Clinical and Care Bioethics Committees at Public and Private Healthcare Institutions of Medium and High Complexity Levels in Cities of the Atlantic Coast of Colombia Comitês de Bioética clínico-assistencial nas instituições de saúde públicas e privadas dos níveis de média e alta complexidade das cidades da Costa Atlântica da Colômbia Care bioethics committees are interdisciplinary groups engaged in providing education to members of said committees, all the staff in the hospital —including professors and students in their internship—, and members of (...) the community. The objective of this study is to determine the situation of clinical and care bioethics committees at healthcare institutions in the Atlantic Coast of Colombia between 2010-2016. The study is cross-sectional, descriptive, and retro-prospective. Twenty-six health institutions that met the inclusion criteria were selected and administered a semi-structured survey. The statistical software SPSS version 22 was used to analyze the information. This study adhered to ethical research guidelines. The name most commonly given to committees is Hospital Ethics Committee. Only half have staff trained in ethics or bioethics and the most outstanding function is education in ethics; however, in the same percentage there are committees whose opinion is divided as their operation is unclear. Committees should follow existing ethical and bioethical models, and bills should be brought forward to help committees at healthcare institutions become more effective as regards their structure and operation. Para citar este artículo / To reference this article / Para citar este artigo Carrillo González S, Lorduy-Gómez J, Muñoz-Baldiris R. Comités de Bioética Clínico-Asistencial en las instituciones de salud públicas y privadas de los niveles de mediana y alta complejidad de las ciudades de la Costa Atlántica de Colombia. Pers Bioet. 2019; 23: 122-136. DOI: https://doi.org/10.5294/pebi.2019.23.1.8 Recibido: 23/08/2018 Aceptado: 25/02/2019. (shrink)
A surgical instrumentation professional is an active member of the surgical team whose essence and formal objective is to maintain life with all the respect and dignity inherent in the human being. The actions of these professionals must be accompanied in a consistent way, so as to protect and preserve life, and thus give meaning to illness, suffering and pain. The objective of this descriptive and cross-sectional study of a prospective nature is to determine what the surgical instrumentation professional knows (...) about bioethical principles and values in light of Colombian Law 1164/ 2007. The target population included surgical instrumentation professionals in the city of Cartagena, specifically, from three health institutions. It was found that veracity, equality and beneficence are the ethical and bioethical principles these professionals know and apply. Those known the least are lesser evil, doing no harm, totality and the principle of the cause of double effect. The values applied the most are: humanity, dignity, responsibility, prudence and confidentiality. It was concluded that the vast majority of surgical instrumentation professionals who were surveyed apply ethical principles and values in their professional practice, but they are unable to name them or to define what they mean. It is suggested the academic community do more to delve into these issues in order to strengthen them for the sake of achieving a comprehensive level of care. (shrink)
This article analyzes the relation of the epistemological beliefs of students and teachers and the actions deployed in the classroom. The framework is the study of personal epistemology, which was developed, among other researchers, by Hofer, Pintrich and Schommer. The research method was, within the qualitative paradigm, through case studies, given the interest in describing the phenomenon in a specific scenario. The results show the epistemological beliefs of teachers and students, the events that make them evident and its relationship with (...) the behaviors shown in the classroom. The role of pedagogical beliefs as mediation between personal epistemology of educational actors and their practice are described and, finally, the relation between beliefs and educational practice is illustrated by analyzing specific class events and the justification expressed by teachers and students about their actions in the classroom. (shrink)
Tras recordar la intensa labor intelectual desarrollada por José Gómez Caffarena, se analizan la estructura y tesis fundamentales de su obra El enigma y el misterio. Una filosofía de la religión. A las consideraciones sobre la historia y estructura del hecho religioso se agrega un amplio estudio sobre las diversas posiciones ante lo religioso, conforme a una triple tipología inspirada en Dilthey, para articular finalmente una elaborada propuesta sobre la plausibilidad filosófica de la fe en Dios, en la que se (...) abordan muy diversos problemas de la filosofía de la religión . Con un sólido conocimiento de la tradición escolástica y de la filosofía moderna , Caffarena ofrece una sobria y matizada propuesta en la que defiende la posible conjugación de las cautelas de la razón con el aliento de la esperanza. (shrink)
Gomez, Cristina Lledo This article explores the idea that motherhood is an invitation to engage with the paschal mystery and can thus be a salvific experience in the lives of women. This is of even greater significance for a Christian mother who can explicitly name the experience as her own sharing in the paschal event of Jesus. This article will focus on crisis moments of motherhood in a contemporary Western context, exploring particularly the issues raised in first becoming a (...) mother, and on the initial years of motherhood. (shrink)
Paulo Freire consistently upheld humanization and mutuality as educational ideals. This article argues that conceptualizations of knowledge and how knowledge is sought and produced play a role in fostering humanization and mutuality in educational contexts. Drawing on Mary Shelley?s novel Frankenstein, this article focuses on the two central characters who ?ardently? pursue knowledge at all costs. It will be argued that the text suggests two possible outcomes from the pursuit of knowledge. One is mutuality; the other is social disconnectedness.
Abstract: I address the issue of how pretence emerged in evolution by reviewing the (mostly negative) evidence about pretend behaviour in non-human primates, and proposing a model of the type of information processing abilities that humans had to evolve in order to be able to pretend. Non-human primates do not typically pretend: there are just a few examples of potential pretend actions mostly produced by apes. The best, but still rare, examples are produced by so-called 'enculturated' apes (reared by humans) (...) and among them specially those that have been systematically trained to use symbols (so-called 'linguistic' apes). A hypothesis that would explain the lack of pretence in apes is that they lack the mentalistic ability of theory of mind. However, in the last years apes have been demonstrated to possess relatively sophisticated social cognitive skills, some of them ontogenetically appearing in humans alongside with or even after pretend play. As a solution to the paradox, I discuss a model according to which pretence is supported by a mechanism capable of computing intentional relations with non-existing objects or properties (Intentional non-existence), as opposed to mechanisms computing intentional relations with existing, although not necessarily currently perceived, objects (Intentional availability). Apes possess the latter, which allows them to solve a variety of theory of mind tasks, but not the former, which typically prevents them from developing pretence. (shrink)
The Freud Wars offers a comprehensive introduction to the crucial question of the justification of psychoanalysis. Part I examines three powerful critiques of psychoanalysis in the context of a recent controversy about its nature and legitimacy: is it a bankrupt science, an innovative science, or not a science at all but a system of interpretation? The discussion makes sense of the entrenched disagreement about the validity of psychoanalysis, and demonstrates how the disagreement is rooted in the theoretical ambiguity of the (...) central concept of psychoanalysis, the unconscious. This ambiguity is then presented as the pathway to a new way of understanding psychoanalysis, based on a mode of thinking that precedes division into mental and physical. The reader is drawn into a lively and thought-provoking analysis of the central issues: · What would it mean for psychoanalysis to count as a science? · Is psychoanalysis a form of hermeneutics? · How can mental and physical explanations coincide? Part II contains the source material for Part I: the influential critiques of psychoanalysis by Adolf Grünbaum, Thomas Nagel and Jürgen Habermas. No specialised knowledge is assumed, and the book is clear and accessible while still conveying the complexity and richness of the subject. It provides a fascinating introduction to philosophical thinking on psychoanalysis for students and practitioners of psychoanalysis, psychotherapy and philosophy. (shrink)
In this paper we present a semantic analysis of the application of didactic constructivism to chemical education. We show that the psychological basis of constructivism yield, when applied to chemistry, an internalist semantics for the chemical names. Since these names have been presented as typical examples of an externalism for kind terms, a fundamental incompatibility ensues. We study this situation, to conclude that it affects chemical education at every level. Finally, we present a preliminary analysis of this problem from the (...) point of view of physics. (shrink)
Beltrami's first allegedly true interpretation of lobachevsky's geometry can be conceived as (i) pursuing a kantian program insofar as it shows that all the geometrical lobachevskian concepts are constructible in the euclidean space of our human representation, And (ii) proving, Even to kant, That a non-Euclidean geometry is not only logically possible (something that kant never denied) but also mathematically acceptable from a kantian point of view (something that kant would have accepted only after beltrami's interpretation).
This paper reports a longitudinal study on the ontogeny of triadic cooperative interactions in a hand-reared lowland gorilla from 6 months to 36 months of age. Using the behavioural categories developed by Hubley and Trevarthen to characterize the origins of “secondary intersubjectivity” in human babies between 8-12 months of age, I chart the emergence of comparable coordinations of gestures and actions with objects and acts of dyadic communication. The findings show that the categories and concepts of secondary intersubjectivity are applicable (...) to the gorilla, who engages with people in cooperative actions with objects. The ontogeny of triadic interaction in the gorilla was very similar to that described in human infants, but more extended in time and with some peculiarities, such as the absence of pointing and showing gestures, some of whose functions might be taken over by contact gestures which in human infants may appear later in development. The results do not support claims of human uniqueness in the development of cooperative action, but suggest a heterochrony in some aspects of the ontogeny of triadic interactions leading to a divergence between gorilla and human infants within secondary intersubjectivity. (shrink)
In this work, we examine the debate over thecommodification of agricultural germplasm in Mexico using aneo-Marxist theoretical framework. Specifically, we examine Mexico's movement away from a ``Farmers' Rights'' framework, whichtreats germplasm as a ``common good'' towards the passage of theMexican Federal Law on Plant Varieties, which sees germplasm as acommodity. In order to understand this legal change, the recenthistory of this discourse in Mexico is examined. Usingtheoretical insights based in an analysis of this discourse, weexamine the ideological elements of this (...) debate. It is arguedthat an international hegemonic bloc has arisen to address thisissue, superceding the bounds of any single state entity andfunctioning through the international bodies of free trade.Taking the Mexican state to be relatively autonomous fromcapital, we argue that the hegemonic bloc influenced the changein Mexican policy. We conclude with a discussion of the possibleeffects of this legal change in Mexico. (shrink)
The aim of this paper is to prove how what is apparently a mistake made by Plutarch, wheter deliberate or not, in his reference to the arson attack of Caesar´s soldiers in Alexandria as the end of the famous Library, show us the common sense of the term “bibliotheke” from that time up to now. Coming to this conclusion has required a detailed analysis of the Library of Alexandria since its birth applying Aristotelian doctrine to its configuration not only as (...) an organized space for books but also as an imaginary reading room from which the helenistic world of relations is established. In a second approach, we focus the attention on the change occurred in this collection with the introduction of alphabetical order and, then, with the philological activity of Callimachus. As a result of his Pinakes, the platonic concept of daimon, “guide”, became the first characteristic o a philologist or librarian. Using the information ordered in the Pinakes anybody could be a librarian and find a library anywhere. The old megále bibliotheke of Alexandría remains only with the idea of the conservation of original papyrus. This is de reason of the enigmatic sentence of Plutarch announcing the end of this situation caused by the action of the fire. (shrink)
On the basis of Eugen Fink’s insistence that the true contribution of Kant’s transcendental dialectic is that its treatment of the problem of totality reveals the concept ‘totum’ to be a masking of the nothing, our aim is to highlight that the theory of sexual relation introduced by Lacan in his Seminar Encore –and in general his turn to the real from the 1960 onwards– presents a group of features that make clear its Kantian affiliation. The particular analysis of the (...) logic of illusion contained in Lacan’s formulas of sexuation entail the exposure of three nothings: the impossibility of the sexual relation, the non-existence of The woman, and the absence of the Other of the Other. (shrink)
This book presents a historical perspective on patterns of human rights abuse in Cuba, El Salvador and Nicaragua and incorporates international relations in to the traditional theories of state repression found within the social sciences.
Background Even though we are now well into the 21st century and notwithstanding all the abuse to individuals involved in clinical studies that has been documented throughout History, fundamental ethical principles continue to be violated in one way or another. Discussion Here are some of the main factors that contribute to the abuse of subjects participating in clinical trials: paternalism, improper use of informed consent, lack of strict ethical supervision, pressure exerted by health institutions to increase the production of scientific (...) material, and the absence of legislation regarding ethics in terms of health care and research. Are researchers ready to respect fundamental ethical principles in light of the ample window of information provided by individual genomes, while defending the rights of the subjects participating in clinical studies as a major priority? Summary As one of the possible solutions to this problem, education regarding fundamental ethical principles is suggested for participants in research studies as an initial method of cognitive training in ethics, together with the promotion of ethical behavior in order to encourage the adoption of reasonable policies in the field of values, attitudes and behavior. (shrink)
This chapter explores the impact of Ralph Waldo Emerson on Latin American philosopher José Ingenieros. The chapter maintains that this impact is crucial because it aids in understanding and appreciating Ingenieros and his moral philosophy and it has never before been explored. However, for over a hundred years, this unique connection has been hiding a link between Latin American philosophy and American pragmatism.
Después de la publicación de su tesis doctoral titulada La acción (1893), el filósofo francés Maurice Blondel escribió algunas obras en las que trató asuntos de enorme importancia, tanto en el campo filosófico como teológico, que desarrollaron las temáticas centrales de La acción, obra que a finales del siglo XIX generó tanto revuelo en el ambiente filosófico francés. Con la conciencia de su actualidad y su inmenso valor para una perspectiva novedosa de la metafísica y el diálogo fe-razón, se pretende (...) aquí una aproximación a cuatro obras que los estudiosos del pensamiento blondeliano han llamado “menores”. El presente artículo desarrolla los principales aportes de dichas obras a la reflexión filosófica contemporánea, indagando al mismo tiempo por la filosofía de la acción en cada una de ellas. Después de una corta biografía del pensador en cuestión, se abordará el significado de la filosofía de la acción con vistas a su elucidación para el lector. Posteriormente se presentará el contexto histórico de cada obra y se mostrarán sus vínculos con La acción, para terminar con algunas reflexiones que su lectura suscita en nuestro tiempo, cuyos desafíos son similares a los que Blondel tuvo que enfrentar en su momento. (shrink)
This commentary criticizes nonverbal methods of assessing theory-of-mind on the basis of prior training of the critical response because they would encourage simple, nonmentalistic, associative solutions even in subjects with mentalistic capacities. I propose instead a new experimental paradigm based upon the use of spontaneous responses in less artificial situations. This method has already provided positive evidence of some level of ToM understanding in nonhuman primates.
La tolerancia es un valor que se puede entender como inclusión entusiasta del otro en el propio mundo. Partimos de esta visión, resaltando que, desde ella, ser tolerante requeriría tener la capacidad y la posibilidad de escuchar. Aludimos, en este sentido, tanto a una disposición interior del s..
Nuestro propósito aquí es el de dar cuenta, de un modo sumario, de la figura de Abu Bakr Zakariyya al-Razi (el Rhazes de los latinos) y los posibles orígenes de su pensamiento, así como presentar la originalidad de su pensamiento filosófico en el contexto de su tiempo y su cultura.