Respect for human life is central to medicine. In terminal patients, refractory symptoms are a niche of palliative sedation. This paper identi es, based on scienti c evidence, the survival in patients who received palliative sedation as compared to those who didn’t. We conducted a search for systematic reviews from 2000 to 2016, which were methodologically analyzed, and the results were then compared. For methodological reasons, meta-analysis could not be performed. It is concluded that terminal palliative sedation does not shorten (...) patients’ lives. The implementation of the principle of double effect related to the possible shortening of life was reformulated; the unwanted evil is the loss of consciousness. (shrink)

Tradicionalmente se ha separado a la epistemología y a la hermenéutica, puesto que la primera trata de lo conmensurable y la segunda, lo inconmensurable. Sin embargo, en mi opinión, hoy en día es posible unir a la epistemología y la hermenéutica sólo si partimos de una teoría de la epistemología contemporánea: la teoría de la verdad como aceptabilidad racional en condiciones epistémicas óptimas. Dicha teoría permite justificar lo conmensurable y entender lo inconmensurable.Traditionally epistemology and hermeneutics have been separated, since the (...) first deals with commensurability and the second with incommensurability. Nevertheless, in my opinion, nowadays it is possible to unite epistemology and hermeneutics if we start from a theory contemporary epistemology: the theory of the truth as rational acceptability in optimal epistemic conditions. This theory allows us to justify commensurability and to understand incommensurability. (shrink)