Burnout is characterized by emotional exhaustion and caused by exposure to excessive and prolonged stress related to job conditions. Moreover, burnout is highly prevalent among health care professionals. The aim of this study is, first, to examine the mediating role of social support over the effect of burnout in health care professionals and, second, to explore potential gender differences. A convenience sample of 1,035 health professionals from Ecuador, including 608 physicians and 427 nurses, was surveyed using the Maslach Burnout Inventory, (...) Social Support Survey, and General Health Questionnaire as measures of burnout, social support, and general health, respectively. Social support was found to mediate the negative effects of burnout on health regardless of gender. Differences across the three dimensions of burnout and health are further discussed, along with their implications for designing effective burnout interventions for health care professionals in Ecuador. (shrink)

Through theoretical discussion, literature review, and a computational model, this paper poses a challenge to the notion that perspective-taking involves a fixed architecture in which particular processes have priority. For example, considerable work has shown that egocentric perspectives can arise more quickly, with other perspectives (such as of task partners) emerging only secondarily. This theoretical dichotomy is challenged here, and we propose a general view of perspective-taking as an emergent phenomenon governed by the interplay among several cognitive mechanisms. We first (...) describe the pervasive relevance of perspective-taking to cognitive science. A dynamical systems model is then introduced which explicitly formulates the timescale interaction proposed. Implications are discussed, with ideas for future empirical research. (shrink)

In this article I present HYPER-REF, a model to determine the referent of any given expression in First-Order Logic. I also explain how this model can be used to determine the referent of a first-order theory such as First-Order Arithmetic. By reference or referent I mean the non-empty set of objects that the syntactical terms of a well-formed formula pick out given a particular interpretation of the language. To do so, I will first draw on previous work to make explicit (...) the notion of reference and its hyperintensional features. Then I present HYPER-REF and offer a heuristic method for determining the reference of any formula. Then I discuss some of the benefits and most salient features of HYPER-REF, including some remarks on the nature of self-reference in formal languages. (shrink)

Ethical Aspects Related to Nursing Care for Persons with Disabilities: A Qualitative Analysis Aspectos éticos relacionados com a atenção de enfermagem em pessoas com deficiência: uma análise qualitativa The purpose of the study is to describe ethical aspects related to nursing care for persons with disabilities; a population considered socially vulnerable and in conditions of inequality. It corresponds to the first phase of a primary study conducted in Atacama, Chile using a qualitative methodology and content analysis. Nursing graduates are interviewed (...) respecting Ezekiel Emanuel’s ethical criteria. The main findings account for ontological categories such as moral reasoning, value system, nurse-patient relationship model, consequences of the ethical nursing action, strategies to overcome moral conflicts, and barriers in care. It is concluded that caring for people with disabilities is a source of dilemma and moral anguish for nurses, especially when it comes to individuals with sensitive or cognitive disabilities. The paternalistic medical model predominates in the clinical context, limiting the right to autonomy of persons with disabilities. Instrumental values such as efficiency are added to traditional moral values promoted by nurses. Civic values considered fundamental to the challenge of human diversity and life in a democracy are not mentioned. Para citar este artículo / To reference this article / Para citar este artigo Campillay-Campillay M, Rivas-Rivero E, Dubó-Araya P, Calle-Carrasco A. Aspectos éticos relacionados con la atención de enfermería en personas en situación de discapacidad: un análisis cualitativo. Pers Bioet. 2020;24:43-56. DOI: https://doi.org/10.5294/pebi.2020.24.1.4 Recibido: 19/07/2019 Aceptado: 12/11/2019 Publicado: 07/05/2020. (shrink)

A partir de una presentación general del concepto de especie aplicado a los humanos, este texto expone dos nociones generales sobre la naturaleza humana: la tipológica y la filogenética. Una vez expuestos los fundamentos de cada noción, se defiende una distinción entre naturaleza humana e identidad humana como dos aspectos que se han confundido respecto a este problema, pero que cumplen distintos roles en las explicaciones, por lo que se proponen como dos nociones complementarias. Así, la naturaleza humana estaría definida (...) en términos metafísicos y daría cuenta de la realidad biológica de los humanos desde un punto de vista filogenético, mientras que la identidad humana estaría definida en términos epistemológicos y daría cuenta de los conocimientos que tienen los humanos sobre ellos mismos, aludiendo a aspectos contingentes. (shrink)

El presente artículo traza la semblanza intelectual y profesional del religioso José Mª Salvador y Barrera, natural de Marchena, que llegó a ser Rector del Colegio del Sacro Monte de Granada, Obispo de Tarazona, Obispo de Madrid-Alcalá, Arzobispo de Valencia y Senador, y que dedicó todos sus esfuerzos a defender la enseñanza religiosa y la acción social de la Iglesia desde los altos puestos que ocupó. Fue además un excelente orador y persona de gran cultura, siendo reconocida su labor por (...) las Reales Academias de la Historia y de Ciencias Morales y Políticas, que le eligieron como académico de número. El obispo Salvador fue realmente uno de los prelados más competentes y aperturistas de los dos primeros decenios del siglo XX. (shrink)

El objetivo de este trabajo es mostrar la importancia que tiene recuperar el concepto de «ideología» y con él la labor de crítica ideológica en la teoría del derecho. En las teorías positivistas de Kelsen y Ross era uno de los conceptos centrales, pero cayó paulatinamente en desuso en la segunda mitad del siglo xx, tanto a nivel político como en el campo específico de la teoría jurídica. En este trabajo se examinan algunas de las razones por las que se (...) dejó de utilizar y se propone un concepto de «ideología» capaz de evitar esos cuestionamientos. Por último, se ponen de manifiesto las consecuencias perjudiciales (tanto teóricas como prácticas) que trae aparejado el abandono de la crítica ideológica en la teoría jurídica. Se utiliza como caso de estudio la concepción postpositivista sobre la naturaleza del derecho defendida por Manuel Atienza y algunas de las decisiones argumentativas que el propio Atienza ha adoptado guiado por ella en una polémica sobre el estatus normativo de la gestación por sustitución en la práctica jurídica española. (shrink)

Este artículo propone una lectura metafísica de tres problemas que atraviesan el corazón de la Fenomenología del Espíritu: a) la condición de abertura constitutiva del espíritu; b) el Deseo como estado de dirección Hacia; y c) la vida como condición de abertura y como estado de dirección Hacia: la VIDA. Para llegar a la elaboración de esta clave de lectura, dividiremos el presente estudio en tres recorridos organizados a partir de dos figuras coordinadas: en el primero, trataremos de caracterizar la (...) condición de abertura y de manera abreviada el estado de dirección Hacia que caracteriza al espíritu individual en el nivel de la certeza sensible; en el segundo, examinaremos el estado de dirección hacia Hacia, como Deseo; y, finalmente, reelaboraremos las dos figuras en tanto condiciones que hacen posible la VIDA del espíritu, en general. (shrink)

Este artículo estudia la hipotética penetración del islamismo –vertiente degradada del Islam- en algunos sectores de la extrema izquierda en Latinoamérica y reflexiona sobre su habilidad para desarrollar tanto una teoría como una práctica islamizadas de la revolución. El objetivo de esto es indagar en un aspecto inusual de la seguridad, el factor ideológico, habitualmente soslayado por preferirse los elementos estratégicos y tácticos. Para ello primero se investigan someramente algunos cambios del terrorismo ligados al islamismo en Latinoamérica. Después se analiza (...) la doctrina mediante la que el islamismo puede conectar con la extrema izquierda mediante los conceptos de revolución, guerra revolucionaria, guerra asimétrica y yihad. Finalmente están las conclusiones del artículo. (shrink)

Objetivo: El siguiente artículo tiene como propósito la revisión de la literatura existente cuyo enfoque sea las herramientas tecnológicas utilizadas para el abordaje del paciente con síntomas de salud mental, de manera virtual, para describir las ventajas, la eficacia, la efectividad y los beneficios de estas herramientas, a partir de la literatura encontrada. Métodos: se realizó una búsqueda en las bases de datos Pubmed, Elsevier, UpToDate, Journal of Medical Internet Research y Google Académico. Se identificó un total de 58 artículos (...) que versan sobre la eficacia y efectividad de las diferentes modalidades digitales (tales como aplicaciones, cuestionarios en línea, mensajes de texto, etc.) que tratan la salud mental. Resultados: la búsqueda realizada arrojó un total de 58 artículos. Tras la eliminación de duplicados, el número fue de 50 artículos. Después de la caracterización de la información basada en la revisión de la totalidad del contenido, fueron elegidos 30 artículos para que sirvieran como base para la construcción de la síntesis de datos. Conclusiones: las herramientas virtuales utilizadas en salud mental ofrecen un sin fin de beneficios para prestar un servicio con un acceso más sencillo a la población, de forma económica y efectiva, sin temor a que los pacientes sean estigmatizados al momento de buscar ayuda, como se pudo evidenciar en los artículos presentados. Además, las herramientas digitales utilizadas en psiquiatría han demostrado ser eficaces y seguras, sin embargo, son de reciente aparición y cuentan con una cantidad limitada de estudios que demuestren objetivamente su eficacia en esta área. (shrink)

Databases play a fundamental role in today’s world, being used by most companies, especially those that offer services through the Internet. Today there is a wide variety of database models, each adapted for use according to the specific requirements of each application. Traditionally, the relational models with centralized architectures have been used mostly due to their simplicity and general-purpose query language, which made relational systems suitable for almost any application. However, with the growth of the Internet in recent decades, both (...) in the number of users and in the amount of information, those centralized models began to suffer availability and scalability issues. To address those issues, the use of decentralized architectures and alternative database models began to arise, eventually replacing relational databases and centralized architectures when the requirements on availability and scalability are high. Those database models alternative to the traditional relational model are grouped under the name of NoSQL. In this article, we present a NoSQL database developed as an end of degree work, with a flexible data model based on documents and a fully decentralized architecture based on the Gossip protocol for node discovery and a distributed hash table, in particular the rendezvous hashing algorithm, used to distribute and replicate the data across all the nodes. The main goals of the system are to achieve high availability and high scalability. High availability is achieved thanks to the replication of the data, while high scalability is achieved by its decentralized architecture, which allows multiple entry points from the requests, and the data distribution, effectively increasing the database capacity by increasing the number of nodes. (shrink)

El artículo presenta una propuesta para promover la comprensión de las nociones de posibilidad, necesidad y validez argumental. Por medio de un criterio psicológico, la propuesta busca que los estudiantes capten dichas nociones de forma intuitiva antes de comenzar a usar las pruebas formales de validez. Se muestra cómo puede adaptarse la propuesta en el uso de los diagramas de Venn y en la diagramación de algunas formas silogísticas que la teoría clásica del silogismo considera válidas pero que no aparecen (...) como formas válidas en la diagramación canónica que usa los diagramas de Venn. (shrink)

The global pesticide complex has transformed over the past two decades, but social science research has not kept pace. The rise of an enormous generics sector, shifts in geographies of pesticide production, and dynamics of agrarian change have led to more pesticide use, expanding to farm systems that hitherto used few such inputs. Declining effectiveness due to pesticide resistance and anemic institutional support for non-chemical alternatives also have driven intensification in conventional systems. As an inter-disciplinary network of pesticide scholars, we (...) seek to renew the social science research agenda on pesticides to better understand this suite of contemporary changes. To identify research priorities, challenges, and opportunities, we develop the pesticide complex as a heuristic device to highlight the reciprocal and iterative interactions among agricultural practice, the agrochemical industry, civil society-shaped regulatory actions, and contested knowledge of toxicity. Ultimately, collaborations among social scientists and across the social and biophysical sciences can illuminate recent transformations and their uneven socioecological effects. A reinvigorated critical scholarship that embraces the multifaceted nature of pesticides can identify the social and ecological constraints that drive pesticide use and support alternatives to chemically driven industrial agriculture. (shrink)

El objetivo de este artículo es evaluar si la estrategia populista conlleva oportunidades o peligros para la democracia y para ello se analizan los principales elementos del discurso populista a la luz de las intervenciones de dos líderes europeos, Pablo Iglesias y Marine Le Pen. Se sostiene que la estrategia populista no implica por sí misma un riesgo para la democracia sino que depende del tipo de demandas sociales que se articulen y de los valores hegemónicos que se quieran (...) transmitir a la opinión pública. La estructura del artículo es la siguiente: en primer lugar, se realiza una revisión crítica de la literatura sobre populismo; en segundo lugar, se analizan tanto la estructura formal como el carácter vacuo y disputado del discurso populista a partir de las intervenciones de Iglesias y Le Pen; por último, se presentan unas reflexiones finales. (shrink)

En el artículo se exponen dos asuntos básicos: primero, más amplio, la aproximación literaria desde la semántica de lo bello a algunos pasajes literarios, y, segundo, más breve, la pregunta sobre qué significa valorar desde el punto de vista estético una pieza literaria; el primero permite introducir en el tema más genérico que indica lo segundo. Se resaltan dos temas que rodean a lo bello: el terror y lo erótico, unas relaciones que buscan desarrollar desde tres textos distintos: uno contemporáneo (...) de la poesía de Pablo Neruda y dos textos antiguos tomados de la literatura sagrada de la biblia judía y cristiana; la revisión de los textos permite ver los siguientes temas que se tratan por separado: primero, la belleza que redime lo abyecto; segundo, la belleza contemplada atípicamente desde lo sórdido, y, tercero, lo bello inefable o la imagen de terror como única expresión de la fuerza devastadora del eros. (shrink)

In a previous paper (see ‘Tolerant, Classical, Strict’, henceforth TCS) we investigated a semantic framework to deal with the idea that vague predicates are tolerant, namely that small changes do not affect the applicability of a vague predicate even if large changes do. Our approach there rests on two main ideas. First, given a classical extension of a predicate, we can define a strict and a tolerant extension depending on an indifference relation associated to that predicate. Second, we can use (...) these notions of satisfaction to define mixed consequence relations that capture non-transitive tolerant reasoning. Although we gave some empirical motivation for the use of strict and tolerant extensions, making use of them commits us to the view that sentences of the form ‘ p∨¬p ’ and ‘ p∧¬p ’ are not automatically valid or unsatisfiable, respectively. Some philosophers might take this commitment as a negative outcome of our previous proposal. We think, however, that the general ideas underlying our previous approach to vagueness can be implemented in a variety of ways. This paper explores the possibility of defining mixed notions of consequence in the more classical super/sub-valuationist setting and examines to what extent any of these notions captures non-transitive tolerant reasoning. (shrink)

It is often assumed that the supervaluationist theory of vagueness is committed to a global notion of logical consequence, in contrast with the local notion characteristic of modal logics. There are, at least, two problems related to the global notion of consequence. First, it brings some counterexamples to classically valid patterns of inference. Second, it is subject to an objection related to higher-order vagueness . This paper explores a third notion of logical consequence, and discusses its adequacy for the supervaluationist (...) theory. The paper proceeds in two steps. In the first step, the paper provides a deductive notion of consequence for global validity using the tableaux method. In the second step, the paper provides a notion of logical consequence which is an alternative to global validity, and discusses i) whether it is acceptable to the supervaluationist and ii) whether it plays a better role in a theory of vagueness in the face of the problems related to the global notion. (shrink)

The neonatal nurse forges a unique partnership with parents of a critically ill infant who are often, unexpectedly, exposed to the bewildering and complex environment that is neonatal intensive care, helping navigate them through this unchartered territory. Our role is multifaceted, with the primary focus of providing care in the best interests of our patients.1 This is realised through the provision of high-quality evidence-based care, advocating for the needs of the baby and family, and when required acting as a linchpin (...) bridging communication channels between medical and nursing teams, other allied health professionals, and the family.1 2 Ordinarily, the birth of an extremely preterm infant is a distressing, life-changing event for parents; this is further complicated by a number of additional factors in this complex scenario3. (shrink)

The conditional analysis of ability faces familiar counterexamples involving cases of volitional incapacity. An interesting response to the problem of volitional incapacity is to try to explain away the responses elicited by such counterexamples by distinguishing between what we are able to do and what we are able to bring ourselves to do. We argue that this error-theoretic response fails. Either it succeeds in solving the problem of volitional incapacity at the cost of making the conditional analysis vulnerable to obvious (...) counterexamples to its necessity. Or, it avoids the counterexamples to its necessity but fails to solve the problem of volitional incapacity. (shrink)

Este artigo trata das críticas, elaboradas por Albrecht Wellmer, ao tipo de teoria moral baseada em princípios universalistas. Inicialmente, é abordada sua tentativa de uma reelaboração da própria idéia de universalismo moral, para depois esboçar a radicalidade de sua crítica a qualquer moral universalista. Nesse ponto, a Ética do Discurso de Jürgen Habermas, é que lhe serve de objeto. Por fim, também a partir de Wellmer, apontam-se possíveis alternativas a esse tipo de ética, sobretudo, a formulação de um ponto de (...) vista moral fundamento numa teoria do reconhecimento social. (shrink)

Daniel Isaacson has advanced an epistemic notion of arithmetical truth according to which the latter is the set of truths that we grasp on the basis of our understanding of the structure of natural numbers alone. Isaacson’s thesis is then the claim that Peano Arithmetic (PA) is the theory of finite mathematics, in the sense that it proves all and only arithmetical truths thus understood. In this paper, we raise a challenge for the thesis and show how it can be (...) overcome. We introduce the concept of purity for theories of arithmetic: a theory of arithmetic is pure when it only proves arithmetical truths. Then, we argue that, under Isaacson’s thesis, some PA-provable truths—including transfinite induction claims for infinite ordinals and some consistency statements—are seemingly not arithmetical in Isaacson’s sense, and hence that Isaacson’s thesis might entail the impurity of PA. Nonetheless, we conjecture that the advocate of Isaacson’s thesis can avoid this undesirable consequence: the arithmetical nature, as understood by Isaacson, of all contentious PA-provable statements can be justified. As a case study, we explore how this is done for transfinite induction claims with infinite ordinals below ε0. To this end, we show that the PA-proof of such claims employs exclusively resources from finite mathematics, and that ordinals below ε0 are finitary objects despite being infinite. (shrink)

This study examined individual differences in sensitivity to human-like features of a robot’s behavior. The paradigm comprised a non-verbal Turing test with a humanoid robot. A “programmed” condition differed from a “human-controlled” condition by onset times of the robot’s eye movements, which were either fixed across trials or modeled after prerecorded human reaction times, respectively. Participants judged whether the robot behavior was programmed or human-controlled, with no information regarding the differences between respective conditions. Autistic traits were measured with the autism-spectrum (...) quotient questionnaire in healthy adults. We found that the fewer autistic traits participants had, the more sensitive they were to the difference between the conditions, without explicit awareness of the nature of the difference. We conclude that although sensitivity to fine behavioral characteristics of others varies with social aptitude, humans are in general capable of detecting human-like behavior based on very subtle cues. (shrink)

¿Qué sentidos abren las novelas como narraciones filosóficas? Esta pregunta con la que iniciamos el liminar de nuestro dosier Filosofía y novelas supone un abordaje de interpretación, a la vez combativo y constructor, de los artículos que lo componen. Combativo porque se enfrenta a una lectura dogmática de lo que debían ser la filosofía y la literatura como géneros enfrentados y excluyentes, o si acaso como discursos en donde la relación es de dependencia y subordinación: la filosofía como ejercicio fuerte, (...) racional y sistemático de la razón que subordina el mero ejercicio imaginativo, débil y asistemático de la literatura. A su vez, un abordaje constructor porque, al demostrar en casos específicos de novelas que esta separación artificiosa de géneros discursivos puede derrumbarse, genera ligas de sentido que podemos llamar la narración filosófica de las novelas. (shrink)

Physical and mental training are associated with positive effects on executive functions throughout the lifespan. However, evidence of the benefits of combined physical and mental regimes over a sedentary lifestyle remain sparse. The goal of this study was to investigate potential mechanisms, from a source-resolved event-related-potential perspective, that could explain how practicing long-term physical and mental exercise can benefit neural processing during the execution of an attention switching task. Fifty-three healthy community volunteers who self-reported long-term practice of Tai Chi, meditation (...) + exercise, simple aerobics, or a sedentary lifestyle, aged 47.8 ± 14.6 were included in this analysis. All participants undertook high-density electroencephalography recording during a switch paradigm. Our results indicate that people who practice physical and mental exercise perform better in a task-switching paradigm. Our analysis revealed an additive effect of the combined practice of physical and mental exercise over physical exercise only. In addition, we confirmed the participation of frontal, parietal and cingulate areas as generators of event-related-potential components commonly associated to the performance of switch tasks. Particularly, the N2-like component of the parietal and frontal domains showed significantly greater amplitudes in the exercise and mental training groups compared with aerobics and sedentary groups. Furthermore, we showed better performance associated with greater N2-like amplitudes. Our multivariate analysis revealed that activity type was the most relevant factor to explain the difference between groups, with an important influence of age, and body mass index, and with small effects of educational years, cardiovascular capacity, and sex. These results suggest that chronic combined physical and mental training may confer significant benefits to executive function in normally aging adults, probably through more efficient early attentional processing. Future experimental studies are needed to confirm our results and understand the mechanisms on parieto-frontal networks that contribute to the cognitive improvement associated with practicing combined mental and aerobic exercise, while carefully controlling confounding factors, such as age and body mass index. (shrink)