RESUMEN Dentro de la enorme cantidad de temas reinantes relacionados con el desarrollo científico-tecnológico actual, se encuentra indudablemente el del empleo de la ventilación mecánica no invasiva como medida de soporte vital. Aunque no se trata de una obra especifica que presente un panorama completo y exacto, de todos y cada uno de los problemas relacionados con el empleo de la misma, los autores pretenden con el artículo realizar una breve reflexión del tema desde el enfoque de la ciencia, la (...) tecnología y la sociedad en el momento actual, de manera que constituya un marco útil para el examen de estos temas, su debate, reflexión e intercambio de opiniones en el contexto de los servicios de la salud. ABSTRACT Among the huge number of current issues related to the current scientific-technological development is undoubtedly the use of non-invasive mechanical ventilation as a measure of life support. Although it is not a specific work that presents a complete and accurate picture of each one of the problems related to the use of it. Authors intend with the article to make a brief reflection on the subject from the perspective of science, technology and society at the present time, so that it constitutes a useful framework for the examination of these issues, debate, reflection and exchange of opinions in the context of health services. (shrink)

I argue that both Mary O'Brien's celebratory analysis of motherhood and Simone de Beauvoir's critical one fail, due to biologism and a lack of historical sense. Both approaches, I claim, are complementary: motherhood need be analysed both as alienating-Beauvoir-and as a potential ground for feminism-O'Brien. I conclude by suggesting that feminism can only reappropriate the female reproductive experience in a critical way.

Research Ethics Committees have the responsibility to protect the participants involved in researches and to guarantee the ethical behavior of researchers. In some institutions, such committees also review scientific projects of non-pharmaceutical areas, Public Health and Health Economics. Within this framework, the article analyzes what it means to be part of a Research Ethics Committee in a hospital or university based on personal experience as a community representative. By means of the convenience sampling technique, implemented in four Colombian cities that (...) have GCP-certified committees by INVIMA –National Institute for the Control of Medications and Food–, and by means of content analysis, based on fixed and emergent categories; the experience, perception, participation, representation, and ethical aspects are described as well as the learning process and personal contributions. Findings prove that representatives interviewed have been benefited by learning clinic and epidemiological aspects without necessarily being “experts in the community”. However, they seem not to recognize clearly the population they represent, which might lead these communities to being affected by certain particular studies. The article suggests to work on the minimal common elements that a community representative should possess to appropriately protect participants. (shrink)

Las prioridades estratégicas que definió la Organización Mundial de la Salud para su labor en la década 2020-2030 son el sustrato de este trabajo. El mismo grupo interdisciplinario de profesionales de la salud que reflexionó en la primera entrega sobre las prioridades relacionadas con lograr poblaciones más sanas, continúa con otras prioridades orientadas a lograr una cobertura sanitaria universal y un mejor manejo de las emergencias sanitarias. En las conclusiones de la segunda entrega se destaca la importancia de desarrollar cada (...) una de las prioridades involucrando a la sociedad civil, la familia y los medios de comunicación. La manera de hacerlo será haciendo girar todas las iniciativas de ejecución alrededor de estrategias educativas adecuadamente planteadas en todos los niveles, sin que se admitan injerencias ni presiones, para recuperar así la confianza necesaria para conseguir las soluciones que son buenas para el ser humano, el ecosistema y las futuras generaciones. -/- . (shrink)

Se realiza un estudio de los principios básicos o tradicionales de la bioética y su influencia en la práctica de la limitación del esfuerzo terapéutico en las Unidades de Cuidados Intensivos, como condicionante que favorece su aplicación en los pacientes en estado terminal. Se aborda la necesidad de una bioética no importada de otros países, que se corresponda a las características de la realidad latinoamericana y a cada contexto sociocultural. El trabajo tiene como objetivo fundamental resaltar la importancia de estos (...) principios básicos en la discusión ético-clínica para la toma de decisiones, a partir de una bioética que se corresponda a la realidad de los sistemas imperantes. A study of basic or traditional principles of bioethics and its influence in the practice of the limits of the therapeutic effort in the intensive care units, as a requirement that favors its application in terminal ill patients was carried out. The need of having bioethics principles that match Latin-American reality and each sociocultural context, not imported ones from other countries, was stated. This paper main objective is to highlight the importance of these basic principles in ethic-clinic discussion for decision-making, taking as the starting point a bioethics that corresponds to the reality of the dominant system. (shrink)

La comprensión de la muerte varía según la época, la cultura, la religión y la edad. Con anterioridad al desarrollo que la ciencia médica ha experimentado desde finales del siglo XIX, en la mayoría de las culturas y religiones había una aceptación de la muerte y se consideraba como parte del ciclo vital de la persona donde se trascendía a una forma celestial y puramente sobrenatural. Los avances científicos de la medicina han venido a cambiar esta situación. La muerte se (...) empezó a ver como un enemigo y dio comienzo a una lucha encarnizada entre ambas. El concepto de "muerte natural" se sustituyó por el de "muerte intervenida," dando origen a numerosas cuestiones relacionadas con la toma de decisiones y actuaciones a realizar en pacientes ingresados y en situación terminal. En este trabajo se realiza una reflexión teórica que tiene como objetivo el análisis bioético acerca de las diferencias entre los aspectos religiosos y culturales relacionados con la práctica de la limitación del esfuerzo terapéutico. The understanding of death varies according to time, culture, religion, and age. Previous to the development that medical sciences has undergone since the end of the XIX Century, in most cultures and religions there have been an acceptation of death and considered as part of the person vital cycle in which one would transcend to a celestial and purely supernatural form. The scientific advances in medicine have emerged to change this situation. Death began to be seen as an enemy and gave rise to an enraged struggle between both of them. The concept of natural death was changed into intervened death, which originated numerous related questions with decision and action taking to be performed in hospitalized patients and those in terminal situation. In this work a theoretical reflection is performed whose objective is the bioethical analysis on the differences among religious and cultural aspects related to the practice of therapeutic effort limitation. (shrink)

Justo antes de la pandemia por COVID-19, la Organización Mundial de la Salud definió unas prioridades de trabajo para la década 2020-2030. Un grupo interdisciplinario de profesionales de la salud reflexiona sobre estas prioridades, determinando unas categorías de análisis y, desde una perspectiva bioética, analiza cada una de ellas, ve su pertinencia, algunos eventos causales, las implicaciones que pueden tener si no son enfrentadas adecuadamente y hace sugerencias sobre la forma de llevarlas a cabo. En esta primera entrega se analiza (...) el primer grupo de prioridades estratégicas: “poblaciones más sanas”. En las conclusiones se destaca la conveniencia de acometer cada una de ellas de una manera colaborativa, gubernamental y privada; de reestructurar el sector salud con base en estas prioridades, aprovechando la experiencia obtenida en la lucha contra el COVID-19. La relación del ser humano con el medio ambiente también debe cambiar, apelando a la responsabilidad humana por el cuidado del planeta. (shrink)

Este artigo tem por objetivo identificar e discutir alguns encontros e desencontros existentes entre a epistemologia qualitativa, a fenomenologia e a pesquisa-ação, no que diz respeito à natureza, aos objetivos e procedimentos adotados. Nesse sentido, realizamos uma revisão teórica para identificar as características comuns e divergentes entre as categorias de pesquisa investigadas. Para tanto, buscamos as contribuições teóricas de González Rey acerca da teoria da subjetividade e de sua epistemologia qualitativa, de Moreira e seus estudos sobre a fenomenologia e, por (...) fim, de Thiollent, que apresenta as principais características da pesquisa-ação. (shrink)

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)

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)

Advances in genomics have led to calls for developing population-based preventive genomic sequencing programs with the goal of identifying genetic health risks in adults without known risk factors. One critical issue for minimizing the harms and maximizing the benefits of PGS is determining the kind and degree of control individuals should have over the generation, use, and handling of their genomic information. In this article we examine whether PGS programs should offer individuals the opportunity to selectively opt out of the (...) sequencing or analysis of specific genomic conditions or whether PGS should be implemented using an all-or-nothing panel approach. We conclude that any responsible scale-up of PGS will require a menu approach that may seem impractical to some, but that draws its justification from a rich mix of normative, legal, and practical considerations. (shrink)

Glitches pose expressive challenges for digital motion pictures. These problematics reveal a “material function” that determines their identification and prescribes their semantics on-screen. These issues of materiality are familiar from the ideological critiques of avant-garde film in the 1970s, but have not been explored in relation to the semiotics of digital cinema. Developing an understanding of these problematics shows the complex problematics of using glitches for critical and expressive purposes in motion pictures.

AI-generated images of “cats” offer novel opportunities to consider the semic role of expectations in sign formation where they act as a constraints on semiosis through the potential identification of the AImage as “correct,” or as a “glitch.” Because the identification of “errors” depends on a range of technical and cultural expertise, they offer valuable insights into the interpretive process. The automated generation of media by AI separates the artist’s decision-making process from image production, continuing a trajectory that began with (...) the invention of photography in the nineteenth century that brings the sign formation process into consciousness by distinguishing “intentional” and “unintentional” encoding. The identification AI-produced images as-glitched provides a vehicle to consider how the sign formation process informs identifications of creative action as an intentional action: aesthetic appraisals are central to this process where cultural beliefs about creativity become ideological constraints on interpretation. The potential to understand AI “glitches” as expressive features of the image-object, rather than errors, proceeds via the aesthetics and affects of earlier art, such as the “painterly motion” shown in old master paintings by Peter Paul Rubens, or via the heritage of Surrealism. These affective constraints on sign formation reveal the central role of “glitches” in the distinction of creative and uncreative action. (shrink)

An extended examination of Libet's works led to a comprehensive reinterpretation of his results. According to this reinterpretation, the Minimum Train Duration of electrical brain stimulation should be considered as the time needed to create a brain stimulus efficient for producing conscious sensation and not as a basis for inferring the latency for conscious sensation of peripheral origin. Latency for conscious sensation with brain stimulation may occurafterthe Minimum Train Duration. Backward masking with cortical stimuli suggests a 125-300 ms minimum value (...) for the latency for conscious sensation of threshold skin stimuli. Backward enhancement is not suitable for inferring this latency. For determining temporal relations between stimuli that correspond to subjects' reports, theendof cerebral Minimum Train Duration should be used as reference, rather than its onset. Results of coupling peripheral and cortical stimuli are explained by a latency after the cortical Minimum Train Duration, having roughly the same duration as the latency for supraliminal skin stimuli. Results of coupling peripheral stimuli and stimuli to medial lemniscus (LM) are explained by a shorter LM latency and/or a longer peripheral latency. This interpretation suggests a 230 ms minimum value for the latency for conscious sensation of somatosensory near-threshold stimuli. The backward referral hypothesis, as formulated by Libet, should not be retained. Long readiness potentials preceding spontaneous conscious or nonconscious movements suggest that both kinds of movement are nonconsciously initiated. The validity of Libet's measures of W and M moments (Libet et al., 1983a) is questionable due to problems involving latencies, training, and introspective distinction of W and M. Veto of intended actions may be initially nonconscious but dependent on conscious awareness. (shrink)

This paper investigates whether 'even if A, B' is pragmatically polysemic, so that a nonconcessive conditional may have 'even if', and whether concessive conditionals, pragmatically defined, can fail to have 'even if' or a non-temporal 'still'. Different paraphrases are used to help elucidate pragmatic meanings. A theory of the pragmatic meanings of concessive and implicative conditionals is presented. The semantic meaning of 'even if' and the question of whether concessive conditionals imply the truth of their consequents are also discussed.

It is argued that contraposition is valid for a class of natural language conditionals, if some modifications are allowed to preserve the meaning of the original conditional. In many cases, implicit temporal indices must be considered, making a change in verb tense necessary. A suitable contrapositive for implicative counterfactual conditionals can also usually be found. In some cases, the addition of certain words is necessary to preserve meaning that is present in the original sentence and would be lost or changed (...) in the contrapositive without them. A distinction is made between adding new meaning and adding new words to preserve existing meaning. For concessive conditionals and relevance conditionals, however, no valid contrapositive can be found. They do not belong to the class of contraposable conditionals, which can be independently defined. Difficult cases are also discussed in which the contradictory of the consequent semantically entails the truth of the antecedent. In such cases the content of the antecedent is implicit in the meaning of the consequent. Contraposition becomes possible if what is implicit in the original consequent is made explicit in the contrapositive antecedent. (shrink)

The recognition of a pattern of abstract marks as language is simultaneously obvious and undertheorized. Contemporary “asemic poetry” splits the recognition of language from its lexicality, providing an opportunity to consider this recognition directly. It reveals the necessary intervention of an “intentional function” that justifies considering markings as if they were encoded, i.e., as language. This essential moment of sign formation in written communication typically passes automatically without the need for consideration, but asemic poetry specifically allows meditation on that point (...) of transition, allowing the role of cultural knowledge to become apparent in its identification, as well as the Romantic heritage which rejects mechanical reproduction and automation. (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.

Introducción: Alude a que la salud pública tiene causas multifactoriales con alta connotación social. Objetivo: presentar una estrategia de superación transdisciplinaria para la actualización teórico-metodológica de los profesionales de la salud. Método: se determinaron los fundamentos teóricos de diferentes enfoques y tendencias en gestión de proyectos de investigación. Se concibió una estrategia de superación basada en los principios y conceptos de los estudios de la complejidad, la metodología de la Teoría de la Red de Actores, las ideas de la dirección (...) organizacional y de las premisas de la perspectiva transdisciplinaria. Resultados: se presenta una estrategia educativa para incrementar la capacidad de adaptarse a cambios, de generar conocimientos y de aumentar el desempeño integral que supone cualidades como son: la creatividad, el tratamiento de los valores y el trabajo en equipo. La estrategia contiene cursos de posgrado, pregrado y emergentes, adiestramientos, asesorías, talleres, la participación en eventos y la producción de publicaciones. Conclusiones: se aplicaron los principios y conceptos de los estudios de la complejidad, la metodología de la Teoría de la Red de Actores, las nuevas ideas de la dirección organizacional, así como las premisas de la perspectiva transdisciplinaria para elaborar una estrategia dirigida a la actualización epistemológica de los profesionales de la salud en la gestión de proyectos de investigación. La estrategia y sus interconexiones con los diversos factores para lograr una transformación, aprovecha la coordinación global no dirigida ni controlada por ningún subsistema de la que emergen propiedades nuevas, que garantizan su identidad, estructura, funcionamiento, sinergia y robustez. Introduction: Public health has multifactorial causes of high social connotation. Objective: The objective of this work is to present a strategy for transdisciplinary theoretical and methodological advancement of health professionals. Method: Theoretical foundations of various approaches and trends in research project management were determined. An advancement strategy was conceived based on the principles and concepts of the Complexity Theory, the methodology of the Actor-Network Theory, the ideas of the Organizational Development Theory and the premises of the transdisciplinary approach. Results: A resulting educational strategy is presented to increase the capacity of public health professionals to adapt to changes, to generate knowledge within the field and to increase overall performance in the workplace. This advancement strategy assumes qualities such as: creativity, ethical values and teamwork. The strategy includes postgraduate and undergraduate courses, as well as courses on emerging topics, training and consulting activities, workshops, participation in scientific events and publishing. Conclusions: The principles and concepts of the Complexity Theory, the Actor-Network Theory methodology, the ideas of the Organizational Development Theory, as well as the premises of the transdisciplinary perspective were considered to elaborate a strategy aimed at the epistemological advancement of public health professionals as it relates to the management of research projects. The strategy and its interconnections with the various factors that lead to transformation take advantage of the global coordination neither directed nor controlled by any subsystem from which new properties emerge, guaranteeing their identity, structure, functioning, synergy and strength. (shrink)

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

This book presents the theory of capital utilization, a discussion of the econometrics of capital utilization, and econometric tests of the theory using international data. Capital utilization, defined as the proportion of time that capital is working productively, is mainly affected by shift-working. Capital utilization is an important economic variable that has received serious attention from economists only since the mid-1960s In the first part, the authors provide a synthesis of current knowledge, combining a consistent statement of existing theory with (...) some major extensions. In the second part, they turn to the econometrics, first discussing the appropriate methodology and then testing the theory on data from several countries. This empirical work is considerably more sophisticated than previous studies on this topic. Having established the theory and tested it, they move on to consider policy, the relationship between capital utilization and economic growth, and the place of shift-work in the dual economy. (shrink)

En la introducción del presente estudio se subraya la tesis de que el eurocentrismo no ha sido superado todavía. Sobre todo en el campo de la filosofía se puede comprobar su persistencia y su vigencia. Esto lleva, en el caso de América Latina, a que todavía hoy haya muchos prejuicios frente a una filosofía latinoamericana. Sobre el telón de fondo de esta tesis este trabajo muestra en su parte central el esfuerzo que ha hecho la filosofía en América Latina por (...) superar el eurocentrismo. Y lo muestra de manera positiva, es decir, dando cuenta del proceso de contextualización que ha llevado a cabo la filosofía en América Latina en el pasado siglo XX y que la llevó a constituirse como una �filosofía latinoamericana�. (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)

En este texto confluyen logradamente varios géneros literarios: es una autobiografía, porque ante nuestros ojos vemos transcurrir parte de la vida del autor; pero también es un testimonio histórico, porque aborda acontecimientos verídicamente ocurridos en el Chile que existió entre los años 1965 y 1973. Paralelamente, estamos en presencia de un texto político, que aborda la problemática de la lucha de clases y su expresión en cuanto a correlación de fuerzas sociales, políticas y, al menos esb..

The sustainable development of each society depends increasingly on the organization of scienti c activity and research. To over- come several de ciencies found in this respect, we conceived and implemented an improvement strategy for the epistemological update of healthcare professionals in which they increase their capacity to adapt to changes, to generate new knowledge and to systematically improve performance. Improvement in epistemological update aims to stimulate the relationships between disciplines, social actors and management functions as a way to optimize (...) the activity of management of research projects. According to the triangulation made, the strategy will be effective and can be reproduced. (shrink)