven interventions on upper limb function in people with stroke.MethodsPubMed, SCOPUS, and PEDro databases were systematically searched (...) for eligible randomized clinical trials that utilize sEMG-driven interventions to improve upper limb function assessed by Fugl-Meyer Assessment (FMA-UE) in stroke. The PEDro scale was used to evaluate the methodological quality and the risk of bias of the included studies. In addition, a meta-analysis utilizing a random effect model was performed for studies comparing sEMG interventions to non-sEMG interventions and for studies comparing different sEMG interventions protocols.ResultsTwenty-four studies comprising 808 participants were included in this review. The methodological quality was good to fair. The meta-analysis showed no differences in the total effect, assessed by total FMA-UE score, comparing sEMG interventions to non-sEMG interventions (14 studies, 509 participants, SMD 0.14, P 0.37, 95% CI –0.18 to 0.46, I255%). Similarly, no difference in the overall effect was found for the meta-analysis comparing different types of sEMG interventions (7 studies, 213 participants, SMD 0.42, P 0.23, 95% CI –0.34 to 1.18, I273%). Twenty out of the twenty-four studies, including participants with varying impairment levels at all stages of stroke recovery, reported statistically significant improvements in upper limb function at post-sEMG intervention compared to baseline.ConclusionThis review and meta-analysis could not discern the effect of sEMG in comparison to a non-sEMG intervention or the most effective type of sEMG intervention for improving upper limb function in stroke populations. Current evidence suggests that sEMG is a promising tool to further improve functional recovery, but randomized clinical trials with larger sample sizes are needed to verify whether the effect on upper extremity function of a specific sEMG intervention is superior compared to other non-sEMG or other type of sEMG interventions. (shrink)

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El desarrollo de habilidades lectoras y el conocimiento de elementos teóricos para la comprensión de los textos científicos es una necesidad en la formación de todo profesional. Para que los futuros egresados puedan comprender esta tipología textual es necesario que cada docente, desde las diferentes asignaturas del currículo escolar, le ofrezcan las herramientas necesarias para interactuar con estos. Por tal motivo este trabajo tiene como objetivo realizar una revisión bibliográfica de los aspectos esenciales acerca de la comprensión lectora y en (...) particular de los textos científicos, sustentada en las concepciones vigotskianas, así como en categorías de la Lingüística Textual que posibilitan la interpretación y procesamiento de la información en el proceso de enseñanza-aprendizaje. The development of literacy skills and knowledge of theoretical elements for the understanding of scientific texts is a need in any professional training. In order that future graduates can understand this textual typology it is necessary that each teacher, from the different subjects of the school curriculum, offers the necessary tools to interact with these texts. For this reason this work is intended to carry out a literature review of the essential aspects of reading comprehension and in particular of scientific texts, supported in the vigotskians conceptions and categories of Textual Linguistics that make possible the interpretation and processing of information in the teaching-learning process. (shrink)

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In recent years, the debate about the role of the Public Institutions in the fields of corporate social responsibility and sustainable development has gained momentum. Nevertheless, the ambiguity of the latter concepts makes it difficult both to measure them and to estimate the impact that the different public initiatives may have on them. In this sense, the present research has the aim to design a fuzzy logic-based methodology applied to the evaluation of the above-mentioned processes in relation to the state-aid (...) policies for the European industry. Regarding the study contour, the European Union state aids seems not to have introduced important changes leading to socially responsible results and, therefore, favourable for the sustainable development generated by the European manufacturing industry. (shrink)

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El llamado transhumanismo es un proyecto antropotécnico que pretende aumentar las facultades físicas y cognitivas del ser humano mediante el empleo intensivo de las nuevas tecnologías. No obstante, examinado bajo la lente del pensamiento de Heidegger tal proyecto confirma la idea del filósofo alemán de que la técnica moderna es un dispositivo ontológico en el que la totalidad de los entes es emplazada como existencias o recursos explotables. Así pues, en un primer momento el artículo se sirve de la reflexión (...) heideggeriana sobre la técnica para exhibir el peligro de deshumanización que envuelve al proyecto transhumanista. En un segundo momento, en cambio, se pone al descubierto la limitación de su pensamiento para salir al paso de manera aún más eficaz frente al peligro del transhumanismo al rehusarse a afirmar el carácter esencialmente viviente del ser humano. (shrink)

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The end of the 1990s witnessed the development of evidence-based medicine, which proposed to screen, organize, and classify knowledge production in the health sciences. In this period, an increasing number of scientific publications started to incorporate the digital format and became easily accessible through the Internet. Since then, we have become used to the idea that there is a hierarchy in medical evidence. Its upper stratum, the gold standard of evidence, contains systematic reviews and meta-analyses of randomized clinical trials. The (...) base of such hierarchy contains case studies, clinical cases, and personal opinions.This knowledge hierarchy is not harmless. It has practical influences on... (shrink)

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El objetivo de esta investigación es analizar el uso de las tabletas como recurso motivador para el aprender inglés. En cuanto al método, en este estudio participaron 16 alumnos de 11 años de sexto de educación primaria de un centro de actuación educativa preferente de la Región de Murcia. Se diseñó un estudio cuasi-experimental con medidas pre-test y post-test. Los análisis estadísticos mostraron un aumento significativo en la motivación extrínseca de los alumnos. Como conclusiones, se determina que el contexto sociocultural (...) de los participantes haya podido influir en los resultados y ampliar esta investigación a una muestra mayor de participantes. (shrink)

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Background: Respecting dignity is having a profound effect on the clinical relationship and the care framework for terminally ill patients in palliative care units, hospices and their own homes, with particular consequences for the emergency department. However, dignity is a vague and multifaceted concept that is difficult to measure. Objective: The aim of this study is to define the attributes of dignity in end-of-life care in the emergency department, based on the opinions of physicians and nurses. Research design: A hermeneutic (...) phenomenological approach utilising Gadamer's philosophical underpinnings guided the study. Participants and research context: This research was conducted in Spain in 2013–2014. Participants included 10 physicians and 16 nurses with experience working in the emergency department. Two focus groups and 12 in-depth interviews were carried out. Ethical considerations: The study was approved by the Research Centre Ethical Committee (Andalusian Health Service, Spain). Findings: The results point to the person's inherent value, socio-environmental conditions and conscious actions/attitudes as attributes of dignity when caring for a dying patient in the emergency department. Discussion: Dying with dignity is a basic objective in end-of-life care and is an ambiguous but relevant concept for physicians and nurses. In line with our theoretical framework, our results highlight care environment, professional actions and socio-family context as attributes of dignity. Conclusion: Quality care in the emergency department includes paying attention to the dignity of people in the process of death. The dignity in the care of a dying person in the emergency department is defined by acknowledging the inherent value in each person, socio-environmental conditions and social and individual acceptance of death. Addressing these questions has significant repercussions for health professionals, especially nurses. (shrink)

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We thank the commentators for the dialog and discussion they have proposed. We begin by remarking that telling and listening to stories are not an original thesis, especially if interpretive hermeneutics and phenomenology are central references. Academic and institutional settings are diverse if we consider the universe of empirical research grounded on philosophical methods and the teaching universe of practical and clinical disciplines, like psychiatry. The teaching of these disciplines frequently presents them merely as technics. A double reduction is performed: (...) the philosophical dimension of any and every technic is removed, and those who would benefit from this knowledge are presented as simple data... (shrink)

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Conscientious Objection: A Bioethical and Legal ApproachObjeção de consciência: uma aproximação bioética e jurídicaScientific and medical developments, added to our reality in Colombia, demand the training of professionals consistent with ethical principles and clear theoretical concepts on current regulations that are aimed at respect for human life. The country’s current constitutional situation poses a challenge to any professional, beyond the legal or health fields, since fundamental rights such as life and freedom of conscience are being questioned. This paper demonstrates the (...) need and importance of promoting and accessing conscientious objection as a response to the legal landscape of the protection of life in Colombia, which may be an example for other countries in Latin America.Para citar este artículo / To reference this article / Para citar este artigo Prieto-Soler MP, Muñoz D, Restrepo OI. Objeción de conciencia: una aproximación bioética y jurídica. Pers Bioet. 2020; 24: 205-17. DOI: https://doi.org/10.5294/pebi.2020.24.2.7Publicado: 27/11/2020. (shrink)

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This article offers a review of the chapter dedicated by Strawson to the concept of a person in Individuals. Characteristics given to the concept of person by Strawson are criticized by Bernard Williams. What I set out to show is that this criticism can be answered by reviewing: a) how Strawson understands that the concept of a person is primitive, b) what are the implications of affirming the primitiveness of such concept, and, mainly c) what this philosopher understands by referring.

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Background: This study investigated the factors affecting the acceptability in France of abortions. Method: 80 study participants from Toulouse and 124 from Metz judged the acceptability of abortion in 64 vignettes composed of five factors: 1) the adolescent's age (15 or 17.5 years), 2) the adolescent's plans to continue schooling or not, 3) the fetus' age (1, 2, 3, or 4 months), 4) the adolescent's parents' agreement or not, and 5) the agreement or not of baby's father. Results: Three clusters (...) were noted: 1) abortion is never acceptable (8% of participants), 2) abortion is always acceptable (23%), and 3) acceptability of abortion depends on the circumstances (63%). In the majority cluster (3), all five factors had significant effects, but the fetus's age accounted for most of the variance (78%). Conclusion: Most subjects in this study judged, in accordance with French law, that the acceptability of induced abortion in minors depends on the circumstances and, in particular, on the fetus' age. (shrink)

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El uso prolongado de la voz es un factor de riesgo para el desarrollo de patologías vocales en docentes. Actualmente, estos profesionales se ven obligados a usar mascarilla para dictar sus clases, lo que puede resultar en alteraciones vocales. Durante la virtualización de las clases los docentes debieron adaptar algún espacio doméstico para desempeñar sus funciones frente a un computador, disminuyendo la actividad física y fomentando un estilo de vida sedentario, lo que pudo ocasionar algún trastorno músculo-esquelético. Con este panorama, (...) el propósito del estudio es identificar efectos en la voz por la mascarilla y lesiones músculo-esqueléticas en docentes. (shrink)

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This article analyzes the financial performance and managerial abilities of a sample of US and European socially responsible (SR) mutual funds. The period analyzed commences from January 1994 and concludes in January 2013 and yields 18 US and 89 European green funds. The results obtained for green fund managers are compared with those achieved for conventional and other forms of SR mutual fund managers. We control for the mutual fund investment objective (distinguishing between domestic and global portfolios) and for the (...) effect of crisis market periods. For US SR funds, partitioning the data into crisis and normal periods reveals that SR funds obtain statistically insignificant performance in crisis periods but underperform relative to the market in normal periods. Furthermore, the findings indicate that green funds do not perform worse than other forms of SR mutual funds. For European SR funds partitioning the data into crisis and normal periods reveals that SR funds obtain statistically insignificant performance irrespective of market conditions. Similar to the US findings, green Europe SR funds do not perform worse than other forms of SR mutual funds. Managerial abilities are not evident in the findings though unsuccessful timing of the market is revealed for both Europe and US global green funds. When analyzing managerial abilities in crisis and non-crisis market periods, US green fund managers achieve better results in crisis market periods and the opposite occurs for green fund managers in European market. (shrink)

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Este artículo parte de la idea de que las emociones y los afectos están en juego en el proceso de discernimiento. Tiene como horizonte explorar la posibilidad de que las emociones permitan gestar espacios democráticos de articulación de lo común. De manera que el objetivo específico del texto es defender un modelo de democracia de los afectos. Para alcanzarlo sostiene que, si pensamos con cuidado una teoría del juicio poniendo atención al papel que juegan los conceptos y, al mismo tiempo, (...) repensamos la emociones como relaciones sociales más que como afecciones internas, es inevitable colocar a los afectos en estrecha vinculación con los conceptos. Siendo así, los juicios políticos que articulan la vida democrática deben entenderse desde su condición de estar atravesados por las pasiones, o, dicho de otro modo, ser juicios apasionados. (shrink)

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Este artículo está motivado por el problema de la responsabilidad colectiva frente a las acciones cometidas por nuestros antepasados y por la pregunta acerca de la legitimidad de las demandas de perdón. Acudiendo al universo conceptual heredado de Hannah Arendt, en este texto se aboga por el ejercicio de la capacidad de juicio como detonante tanto de la demanda de perdón como de la responsabilidad colectiva. El perdón se presenta así no solo como una categoría moral sino fundamentalmente política, imprescindible (...) para reconciliarse con lo acontecido y mirar al futuro con esperanza. (shrink)

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Mi experiencia personal en el Centro Penitenciario de Alcalá Meco, se enmarca en un programa piloto de la Facultad de Psicología de la Universidad Complutense de Madrid, destinado a jóvenes internos en situación preventiva. El programa consiste en la aplicación de tratamiento psicológico grupal a jóvenes delincuentes. Este programa es ofertado como complemento al amplio abanico de actividades que realizan los internos a diario, con el objetivo de que aprendan nuevas habilidades que les puedan ser útiles en su vida diaria, (...) una vez que recuperen la libertad. El ingreso de los internos en el programa era realizado por los educadores sociales, en función de las carencias que éstos presentaban. (shrink)

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El neoliberalismo y la financiarización de la economía han generado una transformación en los mercados laborales, impactando sobre la dualización de las ciudades. La pandemia originada por la COVID-19 profundizó estos procesos haciendo pagar los principales costos a las mujeres. En este contexto, el derecho a la ciudad se puso en discusión. En el presente artículo se mostrará un caso específico, la polémica que se estableció en Mar del Plata y Batán sobre cuáles eran las consecuencias socioeconómicas de la pandemia, (...) cómo debían resolverse, qué estatus tenían las partes en el litigio y cuál fue el rol de las mujeres en este proceso. Se discutirán aspectos centrales relacionados con el modo en el que la ciudad reconfigura el proceso de expulsión de los mercados laborales y la distribución de la salud y cómo los comités barriales de emergencia emergen como escenario de un antagonismo social. Por último, se analizará la ocupación y el uso del espacio público, la demanda y la transformación de las instituciones en el nivel local y las dimensiones políticas de resignificación de las ciudades. (shrink)

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Aunque desde hace ya tiempo la época franquista está recibiendo una creciente atención por parte de la historiografía, el estudio de las políticas sociales franquistas presenta importantes claroscuros, con lagunas de gran relevancia. Auxilio Social se convertía en una institución oficial del régimen franquista con la misión de cumplir, bajo el protectorado del Estado, unas funciones benéficas y político-sociales determinadas. A nivel local, en Almería, el trabajo que aquí se presenta tiene como objetivo aproximarse al estudio de dicha institución como (...) parte de un elemento perfectamente integrado y hasta necesario dentro del sistema totalitario que construye el primer franquismo. (shrink)

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Dans cet article, je plaide en faveur d’une idée de l’humanité comme communauté d’adhésion enracinée dans la condition ontologique de la pluralité humaine et dans le sentiment d’amour du monde, ou amor mundi. Pour atteindre cet objectif, je m’appuie sur les catégories d’action politique et de monde-en-commun et revendique la proposition arendtienne de construction du monde pour penser notre identité en tant que membres d’une humanité respectant la pluralité. Dans un second temps, je présente la conception kantienne du jugement réfléchissant (...) qui me permet de définir l’humanité comme une communauté d’adhésion liée par le sentiment d’amour pour le monde. (shrink)

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En este artículo se defiende la siguiente tesis: Wittgenstein “exorciza” los argumentos escépticos mostrando una concepción alternativa del lenguaje y del conocimiento que ha dado en caracterizarse como naturalismo y quietismo. Y se ofrece un deslinde entre los planteamientos quietistas y naturalistas wittgensteinianos y el naturalismo propio del empirismo mínimo de McDowell. A diferencia de este último, la propuesta wittgensteiniana nos ofrece la posibilidad de rechazar el reto escéptico.

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Resumen: El presente artículo constituye un aporte al conocimiento del arte en su vinculación con la filosofía y el psicoanálisis, en tanto aborda la tensión entre la representación y la construcción simbólica de la imagen artística en el contexto cultural/estético contemporáneo, mediante la relación entre lo Real lacaniano y la estática negativa de Adorno. Dicha relación encuentra su punto de articulación en el fenómeno estético de lo Bello, entendido como lo que encara al sujeto con el vacío de su deseo (...) radical, sin engañarlo y que permite integrar la negatividad propia de lo Real con los elementos formales que componen la obra artística, así como con los conceptos de radicalidad y autenticidad de la propuesta adorniana. La articulación entre la estética negativa de Adorno y el efecto estético de lo Bello de Lacan, se ejemplifica con una interpretación en clave psicoanalítica de la obra de la artista colombiana Doris Salcedo. Abstract: This article constitutes a contribution to the knowledge of art in its connection with philosophy and psychoanalysis, as it approaches to the tension between the representation and the symbolic construction of the artistic image in the contemporary cultural / aesthetic context, through the relationship between the Lacanian Real and Adorno's negative aesthetic. This relationship finds its articulation point in the aesthetic phenomenon of the Beautiful, understood as what confronts the subject with the emptiness of its radical desire, without deceiving it and that allows to integrate the Real´s negativity with the formal elements that make up the artistic work, as well as the Adornian proposal concepts of radicality and authenticity. At the end, a psychoanalytic interpretation of colombian artist Doris Salcedo’s work is made, in which the negative aesthetics and the aesthetic effect of the Beautiful are integrated. (shrink)

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RESUMENEn un texto presentado por Richard Rorty como homenaje a Gadamer en la celebración de su centenario, el filósofo norteamericano califica la postura gadameriana como nominalista. A partir de esta interpretación del vínculo entre ser y lenguaje, en la obra de Gadamer, nos vamos a ocupar de las objeciones acerca de su contextualismo, relativismo y conservadurismo que podrían plantearse a dicha propuesta y de las posibles respuestas. Este acercamiento reivindica la ontología lingüística apuntada en Verdad y Método y desarrollada en (...) obras posteriores.PALABRAS CLAVENOMINALISMO, GADAMER, SER, LENGUAJEABSTRACTIn a text presented by Richard Rorty as a tribute to Gadamer in the celebration of his centenary, the North American philosopher describes Gadamer´s position as nominalist. Starting from that interpretation of the bond between being and language in Gadamer´s work, we focus on the objections concerning its contextualism, relativism and conservadurism, as well as of the possible answers. This approach vindicates the linguistic ontology pointed in Truth and Method and developed in later works. KEY WORDSNOMINALIM, GADAMER, BEING, LANGUAGE. (shrink)

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With regard to the so-called “Anthropocene” era, in which human beings have become Earths’ main telluric force, the humanities are clearly under siege. They must review in depth their conception of human being, usually defined as essentially different from Nature. Accordingly, two distinct ways of reaction are open: one retains the principles of the humanistic tradition, while the other one seeks to drift apart from that very same tradition, and to open up a new paradigm of thinking that might be (...) called posthumanist. This paper broadly puts in contrast both approaches by asking which of them comes to grip with this event, and so lets us understand what does it mean to be human in this new era. (shrink)

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El texto propone una confrontación entre la fenomenología de la vita activa de Hannah Arendt y la ética del cuidado. Se trata, por una parte, de aplicar las distinciones arendtianas entre esferas pública y privada, y entre labor, trabajo y acción, a la actividad de cuidar, para reafirmar su relevancia; por otra parte, tomando el concepto de «mundo» como clave de la definición de cuidado, se ensaya una reinterpretación crítica de los conceptos de Arendt a partir de algunos análisis feministas (...) y de una fenomenología responsiva y del cuerpo, a fin de plantear una reivindicación matizada de las implicaciones públicas del cuidar, en línea con las propuestas de paso de una ética a una «política del cuidado». (shrink)

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A la luz de la propuesta arendtiana de espacio público, en este artículo se analiza uno de los conceptos que más interés está despertando en el contexto de la llamada filosofía política continental: lo común. Desde una revisión comparada con la obra de C. Laval y P. Dardot enfrento los siguientes interrogantes: ¿Qué perspectivas abre la obra arendtiana en la actual reflexión sobre lo común como principio político articulador? ¿Qué nuevas cuestiones suscita la idea de espacio público como comunidad política (...) de Arendt al confrontarla con la propuesta de lo común? (shrink)

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Exposure to pesticides during infancy is associated with numerous adverse health outcomes. The assessment of knowledge and perception of pesticides exposure and risk among children has not been thoroughly studied. The aim of the study was to evaluate the reliability and validity of a questionnaire that measures the knowledge and perception of exposure to organophosphate pesticides among rural schoolchildren. The questionnaire was administered to 151 schoolchildren between 9 and 13years from four Chilean rural schools. An internal consistency analysis of the (...) ordinal alpha coefficient and a polychoric factor analysis for categorical data were used. The results show that the ordinal alpha was 0.95. Polychoric matrices of rotated components show the 17 questions summarized pesticide knowledge in five factors extracted after promax rotation. This factorial model explains 56.3% of the variance. The questions were grouped as follows: knowledge about pesticides ; knowledge of health effects related to pesticides exposure ; pesticide exposure through the growing of fruits and vegetables ; perception and action against pesticides exposure at school ; and perception and action against pesticides exposure at home. The questionnaire provides a useful tool for examining pesticide exposure in agricultural regions, allowing younger community members to participate. (shrink)

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En este artículo se argumenta que el poder de juzgar es una capacidad fundamental para pensar la política. La relevancia de tal capacidad radica en que la estructura y función de los juicios reflexionantes, tal como son leídos por hannah Arendt a partir de la Crítica del Juicio kantiana, nos permiten explicar el difícil equilibrio entre los juicios compartidos en las comunidades y la posibilidad de la crítica.

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La alteridad y la interculturalidad son realidades inherentes a la existencia misma de la humanidad; sin embargo, como conceptos, han adquirido especial relevancia en los últimos cuarenta años debido a las complejas realidades socioculturales. No obstante, personajes de otras épocas, como Francisco de Asís, lo habían experimentado y referenciado en su vivencia; por ello, cobra importancia reflexionar en torno a estos conceptos actuales en la vida de un santo que ha sido el emblema del ser humano diverso a partir de (...) un análisis hermenéutico de las fuentes hagiográficas y documentales. Este estudio permite evidenciar que la alteridad estuvo presente en la vida del santo de Asís en su acto cristiano de la hermandad y en el encuentro con los otros diferentes, especialmente en su vivencia con el leproso, los pobres, las mujeres excluidas del culto y la Creación. Por otro lado, la interculturalidad se hizo realidad en su vida en el diálogo con los otros diferentes. En este sentido, se resalta el hecho histórico del encuentro que él tuvo con el sultán de Marruecos, Malik al-Kamil, hacia el año 1219, el cual fue conmemorado en el año 2019 por el papa Francisco como una invitación a los diferentes líderes para promover el diálogo interreligioso y la paz en el mundo. (shrink)

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The present paper investigates and provides an account of the feeling of grief evidenced in certain sectors of the Chilean population after the electoral defeat following the constitutional plebiscite of September 2022 in Chile. How can one experience grief at the rejection of a political referendum? We suggest that the experience of grief is importantly related to a loss of life possibilities and disruptions in one’s practical identity. The outpouring of grief experienced by many Chileans at this political loss can (...) be traced to the importance of the constitutional plebiscite for their identities. The grieving process involves a renegotiation, through memory and future oriented imagination, of past, present, and future aspects of one’s practical identity. (shrink)

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Aim To carry out a detailed study of existing positions in the French public of the acceptability of refusing treatment because of alleged futility, and to try to link these to people’s age, gender, and religious practice. Method 248 lay participants living in southern France were presented with 16 brief vignettes depicting a cancer patient at the end of life who asks his doctor to administer a new cancer treatment he has heard about. Considering that this treatment is futile in (...) the patient’s case, the doctor refuses to prescribe it. The vignettes were composed by systematically varying the level of four factors: likelihood of a positive effect, painfulness to the patient of the treatment, cost of the treatment, and attitude of the family. Results Five main positions were identified. For 10%, refusing treatment was almost never acceptable. 35% judged acceptability in line with the level of painfulness. 19% judged acceptability consistent with an interaction between the painfulness of treatment and likelihood of positive effect. For 30% it was either almost always acceptable or always acceptable. 5% did not take a position. Conclusion A range of positions regarding the acceptability of refusing to provide treatment on the basis of perceived futility was observed. These positions have been analyzed in terms of what physicians and medical ethicists would see as the four principles of medical ethics. This description of lay people’s positions in terms of the principles of medical ethics present clinicians with a conceptual tool to improve communication and shared decision making. (shrink)

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Tuberculosis en América Latina y el Caribe: reflexiones desde la bioética Tuberculose na América Latina e no Caribe: reflexões da bioética The objective of this article is to analyze the conditions of access to health services by people with tuberculosis in Latin America and the Caribbean, reflecting on the public health aspects involved from a bioethical perspective. A literature review of the context of tuberculosis in LAC based on epidemiological data was performed. The results were analyzed from its relationship with (...) the social determinants of health and the ethical principles that guide medical practice. Tuberculosis is a pressing public health problem in the region because of its family, social, economic and health impact. It mainly affects vulnerable individuals and populations. Health services violate ethical principles. Tuberculosis is a serious ethics and public health problem in the region that causes death, disability and increased poverty. It is imperative to ensure the right to health services and to understand the individual and public health consequences of non-adherence to treatment. It is important that national tuberculosis control strategies include principles of dignity and non-discrimination of the sick, changes in the social determinants of the disease, and respect for the ethnicity, language culture and identity of patients. Para citar este artículo / To reference this article / Para citar este artigo Muñoz del Carpio-Toia A, Sánchez-Pérez HJ, Verges de López C, López-Dávila LM, Sotomayor-Saavedra MA, Sorokin P. Tuberculosis en América Latina y el Caribe: reflexiones desde la bioética. pers. bioét. 2018; 22: 331-357. DOI: 10.5294/pebi.2018.22.2.10. (shrink)

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