Fundamento. La historia de la Neurocirugía en el territorio está estrechamente relacionada con la de otras especialidades como la Cirugía General y la Ortopedia. Tiene sus primeras referencias establecidas en la etapa colonial en el Hospital General, documentadas en el Boletín del Colegio Médico de Camagüey. Objetivo es resaltar la importancia que tuvieron el Hospital General y el Colegio Médico de Camagüey con su boletín en la historia de la Neurocirugía y la Ortopedia. Método. Es una investigación histórica que se (...) basa en la revisión documental y utiliza el submétodo cronológico para establecer el orden de los hechos que se describen. Desarrollo. El Hospital General a partir de su reconstrucción a finales del siglo XIX, se convirtió en el principal centro médico quirúrgico de la provincia en la época colonial. Muchos de los resultados de la actividad asistencial y científica de sus médicos apareció publicada en el Boletín del Colegio Médico de Camagüey, prestigiosa revista científica que se encargó de divulgar los resultados de la medicina camagüeyana y donde aparecen artículos que evidencian cómo cirujanos generales realizaron las primeras intervenciones neuroquirúrgicas y ortopédicas. Conclusiones. Se consideran al Hospital General y al Colegio Médico de Camagüey y su boletín, como elementos indispensables al escribir la historiografía de la Neurocirugía y la Ortopedia en el territorio. Ground: the history of Neurosurgery in this place is closely linked to other specialties like General Surgery and Orthopedics. The first documented references went back to the colonial period in the General Hospital, documented in the bulletin of the medical college in Camagüey. The objective is to highlight the importance of the General Hospital and the medical college and its bulletin in the history of Neurosurgery and Orthopedics in Camagüey. Methods: This a historical investigation that was carried out taking documented revision and using chronologic sub method to establish the order of the facts that have been described. Development: Since the reconstruction of the General hospital at the end of the XIX century, it became the main medical_ surgical center in the province during the colonial period. Many of the scientific results and medical activities were published in the bulletin of the medical college, which became a well-known scientific magazine that was in charge of publishing the medical success in Camagüey. There are articles to prove that general surgeons performed the first neurosurgical and orthopedic interventions. Conclusions: The General hospital, the medical college and its bulletin are considered crucial elements to describe the history of Neurosurgery and Orthopedics in the territory. (shrink)

RESUMEN La medicina tradicional herbolaria desde su evolución hasta la contemporaneidad ha sido objeto de uso para la medicina convencional. Por eso el objetivo del trabajo es describir el comportamiento de la medicina tradicional herbolaria en los sistemas de salud convencionales. Se realizó la búsqueda y análisis documental de numerosas fuentes sobre la temática pertenecientes a las bases de datos SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo. Se concluye que la actualidad social registra manifestaciones alentadoras en el (...) campo de la aceptación de la herbolaria como medicina complementaria por el equipo de salud y un renovado interés en el ámbito mundial por estudiar los efectos que tienen las plantas sobre la salud. ABSTRACT The traditional herbalist medicine from its evolution to the contemporaneity has been an object use for the conventional medicine. That's why the objective of the work is to describe the behavior of the traditional herbalist medicine in the conventional health systems. A search and documentary analysis of numerous sources on the subject-matter belonging to the databases SciELO Cuba, SciELO Regional, Science Direct, Clinical Key, Cumed, Lilacslo was carried out. It is concluded that the social actuality registers encouraging declarations in the field of the acceptance of the herbalist as complementary medicine for the team of health and a renewed interest in the world ambience to study the effects that have the plants on the health. (shrink)

La identidad se ha constituido como una noción hegemónica y estática, sin embargo, la música de Herencia de Timbiquí consolida identidades múltiples y evidencia la hibridación racial, histórica y cultural por la que han pasado las comunidades Afro-Pacíficas desde la época de la Colonia y la esclavitud negra hasta la globalización y el conflicto armado colombiano. Estos hechos han ido transformando las identidades que originalmente traían las comunidades desde África, pues sus prácticas culturales se fueron entretejiendo con las prácticas indígenas (...) y españolas. Posteriormente, gracias a la globalización apareció un auge de los medios masivos de comunicación y la industria cultural, lo que hizo que los cantos Afro-Pacíficos comenzaran a hibridarse con ritmos populares provenientes de Norte América y Europa. Ahora bien, esta hibridación revela la ausencia de una noción de identidad purista y estática y, a la vez, evidencia los procesos de desterritorialización simbólica y física por los que han pasado las comunidades afro-Pacíficas a través de los siglos por la imposición de culturas dominantes. (shrink)

La pesca artesanal y la acuicultura industrializada involucran grupos de interés en la sostenibilidad ambiental y social para el mejoramiento del bienestar de las comunidades. Se propone analizar la gestión de las asociaciones pesqueras utilizando el modelo “Triple cuenta de resultados”, para fortalecer la cadena productiva en Buenaventura, Colombia. Se emplea el enfoque cualitativo-descriptivo y un cuestionario sobre aprendizaje organizacional. La Responsabilidad Social Empresarial reflejo de procesos, prácticas y aprendizajes mejoran la productividad y competitividad, requiriendo modernizar los sistemas productivos, formalizar (...) las actividades de la cadena productiva y las buenas prácticas para la sostenibilidad económica y ambiental del sector. (shrink)

El libro presenta la posibilidad de una filosofía intercultural, que se basaría a su vez en un diálogo intercultural, entendido éste como alternativa histórica para transformar los modos de pensar vigentes"--Handbook of Latin American Studies, v. 58.

CONTENIDO: Problemas del diálogo intercultural en filosofía - Pensamiento iberoamericano: ¿base para un modelo de filosofía intercultural - Filosofía iberoamericana intercultural, ¿un programa también interdisciplinario - Aprender a filosofar desde el contexto del diálogo de las culturas - Supuestos filosóficos del diálogo intercultural - Cultura entre tradición e innovación - Hacia una transformación intercultural de la filosofía en América Latina - Teoría crítica, liberación y diálogo intercultural - Los derechos humanos, ¿fuente ética de crítica cultural y de diálogo entre las (...) culturas - Para una crítica del neoliberalismo a partir de la filosofía de la liberación - Tesis para la comprensión y práctica de la interculturalidad como alternativa a la globalización. (shrink)

Quality-Adjusted Life Years (QALYs) and Disability-Adjusted Life Years (DALYs) are two of the most commonly used health measures to determine resource prioritization and the population burden of disease, respectively. There are different types of problems with the use of QALYs and DALYs for measuring health benefits. Some of these problems have to do with measurement, for example, the weights they ascribe to health states might fail to reflect with exact accuracy the actual well-being or health levels of individuals. But even (...) if these weights represent accurately the well-being levels of individuals, there is room for questioning whether these measures capture everything that we care about in these cases, or whether there are important issues that they leave out, including considerations of fairness or equality. In this regard, the measures have been criticized for treating the aggregation of small benefits as greater than the aggregation of fewer but bigger benefits,1for disregarding fair chances in favor of utility maximization,2and for raising problems when applied in the context of variable population size.3Perhaps one of the most pervasive ethical issues that has been associated with the use of these measures is the fact that they seem to discriminate against disabled people.4Since the measures assume that disabled people have lower well-being and a shorter life span, treating a disabled person’s medical condition contributes less to the maximization of years of life with good health than treating a non-disabled patient’s medical condition. (shrink)

Byzantium and Modernism -- The Slash (/) as Method -- CODA.

En el presente trabajo nos proponemos esclarecer el sentido de la educaciónpartiendo del marco general del pensamiento de Nietzsche, así como exponerla relación esencial entre filosofía y educación en el autor. En primertérmino abordamos la concepción de educación en Platón como punto departida para su comprensión en Nietzsche. Desde aquí señalamos el sentidoy el alcance de la relación entre educación y filosofía en ambos filósofos.No obstante la gran dificultad existente en orden a esclarecer un conceptoúnico de filosofía en Nietzsche, intentamos (...) fundamentar su idea de educacióndesde la crítica a la cultura que lleva a cabo; desarrollando tanto elconcepto como el sentido de la educación en relación a su concepción delser del hombre, y señalando la posibilidad de su cumplimiento histórico.Para ello abordaremos el tema de la educación en relación con los siguientesaspectos del filosofar nietzscheano: nihilismo, transmutación de los valores,voluntad de poder, necesidad y fundamentación de una nueva valoración, elser del hombre y el “último hombre”. A manera de conclusión tratamos depresentar desde la relación esencial entre educación y filosofía, relación fundadaen la concepción de la filosofía como preparación del “superhombre”,la inversión de la esencia de la educación pensada por Nietzsche. (shrink)

"Cover"--"Title" -- "Copyright" -- "Dedication" -- "Contents" -- "List of Figures" -- "Acknowledgements" -- "1 Introduction" -- "Limina" -- "Anticipation and Recapitulation" -- "Problems of Cinematic Paratext" -- "2 Narrative Exposition" -- "Pseudo-independence" -- "Intratextuality" -- "3 Expositional Modes" -- "The Allegory Mode" -- "Lexical Expertise" -- "4 The Comment Mode" -- "Narrative Futurity" -- "Intertextuality and Quotation" -- "5 The Summary Mode" -- "Complex Summary" -- "Narrative Restatement" -- "6 The Prologue Mode" -- "Realist Integration" -- "Expository Texts" -- (...) "7 Conclusions" -- "The Paradoxes of Cinematic Paratext" -- "Typography and Pseudo-independence" -- "The Ideology of Naturalism::Stylization. (shrink)

La formación del profesional de la salud de perfil amplio constituye uno de los objetivos principales en la educación médica superior. Sobre la base de este planteamiento se desarrolló una investigación en la Facultad de Ciencias Médicas de la Universidad de Ciencias Médicas "Carlos J. Finlay", de Camagüey, con el objetivo de exponer los fundamentos teóricos en los que se sustenta la competencia comunicativa intercultural en la enseñanza-aprendizaje del idioma Inglés. Se utilizaron diferentes métodos de investigación de los niveles teórico (...) y empírico. Se concluyó que estos fundamentos integran factores cognitivos, afectivo-emocionales, motivacionales, sociales, culturales, axiológicos y creativos, del proceso de desarrollo de la competencia comunicativa analizada. Formation of the health professionals with a wide profile constitutes one of the main objectives in high medical education. On this basis the present work is the result of a research carried in the Faculty of Medical Sciences at the Medical College of Camaguey. Its main objective is to expose the theoretical foundations of the intercultural communicative competence in the learning and teaching of English. For its elaboration different investigative methods of theoretical and empirical levels were applied. (shrink)

According topositive egalitarianism, not only do relations of inequality have negative value, as negative egalitarians claim, but relations of equality also have positive value. The egalitarian value of a population is a function of both pairwise relations of inequality (negative) and pairwise relations of equality (positive). Positive andnegative egalitarianismdiverge, especially in different-number cases. Hence, an investigation of positive egalitarianism might shed new light on the vexed topic of population ethics and our duties to future generations. We shall here, in light (...) of some recent criticism, further develop the idea of giving positive value to equal relations. (shrink)

In her ground-breaking and highly influential book Transformative Experience, L.A. Paul makes two claims: (1) one cannot evaluate and compare certain experiential outcomes (e.g. being a parent and being a non-parent) unless one can grasp what these outcomes are like; and (2) one can evaluate and compare certain intuitively horrible outcomes (e.g. being eaten alive by sharks) as bad and worse than certain other outcomes even if one cannot grasp what these intuitively horrible outcomes are like. We argue that the (...) conjunction of these two claims leads to an implausible discontinuity in the evaluability of outcomes. One implication of positing such a discontinuity is that evaluative comparisons of outcomes will not be proportionally sensitive to variation in the underlying features of these outcomes. This puts pressure on Paul to abandon either (1) or (2). But (1) is central to her view and (2) is very hard to deny. We call this the Shark Problem. (shrink)

It is often acknowledged that public policies can constrain people's procreative opportunities, in some cases even infringing their procreative rights. However, a topic that is not often discussed is how the procreative choices of one generation can affect the procreative opportunities of later generations. In this article, we argue that the demographic fact that childbearing above the replacement fertility level is eventually unsustainable supports two constraints on universal procreation rights: a compossibility constraint and an egalitarian constraint. We explore the implications (...) of these two constraints and suggest that there are reasons to think of procreative opportunity as a finite resource that can be distributed more or less equally across generations. We also briefly discuss possible ways of meeting demands of intergenerational justice with respect to procreative opportunity. (shrink)

Si me fuera preciso decir en una palabra de lo que pretenden ser estasreflexiones diría que es un homenaje. Martin Heidegger dedica toda su vidaa pensar, a la realización de una tarea que no pretende encontrar un finaldefinitivo, permanente y, por así decirlo, completo en sí mismo. Su tarea estáconstantemente determinada por una inquebrantable voluntad de pensary encuentra su más cierta realización en abrir caminos nuevos, en volvera pensar siempre de nuevo y desde nuevas perspectivas. En sus palabras,en volver a (...) preguntar más allá del término de cada camino, en insistirperdiéndose en sendas que, siendo caminos, parecen no conducir a salidaalguna, y que él denominó, con propiedad, Holzswege. Pero el último camino,el de su muerte, al tiempo en que clausura sus propias posibilidades, quedaabierto para nosotros, y nos invita a recorrerlo pensando. Por esto intentovincular ahora tres aspectospropios del quehacer pensante de Heidegger:el poetizar, el filosofar y la muerte; abordándolos en la medida en que elloresulta adecuado para un homenaje. (shrink)

Nuestro propósito actual es mostrar cómo un pensar filosófico concreto, el de Kant, enfrenta la problemática de una época histórica también concreta, la Ilustración, desde un punto de vista determinado: la ciencia, y cómo Kant pretende con ello posibilitar una toma de conciencia por parte de la sociedad a la que pertenece frente a su valor y a las limitaciones políticas de su época. En otras palabras, tratamos de recuperar la reflexión kantiana en torno a la función que en una (...) sociedad dada cumple la ciencia con respecto a la libertad humana. Nuestro trabajo habrá de tomar como base un pequeño artículo de Kant que con el títuloRespuesta a la pregunta qué es la Ilustración Sapere aude! ¡Ten valor de servirte de tu propio entendimiento! He aquí la divisa de la Ilustración”. escribió el autor en 1784, en el que consigna así su concepción de la misma: “. (shrink)

This essay presents and discusses the ways that prior experience constitutes a logical black box in Umberto Eco’s discussion of serial forms in ‘Interpreting Serials’ by using the complex adaptive system model for how complexity arises and is sustained over time, as proposed by John Holland. In exploring how Holland’s model can account for some aspects of Eco’s past experience, it becomes evident that a modification of both theories to accommodate multiple, contradictory potentials simultaneously suggests we consider meaning as a (...) range of potentials rather than as a singular choice. Even though the model proposed here is incomplete and tentative, it is suggestive of possible strategies for justifying interpretations without precluding their rejection or revision at a later time. Individual interpretations are justified not by comparison to an external truth but by the existence of other possible interpretations with shared characteristics that nevertheless contradict each other. (shrink)

Name der Zeitschrift: Semiotica Jahrgang: 2015 Heft: 204 Seiten: 239-252.

What is the role of intention in the identification of encoding that arises for images and other non-lexical objects of semiosis? This proposal of the “intentional function” resolves the syntagmatic problems posed by visual imagery: it identifies the viewer’s treatment of what they encounter as if it is encoded based on formal non-signifying cues visible in the image and learned through past experience. This decision about the organization and structure of the work becomes apparent from the consideration of a photographic (...) “selfie” made by a monkey in the rainforest. (shrink)

We investigated the role of honour concerns in mediating the effect of nationality and gender on the reported intensity of anger and shame in reaction to insult vignettes. Spain, an honour culture, and The Netherlands, where honour is of less central significance, were selected for comparison. A total of 260 (125 Dutch, 135 Spanish) persons participated in the research. Participants completed a measure of honour concerns and answered questions about emotional reactions of anger and shame to vignettes depicting insults in (...) which type of threat was manipulated. It was found that Spanish participants responded especially intensely to insults that threaten family honour, and that this effect of nationality on emotional reactions to threats to family honour was mediated by individual differences in concern for family honour. (shrink)

The Break-Up Aid Procedure is a proposed EMDR intervention designed to address the difficulties that some patients experience when trying to overcome a complex break-up. The procedure aims to not only target the consequences of the break-up, but also the difficulties that may be present in starting a new relationship. The latter is often the case when there are either unresolved consequences from the previous break-up or untreated early adverse experiences. By structuring the treatment in three sequential stages and including (...) interventions and adaptations to the standard EMDR protocol, we aim to facilitate the clinician’s therapeutic approach to intervening for this specific presenting concern and maximizing success. (shrink)

La epidemia del coronavirus ha afectado profundamente las prácticas religiosas en casi todo el mundo pues las políticas de aislamiento obstaculizan el ejercicio comunitario de la vivencia espiritual propia de muchos cultos. Sin embargo para algunos sectores la pandemia ha posibilitado la generación de nuevas prácticas y formas de crear comunidad a la distancia utilizando para ello la web. Este documento es una reflexión general sobre las religiones mundializadas y el COVID-19, que busca aportar un elemento de análisis para entender (...) el islam latino y cómo se organiza frente a la crisis, pues veremos que a pesar de la pandemia el trabajo de proselitismo no sólo no se ha detenido, sino que se ha ampliado, a la par que se propone la creación de una ummah global. Y finalmente se da una idea general de la recomposición de una parte del islam latino y de ciertos grupos del islam mundializado. (shrink)

Insults elicit intense emotion. This study tests the hypothesis that one's social image, which is especially salient in honour cultures, influences the way in which one reacts to an insult. Seventy-seven honour-oriented and 72 non-honour oriented participants answered questions about a recent insult episode. Participants experienced both anger and shame in reaction to the insult. However, these emotions resulted in different behaviours. Anger led to verbal attack (i.e., criticising, insulting in return) among all participants. This relationship was explained by participants’ (...) motivation to punish the wrongdoer. Shame, on the other hand, was moderated by honour. Shame led to verbal disapproval of the wrongdoers behaviour, but only among the honour-oriented participants. This relationship was explained by these participants’ motivation to protect their social image. By contrast, shame led to withdrawal among non-honour-oriented participants. (shrink)

Climate change evokes different emotions in people. Recently, climate emotions have become a matter of normative scrutiny in the public debate. This phenomenon, which we refer to as the normativization of climate emotions, manifests at two levels. At the individual level, people are faced with affective dilemmas, situations where they are genuinely uncertain about what is the right way to feel in the face of climate change. At the collective level, the public debate reflects disagreement about which emotions are appropriate (...) to feel in the climate context. The aim of this paper is to examine the normative reasons in favour of different climate emotions by combining normative criteria from philosophy and psychology, such as rationality-based and consequentialist ones. We conclude that these criteria provide partial reasons for or against different climate emotions and that the suitability of each criterion will depend on various considerations, including the specific object that the emotion is directed to. We suggest that emotional disagreement in climate contexts may generate distrust, potentially hindering cooperation for climate action. We propose that we can ease challenges like this if we come to terms with the complex nature of climate emotions and their normative justification. (shrink)

Asemic typography offers an opportunity to consider the distinction between typography in its traditional role for graphic design and how the addition of motion changes its engagement and audience comprehension for motion graphics. These differences enable a consideration of the specific problematics created by chronological development on-screen as a formal differentiator between static and kinetic typography.