Background Ethical conflicts generate difficulties in daily clinical activity. Which methods of ethical advice are most frequently used to resolve them among Spanish doctors has not been studied. The objective of this study is to describe what methods hospital internal medicine physicians in Spain use to resolve their ethical doubts and which they consider most useful. Design A cross-sectional observational study was conducted through a voluntary and anonymous survey and distributed through an ad hoc platform of the Spanish Society of (...) Internal Medicine. Measures We measured methods by which to resolve doubts, types of tools sought, frequency of consulting the Clinical Ethics Committees, and satisfaction with resolution of ethical issues. Results Of 261 internists surveyed, 86 per cent resolve their ethical doubts with assistance, the most frequently used method being consultation with colleagues (58.6 per cent), followed by using specific protocols or guides (11.8 per cent) and consultation with experts in bioethics (9.6 per cent). The most preferred tools are the creation of protocols (30.3 per cent) and the establishment of a consultant/expert in bioethics (27.8 per cent). Conclusions Internists in Spain usually seek assistance to resolve their ethical doubts. Consulting colleagues is the most frequently adopted method. The majority regard tools to resolve ethical conflicts as necessary, seeking above all protocols and consultants/experts in bioethics. (shrink)

There is an increasing demand by society that university students demonstrate competitive skills to enable them to achieve greater success when entering the workplace. Creativity and life satisfaction correlate positively with academic performance, productivity, and excellence in the working environment. The presence of creativity and emotional intelligence in the curriculum and teaching methods in Spanish universities, however, is surprisingly lacking. Studies that examine gender differences in these variables provide conflicting results. The purpose of our research is to analyse the changes (...) produced in both creativity and life satisfaction in university students by a positive emotional and creative intervention and explore individual differences by gender. The methodology used was a quasi-experimental pre- test/post- test design with experimental/control groups. Three hundred university students from the Community of Madrid completed three exercises that evaluated creativity and life satisfaction. The results show significantly higher results in creativity and life satisfaction in women, who continued to achieve high results after the intervention. Finally, we discuss the need for emotional and creative education in universities and focus on the employability and the guarantee of equal opportunities through the development of these competencies. (shrink)

Blockchain is a pioneering technology that allows the creation of innovative information exchange ecosystems thanks to unique properties, such as immutability, distribution and transparency. By combining this technology with the emergent internet of things (IoT), many innovative business models can be created. The main objective of this work is to present the design and an initial implementation of a decentralized rental system that takes advantage of smart contracts developed on a public blockchain, combined with the potential of the IoT and (...) its intimate relationship with cyber-physical systems. The logic to be implemented in the blockchain is applied in this paper by using the Ethereum programming language, so that the developed application covers the entire car rental process offered in traditional web applications, but adding more autonomy, functionalities and ease of use for both lessees and lessors. Following Ethereum application development guidelines, all business logic is located in the smart contracts implemented in the network, where they can be used to control the car rental system. While this is a work in progress, the results obtained in the first proof of concept have been very promising. (shrink)

A menudo las fronteras académicas que nos definen y nos separan como investigadores, también delimitan nuestros trabajos hasta el punto de desconectarlos de manera acrítica de las realidades culturales que, por motivos múltiples y no siempre explícitos, nos proponemos estudiar, analizar, transformar, etc. Sabemos que las universidades, como el resto de instituciones sociales, han participado históricamente en el mantenimiento de las fronteras que construimos interesadamente los seres humanos al relacionarnos como tales, tanto a escala individual como colectiva: económicas, políticas, académicas, (...) familiares, personales, etc…. (shrink)

La concepción de los espacios educativos se genera dentro de una sociedad tecnológica afanada en preparar al alumnado. Se plantea descubrir qué conceptos se barajan acerca de los espacios educativos creando tendencias. La metodología de revisión bibliográfica tiene en cuenta la base de datos WOS seleccionando y revisando críticamente 10 publicaciones de actualidad. Se concluye que hay profusión de nuevos conceptos que se barajan teniendo en cuenta la asimilación de estos nuevos espacios, los espacios de aprendizaje y las tecnologías usadas. (...) También se barajan temáticas teniendo en cuenta la situación del alumnado y del profesorado adaptándose a estos nuevos espacios. (shrink)

Rare neuromuscular diseases are a group of pathologies characterized by a progressive loss of muscular strength, atrophy, fatigue, and other muscle-related symptoms, which affect quality of life levels. The low prevalence, high geographical dispersion and disability of these individuals involve difficulties in accessing health and social care services. Teleassistance is presented as a useful tool to perform psychosocial interventions in these situations. The main aim of this research is to assess the effects of a teleassistance psychosocial program on the QoL (...) levels of people with RNMDs who have different levels of disability. A sample of 73 participants was divided into an experimental group, which participated in the intervention, and a control wait list group. QoL was evaluated through the SIP and the SF-36, and disability through the WHO-DAS II. The participants with a moderate to severe level of disability were those who most benefited from the intervention. The results also revealed that the psychosocial teleassistance program was suitable to improve physical and psychosocial aspects of people suffering from a rare neuromuscular disease with a moderate level of disability, but just psychosocial aspects in those with a severe level of disability. (shrink)

Surnames of grandparents were collected from children in the primary schools of the AlbanianItalian and Greek–Italian villages of southern Italy and Sicily. The coefficients of relationships by isonymy show almost no relationship with ethnicity. Ethnolinguistic minorities of southern Italy and Sicily are geographically subdivided into two main clusters: the first cluster comprises the Albanian, Croat and Greek communities of the Adriatic area; and the second cluster comprises the Albanian and Greek communities of the Ionian, Thirrenian and Sicilian areas.

The American Society for Bioethics and Humanities promulgated standards for clinical ethics consultants and is currently developing a national Quality Attestation in Clinical Ethics Consultation to assist facilities in ensuring that those performing clinical ethics consultations meet minimum standards. As the field moves towards such professionalization, there is a need to provide access to qualified clinical ethicists at a broad range of medical facilities. Currently, however, there are insufficient numbers of trained clinical ethicists to staff all healthcare facilities, and many (...) facilities lack the necessary resources to hire staff clinical ethicists. In this review, we describe several models for providing expert clinical ethics support to remote facilities that lack access to qualified clinical ethicists. Based on this analysis, we recommend telemedicine as the optimal model providing expert support to local ethics committee members tasked with providing clinical ethics consultation services. (shrink)

Extensive research has documented the harmful effects associated with working for a narcissistic supervisor. However, little effort has been made to investigate ways for victims to alleviate the burdens associated with exposure to such aversive persons. Building on the tenets of conservation of resources theory and the documented efficacy of functional assets to combat job-related stress, we hypothesized that subordinates’ resource management ability would buffer the detrimental impact of narcissistic supervisors on affective, cognitive, and behavioral work outcomes for subordinates. We (...) found support for our hypotheses across three independent samples of US workers (N = 187; 199; 136). Specifically, higher levels of subordinate resource management ability attenuated the harmful effects of supervisor narcissism on employee-reported emotional exhaustion, job tension, depressed mood, task performance, and citizenship behavior. Conversely, these relationships further deteriorated for subordinates with lower levels of resource management ability. Overall, our research contributes to the literature that, although extensively documenting the harmful ramifications of narcissism in organizations, has neglected to investigate potentially mitigating factors. (shrink)

We report three experimental studies of reasoning with double conditionals, i.e. problems based on premises of the form: If A then B. If B then C. where A, B, and C, describe everyday events. We manipulated both the logical structure of the problems, using all four possible arrangements (or ''figures" of their constituents, A, B, and C, and the believability of the two salient conditional conclusions that might follow from them, i.e. If A then C , or If C then (...) A . The experiments showed that with figures for which there was a valid conclusion, the participants more often, and more rapidly, drew the valid conclusion when it was believable than when it was unbelievable. With figures for which there were no valid conclusions, the participants tended to draw whichever of the two conclusions was believable. These results were predicted by the theory that reasoning depends on constructing mental models of the premises. (shrink)

"Who knows how much longer it will be, but others have crossed over to the US, and have found a job, and have even sent for their families. I am not the only one crossing, I am number 57 out of 72, but we do not walk together, all 72—that would call too much attention to us. We walk at a good pace, each one with their thoughts, we walk from sun to sun without stopping almost; others have done it." (...) These are the words of renowned writer Elena Poniatowska on 72migrantes.com, a virtual altar honoring the 72 migrants massacred in a ranch in San Fernando, a municipality in the border state of Tamaulipas, Mexico, in August 2010. Attempting to recreate the thoughts of unidentified victim number 57 on his trek towards the... (shrink)

Emotional disorder symptoms are highly prevalent and a common cause of disability among children and adolescents. Screening and early detection are needed to identify those who need help and to improve treatment outcomes. Nowadays, especially with the arrival of the COVID-19 outbreak, assessment is increasingly conducted online, resulting in the need for brief online screening measures. The aim of the current study was to examine the reliability and different sources of validity evidence of a new web-based screening questionnaire for emotional (...) disorder symptoms, the DetectaWeb-Distress Scale, which assesses mood, anxiety, obsessive–compulsive disorder, post-traumatic stress disorder, suicidality, and global distress. A total of 1,499 participants completed the DetectaWeb-Distress Scale and specific questionnaires for emotional disorder symptoms, suicidal behaviors, and well-being through a web-based survey. Results indicated that a structural model of 10 correlated factors fits reasonably better in comparison to the remaining models; measurement invariance for age and gender; good internal consistency ; and significant positive correlation with other measures of anxiety, depression, PTSD, or distress, and negative correlation with well-being measures, displaying support for convergent-discriminant validity. We also found that girls scored higher than boys on most of the subscales, and children had higher scores for social anxiety, specific phobia, panic disorder, and obsessive–compulsive symptoms, whereas adolescents scored higher on depressive symptoms, suicidality, and generalized anxiety, but the effect sizes were small to medium for all comparisons. The DetectaWeb-Distress Scale is a valid, innovative, and useful online tool for the screening and evaluation of preventive programs for mental health in children and adolescents. (shrink)

This work considers the formalisation of the merging process of stratified belief bases, where beliefs are stored in different layers or strata. Their strata are ranked, following a total order, employing the value the agent using the belief base assigns to these beliefs. The agent uses an argumentation mechanism to reason from the belief base and obtain the final inferences. We present two ways of merging stratified belief bases: the first is defined by merging two strata without belief preservation, and (...) the second by merging two strata with belief preservation. For these operators, as layers merge, it is possible that some information has to be deleted from the stratum to maintain consistency. The latter merge operator will be defined as performing their actions so that information removed from the stratum is preserved after the merging by moving it to a stratum containing information perceived as having a lower value and where those beliefs may trigger a new revision, possibly starting a cascading effect. (shrink)

The purpose of this paper is to study Leonardo Polo's conception of the principle of identity. This identity is also called Origin; however, an adequate understanding of that expression requires a careful study of the way man comes to be aware of it.

Una parte de la explicación del gran florecimiento en los EE. UU. de la filosofía analítica, particularmente la filosofía analítica del lenguaje, después de la segunda guerra mundial está sin duda en la amplitud de la comunidad de filósofos que un país grande en dimensiones permite. Pues conseguir un buen nivel de excelencia en la práctica de este modo de entender la filosofía requiere una amplia comunidad de colegas en que difundir y contrastar nuevas ideas. Conscientes de esto, los filósofos (...) analíticos continentales estamos embarcados en la tarea de ampliar recíprocamente nuestras comunidades, aprovechando el impulso del proyecto de mayor unión política europea. Aunque, a diferencia de lo que ocurría en EE. UU. en el tiempo a que nos hemos referido antes, existen importantes obstáculos culturales, hay buenas razones para ser optimistas. Existe claramente la voluntad, lo que ha permitido en la última década llevar a cabo con éxito proyectos tales como los de la European Society for Philosophy and Psychology y la European Society for Analytic Philosophy, así como establecer importantes lazos de conocimiento mutuo a través de pequeños seminarios bilaterales. Y existe también algo muy importante: el que los temas que más interesan a los filósofos del lenguaje continentales son muy próximos; algo que, aventuramos, lo explica parcialmente una formación que presta más atención a la tradición filosófica que la de nuestros colegas americanos. Estos temas incluyen típicamente la referencia, particularmente la referencia de expresiones indéxicas, así como cuestiones relativas a la objetividad, las condiciones de verdad, el realismo y el antirrealismo. (shrink)

The potential for genetically modified (GM) crops to threaten biodiversity conservation and sustainable agriculture is substantial. Megadiverse countries and centers of origin and/or diversity of crop species are particularly vulnerable regions. The future of sustainable agriculture may be irreversibly jeopardized by contamination of in situ preserved genetic resources threatening a strategic resource for the world—s food security. Because GM crops are truly biological novelties, their release into the environment poses concerns about the unpredictable ecological and evolutionary responses that GM species (...) themselves and the interacting biota may express in the medium and long term. One of the consequences of these processes may be a generalized contamination of natural flora by GM traits and a degradation and erosion of the commonly owned genetic resources available today for agricultural development. GM plants carrying pharmaceutical and industrial traits will pose even more dangerous risks if released in the environment. (shrink)

Este trabajo se ocupa de tres aspectos principales de la filosofía del lenguaje de Wittgenstein: la teoría de la forma lógica, la teoría de los objetos del Tractatus y la crítica la teoría de los sense-data. Las tesis de Wittgenstein se compararán con el pensamiento de Leonardo Polo y, especialmente, con algunas afirmaciones de Polo en torno al nominalismo, la constitución de un lenguaje trascendental y el concepto de conocimiento en Wittgenstein.

Some properties and an algorithm for solving systems of multivariate polynomial equations over finite fields are presented. It is then shown how formulas of propositional logics can be translated into polynomials over finite fields in such a way that several logic problems are expressed in terms of algebraic problems. Consequently, algebraic properties and algorithms can be used to solve the algebraically-represented logic problems. The methods described herein combine and generalise those of various previous works.

This work begins by proposing the need for exploring the mode of being of mental disorders. It is a philosophical study in an Aristotelian perspective, with special emphasis on the anthropological–cultural dimension. It is difficult for such an inquiry to be carried out from within psychiatry or clinical psychology, committed as these fields are to their own logic and practical conditions. The issues are, in any case, more ontological than strictly clinical in nature. We therefore turn to Aristotle, and specifically (...) his doctrine of the four “causes,” to flesh out the social and cultural dimensions of mental disorders. In accordance with the present analysis, the material cause of disorders would be found in the contingencies of life; the formal cause would pertain primarily to the way clinical conditions themselves can serve as models of ‘being ill’ in our society; the efficient cause would correspond to the patients themselves, understood as active (albeit less than fully conscious) agents as well as to the pharmaceutical industry and the mass media; the final cause would be found in different adaptive functions served by the disorder. We conclude that the “mode of being” of most (if not all) mental disorders—in particular, their status as mental disorders—can often have more to do with cultural forms than with biological factors. (shrink)

The idea that democracy is under threat, after being largely dormant for at least 40 years, is looming increasingly large in public discourse. Complex systems theory offers a range of powerful new tools to analyse the stability of social institutions in general, and democracy in particular. What makes a democracy stable? And which processes potentially lead to instability of a democratic system? This paper offers a complex systems perspective on this question, informed by areas of the mathematical, natural, and social (...) sciences. We explain the meaning of the term 'stability' in different disciplines and discuss how laws, rules, and regulations, but also norms, conventions, and expectations are decisive for the stability of a social institution such as democracy. (shrink)

IPCC SPECIAL REPORT ON CLIMATE CHANGE AND LAND (SRCCL) -/- Chapter 3: Climate Change and Land: An IPCC special report on climate change, desertification, land degradation, sustainable land management, food security, and greenhouse gas fluxes in terrestrial ecosystems.

RESUMEN Luis Villoro ha propuesto superar la dialéctica entre sociedades tradicionales y modernas mediante una nueva comunidad en la que el individuo acepta la primacía de los intereses generales sobre los particulares. A partir de su esquema conceptual, se argumenta que, no obstante tal aceptación, la autonomía individual en su forma de actividad crítica, lejos de amenazar la cohesión comunitaria, la refuerza, sobre todo mediante la crítica de las ideologías y las formas culturales vitalmente inautênticas. ABSTRACT Luis Villoro suggested a (...) way of overcoming the dialectics between traditional and modern societies through a new community in which individuals would accept the priority of general over particular interests. On the basis of his conceptual scheme, the article argues that despite that acceptance, individual autonomy, as critical activity, does not threaten community cohesion, but rather strengthens it through the critique of ideologies and of vitally inauthentic cultural forms. (shrink)