Despite advances in the treatment of heart failure, the physical symptoms and stress of the disease continue to negatively impact patients’ health outcomes. Technology now offers promising ways to integrate personalized support from health care professionals via a variety of platforms. Digital health technology solutions using mobile devices or those that allow remote patient monitoring are potentially more cost effective and may replace in-person interaction. Notably, digital health methods may not only improve clinical outcomes but may also improve the psycho-social (...) status of HF patients. Using digital health to address biopsychosocial variables, including elements of the person and their context is valuable when considering chronic illness and HF in particular, given the multiple, cross-level factors affecting chronic illness clinical management needed for HF self-care. (shrink)

Background: Moral distress, defined as moral suffering or a psychological imbalance, can affect nursing students. However, many new instruments or adaptations of other scales that are typically used to measure moral distress have not been used for nursing students. Aim: This study aimed to translate, culturally adapt and evaluate the psychometric properties of an Italian version of the Moral Distress Scale for Nursing Students for use with delayed nursing students. Research design: The study used a cross-sectional research design. Participants and (...) research context: Incidental sampling resulted in a sample of 282 delayed nursing students enrolled between May and August 2020 in a University of central Italy. Ethical considerations: The research protocol was approved by the internal review board of the university, and all participants provided their written informed consent. Results: The study confirmed a multidimensional second-order factorial structure for the It-ESMEE with five dimensions: improper institutional conditions to teach user care, authoritarian teaching practices, disrespect for the ethical dimension of vocational training, lack of competence of the teacher and commitment of ethical dimension of user care. The internal consistency was high, and the standard error of measurement and smallest detectable change were adequate. Discussion: The It-ESMEE is able to assess moral distress in delayed nursing students with good validity and reliability. It can be used in research and to determine moral distress levels, helping teachers to monitor the condition in nursing students. Conclusion: This instrument can help in comprehending moral distress, enabling students to develop coping and intervention strategies to maintain their well-being, and to ensure the quality of nurse education. (shrink)

The collection and storage of human tissue samples has been present in medicine for centuries, however, biobanking has recently become a dedicated activity. The technological developments that have allowed the isolation, storage and long term viability of human cells ex vivo, and to obtain relevant scientific information, including genetic information, open tremendous possibilities for advancing biomedical research. At the same time, these possibilities have raised complex ethical issues regarding tissue donors, researchers using samples and society awareness of biobanking as a (...) whole. This article aims to review the operation of stem cell biobanks, related ethical issues and the legal framework in Spain. Special consideration will be given to the new but revolutionary appearance of induced pluripotent stem cells. Most of the topics discussed here will be in the framework of banking adult derived stem cells, which do not entail in themselves any significant ethical dilemma. (shrink)

Zahlreiche christliche Autoren der Antike stellten die Begriffe Reue und Umkehr in das Zentrum ihrer Schriften. In philosophiegeschichtlichen Betrachtungen fanden diese Reflexionen bisher wenig Aufmerksamkeit. Die Studie möchte demgegenüber die philosophiegeschichtliche Bedeutung dieser Überlegungen zum Konzept der Reue ins Bewusstsein heben. Grundlegende Thesen der frühchristlich-patristischen Schriften wie etwa die dezidierte Freiheitsanthropologie, der soteriologische Universalismus oder der theologische Kontraktualismus bildeten einen eigenständigen Ideenkomplex heraus, der sich von prä- und nichtchristlichen Philosophieschulen stark unterschied. Deren Auffassungen waren eher durch eine Abwertung des Reuebegriffs, (...) durch soteriologischen Elitismus sowie durch die Vorstellung von einem Primat der Natur und des Habitus geprägt. (shrink)

In Melanipp. PMG 762 the reading βροτῶν (v. 1) of the MSS can be retained. The god invoked as “lord of the everlasting soul” (v. 2), generally identified with Dionysus-Zagreus, can be rather recognized as the Orphic Zeus.

As the relationship between music and philosophy in Nietzsche’s thought and life continues to fascinate, new approaches to the treatment of music in Nietzsche studies have emerged which take seriously the importance of music, not only in Nietzsche’s life, but for his philosophical project as a whole. While Nietzsche’s often-quoted claim that life without music would be a mistake was once treated as a quip, the quality and breadth of the works reviewed here demonstrate that this invaluable area of Nietzsche’s (...) thought is finally receiving the rigorous treatment it deserves. The works below each offer new and valuable insights on this exciting and growing area of Nietzsche studies which aid us in understanding where to place Nietzsche’s most loved art form in the framework of his philosophy. (shrink)

Two well-known ancient witnesses report that Aristophanes of Byzantium was responsible for the arrangement of Pindar's poems into seventeen book-rolls according to lyric genres. These witnesses form fr. 381 in the edition of Aristophanes’ fragments by W.J. Slater : Vit. Pind. P.Oxy. 2438.35–9 δ]ιῄρητα̣ι̣ δὲ α̣ὐ̣τ̣[ο]ῦ̣ τ̣[ὰ ποιήματα ὑπ’ Ἀριστοφάν]ους εἰς βιβλία ιζˊ· διθ̣[υ]ρά̣[μ]βων βˊ [προσοδίω]ν̣ βˊ παιάνων αˊ πα[ρ]θεν[εί]ων γ̣ˊ [ἐπινικίω]ν̣ δˊ ἐγκωμίων αˊ ἐν [ᾧ] κα̣ὶ [σκ]όλ̣[ια ±4 ὕμ]ν̣ων αˊ ὑ[π]ορχημάτων αˊ θρ̣[ήνων.| nisi aliter ind., omnia suppl. Lobel (...) | 2 Ἀριστοφάν]ους Lobel e Vit. Pind. Vat. | 3 ἐν [ᾧ] κα̣ὶ [σκ]όλ̣[ια …. de Kreij : ἐν [ᾧ] κ[αὶ σκόλιά τινα vel ἐν [ᾧ] κ[αὶ σκόλιά ἐστι Gallo : ἐν [ᾧ] καὶ [παροίνια D'Alessio | 4 αˊ post θρ̣[ήνων coni. edd., fort. recte; an θρ̣[- βˊ?Vit. Pind. Vat. page 7.14–17 Dr. ὁ δὲ ἐπινίκιος οὗ ἡ ἀρχὴ “Ἄριστον μὲν ὕδωρ” προτέτακται ὑπὸ Ἀριστοφάνους τοῦ συντάξαντος τὰ Πινδαρικὰ διὰ τὸ περιέχειν τοῦ ἀγῶνος ἐγκώμιον καὶ τὰ περὶ τοῦ Πέλοπος, ὃς πρῶτος ἐν ῎Ηλιδι ἠγωνίσατο.A much-debated question is whether the order of the poems attested by the papyrus can be credited to Aristophanes, since an ordering principle is apparently not to be found in the list transmitted by it. Moreover, there are some disagreements with the list of Pindar's works transmitted by the Vita Ambrosiana, which is generally deemed the most authoritative catalogue of the poet's corpus, on account of its well-recognized criterion of classification: the poems are divided between those for gods and those for men, and both of these categories of songs are arranged from the most general to the most specific. This catalogue has been thought to reproduce the order established by Aristophanes in his edition of Pindar. (shrink)

The issue concerning the misery of the soul in fire was one of the most frequently discussed topics during the 13th century and the early decades of the 14th, with authors including Albert the Great, Bonaventure, Thomas Aquinas, Siger of Brabant, Theodoric of Freiberg, Giles of Rome, Matthew of Acquasparta and Dante dealing with this problem in varying degrees. The purpose of my paper is to attempt to identify the reasons underlying the importance of this topic in the writings of (...) Siger, Thomas and Albert. Indeed, behind its theological-exegetical veneer, crucial themes such as the interpretation of Aristotle’s psychology and, more generally, the compatibility between natural/peripatetic philosophy and Christian faith emerge as the underlying issues at stake. (shrink)

Depression experienced by older adults is proving an increasing global health burden, with rates generally 7% and as high as 27% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama and music modalities, are utilised internationally (...) to target depression and depressive symptoms in older adults. This includes interventions led by trained arts therapists as well as other health and arts professionals. However, to date there has not been a systematic review that reports effects and examines the processes (why) and mechanisms (how) of creative arts interventions are used to address depression in this older age group. This systematic review of studies on creative arts interventions for older adults experiencing depression examined: outcomes of four creative arts modalities (art, dance movement, drama, and music); with particular attention paid to processes documented as contributing to change in each modality; and mechanisms considered to result from these processes. Our analysis of 75 articles (17 art, 13 dance, 4 drama and 41 music) indicates mostly significant quantitative or positive qualitative findings, particularly for interventions led by creative arts therapists. Mechanisms of change gleaned from the studies that were common across modalities include physical (e.g. increased muscle strength; neurochemical effects, such as endorphin release), intra-personal (e.g. enhanced self-concept, strengthened agency and mastery; processing and communication of emotions), cultural (e.g. creative expression, aesthetic pleasure), cognitive (e.g. stimulation of memory) and social (e.g. increased social skills and connection), that were all considered to contribute to reduced depression and symptoms. Recommendations for future research include a stronger focus on testing of processes and mechanisms. (shrink)

Ercole è il mito universale della salvezza, presente in tutte le culture, dall’Etiopia all’Arabia, dall’Egitto alla Mauritania, da Cartagine alla britannica Oggia (una gigantesca incisione dell'età del ferro lo disegna sull'intero ...

Navigating the tension between moral virtue and realism in a ruler’s effort to preserve power, Justus Lipsius’ Politicorum libri sex (1589) was a foundational text in Catholic reason of state, but its ambiguous form and content leave it open for interpretation. The present article shows how in his Italian translation, the Ferrarese secretary and scholar Ercole Cato offers an individual reading of the Politica, transforming it to underline its usefulness and enhance its orthodoxy. Through a creative use of examples (...) from ancient and modern history, Cato presented Lipsius’ political prudence as one that rejected political calculation without virtue, and placed in direct dialogue with contemporary political events. This article argues that in reshaping and expanding the Politica, Cato presented his own intervention in the debate on Catholic reason of state, and it suggests that translators like Cato should be taken seriously as active and inventive participants in early modern political languages. (shrink)

La criatura viva más grande de la tierra es la Tierra. La hemos visto en las fotografías: esfera de zafiro entre vellones blancos y relucientes casquetes blancos en sus polos. La nueva noción de Gaia -una Tierra viviente. El planeta Tierra, un solo ser vivo todo él. Lo era mucho antes que en su superficie hubiera «vida». No hay donde vivir sino en el cielo, así pues, salido de la región ecuatorial del sol se hizo redondo para girar. Ser vivo (...) que no necesitaba piernas ni brazos ni boca ni ano .. (shrink)

This research analyzes the theoretical answer received by one of the factors that cause the so-called Price Revolution in Europe during the 16th and 17th centuries, specifically the aspect related to the alterations in the monetary values ​​of pieces of vellón and silver in Castile and England. In both countries, these episodes were rigorously analyzed from a theoretical point of view, as can be seen from the study of the monetary ideas of the period that were developed in these territories. (...) In this study, in light of the historical events that took place, we analyze the foundations of the monetary thought of Juan de Mariana and John Locke who oppose the the alteration of money by the sovereign for fiscal reasons, as well as their different reception. (shrink)

Este trabajo presenta con bastante detalle y examina críticamente las posturas historiográficas de dos intelectuales que vivieron en la primera mitad del siglo XX: Francesco Ercole y Bruno Nardi. Estos intelectuales italianos, especialistas en el pensamiento de Dante Alighieri y en particular en su filosofía política, desarrollaron sus respectivos análisis estudiando la articulación entre dos conceptos esenciales en la elaboración de las teorías políticas que surgieron entre el siglo XIII y XIV en el Occidente Latino. En efecto, esas nociones (...) son “naturaleza” y “fin”. Uno de los objetivos de este artículo es mostrar que, en el marco de la teoría política presentada por Dante en Monarchia y Convivio, la operatividad de estas ideas resulta fundamental para definir en qué consiste la autonomía de una comunidad respecto de los poderes políticos con los que se relaciona. (shrink)