Se realizó una revisión documental con el objetivo de reseñar los aspectos históricos relacionados con el surgimiento y desarrollo de la Oftalmología en Camagüey. Se utilizaron documentos de la Biblioteca Provincial “Julio Antonio Mella” y la “Casa Finlay”; así como informaciones obtenidas en entrevistas personales. Se señalaron las características fundamentales de las formas, medios y técnicas de la atención médico-quirúrgicas en cada etapa, y se destacaron las personalidades científicas y los aportes realizados a la especialidad en la docencia, asistencia e (...) investigación. A documental revision was carried out with the objective of describing the historical aspects related with the origin and development of Ophthalmology in Camagüey. Documents from the “Julio Antonio Mella” Provincial Library and the “Finlay House” were used, as well as information obtained by personal interviews. The fundamental characteristics of the forms, means and techniques of the medical-surgical care in each period were pointed out, and were remarked the scientific personalities and the contribution made to the specialty in teaching, assistance and research. (shrink)

Domestic violence is an important social problem that strongly impacts the healthcare system. It is estimated that two to four million women are physically abused each year by their husbands, ex-husbands, or boyfriends. Many of these abused women enter the medical system as patients with physical injuries, somatic symptoms, or psychiatric problems. These patients represent a large proportion of women patients in a variety of clinical settings: 22–35% of women presenting to emergency departments, up to 37% of obstetric patients, and (...) over 25% of women seeking primary care. Despite the significant health implications of marital abuse, healthcare providers often fail to identify and treat this problem when signs are present. (shrink)

Se realizó un estudio descriptivo transversal en la Facultad de Ciencias Médicas de Camagüey en el período comprendido entre septiembre del 2011 y marzo del 2012 con el objetivo de caracterizar el desarrollo de las habilidades de razonamiento clínico en los estudiantes de la carrera de Medicina. La muestra fue de 14 profesores de la disciplina de Medicina Interna y 110 estudiantes que terminaron recientemente el tercer año de la carrera de Medicina. La información fue recogida a través de una (...) entrevista a profundidad a informantes claves, un grupo focal con profesores del colectivo de la asignatura de Medicina Interna; además se encuestaron a través de un cuestionario con preguntas mixtas a la muestra de estudiantes seleccionada. Los profesores y alumnos coinciden en que hay deficiencias en el aprovechamiento del fondo de tiempo en la educación en el trabajo para el desarrollo de las habilidades de razonamiento clínico, así como insuficiencias en la orientación y evaluación de la actividad. A transverse descriptive study was conducted at the Faculty of Medical Sciences of Camagüey in the period between September 2011 and March 2012 with the aim of characterizing the development of the skills of clinical reasoning in medical students. The sample was composed by 14 teachers in the disciplines of Internal Medicine and 110 students who recently completed the third year of Medicine. The information was collected through an in-depth interview with key informants, a focus group with professors of the course of Internal Medicine;the sample of students selected was alsosurveyed through a questionnaire with mixed questions. Teachers and students agree that there are deficiencies in the use of the amount of time in education at work for the development of skills in clinical reasoning, as well as inadequacies in guidance and evaluation of the activity. (shrink)

In Older Adults (OAs), Electroencephalogram (EEG) slowing in frontal lobes and a diminished muscle atonia during Rapid Eye Movement sleep (REM) have each been effective tracers of Mild Cognitive Impairment (MCI), but this relationship remains to be explored by non-linear analysis. Likewise, data provided by EEG, EMG (Electromyogram) and EOG (Electrooculogram)—the three required sleep indicators—during the transition from REM to Non-REM (NREM) sleep have not been related jointly to MCI. Therefore, the main aim of the study was to explore, with (...) results for Detrended Fluctuation Analysis (DFA) and multichannel DFA (mDFA), the Color of Noise (CN) at the NREM to REM transition in OAs with MCI vs. subjects with good performances. The comparisons for the transition from NREM to REM were made for each group at each cerebral area, taking bilateral derivations to evaluate interhemispheric coupling and anteroposterior and posterior networks. In addition, stationarity analysis was carried out to explore if the three markers distinguished between the groups. Neuropsi and the Mini-Mental State Examination (MMSE) were administered, as well as other geriatric tests. One night polysomnography was applied to 6 OAs with MCI (68.1 ± 3) and to 7 subjects without it (CTRL) (64.5 ± 9), and pre-REM and REM epochs were analyzed for each subject. Lower scores for attention, memory and executive funcions and a greater index of arousals during sleep were found for the MCI group. Results confirmed that EOGs constituted significant markers of MCI, increasing the CN for the MCI group in REM sleep. The CN of the EEG from the pre-REM to REM was higher for the MCI group vs. the opposite for the CTRL group at frontotemporal areas. Frontopolar interhemispheric scaling values also followed this trend as well as right anteroposterior networks. EMG Hurst values for both groups were lower than those for EEG and EOG. Stationarity analyses showed differences between stages in frontal areas and right and left EOGs for both groups. These results may demonstrate the breakdown of fractality of areas especially involved in executive functioning and the way weak stationarity analyses may help to distinguish between sleep stages in OAs. (shrink)

In this paper I reconstruct Leibniz's argument for the Identity of Indiscernibles in his *Primary Truths*. I criticise the alternative interpretation put forward by Cover and O'Leary-Hawthorne and defend my own interpretation, both on philosophical and hermeneutical grounds.

In the present paper, I try to defend a coherent interpretation of Goodman�s relativism by responding to the main objections of the critics. I also discuss the significance of his pluralism by relating it to the notion of construction. This will show the relevance of Goodman�s philosophy for the present days.

Los debates contemporáneos estarían contaminados por la capacidad de sobrerazonamiento sobre las mismas temáticas, lo cual los hace interminables, y no se alcanzarían acuerdos morales en una cultura caracterizada por la diversidad. Los escenarios actuales son los del desacuerdo y la pluralidad. ..

Las emociones son sin duda un campo de creciente interés y estudio. Sin embargo, son experiencias complejas que incluyen diferentes problemas. Precisamente esta variedad de perspectivas exige mantener el equilibrio de los enfoques y, sobre todo, su orden. La fenomenología ilumina ese orden mediante la descripción de las experiencias emotivas.

Christine de Pizan da vida a su gobernante ideal a partir de la tradición medieval del aristotelismo político y su noción de lo “arquitectónico”. Construido a modo de una arquitectura viviente de ciencias, el rey sabio aparece dominando la paleta de saberes, que va desde la episteme hasta los conocimientos más prácticos. Teoría y práctica se encuentran, así, en la base de su construcción de lo político. Pero ¿en qué medida la autora se consagra a brindar una explicación del pasaje (...) de las ciencias, sobre todo, aquel que va de las especulativas al registro práctico de la ciencia política? Si el rey se distingue por ser un sabio al tiempo que un experto en las diversas ciencias, cabe preguntarse si acaso la autora teoriza sobre dicho pasaje de lo teórico a lo práctico que constituye la esencia de su pensamiento. ¿Cuál es el canal para volcar la episteme al servicio del Estado? Al respecto, sostengo la hipótesis de que tanto la prudencia como el entendimiento o intelecto parecen ser los dos componentes de la sabiduría perfecta que la escritora aúna en una perfecta díada; operación, esta, que le permite explicar el pasaje de todas las ciencias al plano de lo contingente. ¿Acaso no es, gracias a esta operación, que el rey sabio de Christine de Pizan aparece como el intelecto supremo de la comunidad política, encarnada en el reino de Francia? ¿No son las ciencias, de este modo, redituables en servicio del Estado? (shrink)

En este articulo se examina la tradicional caracterización de la filosofía de la ciencia como una disciplina normativa. Se discuten varias concepciones de esta disciplina, cada una de las cuales ofrece una respuesta diferente a la pregunta de si es posible, y cómo, una filosofía de la ciencia genuinamente normativa. De entre esas concepciones, se opta por una forma de naturalismo que se diferencia de otras en la exigeneia de que la normatividad de la filosofía de la ciencia inc!uya la (...) discusión de los objetivos y valores, epistémicos o no, de la ciencia. La necesidad de esta inc!usión se ilustra, finalmente, con el ejemplo de la aetividad conocida como “cicncia reguladora”.This article examines the traditional characterization of the philosophy of science as a normative discipline. Several understandings of this discipline are discussed; each of them offering a different answer to the question whether, and how, a genuinely normative philosophy of science might be possible. Among these views, I choose one variety of naturalism that differs from others in its commitment with the discussion of science’s aims and values, either epistemic or non-epistemic. Finally, the need for this inclusion is illustrated with the example of the so-called “regulatory science”. (shrink)

Resumen: En este trabajo analizamos la representación de la Iglesia como aparato ideológico en el desenlace de la novela Capítulos que se le olvidaron a Cervantes, del autor ecuatoriano Juan Montalvo. Nos concentramos en su final, pues entendemos que dicha parte resume las principales representaciones del autor vinculadas a esta institución. El análisis será complementado con una contextualización del origen de la novela y de las premisas ideológicas centrales de Montalvo, apoyándonos en remisiones a algunos de sus trabajos ensayísticos. Asimismo, (...) comentaremos las repercusiones que dichas representaciones tuvieron en la formalización de los dos personajes medulares de su novela. Para atender a estos propósitos, seguiremos los conceptos teóricos de Aparatos Ideológicos del Estado según Althusser y de Ideología y Representaciones Sociales conforme van Djik.: This paper aims to analyse the representation of the Church as an ideological system that can be found in the end of the only novel written by the Equadorian writer Juan Montalvo - Capítulos que se le olvidaron a Cervantes - considering that this part of the book summarizes, in a brief and synthetic way, the main orientations of his social beliefs about the constitution of the Catholic church and its members. The analysis will be based on a contextualization of the origin of the novel and on Montalvo’s main ideological premises, according to some of his essays. Likewise, I will comment the effects that these ideological foundations carried to the conformation of the central characters of the novel. The study is based on the concept of Ideological Systems of the State conceived by Althusser and the idea of Ideology and Social Representations designed by van Djik. (shrink)

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)

Work and its consequences in enterprise is studied. Family as an institution is the basical example of division of work, which is the situation where human being perfecionates himself. Perfection takes place working, as an integrating technique which has no limits.

El método clínico surge desde las relaciones humanas más primitivas y aún cuando se encuentra en constante evolución no se consigue su adecuada aplicación. El estudio de este método científico constituye uno de los temas más importantes que guían la praxis médica, ostenta ciertos caracteres que se entrelazan dialécticamente imposibles de desligar, centrados esencialmente en la relación médico-paciente con el objetivo de arribar al diagnóstico de una enfermedad determinada, por lo cual, se brindan algunas consideraciones teóricas a partir del análisis (...) de sus conceptualizaciones y atributos más significativos y se elabora una definición de método clínico. The clinical method faces constant evolution, in spite of the issues that affect its application. The study of this scientific method constitutes one of the most important topics that lead medical praxis. It entails several characteristics dialectically intertwined that focus mainly on the doctor-patient relation for the diagnosis of a given disease. The objective of this article is to provide some theoretical considerations based on the analysis of its main concepts and attributes. (shrink)