Maria Fernandez

Bioethics emerged as a discipline in the 70s of the last century. One of its main objectives has been to analyze clinical cases that pose moral problems. This analysis is generally carried out by a multidisciplinary group, the Health Care Ethics Committee, which is comprised of ethical experts or healthcare providers assisted by a facilitator, depending on the context. Different methodologies are used in these situations. The deliberative method, in its various configurations, is the most widely used in many Committees. Identify whether the deliberative method is included in regulated undergraduate and postgraduate teaching; analyze whether a single model can be identified or whether there is heterogeneity in the proposals. A bibliographic review was carried out, following the scoping review method. With respect to the first objective, there is no evidence on the teaching and use of the deliberative method in the Faculties and Schools of Medicine and Nursing, the emphasis is placed on training oriented to the resolution of clinical cases and a certain deliberative proposal is developed from them, more pragmatic than ethical-philosophical. In relation to the second objective, differences are observed between the two most prevalent schools (D. Gracia and B. Molewijk), with the model proposed by Gracia being used more in the Spanish-speaking world, and Molewijk's model in the English-speaking world. It can be seen that D. Gracia's proposal is more philosophical and Molewijk's more pragmatic. Finally, it is considered pertinent to further disseminate the deliberative method and its advantages, as well as its potential for bioethics education.

As interest in women’s roles in agriculture increases, research on women livestock-keepers remains limited. Advances in feminist scholarship highlight farming women’s dual roles in agricultural production and biological and socio-cultural reproduction, including women’s uncompensated labor in child-bearing, child-rearing and home-making. To expand knowledge about women pastoralists’ lived experiences, we conducted life-history interviews with 25 herder women in two regions of Mongolia, following-up with participatory workshops in each region. As mothering and carework emerged as key themes, we drew on feminist care ethics and the anthropology of mothering and motherhood to analyze interview data and co-interpret results with workshop participants. Our findings reveal three caring conflicts experienced by Mongolian herder women: between caring for nutag (homeland) and caring for herds, between caring for herds and caring for children, and between caring for family, herd and nutag and caring for self. These conflicts highlight contradictions between normative Mongolian motherhood as depicted in cultural images and narratives, and the lived reality of herder mothers, and between public valorization of and incentives for motherhood and the lack of sufficient public support for mothers and carework in rural Mongolia. Unmet needs for care, resulting risks to maternal and child health, and the extraordinary workload associated with mothers’ multiple caring tasks likely contribute to rural–urban migration and increasing masculinization of the Mongolian countryside. Although Mongolian culture frames mothers as leaders who unify their communities through their wisdom, many herder-mothers today live isolated lives where their multiple caring responsibilities preclude active participation in community development and governance.

The detection of deception poses one of the main challenges in policing and security environment. It is the inherent goal of security to detect and prevent unlawful events to happen. This is especially true for aviation security as airports continue to constitute attractive targets for terrorist attacks. In consequence, law enforcement agencies are seeking effective and efficient solutions for ensuring high-level security and are often adopting approaches that include behaviour detection. This pressing need for solutions provides ground for pseudoscientific suggestions and methods as those that are cited in an article of the References section. Despite this justified criticism, options to overcome the dangers of pseudoscience are not offered. Therefore, this paper provides a first common standard for conducting research in aviation security for scientists and for practitioners. It highlights several factors that are important to consider before conducting research on behaviour detection. Furthermore, this paper aims to empower experts in the field of aviation security to recognize valid and reliable solutions (e.g., programs, methods, tools) and discusses the relevance as well as the challenges of conducting applied research in the field of aviation security.

Livestock systems across the world are transformed by capitalist forces. Understanding these social, economic, and cultural transformations is important because it has major implications for rural populations across the world. Traditionally, the study of livestock systems has been organized along the conceptual classification of ranching in North America and Australia and pastoralism in Africa and Asia, but this intellectual division has limited our understanding because of a priori assumptions about the extent to which these systems have been shaped by capitalism. The goal of our paper is to outline a conceptual framework to come to a better understanding of the different ways that livestock systems across the globe have become more and less capitalist. We use a comparative approach that considers a wide range of livestock systems in different parts of the world, ranging from pastoralism in open access and communally held grasslands to ranching in privately owned and fenced rangelands, and industrial agriculture, to examine the diversity, complexity, and dynamics of these systems at the intersection with capitalism. We describe how livestock keepers across the world adopt, adapt to, and challenge capitalist logics and offer new ways to raise livestock in the twenty-first century. One of the emergent themes of our review is the persistence of pastoral values and identities across livestock systems.

This article outlines a middle-range theory of pastoralist/rancher identity, offering a framework for analyzing the meanings, symbols, and practices associated with four interrelated dimensions of pastoralist identity: identification with livestock, place, family and community, and occupation. Poetic analysis of interviews from pastoral systems in transition in Mongolia’s Khangai and Gobi regions, the Spanish Pyrenees, and Colorado, USA shows how theorizing pastoralist identity, animated by place-based knowledge and emotion, may support deeper understanding of livestock-keepers’ social conflicts and responses to change. Even in capitalist systems, livestock-keepers are often primarily motivated by maintaining identities and lifeways rather than by profit maximization.

This study analyses journalistic images of the volcanic eruption of La Palma (Canary Islands, Spain) in 2021. We prioritized the perspective of image reception to find out the audience”s feelings and level of satisfaction. We also investigated the application of ethical recommendations and the presence of new trends in journalism in the coverage of this natural disaster. We surveyed a sample of individuals who were asked about their feelings, emotions, and level of satisfaction with the journalistic images of the event. The results reveal that journalism driven by spectacle and emotion prevailed over preventive, constructive and solution-oriented journalism. A noteworthy conclusion highlights the need for the ethical training of journalists and newsroom managers to promote modern, quality journalism. This necessity arises due to the increasing numbers of natural disasters affecting populations.

This study analyses journalistic images of the volcanic eruption of La Palma (Canary Islands, Spain) in 2021. We prioritized the perspective of image reception to find out the audience”s feelings and level of satisfaction. We also investigated the application of ethical recommendations and the presence of new trends in journalism in the coverage of this natural disaster. We surveyed a sample of individuals who were asked about their feelings, emotions, and level of satisfaction with the journalistic images of the event. The results reveal that journalism driven by spectacle and emotion prevailed over preventive, constructive and solution-oriented journalism. A noteworthy conclusion highlights the need for the ethical training of journalists and newsroom managers to promote modern, quality journalism. This necessity arises due to the increasing numbers of natural disasters affecting populations.

Bioethics emerged as a discipline in the 70s of the last century. One of its main objectives has been to analyze clinical cases that pose moral problems. This analysis is generally carried out by a multidisciplinary group, the Health Care Ethics Committee, which is comprised of ethical experts or healthcare providers assisted by a facilitator, depending on the context. Different methodologies are used in these situations. The deliberative method, in its various configurations, is the most widely used in many Committees. Identify whether the deliberative method is included in regulated undergraduate and postgraduate teaching; analyze whether a single model can be identified or whether there is heterogeneity in the proposals. A bibliographic review was carried out, following the scoping review method. With respect to the first objective, there is no evidence on the teaching and use of the deliberative method in the Faculties and Schools of Medicine and Nursing, the emphasis is placed on training oriented to the resolution of clinical cases and a certain deliberative proposal is developed from them, more pragmatic than ethical-philosophical. In relation to the second objective, differences are observed between the two most prevalent schools (D. Gracia and B. Molewijk), with the model proposed by Gracia being used more in the Spanish-speaking world, and Molewijk's model in the English-speaking world. It can be seen that D. Gracia's proposal is more philosophical and Molewijk's more pragmatic. Finally, it is considered pertinent to further disseminate the deliberative method and its advantages, as well as its potential for bioethics education.

Background Social justice is recognized by reputable international organizations as a professional nursing value. However, there are serious doubts as to whether it is embodied in Catalan nursing education. Objectives To explore what nursing students take away from two teaching activities led by expert patients (one presentation and three expert patient illness narratives) on the topics of social justice, patient rights, and person-centered care. Research design Qualitative study using a content analysis approach. The research plan included (1) think-pair-share activities (additional faculty-assisted presentation and three faculty-assisted, semi-structured scripted narratives); (2) paired reflections; (3) focus groups; and (4) content analysis of paired reflections and focus groups. Participants and research context Fourth-year nursing degree students at the Autonomous University of Barcelona (UAB), Spain. Convenience sampling was used. Ethical considerations The UAB Research Ethics Committee did not deem it necessary to apply any specific measures. We fully explained to patients that they could decide what medical information they would share with the students that was relevant to their learning, and we provided students with guidelines about patient confidentiality, dignity, and respect. Findings/results The students engaged in reflection about their education (recognizing that it had been centered on the professional and not the patient) and their relationship with the patient, in which they reproduced low-involvement patient care by modeling behaviors of their nurse educator. Moreover, they valued a person-centered care model with an emphasis on the emotional part but left out decision-making as an individual right of people. Conclusions The think-pair-share activities were useful to spark self-reflection among students, who identified aspects to change in their own practice, and reflected about their own education process, both of which promote change.

Background Considering the extensive debate that is currently taking place in Spain regarding euthanasia, it is important to examine the attitude of professionals who perform most of their duties at the bedside of these patients and their families. Objectives The aim of the present study was to present an adaptation and validation of the Euthanasia Attitude Scale and to evaluate its psychometric properties among a sample of nursing students in Spain. Research design A cross-sectional study design was conducted. Participants and research context Non-probabilistic sampling was used to recruit 396 Spanish nursing students. Methods A self-report questionnaire, including socio-demographic data and the Euthanasia Attitude Scale, were used for data collection. The psychometric properties of the Euthanasia Attitude Scale were assessed, including reliability and validity. Fit indices of the overall model were computed. Ethical considerations This study was approved by the Hospital Ethical Committee. Students were informed of the aims and procedures and provided written informed consent prior to data collection. Results The factorial solution comprised four domains and the scale demonstrated adequate internal consistency (Cronbach’s alpha =.878). For the exploratory factor analysis, the Kaiser–Meyer–Olkin index of sampling adequacy was.905 and the Bartlett’s Test of Sphericity was 2972.79 (p

The detection of deception poses one of the main challenges in policing and security environment. It is the inherent goal of security to detect and prevent unlawful events to happen. This is especially true for aviation security as airports continue to constitute attractive targets for terrorist attacks. In consequence, law enforcement agencies are seeking effective and efficient solutions for ensuring high-level security and are often adopting approaches that include behaviour detection. This pressing need for solutions provides ground for pseudoscientific suggestions and methods as those that are cited in an article of the References section. Despite this justified criticism, options to overcome the dangers of pseudoscience are not offered. Therefore, this paper provides a first common standard for conducting research in aviation security for scientists and for practitioners. It highlights several factors that are important to consider before conducting research on behaviour detection. Furthermore, this paper aims to empower experts in the field of aviation security to recognize valid and reliable solutions (e.g., programs, methods, tools) and discusses the relevance as well as the challenges of conducting applied research in the field of aviation security.

This study examines how 8- to 15-month-old Peruvian children1 (N = 18) express pragmatic functions in terms of the modality and referential-specificity level of each communicative behaviour. Results show that pragmatic functions were expressed mainly via the vocal modality, primarily with vocalisations; nevertheless, specific functional patterns were found: declaratives involved more use of words, and imperatives more use of gestures. While older children produced more declaratives and less personal expressions, and more words, there was no significant change of preferred modality with age. Finally, vocabulary size and pragmatic production seem to be associated: children with larger receptive vocabularies produced more declaratives and less personal expressions, while those with larger expressive vocabularies produced fewer personal expressions and more words. This pragmatic approach allows for a more nuanced view of communicative development, with each function exhibiting a specific trajectory.

As interest in women’s roles in agriculture increases, research on women livestock-keepers remains limited. Advances in feminist scholarship highlight farming women’s dual roles in agricultural production and biological and socio-cultural reproduction, including women’s uncompensated labor in child-bearing, child-rearing and home-making. To expand knowledge about women pastoralists’ lived experiences, we conducted life-history interviews with 25 herder women in two regions of Mongolia, following-up with participatory workshops in each region. As mothering and carework emerged as key themes, we drew on feminist care ethics and the anthropology of mothering and motherhood to analyze interview data and co-interpret results with workshop participants. Our findings reveal three caring conflicts experienced by Mongolian herder women: between caring for _nutag_ (homeland) and caring for herds, between caring for herds and caring for children, and between caring for family, herd and _nutag_ and caring for self. These conflicts highlight contradictions between normative Mongolian motherhood as depicted in cultural images and narratives, and the lived reality of herder mothers, and between public valorization of and incentives for motherhood and the lack of sufficient public support for mothers and carework in rural Mongolia. Unmet needs for care, resulting risks to maternal and child health, and the extraordinary workload associated with mothers’ multiple caring tasks likely contribute to rural–urban migration and increasing masculinization of the Mongolian countryside. Although Mongolian culture frames mothers as leaders who unify their communities through their wisdom, many herder-mothers today live isolated lives where their multiple caring responsibilities preclude active participation in community development and governance.

In this article, we present results from a literature review of intrinsic, instrumental, and relational values of nature conducted for the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services, as part of the Methodological Assessment of the Diverse Values and Valuations of Nature. We identify the most frequently recurring meanings in the heterogeneous use of different value types and their association with worldviews and other key concepts. From frequent uses, we determine a core meaning for each value type, which is sufficiently inclusive to serve as an umbrella over different understandings in the literature and specific enough to help highlight its difference from the other types of values. Finally, we discuss convergences, overlapping areas, and fuzzy boundaries between different value types to facilitate dialogue, reduce misunderstandings, and improve the methods for valuation of nature's contributions to people, including ecosystem services, to inform policy and direct future research. © 2023 The Author(s). Published by Oxford University Press on behalf of the American Institute of Biological Sciences.

Subjects may be aware in each moment of the content of a given scene and/or internal state. However, the vivid reality of the scene is a by-product of the complex processing of external and internal information in the brain. This point is more evident in the hallucinatory phase of psychosis or during dreaming. There is complex internal processing for the recreation of certain contents which are unconscious for the subject, whilst the content is experienced, the process to arrive at the contents is not perceived at all. Therefore, an important question that naturally arises is if process and content are served by different neural mechanisms. The possibility that postsynaptic potentials arranged in an open-field configuration would be more related to the content, experienced (or not) by the subject, and transmission-transformation of information along neural networks would be related to processing would be proposed. The proposal has some important implications for clinical applications, given that depression, psychosis, anxiety, and others are experienced as defined contents or states, while more possibly the underpinnings are related to abnormal information processing. Therefore, any clinical application should be primarily directed to psychological, pharmacological, or neural stimulation modification of information processing. However, if the content is related to activation of defined neural nets, possibly defined as engrams in a broad sense, the activation of those engrams (content) would only be able to modify processing through action on the processes. A handful of psychological therapies, more or less, explicitly tacitly successfully focus on processes (i.e., cognitive therapy in psychosis) rather than on contents, while others also focus on contents (flooding therapy in anxiety). These ideas are being implicitly running from the beginning of Psychology and made explicit in the field of motivation in organizational psychology. It is important to clarify the different Physiological underpinnings of content and process, and how each intervention is more or less focused on one or the other to justify their odds for success. From an educational point of view, this topic refers to educational strategies more biased to memory (content) vs. educational strategies where the solving tasks approach (processes) is primed.

Background: The high level of satisfaction of users of a health service is largely due to the fact that they receive excellent care from healthcare professionals. Compassionate care is an essential component of excellent care. But what do nurses understand compassion to be? Research objectives: To analyse the concept of compassion from the perspective of nurses in the Andalusian Public Health System, Spain. Research design: This is a qualitative study following the grounded theory model. Four focus groups and 25 in-depth interviews were conducted. Participants and research context: A total of 68 nursing professionals working in the Andalusian Public Health System (Spain) participated. Theoretical sampling was used, with participants being recruited using the snowball technique. Ethical considerations: This research was approved by the Research Ethics Committee of the Centro-Almería Health District (CEICA 27/9/17). Findings: From the analysis of the data, four themes emerged that helped to understand the concept of compassion according to nurses: ‘Negative perception of the term compassion’, ‘Compassion and empathy as synonyms’, ‘Beyond empathy’, and ‘Effects of having a compassionate attitude’. Discussion: Nurses perceive the concept of compassion differently to each other and even contradictorily. This concept is imbued with cultural elements, which adds confusion to understanding it, and is even perceived as something negative similar to pity. Conclusion: Nurses confuse the concepts of empathy and compassion as if they were synonymous. Before considering training in compassion for healthcare professionals, it is essential to clarify the concept of compassion through educational interventions.

The informed consent is an ethical and legal requirement for potential participants to enroll in a study. There is ample of evidence that understanding consent information and enrollment is challenging for participants in clinical trials. On the other hand, the reasoning process behind decision-making in HIV clinical trials remains mostly unexplored. This study aims to examine the decision-making process of people living with HIV currently participating in antiretroviral clinical trials and their understanding of informed consent. We conducted a qualitative socio-constructivist study using semi-structured interviews. Eleven participants were selected by purposive sampling in Argentina until data saturation was reached. A content analysis was performed. The findings highlight the fact that some participants decided to enroll on the spot, while others made the decision a few days later. In all cases, the decision was based on different aspects of trust (in doctors, in the clinical research site, in the clinical trials system) but also on emotions associated with HIV and/or treatment. Moreover, while people living with HIV felt truly informed after the consent dialogue with a researcher, consent forms were unintelligible and unfriendly. The immediacy of patient decision-making has rarely been described before. Enrollment in an HIV clinical trial is mainly a trust-based decision but this does not contradict the ethical values of autonomy, voluntariness, non-manipulation, and non‐exploitation. Thus, trust is a key issue to be included in reshaping professional practices to ensure the integrity of the informed consent process.

The island of Ibiza is a western Mediterranean destination known internationally for its nightlife. The aim of this paper is to make a proposal to classify the different types of premises in the Ibiza nightlife offer. This involves making a first definition that allows to delimit which businesses are parts of the sector. The methodology used is based on the case study and specifically, on the review of the promotional actions and activities carried out, completed with the visit to the premises. The classification has been made based on the offer marketed and not only on the legal forms used, as innovation goes ahead of the existing legal classifications. Although it is a particular application, due to the international importance of Ibiza, it is a good starting point to classify the nightlife offer of many other tourist destinations. The resulting typology divides the sector into two large groups: nightclubs and other premises. While nightclubs have musical parties as their main activity declared, the other premises have accommodation or catering as their main activity, with music being an element of differentiation. Nightclubs are divided into several subgroups, depending on their size and relevance. The other premises are subdivided into Beach Clubs, Hotel Clubs, Party Boats, Lounge Clubs, Disco Pubs, among others.

The disease brought about by the SARS-CoV-2, COVID-19 coronavirus has had an unprecedented global impact. Confinement to control the outbreak may have mental health consequences for the most vulnerable in the population, including adolescents. This study aims to describe and analyze the relationships between the stress variables, Emotional Intelligence and the intention to use cannabis in healthy adolescents, before and after the end of the COVID-19 pandemic containment stage. A comparative correlational study was carried out with validated self-completed questionnaires through an online platform. The sample is made up of adolescents aged 13–17 from two different schools in Ponferrada. The analysis of correlation and differences between the groups indicate that confinement has had effects on the mental health of the adolescents, specifically on the emotional manifestations of stress. Furthermore, significant gender differences were found for stress values and Emotional Intelligence. However, no differences have been found for cannabis use intention.