Psychological flexibility is a key concept of acceptation and commitment therapy. This factor has been linked with psychological wellbeing and associated factors, such as quality of life, in cancer patients. These and other positive results of acceptation and commitment therapy in cancer patients found in previous research could be enhanced by using mhealth tools. A three-arm randomized superiority clinical trial, with a pre-post-follow-up repeated measures intergroup design with a 1:1:1 allocation ratio is proposed. A hundred and twenty cancer patients will (...) be randomly assigned to one of the following interventions: face-to-face ACT + mobile application, face-to-face ACT, and Waitlist control group. The primary expected outcome is to observe significant improvements in psychological flexibility acceptance and action questionnaire- II in the face-to-face ACT + app group, after comparing baseline and post-treatment scores, and the scores will remain stable in the two assessment points, 3 and 6 months after the intervention. Secondary expected outcomes are significant increasing scores in quality of life and post-traumatic-growth, and significant decreasing scores in anxiety and depression, insomnia and fatigue at the same assessment points. Also, it is expected that the scores of this group will be higher than the scores of the face-to-face ACT group and the waitlist control group. This study aims to assess the efficacy of a combined intervention for psychological flexibility and associated symptoms in cancer patients. The results of this protocol may help to consider the use of acceptation and commitment therapy and mhealth applications in cancer settings as a valid therapeutic choice.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NCT05126823]. (shrink)

Artículos Ciudadanía y sociedad civil en las democracias contemporáneas. Citizenship and civil society in contemporary democracies. de La Vega, Marta El poder simbólico de los medios de comunicación.The transformations of the political in the field of the symbolic.González Broquen, Ximena La rutinizacion de la indiferencia ética y el aplanamiento de los valores en la Argentina actual. Ethical indifference routine and smoothing moral in contemporary Argentine. Meabe, Joaquín E. Jürgen Habermas: entre la ética del discurso y la ética de la (...) especie. Jürgen Habermas: between the ethics of discourse and the ethics of the species. Moreno Lax, Alejandro Derechos humanos y proceso justo.Human rights and rightful process. Ramos Pascua, José Antonio El Fedón o la trascendencia del alma.Phaedo or the inmortality of the soul. Robledo Rodriguez, Alejandro La enseñanza del derecho en los países de derecho escrito.Legal education in civil law systems. Rodríguez Ferrara, Mauricio De cómo los latinoamericanos percibimos la pena de muerte. How latin-americans view the death penalti. Rodríguez Ferrara, Mauricio La doctrina platónica del alma en el 'Timeo'.The platonic doctrine of soul in 'Thimaeus'. Suzzarini, Andrés Interdisciplinares Bajo los murmullos: tributo a Juan Rulfo. Under the whispers: a homage to Juan Rulfo. Camacho Crispín, Marco Antonio Recensiones Semblanza del jurista venezolano Tulio Chiossone. Belandria, Margarita Informaciones Índice acumulado. (shrink)

Artículos Ciudadanía y sociedad civil en las democracias contemporáneas. Citizenship and civil society in contemporary democracies. de La Vega, Marta El poder simbólico de los medios de comunicación.The transformations of the political in the field of the symbolic.González Broquen, Ximena La rutinizacion de la indiferencia ética y el aplanamiento de los valores en la Argentina actual. Ethical indifference routine and smoothing moral in contemporary Argentine. Meabe, Joaquín E. Jürgen Habermas: entre la ética del discurso y la ética de la (...) especie. Jürgen Habermas: between the ethics of discourse and the ethics of the species. Moreno Lax, Alejandro Derechos humanos y proceso justo.Human rights and rightful process. Ramos Pascua, José Antonio El Fedón o la trascendencia del alma.Phaedo or the inmortality of the soul. Robledo Rodriguez, Alejandro La enseñanza del derecho en los países de derecho escrito.Legal education in civil law systems. Rodríguez Ferrara, Mauricio De cómo los latinoamericanos percibimos la pena de muerte. How latin-americans view the death penalti. Rodríguez Ferrara, Mauricio La doctrina platónica del alma en el 'Timeo'.The platonic doctrine of soul in 'Thimaeus'. Suzzarini, Andrés Interdisciplinares Bajo los murmullos: tributo a Juan Rulfo. Under the whispers: a homage to Juan Rulfo. Camacho Crispín, Marco Antonio Recensiones Semblanza del jurista venezolano Tulio Chiossone. Belandria, Margarita Informaciones Índice acumulado. (shrink)

La evolución de la filosofía krausista, a partir de 1875, al entrar en contacto con las nuevas corrientes del pensamiento procedentes de Europa va a dar lugar a un movimiento denominado "krausopositivismo", en el que se sintetizan armónicamente dos tendencias en principio opuestas: la idealista, defensora del método especulativo-abstracto, y la positivista, partidaria del método experimental. Iniciado dicho movimiento por Nicoláss Salmerón, tiene en su discípulo urbano González Serrano al representante más cualificado dentro de la psicología y la sociología, (...) propiciando junto con Giner, Posada, Sales y Ferre, Azcárate y otros el desarrollo de las ciencias sociales en España. (shrink)

The concept of corporate social responsibility (CSR) is not new. Many entrepreneurs created and developed companies along the time, with a strong sense of ethical and social responsibility. This article presents an example of how CSR was conceived and put into practice when Caja de Pensiones para la Vejez y de Ahorros was created in Barcelona in 1905, following the life and ideas of its founder, Francesc Moragas, a lawyer with a deep commitment for social action and a successful conception (...) of the technical and economic dimensions of a financial and social institution. (shrink)

When Caja de Pensiones para la Vejez y de Ahorros, "la Caixa," was created in 1905, it was not only the transient response to a serious social, political, and economical problem, but also provided a permanent solution by creating a long-lasting social welfare institution. In addition, its founder understood the responsibility of social welfare institutions not as an isolated responsibility for each institution, but as part of a harmonious whole that is a real moral entity with a socio-economic character, with (...) autonomy and unity of nature, purpose, and form. The purpose of this article is to show how the corporate social responsibility conception of Francesc Moragas, the founder of "la Caixa," informed the activities of the new institution in a variety of dimensions, including its service to the customers, its economic strengths, the social work, and its participation in the creation of the public system of social security in Spain. (shrink)

Este artigo tem por objetivo apresentar e discutir a sugestão de Fred Dretske para analisar o problema dos qualia. Tal problema, caro à Filosofia da Mente, ficou conhecido pela discussão desenvolvida por Thomas Nagel em seu clássico artigo What is it like to be a bat. Nesse artigo, Nagel postulou a impossibilidade de se conhecer, em perspectiva de terceira-pessoa, os aspectos da experiência humana. Ele considera que, mesmo após as descrições objetivas da experiência de um sujeito, escapariam ainda aspectos qualitativos, (...) fundamentais para se caracterizar os qualia. A partir de sua Tese Representacionista da mente, Dretske argumenta que seria possível dissolver esse problema se admitirmos que a mente é a face representacional do cérebro, a natureza dos qualia seria, assim, representacional. Nesse contexto, os fatos mentais relacionados às experiências seriam fatos representacionais: se conhecermos a natureza desses fatos representacionais conheceremos também a experiência do sistema que a representa. Diante de tal entendimento, discutimos em que medida a proposta dretskeana constitui uma alternativa ao problema dos qualia. (shrink)

Background:The decision whether to initiate cardiopulmonary resuscitation may sometimes be ethically complex. While studies have addressed some of these issues, along with the role of nurses in cardiopulmonary resuscitation, most have not considered the importance of nurses acting as advocates for their patients with respect to cardiopulmonary resuscitation.Research objective:To explore what the nurse’s advocacy role is in cardiopulmonary resuscitation from the perspective of patients, relatives, and health professionals in the Basque Country (Spain).Research design:An exploratory critical qualitative study was conducted from (...) October 2015 to March 2016. Thematic analysis was used to analyse the data.Participants:Four discussion groups were held: one with patients and relatives (n = 8), two with nurses (n = 7 and n = 6, respectively), and one with physicians (n = 5).Ethical considerations:Approval was obtained from the Basque Country Clinical Research Ethics Committee.Findings:Three significant themes were identified: (a) accompanying patients during end of life in a context of medical dominance, (b) maintaining the pact of silence, and (c) yielding to legal uncertainty and concerns.Discussion:The values and beliefs of the actors involved, as well as pre-established social and institutional rules reduced nurses’ advocacy to that of intermediaries between the physician and the family within the hospital environment. On the contrary, in primary health care, nurses participated more actively within the interdisciplinary team.Conclusion:This study provides key information for the improvement and empowerment for ethical nursing practice in a cardiac arrest, and provides the perspective of patients and relatives, nurses and physicians. (shrink)

Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients (...) with gambling disorder. Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited. Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate and heart rate variability data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups. Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men. (shrink)

In the digital era, video games have become a major propaganda tool, used for political purposes by state agents and different organisations, including extremist groups. Similarly, some titles have structured their narratives with an educational and awareness-raising purpose, denouncing the senselessness and violence of different terrorist groups. In this article, we will present a general theoretical framework on how video games have been used in the virtual war on terrorism, either in favour of or against it, either by means of (...) special creations or through modifications of famous war games. Next, we will include a case study referring to Spain, analysing the representation in this video game format of the ETA problem or the 11-M jihadist attacks. As a preliminary result, we would like to highlight the importance of this interactive format today, whether from a propaganda, educational or informative point of view. (shrink)

Our goal in this paper is to articulate a precise concept of at least a certain kind of disease-mongering, showing how pharmaceutical marketing can commercially exploit certain diseases when their best definition is given through the success of a treatment in a clinical trial. We distinguish two types of disease-mongering according to the way they exploit the definition of the trial population for marketing purposes. We argue that behind these two forms of disease-mongering there are two well-known problems in the (...) statistical methodology of clinical trials (the reference class problem and the distinction between statistical and clinical significance). Overcoming them is far from simple. (shrink)

RATIONALE AND AIMS: Total hip and knee replacements, usually, have long waiting lists. There are several prioritization tools for these kind of patients. A new tool should undergo a standardized validation process. The aim of the present study was to validate a new prioritization tool for primary hip and knee replacements. METHODS: We carried out a prospective study. Consecutive patients placed on the waiting list were eligible for the study. Patients included were mailed a questionnaire which included, among other questions, (...) the seven items of the priority tool and the Western Ontario and McMasters Universities Arthritis Index (WOMAC) specific questionnaire. The priority tool gives a score from 0 to 100 points, and three categories (urgent, preferent and ordinary). We studied the content and construct validity. We used Student's t-test or one-way analysis of variance. Correlational analysis was used to evaluate convergent and discriminate validity. RESULTS: The sample consisted of 838 patients (62.3% were female), with mean age of 70.2 years (SD 8.4). A total of 55.5% patients underwent knee replacement. Given that the tool was elaborated by patients and orthopaedic surgeons, it shows a good content validity. The priority score was statistically different (P < 0.001) among the three urgency categories created. The scores of the three WOMAC dimensions showed differences (P < 0.001) by the three urgency categories created. The correlations between the priority score and WOMAC dimensions were 0.79 (function), 0.69 (pain) and 0.51 (stiffness). The correlations between WOMAC items and items from priority tool were greater (0.47-0.69) between items measuring similar constructs than those measuring different constructs (0.27-0.49). These data are similar in both joints. CONCLUSIONS: Results support the validity of the prioritization tool to be used with patients waiting for hip or knee replacement. (shrink)

Abordamos aquí unos aspectos, posiblemente los menos conocidos, de la dilatada vida de Fray Diego de Deza, como son los orígenes de su linaje en la gallega Terra de Deza y el afincamiento durante la segunda mitad del siglo XIV de la que fue la rama familiar de Toro, su ciudad natal. No perteneciendo a la hidalguía de mayor abolengo y riqueza de los linajes allí establecidos, sus méritos personales le labraron un futuro prometedor, primero por la cátedra docente que (...) ocupó en Salamanca y sus altas dotes como maestro y, además, por la confianza que los Reyes Católicos depositaron en él al nombrarlo preceptor del malogrado príncipe heredero don Juan, lo que le hizo emprender una envidiable carrera tanto eclesiástica como por sus servicios a la Corona. Nuestro objetivo aquí no ha sido otro que vislumbrar sus relaciones parentales y sociales, obviando su brillante cursus honorum en ese doble rol de servicio al altar y al trono. (shrink)

La indagación del segundo Heidegger acerca del ser encuentra su maduración en la doctrina del Ereignis, un nuevo concepto «post-metafísico», según Vattimo, con el que el filósofo alemán trata de responder a la pregunta de qué es el ser una vez ha mostrado, en su primera etapa intelectual, la esencial diferenciación ontológica. El ser no es un ente, ni aquello fijo e inmutable que fundamenta lo ente. Ni de él puede decirse que es; el ser «se da». Y se da (...) al hombre en un acto de donación recíproca en la totalidad del acontecer histórico. Vattimo parte de esta idea para concluir que el ser es evento que orbita en la constelación del Ge-Stell, el destino de la época actual en cuanto forma de desocultar el ser, de desvelar la verdad, y convierte a Heidegger en precursor de la postmodernidad y de su pensiero debole. (shrink)

El escenario energético de escasez a nivel mundial se empieza a reflejar fuertemente en América Latina. Chile tiene una política energética diseñada en el período dictatorial, y administrada en la democracia, que hace muy vulnerable su economía, su medio ambiente y su seguridad. En este artículo se analizan críticamente los diversos aspectos que inciden fuertemente en el actual escenario energético chileno, sobre todo en lo que respecta a la política de integración con sus vecinos latinoamericanos, desde donde se puede vislumbrar (...) también una solución sustentable a los problemas energéticos futuros. (shrink)

In our research group on the philosophy of biology (www.ehu.es/ias-research), we are developing an understanding of autonomy as the maintenance of an identity over time by means of interaction with...