BackgroundComorbidity between diabetes mellitus and depression is highly prevalent. The risk of depression in a person with diabetes is approximately twice that of a person without this disease. Depression has a major impact on patient well-being and control of diabetes. However, despite the availability of effective and specific therapeutic interventions for the treatment of depression in people with diabetes, 50% of patients do not receive psychological treatment due to insufficient and difficult accessibility to psychological therapies in health systems. The use (...) of information and communication technologies has therefore been proposed as a useful tool for the delivery of psychological interventions, but it continues to be a field in which scientific evidence is recent and controversial. This systematic review aims to update the available information on the efficacy of psychological interventions delivered through ICTs to improve depressive symptomatology in patients with diabetes.MethodsA systematic review of the literature was performed following the PRISMA guidelines and using MEDLINE, Embase, PubMed, Web of Science, PsycINFO, Scopus, and Cochrane Library databases to search for randomized clinical trials of eHealth treatments for patients with diabetes and comorbid depression from 1995 through 2020. In addition, studies related to follow-up appointments were identified. Inclusion criteria were as follows: randomized clinical trials ; patients with type 1 and type 2 diabetes; adult population over 18 years of age; presence of depressive symptomatology assessed with standardized instruments; treatments for depression based on established psychotherapeutic techniques and principles; delivered through eHealth technologies. We did not limit severity of depressive symptomatology, delivery setting or comparison group. Two coauthors independently reviewed the publications identified for inclusion and extracted data from the included studies. A third reviewer was involved to discuss discrepancies found. The PEDro scale was used to assess the quality of the RCTs. No meta-analysis of the results was performed. The protocol used for this review is available in PROSPERO.ResultsThe initial search identified 427 relevant scientific publications. After removing duplicates and ineligible citations, a total of 201 articles were analyzed in full text. Ten articles met the criteria of this review and were included, obtaining very good scientific quality after evaluation with the PEDro scale. The main results show that the eHealth psychological intervention for depression in patients with diabetes showed beneficial effects both at the end of treatment and in the short and long term for the improvement of depressive symptomatology. The methodology used was very heterogeneous. However, all studies were based on cognitive-behavioral tools and used standardized assessment instruments to evaluate depressive symptomatology or diagnosis of MDD. Glycemic control was assessed by glycosylated hemoglobin, but no benefits were found in improving glycemic control. Only four studies included psychoeducational content on diabetes and depression, but none used tools to improve or enhance adherence to medical prescriptions or diabetes self-care.ConclusionsICT-based psychological interventions for the treatment of depression in people with diabetes appear to be effective in reducing depressive symptomatology but do not appear to provide significant results with regard to glycemic control. Nonetheless, the scientific evidence reported to date is still very limited and the methodology very diverse. In addition, no studies have implemented these systems in routine clinical practice, and no studies are available on the economic analysis of these interventions. Future research should focus on studying and including new tools to ensure improvements in diabetes outcomes and not only on psychological well-being in order to advance knowledge about these treatments. Economic evaluations should also be undertaken to analyze whether these treatment programs implemented using eHealth technologies are cost-effective. (shrink)

ABSTRACT:I contrast an ecological account of natural agency with the traditional Cartesian conception using recent research in bacterial cognition and cellular decision making as a test case. I argue that the Cartesian conception—namely, the view that agency presupposes cognition—generates a dilemma between mechanism, the view that bacteria are mere automata, and intellectualism, the view that they exhibit full-blown cognition. Unicellular organisms, however, occupy a middle ground between these two extremes. On the one hand, their capacities and activities are too adaptive (...) to count as mere machines. On the other hand, they lack the open-ended responsiveness of cognitive agents to rational norms. An ecological conception of agency as the gross behavioral capacity to respond to affordances, I argue, does not presuppose cognition and allows for degrees of agency along a continuum, from the simplest adaptive agents, such as unicellular organisms, to the most sophisticated cognitive agents. Bacteria, I conclude, are adaptiveagents, hence not mere automata, but notcognitiveagents. (shrink)

The theory of the four stages happens to be a conjectural history with which the evolutionary interpretation of the process of civilization began, especially dynamic in the Scottish Enlightenment. The incidence in England and France of the work of the Jesuit J. de Acosta up to the English and Scottish Enlightenment is addressed, paying special attention first to the English translation by E. Grimstone, based on the French version by R. Regnault. Likewise, the use of Acosta is examined in detail (...) in a French political encyclopedia widespread in Europe, translated into several languages, also by Grimstone into English. Finally, the original components of the theory of the four stages in Acosta and D'Avity are examined, in its three Spanish, French and English versions as precursors of anthropological theory. (shrink)

El artículo analiza algunos aspectos de la comunicación política tomando como referencia las elecciones generales españolas de 1996, a fin de reflexionar sobre la eficacia de la Comunicación Política aplicada y sus riesgos en una sociedad democrática. Retórica y democracia van juntas por cuanto la retórica es el arte de la palabra y la palabra es consustancial a la democracia. El problema es que la palabra ha de entenderse hoy como el resultado de un uso científicamente programado de la comunicación (...) que afecta profundamente el discurso clásico de la política. (shrink)

Understanding the changes in our language abilities along the lifespan is a crucial step for understanding the aging process both in normal and in abnormal circumstances. Besides controlled experimental tasks, it is equally crucial to investigate language in unconstrained conversation. I present an information-theoretical analysis of a corpus of dyadic conversations investigating how the richness of the vocabulary, the word-internal structure, and the syntax of the utterances evolves as a function of the speaker's age and sex. Although vocabulary diversity increases (...) throughout the lifetime, grammatical diversities follow a different pattern, which also differs between women and men. Women use increasingly diverse syntactic structures at least up to their late fifties, and they do not deteriorate in terms of fluency through their lifespan. However, from age 45 onward, men exhibit a decrease in the diversity of the syntactic structures they use, coupled with an increased number of speech disfluencies. (shrink)

Fodor argue that Darwinism cannot be true on the grounds that there are no laws of selection to support counterfactuals about why traits are selected-for. Darwinian explanations, according to this objection, amount to mere ‘plausible historical narratives’. I argue that the objection is predicated on two problematic assumptions: A nomic-subsumption account of causation and causal explanation, and a fine-grained view of the individuation of selected-for effects. Against the former, I argue that Darwinian explanations are a historical species of mechanistic explanation (...) and that mechanisms are causally productive and counterfactual supporting in the absence of appropriate laws. Once this mechanistic framework is in place, the demand for laws of selection vanishes and the historical cum causal coherence of Darwinism is restored. As for the second assumption, I argue that it is an artefact of the teleosemantic program with no basis in evolutionary biology and that properly understood, Darwinian evolutionary biology shows just why teleosemantics cannot succeed. (shrink)

What is natural selection? I address this question by exploring the relation between two debates: Is natural selection a mechanism? Is natural selection a causal or a statistical theory? I argue that the first can be assessed only relative to a model and that, following the second, there are two fundamentally different and independent kinds of models, Modern-Synthesis and Darwinian models. MS-models, I argue, are not mechanistic even if they are causal. D-models, in contrast, are mechanistic. A causal-mechanistic interpretation of (...) D-models is thus compatible with a statistical interpretation of MS-models. Natural selection, I conclude, lacks a single, unifying nature. (shrink)

The finding of fractal scaling (FS) in behavioral sequences has raised a debate on whether FS is a pervasive property of the cognitive system or is the result of specific processes. Inferences about the origins of properties in time sequences are causal. That is, as opposed to correlational inferences reflecting instantaneous symmetrical relations, causal inferences concern asymmetric relations lagged in time. Here, I integrate Granger-causality with inferences about FS. Four simulations illustrate that causal analyses can isolate distinct FS sources, whereas (...) correlational techniques cannot. I then analyze three simultaneous sequences of responses from a database of word-naming trials. I find that two, or perhaps three, distinct sources account for the presence of FS in these sequences, but FS is not a general property of the system. This suggests that FS arises due to the properties of a limited number of identifiable psychological and/or neural processes. Finally, I reanalyze a previously published dataset of acoustic frequency spectra using the new tools. The causality/criticality combination introduced here offers a new important perspective in the study of cognition. (shrink)

Edith Stein (1891-1942) is a clear example of a philosopher, since she dedicated her entire life and effort to the conquest of Truth, of Being. The path she follows begins with her personal experience and her desire to find an answer to the existence of man. In phenomenology, she will find a means of confronting reality, free of prejudices. During her intellectual and existential journey, she meets a God that becomes living experience and quenches her thirst for Truth. She completes (...) her contemplation of the philosophical being by means of a mystic contemplation of Being. Her philosophical activity is a road that leads “from finite being to eternal being”. (shrink)

This work studies an artistic way of narrating an exile without having to resort to direct words such as violence or crime. Max Aub, a Spanish exile in Mexico, published his personal magazine Sala de Espera in Aztec lands. In the section called “Zarzuela,” he compiled a series of short stories entitled Crímenes, which later, for its edition in book format, he called Crímenes ejemplares. The short stories are a series of humorous confessions about various types of murders narrated by (...) the "murderers," so that they seem real testimonies. Throughout the three editions of this book, during Aub's lifetime, the author incorporated a series of "clues" in the paratexts with the aim of referring to the social phenomena of the time, especially those related to the situation with the Franco regime, the Cold War —historical context of the time of Aub's exile in Mexico— and the events that would take place in Mexico and Paris in 1968. For example, this last nod to the violent events of that summer of 68 is represented with a painting that evokes the French gang Bonnot, dedicated to bank robberies to destabilize the economy of the richest. This is an example of how the writer related the fiction of the crimes to real events, in such a way that a kind of dilution between the real and the imaginary arises. (shrink)

Este artículo propone una lectura analítica de la novela Jinete a pie, de Israel Centeno, que forma parte del grupo de obras, publicadas en los últimos años, que vislumbran un futuro distópico para Venezuela. Inicialmente se repasa el origen de la distopía como género literario y sus antecedentes utópicos, así como el auge de la novela distópica venezolana en el siglo xxi; luego se estudian las características de Jinete a pie, para analizar la construcción de una distopía que remite a (...) una Caracas arrasada por la violencia y su relación con el contexto venezolano actual. (shrink)

A testament of love and philosophy through the relations with artificial intelligence and comparing the Robot “Murry” to human life.

A testament of love and philosophy through the relations with artificial intelligence and comparing the Robot “Murry” to human life.

This paper presents a comprehensive review of the African cultural philosophy. The aim of the study is to focus on identifying the elements present in the African ontology and epistemology which may contribute towards the consecution of a harmonious coexistence in the increasing plurality of today society. Based on an understanding of reality in which everything dwells in complementarity, interdependence and mutuality, the African worldview approaches difference and particularity as opportunities for mutual growth and cooperation. The acknowledgement of such an (...) intimate mutual relatedness among all human groups which form a given society is the African key to understand the process towards coexistence. This sheds light on the understanding of social dialogue, the peacebuilding processes, and the means for the resolution of conflicts. (shrink)

The finding of fractal scaling (FS) in behavioral sequences has raised a debate on whether FS is a pervasive property of the cognitive system or is the result of specific processes. Inferences about the origins of properties in time sequences are causal. That is, as opposed to correlational inferences reflecting instantaneous symmetrical relations, causal inferences concern asymmetric relations lagged in time. Here, I integrate Granger‐causality with inferences about FS. Four simulations illustrate that causal analyses can isolate distinct FS sources, whereas (...) correlational techniques cannot. I then analyze three simultaneous sequences of responses from a database of word‐naming trials. I find that two, or perhaps three, distinct sources account for the presence of FS in these sequences, but FS is not a general property of the system. This suggests that FS arises due to the properties of a limited number of identifiable psychological and/or neural processes. Finally, I reanalyze a previously published dataset of acoustic frequency spectra using the new tools. The causality/criticality combination introduced here offers a new important perspective in the study of cognition. (shrink)

In his Twentieth-Century American Philosophy Through Nineteen Portraits, Dr. Maior S. Kelner plumbs original sources to create biographical sketches, in philosophical and historical context, of the 19 greatest contributors to the development of philosophy in the twentieth century United States.The volume consists of 18 author's sheets, with a table of contents, a foreword, six chapters, explanatory notes, an epilogue, a selective bibliography. It is intended for philosophers, historians, and those interested in cultural history, and may be used as a textbook (...) on the history of American philosophy. (shrink)

The European demand for platina in the late eighteenth and early nineteenth centuries could not be met by the Spanish authorities who only authorized limited exports of the mineral, approximately 267 kg between 1750 and 1804. The lack of an adequate commercial structure generated direct trade between Latin America and Europe, particularly England. This article is an attempt to analyse and to quantify the three European sources of platina: exports from Spain, shipments of platina consigned by European travellers, and direct (...) trade. The reasons for the latter are studied, exemplified by the Wollaston case, and legal and direct trade are compared. (shrink)