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)

Se exponen las prácticas docentes de las educadoras de párvulos, que cumplen una función reproductora del nacionalismo que es internalizado en las niñas y niños como la ciudadanía chilena. Para ello, configuran un escenario lúdico que ritualiza la conducta cívica y patriótica, por medio de conmemoraciones cívicas fundadas en el belicismo de la guerra del Pacífico, sin considerar la realidad cosmopolita y de diversidad cultural presente en las aulas nortinas. A partir de esto, proponemos una nueva perspectiva respecto de la (...) realización de actos cívicos en la educación parvularia, para hacerlos más inclusivos y acordes a la realidad cultural de la región de Tarapacá, la más multicultural de Chile. This paper describes the teaching practices of pre-school teachers who play a reproductive role of nationalism internalized in children as Chilean citizenships. This happens as the result of a ludic scenario that ritualizes civic and patriotic conduct, through civic commemorations based on the Pacific war, regardless both the cosmopolitan reality and cultural diversity present in classrooms in the Northern part of Chile. Considering this, we propose a new perspective on conducting civic events in early childhood education, to make them more inclusive and consistent with the cultural reality of the region of Tarapacá, Chile's most multicultural region. (shrink)

This descriptive study gathers and questions general evidence on the quality of life experienced by medical residents during postgraduate training. The information was obtained from five databases during a period of four months in 2014. For the most part, it highlights dozens of studies that call attention to burnout as a condition that affects the quality of life of medical residents and health workers. The emphasis on deterioration in quality of life focuses on the symptoms of professional attrition that negatively (...) impact a person's health and their subjective sense of personal satisfaction. Although most quality-of-life scales are focused on patients, some of them could be used to assess the learning and working conditions of medical residents, so as to bring them in line with the objectives of legislation, ethics and the universal aspiration for health. The conclusion is that reconsideration is necessary, based on principles of ethics, health and organizational psychology that could benefit the physician in training and have an impact on the quality of health care. (shrink)

Este artigo tem como propósito apresentar um estudo sobre o uso de narrativas no ensino de História, procurando destacar as potencialidades deste recurso pedagógico no processo de construção do conhecimento histórico e averiguar como este recurso potencia o desenvolvimento do pensamento histórico em alunos portugueses do 2.º ano de escolaridade. As narrativas produzidas pelos alunos foram submetidas a uma análise de conteúdo indutiva e categorizadas por níveis de progressão de ideias. Os resultados demonstraram que este tipo de recurso pode influenciar (...) a estruturação do pensamento histórico dos alunos, bem como potenciar a sua imaginação. (shrink)

La mentoría como programa de formación en el inicio de la vida profesional del docente principiante se presenta como una oportunidad para la mejora de la calidad de las instituciones educativas y de sus agentes. Al mismo tiempo, revierte sobre la comunidad y el territorio donde se ubica. En contextos reconocidos como vulnerables se necesitan agentes educativos vocacionales y con un alto nivel de resiliencia, y con una meta clara: formar a personas plenas que contribuyan con su sentir, ser y (...) hacer al desarrollo de la comunidad en la que habitan. (shrink)

The participation of families in schools where their children study is a recurring research topic. This field tends to address the perception of parents or teaching staff. This work is novel in that it considers what teachers, and not families, do to facilitate this participation. The purpose of this work has been to contrast a theoretical model with a multidimensional questionnaire designed to obtain information on the assistance provided by teachers to improve parental involvement in schools. It will allow us (...) to lay the foundations for the content necessary for the initial and permanent training of teachers. Then, an initial questionnaire was created and, after being subjected to expert judgment, it was applied to 225 Spanish teachers, using a quantitative and a non-experimental methodology. After calculating the exploratory and confirmatory factor analysis and applying the structural equation model, a questionnaire was obtained that had satisfactory construct validity and reliability. (shrink)

Se ha procurado relacionar algunos desarrollos de la filosofía del método científico con dos grandes tradiciones en la historia de las ideas. En los últimos 100 años la filosofía de la ciencia se ha adherido sucesivamente a una u otra de estas dos posiciones básicamente opuestas. Después de Heg..

Siguiendo algunos planteamientos de Hannah Arendt, la autora reflexiona sobre lo que la investigación sobre el tema del género ha arrojado, llegando a afirmarse que habría una suerte de "invisibilidad" del accionar de la mujer en el marco de lo público, mientras la mujer privada no aparece y, p.

Este artículo examina cómo, en el campo de la Educación Formal, se encuentra por un lado todo el llamado currículo explícito, es decir todo aquello que está pautado, escrito y que se espera se cumpla por parte de los diversos actores del proceso educativo. Por el otro, el llamado currículo ocult..

IntroductionIncorporating technology in cognitive interventions represents an innovation, making them more accessible, flexible, and cost-effective. This will not be feasible without adequate user-technology fit. Bearing in mind the importance of developing cognitive interventions whose technology is appropriate for elderly people with cognitive impairment, the objective of this systematic review was to find evidence about usability and user experience measurements and features of stimulation, training, and cognitive rehabilitation technologies for older adults with mild cognitive impairment or dementia.MethodThe Medline, PubMed, Scopus, ScienceDirect, (...) and PsycINFO databases were searched for literature published in the last 10 years, and three researchers independently reviewed potentially eligible studies, following specific inclusion criteria. A systematic review of the studies was conducted, presenting a qualitative synthesis of usability and UX measures with their outcomes, study characteristics and features of the cognitive intervention technologies.ResultsTen studies were selected: five were cognitive stimulation and five were cognitive training. Most of them were computer-based programs with a serious game format. Efficiency and effectiveness were the most frequent measurements used for collecting objective usability data, showing that elderly people with cognitive impairment require more time and help but can complete tasks. Regarding UX or subjective usability data, questionnaires and scales were the most used methods, reporting positive experience despite certain difficulties with the interface in five studies.ConclusionMeasuring usability and UX in cognitive intervention technologies for older adults with MCI or dementia provides an integrated view that can contribute to their development according to the needs and characteristics of the target population. More research is required to include this population group in usability and UX studies, as well as standardized tools and consensus on the relationship of these terms to guarantee the future effectiveness of cognitive intervention technologies.Review registrationThis review was registered in the PROSPERO International Register of Systematic Review Protocols. (shrink)

A partir de las reflexiones que en su O cosmopolitismo do pobre desarrolla Silviano Santiago, propondremos un enfoque alternativo al actual modelo de enseñanza nacional, o nacionalista (cuya sinonimia asumimos), de las literaturas, las culturas e incluso de las lenguas. Para ello, procedemos a problematizar-deconstruir la estructura ideológica nacionalista (Anthony Smith, Hobsbawm, Anderson), defendiendo las ventajas científicas y políticas de un enfoque transterritorial de los estudios culturales, lingüísticos y literarios.

Pretendemos mostrar que, no Górgias, diálogo dedicado à crítica da retórica, as frequentes alusões de Sócrates à compleição do corpo, bem como o uso recorrente de metáforas corpóreas para referir-se ao que, por analogia, passa-se com a alma servem de ferramenta retórica para fazer frente à retórica de Górgias. Desse modo, ao mesmo tempo em que chamamos atenção para a maneira como Platão se vale das armas do adversário justamente para atacá-lo, ressaltamos o papel imprescindível do corpo como evidência da (...) alma na filosofia platônica. Com isto, nosso intuito é reforçar a vertente interpretativa segundo a qual Platão pode ser entendido mais como um pensador que parte dos problemas prementes de seu tempo para daí nos conduzir a reflexões filosóficas – no diálogo em questão, as consequências políticas de uma paidéia pautada numa retórica sofística –, do que como um filósofo comprometido apenas com uma metafísica transcendente. (shrink)

We intend to point out that in the Gorgias, dialogue devoted to the critique of rhetoric, Socrates' frequent allusions to the body's complexion, and the recurrent use of corporeal metaphors to refer to what, by analogy, happens to the soul, function as a rhetoric tool in order to oppose Gorgias' own rhetoric. Thus, while drawing attention to the way Plato uses the weapons of the adversary precisely to attack him, we emphasize the indispensable role of the body as evidence of (...) the soul in Platonic philosophy. Therefore, our intent is to reinforce the interpretive strand according to which Plato can be understood more as a thinker who departs from the pressing problems of his time in order to lead us into philosophical reflections – in the present dialogue, the political consequences of a _paideia _oriented by sophistic rhetoric –, than as a philosopher solely committed to a transcendent metaphysics. (shrink)

El presente trabajo recupera, caracteriza y evalúa el marco antropológico subyacente en la Declaración de los Derechos Humanos de 1948. Para este propósito, se utilizó como metodología el análisis del discurso y una evaluación antropológica de su contenido en relación directa con la Bioética contemporánea y sus problemas más sobresalientes. doi: 10.5294/pebi.2015.19.2.4.

This paper examines and evaluates the models and the most important methods for solving clinical cases; namely, 1) principlism, 2) deontologism, 3) consequentialism, 4) casuistry, 5) virtue ethics and 6) ethics centered on the person. The strengths and weaknesses of each are weighed and an instrument is proposed to facilitate this type of analysis. As a group, the preference is for a methodology that articulates three models: the virtue approach, the person-centered approach, and these two in harmony with an ethics (...) centered on principles. The reasons for this comprehensive option are based primarily on recognition of the primacy of the dignity of the human person and on acknowledgement that complex clinical situations require a comprehensive view of both the person and clinical practice. The latter requires virtues, ethical principles and recognition of the human person as being endowed with inherent dignity and, in turn, as the foundation of ethics and clinical practice. DOI: 10.5294/pebi.2016.20.1.2. (shrink)

Palace of the End is a dense triptych of monologues exploring alternative narratives - albeit based in real facts - behind the events and the headlines surrounding the war in Iraq. Borrowing its title from the former royal palace where Saddam Hussein’s torture chamber was located, Thompson’s docudrama is structured as a chain of monologues telling three real-life stories set in the context of the war in Iraq. The play conveys three unconventional interpretations of the realities of war: that of (...) a young American soldier convicted for her misconduct at Abu Ghraib, the prison that stands as one of the most controversial symbols of the American-led Iraq invasion; a British scientist and weapons inspector who denounces what he understands as the false arguments given by his country’s leaders for engaging in a distant war; and an Iraqi mother whose life was shattered firstly by Saddam Hussein’s authoritarian regime, and later by the American first Gulf War. Each story is an enthralling and gut-wrenching reflection of one of the contemporary world’s most studied and controversial conflicts. The play gives voice to three different kinds of war victims, insofar as their political subjectivities and their moral conundrums are concerned. (shrink)

In recent years it has been demonstrated that the use of the traditional property registry models involves the risk of corruption along with long waiting times. This paper points out the main problems associated with conventional models and makes a survey of the new ones that are based on blockchain technology. This type of model is already being developed as a proof of concept by different countries. With the use of this technology in land registry systems, it is possible to (...) improve the transparency of the processes as well as optimize costs and execution time. To show the theoretical results of this study, the Spanish land registry has been taken as an example of a use case scenario. (shrink)

El artículo sostiene una relación fundacional entre la visión bioética potteriana con el cometido de la sostenibilidad. Teniendo en cuenta que V. R. Potter no desarrolló conceptualmente cómo y desde qué enfoque tendría que entenderse la sostenibilidad de la humanidad, se hace necesario mostrar tal desarrollo conceptual. Así, la visión bioética potteriana podría ser repensada y actualizada para enfrentar el desafío de la humanidad en la época actual. En este orden de ideas, se propone analizar descriptivamente los enfoques teóricos y (...) las ampliaciones conceptuales del concepto de sostenibilidad para reconocer en qué sentido contribuyen a la construcción de una supervivencia aceptable para la humanidad, en términos de la bioética global. Para esto, se presenta el eje teórico del desarrollo sostenible, del cual se resalta su componente sistémico e intergeneracional, sin dejar de exponer las críticas a su estructura de crecimiento económico y la incompatibilidad de esto con la visión bioética potteriana. Seguidamente, se expone la propuesta alternativa del ecodesarrollo y de la racionalidad ambiental, como elementos importantes para ampliar el paradigma de la sostenibilidad. Finalmente, se concluye con una integración de los elementos de ambos ejes teóricos como un punto de partida para pensar en la sostenibilidad de una visión bioética. (shrink)

BackgroundResearch on prevalence of cognitive frailty phenotypes in community-dwelling older adults in different countries is important to estimate their prevalence and to determine the influence of cognitive reserve and mental health in order to prevent frailty. The aims of this study were to estimate the prevalence of reversible and potentially reversible cognitive frailty in a Portuguese sample of old adults and explore the associations between these phenotypes and demographic, comorbidity, social support, cognitive reserve and mental health factors.MethodsWe assessed frailty in (...) 250 community-dwelling older adults aged 60 years or over without dementia, neurological or psychiatric disorders. Subjective cognitive decline and Mild cognitive impairment were diagnosed according to standard criteria. The questionnaires Charlson Index, Medical Outcomes Study Social Support, Cognitive Reserve Index and General Health were used for assessing comorbidity, social support, cognitive reserve and mental health, respectively.ResultsPrevalence of R-CF was 14%, and that of PR-CF, 15.2%. Cognitive frailty profiles differed significantly in relation to education, comorbidity, mental health, and cognitive reserve, but not in age or sex. Multivariate logistic regression showed that age, sex, comorbidity, social support, mental health, and cognitive reserve together predicted R-CF and PR-CF with significant OR for mental health and cognitive reserve.DiscussionCognitive reserve and mental health are important factors predicting R-CF and PR-CF. We recommend assessing these factors for early detection of cognitive frailty and promoting psychological well-being and lifestyles that increase cognitive reserve in adults. (shrink)

C’est un tableau stimulant de la vie des élites dans la ville de São Paulo pendant les années 1920 que nous présente Mônica Raisa Schpun dans cet ouvrage, résultat de son doctorat d’Histoire mené à l’université Paris 7, sous la direction de Michelle Perrot. Le travail est divisé en trois parties, avec, comme fils directeurs, l’histoire de São Paulo, ses transformations et les changements dans les rapports de genre. D’une écriture agile et attrayante, ce livre nous présente les particularités...

A questão do processo judicial de adoção de crianças por casais homossexuais perpassa por diversas questões sociais. Envolve aspectos legais, culturais, que ultrapassam os limites simbólicos, e que transcorrem sobre questões jurídicas e étnicas, envolvendo questionamentos e enfrentamentos. Tem-se, explicitamente ou implicitamente, fronteiras étnicas que marcam o lugar de cada sujeito na sociedade, especificamente, por envolver a sexualidade, a homossexualidade, os “novos” conceitos de família, os questionamentos sociais, religiosos, filosóficos e jurídicos quanto à questão. Os “novos” arranjos familiares, posto à (...) etnicidade, a sociedade, em razão de diversas transformações, reorganiza-se e recria-se a família. Destarte, o presente trabalho investigou como e em que medida os marcadores étnicos e sociossexuais de casais homossexuais interferem, influenciam ou se apoiam nas decisões judiciais para a adoção de crianças em Jequié, Ilhéus e Vitória da Conquista, no Estado da Bahia, tendo como colaboradores juízes que acompanharam os mencionados pedidos de adoção e os casais que pretenderam realizar a adoção de crianças. Pensar como os discursos funcionam é colocar-se na encruzilhada de um duplo jogo da memória: o da memória institucional que estabiliza, cristaliza, e, ao mesmo tempo, o da memória constituída pelo esquecimento que é o que torna possível o diferente, a ruptura, o outro. Com a análise de dados sociológicos dos grupos envolvidos, a pesquisa apresentou alguns marcadores étnicos e sociossexuais de casais homossexuais como possíveis razões das decisões judiciais para a adoção de crianças pelos casais gays. Palavras-chave: Família; Adoção; Casais gays; Criança. (shrink)

La función de la educación es difundir las ventajas de vivir en sociedades democráticas, sin embargo, la diáspora de esas ventajas está articulada a intereses políticos y económicos globalizados; su misión: anestesiar a la sociedad para que observe en silencio el desmantelamiento de su proyecto de vida. La educación tradicional no fomenta la habilidad para leer la complejidad de esa realidad democrática. Se enfoca, principalmente, en aleccionar sobre las “ventajas” de la modernidad, donde la mayoría tiene como destino ser masas (...) de asalariados y una minoría, “heredar” la élite. Este documento, propone que para leer esta realidad, la ciudadanía debe ser alfabetizada más allá de la mera técnica que sólo sirva para leer, memorizar y escribir manuales; particularmente la alfabetización debe ser: reflexiva, crítica, basada en el diálogo de saberes y permanente; pero, éticamente coordinada por docentes intelectuales. (shrink)

Este artigo apresenta a pesquisa como princípio formativo e destaca a sua relevância para a dimensão do conhecimento e da aprendizagem, trazendo evidências que ela é o modo humano de conhecer e compreender. Objetiva-se chamar a atenção para diferentes dimensões formativas da pesquisa e que, em certo sentido, podem ser situadas como pressupostas ou anteriores a quaisquer modalidades, métodos, tipos ou estratégias de sua realização específica. Nessa direção, a pesquisa pode ser compreendida, em termos gerais, como constituidora do modo de (...) ser humano e, em termos específicos, do modo de ser estudantil e, também, docente. Para tanto, argumenta-se que a linguagem é um traço distintivo dos humanos que lhes permite simbolizar, interpretar, compreender e transformar; tais aspectos permitem dizer que a constituição do mundo humano é uma autocriação. Por fim, destaca-se a pesquisa como esforço em compreender as situações práticas mediante o recurso a categorias teóricas e/ou interpretativas e como uma atividade humana de fundamental importância e que tem nas instituições educativas um lugar privilegiado para a sua otimização, na medida em que inter-relaciona o ensino, a pesquisa e a experiência prática da vida. (shrink)

Uno de los problemas centrales que el filósofo francés Bernard Stiegler ha abordado para sostener una constitución tecno- lógica de la humanidad, es la cuestión del origen del hombre. El asunto recae en preguntarse si es posible pensar quién es el hombre desde esta tesis, sin volver a la metafísica o la filosofía trascendental. Esta posición ha de estar enraizada en una ontología que aprehenda el componente causal a nivel relacional, dejando de lado las explicaciones en las cuales la causa (...) es substancialista. Para dar desarrollo a esta propuesta, este artículo se compone de dos partes generales: la primera está destinada a presentar hasta dónde sigue y en dónde se separa Stiegler de la concepción zoo-antropológica de André Leroi-Gourhan sobre el origen del hombre; para luego explicar las bases epistemológicas y ontológicas sobre las que Stiegler erige sus tesis tecno-ontológica de la humanidad; a saber: los fundamentos de la transducción simondoniana y la diferancia derridiana. (shrink)

This paper intends to explore whether and how the quality of participation experiences is associated with political efficacy and the disposition of migrant and non-migrant young people to becoming involved. The sample includes 1010 young people of Portuguese, Angolan and Brazilian origin, aged between 15 and 29 years old. The results reveal that the quality of participation experiences is related to political efficacy and dispositions to becoming involved, but different groups seem to react differently to different forms of political action.

Diversas evidencias parecen indicar que, durante la comprensión oral, el procesamiento del habla se realiza a partir de la información verbal auditiva y de la información viso-gestual proveniente del interlocutor. En este marco, se evaluó el tiempo y la precisión de respuestas de sujetos oyentes en una tarea de lectura labial con el patrón acústico suprimido. En ella, 25 participantes adultos, sin diagnóstico de patologías lingüísticas o cognitivas ni discapacidad auditiva o visual, debían distinguir si estaban frente a una palabra (...) del español a partir de la visualización de su articulación. Para la tarea se construyeron 240 estímulos, divididos en tres grupos de 80 ‘Palabras’ del español, 80 ‘Pseudopalabras’ del español y 80 ‘No-Palabras’, presentados en forma aleatoria. Los resultados respecto del tiempo de respuesta indicaron que las ‘Palabras’ (m=717,6ms) se reconocen con una velocidad menor que las ‘Pseudopalabras’ (m=809,5ms) y las ‘No-Palabras’ (7633,7ms); mientras que las ‘Pseudopalabras’ demoraron más en ser respondidas que las ‘No-Palabras’. Por su parte, en los resultados de precisión los estímulos presentaron el siguiente patrón de reconocimiento: ‘Palabras’<‘Pseudopalabras’<‘No-Palabras’ (correspondientes a un 59,89%, 62,5% y 86,3%, respectivamente). Del mismo modo, se encontró evidencia robusta de la relación entre el tipo de estímulo presentado y el acierto/desacierto de las respuestas, aunque el modelo indica que la condición ‘No-Palabra’ es reconocida con mayor facilidad y que la diferencia entre ‘Palabras’ y las ‘Pseudopalabras’ no es relevante. Asimismo, se observó una relación entre la menor velocidad y el desacierto en las respuestas. Estos datos corroboran la hipótesis de la integración de información proveniente de la percepción visual y el procesamiento del lenguaje, al mismo tiempo que permiten proyectar trabajos futuros con evidencias electrofisiológicas. (shrink)

This book highlights some of the most pressing safety, ethical, legal and societal issues related to the diverse contexts in which robotic technologies apply. Focusing on the essential concept of well-being, it addresses topics that are fundamental not only for research, but also for industry and end-users, discussing the challenges in a wide variety of applications, including domestic robots, autonomous manufacturing, personal care robots and drones.