BackgroundThe Patient Health Questionnaire-9 is the most well-known self-report measure to screen for depressive symptomatology, although discerning which is the factor structure that represents the best fit remains a challenge.ObjectiveThe aim of this study was to analyze the psychometric properties and factorial structure of the Spanish version of the PHQ-9 in a large sample of Ecuadorian college students.MethodsA total of 5,394 students from three Ecuadorian universities were surveyed using a computerized questionnaire within a 4-week assessment period. The PHQ-9 was tested (...) for factorial structure, reliability, and correlations with other mental health-related measures.ResultsThe hierarchical model that included a general factor and three nested factors had a better fit, and such a hierarchical structure remained invariant across sex and age. Total omega value was 0.90 for the total scale and hierarchical omega values were 0.68 for the general factor, as well as 0.34, 0.38, and 0.44 for the respective nested factors. Moreover, PHQ-9 scores were significantly higher among women, although effect sizes of comparison of those sex differences were very small. Finally, the PHQ-9 scores correlated with multiple mental health indicators.DiscussionThe Spanish version of the PHQ-9 showed good psychometric properties among Ecuadorian college students. The hierarchical structure showed the best fit for the data, including not only a dominant general factor, but also the somatic, cognitive/affective and concentration/motor subcomponents. In conclusion, the PHQ-9 tool seems to represent an easy-to-implement screening questionnaire to design preventive programs for those Ecuadorian college students at risk of developing depressive disorders. (shrink)

IntroductionRheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process. The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations.MethodsThe station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with (...) clinically active nephritis about renal biopsy. A trained patient–actor and an evaluator were instructed to assess ICP skills in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form.ResultsCandidate performance varied with ICP content and was superior for potential benefit information but significantly reduced for potential complications and biopsy description. Only 17.8% of the candidates mentioned the legal perspective of ICP. Death was omitted by the majority of the candidates ; after the patient–actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior, but ≥1 negative aspect was identified in 69% of the candidates.ConclusionsEthical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency. (shrink)

Utilizando como referencia la Carta política escrita por el general Pedro Alcántara Herrán a Bartolomé Calvo, en el contexto de la guerra civil colombiana de 1859-1862, en este artículo se analizan las relaciones existentes entre la negociación de la paz, la justicia y la regulación de la guerra. Se pretende mostrar que en el siglo xix las iniciativas políticas para evitar, suspender, limitar o terminar la guerra fueron tan abundantes y plurales como los levantamientos y las confrontaciones (...) armadas. Además de presentar la especificidad anómala del caso colombiano, donde históricamente coexisten y se entremezclan los llamados a la guerra con los propósitos de la reconciliación, el artículo rescata, para la actualidad, un documento histórico que sintetiza el lenguaje de la paz, la concordia y la reconciliación en una de las más largas y crueles guerras civiles decimonónicas. (shrink)

The denial of voting rights to certain types of persons continues to be a moral problem of practical significance. The disenfranchisement of persons with mental impairments, minors, noncitizen residents, nonresident citizens, and criminal offenders is a matter of controversy. This book makes a contribution to this largely neglected yet key topic.

The essay intends to demonstrate the need to postulate an spiritual reality in the human being as a condition of possibility of the world’s visibility. For that purpose, it employs the phenomenological method. It describes the structure of human sensitive perception. This description firstly presents the world’s structure. Secondly, it manifests the importance of the body as a border element between the soul and the world and as an organ by means of which the soul structures the world. It is (...) the second distance the distance between the body and the world. But, thirdly, the description states that, no matter how intimately the soul interpenetrates the body and requires it to know the world, the soul is not the body. It is the third distance or the primordial distance between the soul and everything else. (shrink)

This article compares the ‘enfranchisement lottery’, a novel method for allocating the right to vote, with universal suffrage. The comparison is conducted exclusively on the basis of the expected consequences of the two systems. Each scheme seems to have a relative advantage. On the one hand, the enfranchisement lottery would create a better informed electorate and thus improve the quality of electoral outcomes. On the other hand, universal suffrage is more likely to ensure that elections are seen to be fair, (...) which is important for political stability. This article concludes that, on balance, universal suffrage is prima facie superior to the enfranchisement lottery. Yet the analysis shows that the instrumental case for the ‘one person, one vote’ principle is less conclusive than democratic theorists usually suppose. (shrink)

Compartimos, con Michel de Certeau, la idea de que las narraciones marchan por delante de nuestras prácticas para abrirles camino. Con ello se hace referencia al papel decisivo que juegan los imaginarios sociales en el proceso de construcción de la realidad. En cada persona, a la hora de analizar el mundo que le rodea, influyen elementos como su experiencia, el estado de ánimo, la personalidad, ideología o educación, entre otros. En el campo de la psicología, el test de Rorschach es (...) un ejemplo de lo que apuntamos. Distintas personas, ante las mismas láminas, ven cosas diferentes. (shrink)

A finales del año pasado se publicaba el Informe sobre juventud en España que periódicamente elabora el INJUVE (Instituto de la Juventud de España). Unas investigaciones sobre la cuestión que, junto a las elaboradas por la Fundación Santa María, son unas de las máximas referencias a la hora de observar las evoluciones que se producen entre los jóvenes españoles.

This article advances three claims. The first is that the standard instrumentalist case for minimal age and sanity requirements for voting is weak and inconclusive in such a way that the evaluation of such requirements should be made exclusively on the basis of procedural fairness considerations. The second claim is that fairness requires the inclusion of all and only those persons who have the franchise capacity: the minimum necessary cognitive and moral powers to experience the benefits of enfranchisement. The third (...) and final claim is that current age and sanity prerequisites for voting in most places fail to comply with the demands of fairness and ought to be revised. (shrink)

Este ensaio tem como objetivo examinar a relação entre Spinoza e Goethe no contexto das implicações do conceito de infinito na cultura moderna. Como ele vai da metafísica especulativa mais radical para o reino da poesia dramática? Enquanto para o filósofo o conceito de infinito é a pedra angular da construção da “definição real de Deus”, para o poeta é uma das portas da experiência, da vida, do poder e da recuperação da juventude. Este ensaio tem como objetivo expor os (...) acordos e discordâncias entre uma filosofia que define o diabo entre seres imaginários e uma poesia que coloca o ser demoníaco no centro da mitologia moderna. Fausto é um mito da razão instrumental, da vontade de Domínio, uma visão do mal e também da salvação ativa da humanidade. (shrink)

Este trabalho tem como propósito central expor uma das aspirações mais caras à filosofia de Espinosa: a liberação da faculdade de julgar, tanto como perspectiva hermenêutica como em seu significado político. A partir deste conceito, pretendese reconstruir alguns tramos do programa do filósofo, sempre enfático a respeito da liberdade, tanto no âmbito ético como no político, e os diversos significados que esta tem em sua obra. Há uma liberdade concebida sub specie aeternitatis e uma liberdade sub specie durationis? A questão (...) leva a estabelecer a relação que este filósofo tem com as coisas do mundo político, sempre movido a partir de paixões e interesses e, frequentemente, afastado de um sentido virtuoso da liberdade. Sem abandonar as aspirações de um sentido superior da liberdade, o autor sustenta que Espinosa se propõe examinar o problema da liberdade em um contexto no qual há mais prejuízos que idéias adequadas, mais temores que esperanças, mais superstição que sabedoria. (shrink)

This article compares the ‘enfranchisement lottery’, a novel method for allocating the right to vote, with universal suffrage. The comparison is conducted exclusively on the basis of the expected consequences of the two systems. Each scheme seems to have a relative advantage. On the one hand, the enfranchisement lottery would create a better informed electorate and thus improve the quality of electoral outcomes. On the other hand, universal suffrage is more likely to ensure that elections are seen to be fair, (...) which is important for political stability. This article concludes that, on balance, universal suffrage is prima facie superior to the enfranchisement lottery. Yet the analysis shows that the instrumental case for the ‘one person, one vote’ principle is less conclusive than democratic theorists usually suppose. (shrink)

The nature of the climatic response to solar variability is assessed over a long-time scale, as in the case of the periodicity of 1500 years (Dansgaard-Oeschger cycle). For this reason it is important to perform an analysis to detect the existence of this periodicity in the Holocene and the possible influence of the sun on this periodicity. For this purpose, the method of Wavelet analysis in time-frequency was used. The information of oxygen isotopes (δ18O) and Berilium-10 (10Be) at the North (...) Pole reveals a periodicity of approximately 1000 years, whereas at the South Pole it shows the existence of a periodicity of about 1500 years. The comparison of the information of δ18O and 10Be suggests a possible solar influence on the appearance of these periodicities. Possibly the current global warming is due to Dansgaard-Oescher cycle and not by anthropogenic effects. (shrink)

Lain (antropölogo, filösofo e historiador de la medicina) define como relaciön amistosa una serie de actividades que en esencia son: desear el bien del amigo por el amigo mismo, igualdad entre los amigos, comunalidad y comunicaciön entre los amigos y consideraciön de una relaciön entre personas. De la misma forma establece que una vez producido el encuentro, para que exista la amistad, deben cumplirse una serie de reglas, tales como el respeto, la liberalidad, la franqueza, la imaginaciön y el discernimiento (...) afectivo. Entre las patologias de la amistad se encuentran: la consideraciön del otro como objeto, alteraciones derivadas de la relaciön (estatus o niveles sociales), alteraciones entre los fines, los grados de amistad y de las propiedades de la relaciön amistosa, y que habitualmente se manifiestan como alteraciones en el respeto, la igualdad, la confidencia y la convivencia. Las alteraciones producidas en la relaciön amistosa pueden superarse si existe respeto, igualdad, franqueza, consideraciön de ambos como personas, liberalidad,... Todos los fenömenos que se han presentado en esta comunicaciön tienen como caracteristicas la alteraciön de alguna de estas reglas de mantenimiento de la amistad. (shrink)

Lain (antropölogo, filösofo e historiador de la medicina) define como relaciön amistosa una serie de actividades que en esencia son: desear el bien del amigo por el amigo mismo, igualdad entre los amigos, comunalidad y comunicaciön entre los amigos y consideraciön de una relaciön entre personas. De la misma forma establece que una vez producido el encuentro, para que exista la amistad, deben cumplirse una serie de reglas, tales como el respeto, la liberalidad, la franqueza, la imaginaciön y el discernimiento (...) afectivo. Entre las patologias de la amistad se encuentran: la consideraciön del otro como objeto, alteraciones derivadas de la relaciön (estatus o niveles sociales), alteraciones entre los fines, los grados de amistad y de las propiedades de la relaciön amistosa, y que habitualmente se manifiestan como alteraciones en el respeto, la igualdad, la confidencia y la convivencia. Las alteraciones producidas en la relaciön amistosa pueden superarse si existe respeto, igualdad, franqueza, consideraciön de ambos como personas, liberalidad,... Todos los fenömenos que se han presentado en esta comunicaciön tienen como caracteristicas la alteraciön de alguna de estas reglas de mantenimiento de la amistad. (shrink)