Hearing loss has been identified as a major modifiable risk factors for dementia. Adult candidates for cochlear implantation represent a population at risk of hearing loss-associated cognitive decline. This study investigated the effect of demographics, habits, and medical and psychological risk factors on cognition within such a cohort. Data from 34 consecutive adults with post-lingual deafness scheduled for CI were analyzed. Pure tone audiometry and Speech Discrimination Score were recorded. The Repeatable Battery for Assessment of Neuropsychological Status for Hearing impaired (...) individuals was used to measure cognition. Demographics, habits, and medical factors were evaluated. Depression was measured using the Hospital Anxiety and Depression Scale, and social inhibition with the Type D questionnaire. All participants suffered from severe to profound hearing loss. The mean RBANS-H total score was 83 ± 16. Participants reported a mean of years of formal education of 12 ± 5 years. The prevalence of habits and medical risk factors was: physical inactivity, body mass index >30, traumatic brain injury, hypertension, heavy alcohol consumption, smoking, and diabetes. Regarding psychological factors, the mean scores of social inhibition and depression were 10 ± 6 and 6 ± 5, respectively. The number of years of education was significantly correlated with the RBANS-H total score, and with the domains “Immediate memory”, “Visuospatial/constructional”, and “Attention”. The mean RBANS-H total score in participants who had university studies or higher level was 97 ± 9, with the remaining participants reporting a mean score of 75 ± 15. Men performed better in the “Visuospatial/constructional”. Physical inactivity was associated with lower scores in the “Delayed memory” ; hypertension correlated with lower RBANS-H total scores and “Attention”. Depression and social inhibition were negatively correlated with RBANS-H total score and with the “Immediate memory,” “Visuospatial/constructional,” and “Attention”. In adults with late-onset deafness scheduled to CI, educational level has a significant effect. Additionally, sex, physical inactivity, hypertension, and psychological traits of social inhibition and depression may also influence cognitive status. Long-term studies with more participants would enable us better understand the effects different risk factors on cognitive status. (shrink)

Like many humans in the wake of genocide and war, most wildlife today has sustained trauma. High rates of mortality, habitat destruction, and social breakdown precipitated by human actions are unprecedented in history. Elephants are one of many species dramatically affected by violence. Although elephant communities have processes, rituals, and social structures for responding to trauma—grieving, mourning, and socialization—the scale, nature, and magnitude of human violence have disrupted their ability to use these practices. Absent the cultural, carrier groups who traditionally (...) lead and teach these healing practices, humans must assume the role. Trauma theory has brought attention to victims' severe, sustained psychological damage. Looking through the lens of trauma theory provides a better understanding of how systematic violence has affected individuals and groups and how the pervasive nature of traumatic events affects human-nonhuman animal relationships. The framing of recent trauma theory compels conservationists to create new relationships—neither anthropocentric nor powerbased—with nonhuman animals. The David Sheldrick Wildlife Trust, Kenya, shows how humans, taking on the role of interspecies witness, bring orphan elephants back to health and help re-build elephant communities shattered by genocide. (shrink)

Evaluating the Knowledge and Practice of Limitation of Therapeutic Effort in Health Workers at a Health Care Institution for Cancer Patients in Medellín, 2018Avaliação do conhecimento e da prática da limitação de esforço terapêutico em equipe de atendimento de uma instituição prestadora de serviços de saúde para pacientes oncológicos de Medellín, 2018Limitation of therapeutic effort is any action that involves suspending or not initiating medical treatment or therapeutic measures in patients who will not receive any clinical benefit. In Latin America, (...) some research has proven a lack of familiarization and disagreement with the subject and its practices. The present study tried to objectify the knowledge of LTE of healthcare personnel at an institute in Medellín using a self-administered survey that allowed conducting a cross-sectional descriptive study with non-probabilistic sampling. Within the results, 56.5 % of respondents understood the concept of LTE, and 90 % applied it actively. However, there were discrepancies regarding the core concepts of the definition and practice.Para citar este artículo / To reference this article / Para citar este artigoVallejo LI, Palacio AM, Marulanda V, Restrepo A, Yepes LA, Valencia NL, Cruz MA. Evaluación del conocimiento y práctica de la limitación del esfuerzo terapéutico en personal asistencial de una institución prestadora de servicios de salud para pacientes oncológicos de Medellín, 2018. 2020;24:177-87. DOI: https://doi.org/10.5294/pebi.2020.24.2.5Recibido: 19/07/2019Aceptado: 08/08/2020Publicado: 27/11/2020. (shrink)

The aim of this study is to assess the knowledge, attitudes and experiences of Spanish nurses in relation to euthanasia and physician-assisted suicide. In an online questionnaire completed by 390 nurses from Andalusia, 59.1% adequately identified a euthanasia situation and 64.1% a situation involving physician-assisted suicide. Around 69% were aware that both practices were illegal in Spain, while 21.4% had received requests for euthanasia and a further 7.8% for assisted suicide. A total of 22.6% believed that cases of euthanasia had (...) occurred in Spain and 11.4% believed the same for assisted suicide. There was greater support (70%) for legalisation of euthanasia than for assisted suicide (65%), combined with a greater predisposition towards carrying out euthanasia (54%), if it were to be legalised, than participating in assisted suicide (47.3%). Nurses in Andalusia should be offered more education about issues pertaining to the end of life, and extensive research into this area should be undertaken. (shrink)

El presente artículo tiene el objetivo de analizar el libro de viajes de uno de los corresponsales que el periódico británico The Morning Chronicle envió para cubrir la Primera Guerra Carlista. John Moore, Poco Mas, como hicieron muchos otros periodistas contemporáneos, utiliza sus notas tomadas en el campo de batalla y sus reflexiones para publicar, años más tarde, una visión personal del conflicto que, además, refleje las características de un país y una sociedad diferente a la propia, con sus peculiares (...) costumbres y su reacción ante un conflicto que estaba mermando su población, agotando sus recursos y destruyendo su valiosísimo acervo cultural. (shrink)

_The serpent of corruption slithers through societies, injecting its venom into the veins of economies, constricting growth, and poisoning trust. This article delves into the labyrinthine terrain of corruption's economic effects, unraveling the intertwined threads of reduced efficiency, distorted markets, and undermined development. By navigating this labyrinth, we illuminate the hidden costs of graft and explore potential remedies for safeguarding economic health and fostering ethical prosperity. Charting a course towards a future free from corruption's corrosive touch requires a nuanced understanding (...) of its economic consequences, unwavering commitment to transparency, and robust institutional reforms._. (shrink)

This article proposes that the social function of judges has evolved in line with the changes that have occurred in our societies, and so it must always be contextualised. The basic guarantee which judges should provide from the point of view of their social function is translated into offering a solution to the conflicts of legitimate rights and interests, and therefore the achievements must be viewed on the basis of the kind of judge acting in each case. Nonetheless, it can (...) be seen that, in practice, a number of obstacles exist which prevent this provision from being real and effective and this makes it necessary to address this issue. (shrink)

A partir da constatação de problemas no desempenho leitor de universitários, projeto de pesquisa realizado na Universidade de Caxias do Sul buscou oportunizar aos alunos o desenvolvimento de habilidades de leitura pelo uso de material instrucional composto por sequências didáticas baseadas em diferentes gêneros do discurso. Descrevemos aqui a sequência que tem como núcleo o editorial. Os alunos envolvidos, ingressantes em cursos de graduação, foram divididos em grupo experimental (GE), submetido à sequência de leitura aqui descrita, e grupo de controle (...) (GC), que trabalhou os mesmos textos do GE com enfoque voltado à análise textual. A questão ecológica constituiu o núcleo temático, e, em cada sequência, propuseram-se quatro instâncias: pré-leitura, leitura-descoberta, pós-leitura e atividade interativa. Os resultados da investigação sugerem que o ensino explícito de leitura, apoiado em princípios sociointeracionistas e metacognitivos, pode contribuir positivamente para o desenvolvimento de habilidades de leitura. (shrink)

In Brazil, the normative landscape around advertising is complex, not the least because of limitations inherent to dispute resolution mechanisms. Focusing on unhealthy food and beverages, this case study identifies some challenges and opportunities around advertising restrictions, including in relation to freedom of speech.

Number is known for influencing time processing, but to what extent time influences number in human adults is unclear. We investigated possible bidirectional interactions using a novel Stroop-like task; participants compared numbers or temporal durations in congruent or incongruent conditions . Time and number tasks were presented in different blocks or within the same block of trials with task instructions provided at the offset of the stimuli . Analyses of response times and their distribution revealed that number affected time from (...) early RTs, and time affected number at late RTs – an asymmetry observed only when time and number tasks were presented in separate blocks. Thus, carefully chosen tasks and appropriate data analysis can reveal bidirectionality between time and number, consistent with shared magnitude or decision mechanisms. (shrink)

Johan Grimonprez’s dial H-I-S-T-O-R-Y has been critically surveyed for its use of mass media: this film, a masterful feat of editing, appropriates found footage from television newscasts to examine the history of hijacking. My reading of this piece further analyzes Grimonprez’s use of appropriation, locating the image of the chimera featured in the film as a symbol of the method of montage that dial H-I-S-T-O-R-Y uses, and of the links that this work makes between violence, homelessness and art making. The (...) chimera stands for the artwork itself, for the latter’s rapid sequence of disparate images functions as a grafted body. As a figment of the imagination, the chimera also stands for the constructed nature of the news event, which the film assays. Furthermore, the eloquence of the chimera’s image bespeaks the body that has lost its home. In this film, hijackings are related to homelessness; Grimonprez implies that wellsprings of violence arise from radical histories of displacement. By way of the chimera, he also suggests that art can impact society only by hijacking the images of mass culture, thus relating art making to violence. (shrink)

The scope and role of theological bioethics has become a growing controversial topic. For instance, some bioethicists have adopted a strong stance on the meaning of “Christian bioethics,” as not ex...

An implicit characterization of the class NP is given, without using any minimization scheme. This is the first purely recursion-theoretic formulation of NP.

The concept of dignity is the foundation of fundamental rights expressed in international declarations on human rights and bioethics. Sometimes there are collisions of rights, which must be weighed. However, more often dignity is invoked in order to argue for or against the same issue. Is it possible that a concept can be so broad that it becomes meaningless? What do we mean when we argue for moral decisions based on dignity? This paper aims at understanding dignity as a construct, (...) in an analytical and evolutionary cross-cultural approach, from a Western and Eastern view, and then considers its impact on the teaching of human rights and biolaw. (shrink)

Volver nuestra atención hacia la lectura pausada y el estudio detenido de los clásicos resulta siempre enriquecedor, reconfortante, pero a la vez necesario, porque nos ayuda a tomar verdaderamente conciencia de que numerosos conceptos filosóficos y estructuras argumentativas, que son tenidas por modernas, encuentran sin embargo su fuente original en el caudal inagotable del pensamiento griego. Ello pone de mani esto el impetuoso afán humano por desentrañar el origen primero de las cosas, ya existente de forma notable, en los albores (...) del conocimiento, en donde se puede percibir ―como la doctrina ha señalado con acierto― el tránsito del mito al logos, acaecido de manera paralela a la construcción paulatina de la filosofía como saber supremo, que toma su asiento en una racionalización de los mitos, y que tiene su causa postrera en el deslumbramiento del hombre en presencia de las cosas, y en la búsqueda incansable del por qué de los fenómenos. (shrink)

This study investigated whether school closures and health-related uncertainties in the early phases of the COVID-19 pandemic posed risk factors for adolescents’ mental health and whether perceived social support by parents, teachers, and friends functioned as protective factors. In particular, we argued that perceived social support would buffer negative associations between educational and health concerns and mental health. Based on a person-centered approach, we first examined resilience profiles. These profiles reflect configurations regarding the levels of these risk and protective factors (...) and levels of mental health. Second, we analyzed whether these risk and protective factors predicted adolescents’ mental health differently by using a variable-centered approach. The sample consisted of 1’562 adolescents in lower and higher secondary education from three regions: German-speaking part of Switzerland, N = 486; Italian-speaking part of Switzerland, N = 760; and Northern Italy N = 316. Results from the person-centered approach revealed three latent profiles characterized by low, average, or high resilience. Lower resilience was associated with higher educational concerns, lower perceived social support, and lower mental health, while high resilience was characterized by lower concerns, higher support, and higher mental health. Importantly, educational concerns varied more between profiles than health concerns, and perceived teacher and family support varied more than perceived friend support. Corroborating these findings, the variable-centered approach revealed that educational concerns were a stronger predictor than health concerns and pointed to a higher relative importance of perceived family support for adolescents’ mental health relative to perceived teacher and friend support. Taken together, the findings suggest that adolescents’ educational concerns and perceived family support, respectively, were stronger risk and protective factors for their mental health during school closures related to the COVID-19 pandemic. Finally, adolescents from regions being more exposed to the COVID-19 pandemic, namely, Italian-speaking part of Switzerland and Northern Italy, were more likely classified in the low or the average rather than in the high resilience profile compared to students from the region with lower exposure, that is, the German-speaking part of Switzerland. (shrink)

En este artículo analizo las críticas recientes de Judith Butler al escepticismo cartesiano y al constructivismo posmoderno, para explicar el distanciamiento de Butler respecto de posturas constructivistas y, al mismo tiempo, como un argumento para afirmar la dimensión ética y con pretensión de universalidad de su defensa de las vidas precarias.

En este artículo quisiera contemplar los argumentos de dos autores muy distintos, Seyla Benhabib y Slavoj Žižek, quienes coinciden en señalar que la aportación de Judith Butler a la filosofía política no resulta demasiado convincente por no considerar la tendencia utópica que toda teoría y práctica política debería mantener. Nos aproximaremos en orden cronológico a estas dos críticas, orden que nos va a permitir entender mejor la evolución del pensamiento de Butler.