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)

A través de algunos largometrajes de animación de Hayao Miyazaki es posible reconocer las principales manifestaciones del sintoísmo. La veneración a los antepasados asociada al culto al emperador, el culto a la naturaleza manifestado en los irui-kon o matrimonios con seres sobrenaturales además de otros aspectos como la purificación, el más allá, los vuelos y el sacerdocio sintoísta son analizados en estas películas japonesas.

La autonomía económica permite a las mujeres ser económicamente autosuficientes y tomar decisiones libres respecto a sus vidas. La generación de ingresos propios representa un elemento simbólico y clave para el empoderamiento, el reforzamiento de la autoestima, la autovaloración y la reflexión sobre sus roles de género.A partir de la metodología PRISMA se realizó la revisión sistemática para identificar los factores y estrategias que explican la autonomía económica de las mujeres en zonas rurales de América Latina; destacando la participación en (...) proyectos productivos y emprendimientos, el acceso al microcrédito, así como el fortalecimiento de procesos de cooperación y solidaridad. (shrink)

Study of several works on geography written in verse and published in the XIX and XX centuries. devoted to teaching of this science. The versed draft helped to transinit and meinorize the arid geographical knowledge referred to physiographic names. populations, etc. It is studied the "Geografía Política de España y Portugal" at 1818, which frequently was supported by Greek and Roman mythologies; the two works of the Cuban physician. Michael Gordillo,"Compendio de Geografía de España escrito en verso" (1878) and (...) "Compendio de Geografía Física de Cuba en verso" (1879) edited several times, where, for each region or city, its cultivation and products were added.: and the "Prontuario Poético de Geografía de Cuba" (1936) by the Cubaii Antonio Pérez López, which includes a wide vocabulary, with similar metaphors moral teaching and philosophical reflection. (shrink)

In the Origin of Species (1859), Darwin argued that his revolutionary theory of evolution by natural selection represented a significant breakthrough in the understanding of instinctive behaviour. However, many aspects in the development of his thinking on behavioural phenomena indicate that the explanation of this particular organic feature was by no means an easy one, but that it posed an authentic challenge – something that Darwin himself always recognized. This paper explores Darwin’s treatment of instincts within his theory of natural (...) selection. Particular attention is given to elucidate how he tackled the difficulties of explaining instincts as evolving mental features. He had to explain and demonstrate its inheritance, variation, and gradual accumulation within populations. The historical and philosophical aspects of his theory are highlighted, as well as his study of the case in which the explanation of instincts represented a ‘special difficulty’; that is, the sterile castes of social insects. (shrink)

Cultural evolution is normally framed in informational terms. However, it is not clear whether this is an adequate way to model cultural evolutionary phenomena and what, precisely, “information” is supposed to mean in this context. Would cultural evolutionary theory benefit from a well-developed theory of cultural information? The prevailing sentiment is that, in contradistinction to biology, informational language should be used nontechnically in this context for descriptive, but not explanatory, purposes. Against this view, this article makes the case for the (...) need to take a proper biology-based “informational turn” in the cultural evolutionary sciences. I argue that the current vague use of informational language misses out on the potential benefits for advancing understanding of phenomena that information-theoretic reasoning has provided in other sciences, especially genetics. In particular, by emphasizing the informational aspects of cultural evolutionary processes, this approach can clarify some conceptual and methodological problems that have plagued cultural evolutionary theory since its inception, including (1) how to determine the channel conditions of cultural information flow, (2) the nature and scope of cultural information, and (3) how to quantify trends of cultural cumulation. More generally, theories of cultural evolution will be incomplete until the mechanisms underlying cultural processes are better understood and integrated into the explanations. This article explores the adequacy of an information-theoretic framework to accomplish these purposes. (shrink)

Critical psychiatry has recently echoed Szasz’s longstanding concerns about medical understandings of mental distress. According to Szaszianism, the analogy between mental and somatic disorders is illegitimate because the former presuppose psychosocial and ethical norms, whereas the latter merely involve deviations from natural ones. So-called “having-it-both-ways” views have contested that social norms and values play a role in _both_ mental and somatic healthcare, thus rejecting that the influence of socio-normative considerations in mental healthcare compromises the analogy between mental and somatic disorders. (...) This paper has two goals. Firstly, I argue that having-it-both-ways views fail to provide a compelling answer to Szasz’s challenge. The reason is that what is essential to Szasz’s argument is not that mental disorder attributions involve value judgements, but that mental attributions _in general_ do. Mental disorders are thus doubly value-laden and, _qua_ mental, only metaphorically possible. To illustrate this, I construe Szasz’s view and Fulford’s having-it-both-ways approach as endorsing two different kinds of expressivism about mental disorders, pointing out their different implications for the analysis of delusions. Secondly, I argue, against Szaszianism, that Szasz’s rejection of the analogy is relatively irrelevant for discussions about the appropriateness of medicalizing mental distress. Specifically, I draw from socio-normative approaches to the psychopathology/social deviance distinction and mad and neurodiversity literature to argue that a) it is still possible to distinguish social deviance from psychopathology once we reject the analogy; and b) that _both_ medicalizing and normalizing attitudes to mental distress can harmfully wrong people from relevant collectives. (shrink)

A mística, embora implique certa relação com o suprassensível, apresenta traços fenomenológicos comuns com a experiência sensível do belo e com a criação artística. Este artigo pretende examinar as imprecisas fronteiras entre a mística e a estética a partir de três autores do século XX, estudiosos de Plotino: Evelyn Underhill, Vladimir Jankélévitch e Juan David García Bacca. Primeiramente, será analisado o estatuto da sensibilidade, da beleza e da arte na espiritualidade de Underhill. Em seguida, será verificado de que modo (...) o campo da inefabilidade, ressaltado ao longo da obra de Jankélévitch e, em particular, em sua estética musical, garante a aproximação entre as duas áreas. Em terceiro lugar, será investigada a confluência do caminho místico e do caminho da Beleza na leitura feita por García Bacca do itinerário, prescrito por Plotino, rumo ao Transcendente. A título de conclusão, serão destacados pontos de convergência e de divergência entre os autores. Palavras-chave: Beleza. Arte. Inefabilidade. Transcendente. Neopla¬tonismo. (shrink)

To address the topic of children’s online aggression, this article explores a subsample from the EU Kids Online dataset of 1404 children, aged 9–16, who reported having engaged in aggressive acts online in the previous year. Through a cluster analysis, respondents were classified into three groups. Findings emphasize the risk factors for aggression and how they relate to age-specific developmental tasks. Boys predominate, but the gender gap is not as wide as in offline contexts. For almost half of the children, (...) aggression goes hand in hand with victimization. All the clusters share high levels of emotional deprivation. A sense of lacking social support, from both adults and peers, becomes more relevant among those children with high and more problematic engagement in online aggression. Results confirm that online aggression must be considered within the complex and fluid offline–online continuum cutting across the social contexts in which children grow. (shrink)

Brazilian and US American children were compared for differences in tolerance and punishment expectancy. We hypothesized that participants would be less tolerant and more punishing of moral than conventional violations; tolerance and punishment expectancy would relate with age; Brazilians would tolerate less and expect more punishment than US Americans; and social domain would moderate effects of age and nationality. The sample had 129 matched children from Brazil and the USA. Moral/conventional-violation vignettes were used. Mixed-model GLMs suggested that children were less (...) tolerant and more punishing of moral than social-conventional violations. Age effects were significant for tolerance. Brazilians scored lower on tolerance and higher on punishment expectancy than US Americans; they also differentiated less between violation domains than US Americans. These and other results suggest that Brazilians tolerate less but expect more punishment for violations than US Americans. Discussion is based on cultural and socio-historical differences between the two nations. (shrink)

El objetivo es conocer las circunstancias y tratamiento judicial de asesinatos por violencia de género. Se plantea el diagnóstico forense de muerte, se exponen resultados de la investigación realizada por Genovés et al. en 2018 sobre150 casos de muerte por violencia de género en Andalucía, se plantea un posible patrón de conducta basado en la teoría de los pensamientos obsesivos y rumia silenciosa. Los resultados muestran una violencia anunciada, sin trastornos mentales graves, los asesinatos se mantienen constantes en el tiempo, (...) la violencia empleada suele ser excesiva en comparación con otras muertes, el instrumento más usado es arma blanca, el agresor no se esconde, no suele arrepentirse, la calificación ha sido de asesinato en un 79%, concurriendo alevosía en un 91% de los casos, la indefensión de la víctima es buscada y utilizada por el agresor, el domicilio familiar es el lugar donde más asesinatos se producen. Se aprecia una evolución positiva en la aplicación del derecho. Es necesaria la perspectiva de género en la Justicia. (shrink)

Diversos estudios vienen encontrando asimetrías de género en el ámbito del conocimiento y la ciencia. Esta investigación se propone comprobar si existen brechas de género en la autoría de libros en las editoriales científicas de mayor prestigio en el ámbito de la Comunicación en España. A partir de un análisis bibliométrico sobre las colecciones de libros de las 14 primeras editoriales españolas según el ranking Scholarly Publication Index (Q1) se han contabilizado las autorías principales de hombres y mujeres. Se comprueba (...) que, de media, las mujeres son autoras principales en menos de un 24% de los libros y primera firma en menos de un 18% de los títulos a la venta. Se constata también que la situación no evoluciona hacia una progresiva paridad en los últimos años. El estudio pone su foco de análisis en algunas de las ramificaciones del androcentrismo del sistema científico, como son el estatus del sujeto varón emisor en la producción de sentido, la cuestión del poder cultural androcéntrico y la asociación prestigio-masculinidad en la producción editorial. La investigación abre el debate sobre los criterios de calidad editorial sostenidos sobre un déficit democrático como es la falla en el principio de igualdad. Se señala la especial relevancia de esta circunstancia en el ámbito de la comunicación y los medios, por su rol prioritario en la eliminación de las discriminaciones de género. (shrink)

The concept of sustainable development is here revised in the light of a brief historical analysis, followed by a semantic analysis of the expressions development and sustainability. The authors criticize the common use of this concept in a loose way or in wide generalizations, to conclude, based on the principles of human ecology, that it is only possible to make it operational in limited spans of time and in limited spatial units.

The concept of sustainable development is here revised in the light of a brief historical analysis, followed by a semantic analysis of the expressions development and sustainability. The authors criticize the common use of this concept in a loose way or in wide generalizations, to conclude, based on the principles of human ecology, that it is only possible to make it operational in limited spans of time and in limited spatial units.

This article discloses the romantic source of many core terms in Rorty's vocabulary, including redescription, contingency, anxiety of influence, anti-authoritarianism, post-philosophical culture, and political culture. Although Rorty disagrees with Romanticism's indifference toward community, his revisionary pragmatism has a discernable romantic cast.

Resumen Los textos televisivos interpretan y analizan la realidad circundante e influyen en la visión que la audiencia tiene del mundo. Es más, los programas cómicos basados en la burla y el sarcasmo hacia grupos étnicos minoritarios refuerzan estereotipos negativos y promueven la discriminación cultural. En este artículo se estudia el humor étnico en La paisana Jacinta. Esta serie peruana ha sido acusada de racista por diversas personas y grupos, entre ellos, la excongresista indígena Hilaria Supa, LUNDU y CHIRAPAQ. Primero, (...) se analizan las estrategias pragmático-lingüísticas empleadas en la construcción del humor étnico en una selección de diálogos y monólogos de Jacinta, el personaje principal de la serie. Para ello, se utiliza la Teoría General del Humor Verbal. Asimismo, dado que todo texto es multimodal, se tiene también en cuenta cómo imágenes, gestos, y elementos musicales y prosódicos en la serie contribuyen en la producción de la comicidad. Finalmente, a partir de estos resultados, se examina el contenido cómico del programa desde una perspectiva crítica para determinar si este es discriminatorio. (shrink)

This paper aims to analyse how the discourse of CEO letters and other factors influence community involvement and Social Licence to Operate (SLO) in the mining industry. The analysis is based on qualitative information disclosed in sustainability reports and CEO letters from 32 mining firms. Content analysis was undertaken to obtain data for the study, and then a regression analysis and a multiple correspondence analysis were used to test the hypotheses defined in the study. The results indicate that the CEO (...) discourse influences how a firm expresses the importance of gaining its SLO, the philanthropic activities in which companies become involved and the destinations of the investments in the communities in which they operate. The results also show changes in the discourse between 2011 and 2015, which are, in part, explained by the difficult situation experienced by the sector during this period. The paper contributes to the Corporate Social Responsibility literature by integrating different theories from this field into the SLO framework. The analysis carried out and the results obtained are useful for both CEOs and Sustainability Managers, especially in managing their relationships with the communities where they operate or intend to operate. (shrink)

Uno de los principales problemas de la filosofía de la psicopatología contemporánea consiste en definir qué tipo de estados mentales son aquellos que denominamos delirantes. A esto se le ha denominado el “problema tipológico de los delirios”. El principal objetivo de este artículo es examinar las principales alternativas filosóficas contemporáneas a este problema: el doxasticismo—de acuerdo con el cuál los delirios deben ser caracterizados como creencias—y al anti-doxasticismo—el cuál niega el estatuto doxásticos de los delirios y ofrece una caracterización alternativa. (...) Para examinar el debate, el artículo presentará las principales características de ambas posiciones y sus fundamentos. Después, examinaremos los principales argumentos esgrimidos contra el doxasticismo y las respuestas y contraargumentos por parte de las alternativas doxásticas. Finalmente, expondremos algunas cuestiones conceptuales y desafíos abiertos relacionados con el debate y que, a nuestro juicio, deberían de marcar la hoja de ruta de los filósofos de la mente interesados en los delirios en los próximos años. (shrink)