Evaluating the Knowledge and Practice of Limitation of Therapeutic Effort in Health Workers at a Health Care Institution for Cancer Patients in Medellín, 2018Avaliação do conhecimento e da prática da limitação de esforço terapêutico em equipe de atendimento de uma instituição prestadora de serviços de saúde para pacientes oncológicos de Medellín, 2018Limitation of therapeutic effort is any action that involves suspending or not initiating medical treatment or therapeutic measures in patients who will not receive any clinical benefit. In Latin America, (...) some research has proven a lack of familiarization and disagreement with the subject and its practices. The present study tried to objectify the knowledge of LTE of healthcare personnel at an institute in Medellín using a self-administered survey that allowed conducting a cross-sectional descriptive study with non-probabilistic sampling. Within the results, 56.5 % of respondents understood the concept of LTE, and 90 % applied it actively. However, there were discrepancies regarding the core concepts of the definition and practice.Para citar este artículo / To reference this article / Para citar este artigoVallejo LI, Palacio AM, Marulanda V, Restrepo A, Yepes LA, Valencia NL, Cruz MA. Evaluación del conocimiento y práctica de la limitación del esfuerzo terapéutico en personal asistencial de una institución prestadora de servicios de salud para pacientes oncológicos de Medellín, 2018. 2020;24:177-87. DOI: https://doi.org/10.5294/pebi.2020.24.2.5Recibido: 19/07/2019Aceptado: 08/08/2020Publicado: 27/11/2020. (shrink)

Versiones revisadas de las conferencias pronunciadas en el congreso "Pensamiento, arte, poesía.

Las acciones que articulan simbióticamente élites empresariales y políticas, mafias, grupos militares legales e ilegales, se posibilitan bajo la búsqueda de dos fines: uno, reordenar el territorio de manera violenta hiper-acumulando tierras, con el fin de salvaguardar sus intereses económicos e inversiones; dos, hiper-acumular poder político con el fin de sostener sus privilegios, usando dicho poder para la reconfiguración del diseño institucional y la planeación de los territorios imponiendo sus condiciones. Este fenómeno que marca la historia de Colombia es lo (...) que ampliamente podríamos comprender como Criminalidad Corporativa Instaurada. Es el caso y modelo impuesto en el Urabá el cual se fue extendiendo al resto del país. (shrink)

En este ensayo sucinto y cargado de significado se reflexiona sobre un Mundo, no disuelto en el nihilismo cáncer de Occidente sino dispensador de espacios y tiempos a través del hombre. El Mundo como Vacío, donde se construyen precarios lugares habitables, ajustando tradiciones a necesidades, e integrando procesos inventivos en un esquema global de asignación de puestos.

El presente trabajo analiza el esquema de las Asociaciones Público Privadas consagradas en la ley 1508 de 2012, como un instrumento de vinculación del capital privado y modalidad de gestión pública dentro de la actividad contractual. Para ello, se propone resaltar aspectos esenciales de las mismas que permitan responder a la pregunta: ¿Cuál es la importancia de las app como modelo de gestión pública en la actividad contractual, para la concreción de los fines del Estado? La finalidad se cimienta en (...) analizar la importancia de estas como esquemas y herramientas de gestión pública dirigidas al cumplimiento de los fines del Estado, desde el elemento cuantitativo del Estado Social de Derecho, en especial desde el fin de servicio a la comunidad, proponiéndose ahondar en la normatividad vigente colombiana que versa en torno a las mismas, donde se vislumbra la importancia de estas estructuras y se detallan las diferencias entre los esquemas de iniciativa privada como verdadera novedad e iniciativa pública. (shrink)

La Araucanía tiene una población rural que alcanza al 31% del total, lo que la convierte en una de las regiones con mayor ruralidad del país. Así mismo, La Araucanía es el referente histórico y territorial del pueblo mapuche, cuya población alcanza al 23,4% del total regional, de la cual el 70% son habitantes rurales. La Araucanía en las últimas cinco décadas ha experimentado profundas transformaciones derivadas de la aplicación de diversos modelos político-económicos y sus respectivas políticas públicas, que han (...) afectado al mundo rural. Estas políticas públicas incluyen un proceso de reforma agraria, contrarreforma agraria, división de la propiedad mapuche, instalación de una economía abierta, fomento forestal de plantaciones artificiales y la promulgación de una nueva ley indígena, entre otras. Este artículo pretende identificar y hacer una revisión de las principales políticas y sus consecuencias, con el propósito de sugerir orientaciones para elaborar programas públicos pertinentes. (shrink)

ABSTRACT This study analyses the impact of Oswald Spengler’s work in Spain during the interwar period. It proceeds with three steps as follows: The first part investigates the reception of Spengler’s historic morphology of cultures in the so-called circle of the Revista de Occidente. The second part delves into the early echo of Spengler’s work among the Spanish left up to the Second Spanish Republic. The third part focuses on the impact of Spengler’s historic morphology among conservative traditionalists and members (...) of the radical right prior to the Spanish Civil War. This analysis point towards broad, transideological debate on Spengler in Spain that the Spanish right then usurped and radicalised during the 1930s. (shrink)

In response to the many social impacts of automated mobility, in September 2020 the European Commission published Ethics of Connected and Automated Vehicles, a report in which recommendations on road safety, privacy, fairness, explainability, and responsibility are drawn from a set of eight overarching principles. This paper presents the results of an interdisciplinary research where philosophers and engineers joined efforts to operationalize the guidelines advanced in the report. To this aim, we endorse a function-based working approach to support the implementation (...) of values and recommendations into the design of automated vehicle technologies. Based on this, we develop methodological tools to tackle issues related to personal autonomy, explainability, and privacy as domains that most urgently require fine-grained guidance due to the associated ethical risks. Even though each tool still requires further inquiry, we believe that our work might already prove the productivity of the function-based approach and foster its adoption in the CAV scientific community. (shrink)

This article will contrast two portrayals of Protagoras: one in the "Theaetetus," where Socrates discusses Protagorean theory and even comes to his defense by imitating the deceased sophist; and another in the "Protagoras," where Socrates recounts his encounter with the sophist. I suggest that Plato wants listeners and readers of the dialogues to hear the dissonance between the two portraits and to wonder why Socrates so distorts Protagoras in the "Theaetetus." Protagoras in the "Protagoras" behaves and speaks in ways that (...) are incompatible with the Protagorean position presented in the "Theaetetus.". (shrink)

Several theists, including Linda Zagzebski, have claimed that theism is somehow committed to nonvacuism about counterpossibles. Even though Zagzebski herself has rejected vacuism, she has offered an argument in favour of it, which Edward Wierenga has defended as providing strong support for vacuism that is independent of the orthodox semantics for counterfactuals, mainly developed by David Lewis and Robert Stalnaker. In this paper I show that argument to be sound only relative to the orthodox semantics, which entails vacuism, and give (...) an example of a semantics for counterfactuals countenancing impossible worlds for which it fails. (shrink)

This chapter tries to answer the following question: How should we conceive of the method of mathematics, if we take a naturalist stance? The problem arises since mathematical knowledge is regarded as the paradigm of certain knowledge, because mathematics is based on the axiomatic method. Moreover, natural science is deeply mathematized, and science is crucial for any naturalist perspective. But mathematics seems to provide a counterexample both to methodological and ontological naturalism. To face this problem, some authors tried to naturalize (...) mathematics by relying on evolutionism. But several difficulties arise when we try to do this. This chapter suggests that, in order to naturalize mathematics, it is better to take the method of mathematics to be the analytic method, rather than the axiomatic method, and thus conceive of mathematical knowledge as plausible knowledge. (shrink)

There are three main accounts of scientific progress: 1) the epistemic account, according to which an episode in science constitutes progress when there is an increase in knowledge; 2) the semantic account, according to which progress is made when the number of truths increases; 3) the problem-solving account, according to which progress is made when the number of problems that we are able to solve increases. Each of these accounts has received several criticisms in the last decades. Nevertheless, some authors (...) think that the epistemic account is to be preferred if one takes a realist stance. Recently, Dellsén proposed the noetic account, according to which an episode in science constitutes progress when scientists achieve increased understanding of a phenomenon. Dellsén claims that the noetic account is a more adequate realist account of scientific progress than the epistemic account. This paper aims precisely at assessing whether the noetic account is a more adequate realist account of progress than the epistemic account. (shrink)

In this paper, drawing on evidence internal to the Platonic dialogues (supplemented with some ancient testimonia), I answer the question, “How did Plato teach in the Academy?” My reconstruction of Plato’s pedagogy in the Academy is that there was a single person who read the dialogue aloud like a rhapsode (this is in contrast to the dramatic theatrical hypothesis, in which several speakers function as actors in the performance of a dialogue). After the rhapsodic reading, students were allowed to ask (...) that portions of the text to be re-read, to ask a question about the text, and were encouraged to enter into a broader conversation about the topic and themes brought out by the text. This later pedagogical method of interrogating and investigating a dialogue is of more importance than the mere reading of a dialogue. I contend that Plato’s experiences teaching were woven into some of the dialogues, and that Plato’s pedagogy reflects some of the ways that he taught in the Academy. I propose that excellent points made by students may have been written into revised forms of the dialogue. And not only good points, but also mistakes in reasoning may have been added into the dialogues. I suggest that the way certain dialogues are organized with “guest lecturers” and “tag-team” philosophical debates reflect Plato’s pedagogy in the Academy. Plato’s broadmindedness, his openness to various and opposing viewpoints, is also evident from both outside and inside of the dialogue. Lastly, drawing on the idea of Socratic mimēsis, I give a plausible curriculum for how Plato may have used the dialogues to teach them: he had his students “play” with them. Plato may have asked his students to enter into the roles of the characters in the dialogues to better understand them and the type of person they represent. Plato may have also asked students to take over from the position of the character in the dialogue and to suggest a better, truer account of things than what the characters said or did. (shrink)

In the "Republic," Plato has Socrates attack poetry’s use of mimēsis, often translated as ‘imitation’ or ‘representation.’ Various scholars (e.g. Blondell 2002; Frank 2018; Halliwell 2009; K. Morgan 2004) have noticed the tension between Socrates’ theory critical of mimēsis and Plato’s literary practice of speaking through various characters in his dialogues. However, none of these scholars have addressed that it is not only Plato the writer who uses mimēsis but also his own character, Socrates. At crucial moments in several dialogues, (...) Socrates takes on a role and speaks as someone else. I call these moments “Socratic mimēsis.” While previous commentators have noticed some of these moments, they have either overstated their rarity or they have not studied them collectively. My dissertation is the first in-depth investigation of this phenomenon in the dialogues. Socrates’ dramatic imitation of others is way of teaching in a voice separate from his own, and it is also a way for Plato to speak to, and to educate, different kinds of audiences. Although “Socratic mimēsis” occurs throughout the Platonic corpus, I focus on three passages from three different dialogues, which are paradigm instances: [1] in the "Crito" Socrates plays the part of ‘the Laws’ (50a-54c); [2] in the "Theaetetus" he acts the part of ‘Protagoras’ (166a-168c); and [3] in the "Menexenus" he recites a funeral speech learned from ‘Aspasia’ (236d-249c). Instead of one-sidedly reading the dialogues as either only literary works of art or as only a series of philosophical arguments, this study gleans philosophic insights from the literary and dramatic details of the dialogues. In chapter one I argue that in the "Crito" Socrates tries to convince Crito of a universal and absolute ethics based on never committing injustice, but Crito is not able to understand. In order to make Crito more just—but not yet at the level of Socratic ethics—Socrates creates ‘the Laws’ to persuade Crito to expand his personal notion of justice. Socrates instills a political obedience in place of Crito’s existing lawlessness as a second-best recourse. Plato expects the astute listener or reader to see the contrast between Socrates’ earlier ethical principles, said in his own voice, with what he says in the voice of ‘the Laws.’ In chapter two I argue that in the part of the "Theaetetus" where Socrates defends Protagoras (often called ‘the Defense’), Socrates, by imitating ‘Protagoras,’ is actually criticizing Protagorean relativism. The Protagorean theory cannot account for mimēsis and Socrates’ mimetic act performatively contradicts the identity of appearance and reality, which the theory presupposes. Finally, in chapter three I argue that in the Menexenus the funeral oration that Socrates recounts for Menexenus that he heard from ‘Aspasia’ is actually a disguised criticism of political rhetoric and of Athenian imperialism. Although the speech is never interrogated within the dialogue, Plato provokes the listener or reader outside the dialogue to question its message and to see how it conflicts with many of Socrates’ positions in other dialogues. Beyond reconsidering the long-standing and persistent view that Plato was against poetry and mimetic performance, I re-examine the role that performance and role-playing can have in philosophy and pedagogy more generally. Actors, by taking on other personas, and audience members, in observing actors and their actions, are both involved in acts of imagination that can expand their horizon of thinking and feeling. (shrink)

Entre octubre de 1867 y abril de 1868 Nietzsche escribe una larga anotación en donde consigna toda una serie de importantes reparos al sistema filosófico de Schopenhauer. Estos apuntes gozan de significativa importancia ya que, vistos desde una amplia perspectiva, muestran la preocupación del joven filósofo por clarificar a partir de esa temprana época el horizonte conceptual del cual parte; a su vez, desde un punto de vista más específico, nos permiten rastrear algunos de los elementos iniciales que motivarán la (...) posterior crítica radical a la filosofía schopenhaueriana. En este ensayo se analizan los distintos cuestionamientos formulados por Nietzsche frente a la homologación de la voluntad como cosa en sí y la argumentación con la que se define su tránsito hacia el plano de la representación. (shrink)

Este artículo analiza los argumentos biologicistas a través de los cuales Paul Valéry interpreta el fenómeno de la vida. Para ello, se empieza por mostrar el poder creativo que revela la naturaleza en virtud de las leyes de estructuración y orden que comienzan a hacerse visibles a nivel de las estructuras moleculares que dan forma al universo. Después de eso, se estudia la redefinición que el autor hace del concepto de materia, a la luz de los hallazgos científicos alcanzados en (...) su época. Luego, son expuestas las características esenciales de la vida, determinadas por la integración complementaria entre la ley de conservación y la ley de transformación de la naturaleza. Asimismo, son presentados los planteamientos por los cuales el fenómeno de la muerte es tomado como una propiedad característica de la vida, al igual que los argumentos por los cuales la vida es considerada como producto del azar. Finalmente, se hace referencia a la precariedad y finitud de la vida, explicitadas por Valéry desde la teoría del evolucionismo. (shrink)

We present a new puzzle about logical truth, necessity, and moral responsibility. We defend one solution to the puzzle. A corollary of our preferred solution is that prominent arguments for the incompatibility of determinism and moral responsibility are invalid.

Populism is widely thought to be in tension with liberal democracy. This article clarifies what exactly is problematic about populism from a liberal–democratic point of view and goes on to develop normative standards that allow us to distinguish between more and less legitimate forms of populism. The point of this exercise is not to dismiss populism in toto; the article strives for a more subtle result, namely, to show that liberal democracy can accommodate populism provided that the latter conforms to (...) particular discursive norms. What the article calls a ‘liberal ethics of populism’ turns out to be closely bound up with a broader ethics of peoplehood, understood as a way of articulating who ‘the people’ are in a way that is compatible with liberal–democratic principles of political justification. Such an ethics, concludes the article, inevitably has a much wider audience than populist political actors: its addressees are all those who seek legitimately to exercise power in the name of the people. (shrink)

In a recent paper, Pruss proves the validity of the rule beta-2 relative to Lewis’s semantics for counterfactuals, which is a significant step forward in the debate about the consequence argument. Yet, we believe there remain intuitive counter-examples to beta-2 formulated with the actuality operator and rigidified descriptions. We offer a novel and two-dimensional formulation of the Lewisian semantics for counterfactuals and prove the validity of a new transfer rule according to which a new version of the consequence argument can (...) be formulated. This new transfer rule is immune to the counter-examples involving the actuality operator and rigidified descriptions. However, we show that counter-examples to this new rule can also be generated, demanding that the Lewisian semantics be generalized for higher dimensions where counter-examples can always be generated. (shrink)

Pixelism is the combination of three metaphysical thesis, namely a radical form of exdurantism, mereological nihilism and counterpart theory. Pixelism is a theory that evaluates all the metaphysical phenomena of persistence, composition and modality in a homogeneous and consistent manner. In a pixel world, there is no identity over time and over possible worlds and nothing persists over more than an instant or a world. Entities can be univocally identified by a five-coordinates system (the three spatial dimensions, the temporal one (...) and the possible worlds), and their relation is a counterpart relation both in different worlds and at different times or different regions of space. In this paper I will provide two models for pixelism: the first one takes pixels to be hypercubes, i. e. four-dimensional cubes, the acceptance of which is conditional on the acceptance of extended simples. The second one considers pixels as points in a four-dimensional space. (shrink)

This is a short entry on "Metatheatre" in Section 4, "Concepts, Themes and Topics Treated in the Dialogues," in The Bloomsbury Handbook of Plato, edited by Gerald Press and Mateo Duque.

We introduce frame-equivalence games tailored for reasoning about the size, modal depth, number of occurrences of symbols and number of different propositional variables of modal formulae defining a given frame property. Using these games, we prove lower bounds on the above measures for a number of well-known modal axioms; what is more, for some of the axioms, we show that they are optimal among the formulae defining the respective class of frames.

This is a short entry on "Comedy" in Section 3, "Important Features of the Dialogues," in The Bloomsbury Handbook of Plato, edited by Gerald Press and Mateo Duque.

Derek Parfit played a crucial role in the XX century philosophical debate. His masterpiece, Reasons and Persons, has been highly influential both in moral philosophy, and personal identity. It is hard to overlook the fact that Parfit’s ideas gave the main contribution to the contemporary philosophy of persons. He reformulates a debate stuck in the classical contraposition between psychological and physical criteria of personal identity, by introducing his most famous idea: identity doesn’t matter in survival. This thesis, and its moral (...) implications, has been a challenge for everyone tackling the issues related to persons and normative moral philosophy. (shrink)