Background: The research question for this study was as follows: Is the Code of Ethics for Nurses in Italy (Code) a valid or useful decision-making instrument for nurses faced with ethical problems in their daily clinical practice? Method: Focus groups were conducted to analyze specific ethical problems through 11 case studies. The analysis was conducted using sections of the Code as well as other relevant documents. Each focus group had a specific theme and nurses participated freely in the discussions according (...) to their respective clinical competencies. Ethical considerations: The executive administrative committee of the local nursing licensing council provided approval for conducting this project. Measures were taken to protect the confidentiality of consenting participants. Findings: The answer to the research question posed for this investigation was predominantly positive. Many sections of the Code were useful for discussion and identifying possible solutions for the ethical problems presented in the 11 cases. Conclusion: We concluded that the Code of Ethics for Nurses in Italy can be a valuable aid in daily practice in most clinical situations that can give rise to ethical problems. (shrink)

cz. 1. Aporie myśli współczesnej -- cz. 2. O prawdzie.

The main objective of the article will be to consider and analyze the process of modernization of the Armed Forces in the last decades of the twentieth century, as well as to highlight the obligatory interdependence between it and the changing political-social and international environment. To this end, attention will be paid to the four main milestones of this process: reorganization of the Spanish defence superstructure; reform of the organization of the armed forces and review of the functions entrusted to (...) them; insertion of Spain into Western defensive alliances, and accommodation of the military justice to the common one. (shrink)

Different immunotherapeutic approaches are in the pipeline for the treatment of drug dependence. “Drug vaccines” aim to induce the immune system to produce antibodies that bind to drugs and prevent them from inducing rewarding effects in the brain. Drugs of abuse currently being tested using these new approaches are opioids, nicotine, cocaine, and methamphetamine. In human clinical trials, “cocaine and nicotine vaccines” have been shown to induce sufficient antibody levels while producing few side effects. Studies in humans, determining how these (...) vaccines interact in combination with their target drug, are underway. However, although vaccines can become a reasonable treatment option for drugs of abuse, there are several disadvantages that must be considered. These include i) great individual variability in the formation of antibodies, ii) the lack of protection against a structurally dissimilar drug that produces the same effects as the drug of choice, and iii) the lack of an effect on the drug desire that may predispose an addict to relapse. In addition, a comprehensive overview of several crucial ethical issues has not yet been widely discussed in order to have not only a biological approach to immunotherapy of addiction. Overall, immunotherapy offers a range of possible treatment options: the pharmacological treatment of addiction, the treatment of overdoses, the prevention of toxicity to the brain or the heart, and the protection of the fetus during pregnancy. So far, the results obtained from a small-scale experiment using vaccines against cocaine and nicotine suggest that a number of important technical challenges still need to be overcome before such vaccines can be approved for clinical use. (shrink)

En estas líneas se quiere mostrar que la obra de Feijoo puede interpretarse en su conjunto como un proyecto político-científico. Para Feijoo, el escepticismo científico es la clave para la construcción de una comunidad ilustrada que, al dedicarse al verdadero conocimiento del mundo físico, no amenaza la religión católica ni el incipiente despliegue del Estado moderno. La ciencia (o filosofía natural) se presenta como el antídoto de las fuerzas centrífugas del error y la disgregación, en todas sus formas. Feijoo no (...) tiene reparo en recibir y propagar las aportaciones de científicos protestantes y sí intención de generar una cultura científica que constituya un cimiento sólido para una sociedad bien organizada. Feijoo promueve la formación científica porque es útil para el _progreso_ social, para la fundación de una comunidad propiamente católica, que incluya a todas las personas cultivadas, al margen de las incipientes unidades nacionales y de los distintos bandos confesionales. (shrink)

Resilience is the process and outcome of healthy adaptation despite significant adversity. Proliferation of research on the resilience construct has led to scientific concerns about the operationalization and measurement of resilience for assessment science and practice. Various studies that have investigated the psychometric properties and construct validity of the Resilience Scale for Adolescents have yielded inconsistent findings, which could partly be due to variations in the methodological approaches. This study investigated the factor structure and construct validity of the READ in (...) four European regions participating in the Universal Preventive Resilience Intervention Globally Implemented in Schools to Improve and Promote Mental Health for Teenagers project. Participants included adolescents aged 10–15 years from Spain, Iceland, Italy, and Poland. The five-factor model of the READ was similar across gender and participating regions. Construct validity of the READ was supported. After establishing construct separability, incremental validity was supported. The READ is a valid and reliable measure of protective factors involved in resilience and demonstrates promise for cross-cultural applicability. Recommendations for measuring resilience and validating the READ in future investigations are provided. (shrink)

RESUMENPresento una exposición de los argumentos de M. Dummett contra el proyecto davidsoniano de reducir, al menos en la formulación de una teoría del significado, la fuerza de habla de una emisión al sentido de una oración que funcione como un adscriptor de dicha fuerza. Constitutivas de tales argumentos son las tesis de que no hay fuerza sin convenciones lingüísticas y de que la fuerza de la aserción es un factor esencial en la determinación de la (...) creencia.PALABRAS CLAVEFUERZA DEL HABLA-MODO VERBAL-ASERCIÓN-CREENCIAABSTRACTAs it is known Frege distinguished two factors in meaning, sense and force. Now, the force of an utterance cannot be identified syntactically with the verbal mood of a sentence. On face of it Davidson tries to maintain a very formal conception of language analyzing the force in terms of truth-conditions, that is to say, in terms of sense.He introduces his paratactic analysis. But there is an objection by Dummett that the force is beyond the sense and so the meaning has a factor of use which is not formally reducible.KEYWORDSMEANING-FORCE-SENSE-PRATACTIC ANALYSIS. (shrink)

Anna Panayotou et Pavlos Chrysostomou, Inscriptions de la Botiièe et de VAlmopie en Macédoine p. 359-400 Publication ou republication de vingt-cinq inscriptions (vingt-quatre grecques et une latine) provenant de la Bottiée et de l'Almopie en Macédoine. Ce lot comprend des textes de contenu assez varié, dont les dates s'échelonnent entre le ive s. av. J.-C. et le vie s. ap. J.-C.

Background: Psychological distress is common among patients with cancer, with severe consequences on their quality of life. Anxiety and depression are the most common clinical presentation of psychological distress in cancer patients, but in some cases cancer may represent a traumatic event resulting in posttraumatic stress disorder. Currently, Eye Movement Desensitization and Reprocessing therapy is considered an evidence-based treatment for PTSD, but recent studies also showed its effectiveness for anxiety and depression. The aim of the present systematic review is to (...) summarize the current literature on the effect of EMDR on cancer-related psychological distress.Methods: A literature search was conducted for peer-reviewed articles about “EMDR” and “cancer patients” in the following electronic databases: PubMed, MEDLINE, Science Direct, Google Scholar, and Cochrane library.Results: Our search identified 7 studies in which EMDR was used with a total of 140 cancer patients. The psychiatric diagnosis was PTSD in 3 studies. Otherwise, the diagnosis concerned the anxious and depressive disorder spectrum. Overall, EMDR treatment schedules used were highly heterogeneous, with a different number of sessions and a different duration of therapy. However, across all studies analyzed EMDR therapy was judged to be adequate in reducing symptoms of psychological distress in this population.Conclusions: According to the results of our analysis, the level of evidence regarding EMDR efficacy in cancer patients is limited by the scarcity of studies and their low methodological quality. Although better quality research is needed, available data suggest that EMDR could be a promising treatment for psychological distress in patients with cancer. (shrink)

El presente artículo se propone reconstruir, a partir de la lectura deleuziana, una ontología política en el pensamiento de Michel Foucault. Esta reconstrucción nos permitirá identificar el punto ciego de su filosofía: la indefinición de lo que Deleuze denomina “fuerzas en el hombre”. El señalamiento de este problema nos conducirá a la filosofía de León Rozitchner, cuyos conceptos permiten recuperar la pregunta que el pensamiento de Foucault no despliega: ¿hay un cuerpo histórico anterior a las fuerzas diagramáticas?

This paper addresses the issue of Jacek Dehnel’s presence in Spain. On the one hand, it contains references to Spain within his works: the Francisco Goya family in the novel Saturn. Czarne obrazy z życia mężczyzn z rodziny Goya (W.A.B. Publishers, Warsaw 2011; translated into English as Saturn: Black Paintings from the Lives of the Men in the Goya Family by Antonia Lloyd-Jones, Dedalus, Cambridgeshire 2012) and two maps: Ancient Spain and Modern Spain in the book Kosmografia, czyli trzydzieści apokryfów (...) tułaczych (Biblioteka Narodowa, Warsaw 2012). On the other hand, the paper refers to the translation of Dehnel’s works into Spanish: the novel Lala (W.A.B. Publishers, Warsaw 2006) translated by Jerzy Sławomirski and Anna Rubió as El jardín de Lala (Duomo ediciones, Barcelona 2012; translated into English as Lala by Antonia Lloyd-Jones, Oneworld Publications, London 2019) and eight poems by the poet inside the volume Poesía a contragolpe. Antología de poesía polaca contemporánea (autores nacidos entre 1960 y 1980), selected and translated by Abel Murcia, Gerardo Beltrán and Xavier Farré (Prensas Universitarias de Zaragoza, Zaragoza 2012). Analysis covers one of the poems from the anthology, entitled El abogado Federico G. L. dicta una citación. (shrink)

La Collection Les Alchimistes Grecs della CUF si arricchisce d'un altro volume con un'opera del tutto nuova rispetto ai due volumi già pubblicati, l'Anonyme de Zuretti: il testo, che prende il nome da C. O. Zuretti, il quale ne curò nel 1930 l'editio princeps nel VII volume del Catalogue des manuscrits alchimistes grecs, è «un traité pratique, complet et systematique, rédigé à l'époque médiévale par un Grec d'Italie du Sud. Celui-ci se base sur de nombreuses sources latines et arabo-latines, sans (...) renier pour autant la tradition grecque, et il écrit dans une langue déroutante … respectée au maximum» (p. VII). Come scrive l'Editrice nell'Avant-propos, questa sintesi delle conoscenze alchemiche mediterranee degli inizi del 1300 è il più lungo dei testi alchemici greci e presenta diversi motivi di interesse: • è il testimone del sincretismo culturale che fioriva nel regno di Napoli in epoca angioina; • è un documento interessante per lo studio della lingua greca medievale della Calabria; • permette di affrontare problemi filologici legati al fenomeno della traduzione. (shrink)

Biopolitics and dystopia: genomics in Michael Crichton’s Next Resumen: En este artículo se busca demostrar que, mientras el desarrollo científico es propulsado por el pensamiento tecno-optimista, el discurso prevalente sobre genómica en la cultura de masas es pesimista y tiene potencial para impedir la construcción de respuestas adecuadas a los desafíos biopolíticos por parte de los sistemas políticos y jurídicos. Aquí se sostiene que la utopía genómica es la única propuesta optimista que estimula las investigaciones científicas y que permite pensar (...) en las posibles regulaciones y los cambios necesarios para la conceptualización de la idea de propiedad. Estos problemas son ilustrados con la ayuda del libro de Michael Crichton, Next, que proporciona numerosos ejemplos distópicos. Summary: The article seeks to demonstrate that while scientific development is pro- pelled by technooptimistic thought, the prevalent discourse about genomics is pessimistic, which has the potential to forestall the construction of an adequate answer on the part of political and legal systems. It is shown that genomic utopia is the only optimistic proposition which stimulates scientific research as well as enables thinking about regulations and the necessary changes in the conceptualization of the idea of property. These problems are illustrated with the help of Michael Crichton’s book Next, which provides numerous dystopian examples. Palabras clave: biopolítica, distopía, genómica, sociedad abierta, autopropiedad, Crichton. Keywords: biopolitics, dystopia, genomics, open society, self-ownership, Crichton. (shrink)

Il presente lavoro si pone un duplice obiettivo: in prima battuta si vuole sottolineare l’importanza del pensiero politico di George Bernard Shaw all’interno della storia delle dottrine politiche e, in seconda istanza, si intende andare oltre lo studio dello shawinismo fabiano. Partendo da tali presupposti, questa ricerca, ancora in progress, intende mettere in luce un aspetto inedito del pensiero politico del drammaturgo irlandese attraverso lo studio critico di una delle sue opere più celebri: The Intelligent Woman’s Guide to Socialism and (...) Capitalism, pubblicata nel 1928. In tale scritto, a lungo interpretato solo ed esclusivamente come un’opera suffragista - come vedremo nel saggio -, appare chiaro il sostegno di Shaw ad un “socialismo elitario” di stampo meritocratico. L’autore teorizza e spiega in maniera puntuale il programma socialista a cui si affida per risolvere i problemi del periodo grazie alla teoria della ridistribuzione del reddito, utile, a parer suo, per far emergere i “talenti innati”. Shaw definisce questi uomini dei gentleman con capacità cognitive innate superiori non trasmissibili per ereditarietà, che spinti da un’energia vitale possono contribuire ad elevare la società dalla mediocrità. Shaw richiama anche il superuomo di Nietzsche ma con degli elementi migliorativi, da qui il nesso con l’eugenetica di stampo fabiano che teorizza la creazione di una “razza umana” più efficiente. (shrink)

Il riquadro dello schermo disegna una separazione, un taglio ontologico e semiotico tra lo spazio reale e la vista che è contenuta in tale apertura. Sebbene tale confine dell’immagine derivi dalla tradizione della rappresentazione pittorica, la superficie dello schermo ne accentua alcuni aspetti costituendosi come una struttura di sconfinamento, che viene dunque a mettere in discussione l’esistenza dei suoi propri limiti interni. A partire da alcuni riferimenti alla nozione di schermo presenti nell’opera di Merleau-Ponty, vorrei descrivere ed interrogare i caratteri (...) specifici del limite che lo schermo es-pone ed im-pone alla superficie. Mi propongo allora di mostrare come la superficie dello schermo, inteso ad un tempo come dispositivo ottico e concettuale, può essere pensata come una figura topologica, come una cavità, un rilievo o una piega, piuttosto che ciò che funge da contorno o cornice della visione. (shrink)

Lo scritto blondeliano sulla Doctrine de Kant sur la connaisssance comparée à celle de Hume et de Leibniz del 1885 è una testimonianza preziosa delle riflessioni con le quali il giovane Blondel prepara quel modello di conoscenza, proposto nell’Action del 1893, che gli permetterà di individuare l’origine del vincolo causale non nella condizione del puro pensiero, come sembrava aver fatto Kant, senza superare il fenomenismo di Hume, ma, in accordo con la tradizione filosofica inaugurata da Leibniz e precisata da Maine (...) de Biran, nelle necessità pratiche della ragione. Il saggio blondeliano - che ha alle spalle la lettura delle opere più diffuse in Francia sul pensiero kantiano, condotta nella prospettiva della formazione filosofica ricevuta negli anni di liceo e nel periodo dell’École Normale - permette così di far luce su un aspetto assai significativo e poco conosciuto del lavoro storico-filosofico con cui il giovane Blondel va costruendo il suo progetto sull’Action. (shrink)

La Kantkrise (« crise kantienne ») est un des aspects les plus étudiés de la pensée de Heinrich von Kleist, aussi bien par les historiens de la philosophie que par les germanistes. Au cours de presque un siècle de recherches sur ce thème 2, les interprètes ont identifié différemment l’œuvre de Kant – ou l’auteur, autre que Kant 3 – qui aurait déclenché cette crise 4. Pour la première fois, le présent article cherche à identifier le motif déterminant de la (...) crise dans un concept et permet de réviser l’idée même d’une « crise », entendue comme un événement ponctuel et isolé, pour lui restituer son sens d’événement intérieur, appartenant à un itinéraire intellectuel déjà engagé. Il s’agit d’un concept central pour la réflexion théologique et philosophique de la seconde moitié du XVIII e siècle, qui se trouve aussi en plusieurs textes littéraires : la « destination de l’homme » ( Bestimmung des Menschen ). (shrink)

Le livre, issu d’une thèse de doctorat soutenue à l’Université de Trente, est consacré à l’étude du neuvième livre, De debito coniugali, des Disputationes de sancto matrimonii sacramento du jésuite espagnol Tomás Sánchez, publiées en trois tomes entre 1602 et 1605. À partir de l’analyse des sources citées par le théologien et des modalités de réception de l’œuvre, l’auteure est en mesure d’en démontrer l’originalité et le rôle novateur dans le contexte de la nouvelle doctrine du mariage élabo...

Compte rendu de Guillaume Carron, La désillusion créatrice. Merleau-Ponty et l’expérience du réel -/- La question du réel, se trouvant au cœur de la tradition métaphysique, implique une conception de la rationalité et de son pouvoir définitoire-prédicatif, bref, elle met en jeu notre croyance, voire notre confiance en la raison humaine, car elle confronte la pensée avec le surgissement d’un point insaisissable, à savoir avec les possibilités et les limites du concept. Le réel est donc ce qui oppose une certaine (...) résistance à la conceptualisation. Le questionnement du réel devra alors se nourrir d’une attitude se situant au niveau de l’opacité du sens, « au niveau de la défaillance du concept, au moment où celui-ci révèle sa limite et laisse, à côté de lui, un résidu indéterminé ». C’est précisément une telle méthode, que Guillaume Carron reprend de Merleau-Ponty dans son ouvrage La désillusion créatrice. Merleau-Ponty et l’expérience du réel ; de cette résistance du réel au concept, Carron fait le point de départ de son étude ainsi que le fil rouge de son cheminement à travers la réflexion merleau-pontienne. (shrink)

BackgroundImplementing the routine consultation of patient advance directives in hospital emergency departments and emergency medical services has become essential, given that advance directives constitute the frame of reference for care personalisation and respect for patients’ values and preferences related to healthcare. The aim of this study was to assess the levels and relationship of knowledge and attitudes of nursing and medical professionals towards advance directives in hospital emergency departments and emergency medical services, and to determine the correlated and predictor variables (...) of favourable attitudes towards advance directives.MethodsObservational, descriptive, and cross-sectional study. The study was conducted in the emergency department of a second-level hospital and in the emergency medical service. Data collection was performed from January 2019 to February 2020. The STROBE guidelines were followed for the preparation of the study.ResultsA total of 173 healthcare professionals responded to the questionnaire. Among them, 91.3% considered that they were not sufficiently informed about advance directives, and 74% acknowledged not having incorporated them into their usual practice. Multinomial analysis indicated a statistically significant relationship between the variable emergency medical service and having more favourable attitudes towards consulting the advance directives in their practical application (OR 2.49 [95% CI 1.06–5.88]; p = 0.037) and compliance in complex scenarios (OR 3.65 [95% CI 1.58 − 8.41]; p = 0.002). Working the afternoon and night shift was a predictor variable for obtaining a higher score with respect to attitudes in complex scenarios.ConclusionThere is an association between the level of knowledge that nursing and medical professionals have about advance directives and the scores obtained on the attitude scales at the time of practical implementation and in complex scenarios. This shows that the more knowledge professionals have, the more likely they are to consult patients' advance directives and to respect their wishes and preferences for care and/or treatment. (shrink)

Abstract: I examine the different classifications of the various senses of per se which Aristotle offers in his logical works and in his Metaphysics, and propose an original account of them explaining their interrelations.