Surgical patient safety remains a concern worldwide as, despite World Health Organization recommendations and implementation of its Surgical Safety Checklist, adverse events continue to occur. The aim of this qualitative study was to explore the views and experiences of perioperative nurses regarding the factors that impact surgical patient safety. Data were collected through five focus groups involving a total of 50 perioperative nurses recruited from four public hospitals in Spain. Content analysis of the focus groups yielded four main themes: personal (...) qualities of the perioperative nurse, the surgical environment, safety culture, and perioperative nursing care plans. One of the main findings concerned barriers to the exercise of leadership by nurses, especially regarding completion of the Surgical Safety Checklist. Some of the key factors that impacted the ability of perioperative nurses to fulfil their duties and ensure patient safety were the stress associated with working in the operating room, time pressures, and ineffective communication in the multidisciplinary team. Targeting these aspects through training initiatives could contribute to the professional development of perioperative nurses and reduce the incidence of adverse events by enhancing the surgical safety culture. (shrink)

In paragraph 162 of Cato’s De agricultura there is an inconsistency between the topic announced in the headline - Salsura pernarum ofellae Puteolanae - and the subsequent text, as it is solely concerned with the salsura pernarum. All recent discussions assume that the text deals with two different recipes. In my paper, I suggest that, given Cato’s usus scribendi as well as the form of other recipes, Cato presents one recipe only: The headline specifies its name and alludes to the (...) process of its production (in reversed order) so that neither et nor a comma should be inserted between pernarum and ofellae (as most editors have done ever since Merula’s editio princeps). Finally, I offer an explanation for the inconsistency between the different forms of the title in the rubrica and in the summarium that correspond to this paragraph. (shrink)

BackgroundThe diagnosis and treatment of cancer are associated with psychological distress that often leads to a significant reduction in emotional and physical well-being and quality of life. Early detection of psychological distress is therefore important. This study aims to assess the psychological distress of inpatient cancer patients using routine clinical data. Furthermore, variables and problems most strongly associated with psychological distress should be identified.Materials and MethodsN = 1,869 inpatients were investigated using the National Comprehensive Cancer Network Distress Thermometer and problem (...) checklist to assess distress as well as multiple possible problem areas. Visceral oncological cancer was the most common tumor diagnosis, followed by skin cancer and urological cancer.Results65.9% of the sample experienced high levels of distress. Female sex, stage 4 of disease, and visceral and head and neck cancer emerged as risk factors for high distress. A younger age was significantly correlated with higher distress. The most frequently self-reported problems were fears, worry, and fatigue. Patients with all 3 of these problems had 24 times higher risk [odds ratio = 23.9] for high levels of distress than patients without these problems. Women reported significantly more practical, emotional, and physical problems than men. Younger and middle-aged patients reported increased levels of practical, family, and emotional problems compared with older patients.DiscussionAlmost two-thirds of the sample reported high levels of distress. The most frequently reported problem areas were emotional and physical problems. These results can help to identify patients with high risk for psychological distress and, therefore, be used to optimize psychosocial and psycho-oncological care for patients with cancer. (shrink)

El presente trabajo proporciona una perspectiva epistemológica al tratamiento dado por Cabriada a los alimentos. Las referencias a los alimentos en la _Carta Filosófica, Médico-Química_ (1687) son escasas pero relevantes. El examen crítico de los pasajes donde se mencionan determinados productos pone de manifiesto cuál es su interés epistémico para una medicina moderna. El lenguaje tradicional, que distinguía los «alimentos fríos y húmedos» de los «alimentos calientes y secos», deja paso al nuevo lenguaje físico-químico donde se habla de propiedades como (...) la acidez y la salinidad asociadas al movimiento de los átomos y a su configuración. Los cambios afectan también a los remedios, que serán de carácter químico y a base de plantas americanas como la quinaquina. Pese a este cambio, Cabriada no rechaza la medicina antigua en bloque. El incorpora a Hipócrates, que preludia la observación y la experimentación modernas, y rechaza el galenismo tardío (oscuro y confuso) por estar plagado de términos subjetivos. (shrink)

En este artículo examino la noción de amor a Dios (amour envers Dieu) en Descartes, conectándola con los principios metafísicos de su sistema y con los objetivos a los que da respuesta, y mostrando sus beneficios para la vida de todo hombre. Los desacuerdos de Spinoza en esta materia no constituyen una discrepancia menor, sino que adquieren relevancia sistémica desde el momento en que el amor Dei está conectado con nociones centrales de su filosofía, como la idea de Dios y (...) sus atributos, la relación del hombre con la sustancia infinita, la actividad mental-corporal, el conocimiento como expresión del deseo, la función liberadora de los afectos y la fruición del amor a Dios. Esta noción constituye una plataforma privilegiada para examinar las peculiaridades de los sistemas de Descartes y Spinoza, y deja ver notables diferencias en sus respectivos proyectos de naturalización de la realidad. (shrink)

The political question in Descartes is an enormously complex issue. The historical circumstances surrounding his life, philosophical principles and the strict epistemological considerations that he defended intertwine in a sort of biological- theoretical-practical crossroads. Our work unravels the keys of Cartesian politics commonly perceived as shadowy.

La identidad nacional -- La filosofía contemporánea en la Universidad Nacional Mayor de San Marcos de Lima -- Las correintes contemporáneas de la filosofía peruana y latinoamericana.

El siguiente texto es un recorrido por el pensamiento de Tomás de San Martín, teniendo presente su contexto, las fuentes de las que bebió y la presentación de su proyecto intelectual. El contraste y conflicto entre la formación de España y de la América del momento; la genialidad de San Martín para proponerse como un logro en las lecturas de discursos ancestrales y su interés en mostrarlos pueden ser evidenciados en esta presentación.

Aunque admito sin reservas -nos dice Spinoza en su TTP- que todas las cosas son determinadas por leyes universales de la naturaleza a existir y a obrar de una forma fija y determinada, afirmo, no obstante, que [...], para el uso de la vida,...

This study analyzes shells of marine gastropods of a zoological museum and the Latin epithets expressing perceptual and connotative attributes that they have received in the standard, Linnaean nomenclature. Making use of the Osgood semantic differential, we presented the subjects with digital 3-D reproductions of the shell specimens to be subjectively evaluated according to 17 pairs of attributes. The results show that, overall, the subjective evaluations given by the subjects are consistent, which suggests that an intersubjective characterization of the shells (...) as wholes according to their qualitative and morphological traits is possible and scientifically explicable. This may apply to other biological items as well. The results also show that the epithets given to the shells by taxonomists do not always reflect the perceptual evaluation of the general population, being a product of the well-known ambiguity in taxonomic categorization and naming. (shrink)

In this article, our objective was to analyze the emotions expressed regarding the Covid-19 vaccine in content published in Brazilian Portuguese on TikTok, a video sharing platform that has recently experienced global popularity. Our data set for this investigation was comprised of posts including the hashtag #vacina (vaccine), extracted using the Python TikTokAPI library. Emotions were identified and classified using standardized descriptors from the Human-Machine Interaction Network on Emotion (HUMAINE) and the Core Affect Model. Given the diversity of content on (...) TikTok, videos with emotional content were also separated into categories. Results revealed a prevalence of positive emotions such as contentment, enthusiasm, and interest regarding the vaccines, especially in videos of a personal and informative character. Negative emotions, such as doubt and disapproval, were associated with contextual and strategic factors, with significant expression in humorous and infotainment publications. (shrink)

Venant de Belgique, où elle poursuit des recherches comparatives de longue durée sur les femmes dans les mouvements mystiques médiévaux, dans lesquels les béguines anversoises ont joué un rôle décisif, Luisa Muraro s’est arrêtée à Paris et le séminaire qu’elle a donné à la Maison des sciences de l’Homme, le 25 mars 1999, fut l’occasion d’une rencontre avec une personnalité exceptionnelle, dont l’itinéraire, l’expérience, le non-conformisme, la recherche inquiète soucieuse de prendre à bras-l...

This multi-faceted collection of women's perspectives on the renaissance in philosophical practices provides an international overview on the professional practice of philosophical counseling as rooted in the ancient philosophical discipline of life and its essential difference from modern mainstream philosophy.

Individuals who deviate from social norms by committing crimes may have reduced facial emotion recognition abilities. Nevertheless, a specific category of offenders – i.e. organised crime (OC) members – is characterised by hierarchically organised social networks and a tendency to manipulate others to reach their illicit goals. Since recognising emotions is crucial to building social networks, OC members may be more skilled in recognising the facial emotion expressions of others to use this information for their criminal purposes. Evidence of a (...) difference between OC and non-organised crime (NOC) offenders in terms of facial emotion recognition is still lacking. To fill this gap in the literature, we tested 50 OC, 50 NOC offenders, and 50 non-offender controls for their ability to identify six basic emotions (happiness, sadness, fear, anger, disgust, and surprise). All participants underwent a cognitive and psychological evaluation to avoid alternative explanations. Results show that OC members were more able to detect the expression of fear in others as compared to NOC. We interpreted this finding in light of the social context and the behavioural criminal attitude of OC members. (shrink)

Las culturas maya, azteca e inca habían desarrollado hasta el S. XVI originales y complejas estructuras de pensamiento. La superposición de la cultura europea hizo posible el traslado de la filosofía, que tiene ya una presencia ininterrumpida de más de cuatro siglos y medio. Sin embargo, ese proceso filosófico, visto desde la perspectiva de la problemática indígena actual, evidencia que no ha podido lograrse todavía, a través de la reflexión, una síntesis armoniosa que exprese los legados culturales indígena y occidental. (...) En cambio, tanto lafilosofía inculturada como la filosofía de la liberación, por sus postulados teóricos y de praxis, aspiran a esa anhelada síntesis cultural. (shrink)

Due to impaired communication, people with aphasia are often in a vulnerable situation and face barriers in accessing health information. This article discusses the contributions ofaugmentative and alternative communication for people with aphasia in optimizing communication, improving language recovery, and mainly in providing education and increasing access to healthinformation. This can be translated into a positive impact on respect for autonomy right, well-being, quality of life, and health outcomes (further participation in the decision-making process, involvement,independence, and control of the rehabilitation (...) process). Health professionals, including nurses, must have communication skills to communicate effectively with this population and also be prepared to useaugmentative and alternative communication strategies. (shrink)