La rotura del ligamiento cruzado anterior es una de las patologías articulares de mayor incidencia en la clínica diaria. La osteotomía niveladora de la meseta tibial suele ser la técnica quirúrgica de elección para resolver esta lesión.

En la actualidad, aún se desconoce el verdadero alcance de la vasta cultura de Lope de Vega, pues, aunque se sabe que fue un gran lector, que legó más de 1500 libros, sus títulos se han perdido a lo largo de la historia. No obstante, en sus obras trasciende una serie de textos que contribuyeron a su formación. En el presente trabajo se analiza La Arcadia, considerada la novela pastoril más erudita del Siglo de Oro, desde la perspectiva de los (...) agentes terapéuticos. En esta obra se mencionan remedios de procedencia herbal, de procedencia mineral y también de procedencia animal. Los resultados confirman que Lope de Vega pudo utilizar una serie de textos científicos en sus citas sobre la materia terapéutica. Entre ellos cabe destacar a Andrés Laguna y su Dioscórides y Plinio el Viejo, cuya Historia Natural pudo haber consultado como fuente primaria, a través de alguna traducción comentada, como la de Gerónimo de Huerta o a través de alguna otra obra basada en ella, como el opúsculo de Constantino Castriota, pues, en este último caso, se encuentran párrafos muy similares y, en algunos casos, casi literales. Nowadays, the true extent of the vast culture of Lope de Vega is still largely unknown. Although it is known that he was a great reader, who bequeathed more than 1500 books, his titles have been lost throughout history. However, a series of texts that contributed to his education become known in his works. In the present paper, La Arcadia, considered the most erudite pastoral romance of Spanish Golden Age, is analyzed from the therapeutic perspective. Remedies of herbal origin, of mineral origin and also of animal origin are mentioned in this novel. The results achieved confirm that Lope de Vega was able to use a series of scientific texts in his quotations on the therapeutic subject. Among them, it is worth mentioning Andres Laguna, and Pliny the Elder, whose Natural History could have been consulted as a primary source, through some commented translation, such as that of Geronimo de Huerta, or through some other work based on it, like Constantino Castriota's opuscule. In the latter case, there are very similar and, in some cases, almost literal paragraphs. (shrink)

Varios estudios han reportado una asociación entre competencias emocionales y logros académicos en educación superior, y sobre la importancia de implementar estrategias para que los jóvenes afronten las demandas educativas. En esta línea, el objetivo del presente estudio consistió en explorar las características de la competencia de regulación emocional que inciden en el rendimiento académico de un grupo de jóvenes universitarios, con la finalidad de diseñar una propuesta psicoeducativa orientada a fortalecer la autogestión emocional de esta población. Para ello, se (...) realizó una fase diagnóstica en la que participaron ochenta estudiantes universitarios, 33,8 % de sexo masculino y 66,2 % de sexo femenino, con edades comprendidas entre 18 y 25 años(M = 21,09; DE = 1,92), a quienes se les aplicó el instrumento Difficulties in Emotion RegulationScale (DERS) y la Escala de Valoración de Aprendizajes de la Pontificia Universidad Católica delEcuador (PUCE). Los resultados mostraron la presencia de dificultades en conductas dirigidas a metas, así como una asociación significativa entre rendimiento académico y falta de aceptación y de claridad emocional. Con estos hallazgos, se empleó la metodología del Marco Lógico para diseñar una propuesta de siete talleres para fomentar el desarrollo de competencias relacionadas con reconocimiento y gestión de emociones, manejo de estrés y ansiedad, toma decisiones y manejo de conflictos, motivación intrínseca y autoconocimiento, gestión y administración del tiempo. (shrink)

El taller del artista ha sido un tema poco explorado por la investigación en Colombia, por lo tanto, este texto busca aproximarse al espacio creativo por excelencia de los artistas plásticos, pero en particular al taller de las artistas mujeres con el fin de problematizar la relación entre lo público y lo privado en la obra de la pintora antioqueña Dora Ramírez nacida en los años veinte del siglo pasado.

BackgroundRespect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice.MethodsBy means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital. To observe and collect data on these situations, we recruited students (...) enrolled in the Medical Degree Program at the University of Cordoba. The observers recorded their entries on standardized templates during clinical internships in different departments: Internal Medicine; Gynecology and Obstetrics; Pediatrics; Emergency Medicine; General and Digestive Surgery; Maxillofacial Surgery; Plastic Surgery; Orthopedics and Traumatology; Digestive; Dermatology; Rheumatology; Mental Health; Nephrology; Pneumology; Neurology; and Ophthalmology.ResultsFollowing 7138 days and 33157 h of observation, we found an estimated Frequency Index of one breach per 62.5 h. As regards the typology of the observed breaches, the most frequent were related to the consultation and/or disclosure of clinical and/or personal data to medical personnel not involved in the patient’s clinical care, as well as people external to the hospital. As regards their severity, severe breaches were the most frequent, accounting for 46.7 % of all incidents. Most of the reported incidents were observed in public areas, such as corridors, elevators, the cafeteria, stairs, and locker rooms.ConclusionsIn addition to aspects related to hospital organization or infrastructure, we have shown that all healthcare personnel are involved in confidentiality breaches, especially physicians. While most are committed unintentionally, a non-negligible number are severe, repeated breaches, thus suggesting a certain carelessness, perhaps through ignorance about certain behaviors that can jeopardize patient confidentiality. (shrink)

The physician’s duty of confidentiality is based on the observance of the patient’s privacy and intimacy and on the importance of respecting both of these rights, thus creating a relationship of confidence and collaboration between doctor and patient. The main objective of this work consists of analyzing the aspects that are related to the confidentiality of patients’ data with respect to the training, conduct and opinions of doctors from different Clinical Management Units of a third-level hospital via a questionnaire. The (...) present study aimed to define the problem and determine whether the opinions of these professionals correspond to those observed in a previous work conducted at the same center. Of the 200 questionnaires that were collected, 62.5% were from consultants and the rest were from residents with an average of 14.4 ± 12.5 years in professional practice. The respondents noted habitual situations in which confidentiality was breached in the reference hospital. The section on their attitudes and behaviors towards situations related to confidentiality showed a slightly lower average score than that of their medical knowledge; significant differences in these scores were observed between the consultants and residents as well as between the extreme age groups and years of professional practice, thus more inadequate attitudes were consistently noted in younger doctors who had fewer years of experience. Finally, the respondents answered that the training of doctors in the aspects of healthcare law and ethics was the most important measure that the hospital could adopt regarding confidentiality practices. (shrink)

The present study aims at elucidating two aspects of Roman governance: first of all, the overlooked, but relevant, power of decision of the consuls (and, in a minor degree, of the praetors); secondly, the relationship between magistrates and Senate. The sources, especially epigraphic senatus consulta, consistently describe a procedure through which the Senate voted to delegate fully or partially decision-making on specific matters of foreign affairs to a consul or praetor who was in Rome. This procedure is present in almost (...) half of the decisions recorded in epigraphic senatus consulta, on a variety of matters throughout the second and first centuries. This procedure was characterised by the use of the formula ita utei ei e re publica fideque sua videbitur esse/videretur (found in both epigraphic and literary sources), which referred to the cultural and ideological connotation that addressed the relationship between the Senate and magistrates. (shrink)

Name der Zeitschrift: Klio Jahrgang: 98 Heft: 1 Seiten: 203-227.

Corporate social responsibility is increasingly viewed as a strategic management tool for companies to draw in candidates. In this arena, international responsible rankings such as ‘The Great Place to Work’, ‘Family Responsible Employer Index ’ or ‘The Best Companies for Working Mothers’ put emphasis on the value of responsible behaviours, not only for surviving in the market, but also to ‘win the war for talent’. Using a sample of Spanish University students, this research aims to analyse the process of selecting (...) responsible organizations to work and whether there is a possible future conflict of interest by students between their own and organizational values. Surprisingly, the university students assessed two opposing situations with the highest values: of looking to change employer and of letting time pass in order to ignore the conflict. The implications of the students’ assessments and the related factors which affect their decision-making criteria are explored in this article. (shrink)

This paper aims to improve knowledge about the main factors influencing firm environmental commitment, by examining empirically the relationship between public support for R&D for small and medium enterprises (SMEs) and their investment in environmental protection. The empirical analysis was developed using a sample of 1594 Spanish firms, and a binary logistic regression to evaluate the existence of dependency relationships between the analyzed variables. The results show that those companies receiving direct funding from local public entities and those collaborating with (...) research centers and universities, invest more in environmental actions to protect the natural ecosystem. The paper contributes to the academic literature by analyzing the main factors that influence the SMEs environmental commitment. Moreover, showing practitioners and policy makers the effectiveness of different types of financial support depending on the origin of the funds and the form of action taken; showing managers the advantages of collaborating with public administrations, as well as with other research organizations, to obtain better ECSR results. (shrink)

From March to September 2020, researchers working at a biomedical scientific campus in Spain faced two lockdowns and various mobility restrictions that affected their social and professional lifestyles. The working group “Women in Science,” which acts as an independent observatory of scientific gender inequalities on campus launched an online survey to assess the impact of COVID-19 lockdowns on scientific activity, domestic and caregiving tasks, and psychological status. The survey revealed differences in scientific performance by gender: while male researchers participated in (...) a larger number of scientific activities for career development, female researchers performed more invisible scientific tasks, including peer review or outreach activities. Mental impact was greater in researchers caring for children or dependents, and this was aggravated for women. Results spot a disproportionate impact of COVID-19 lockdowns on female scientific career development, and urges for equity measures to mitigate the consequences of an increase in the gender gap in biomedical sciences for current and future pandemics. (shrink)

En este artículo se busca identificar las características de la grilla belicosa foucaultiana, explicitar los usos que Michel Foucault ha hecho de la misma, revisar los beneficios teóricos que se siguen de ello y considerar su potencialidad para hacer inteligibles acontecimientos de incidencia local actual. A este respecto, se pretende sostener que aun cuando, en nuestros días, las relaciones de fuerza en las sociedades occidentales se hayan investido en el orden del poder político, la grilla de la guerra sigue teniendo (...) vigencia al momento de hacer inteligibles los antagonismos que las atraviesan. (shrink)

ObjectiveThis study aimed to analyse how stereotypes towards older people moderate the relationship between burnout and quality of life of professionals working in nursing homes.MethodA total of 312 professionals were asked to complete questionnaires of burnout Maslach Burnout Inventory quality of Life and aging stereotypes. The moderation effects were tested using linear regression models.ResultsA negative association was observed between burnout and QoL. It was also found a statistically significant moderator effect of the total score of stereotypes and the health stereotypes, (...) besides a marginally statistically significant moderator effect for motivational stereotypes. The moderator effects were different for people with low and high negative stereotypes. QoL was more affected under conditions of high burnout, in which people with more negative stereotypes tended to present higher QoL than people with lower negative stereotypes.ConclusionHighly burned-out professionals in nursing homes may avoid their negative feelings projecting them to residents through stereotypes, as a way of coping with burnout and increasing their QoL. However, this mechanism is an “aggressive reaction” and may have negative effects for both the older adult and the professional. The comprehension of these variables is essential for developing adequate intervention programs. (shrink)

A pesar de los avances efectuados en la comprensión de los alcances y los límites de las investigaciones de Michel Foucault sobre el dispositivo biopolítico de ejercicio del poder, aún subsisten ciertas dudas respecto del nexo de las mismas con la genealogía del liberalismo en que parecen desembocar. En este contexto, su tratamiento de las cuestiones de la vida, la muerte y la resistencia se vuelve problemático. Intentando esclarecer estas cuestiones, en este artículo se intentará dar cuenta de los motivos (...) que orientan los análisis del autor hacia la cuestión de la gubernamentalidad liberal y del sesgo que en este marco adquiere su consideración de la biopolítica como un poder caracterizado por “hacer vivir y dejar morir”. (shrink)

A cincuenta años de su publicación, en este artículo se intenta establecer el lugar de _Las palabras y las cosas_ en el primer periodo de la trayectoria de su autor. Para hacerlo, se ha tomado en consideración los desafíos teóricos asumidos, las categorías acuñadas y la perspectiva de abordaje diseñada por Michel Foucault para llevar a cabo su propio programa filosófico. De allí la necesidad de incorporar al análisis otros dos textos relevantes del periodo, a saber, la _Tesis Complementaria_ en (...) dónde, con la excusa de precisar la génesis y estructura de la _Antropología en sentido pragmático_ de Kant, nuestro autor delineó su proyecto y _La arqueología del saber _en el cual explicitó sus herramientas metodológicas. Orientándose a través de esta tríada y sin ignorar los aspectos problemáticos, el artículo procura mostrar la vigencia filosófica del texto que en su momento fue concebido por su autor como “el libro de los signos”. (shrink)

Resumen: Desde sus inicios, la filosofía ha privilegiado el enfoque universal de sus objetos de estudio. La historia, la memoria y la política no han sido la excepción, sino que, por el contrario, al parecer un enfoque de alcance universal es el único que podría aportar un conocimiento certero y objetivo de estos temas. De modo que parecería absurdo renunciar a esta mirada totalizadora a favor de una perspectiva parcial. En contra de esta tendencia tan aceptada, recurro a planteamientos de (...) Michel Foucault para explorar las dificultades que conlleva la pretensión de una perspectiva de estas cuestiones en términos universales y, al mismo tiempo, exponer los beneficios teóricos y los réditos políticos que provienen de adoptar una perspectiva sesgada.: From its beginnings philosophy has favored the universal approach to its objects of study. History, memory and politics have been no exception; on the contrary, it appears that only a universal scope approach can provide us with an accurate and objective knowledge on these topics. Thus, it seems absurd to give up this encompassing and totalizing view to embrace a partial perspective. Against this widely accepted trend, I turn to Michel Foucault’s proposals both to examine the difficulties involved in viewing these issues in universal terms and to uncover the theoretical and political benefits that arise from adopting a biased perspective. (shrink)

Las investigaciones sobre biopolítica llevadas a cabo por M. Foucault fueron objeto de una amplia recepción entre autores consagrados. Pero, a pesar de tomarlas como punto de partida para sus propios análisis, no se privaron de dirigirle críticas tan severas que obligan a preguntarse cuál es el mérito del abordaje del pensador francés. En este artículo, intentaré refutar esas objeciones y demostrar que su aporte consistió en asociar la conformación del dispositivo con el advenimiento de las gubernamentalidades liberal y neoliberal, (...) mostrando de esta manera la incidencia sobre la vida y la muerte que ejercen ambos marcos de racionalidad política. (shrink)

BackgroundMoral distress (MD) is the psychological damage caused when people are forced to witness or carry out actions which go against their fundamental moral values. The main objective was to evaluate the prevalence and predictive factors associated with MD among health professionals during the pandemic and to determine its causes.MethodsA regional, observational and cross-sectional study in a sample of 566 professionals from the Public Health Service of Andalusia (68.7% female; 66.9% physicians) who completed the MMD-HP-SPA scale to determine the level (...) of MD (0-432 points). Five dimensions were used: i) Health care; ii) Therapeutic obstinacy-futility, iii) Interpersonal relations of the Healthcare Team, iv) External pressure; v) Covering up of medical malpractice.ResultsThe mean level of MD was 127.3 (SD=66.7; 95% CI 121.8-132.8), being higher in female (135 vs. 110.3; p<0.01), in nursing professionals (137.8 vs. 122; p<0.01) and in the community setting (136.2 vs. 118.3; p<0.001), with these variables showing statistical significance in the multiple linear regression model (p<0.001; r2=0.052). With similar results, the multiple logistic regression model showed being female was a higher risk factor (OR=2.27; 95% CI 1.5-3.4; p<0.001). 70% of the sources of MD belonged to the dimension "Health Care" and the cause "Having to attend to more patients than I can safely attend to" obtained the highest average value (Mean=9.8; SD=4.9).ConclusionsFemale, nursing professionals, and those from the community setting presented a higher risk of MD. The healthcare model needs to implement an ethical approach to public health issues to alleviate MD among its professionals. (shrink)

Este artigo analisa as estratégias de linguagem radiofônica em três séries de reportagens transmitidas pela Rádio Eldorado de São Paulo em 2008. O objetivo é compreender de que maneira os sons ambiente, os efeitos sonoros, a entonação, as trilhas e o silêncio foram utilizados pelos jornalistas da emissora nas séries “Os Jovens Quarentões”, “A Cidade que Não Anda” e “São Paulo: Capital da Pluralidade”. Entre os principais resultados do estudo estão a não utilização do silêncio, a adoção unânime da trilha (...) e a predominância da função expressiva da estética acústica em detrimento da descritiva nestes especiais. (shrink)

El objetivo principal de este trabajo se basa en analizar si el graduado en turismo de las universidades públicas de la Comunidad de Madrid alcanza una formación óptima para ejercer como profesional del turismo cultural. Para ello, la metodología empleada se ha centrado en el análisis de los itinerarios formativos del grado en Turismo de las universidades públicas madrileñas y la realización de una entrevista estructurada a 20 docentes universitarios. Los resultados revelan que los itinerarios formativos son insuficientes en materia (...) patrimonial y que es necesaria una mayor formación en patrimonio para que el alumnado lo perciba como salida profesional. (shrink)

RESUMEN El presente trabajo está dirigido a exponer elementos inherentes al modelo de superación profesional del tecnólogo de la salud en laboratorio clínico desde la integración ciencias básicas biomédicas-laboratorio. Entre los métodos teóricos empleados, el analítico-sintético permitió la determinación de los fundamentos epistemológicos y praxiológicos del proceso de superación, el inductivo-deductivo posibilitó la determinación de las categorías que surgen en el proceso investigativo, el sistémico estructural funcional para fundamentar el carácter de sistema del modelo y la modelación con la finalidad (...) de construirlo. Se concluye que se establecen como subsistemas del modelo, la proyección profesional de las ciencias básicas biomédicas, la contextualización profesional de la integración ciencias básicas biomédicas-laboratorio y la valoración contextual de la integración en el proceso de superación, lo que explica el proceso de superación del tecnólogo de la salud en laboratorio clínico. ABSTRACT This paper aims at setting out elements inherent to the health technologist in clinical laboratory’s professional training model from the integration of basic biomedical-laboratory sciences. Among the theoretical methods used, analysis-synthesis allowed establishing the epistemological and praxeological basis of the training process; the inductive-deductive method made it possible to determine the categories that result from the research process and the systemic-structural-functional method was used to support the system-like nature of the model and modelling with the end of building it. In conclusion, subsystems of the model are established: basic biomedical sciences professionals’ aims, professional conceptualization of the integration of basic biomedical-laboratory sciences and the contextual assessment of integration in the training process, which expounds the training process of the health technologist in clinical laboratory. (shrink)

Researchers have studied the athletes' dual careers with the aim of helping them to combine the sport and the academic–vocational sphere. Most of this research has addressed the study–sport combination, but there is a lack of studies on the work–sport combination. The main objective of this research was to explore the subjective perceptions of Spanish elite athletes when attempting to combine their careers as professional athletes with a second profession or trade. Further, this study aims to identify the access to (...) facilitating resources and the perception of obstacles and barriers to the development of a dual career. A qualitative approach was chosen to address these research questions. Interpretative phenomenological analysis was carried out on a sample of 18 elite athletes, and the data were collected using semi-structured interviews based on a set of superordinate and subordinate categories. The results showed that the athletes interviewed possessed valuable resources such as the transference of sports values to the work sphere. However, important barriers were highlighted such as the perception of sport institutions as absent entities in the work–sport combination. Thus, the study of this type of dual career seems to be one of the challenges facing the interested scientific community for the coming years. (shrink)

Background: Waiving parent permission can be an option in some epidemiological and social research with adolescents. However, exemptions have not been uniformly considered or applied. Our aim is to critically assess the different factors that could be taken into account when making decisions about waiving active parental permission in observational research with adolescents.DiscussionIn some cases alternatives to parental permission could be applied to protect the rights of both adolescents and parents and also to assure the benefits to adolescents as a (...) group that can come from appropriately conducted studies. However, the criteria of ensuring minimal risk can be difficult to define and apply and a distinction between harm and discomfort is reviewed. Waiving active parental permission could be acceptable when the risk of harm is minimal; when the research questions are related to an activity for which adolescents are not legally considered to be children; when the risk of harm or discomfort may increase if parental permission is required; and when risk of discomfort is low because the questionnaire is not potentially offensive for some adolescents and/or for some parents.SummaryStringent rules concerning parental permission in some studies could be detrimental to adolescents. A framework and a decision tree guide are proposed to help researchers and Research Ethics Committees in their decisions on whether active parental permission must be obtained. (shrink)

En este artículo, intentaré explicar que los programadores de televisión no realizan su trabajo de una forma aleatoria y mucho menos que "los que programan no piensan". Como en cualquier sector laboral, en la televisión, en base a un estudio riguroso del escenario que día a día presentan las cadenas, los programadores colocan sus productos/programas de tal modo que tu cadena sea la más competitiva posible.

In Lukács: Praxis and the Absolute, Daniel Andrés López reassembles Lukács’s philosophy of praxis on a Hegelian basis, as a conceptual-historical totality, both defending him and proposing an unprecedented, immanent critique that raises problems for Marxian philosophy as a whole.