Rationale, aims and objectives Given the increasing prevalence of cataract and demand for cataract extraction surgery, patients must often wait to undergo this procedure. We validated a previously developed priority scoring system in terms of clinical variables, pre-intervention health status, appropriateness of surgery and gain in visual acuity (VA) and health-related quality of life (HRQoL).Methods Explicit prioritization criteria for cataract extraction created by a variation of the Research and Development (RAND) and University of California Los Angeles appropriateness methodology were retrospectively (...) applied to a prospective cohort of 5257 patients on waiting lists to undergo cataract by phacoemulsification at 17 hospitals in Spain. Demographic data, clinical data and data related to surgical technique were collected by trained ophthalmologists. Patients were evaluated by their ophthalmologist before the intervention and 6 weeks afterward. They also completed, by mail, the Visual Function Index (VF-14) before the intervention and 3 months afterward.Results High-priority patients experienced greater improvement in VA and HRQoL than those classified as intermediate or low-priority (P < 0.0001), even after adjusting by VA and the VF-14 score at baseline. The time to intervention was the same for high-priority patients as it was for intermediate and low-priority patients.Conclusions The priority score we developed identified patients most likely to experience the greatest improvements from cataract extraction. Use of this tool could provide a fairer and more rational way to prioritize patients for cataract extraction. (shrink)

Esta obra nos ofrece una reflexión de calado en relación al proceso de formación del profesorado, a partir del fenómeno educativo entendido como un hecho político, desde una praxis profesional crítica y reflexiva sobre una base conceptualmente sólida, que favorezca el surgimiento de un sujeto personal y colectivo auto-determinado. Hecho formativo que, profundizando en las bases educativas, analiza la autora con gran rigor científico desde la teoría y la política educativa, en una síntesis int..

Psychosocial work factors are implicated in the development of stress and job satisfaction. This relationship has been scarcely studied in so-called singular activities, as is the case of professional drivers. This cross-sectional study of 601 professional drivers assesses psychosocial risks and job satisfaction using Copenhagen Psychosocial Questionnaire and Overall Job Satisfaction questionnaire models. The values of the psychosocial scales of professional drivers were compared with thresholds values of the Spanish working population. The relationships of the psychosocial scales with the level (...) of job satisfaction were examined using logistic regression models, adjusted for age, gender, length of driving license and years of experience. In general, professional drivers have an unfavorable psychosocial environment compared to the average Spanish workers. The relationship between psychosocial scales and job satisfaction is observed, with the most influential variables being the meaning and development of work, integration in the company, social relations, esteem and level of psychological demands. (shrink)

This article examines the relationships between gender and technology in Spanish feminist praxis online and argues that different perspectives on online feminist community-building offer distinct responses to cyberactivism, which is considered central to sustaining efforts for social change. To ascertain whether Spanish virtual communities and cyberactivism have the potential to address the challenges posed by the relations between gender and technology, we analyse feminist scholar Remedios Zafra's theoretical proposals, and the different ways in which this theory intersects with the cyberactivism (...) put forth by two feminist web portals, Ciudad de Mujeres and Mujeres en Red. We will discuss to what degree particular Spanish feminist theory and practice online adapts to or challenges utopianism regarding the liberating potential of technology. We will also examine how, in the face of critical arguments about such liberatory possibilities, two options present themselves for women's effective use of technology: inhabiting or occupying the web through the construction of feminist communities online. (shrink)

Although it has acquired an extraordinary social diffusion, entrepreneurial education has a certain lack of definition associated with its conceptualisation and meaning. It seems clear that entrepreneurial education is linked to the economic sphere, but it is not limited to the productive sector. The idea of entrepreneurial education has been progressively enriched, being linked to the development of skills for personal growth and social progress. Further clarification of the meaning and scope of entrepreneurial education is, therefore, needed. Thus, it is (...) relevant to analyse entrepreneurial identity in the context of personal identity via the theoretical–explanatory investigation of a model developed in two phases. A critical analysis leads us to study the different factors that intervene in the configuration of this identity in an attempt to construct a systemic map of entrepreneurial action. Between the private and the public, entrepreneurs seek new ways of facing the challenges of our times, trying to find new ways of regenerating the links between individuals and institutions and with society in general. In this sense, we show how entrepreneurial educational ecosystems acquire relevance insofar as they consider the subject as the principle of action rather than merely the result of various contextual factors. (shrink)

0. Between Literary Theory and a General Poetics 0.1. A Methodological Assessment of Modern Literary Theory. The Starting Point: A Conflictive Present At...

El presente artículo estudia la visión zubiriana de la voluntad en el pensamiento publicado póstumamente de Zubiri, donde aparece un concepto original de libertad como capacidad de autodeterminación de la voluntad.

Background Ethical conflicts generate difficulties in daily clinical activity. Which methods of ethical advice are most frequently used to resolve them among Spanish doctors has not been studied. The objective of this study is to describe what methods hospital internal medicine physicians in Spain use to resolve their ethical doubts and which they consider most useful. Design A cross-sectional observational study was conducted through a voluntary and anonymous survey and distributed through an ad hoc platform of the Spanish Society of (...) Internal Medicine. Measures We measured methods by which to resolve doubts, types of tools sought, frequency of consulting the Clinical Ethics Committees, and satisfaction with resolution of ethical issues. Results Of 261 internists surveyed, 86 per cent resolve their ethical doubts with assistance, the most frequently used method being consultation with colleagues (58.6 per cent), followed by using specific protocols or guides (11.8 per cent) and consultation with experts in bioethics (9.6 per cent). The most preferred tools are the creation of protocols (30.3 per cent) and the establishment of a consultant/expert in bioethics (27.8 per cent). Conclusions Internists in Spain usually seek assistance to resolve their ethical doubts. Consulting colleagues is the most frequently adopted method. The majority regard tools to resolve ethical conflicts as necessary, seeking above all protocols and consultants/experts in bioethics. (shrink)

Inserte lugares de la memoria funcionan como marcas significativas de una historia reconstruida desde el presente, que conforman distintos paisajes culturales, que son representaciones simbólicas de territorios como la Ciudad Deportiva Magdalena Mixiuhca y sus geosímbolos deportivos.El objetivo es entender desde el Método de la Hermenéutica Profunda, la Teoría de los Sistemas Complejos y el Pensamiento Complejo, como estos lugares de alta significación del deporte resultan fundamentales en la trasferencia de significados y emociones, que identifican a este espacio apropiado física (...) y simbólicamente, concluyendo que esto es porque detonan recuerdos evocativos de acontecimientos emblemáticos que consolidan diversas identidades colectivas. (shrink)

Since the 1990s, the reality television phenomenon has transformed the face of television in many countries. In Spain, for instance, the private domain has gradually invaded the public domain in an attempt to increase audience ratings and also reflect patterns of asymmetrical societal organization. Different television formats, which range from docusoaps to the most blatant examples of so-called ‘voyeur television’, have occupied the prime-time hours. In particular, a wide range of reality television shows has taken the place that mini-series, sitcoms (...) and films of the week used to occupy. These reality television programmes show the transformation of the private domain into one which can be manipulated and incorporated as an essential element in the theatricalization of the intimate experiences of anonymous people. By addressing the relationship between mothering and gendered styles, this study adds to the field of research on reality television research by investigating language and gender within the institutional setting of a docusoap and throwing light on the discursive strategies which two different generations of women use to express anger and assertiveness and impose on others. The study reveals that the strategies used by the Spanish female teenagers under scrutiny are associated with hostile laddish verbal behaviour, whereas the mothers’ strategies relate to an instrumental view of aggression. (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)

Debo empezar con algunas explicaciones sobre el estilo y el enfoque de este pequeño ensayo, que responde a la amable invitación de la revista que lo acoge. Ya ve el atento lector que emplearé con desenvoltura la primera persona del singular, sin el a veces cómodo recurso a fórmulas impersonales, embozos académicos o plurales mayestáticos. No se tome como ejercicio de soberbia, sino como manera de asumir en plenitud y sin rodeos la responsabilidad por unos juicios que son estrictamente personales (...) y, ay, a menudo negativos sobre las universidades en que nos desenvolvemos, la disciplina que nos alimenta y el ambiente colegial en el que hemos crecido y del que aún nos nutrimos. En síntesis y al grano: sostendré aquí una opinión pesimista sobre la iusfilosofía española de estos tiempos. Y lo haré en el estilo más directo, sin matices a pie de página ni analgésicos. Pero, en pura consideración a la más elemental justicia y hasta al sentido común, tengo que comenzar con algunas precisiones. (shrink)

Se analiza críticamente la idea de Pueblo y el manejo de la Historia que suelen ser propios de las doctrinas nacionalistas, con sus correspondientes secuelas para la relación entre derechos individuales y derechos colectivos, y con sus consecuencias para el modo de concebir y de realizarse la democracia. También se ponen de relieve los problemas teóricos que encierran la noción de “derechos históricos”.

RESUMEN: La violencia es considerada a menudo un elemento consustancial al ámbito internacional: algo que el derecho internacional puede quizá reducir pero no eliminar completamente. Este trabajo se hace eco de las críticas feministas al derecho internacional poniéndolas en relación con los conceptos elaborados por los estudios sobre masculinidades. Que el derecho internacional sea una disciplina históricamente manejada por hombres encuentra su proyección sobre cinco ámbitos: 1) el concepto de estado en tanto que actor principal del derecho internacional, 2) el (...) sistema de fuentes, en particular, los tratados internacionales; 3) la aplicación de las normas internacionales a través de tribunales o paneles de arbitraje; 4) la importancia de la guerra y 5) la doctrina de la responsabilidad de proteger. ABSTRACT: Violence is often seen as an inherent element in the international arena: something that international law can perhaps reduce but not eliminate completely. This work echoes feminist critiques of international law by putting them in relation to the concepts elaborated by studies on masculinities. That international law is a discipline historically handled by men finds its projection on five areas: 1) the concept of state as the main actor of international law, 2) the system of sources, in particular, international treaties; 3) the application of international standards through courts or arbitration panels; 4) the importance of war and 5) the doctrine of the responsibility to protect.PALABRAS CLAVE: filosofía del derecho internacional, estudios sobre masculinidades, violencia, relaciones internacionales, pacifismo jurídicoKEYWORDS: philosophy of international law, masculinity studies, violence, international relations, legal pacifism. (shrink)

ABSTRACTCarnap famously argued that there are two kinds of questions and claims concerning the existence or reality of entities: internal and external ones. We focus on Carnapian external ontological claims of the form: ‘Xs really exist’, where ‘X’ stands for some traditional metaphysical category, such as ‘substance’, ‘fact’ or ‘structure’. While Carnap considered them as meaningless, we consider them as faultlessly meaningful. However, in line with an expressivist guise, we do not claim that they have the meaning they have in (...) virtue of representing a certain range of entities in the world or describing pieces of reality. Quite the contrary, we maintain that they are meaningful because they perform a function that is fundamentally expressive, that is, a non-descriptive function. In particular, they may imply a distinctive type of metalinguistic expressive function. Moreover, we avoid accuses of mentalism insofar as we explain the meaning of external ontological claims in terms of the practical commitments to the adoption of certain linguistic forms they express, rather than as expressing some kind of mental state. (shrink)

La sociedad del conocimiento y la introducción en los procesos de enseñanza-aprendizaje de las tecnologías de la información y la comunicación, están exigiendo de quienes nos dedicamos a la educación en el ámbito universitario, la utilización de nuevas estrategias didácticas y la reinvención de algunas antiguas o no tan nuevas. Se trata de dar respuesta a la demanda social de “aprender de otra manera” para mejorar la inserción de los nuevos egresados en su ámbito profesional. Esta nueva forma de aprender (...) debe tener en consideración las exigencias de los nuevos contextos de enseñanza-aprendizaje, donde el protagonismo de los estudiantes es un elemento esencial y la relación de lo aprendido con sus posibilidades de aplicación en el contexto profesional es el otro. Casualmente el modelo de formación basado en competencias desde el enfoque socioformativo coincide en ambos protagonismos y el portafolio como estrategia didáctica que puede utilizarse en este modelo puede ayudar a dotar de protagonismo al que aprende haciéndole tomar conciencia de que el aprendizaje no se produce de manera automática sino a través de una serie de pasos y etapas que a la vez que se van consiguiendo nos permiten reflexionar el proceso. Una vez llevado a cabo este proceso de reflexión general, puede aplicarse en el ámbito médico para iniciar al estudiante a tomar conciencia de su semejanza con el diagnóstico clínico. Palabras clave: portafolio; estrategias de enseñanza-aprendizaje; diagnóstico clínico; enfoque socioformativo. (shrink)

En este trabajo se presenta una interpretación sobre la célebre distinción entre el intelecto activo y el intelecto pasivo en _De anima_ III, 5, a partir de “otra modesta propuesta”. Para ello, se expone el núcleo fundamental de esa reciente propuesta, que identifica el intelecto activo con el hábito de los principios y con el contenido de los primeros principios. A continuación, se ponen de manifiesto algunas objeciones a dicha interpretación y, finalmente, se analizan las notas o características del intelecto (...) activo presentes en el texto de Aristóteles. El propósito de este artículo consiste en mostrar una posible comprensión del intelecto activo de Aristóteles, con la intención de que se convierta en una “aún más modesta propuesta”. (shrink)