Background During the first weeks of March 2020 in Spain, the cases of severe respiratory failure progressively increased, generating an imbalance between the clinical needs for advanced life support (ALS) measures and the effective availability of ALS resources. To address this problem, the creation of triage committees (TC) was proposed, whose main function is to select the best candidates to receive ALS. The main objective of our study is to describe the clinical characteristics of the patients evaluated by the TC (...) of the Alcorcón Foundation University Hospital (AFUH) during the first wave of SARS CoV-2. Other objectives are to determine if there are differences between the patients considered candidates / not candidates for ALS and to analyze the functioning of the TC. Methods Retrospective observational study of all patients assessed by the AFUH TC. Results There were 19 meetings, in which 181 patients were evaluated, 65.4% male and with a mean age of 70.1 years. 31% had some degree of functional dependence, the Barthel median was 100 and Charlson 4. 58.5% were not considered a candidate for ALS at that time. The patients considered candidates to receive ALS were younger (72 vs 66; _p_ Conclusions The patients evaluated by the TC had a mean age of 70 years, high comorbidity and almost a third had some degree of functional dependence. More than half were not considered candidates for ALS at that time, these patients being older, with more comorbidity and a worse previous functional situation. TC decisions, based on objective clinical criteria, were almost always respected. Public institutions must get involved in triage procedures, which should and in our opinion must include the creation of TC in health centers. The implementation of Anticipated Decision programs (ADP) would help enable patients affected by triage decisions to participate in them. (shrink)

El libro La indianización. Cautivos, renegados, “hommes libres” y misioneros en los confines americanos (S. XVI-XIX) es una cuidada publicación en español y francés en la que contribuyen, además de sus coordinadores, una docena de investigadores de diversas universidades y centros de investigación europeos y americanos. El germen de esta obra colectiva fue el coloquio internacional organizado por Giudicelli, Bernabéu y Havard en la Escuela de Estudios Hispano-Americanos (EEHA) de Sevilla en s...

La estructura convivencial: La convivencia como problema, por V. M. González-Haba Guisado. Diálogos verdaderos y diálogos falsos, por G. D. Pire.--El hecho religioso: La libertad religiosa, fundamento de la convivencia política, por P. Lucas Verdu. La religión como sistema establecido, por F. Pérez Gutiérrez. La función del escritor, por J. Maritain.--La realidad socio-económica: Sociología del cooperativismo agrario, por A. Fernández Oubiña. La alienación internacional, por C. Herreros de las Cuevas. Salario y plusvalía, por M. Rico Lara.--Las tensiones sociales: Reflexiones sobre (...) democracia y opinión, por C. Movilla Alvarez. Participación social y personalidad, por J. Ubalde Merino. El derecho natural como técnica de racionalización, por M. M. Zorrilla Ruiz. (shrink)

Detecting intrusions in large networks is a highly demanding task. In order to reduce the computation demand of analysing every single packet travelling along one of such networks, some years ago flows were proposed as a way of summarizing traffic information. Very few research works have addressed intrusion detection in flows from a visualizations perspective. In order to bridge this gap, the present paper proposes the application of a novel projection method (Beta Hebbian Learning) under this framework. With the aim (...) to validate this method, 8 traffic segments, containing many flows, have been analysed by means of this projection method. The promising results obtained for these segments, extracted from the University of Twente dataset, validate the proposed application. (shrink)

This is a well-behaved concept in Newtonian physics. But a center of gravity is not an atom or a subatomic particle or any other physical item in the world. It has no mass; it has no color; it has no physical properties at all, except for spatio-temporal location. It is a fine example of what Hans Reichenbach would call an abstractum. It is a purely abstract object. It is, if you like , a theorist's fiction. It is not one of (...) the real things in the universe in addition to the atoms. But it is a fiction that has nicely defined, well delineated and well behaved role within physics. (shrink)

Quantum theory is essentially a rationally coherent theory of the interaction of mind and matter, and it allows our conscious thoughts to play a causally efficacious and necessary role in brain dynamics. It therefore provides a natural basis, created by scientists, for the science of consciousness. As an illustration it is explained how the interaction of brain and consciousness can speed up brain processing, and thereby enhance the survival prospects of conscious organisms, as compared to similar organisms that lack consciousness. (...) As a second illustration it is explained how, within the quantum framework, the consciously experienced ``I'' directs the actions of a human being. It is concluded that contemporary science already has an adequate framework for incorporating causally efficacious experiential events into the physical universe in a manner that: 1) puts the neural correlates of consciousness into the theory in a well defined way, 2) explains in principle how the effects of consciousness, per se, can enhance the survival prospects of organisms that possess it, 3) allows this survival effect to feed into phylogenetic development, and 4) explains how the consciously experienced ``I'' can direct human behaviour. (shrink)

For medical humanitarian organizations, making their sources of legitimacy explicit is a useful exercise, in response to: misperceptions, concerns over the ‘humanitarian space’, controversies about specific humanitarian actions, challenges about resources allocation and moral suffering among humanitarian workers. This is also a difficult exercise, where normative criteria such as international law or humanitarian principles are often misrepresented as primary sources of legitimacy. This essay first argues for a morally principled definition of humanitarian medicine, based on the selfless intention of individual (...) humanitarian actors. Taking Médecins Sans Frontières (MSF) as a case in point, a common source of moral legitimacy for medical humanitarian organizations is their cosmopolitan appeal to distributive justice and collective responsibility. More informally, their legitimacy is grounded in the rightfulness of specific actions and choices. This implies a constant commitment to publicity and accountability. Legitimacy is also generated by tangible support from the public to individual organizations, by commitments to professional integrity, and by academic alliances to support evidence-based practice and operational research. (shrink)

Dit boek is een inleiding in het denken over recht en staat met een zwaar accent op de vraag hoe de staat om moet gaan met religie. 0Paul Cliteur en Afshin Ellian zijn hoogleraar encyclopedie van de rechtswetenschap aan de universiteit van Leiden.