Renal replacement therapy is the indicated treatment for individuals with chronic kidney disease (CKD) to survive. However, not all sick people have access to the same treatment. This study compares renal care in two developing countries with different health systems. Specifically, it explores hemodialysis treatment from the perspective of low‐income individuals. A qualitative, comparative study was performed in Brazil and Mexico. Using purposive sampling, the research was based on open‐ended interviews with nineteen participants with kidney failure undergoing hemodialysis treatment in (...) public hospitals and ten relatives. According to our results, Brazilian participants perceived hemodialysis care as satisfactory because of health personnel courtesy as well as free access to dialysis treatment, prescription drugs, hospitalization and transportation. However, they reported deficiencies in the care they were receiving due to shortages of specialists, prescription drugs, laboratory tests and transportation. Mexican participants, in contrast, highlighted the catastrophic costs of medical care because they had no free access to renal therapy, nor adequate financial resources. Our findings suggest that low‐income Brazilian CKD sufferers experience renal care differently, as they are more satisfied and face less obstacles with hemodialysis compared with those of Mexico. More studies on the topic are needed. (shrink)

In philosophy of science, abstraction tends to be subsumed under representation, often being described as the omission of a target’s features when it is represented. This approach to abstraction sidesteps cognitive aspects of abstraction processes. However, cognitive aspects of abstraction are important in understanding the role of historically grounded epistemic criteria supporting modeling in science. Drawing on recent work on the relation between metaphor and abstraction, we introduce the concept of paths of abstraction, and use historical and contemporary examples to (...) point to their role in guiding the development of relevance criteria which support modeling strategies in science. (shrink)

Despite the salient experience of encoding threatening events, these memories are prone to distortions and often non-veridical from encoding to recall. Further, threat has been shown to preferentially disrupt the binding of event details and enhance goal-relevant information. While extensive work has characterised distinctive features of emotional memory, research has not fully explored the influence threat has on temporal memory, a process putatively supported by the binding of event details into a temporal context. Two primary competing hypotheses have been proposed; (...) that threat can impair or enhance temporal memory. We analysed two datasets to assess temporal memory for an in-person haunted house experience. In study 1, we examined the temporal structure of memory by characterising memory contiguity in free recall as a function of individual levels of heart rate as a proxy of threat. In study 2, we replicated marginal findings of threat-related increases in memory contiguity found in study 1. We extended these findings by showing threat-related increases in recency discriminations, an explicit test of temporal memory. Together, these findings demonstrate that threat enhances temporal memory regarding free recall structure and during explicit memory judgments. (shrink)

Radical enactivism supports radical embodied cognition (REC), which is the idea that basic or fundamental cognition (perception and action) does not need to be understood in representational, contentful terms. REC departs from the idea that the mind can be naturalized through biological functions, but rejects the idea that mental content, which is understood as having a representational nature, can be naturalized. For REC, the natural origins of content (or NOC) is a program based on the following hypothesis: first, we depart (...) from basic cognitive processes that are target-based and guided by an Ur-intentionality or directedness toward the world, and then sociality enters in the picture when language appears into the scene, allowing for establishing full-blown semantic content in which that content is about worldly states of affairs. Here, we are going to focus on the phenomenon of directedness since there are blind spots in this picture: as many authors claim, REC takes Ur-intentionality as the starting point, but there is simply no explanation to date of how this directedness or Ur-intentionality is established. Therefore, how could we account for Ur-intentionality? How does this kind of intentionality emerge? We believe that we can answer this question if we invoke the best scientific evidence from ecological perceptual learning especially in regard to the role of the environment and the information for perceiving affordances in our learning processes. This allows us to offer an answer to the question of how the most basic form of cognition (Ur-intentionality or directedness) emerges in nature. (shrink)

En este artículo se investiga la índole y supuestos filosóficos básicos de dos perspectivas metafísicas y epistemológicas contrapuestas en torno a la célebre prueba ontológica de la existencia de Dios. Tales perspectivas son, por un lado, la esencia lista o realista fenomenológica, para la que, por admitir la objetividad y trascendencia de las llamadas "cualidades eidéticas necesarias", la prueba es válida y concluyente; por otro, la perspectiva existencialista o conceptualista, que, al negar tal objetividad y trascendencia, rechaza la validez de (...) la prueba. De este modo, la posición ante este problema metafísico fundamental puede constituir un criterio básico de diferenciación entre defensores y detractores del célebre argumento anselmiano. (shrink)

Nuestra intención en este artículo es exponer la concepción berkeleyana entorno al tan debatido problema de la filosofía de la modernidad que concierne a la relación, conocimiento y exterioridad. Éste constituye, en efecto, núcleo esencial de las filosofías de autores tan representativos de la época como Locke, Hume, Condillac y el propio Berkeley, entre otros. No obstante, la singularidad del planteamiento berkeleyano al respecto es tal, que bien merece por nuestra parte una reflexión antenta y por separado. Además, la influencia (...) que su aportación peculiar ejerció sobre determinados filósofos, como, por ejemplo, Condillac y Kant, y a través de ellos sobre buena parte de la filosofía posterior fue de tal índole, que sin el cabal conocimiento de ella no podría entenderse la relevancia y significación del idealismo gnoseológico en sus diferentes tipos y modalidades. En una primera sección, meramente introductoria, acometemos la exposición de la metafísica de Berkeley, destacándose sobre todo su teoría del inmaterialismo ; con ello se pretende subrayar en principio el carácter peculiar que forzosamente habrá de presentar su concepción de lo externo. El tratamiento de ésta constituye propiamente el contenido de la segunda sección, en la que, además de la identificación entre contenido sensible y realidad y de la apelación a la instancia divina como garante último de ésta, se destaca el papel preponderante que desempeña el sentido del tacto en el proceso de aprehensión de la exterioridad. (shrink)

Nuestra pretensión en este artículo es modesta: nos proponemos únicamente poner de relieve el doble sentido de los términos "idea" y "sensación" en la filosofía de los siglos XVII y XVIII. Como es sabido, ambos términos constituyen, respectivamente, el núcleo esencial del racionalismo y el empirismo. La idea para el primero y la sensación para el segundo se erigen ciertamente en piezas gnoseológicas clave sin las cuales ni uno ni otro podrían ser cabalmente comprendidos.

In consciousness studies there is a growing tendency to consider experience as (i) fundamentally affective and (ii) deeply interlinked with interoceptive and homeostatic bodily processes. However, this view still needs further development to be part of any rigorous theory of consciousness. To advance in this direction, we ask: (1) is there any affective type that is always present in consciousness?, (2) is it related to interoception and homeostasis?, and (3) what are its properties? Here we analyse and compare Jim Russell's (...) core affect and Thomas Fuchs' concept of vitality, and propose a more encompassing notion that subsumes both: continuous organismic sentience. It provides affirmative answers to questions 1 and 2, and, regarding question 3, a preliminary list of thirteen properties divided into ontological, phenomenological, and functional categories. This is the first of a series of studies that will systematically address different notions of a fundamental, homeostatically-rooted affective type, to achieve a rigorous, unified concept for consciousness science. (shrink)

Despite the increase in global research on health inequalities, more needs to be done to strengthen efforts to inform local interventions. In this article, we ask what determines the local capacity to engage in research on health inequalities. A bibliometric analysis identified Spain as the 10th highest global contributor to this research field (1966–2015), yet a significant proportion of this production was affiliated to just a few institutions in Barcelona. How and why has the city produced so much health inequalities (...) research over four decades? A realist explanatory case study was conducted to test and refine six causal mechanisms, and identify the contextual conditions that might have activated them to generate this outcome. Data was triangulated from 10 semi-structured interviews, and scientific and grey literature. Our findings confirmed that several of our proposed mechanisms - functioning under certain conditions over time - explain the large volume of health inequalities research in Barcelona. Based on these findings, key lessons from the city's experience are suggested. Further research is needed on this topic. (shrink)

Localization Wireless Sensor Networks (WSN) represent a research topic with increasing interest due to their numerous applications. However, the viability of these systems is compromised by the attained localization uncertainties once implemented, since the network performance is highly dependent on the sensors location. The Node Location Problem (NLP) aims to obtain the optimal distribution of sensors for a particular environment, a problem already categorized as NP-Hard. Furthermore, localization WSN usually perform a sensor selection for determining which nodes are to be (...) utilized for maximizing the achieved accuracy. This problem, defined as the Sensor Selection Problem (SSP), has also been categorized as NP-Hard. While different metaheuristics have been proposed for attaining a near optimal solution in both problems, no approach has considered the two problems simultaneously, thus resulting in suboptimal solutions since the SSP is biased by the actual node distribution once deployed. In this paper, a combined approach of both problems simultaneously is proposed, thus considering the SSP within the NLP. Furthermore, a novel metaheuristic combining the Black Widow Optimization (BWO) algorithm and the Variable Neighbourhood Descent Chains (VND-Chains) local search, denominated as BWO-VND-Chains, is particularly devised for the first time in the author’s best knowledge for the NLP, resulting in a more efficient and robust optimization technique. Finally, a comparison of different metaheuristic algorithms is proposed over an actual urban scenario, considering different sensor selection criteria in order to attain the best methodology and selection technique. Results show that the newly devised algorithm with the SSP criteria optimization achieves mean localization uncertainties up to 19.66 % lower than traditional methodologies. (shrink)

Alexis de Tocqueville (1805–1859) was convinced that without a new possibility for transcendence, democracies would be ill-prepared to allow for actual freedom. In Democracy in America, his study of the United States, he explained that when self-interest was enlightened, individuals would tend to identify their personal benefits with the well-being of the community. By transcending their individualistic tendency to self-enclose, they would contribute to forming and maintaining a real sovereignty of the people. However, unless the “doctrine of self-interest well understood” (...) was aided by a higher ideal, by itself it would eventually fall short, thus paving the way for new forms of despotism. Religion, and more specifically, reformed versions of Christianity, seemed to effectively elevate the outlook of the early Americans. As I will argue, however, Tocqueville ultimately held that those versions lacked the profundity and stability required to resist the strong materialistic and individualistic tendencies of people living in a democracy. Tocqueville’s apparent, if anxious-ridden, preference for Catholicism as the more adequate civil religion resonates with important aspects of Augustine’s theory of the Two Cities, the earthly and the heavenly city. For both Tocqueville and Augustine, the Roman Church’s stable doctrine was what could more successfully teach mankind the truth about their limited condition, hence making them more capable of learning the “art of being free.”. (shrink)

Por un lado, el libro aborda la problemática educativa que enfrentan estudiantes mexicanos indocumentados en las universidades de los Estados Unidos. Por el otro lado, se aborda la atención específica (escolar, académica y administrativa) que la Universidad de Guadalajara (México), ofrece a los estudiantes migrantes retornados de los Estados Unidos.

The construct of autonomy appears in the literature associated with individual psychological wellbeing. In Ryff's model, autonomy is presented as one of the dimensions of wellbeing, along with self-acceptance, positive relationships with others, environmental mastery, purpose in life, and personal growth. The present study compared the levels of autonomy and psychological wellbeing between Spanish and Colombian young people. Ryff's Scale of Psychological Wellbeing and the Transition to Adulthood Autonomy (EDATVA according to its initials in Spanish) scales were used on a (...) sample of 1,146 young people aged between 16 and 21; 506 Spanish and 640 Colombian. Results showed differences in autonomy and in two of the four dimensions proposed by the EDATVA: self-organization and critical thinking. Similarly, important differences were observed in the subscales of positive relations and purpose in life. The importance of contextual factors in the development of psychological well-being and autonomy in young people in transition to adulthood is discussed. (shrink)

Worldwide, vulnerable neighbourhoods of large cities are often the scene of collective violent conflicts linked with migration and ethnic minorities’ struggles for social justice. However, urban conflicts of this kind have not taken place in Spanish cities with high immigration rates, even though the country has been deeply affected by two recent socioeconomic crises (2009 and 2020). This article reports findings of a study aimed at understanding what lies behind this apparent social peace. The research methodology was based on an (...) analysis of secondary socio-economic and socio-relational data from the Spanish Institute of Statistics and from key national surveys and reports. Results confirmed that immigrant population living in the country are strongly segregated in the lower strata of the labour and socioeconomic structure and have been disproportionately affected by the crises. However, research findings also pointed to the existence of strong closed support networks where social capital has been effective at palliating members’ disadvantage and unrest. Drawing on the Theory of Rupture Frames, we argue that this is a fragile and unsustainable social peace, rooted in social injustice, and anticipate that unless actively prevented, uncontrolled conflict will eventually emerge in main cities’ neighbourhoods in Spain. (shrink)

The social brain is the cornerstone that effectively negotiates and navigates complex social environments and relationships. When mature, these social abilities facilitate the interaction and cooperation with others. Empathy, morality, and justice, among others, are all closely intertwined, yet the relationships between them are quite complex. They are fundamental components of our human nature, and shape the landscape of our social lives. The various facets of empathy, including affective arousal/emotional sharing, empathic concern, and perspective taking, have unique contributions as subcomponents (...) of morality. This review helps understand how basic forms of empathy, morality, and justice are substantialized in early ontogeny. It provides valuable information as to gain new insights into the underlying neurobiological precursors of the social brain, enabling future translation towards therapeutic and medical interventions. (shrink)

El propósito de este texto es tematizar la precariedad con las herramientas de la filosofía política. Buscaremos equilibrar horizontes conceptuales con prácticas políticas para pensar la acción democrática en nuestro contexto. Nuestro argumento se compone de cuatro premisas. Primero, que elfalso dilema entre teoría y práctica nos permite explorar una relación de tensión creativa entre ambas para conceptualizar la precariedad. Segundo, que la construcción teórica de la precariedad responde tanto a ideas y conceptos como a instituciones y discursos que configuran (...) las vidas de quienes la experimentan. Tercero, que los distintos usos del concepto de precariedad permiten reconocer una fuente común de vulneración de derechos relacionada con la configuración del trabajo en el orden neoliberal. Cuarto, que relacionar la conceptualización de lo plebeyo con la de lo precario nos permite pensar prácticas democráticas renovadas. (shrink)

Cooperative, connected and automated mobility technologies have the potential to revolutionize transportation systems and enhance safety, efficiency and sustainability. However, the increasing reliance on digital technologies also introduces new cybersecurity risks that can compromise the safety and privacy of passengers and the integrity of transportation systems. The purpose of this article is to examine the most important threats, vulnerabilities, risks and challenges related to automated mobility and to review the status of the most promising standardization initiatives on cryptography in a (...) world where quantum computers will soon represent an actual threat. (shrink)

Este texto aborda la problemática relación entre verdad y palabra, específicamente aquello que hace que un enunciado tenga estatus de verdad. A partir de ciertas consideraciones históricas sobre el problema del dogmatismo teórico, se realiza una breve aproximación a distintas formas en las que el problema de la verdad ha estado presente en el pensamiento moderno. Para de este modo desarrollar el aporte específico del psicoanálisis sobre la materia, cuestión que atañe también al modo de concebir la clínica y la (...) misma teoría psicoanalítica. Finalmente, se sostiene que desde la perspectiva psicoanalítica es posible concebir de otro modo el problema de la verdad de los enunciados. (shrink)

According to Robert Hertz, death means a change in social relations. The purpose of this paper is to inquire about the kind of mediation that different world populations establish with their deaths. We compared examples from different eras and regions, and three main strategies are identified which, even if they admit certain number of variations, can be characterized by the persistence of a common logic. These are: distance, in which identities and relations are modified; recycling, when identities are maintained but (...) relations are transformed; and retention, which accepts the transmutation of identities, but not of relations. Once described the qualities of each one, we show that, far from being able to identify any economic-social conditioning, these strategies can coexist as possibilities in the mind of every society. (shrink)

Tácito fue uno de los escritores más reconocidos en los círculos intelectuales de la América revolucionaria. No se conservan muchas referencias explícitas en los escritos del periodo, pero su influencia es perceptible en los argumentos empleados para legitimar la independencia del Imperio británico. En el siguiente trabajo, se identificarán los elementos de la obra de Tácito que fueron recuperados por los padres fundadores durante la revolución. Las traducciones consultadas de clara ideología whig, modelaron la interpretación de la obra de Tácito (...) y su aplicación en la práctica política. Además, se analizará su empleo en el debate político de formas bien distintas, pero siempre por su utilidad en la construcción de la nueva república. (shrink)

El sector agrícola fue preparado para que adoptara agroquímicos foráneos basados en el desabastecimiento de alimentos, lo que en apariencia revolucionó la actividad agrícola, para una mejor calidad de vida. Los objetivos del proyecto se basan en lo siguiente: revisar fuentes documentales para conocer la episteme actual de la agroecología, clasificar la información en secciones, construir el discurso con base en el objeto de estudio, analizar los resultados documentales. La investigación es cualitativa, la metodología es de corte documental basada en (...) la revisión de fuentes periódicas inherentes a la agroecología en el contexto geográfico de Bucaramanga, Departamento de Santander, Colombia. (shrink)

En el devenir de las artes visuales en Colombia, la preocupación por los efectos de los fenómenos de la violencia ha sido recurrente. La mirada de los artistas se ha valido de diferentes lenguajes expresivos y formas de traducción, con el interés de construir una estrecha relación entre la naturaleza de las obras y el acontecer de los propios fenómenos sociales.

Everything is connected, from galaxies to the smallest particles in our bodies. We need an interpretation of reality that allows us to see the whole as well as the Whole. This new view is a holistic spirituality that experiences God in the whole of life. It is necessary to make an effort to abandon elements that contaminate global life, because they originate in an anthropology of power-submission, man-woman, human-nature, consumption-participation, exploitation-cooperation… that justifies the exploitation of nature and of human beings. (...) We need to move from the devouring anthropocentrism we live in to a life-centred worldview. This article reflects on reality as an organic whole, the body of God. Reality is a creative, collective, dynamic and diverse ‘body’ that we must care for with equity and eco-justice. Our actions must be oriented towards the practice of God’s justice in the bodies and lives of women. Thus, we will recover the balance of this world. (shrink)

Name der Zeitschrift: Klio Jahrgang: 97 Heft: 1 Seiten: 377-382.

Personal positions and voices of a patient diagnosed with borderline personality disorder and the therapist during long-term psychotherapy were studied aiming to find differences in the patterns formed in these aspects of subjectivity according to the level of elaboration of the change episodes achieved by the patient. This case study considered a stage of qualitative analysis where change episodes of the patient were traced through the Change Episodes Model. Later, through the Model of Analysis of Discursive Positioning in Psychotherapy, the (...) voices and personal positions of the patient and her therapist were identified in each of the change episodes. In the stage of quantitative analysis, dynamic patterns in the voices and personal positions were established, accounting for hypothetical attractors using the Space State Grid technique in each of the three different levels of subjective elaboration that constitute the change episodes. The results established differentiated dynamic patterns in the change episodes, coherent with the patient’s change process, and formation of propositive/reflective specific patterns as the patient evolved in the three different levels of subjective elaboration. The above suggests that a subjective transformation process is displayed, and this is manifested in the different voices and personal positions that emerged as the change episodes evolve. The identified dynamic patterns can be considered nonlinear and emergent subjective exchanges between the patient and the therapist throughout the psychotherapy. (shrink)

En este artículo, nos proponemos analizar el horizonte epistemológico sobre el que se construye la psiquiatría de Kraepelin, particularmente su posición frente al problema de los criterios de clasificación de las enfermedades mentales, que fue un tema ampliamente discutido por la psiquiatría mundial a fines del siglo XIX. Analizamos de qué modo Kraepelin se vinculaba con el debate de su época sobre la definición de criterios científicos, válidos y objetivos de clasificación de las enfermedades psiquiátricas, para, posteriormente, analizar las consecuencias (...) implícitas en una elección de criterios diagnósticos que significó el abandono de las narrativas de los pacientes frente a la fantasmagoría de las categorías diagnósticas. In this paper we analyze the epistemological framework on which Kraepelin's psychiatry was built. We are particularly interested in Kraepelin's position relating to the criteria of classification of mental illnesses; a topic that was widely discussed by in psychiatry throughout the world at the end of the XIX century. We analyze his contributions to the discussion concerning the definition of scientific and objectively valid criteria for the classification of psychiatric illnesses. Then, we show how settling upon certain diagnostic criteria led to paying little attention to patients narratives, and giving major weight to the paraphernalia of diagnostic categories. (shrink)

La innovación del presente trabajo sobre Spinoza se basa en el hecho de vincular algunas intuiciones de la ciencia moderna que permiten esclarecer los conceptos de Dios y la ciencia intuitiva en la Ética demostrada según el orden geométrico. Para exponer dicho trabajo en una primera parte se inicia un análisis preliminar donde se tratan las diferencias entre el Dios cartesiano y el Dios spinozista. En la segunda parte se hace un análisis del concepto de Dios como un plano inmanente (...) en la ontología de Spinoza y del cual se desprenden conceptos importantes para entender lo que es la ciencia intuitiva. En una tercera parte se explican las nociones comunes de res extensa y res cogitans que son necesarias para conformar ideas claras y distintas por medio del entendimiento. En la cuarta y última parte se habla del desarrollo de los tres grados del conocimiento y su relación con la ciencia intuitiva y sus repercusiones sobre el concepto de libertad. (shrink)

Desde la perspectiva de su coincidencia histórica con Alonso de Veracruz, se presenta el contexto de la los rasgos más sobresalientes del pensamiento de D. Báñez: su opción por una fidelidad estricta al pensamiento de Santo Tomás, y la controversia de auxiliis. Se señalan sus planteamientos acerca de la cuestión americanista, la doctrina jurídica, la configuración de la enseñanza autónoma de la Metafísica, y la doctrina por la que suele ser identificado en la historia del pensamiento: la premoción física.

El éxodo de más de 5,6 millones de venezolanos representa un fenómeno migratorio con múltiples facetas, cada una merecedora de atento análisis y profundización. Ante la dimensión del movimiento de millones de seres humanos, se corre el riesgo de subestimar tragedias que ocurren dentro del drama migratorio. Una de ellas, es el exilio de científicos y académicos. Bajo esta perspectiva, la investigación tiene como objetivo general mostrar la banalización frente al riesgo de pérdida de talento y avance científico de países (...) en vías de desarrollo. Tomamos como objeto de estudio el caso de la Diáspora Científica Venezolana. Se abordan de forma multidisciplinar tres ejes temáticos: 1) Causas y consecuencias de la Ciencia en Riesgo, 2) Instrumentalización de la Ciencia en Riesgo y 3) Efectividad de programas dirigidos a científicos en riesgo. El primer eje temático, está fundamentado en analizar las causas y consecuencias de la Diáspora científica venezolana, centrándonos en los estudios realizados, desde el ámbito sociológico, de Iván de la Vega, Francisco Kerdel-Vegas y Tomás Páez. El segundo eje establece, desde el marco filosófico habermasiano-marcusiano, la conveniente preservación del statu quo de la Ciencia en riesgo, a través de instrumentalización y unidimensionalidad del quehacer científico en países en vías de desarrollo por parte de programas internacionales financiados por organismos privados y gubernamentales. El tercer y último enfoque tiene como punto de partida la situación actual de la diáspora científica y la exposición de soluciones eficaces que rompan la inercia presente, enmarcando las ideas dentro de la actual crisis de la posmodernidad. Palabras Claves: diáspora venezolana, instrumentalización, ciencia, riesgo. (shrink)