RESUMEN Dentro de la enorme cantidad de temas reinantes relacionados con el desarrollo científico-tecnológico actual, se encuentra indudablemente el del empleo de la ventilación mecánica no invasiva como medida de soporte vital. Aunque no se trata de una obra especifica que presente un panorama completo y exacto, de todos y cada uno de los problemas relacionados con el empleo de la misma, los autores pretenden con el artículo realizar una breve reflexión del tema desde el enfoque de la ciencia, la (...) tecnología y la sociedad en el momento actual, de manera que constituya un marco útil para el examen de estos temas, su debate, reflexión e intercambio de opiniones en el contexto de los servicios de la salud. ABSTRACT Among the huge number of current issues related to the current scientific-technological development is undoubtedly the use of non-invasive mechanical ventilation as a measure of life support. Although it is not a specific work that presents a complete and accurate picture of each one of the problems related to the use of it. Authors intend with the article to make a brief reflection on the subject from the perspective of science, technology and society at the present time, so that it constitutes a useful framework for the examination of these issues, debate, reflection and exchange of opinions in the context of health services. (shrink)

Se realiza un estudio de los principios básicos o tradicionales de la bioética y su influencia en la práctica de la limitación del esfuerzo terapéutico en las Unidades de Cuidados Intensivos, como condicionante que favorece su aplicación en los pacientes en estado terminal. Se aborda la necesidad de una bioética no importada de otros países, que se corresponda a las características de la realidad latinoamericana y a cada contexto sociocultural. El trabajo tiene como objetivo fundamental resaltar la importancia de estos (...) principios básicos en la discusión ético-clínica para la toma de decisiones, a partir de una bioética que se corresponda a la realidad de los sistemas imperantes. A study of basic or traditional principles of bioethics and its influence in the practice of the limits of the therapeutic effort in the intensive care units, as a requirement that favors its application in terminal ill patients was carried out. The need of having bioethics principles that match Latin-American reality and each sociocultural context, not imported ones from other countries, was stated. This paper main objective is to highlight the importance of these basic principles in ethic-clinic discussion for decision-making, taking as the starting point a bioethics that corresponds to the reality of the dominant system. (shrink)

La comprensión de la muerte varía según la época, la cultura, la religión y la edad. Con anterioridad al desarrollo que la ciencia médica ha experimentado desde finales del siglo XIX, en la mayoría de las culturas y religiones había una aceptación de la muerte y se consideraba como parte del ciclo vital de la persona donde se trascendía a una forma celestial y puramente sobrenatural. Los avances científicos de la medicina han venido a cambiar esta situación. La muerte se (...) empezó a ver como un enemigo y dio comienzo a una lucha encarnizada entre ambas. El concepto de "muerte natural" se sustituyó por el de "muerte intervenida," dando origen a numerosas cuestiones relacionadas con la toma de decisiones y actuaciones a realizar en pacientes ingresados y en situación terminal. En este trabajo se realiza una reflexión teórica que tiene como objetivo el análisis bioético acerca de las diferencias entre los aspectos religiosos y culturales relacionados con la práctica de la limitación del esfuerzo terapéutico. The understanding of death varies according to time, culture, religion, and age. Previous to the development that medical sciences has undergone since the end of the XIX Century, in most cultures and religions there have been an acceptation of death and considered as part of the person vital cycle in which one would transcend to a celestial and purely supernatural form. The scientific advances in medicine have emerged to change this situation. Death began to be seen as an enemy and gave rise to an enraged struggle between both of them. The concept of natural death was changed into intervened death, which originated numerous related questions with decision and action taking to be performed in hospitalized patients and those in terminal situation. In this work a theoretical reflection is performed whose objective is the bioethical analysis on the differences among religious and cultural aspects related to the practice of therapeutic effort limitation. (shrink)

I argue that both Mary O'Brien's celebratory analysis of motherhood and Simone de Beauvoir's critical one fail, due to biologism and a lack of historical sense. Both approaches, I claim, are complementary: motherhood need be analysed both as alienating-Beauvoir-and as a potential ground for feminism-O'Brien. I conclude by suggesting that feminism can only reappropriate the female reproductive experience in a critical way.

Justo antes de la pandemia por COVID-19, la Organización Mundial de la Salud definió unas prioridades de trabajo para la década 2020-2030. Un grupo interdisciplinario de profesionales de la salud reflexiona sobre estas prioridades, determinando unas categorías de análisis y, desde una perspectiva bioética, analiza cada una de ellas, ve su pertinencia, algunos eventos causales, las implicaciones que pueden tener si no son enfrentadas adecuadamente y hace sugerencias sobre la forma de llevarlas a cabo. En esta primera entrega se analiza (...) el primer grupo de prioridades estratégicas: “poblaciones más sanas”. En las conclusiones se destaca la conveniencia de acometer cada una de ellas de una manera colaborativa, gubernamental y privada; de reestructurar el sector salud con base en estas prioridades, aprovechando la experiencia obtenida en la lucha contra el COVID-19. La relación del ser humano con el medio ambiente también debe cambiar, apelando a la responsabilidad humana por el cuidado del planeta. (shrink)

Research Ethics Committees have the responsibility to protect the participants involved in researches and to guarantee the ethical behavior of researchers. In some institutions, such committees also review scientific projects of non-pharmaceutical areas, Public Health and Health Economics. Within this framework, the article analyzes what it means to be part of a Research Ethics Committee in a hospital or university based on personal experience as a community representative. By means of the convenience sampling technique, implemented in four Colombian cities that (...) have GCP-certified committees by INVIMA –National Institute for the Control of Medications and Food–, and by means of content analysis, based on fixed and emergent categories; the experience, perception, participation, representation, and ethical aspects are described as well as the learning process and personal contributions. Findings prove that representatives interviewed have been benefited by learning clinic and epidemiological aspects without necessarily being “experts in the community”. However, they seem not to recognize clearly the population they represent, which might lead these communities to being affected by certain particular studies. The article suggests to work on the minimal common elements that a community representative should possess to appropriately protect participants. (shrink)

Este artigo tem por objetivo identificar e discutir alguns encontros e desencontros existentes entre a epistemologia qualitativa, a fenomenologia e a pesquisa-ação, no que diz respeito à natureza, aos objetivos e procedimentos adotados. Nesse sentido, realizamos uma revisão teórica para identificar as características comuns e divergentes entre as categorias de pesquisa investigadas. Para tanto, buscamos as contribuições teóricas de González Rey acerca da teoria da subjetividade e de sua epistemologia qualitativa, de Moreira e seus estudos sobre a fenomenologia e, por (...) fim, de Thiollent, que apresenta as principais características da pesquisa-ação. (shrink)

El libro presenta la posibilidad de una filosofía intercultural, que se basaría a su vez en un diálogo intercultural, entendido éste como alternativa histórica para transformar los modos de pensar vigentes"--Handbook of Latin American Studies, v. 58.

CONTENIDO: Problemas del diálogo intercultural en filosofía - Pensamiento iberoamericano: ¿base para un modelo de filosofía intercultural - Filosofía iberoamericana intercultural, ¿un programa también interdisciplinario - Aprender a filosofar desde el contexto del diálogo de las culturas - Supuestos filosóficos del diálogo intercultural - Cultura entre tradición e innovación - Hacia una transformación intercultural de la filosofía en América Latina - Teoría crítica, liberación y diálogo intercultural - Los derechos humanos, ¿fuente ética de crítica cultural y de diálogo entre las (...) culturas - Para una crítica del neoliberalismo a partir de la filosofía de la liberación - Tesis para la comprensión y práctica de la interculturalidad como alternativa a la globalización. (shrink)

The high levels of land use, inputs, and investment, along with the specific forms of organization and management that characterized Cuba's state extensive growth model during the 1980s, could not overcome the challenges posed by the integrated care required by the sugarcane crop and corresponding industrial activities. Starting in 1993, large state farms have been converted into Basic Units of Cooperative Production with some degree of autonomy. Although first-year production results are not satisfactory, it is too early to evaluate their (...) performance. Their establishment, however, is a step in the right direction to alleviate the problems that the previous forms of organization and management inherent to the state extensive growth model were unable to solve. (shrink)

Descartes consolida el paso de la ciencia de la verdad a la ciencia del hombre. En esta prima un cura sui, que acabará fortaleciendo al sujeto interiormente y desenfocando al otro. Todo hombre podría ser sabio; si bien, no desde la experiencia de la conciencia como ejercicio metódico y teórico del alma; pero sí como forma de vida que educa el fortalecimiento de la voluntad. La generosidad será la forma de la virtud, y si bien esta incluye las formas del (...) amor, el cogito cartesiano no logra salir de la auto-referencialidad. (shrink)

Los artículos de este segundo número monográfico dedicado a Descartes son un fruto más del proyecto de investigación -financiado por el Ministerio de Ciencia e Innovación, [Referencia PID2021-126133NB-I00]- que lleva por título: Éticas y metafísica de los afectos. Las génesis modernas del presente actual (EMAP). Se ofrecen a continuación relecturas cartesianas que ponen el acento en la revisión de ciertos tópicos atribuidos al pensamiento del padre de la modernidad, más mencionado que leído y estudiado.

Principles of biological psychology -- Criminology -- Toward an ethic without doctrines -- Moral forces -- Mediocre man.

En el presente trabajo nos proponemos esclarecer el sentido de la educaciónpartiendo del marco general del pensamiento de Nietzsche, así como exponerla relación esencial entre filosofía y educación en el autor. En primertérmino abordamos la concepción de educación en Platón como punto departida para su comprensión en Nietzsche. Desde aquí señalamos el sentidoy el alcance de la relación entre educación y filosofía en ambos filósofos.No obstante la gran dificultad existente en orden a esclarecer un conceptoúnico de filosofía en Nietzsche, intentamos (...) fundamentar su idea de educacióndesde la crítica a la cultura que lleva a cabo; desarrollando tanto elconcepto como el sentido de la educación en relación a su concepción delser del hombre, y señalando la posibilidad de su cumplimiento histórico.Para ello abordaremos el tema de la educación en relación con los siguientesaspectos del filosofar nietzscheano: nihilismo, transmutación de los valores,voluntad de poder, necesidad y fundamentación de una nueva valoración, elser del hombre y el “último hombre”. A manera de conclusión tratamos depresentar desde la relación esencial entre educación y filosofía, relación fundadaen la concepción de la filosofía como preparación del “superhombre”,la inversión de la esencia de la educación pensada por Nietzsche. (shrink)

One of the most pleasurable aspects of video games is their ability to induce immersive experiences. However, there appears to be a tentative conceptualization of what an immersive experience is. In this short review, we specifically focus on the terms of flow and immersion, as they are the most widely used and applied definitions in the video game literature, whilst their differences remain disputable. We critically review the concepts separately and proceed with a comparison on their proposed differences. We conclude (...) that immersion and flow do not substantially differ in current studies and that more evidence is needed to justify their separation. (shrink)

The blogosphere’s heterogeneity has significantly increased in recent years. Thus, the blog-as-diary approach has shown its limitations. Viewing blogs as a genre is also misleading, as it confuses medium and genre. Considering that the studies of blog genres still need further theoretical and empirical investigations, we propose a method to assess blog posts, understood as utterances, the minimal unit of a blog. We then conduct an analysis of two large datasets from 100 Brazilian blogs. Three reviewers read and judged 5218 (...) posts from 50 A-list blogs and 1527 posts from 50 non-A-list blogs, captured in a 30-day period. Posts’ compositional form, theme and style were cross-analyzed in and between datasets. Our findings lead to the conclusion that blogs in the A-list group tend to post more and stick to themes that attract audiences. Non-A-list blogs post less and focus on themes of interest to bloggers themselves, not necessarily hype topics. (shrink)

La formación del profesional de la salud de perfil amplio constituye uno de los objetivos principales en la educación médica superior. Sobre la base de este planteamiento se desarrolló una investigación en la Facultad de Ciencias Médicas de la Universidad de Ciencias Médicas "Carlos J. Finlay", de Camagüey, con el objetivo de exponer los fundamentos teóricos en los que se sustenta la competencia comunicativa intercultural en la enseñanza-aprendizaje del idioma Inglés. Se utilizaron diferentes métodos de investigación de los niveles teórico (...) y empírico. Se concluyó que estos fundamentos integran factores cognitivos, afectivo-emocionales, motivacionales, sociales, culturales, axiológicos y creativos, del proceso de desarrollo de la competencia comunicativa analizada. Formation of the health professionals with a wide profile constitutes one of the main objectives in high medical education. On this basis the present work is the result of a research carried in the Faculty of Medical Sciences at the Medical College of Camaguey. Its main objective is to expose the theoretical foundations of the intercultural communicative competence in the learning and teaching of English. For its elaboration different investigative methods of theoretical and empirical levels were applied. (shrink)

"Tough, smart, superbly engaging, The Material Ghost is a terrific book." -- Edward W. Said In The Material Ghost , Gilberto Perez draws on his lifelong love of the movies as well as his work as a film scholar to write a lively, wide-ranging, penetrating study of films and filmmakers and the nature of the art form. For Perez, film is complex and richly contradictory, lifelike and dreamlike at once, a peculiar mix of reality and imagination. "The images on (...) the screen," he writes, "carry in them something of the world itself, something material, and yet something transposed, transformed into another world: the material ghost." "Dazzling... The sheer intelligence at work in these lucid pages is exhilarating." -- Alfred Guzzetti, Boston Book Review "A pleasure. Gilberto Perez is one of the smartest film critics writing anywhere." -- Jonathan Rosenbaum "Strikes an ideal balance between insightful analysis and graceful writing... A model of thoughtful criticism." -- David Sterritt, Christian Science Monitor "Brilliantly polemical in his critique of cynical reason ('the official philosophy of late capitalism'), no less passionate in defending the truth-value of cinema, Perez seems to be the clearest heir to the great humanist critic André Bazin." -- Sight & amp Sound "The chapters on Keaton and Renoir are stunning, full of perceptive remarks the chapter on Godard is a persuasive rehabilitation none of the chapters is without memorable insights." -- Michael Wood, London Review of Books "Gilberto Perez's ambitious, abundant, and cultivated book--the fruit of decades of thinking and teaching -- accompanies readers on a journey of discovery into the wonder of film." -- Stanley Cavell "Few books of film criticism in the past twenty-five years have been so enjoyable or instructive... [Perez] has excellent things to say about authorship, about documentaries, about popular genres, about cinematic point of view and narrative technique, about actors, and above all about camera style... He makes us want to look once more at the remarkable pictures he discusses." -- James Naremore, Cineaste. (shrink)

Uma das principais preocupações de Ludwig Wittgenstein, presente já desde as suas primeiras observações, é a autonomia do pensamento próprio. Nosso objetivo neste texto é indicar alguns aspectos metodológicos do diagnóstico e da crítica que o filósofo vienense opera em relação à tradição filosófica ocidental com vistas a possibilitar a obtenção de resultados seguros e pacíficos no universo polêmico da filosofia. Para tanto, indicaremos a importância de recuperar o papel que a tradição filosófica desempenha para o pensamento próprio, assim como (...) a importância de conscientizar-se de que a principal dificuldade da filosofia é estar diante dos conceitos sem pré-conceitos. Além disso, ressaltaremos a necessidade de superação das dificuldades humanas como a da vontade mostrando na filosofia de Wittgenstein a presença da atividade destruidora dos vícios, adornos e ídolos herdados bem como a sua importância para a averiguação das condições lingüísticas do próprio pensar. (shrink)

Post-pandemic: Triple Agenda for a New RealityPós-pandemia: tripla agenda para uma nova realidadeNew fields for applying bioethics have emerged out of the SARS-Cov-2 pandemic, but many bioethical challenges remain; so, it is necessary to reflect on the reality that human beings will have to live after that. This reflection builds on a triple agenda: challenges, warnings, and guidance. The challenge agenda deals with upcoming scientific and biotechnological developments, adjustments to work and study, sustainable development reorientation, and changes in businesses and (...) entertainment companies. These challenges could be summarized as development paradigm shifts. The warning agenda includes the management of wild species, mistrust in political leaders, unsupportive and criminal human behavior, information overabundance, the emulation of pharmaceutical industries, and the determining factors of the culture of death. These warnings could be condensed in the importance of promoting the culture of life. The guidance agenda comprises a series of principles such as the human person’s dignity, the common good, the preferential option for the poor, the universal allocation of goods, solidarity, subsidiarity, and the care for our common home. This guidance points to a fundamental and existential environmental transformation. All these changes will be possible because of human resilience, professionalism, and social solidarity, shaping an actual comprehensive human development project.Para citar este editorial / To reference this editorial / Para citar este editorialGamboa Bernal GA. Pospandemia: triple agenda para una nueva realidad. Pers Bioet. 2020;24:127-135. DOI: https://doi.org/10.5294/pebi.2020.24.2.1Publicado: 27/11/2020. (shrink)

_Historic and Scientific Assertion of the Humanae Vitae, Fifty Years Later_ _Reivindicação histórica e científica da humanae vitae, cinquenta anos depois_ Muchas veces se ha dicho que mayo de 1968 fue un hito en la cultura contemporánea. Esa revolución, que no fue nada silenciosa, no se extinguió espontáneamente sino que sus efectos se siguen cosechando, aún en el siglo XXI.

Em sua última obra, As Duas Fontes da Moral e da Religião, Henri Bergson investiga as origens, o desenvolvimento e a manutenção da sociedade humana por meio da distinção entre a sociedade fechada, baseada nos instintos primitivos de conservação da vida, e a sociedade aberta, fundada sobre a aspiração que impulsiona o homem à construção de uma vida em sociedade mais harmoniosa. Segundo o autor, os ideais democráticos são frutos da abertura de que as sociedades necessitam para seu progresso, o (...) qual, aos poucos, abrandaria a pressão das exigências impostas pela natureza para a conservação da vida em sociedade e possibilitaria aos homens conviverem mais livremente e mais afetuosamente com vistas a uma sociedade mais justa e sem tantos conflitos e mortes. Contudo, como escapar às determinações que a natureza impôs para que a vida em sociedade se mantivesse e conseguir que os homens se abram a outro tipo de vivência em conjunto? É esta a questão que o presente artigo procura investigar. Palavras-chave: Bergson, moral, política, mística. (shrink)

Cinema is commonly hailed as "the universal language," but how does it communicate so effortlessly across cultural and linguistic borders? Drawing on a lifetime's worth of viewing an reviewing, influential critic Gilberto Perez invokes a dizzying array of masters past and present includin Chaplin, Ford, Kiarostami, Eisenstein, Malick, Mizoguchi, Haneke, Hitchcock, and Godard--to explore the transaction between filmmaker and audience. The Eloquent Screen shows how cinema, as the consummate contemporary art form, establishes a thoroughly modern rhetoric in which different (...) points of view are brought into clear focus.". (shrink)

Frente a la teoría de la pena, con sus sutiles matices y fines comunicativos, encontramos una realidad que diverge sustancialmente de aquella. Donde, con frecuencia, la denominada prevención general no acontece, porque la resolución no llega a esta, a la generalidad a la que se apela como fundamento del castigo. Pero, en particular, cuando tal comunicación acontece, tiene lugar en un inquietante marco discursivo que va dando nombre a nuestro tiempo: la era de la posverdad. Se revela aquí un contexto (...) comunicativo hostil al discurso experto y a los hechos, que se ven desplazados por su valoración, donde los interlocutores se alejan del modelo del ciudadano racional sobre el que se teoriza en Derecho, y donde actores políticos desarrollan estrategias comunicativas propagandistas, de modo que, en ocasiones, se termina comunicando un mensaje contrario a lo que enuncia literalmente la resolución judicial. (shrink)

This paper investigates the implicative conditional, a connective intended to describe the logical behavior of an empirically defined class of natural language conditionals, also named implicative conditionals, which excludes concessive and some other conditionals. The implicative conditional strengthens the strict conditional with the possibility of the antecedent and of the contradictory of the consequent. $${p\Rightarrow q}$$ p ⇒ q is thus defined as $${\lnot } \Diamond {(p \wedge \lnot q) \wedge } \Diamond {p \wedge } \Diamond {\lnot q}$$ ¬ ◊ (...) ( p ∧ ¬ q ) ∧ ◊ p ∧ ◊ ¬ q. We explore the logical properties of this conditional in a reflexive normal Kripke semantics, provide an axiomatic system and prove it to be sound and complete for our semantics. The implicative conditional validates transitivity and contraposition, which we take to be integral parts of reasoning and communication. But it only validates restricted versions of strengthening the antecedent, right weakening, simplification, and rational monotonicity. Apparent counterexamples to some of these properties are explained as due to contextual factors. Finally, the implicative conditional avoids the paradoxes of material and strict implication, and validates some connexive principles such as Aristotle’s theses and weak Boethius’ thesis, as well as some highly entrenched principles of conditionals, such as conjunction of consequents, disjunction of antecedents, modus ponens, cautious monotonicity and cut. (shrink)

O presente ensaio se empenha em problematizar elementos contidos nos conceitos de illness e disease proposto pelo Dr. Arthur Kleinman ; especificamente no capítulo II do seu livro “The illness narratives: surfering, healing and the human condition. Nesta obra Kleinman vai dissecar o fenômeno da enfermidade e suas aflições tendo reflexos nas reações psicológicas e sociais. Ou seja, a disease tendo desdobramento na illness. A questão fundamental a que esse ensaio propõe é pensar uma inversão e refletir se illness altera (...) disease? Minha proposta é adentrar neste caminho pela via das reações emocionais e homeostasia. (shrink)

Resumo O objetivo deste artigo é apresentar os temas do “novo método” filosófico e da “Filosofia da Psicologia”, nos escritos tardios de Ludwig Wittgenstein, como relacionados prática e necessariamente. Para o proposto, a estratégia expositiva segue a seguinte ordem: analisam-se os pressupostos filosóficos relativamente irrefletidos que determinam a visão que o jovem Wittgenstein tinha do “método correto da Filosofia” e da “Filosofia da Psicologia”; interpreta-se a volta filosófica de 1929 como comprometida em apresentar o rosto ainda informe do “novo método” (...) e retomar criticamente os alvos do TLP, sob essa nova perspectiva metodológica; e considera-se a Filosofia da psicologia de Wittgenstein inserida numa perspectiva diferente da perspectiva da ciência psicológica do fim do século XIX e início do século XX, fundamentada em investigações empíricas. Essas observações constituem propriamente uma prática do “novo método” de apresentação perspícua e se caracteriza como um aspecto-chave e necessário, um filtro, para a compreensão das observações do filósofo em torno da psicologia e de seu objetivo em dissolver os problemas metafísicos ali presentes.The main purpose of this article is to present the themes of the philosophical “new method” and the “philosophy of psychology” in Ludwig Wittgenstein’s late writings as practically and necessarily related. For the proposed, our expository strategy follows the following order: we analyzed the relatively unreasonable philosophical presuppositions that determine the young Ludwig’s view of the “correct method of philosophy” and of “philosophy of psychology”; we interpreted the philosophical turn of 1929 as committed to presenting the still-informed face of the “new method” and to critically revisiting the TLP targets under this new methodological perspective; and we considered Wittgenstein’s philosophy of psychology inserted in a different perspective from the perspective of the psychological science of the late nineteenth and early twentieth century based on empirical investigations. These observations are properly a practice of the “new method” of perspicuous presentation and they are characterized as a key and necessary aspect, a filter, for the understanding of the philosopher’s observations about psychology, and his goal in dissolving the metaphysical problems present there. (shrink)