The organ donation and transplantation (ODT) system heavily relies on the willingness of individuals to donate their organs. While it is widely believed that public trust plays a crucial role in shaping donation rates, the empirical support for this assumption remains limited. In order to bridge this knowledge gap, this article takes a foundational approach by elucidating the concept of trust within the context of ODT. By examining the stakeholders involved, identifying influential factors, and mapping the intricate trust relationships among (...) trustors, trustees, and objects of trust, we aim to provide a comprehensive understanding of trust dynamics in ODT. We employ maps and graphs to illustrate the functioning of these trust relationships, enabling a visual representation of the complex interactions within the ODT system. Through this conceptual groundwork, we pave the way for future empirical research to investigate the link between trust and organ donation rates, informed by a clarified understanding of trust in ODT. This study can also provide valuable insights to inform interventions and policies aimed at enhancing organ donation rates. (shrink)

Background: This research explores how public awareness and attitudes toward donation and transplantation policies may contribute to Spain's success in cadaveric organ donation. Materials and Methods: A representative sample of 813 people residing in Andalusia (Southern Spain) were surveyed by telephone or via Internet between October and December 2018. Results: Most participants trust Spain's donation and transplantation system (93%) and wish to donate their organs after death (76%). Among donors, a majority have expressed their consent (59%), and few nondonors have (...) expressed their refusal (14%). Only a minority are aware of the presumed consent system in force (28%) and feel sufficiently informed regarding the requirements needed to be an organ donor (16%). Participants mainly consider that relatives should represent the deceased's preferences and be consulted when the deceased's wishes are unknown, as is the case in Spain. Conclusion: Public trust in the transplant system may contribute to Spain's high performance in organ donation. High levels of societal support toward organ donation and transplantation do not correspond with similar levels of public awareness of donation and transplantation policies in Spain. (shrink)

Se trata de la reseña de _E__picteto. El arte de vivir (en tiempos difíciles)_, obra publicada por Alianza Editorial en Madrid este 2023. El Dr. Ignacio Pajón Leyra es autor de la introducción, de la traducción y de las notas del volumen, que contiene el _Manual _(Ἐγχειρίδιον) de Epicteto y una antología de textos extraídos, en su mayor parte, de sus _Disertaciones _(Διατριβαί), junto a noticias y fragmentos de otras fuentes.

A partir de las descripciones de las políticas de mecenazgo aplicadas por los califas omeyas de Córdoba y los períodos educativos de la época se reinterpretan todos los datos conocidos sobre los filólogos hebreos y el estudio del hebreo bíblico en la capital de al-Andalus durante el califato, confirmando que los judíos participaron y se beneficiaron de dichas políticas explotándolas hasta sus últimas consecuencias.

The relationships among character strengths (forgiveness and gratitude), happiness, and pro-social bystander behavior in bullying were analyzed. The sample includes 500 (early adolescents) and 500 (middle adolescents) of both genders, between 12 and 18 years old (M age = 14.70, SD = 1.58). Two structural equation models were calculated. Results of the first model indicated that forgiveness, gratitude, and happiness had a direct positive relation with pro-social bystander behavior. Furthermore, human strengths were indirectly related to prosocial behavior in bullying for (...) this effect in happiness. The second model showed that pro-social bystander behavior had a positive effect on human strengths and happiness. Multi-group analyses indicated that gender and stage of adolescence did not moderate the relations found in the model. Overall findings suggest a reciprocal relationship between character strengths, happiness, and pro-social bystander behavior. (shrink)

BackgroundUmbilical cord banks are a central component, as umbilical cord tissue providers, in both medical treatment and scientific research with stem cells. But, whereas the creation of umbilical cord banks is seen as successful practice, it is perceived as a risky style of play by others. This article examines and discusses the ethical, medical and legal considerations that arise from the operation of umbilical cord banks in Mexico.DiscussionA number of experts have stated that the use of umbilical cord goes beyond (...) the mere utilization of human tissues for the purpose of treatment. This tissue is also used in research studies: genetic studies, studies to evaluate the effectiveness of new antibiotics, studies to identify new proteins, etc. Meanwhile, others claim that the law and other norms for the functioning of cord banks are not consistent and are poorly defined. Some of these critics point out that the confidentiality of donor information is handled differently in different places. The fact that private cord banks offer their services as "biological insurance" in order to obtain informed consent by promising the parents that the tissue that will be stored insures the health of their child in the future raises the issue of whether the consent is freely given or given under coercion. Another consideration that must be made in relation to privately owned cord banks has to do with the ownership of the stored umbilical cord.SummaryConflicts between moral principles and economic interests (non-moral principles) cause dilemmas in the clinical practice of umbilical cord blood storage and use especially in privately owned banks. This article presents a reflection and some of the guidelines that must be followed by umbilical cord banks in order to deal with these conflicts. This reflection is based on the fundamental notions of ethics and public health and seeks to be a contribution towards the improvement of umbilical cord banks' performance. (shrink)

El documento presenta la propuesta ecuatoriana como una política pública viable tanto desde el punto de vista nacional como internacional. Se analizan las razones de por qué no debe atarse esta iniciativa al mercado de carbono, y se proponen premisas para impulsar acuerdos políticos que tendrán como momento clave la reunión del Convenio de Cambio Climático en Copenhague. En el documento se proponen varias posibilidades y condiciones políticas y económicas para estructurar un fondo solidario a fin de hacer viable la (...) iniciativa de no explotación del crudo en el Parque Nacional Yasuní. Se destaca que la propuesta ha recibido ya el respaldo del Parlamente Alemán, y que está en la agenda de varios parlamentos y gobiernos a nivel internacional. (shrink)

This paper examines the influence of internal barriers on the relationship between the organizational capability of stakeholder integration and proactive environmental strategies. We adopt a moderate hierarchical regression model to test the hypotheses using data from a sample of 73 managers in the business education industry. The paper contributes to stakeholder theory by showing that stakeholder integration positively influences the development of proactive environmental strategies when managers perceive internal barriers to the development of such strategies. This article also explores an (...) ethical dilemma—managers may use the stakeholder integration capability to support their own interests rather than to benefit stakeholders. (shrink)

Families play an essential role in deceased organ procurement. As the person cannot directly communicate his or her wishes regarding donation, the family is often the only source of information regarding consent or refusal. We provide a systematic description and analysis of the different roles the family can play, and actions the family can take, in the organ procurement process across different jurisdictions and consent systems. First, families can inform or update healthcare professionals about a person’s donation wishes. Second, families (...) can authorize organ procurement in the absence of deceased’s preferences and the default is not to remove organs, and oppose donation where there is no evidence of preference but the default is to presume consent; in both cases, the decision could be based on their own wishes or what they think the deceased would have wanted. Finally, families can overrule the known wishes of the deceased, which can mean preventing donation, or permitting donation when the deceased refused it. We propose a schema of 4 levels on which to map these possible family roles: no role, witness, surrogate, and full decisional authority. We conclude by mapping different jurisdictions onto this schema to provide a more comprehensive understanding of the consent system for organ donation and some important nuances about the role of families. This classificatory model aims to account for the majority of the world’s consent systems. It provides conceptual and methodological guidance that can be useful to researchers, professionals, and policymakers involved in organ procurement. (shrink)

Filosofía y antropología: interconexiones reúne ensayos en donde ambas disciplinas dialogan sobre cuatro campos vertebrales: conocimiento, lenguaje, política-poder y cultura. Respecto al conocimiento, se articulan las relaciones históricas, sus hermenéuticas y problemas éticos comunes. -/- A propósito del lenguaje, se aborda la construcción simbólica de los artefactos, la pragmática y las implicaciones lógicas en la práctica antropológica. Sobre el poder, se muestran los problemas sobre el pluralismo político, el mal, las feminidades y la transexualidad. En torno a la cultura, se (...) desarrolla la relación entre la arqueología y la estética de la imagen, el sujeto postmetafísico y, finalmente, la revolución y confrontación de la fenomenología en filosofía y antropología. Todos estos temas, recurrentes y emergentes para la antropología, se enriquecen a la luz de los planteamientos filosóficos. -/- El título de este libro busca hacer evidente la relación (las interconexiones) entre dos regímenes de sentido, disciplinas, ciencias, formaciones discursivas y hasta tradiciones académicas que, si bien se distinguen, comparten, no obstante, una zona limítrofe llena de coincidencias. La mayoría de los ensayos aquí reunidos hacen hincapié en la ínter, trans o multidisciplina, en pos de sostener, ilustrar o justificar las interconexiones entre la antropología y la filosofía. -/- El presente volumen resalta estas interconexiones en cuatro áreas específicas: conocimiento, lenguaje, poder y cultura. Destacan tres tipos de interacción posible: 1) respecto de los objetos de estudio; 2) a propósito de los métodos de investigación; y, finalmente, 3) en lo que toca a las diferencias en términos institucionales, donde cada disciplina se distinguiría por el tipo de agregados sociales de profesionales que la integran. (shrink)

Background: Several countries have recently changed their model of consent for organ donation from opt-in to opt-out. We undertook a systematic review to determine public knowledge and attitudes towards these models in Europe. Methods: Six databases were explored between 1 January 2008 and 15 December 2017. We selected empirical studies addressing either knowledge or attitudes towards the systems of consent for deceased organ donation by lay people in Europe, including students. Study selection, data extraction, and quality assessment were conducted by (...) two or more reviewers independently. Findings: Awareness of the consent model was lower in opt-out countries than in opt-in countries. A majority of the public agrees with opt-in, regardless of the law in their own country. There are ambivalent attitudes regarding the opt-out system. The public tend to prefer opt-in and mandatory choice over opt-out when several options are offered. Interpretation: The assumption that people in opt-out countries are aware of the legal requirements to be excluded from the pool of potential donors is not supported by the results of this review. This is a concern, since ignorance hinders people's autonomy regarding organ donation decision-making. Higher awareness of consent model in opt-in countries may reflect greater efforts to inform the public through campaigns to motivate donation. Legal moves towards opt-out are at odds with people's expressed preferences. Main limitations of this review are the lack of data from some countries, study population heterogeneity, and methodological shortcomings. (shrink)

Los inconmensurables impactos del conflicto armado experimentado en Colombia, transforman las distintas esferas de la vida cotidiana. En este contexto, el eje cafetero experimenta un imaginario social negacionista del conflicto armado en aras de consolidar un proyecto desarrollista en su territorio. El presente artículo resultado de un proyecto de investigación de cohorte cualitativo surge como resultado del dialogo entre la sociología relacional y filosofía histórica con la cual se analizan las relaciones entre transiciones y memorias en contextos matizados por históricas (...) violencias, reconociendo dispositivos de control que generan ocultamiento del conflicto, pero también prácticas de resistencia en la región cafetera. (shrink)

The aim of this paper is to show that every form of knowledge, even scientific knowledge, is linked with the personal existence that effectuates it. We offer a map of the different schools of Interdisciplinarity attending to an anthropological criterion. To this end, a map of the various schools of interdisciplinarity is offered according to an anthropological criterion, where the persistence of a partial and reductive approach to human knowledge in various modalities is generally detected. The consequence of this way (...) of understanding knowledge is firstly the fragmentation of reality, but also of social life and above all of human existence itself. Thus, the need for a theory of interdiscipline is discovered, that not only transcends the epistemological approach, but also that of action and its ontological dimension. We propose that this expansion is achieved through a radical interdiscipline anchored in personal existence. (shrink)

Following Galileo's trial of 1633, the Jesuit theologian Melchior Inchofer, author of the most negative reports used by the Roman Inquisition against Galileo, repudiated the Copernicans for the ‘heresy’ of the soul of the world (anima mundi), in an unpublished manuscript. I show that Inchofer's arguments applied far more to the beliefs of Giordano Bruno than to those of Galileo. Since antiquity, various Christian authorities had repudiated several beliefs about the anima mundi as ‘heretical’, hence I review their critiques against (...) Pythagoras, Origen, and Peter Abelard, for allegedly asserting animistic beliefs about the Earth, or a universal spirit, or that souls move the heavenly bodies. Still, in the Renaissance such beliefs were defended by several advocates of Copernicus, including Bruno, William Gilbert, Johannes Kepler, and Philips Lansbergen, who all claimed that Earth moves because it has a soul. By comparing Inchofer's works and some of the Roman Inquisition's earlier censures against Bruno, I argue that the repudiation by many prominent Catholic theologians of pagan notions of the anima mundi as heretical contributed partly to the later theological opposition to the Copernicans. (shrink)

Altruism and solidarity are concepts that are closely related to organ donation for transplantation. On the one hand, they are typically used for encouraging people to donate. On the other hand, they also underpin the regulations in force in each country to different extents. They are often used indistinctly and equivocally, despite the different ethical implications of each concept. This paper aims to clarify to what extent we can speak of altruism and solidarity in the predominant models of organ donation. (...) It also raises the ethical question of whether these categories are adequate as a basis for such models, bearing in mind that organs are a scarce resource and that a shortage of them may mean that fewer lives are saved or improved. (shrink)

El siglo XX fue una centuria de grandes descubrimientos científicos y desarrollos tecnológicos en todas las áreas, pero en particular en lo relativo a la conquista del espacio. Durante años, la bioética fue pensada en estrecha relación con la ética médica y el ámbito de problemas específicamente humanos, pero en los últimos tiempos su sentido se ha ido ampliando. El presente trabajo busca relacionar esta preocupación por una ciencia de la supervivencia con la existencia de la llamada basura espacial o (...) chatarra espacial que orbita la Tierra, y que en un tiempo no conocido afectará pequeñas o grandes áreas de nuestro planeta. La basura espacial se ha convertido en una preocupación cada vez mayor, especialmente en los últimos años, puesto que las colisiones a velocidades orbitales pueden producir aún más basura espacial en el proceso llamado síndrome de Kessler, o cascada de ablación, lo que perjudicaría el funcionamiento de los satélites, afectaría las misiones espaciales o pondría en riesgo la vida de los astronautas. También es probable que dicha basura se precipite sobre la Tierra, con efectos no claramente evaluados sobre la población humana. Aunque el problema suele aparecer tanto en textos científicos como en obras de ciencia-ficción, no ha sido considerado con la seriedad exigida para un riesgo real y no alejado de la vida cotidiana. (shrink)

The ethics of deceased organ procurement (OP) is supposedly based on individual consent to donate, either explicit (opt-in) or presumed (opt-out). However, in many cases, individuals fail to express any preference regarding donation after death. When this happens, the decision to remove or not to remove their organs depends on the policy’s default option or on family preferences. Several studies show that in most countries the family plays a significant and often decisive role in the process of decision-making for OP. (...) Depending on the country, the family may be allowed to take different kinds of actions in different situations, and this may be granted either by law or by clinical practice only. This adds much complexity to the usual classification of consent policies in two categories: opt-in and opt-out. Here we propose a novel and comprehensive taxonomy of the models of consent for OP according to three variables: (1) the deceased’s wishes, if any, (2) family wishes, if any, and (3) default policies. By analysing these models of consent, we show that they rely on at least three different concepts of autonomy: individual autonomy, relational autonomy, and family autonomy. In light of this analysis, we discuss the ethical debates surrounding two policy approaches: presumed consent and family veto. (shrink)

De la identidad literaria salvadoreña como exilio, se examina la obra clásica de nueve autores. Al aplicar una perspectiva psicoanalítica, el ensayo toma como punto de partida una tarjeta que Roque Dalton envió desde Cuba a una amante lejana en El Salvador. La escritura establece la deuda y la memoria como principios rectores para recuperar el pasado. Un compromiso subjetivo con el objeto del amor perdido la patria y la amante dicta el movimiento de la inscripción poética. Esta ausencia del (...) cuerpo a recuperar se aplica en seguida, en primer lugar, a Francisco Gavidia, que funda el indigenismo salvadoreño, utilizando técnicas literarias europeas, con lo cual ignora las lenguas indígenas, luego a Alberto Masferrer, que se retrata sufriendo las tribulaciones y la pasión de Cristo en el exilio, antes de construir un proyecto político de país. En tercer lugar, Arturo Ambrogi percibe en el campesino salvadoreño al poeta medieval localizado en un locus amoenus, encantado por la belleza del campo. Francisco Miranda Ruano inaugura una visión más trágica, ya que su salida de la ciudad para recrear el esplendor del campo concluye con su regreso a los suburbios pobres, antes de suicidarse. En quinto lugar, Salarrué mezcla fantasía y realismo para retratar sus diversas máscaras o personajes, así como para disimular la violencia sexual y racial. Según el proverbio español “el hábito hace al monje”, el ser y los actos se juzgan siempre por la apariencia. Claudia Lars prescribe un movimiento dual, primero para sustituir su nombre real, Carmen Brannon, por su seudónimo literario, y luego para recuperar su infancia de sus habilidades adultas, que ella desarrolla, gracias al legado poético de su padre extranjero. Los hermanos Alfred y Miguel Ángel Espino proponen un patrimonio complejo. Si el primero idealiza el campo en una recuperación nostálgica del vientre materno cuya contrapartida nombra al amante imposible que lo inclina al suicidio, el segundo apunta a restituir una educación verdaderamente americana, sin revitalización alguna de las lenguas indígenas ni de su tierra ancestral confiscada. José Napoleón Rodríguez Ruiz estipula cómo solo un recuerdo lejano recupera un relato testimonial del pasado. Al vaticinar un tema de actualidad -el acoso sexual y la migración, su personaje campesino narra cómo el exilio reinventa su identidad rural. Finalmente, en un retorno sinodal, desde lejos, Dalton replica la nostalgia de Rubén Darío por ser alguien más de lo que es a la hora de recrear sus años de formación como poeta. En resumen, este bosquejo de nueve autores del siglo XX delinea no solo cómo una idea de exilio anticipa la diáspora actual. El ensayo también sugiere cómo los estudios culturales continúan una nostálgica recuperación de la memoria por una revolución sinódica, y reclama la actualidad de aquellos autores consagrados en un canon literario monolingüe. (shrink)

En el contexto de pandemia han aparecido nuevas fórmulas de ejecución de violencias de género. Estas violencias afectan los procesos participativos en los centros educativos. El objetivo de este artículo es evidenciar como las pedagogías feministas dan respuesta a esta situación desde el método biográfico-narrativo. Las principales conclusiones aportan las bondades existentes del diálogo entre las pedagogías feministas y el método biográfico-narrativo como base para intervenir en las situaciones de desigualdad generadas por las violencias acaecidas, y poder asentar bases para (...) una participación democrática en los espacios educativos formales. (shrink)

Objectives To increase postmortem organ donation rates, several countries are adopting an opt-out (presumed consent) policy, meaning that individuals are deemed donors unless they expressly refused so. Although opt-out countries tend to have higher donation rates, there is no conclusive evidence that this is caused by the policy itself. The main objective of this study is to better assess the direct impact of consent policy defaults per se on deceased organ recovery rates when considering the role of the family in (...) the decision-making process. This study does not take into account any indirect effects of defaults, such as potential psychological and behavioural effects on individuals and their relatives. -/- Design Based on previous work regarding consent policies, we created a conceptual model of the decision-making process for deceased organ recovery that included any scenario that could be directly influenced by opt-in or opt-out policies. We then applied this model to internationally published data of the consent process to determine how frequently policy defaults could apply. -/- Main outcome measures We measure the direct impact that opt-in and opt-out policies have per se on deceased organ recovery. -/- Results Our analysis shows that opt-in and opt-out have strictly identical outcomes in eight out of nine situations. They only differ when neither the deceased nor the family have expressed a preference and defaults therefore apply. The direct impact of consent policy defaults is typically circumscribed to a range of 0%–5% of all opportunities for organ recovery. Our study also shows that the intervention of the family improves organ retrieval under opt-in but hinders it under opt-out. -/- Conclusions This study may warn policy makers that, by emphasising the need to introduce presumed consent to increase organ recovery rates, they might be overestimating the influence of the default and underestimating the power granted to families. (shrink)

Goal: To assess public knowledge and attitudes towards the family’s role in deceased organ donation in Europe. -/- Methods: A systematic search was conducted in CINHAL, MEDLINE, PAIS Index, Scopus, PsycINFO, and Web of Science on December 15th, 2017. Eligibility criteria were socio-empirical studies conducted in Europe from 2008 to 2017 addressing either knowledge or attitudes by the public towards the consent system, including the involvement of the family in the decision-making process, for post-mortem organ retrieval. Screening and data collection (...) were performed by two or more independent reviewers for each record. -/- Results: Of the 1482 results, 467 studies were assessed in full-text form, and 33 were included in this synthesis. When the deceased has not expressed any preference, a majority of the public support the family's role as a surrogate decision-maker. When the deceased expressly consented, the respondents' answers depend on whether they see themselves as potential donors or as a deceased's next-of-kin. Answers also depend on the relationship between the deceased and the decision-maker(s) within the family, and on their ethnic or cultural background. -/- Conclusions: Public views on the authority of the family in organ donation decision-making require further research. A common conceptual framework and validated well-designed questionnaires are needed for future studies. The findings should be considered in the development of Government policy and guidance regarding the role of families in deceased organ donation. (shrink)

The disease brought about by the SARS-CoV-2, COVID-19 coronavirus has had an unprecedented global impact. Confinement to control the outbreak may have mental health consequences for the most vulnerable in the population, including adolescents. This study aims to describe and analyze the relationships between the stress variables, Emotional Intelligence and the intention to use cannabis in healthy adolescents, before and after the end of the COVID-19 pandemic containment stage. A comparative correlational study was carried out with validated self-completed questionnaires through (...) an online platform. The sample is made up of adolescents aged 13–17 from two different schools in Ponferrada. The analysis of correlation and differences between the groups indicate that confinement has had effects on the mental health of the adolescents, specifically on the emotional manifestations of stress. Furthermore, significant gender differences were found for stress values and Emotional Intelligence. However, no differences have been found for cannabis use intention. (shrink)

En esta entrevista se formularon preguntas al magíster Iván Martínez, docente universitario destacado por sus conocimientos especializados en infraestructuras de redes y por sus múltiples participaciones en eventos académicos. Los interrogantes que se le plantearon se basaron en sus recientes enfoques de estudio, como el empleo de la herramienta informática de Microsoft Azure. En la conversación se llega a comprender cuál es su utilidad y cómo esta puede servir al usuario en distintos ámbitos, como el laboral. Por otro lado, el (...) ingeniero de Sistemas concluye con el modo en que sus saberes son transferidos a sus alumnos con mucha prerrogativa. (shrink)