María Victoria Martínez

Organ Donation after Medical Aid in Dying (OD-MAiD) is currently practised in four countries: Belgium, Canada, the Netherlands, and Spain. While OD-MAiD shares some similarities with MAiD (absent the possibility of organ donation) and with standard organ donation protocols, the combination of OD and MAiD involves unique circumstances that present novel ethical challenges. These challenges revolve around donors' consent and protection, the dead donor rule, and organ allocation. This paper explores these moral challenges and proposes strategies to ensure ethical safeguards in the context of OD-MAiD. An underlying question is whether OD-MAiD, if permitted, should follow the ethical guidelines of living donation or deceased donation, as these two practices commonly operate under distinct moral paradigms. While the living donation paradigm is centred on the protection of donors' interests and emphasises individual choice by allowing donors to decide who receives their organs, the deceased donation framework places more emphasis on enabling recipients to benefit from transplant, and organ allocation is typically based on impartiality. OD-MAiD also raises ethical concerns about how the possibility of donation could influence a patient's decision to seek euthanasia and/or interfere with optimal end-of-life care. Proposing organ donation to individuals considering MAiD could conceivably create pressure to proceed with euthanasia, either to realise a social good or to satisfy the needs of loved ones (if a family member requires an organ). This may undermine the patient's autonomy or well-being at the end of life.

Most scientific theories are globally inconsistent. Chunk and Permeate is a method of rational reconstruction that can be used to separate, and identify, locally consistent chunks of reasoning or explanation. This then allows us to justify reasoning in a globally inconsistent theory. We extend chunk and permeate by adding a visually transparent way of guiding the individuation of chunks and deciding on what information permeates from one chunk to the next. The visual representation is in the form of bundle diagrams. We then extend the bundle diagrams to include not only reasoning in the presence of inconsistent information or reasoning in the logical sense of deriving a conclusion from premises, but more generally reasoning in the sense of trying to understand a phenomenon in science. This extends the use of the bundle diagrams in terms of the base space and the fibres. We then apply this to a case in physics, that of understanding binding energies in the nucleus of an atom using together inconsistent models: the liquid drop model and the shell model. We draw some philosophical conclusions concerning scientific reasoning, paraconsistent reasoning, the role of logic in science and the unity of science.

Social care robots (SCR) have come to the forefront of the ethical debate. While the possibility of robots helping us tackle the global care crisis is promising for some, others have raised concerns about the adequacy of AI-driven technologies for the ethically complex world of care. The robots do not seem able to provide the comprehensive care many people demand and deserve, at least they do not seem able to engage in humane, emotion-laden and significant care relationships. In this article, we will propose to focus the debate on a particularly relevant aspect of care: trust. We will argue that, to answer the question of whether SCR are ethically acceptable, we must first address another question, namely, whether they are trustworthy. To this end, we propose a three-level model of trust analysis: rational, motivational and personal or intimate. We will argue that some relevant forms of caregiving (especially care for highly dependent persons) require a very personal or intimate type of care that distinguishes it from other contexts. Nevertheless, this is not the only type of trust happening in care spaces. We will adduce that, while we cannot have intimate or highly personal relationships with robots, they are trustworthy at the rational and thin motivational level. The fact that robots cannot engage in some (personal) aspects of care does not mean that they cannot be useful in care contexts. We will defend that critical approaches to trusting SCR have been sustained by two misconceptions and propose a new model for analyzing their moral acceptability: sociotechnical trust in teams of humans and robots.

For years, the sexual and reproductive health of women with intellectual and developmental disability or disabilities has been insufficiently addressed by institutions and family members due to a lack of information, training, and, sometimes, religious issues. In this context, contraceptive digital pills can enhance the sexual and reproductive control of this population group. Digital pills could help to improve adherence to treatments aimed to prevent unwanted pregnancies, as well as allowing women and their caregivers to exert better drug intake control. However, there are some ethical risks to consider that may outweigh these benefits. This study sets out to explore the ethical considerations that should be taken into account in the case of a potential roll‐out of contraceptive digital pills as a way of improving the sexual and reproductive health of these women.

Background: This research explores how public awareness and attitudes toward donation and transplantation policies may contribute to Spain's success in cadaveric organ donation. Materials and Methods: A representative sample of 813 people residing in Andalusia (Southern Spain) were surveyed by telephone or via Internet between October and December 2018. Results: Most participants trust Spain's donation and transplantation system (93%) and wish to donate their organs after death (76%). Among donors, a majority have expressed their consent (59%), and few nondonors have expressed their refusal (14%). Only a minority are aware of the presumed consent system in force (28%) and feel sufficiently informed regarding the requirements needed to be an organ donor (16%). Participants mainly consider that relatives should represent the deceased's preferences and be consulted when the deceased's wishes are unknown, as is the case in Spain. Conclusion: Public trust in the transplant system may contribute to Spain's high performance in organ donation. High levels of societal support toward organ donation and transplantation do not correspond with similar levels of public awareness of donation and transplantation policies in Spain.

The organ donation and transplantation (ODT) system heavily relies on the willingness of individuals to donate their organs. While it is widely believed that public trust plays a crucial role in shaping donation rates, the empirical support for this assumption remains limited. In order to bridge this knowledge gap, this article takes a foundational approach by elucidating the concept of trust within the context of ODT. By examining the stakeholders involved, identifying influential factors, and mapping the intricate trust relationships among trustors, trustees, and objects of trust, we aim to provide a comprehensive understanding of trust dynamics in ODT. We employ maps and graphs to illustrate the functioning of these trust relationships, enabling a visual representation of the complex interactions within the ODT system. Through this conceptual groundwork, we pave the way for future empirical research to investigate the link between trust and organ donation rates, informed by a clarified understanding of trust in ODT. This study can also provide valuable insights to inform interventions and policies aimed at enhancing organ donation rates.

The development of assistive robotics and anthropomorphic AI allows machines to increasingly enter into the daily lives of human beings and gradually become part of their lives. Robots have made a strong entry in the field of assistive behaviour. In this chapter, we will ask to what extent technology can satisfy people’s personal needs and desires as compared to human agents in the field of care. The industry of assistive technology burst out of the gate at the beginning of the century with very strong innovation and development and is currently attracting large sources of public and private investment and public attention. We believe that a better-defined and more fundamental philosophical-ethical analysis of the values at stake in care robots is needed. To this end, we will focus on the current status of care robots (types of care robots, their functioning and their design) and we will provide a philosophical-ethical analysis that offers a solid framework for the debate surrounding the potential risks and benefits of implementing assistive robots in people’s daily lives.

Altruism and solidarity are concepts that are closely related to organ donation for transplantation. On the one hand, they are typically used for encouraging people to donate. On the other hand, they also underpin the regulations in force in each country to different extents. They are often used indistinctly and equivocally, despite the different ethical implications of each concept. This paper aims to clarify to what extent we can speak of altruism and solidarity in the predominant models of organ donation. It also raises the ethical question of whether these categories are adequate as a basis for such models, bearing in mind that organs are a scarce resource and that a shortage of them may mean that fewer lives are saved or improved.

La investigación en educación histórica señala la necesidad de una transformación del proceso de enseñanza-aprendizaje de la historia. Se aboga por un cambio que promueva el desarrollo del pensamiento histórico y atienda tanto a la metodología como la epistemología del área. El objetivo de este artículo es presentar un programa de intervención gamificado para el desarrollo del pensamiento histórico en Educación Primaria, cuyo diseño ha sido validado por juicio de expertos, con la finalidad de que pueda servir de referencia para el diseño de otras experiencias de aprendizaje gamificadas y contribuir así a la mejora de la educación histórica.

Spain has become a country receiving immigrants in the last years. The majority of the items of news related to immigration that appear in the press exhibit negative characteristics. The main purpose of this article is to observe the linguistic and visual representation of Sub-Saharan immigrants in a sample of the Spanish press in order to answer the following research questions: how are Sub-Saharan immigrants portrayed linguistically and visually in the given press? What are the implications of the choices in language and images? The researcher collected all the pieces of news related to Sub-Saharan immigrants in the three most popular Spanish newspapers, i.e. El País, ABC and El Mundo from 1 June 2011 to 31 March 2013. Visual grammar and critical discourse analysis will be used in order to deconstruct the visual and linguistic representation of such immigrants. In addition, van Leeuwen's [2008 Discourse and practice. New tools for critical discourse analysis. Oxford: Oxford University Press.] classification of social actors will be used in the analysis. The analysis demonstrates that the representation of Sub-Saharan immigrants displays the following characteristics: they are represented as vulnerable, lacking autonomy, as victims, etc. This representation does not contribute to the fact that the autochthonous population favours the integration of immigrants into the socio-economic structure, exercising the same rights as the Spanish population.

Desde tiempos remotos la apariencia ha sido uno de los instrumentos más importantes en el hombre para expresar sus sentimientos e ideologías. Como una seña de identidad ha servido siempre para establecer el orden social y el rango de cada individuo. Los monarcas conscientes del poder de la imagen, utilizaron todos los elementos a su alcance para conquistar a través de la vista a sus súbditos. La indumentaria, sus adornos, gestos y actitudes, sirvieron para suscitar la admiración y el respeto. En esta escenografía el rey se presentaba como figura principal rodeado en numerosas ocasiones de su familia, jugando sus hijos un papel fundamental como continuadores de su estirpe. En España, donde no existía la ley sálica, la Infanta, como descendiente y posible heredera del rey, tenía la misión de reflejar los valores de su dinastía y asegurar su supervivencia. Isabel Clara Eugenia y Catalina Micaela, hijas de Felipe II e Isabel de Valois, encarnaron el poder de la monarquía absoluta de su padre y contribuyeron a personificar sus virtudes. A través de sus retratos y de diferentes documentos de los Archivos Generales de Palacio y de Simancas, el presente trabajo analiza la apariencia y la representación de las infantas Isabel Clara Eugenia y Catalina Micaela en la corte de Felipe II.

La bioética, ciencia de la vida, no puede quedar lejana a la transmisión de la misma. El concepto de procreación humana, del cual parten las acciones sobre las decisiones de maternidad/paternidad, es un campo propio de la bioética. Dentro de la ciencia de la reproducción humana se ha llevado a cabo numerosas técnicas en las últimas décadas, que repercuten en los hechos concretos del logro de embarazos, pero también, en forma muy importante inciden en el simbolismo y en el significado del mismo concepto de procreación. La bioética debe resguardar los valores propios del ejercicio de la medicina y de la antropología filosófica que sustenta los actos aplicados al hombre.El siguiente trabajo pretende una reflexión bioética, esto es, multidisciplinaria, sobre las actuales técnicas de reproducción aplicadas al hombre

El artículo se divide en tres partes principales. La primera analiza la importancia que poseen las diversas declaraciones sobre derechos humanos entre sí y cómo han sido tomadas en cuenta en las legislaciones de los diversos países, en especial el caso de México.En la segunda parte, el autor analiza cómo es tratado el derecho a la vida y el estatuto personal del embrión humano en la Declaración Universal sobre Bioética y Derechos Humanos de la UNESCO.Por último, se muestra que la ambigüedad que prevalece en el texto se reflejó en el Tribunal Europeo de Derechos Humanos