Introduction Hospital delirium is a frequent, serious, costly, and underrecognized acute disorder of attention and cognition. Therefore, the prevention of hospital delirium is not only desirable for patients, caregivers, healthcare professionals, and the health system itself, but also a moral duty. Objective To identify and synthetize the main ethical aspects that arise related to the prevention of hospital delirium in patients 65 years and older. Methods A scoping review was carried out in Embase, Medline, and Web of Science. Articles published (...) in English or Spanish analyzing any pharmacologic, non-pharmacologic, or multicomponent intervention for prevention of delirium in hospitalized patients aged 65 years and over were included. Results Twenty-seven studies were included. Based on the frequency of appearance and the relevance, our findings were organized into three main areas. The first one was related to the principle of nonmaleficence and collected findings about the iatrogenic causes of hospital delirium and the use of restraints systems. The second area analyzed the impact of delirium in patients, families, and healthcare professionals from a relational ethics perspective, and addressed the family presence as a factor to prevent delirium. Finally, the third area is related to the quality of care. Conclusion Prevention of delirium in hospitals is essential to avoid the discomfort and potential clinical complications of patients, as well as the suffering of their relatives, caregivers, and healthcare professionals. Policymakers and healthcare managers are encouraged to make the required efforts to prevent delirium in hospitalized older patients. (shrink)

BackgroundDepression is a prevalent condition that has a significant impact on psychosocial functioning and quality of life. The onset and persistence of depression have been linked to a variety of biological and psychosocial variables. Many of these variables are associated with specific lifestyle characteristics, such as physical activity, diet, and sleep patterns. Some psychosocial determinants have an impact on people’ health-related behavior change. These include personal factors such as sense of coherence, patient activation, health literacy, self-efficacy, and procrastination. This study (...) aims to analyze the association between the severity of depression, lifestyle patterns, and personal factors related to health behavior. It also aims to analyze whether personal factors moderate the relationship between lifestyles and depression.MethodsThis study is a secondary data analysis of baseline data collected at the start of a randomized controlled trial. A sample of 226 patients with subclinical, mild, or moderate depression from primary healthcare centers in two sites in Spain was used, and descriptive, bivariate, multivariate, and moderation analyses were performed. Depression was the primary outcome, measured by Beck II Self-Applied Depression Inventory. Lifestyle variables such as physical exercise, adherence to Mediterranean diet and sleep quality, social support, and personal factors such as self-efficacy, patient activation in their own health, sense of coherence, health literacy, and procrastination were considered secondary outcomes.ResultsLow sense of coherence, poor sleep quality, low patient activation, and sedentarism are predictors of having more depressive symptoms. Moderation analyses were not significant.DiscussionLifestyle and personal factors are related to depressive symptomatology. Our findings reveal that sense of coherence, patient’s activation level, sedentarism, and sleep quality are associated with depression. Further research is needed regarding adherence to Mediterranean diet, minutes walking per week and the interrelationship between lifestyles, personal factors, and depression. (shrink)

El artículo ofrece una visión panorámica de las iniciativas de pastoral de juventud llevadas a cabo por la Iglesia española desde el concilio Vaticano II a la actualidad, identificando las claves eclesiológicas y pedagógicas subyacentes a los proyectos más relevantes. En particular, identifica dos modelos fundamentales: el de las déca-das inmediatamente posteriores al concilio y el alumbrado bajo el pontificado de Juan Pablo II enmarcado en la “nueva evange-lización”. Tras la descripción de ambos modelos, se lleva a cabo una evaluación (...) pastoral de los mismos para concluir que ambos presentan debilidades y fortale-zas complementarias y, que en el futuro, habrá que afrontar con valentía una oferta pastoral plural, creativa e integrad. (shrink)

Si bien son pocos quienes dudarían de que, si la fe "mueve montañas", el dinero "traslada cordilleras", no resulta fácil determinar con precisión el alcance del poder económico en nuestro mundo. En parte, porque no es uno, sino múltiple; en parte, porque su presencia resulta unas veces explícita, otras implícita y, en ocasiones, oculta.

Based on the results obtained from primary education students—fifth and sixth graders—the aim of this work is to check the appropriate self-perceived behaviors during and at the end of the game. The study population was made up of 698 students from fifth and sixth grade in the Autonomous Region of Castilla–La Mancha (Spain). Data were collected through a questionnaire (scale) on the social skills of primary school students linked to the adequate skills when losing, the adequate skills when winning, and (...) the adequate skills during the game. Study results revealed that analyzed behaviors vary, depending on the moment of the game, being it more frequently during the development of the game than when losing or winning. (shrink)

La investigación formativa es un método educativo que involucra a los sujetos en su propia formación en investigación. Este estudio explora el desarrollo y perspectivas de la investigación formativa en universidades peruanas a través del análisis de informes de tesis de posgrado. Utilizando la cartografía conceptual como método de análisis, se identifican conceptos clave, categorías y diferencias conceptuales, revelando el panorama de la investigación formativa y sus desafíos en la universidad peruana. Se destaca la creciente emergencia de estudios sobre este (...) tema en diversas áreas de formación profesional y académica, enfocados en clarificar sus nociones, características y aplicaciones. (shrink)

Understanding the ways in which Muslims are turned into “a problem” requires an analytic incorporating the insights gained through the concepts of Islamophobia and anti-Muslim racism into a larger frame. The “Muslim Question” can provide such a frame by attending to the systematic character of this form of racism, explored here through biopolitics. This article develops a conceptualization of Europe’s “Muslim Question” along three lines. First, the “Muslim Question” emerges as an accusation of being an “alien body” to the nation, (...) often expressed through the Trojan horse legend. Second, the “Muslim Question” is elaborated through demands of integration and assimilation, in which the production of difference entangles with calls and measures to regulate Muslims. And third, the “Muslim Question” is brought to life upon the terrain of gender and sexuality, as the imaginary of threat at the heart of the “Muslim Question” is a replacement conspiracy centered on birthrates. (shrink)

La renta básica se nos presenta en la obra de Philippe van Parijs como una propuesta política filosóficamente argumentada, de modo tal que convencerá tanto al teórico de la justicia como al ciudadano que votará su implantación. En este artículo analizamos la argumentación de van Parijs mostrando cómo la efectividad política de sus tesis sólo se sostiene a costa de reducir el debate sobre la renta básica a los términos de su propia concepción de la ética. Ponemos en duda, por (...) nuestra parte, el alcance de esta reducción sobre un doble plano: diluye por completo la dimensión prudencial de toda argumentación política, y no deja más alternativa que la educación sentimental para quienes no se dejen convencer por el equilibrio reflexivo. (shrink)

Este artículo estudia la justificación normativa de la adopción de los ensayos clínicos aleatorizados por parte de las autoridades sanitarias británicas como estándar metodológico en 1946. A partir de un análisis de los distintos intereses de los participantes en el proceso (pacientes, médicos, farmacéuticas y el propio Estado) argumentamos que la aleatorización se adoptó como mecanismo de asignación imparcial de tratamientos, aunque sus propiedades estadísticas no fueran bien comprendidas. Tal justificación permanece aún vigente.

The objective of this study has been to establish the level of significance that Gustavo Gutierrez and Juan Luis Segundo attribute to politics in their contributions to liberation theology and to extract the relevant consequences for political theory. ;A systematic analysis of the theory of history in the works of these two authors indicates a higher level of integration between Christianity and politics that is usual in Christian political thought. Liberation is equated with salvation and political liberation is seen as (...) one of its components. This brings politics to a position of privilege. When at the service of justice it occupies, for our authors, a high rank among Christian concerns and when devoted to oppression it requires diligent response from every Christian. ;This understanding of politics is valuable in that it accentuates the political aspect of the Christian theory of history, an element frequently underestimated. Certain tensions remain, however, in the theory as a result of this emphasis: between the moral improvement expected from the involvement in political activities conducive to justice and the moral ambiguity of political structures emerging from such activity; and between the use of the concept of class struggle and notions of conversion and reconciliation. Finally, there is the danger of reducing the critical ability of Christians regarding a particular political project by identifying it with the concept of eschatology. (shrink)

La filosofía, como "toma de posición razonada respecto a la totalidad de lo real", constituye todavía hoy, en la modernidad tardía, quizás no un saber propiamente dicho, pero sí, en todo caso, una "sabiduría buscada" ; una sabiduría que se constituye por relación a la razón y que no renuncia a abordar las cuestiones últimas, fundamentales y metafísicas. El filósofo resulta, pues, guardián de una tradición de inquietudes y problemas intelectuales hondamente humanos que no deben ser acallados. Para ellos la (...) ciencia no tiene una adecuada solución, pero permanecen ahí incitando al pensamiento e invitando a superar toda concepción positivista de la razón. ¿Cómo hacer compatible la pervivencia actuante de esa tradición y el irrenunciable criticismo que hacia la misma mantiene, por razones sobradamente justificadas, la racionalidad ilustrada? He aquí quizá una de las tareas más difíciles, pero también más estimulantes, que tiene ante sí la filosofía actual. (shrink)

In this work, I offer an interpretation of the principle of individuation and the ontological status of individual bodies in the work of Margaret Cavendish. By proposing an alternative to the mechanical model of natural philosophy, Cavendish must approach the metaphysics of matter from a different angle. Such a perspective can offer fruitful elements to understand the complex and diverse landscape of natural philosophy in Early Modern Philosophy. I contextualize Cavendish’s natural philosophy and its relation to the developments of other (...) early modern approaches. Section 1 is dedicated to an overview of Cavendish’s natural philosophy. In Sect. 2, I present the difficulty concerning the individuation of bodies in modern philosophy in order to reveal the background in which Cavendish develops her position. Before turning to the analysis of the central passages in which Cavendish explores the problem of individuation, in Sect. 4, I introduce the basic tenets of her metaphysics in Sect. 3. Finally, in Sect. 5, I turn to motion and its causes, given its fundamental role in individuation. (shrink)

This book presents Latin American Perspectives on women philosophers, comprising selected articles from the First International Conference of Women in Modern Philosophy that took place in Rio de Janeiro City, Brazil, Latin America, in June of 2019. The conference brought together over twenty national, transnational, and international philosophers from seven countries, whose work combines historical and analytical insight to recover the philosophical legacy of women philosophers. Historical and analytical work on women’s philosophical thought constitute efforts to re-conceptualize what counts as (...) philosophical knowledge and re-appraise the epistemic relevance of written material that women thinkers produced for most of history. This collection and the conference that gave origin to it are testimony to the enduring power of multinational and multicultural philosophical collaboration. (shrink)

In this work, we focus on the problem of selecting low-level heuristics in a hyperheuristic approach with offline learning, for the solution of instances of different problem domains. The objective is to improve the performance of the offline hyperheuristic approach, identifying equivalence classes in a set of instances of different problems and selecting the best performing heuristics in each of them. A methodology is proposed as the first step of a set of instances of all problems, and the generic characteristics (...) of each instance and the performance of the heuristics in each one of them are considered to define the vectors of characteristics and make a grouping of classes. Metalearning with statistical tests is used to select the heuristics for each class. Finally, we used the Naive Bayes to test the set instances with k-fold cross-validation, and we compared all results statistically with the best-known values. In this research, the methodology was tested by applying it to the problems of capacitated vehicle routing and graph coloring. The experimental results show that the proposed methodology can improve the performance of the offline hyperheuristic approach, correctly identifying the classes of instances and applying the appropriate heuristics in each case. This is based on the statistical comparison of the results obtained with those of the state of the art of each instance. (shrink)

BackgroundUmbilical cord banks are a central component, as umbilical cord tissue providers, in both medical treatment and scientific research with stem cells. But, whereas the creation of umbilical cord banks is seen as successful practice, it is perceived as a risky style of play by others. This article examines and discusses the ethical, medical and legal considerations that arise from the operation of umbilical cord banks in Mexico.DiscussionA number of experts have stated that the use of umbilical cord goes beyond (...) the mere utilization of human tissues for the purpose of treatment. This tissue is also used in research studies: genetic studies, studies to evaluate the effectiveness of new antibiotics, studies to identify new proteins, etc. Meanwhile, others claim that the law and other norms for the functioning of cord banks are not consistent and are poorly defined. Some of these critics point out that the confidentiality of donor information is handled differently in different places. The fact that private cord banks offer their services as "biological insurance" in order to obtain informed consent by promising the parents that the tissue that will be stored insures the health of their child in the future raises the issue of whether the consent is freely given or given under coercion. Another consideration that must be made in relation to privately owned cord banks has to do with the ownership of the stored umbilical cord.SummaryConflicts between moral principles and economic interests (non-moral principles) cause dilemmas in the clinical practice of umbilical cord blood storage and use especially in privately owned banks. This article presents a reflection and some of the guidelines that must be followed by umbilical cord banks in order to deal with these conflicts. This reflection is based on the fundamental notions of ethics and public health and seeks to be a contribution towards the improvement of umbilical cord banks' performance. (shrink)

Esta obra colectiva expone diversas concepciones teóricas, ontológicas, epistemológicas, axiológicas y prácticas sobre el origen, sentido, problemáticas, ventajas, detrimentos, alternativas y desafías de la filosofía de la innovación y su incidencia en la educación; reflexiona sobre las contribuciones de la tecnología y responde a interrogantes como: ¿Cuáles son los aporte de la tradición filosófica, del pensamiento ilustrado, de la postmodernidad y de la teoría crítica para la filosofía de la innovación educativa?; ¿Cuál es la función de la filosofía para la (...) comprensión de la innovación?; ¿Cómo se explica el progreso tecno-científico desde la epistemología contemporánea?; ¿Cuál es el componente pedagógico de la innovación?; ¿Cuáles son las aportaciones del Laudato Si para la innovación educativa?. Además, plantea la necesidad de repensar algunos aspectos relacionados con la educación, el Estado y la identidad latinoamericana para determinar las posibilidades, las limitaciones y los retos de la innovación, entendida como un fenómeno en permanente construcción. Este tomo se encuentra conformado por ocho capítulos en los que los autores formulan un conjunto de contribuciones para la generación de nuevas investigaciones. Además, evidencia a la innovación como un procesos que exige reformulaciones. La innovación sigue siendo una de las tareas pendientes de la filosofía. (shrink)

Social science research, whether observational or interventional, is confronted with situations where the dignity of participants and respect for cultural practices can be seriously affected. The aim of this article is twofold. Firstly, we will reflect on the ethical challenges facing social science research with special consideration of research in contexts of vulnerability. Secondly, we will propose the Kantian sense of respect as a normative framework to guide social science research.

El objetivo de este artículo es analizar las aportaciones que los avances en neuroética tienen en la toma de decisiones en las empresas. Empezaremos por cuestionar el paradigma dominante de la toma de decisiones empresariales desde el análisis crítico de los presupuestos epistemológicos de la teoría económica liberal, así como desde las perspectivas de las ciencias cognitivas y sus aportaciones al análisis del comportamiento humano. Continuaremos presentando dos grandes modelos de toma de decisiones éticas que se basan en la creación (...) de sentido intuitivo y que tienen sus fundamentos en los avances de las neurociencias. Concluiremos con breves observaciones críticas. (shrink)

Los acelerados cambios científicos tecnológicos y sociales exigen de los centros de Educación Superior la búsqueda de nuevas vías y el perfeccionamiento de las ya existentes para lograr egresados más competentes. La tutoría se identifica como un proceso educativo que debe favorecer el pleno desarrollo personal e integral del estudiante, en el que éste se conciba como sujeto activo y responsable de su propio proceso de formación. En este sentido cobra una especial importancia el proceso de interacción en el desarrollo (...) de la tutoría. El artículo tiene como objetivo fundamentar la importancia de dicha interacción, mediante un breve análisis teórico y la exposición de algunos resultados de su diagnóstico en el contexto de tres carreras universitarias. The accelerated social, scientific and technological changes demand of Higher Education centers, the search for new ways to create more competent graduates, as well as to improve the existing ones. Tutorship is identified as a teaching process that must favour the complete personal and comprehensive development of the student, in which he must be seen as an active individual responsible for his own formative process. This way, the interactive process of developing tutorship takes on special significance. This article aims at supporting the importance of such interaction, by means of a brief theoretical analysis and by setting out some results of its diagnostic in the context of three university degree courses. (shrink)