RESUMEN El presente trabajo de revisión expone cómo las prácticas de gestión en la anestesiología deben ser modificadas para encarar las cambiantes necesidades de pacientes, otros profesionales y sistemas sanitarios, a fin de mantener una función significativa en la atención sanitaria. Los servicios de anestesia han adoptado una amplia variedad de modelos para hacer frente a las necesidades del medio local, la relación entre los anestesiólogos y la comunidad, y los papeles desempeñados por los anestesiólogos en el tratamiento perioperatorio. El (...) sistema sanitario cubano se encuentra inmerso en un proceso de permanente adecuación de sus servicios a los problemas, demandas y necesidades de la población cubana y sus determinantes. Por ello, objetivo es exponer consideraciones teóricas en función del perfeccionamiento del servicio de Anestesiología y Reanimación. ABSTRACT This review paper presents how anesthesiology management practices must be modified in order to deal with the changing needs patients, other professionals and health systems have, in order to maintain a significant function in health care. Anesthesiology services have adopted a wide variety of models to face up to the needs the city, the relationship between anesthesiologists and the community and the role anesthesiologists play in perioperative treatment have. The Cuban health system services are in a process of permanent adaptation to the problems, demands and needs the Cuban population and its determinants have. For that reason, this paper aims at presenting theoretical considerations towards the improvement of the Anesthesiology and Resuscitation service. (shrink)

This study aimed to investigate the student-athletes' capability to face the academic, sport, and social challenges during the coronavirus disease 2019 (COVID-19) lockdown and to disclose novel aspects of dual careers. A 32-item online survey encompassing demographic characteristics, sport and university engagement, support and dual-career benefits, physical activity, sitting time, and the time deemed necessary to recover the previous level of performance was developed. Four hundred sixty-seven student-athletes (males: 57%, females: 43%) from 11 countries, competing in 49 different sports (individual: (...) 63.4%, team: 36.6%) at regional (17.5%), national (43.3%), and international (39.2%) levels, and enrolled at high school (21.9%) and university (78.1%) levels completed the survey. During the lockdown, the respondents decreased the time dedicated to sport and academics, although they maintained an active lifestyle. Student-athletes from countries under severe contagion were more likely to train at home, dedicate to academics, and receive support from the coach but less likely receive support from their teachers. With respect to their team sport counterparts, athletes competing in individual sports trained more and were more likely to receive support from their coaches. International athletes showed the highest training time and support from their coaches and as student-athletes. High school students received more support from their coaches and teachers, whereas university students were more likely considering dual careers useful to cope with the COVID-19 pandemic. This study substantiates the relevant role of competitive sports participation in the maintenance of active lifestyles, with student-athletes considering home training and e-learning valuable resources during the lockdown. Furthermore, their sport and academic commitments helped student-athletes cope with the emergency of the COVID-19 pandemic. (shrink)

Les livres sur l’histoire uruguayenne ne sont pas légion en Europe (ni en Amérique d’ailleurs), bien que le petit pays du Rio de la Plata soit un cas intéressant, surtout en ce qui concerne l’histoire des femmes. En 1932, l’Uruguay a été l’un des premiers pays d’Amérique latine à accorder des droits politiques complets aux femmes. La lutte féministe s’est inscrite dans un programme général de réformes qui a transformé l’Uruguay en un État-providence moderne sous la direction du président José...

Este trabalho pretende analisar a implementação do Art. 26-A (Lei 9394/96), na escola pública brasileira, buscando contribuir com os debates sobre os desafios que impedem a presença ou não da cultura africana, afro-brasileira e indígena, nos currículos escolares. Analisamos que os pensamentos se transformam em práticas de governamentalidade, para a qual a geopolítica associa-se ao biopoder, catalisando estratégias de controle social. Nesta questão, valemo-nos do conceito da colonialidade do poder para discutir as identidades demandadas e articuladas, e de como o (...) racismo estrutural transita em suas várias dimensões. Assim, o percurso metodológico passa pela análise de artigos sobre o tema, tomando as publicações do ano de 2023, quando a legislação completa 20 anos. A leitura conduz ao pensamento racial de alguns intelectuais sobre a formação social brasileira, concluindo se manter uma prática pedagógica de homogeneidade social e cultural no espaço escolar. Nela, o mito da democracia racial está ainda vigorando como perspectiva histórico-cultural pós abolição da escravidão, engendrando assim uma geopolítica de longa duração, que se faz pela negação das identidades no cotidiano escolar e preservação da ordem social. (shrink)

Durante el siglo XIX la correspondencia no fue solamente el medio más utilizado para transmitir información sino, en muchas ocasiones, el único. Las cartas son un ejemplo de los documentos personales -diarios, memorias, autobiografías o fotografías- que nos muestran la historia vivida en su dimensión más humana. Por su carácter íntimo, no tienen el afán de convencer a terceras personas ni de llevar a la posteridad a sus autores. Son, en su mayoría, epístolas sinceras; algunas en calidad de confesión, obviamente (...) sin firma, otras que relatan las vicisitudes de la vida cotidiana o que informan de algún acontecimiento relevante a familiares o superiores de un monasterio. Esto se puede ver en las cartas que se encuentran en el ramo "Correspondencia de Guardianes del Convento de Guadalupe, Zacatecas", del Archivo Histórico del Convento Franciscano de Zapopan. (shrink)

This article proposes to identify risk factors for moral distress from the literature, validate them through expert analysis and provide the basis for a new tool to assess the risk of moral distress among nurses. Moral distress is related to the psychological, emotional and physiological aspects of nursing. It arises from constraints caused by various circumstances and can lead to significant negative consequences. A scoping review and validation through expert analysis were used. The research question guiding this study was as (...) follows: What is known about risk factors for moral distress in nursing? The research was conducted using multiple sources including electronic databases and lists of references from relevant literature. The final sample consisted of 38 studies. A validation analysis was conducted by experts during December 2014 and June 2015. To exclude a risk factor item, at least 80% of the experts had to agree with the exclusion. In total, 53 risk factors for moral distress were identified, reviewed by the experts and grouped to form a new instrument that may help to identify risk for moral distress and to address its consequences. (shrink)

Reseña de José Emilio Burucúa. _Vislumbres de un futuro útil y enaltecedor para las humanidades_. Rosario: UNR Editora, 2020.

Se describen algunos personajes carrasquillescos y sus formas de pensamiento y expresión de acuerdo con sus diferentes entornos y relación con la palabra. Para hablar de los personajes orales, se hace referencia a ciertos prototipos como el campesino, el negro, el anciano, el niño y el contador de historias. Y en cuanto a los personajes letrados, se destacan algunos, como Magdalena Samudio, José Bermúdez, Beatriz Solsona y Bárbara Caballero, resaltando la figura del cura como el letrado del pueblo, (...) y asociando a Ligia Cruz y a Martín Gala con don Quijote por su relación participante con los libros. (shrink)

The origins of the legend of Anju and Zushio, children cruelly torn from their mother and sold to Sansho, are lost in the Middle Ages, but it was “Ôgai” Mori Rintarô who gave it literary status when he published the historical tale Sansho dayu in 1915. The analysis details the important symbolic role played by birds in freedom and the hunting of birds. The bird, symbol of freedom and autonomy. In parallel, an antagonism, the hunting of birds. Death and the (...) bird complement a bipolarity of symbolic content present throughout the work. (shrink)

The purpose of this work is to show the Kantian root of the concept of subjectivity as shown by Schleiermacher in the Monologen. The division between nature and freedom effectuated by critical philosophy renders possible the links between morality and creativity, exteriority and interiority which demand a peculiar mode of knowledge.

The present article aims to analyze, from literary studies, the aspects of the life of Tomás Carrasquilla that, reflected in his historical novel La marquesa de Yolombó, contributed to the creation of Yolombó as a literary universe that exposes the tensions of creation identity of the Colombian nation. This purpose is achieved through three moments: the first, the identification of bibliographic sources that within literary criticism have addressed the biographical aspects of the author; the second, the exploration of the mining (...) route that led the first Spanish settlers, established in the municipality of Cancán, to migrate to neighboring municipalities such as Yolombó and Santo Domingo and, thirdly, the review of the influences of the oral accounts of the Carrasquilla family in the composition of the novel. It is concluded that the tragic fate that the character of Bárbara Caballero faces in the work may represent a rejection of the author towards the realistic spirit and submission to the Spanish crown of the legendary Marchioness. This hypothesis is based on the fact that the historical Bárbara, the writer's great-great-great aunt, was out of tune in the middle of a family that was favorable to the independence cause, such is the case of José María Córdova, distinguished hero of independence, related to Carrasquilla in the same degree of consanguinity as Bárbara Caballero. Finally, in methodological terms, this work is developed as a documentary investigation whose level is interpretive. (shrink)

This article examines the recent Council of Europe Convention on violence against women through the lens of postcolonial feminist critiques. The article argues that, while there is certainly cause for optimism, the Convention still falls into some of the traps identified by postcolonial feminists. The Convention largely circumvents the stigmatising risks that arise from framing certain VAW forms primarily as a problem of some ‘cultures’. Yet dangers linger in the Convention’s approach to ‘honour’ as an unacceptable justification for VAW. Inherent (...) risks also remain in the vulnerability frame through which the Convention views migrant, refugee, and asylum-seeker women. Applied uncritically, these approaches risk re-inscribing images of inherently powerless women victimised by their non-European ‘cultures,’ reminiscent of colonial times. (shrink)

This volume is both a state-of-the-art display of current thinking on second language development as a complex system. It is also a tribute to Diane Larsen-Freeman for her decades of intellectual leadership in the academic disciplines of applied linguistics and second language acquisition. The chapters therein range from theoretical expositions to methodological analyses, pedagogical proposals, and conceptual frameworks for future research. In a balanced and in-depth manner, the authors provide a comprehensive and interdisciplinary understanding of second language development, with a (...) wealth of insights that promise to break the status-quo of current research and take it to exciting new territory. The book will appeal to both seasoned and novice researchers in applied linguistics, second language acquisition, bilingualism, cognitive psychology, and education, as well as to practitioners in second or foreign language teaching of any language. (shrink)

El presente trabajo analiza la construcción del espacio caribeño en la novela Rastro de sal de la escritora costarricense Arabella Salaverry. Este espacio se aborda desde dos perspectivas específicas: una, vinculada con la representación general del espacio caribeño. Este análisis se centra en tres relaciones concretas: conectividad/aislamiento, naturaleza/cultura, centro/periferia. La segunda perspectiva se interesa más bien en los espacios domésticos y su interacción con los personajes femeninos, a partir de las relaciones libertad/prisión e interior/exterior. Se concluye que, en Rastro de (...) sal, el Caribe se presenta como un espacio contradictorio, dinámico y desigual. (shrink)

Emmanuel Carballo construyó en torno a su nombre un discurso: el de crítico práctico y humanista literario, dos conceptos forjados en el siglo XIX en Inglaterra, aplicables de manera oportuna al crítico literario mexicano más importante del siglo XX.

Child-to-parent violence has dramatically risen in the last decade, becoming a concerning issue in many countries, so research on this issue has also increased. However, most of the studies on this topic have been conducted with samples of adolescents, and very few with samples of parents. In addition, the variety of assessment instruments does not reflect the elements of this type of violence. Thus, the current study was aimed to examine the factor structure, reliability, and validity of the Child-to-parent Violence (...) Questionnaire, parents’ version, in a sample of Spanish parents of adolescents. Moreover, the prevalence rates of the different types of violence and the reasons for violence were also examined. A total of 1,012 Spanish parents of adolescents aged between 12 and 17 years old were assessed using the CPV-Q-P. Data indicated a matrix of four factors with 14 items, assessing psychological violence, physical violence, financial violence, and control/domain over parents, and two factors with 8 items capturing the reasons for child-to-parent violence, with adequate psychometric properties. The more frequent type of violence was control and domain over parents, followed by psychological, financial, and physical violence, with no significant differences between mothers and fathers. Otherwise, instrumental reasons were more frequent than reactive types, with no differences between mothers and fathers. The CPV-Q-P is a useful instrument to assess child-to-parent violence from the parents’ perspective in both professional and research settings. (shrink)

Neste artigo, pretendo analisar o conceito de mal em Kant e sua utilização por comentadores contemporâneos. Apresentarei as críticas e as defesas apresentadas por filósofos contemporâneos sobre a capacidade do conceito de mal de explicar atrocidades contemporâneas, tais como genocídio e terrorismo. Veremos que há duas interpretações: os que consideram que o conceito de mal radical possui capacidade explicativa e os que consideram que tal conceito é impotente para tal.

Si durante siglos el Derecho Eclesiástico se identificó con el conjunto de normas emanadas de la Iglesia Católica, considerándose como sinónimo del Derecho Canónico, el proceso histórico de formación del mismo se iniciaría cuando el Estado se considera legitimado para legislar en materias eclesiásticas, defendiendo su propia soberanía frente al monopolio de la competencia del Derecho de la Iglesia, hasta entonces pacíficamente reconocido, fenómeno que se produjo de forma diversa en los países católicos que en aquellos en que triunfó la (...) reforma protestante. Su consolidación como Ciencia jurídica autónoma, primero en Italia y, posteriormente en España, desde la perspectiva actual del Estado moderno, no se explica ya, sin embargo, como el fruto de un intervencionismo estatal en materia religiosa sino sobre la base del reconocimiento, tutela y promoción de los derechos humanos y, en particular, del derecho de libertad religiosa.If the historical training process of the Ecclesiastic Law was begun when the State was considered legitimated to legislate in ecclesiastic matters, defending its own front sovereignty against the monopoly of the domain of the Law of the Church, at present, its consolidation as autonomous legal Science has been possible thanks to the recognition, tutela and promotion of the human rights and, in particular, of the right to religious freedom. (shrink)

La teoria della conoscenza può essere intesa in due modi diversi, a seconda di che cosa si intende per conoscenza. In un primo senso, per conoscenza si intende il processo mediante cui conosciamo. In un secondo senso la conoscenza è intesa come il risultato di tale processo, ossia come sinonimo di sapere. Questi due significati sono riflessi nei diversi termini con cui vengono denotati in altre lingue. Mentre una teoria della conoscenza intesa come sapere non ha relazioni significative con le (...) neuroscienze (ma piuttosto con discipline filosofiche come la logica, la metodologia, la semiotica, l'ontologia), una teoria dei processi conoscitivi ha rapporti significativi con le neuroscienze, e fin dall'antichità i filosofi hanno riconosciuto nel cervello il supporto fisico delle attività cognitive superiori. Con ciò, tuttavia, le neuroscienze non possono presentarsi come surrogato di una teoria filosofica del conoscere, in quanto i processi cognitivi debbono essere preliminarmente definiti in sede filosofica, al fine di poter studiare le loro correlazioni (bidirezionali) con fenomeni nervosi. (shrink)

In this article I issue a challenge to philosophers engaged in constructing logical languages. Formal languages that have had a great influence on various areas of philosophy have ineffable statements that arise from metaphysical assumptions, thus limiting what we can do with them. I deal with two cases. The case of Frege known as “The paradox of the concept horse”, and that of Kripke that is not as famous as the Fregean problem, which I call “The necessary bearing of the (...) name.” I briefly develop each case and show that together they give us sufficient evidence of the limits of what we can do with logic when the formal systems employ unexamined metaphysical assumptions. (shrink)

La llamada gestación subrogada es una práctica cada vez más difundida en varios países del mundo. Tras las apariencias de una supuesta libertad de las mujeres para disponer libremente de su cuerpo, se esconde la realidad de una explotación de las mujeres pertenecientes a los grupos social y geográficamente más vulnerables, que tiene todas las características de una forma moderna de esclavitud puesta al servicio de conspicuos intereses económicos. Las raíces de este fenómeno se encuentran en una tradición secular de (...) desvalorización de la mujer y de su corporeidad que ha impregnado las más diversasculturas y que aún hoy continúa, de forma latente, a pesar del reconocimiento oficial de su igual dignidad a nivel legal. (shrink)

Malraux's writing forcefully poses the problem of the relations between the real and the imaginary, between action and its representation, between poetry and truth. As this article will show, André Malraux found in his trip to China the inspiration for a new process of artistic creation that culminates in his work Antimémoires, where action and history build the guiding thread of a metaphysical and mythological travel story. Our analysis will show how his life and his work, deeply united, are the (...) two forms of an intense organization of himself, life constructed as work and work narrated as life. (shrink)

Según la concepción «clásica», el fin de la medicina era el de ayudar a conservar y recuperar la salud, entendida como un bienestar físico, emocional y vital, al cual contribuían acciones materiales, influjos sobrenaturales y cosmológicos. Con el Renacimiento, la ciencia moderna ofrece sus conocimientos a la medicina, en la cual desaparece la consideración de influjos sobrenaturales y cósmicos. Además, la concepción dualista cartesiana reducía la medicina a ocuparse exclusivamente del cuerpo del hombre, interpretado como una máquina según modelos propuestos (...) con base en diferentes ciencias. Esta perspectiva fisicalista y analítica ha permitido logros importantes. Sin embargo, la enfermedad implica, en cuanto experiencia vivida por el paciente, aspectos de malestar existencial, fragilidad, dependencia, pérdida de identidad que, a menudo, la medicina piensa no deber considerar en cuanto subjetivos. Hay que eliminar este error, complementando la competencia médica con las varias fuentes ofrecidas por la filosofía, artes, religión, de modo que permitan al enfermo encontrar en su interioridad los sustentos para darle un sentido y valor a su existencia en sus reales condiciones. (shrink)

Este trabajo analiza los conceptos de justicia social y felicidad en la filosofía de Julián Marías con el fin de alcanzar tres metas: comprender su sentido; mostrar cómo pudo llegar a visiones originales de ellos gracias a que su teoría está fundamentada en una metafísica, y alumbrar cómo esta es un método para que podamos seguir pensando. Para ello, se revisan las tres grandes perspectivas filosóficas de Marías –la estructura analítica, la empírica y la de la persona– para indagar qué (...) se entiende por justicia social y felicidad. Asimismo, desde cada uno de estos puntos de vista se buscan las conexiones entre ambos temas. Finalmente se analiza si es verosímil esperar que haya una vida tras la muerte biológica, puesto que, según el filósofo, la perduración es una condición necesaria para que sea posible tanto la verdadera felicidad como la justicia social derivada de ella. (shrink)

Today, the skills-based approach is increasingly in demand by companies due, in large part, to the fact that it favors the management of human resources by focusing on individual capabilities; which, finally, improves the job profile of a company. As a result, choosing the right candidates has become increasingly selective. Universities, therefore, need to teach skills to improve the incorporation of graduates into the workplace making it as successful as possible. For this reason, it is of special relevance to know (...) if college students consider that the acquisition of skills is key for their incorporation into the workplace. The main objective of this study was to analyze and compare the importance assigned to the acquisition of basic skills in the university education of 694 students studying four different bachelor degrees: pedagogy, early childhood education, primary education, and psychology. For this purpose, a Likert-type questionnaire on basic skills was distributed with four possible options and the following five dimensions that grouped basic skills: organizational and planning capacity; access to information sources; analysis and synthesis of texts, situations, and people; teamwork; and problem solving. The results show that as a whole all students across different bachelor degrees gave a high score to the acquisition of basic skills, with early childhood education students giving it greater importance compared to the students from other disciplines and, more specifically, differences were observed in some dimensions depending on the bachelor degree that they have started. (shrink)

Esse artigo pretende responder à seguinte pergunta: Emoções e sentimentos são necessários para a moralidade? Essa questão será desdobrada em três outras: 1) Emoções e sentimentos são necessários para a determinação do correto moralmente?; 2) Emoções e sentimentos são necessários para a motivação moral?; e 3) Emoções e sentimentos são necessários para a ação moral? Para responder a essas questões, usa dois modelos distintos: o de Prinz, tal como apresentado no livro The emotional constructions of morals e o de Kant. (...) Tenta mostrar que Prinz responde positivamente às três questões e que há dois modelos possíveis de compreender a teoria kantiana, que dariam respostas diferentes às questões 2 e 3. Palavras-chave: Emoção. Sentimento. Moralidade. Prinz. Kant. (shrink)