Miguel 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.

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.

El concepto del Yo en el pensamiento de José Ortega y Gasset aparece en repetidas ocasiones a lo largo de su obra, abordado desde diferentes perspectivas y entreverado con reflexiones intelectuales de todo tipo: psicológicas, sociológicas, artísticas, históricas, etc. Sin embargo, el enfoque de este escrito se acota a la importante relación epistemológica entre su raciovitalismo y su visión sobre la intimidad personal, centro y origen del desarrollo del Yo humano. Gracias a la riqueza de esta puede el Yo desarrollar su vocación personal hacia la autenticidad a la que está llamado, salvando de esta manera la incertidumbre, el drama y el destino al que se enfrenta a la hora de vivir la propia circunstancia.

Ante la devaluación de la formación universitaria debido a la escisión entre docencia e investigación, se propone la “investigación formativa” como fórmula de aprendizaje significativo. Se ofrece un marco epistemológico basado en la complejidad del conocimiento en Humanidades, y un planteamiento metodológico organizado sobre la transversalidad y convergencia disciplinar. Se presentan resultados de su aplicación en el estudio de problemas relacionados con el patrimonio arquitectónico y urbanístico. Se muestran casos de estudios diversos que demuestran su flexibilidad, su interactividad en el aprendizaje y su potencialidad de transcender de la comunidad universitaria a la ciudadanía en general.

La reciente publicación de Ilustración, progreso, modernidad, aparece como una excusa para volver a dar cuenta de la relevancia de la historia de los conceptos como parte vital de nuestras formas de investigar el pasado. Para ello conviene empezar por situar los tres conceptos que la edición ha tenido en cuenta, entendiéndolos como conceptos útiles para la comprensión de lo que representa la Sattelzeit. Una vez ello nos ha permitido dar cuenta de los principales alementos del enfoque koselleckiano, tendremos en cuenta las críticas que el enfoque recibe desde otras formas de concebir la historia del pensamiento político. Por último, conectaremos la Begriffsgeschichte con la propuesta del contextualismo de Cambridge.

IntroductionThis study aimed to evaluate, in adults with mild cognitive impairment, the brain atrophy that may distinguish between three AT biomarker-based profiles, and to determine its clinical value.MethodsStructural MRI was employed to evaluate the volume and cortical thickness differences in MCI patients with different AT profiles, namely, A−T−−: normal AD biomarkers; A+T−−: AD pathologic change; and A+T++: prodromal AD. Sensitivity and specificity of these changes were also estimated.ResultsAn initial atrophy in medial temporal lobe areas was found in the A+T−− and A+T++ groups, spreading toward the parietal and frontal regions in A+T++ patients. These structural changes allowed distinguishing AT profiles within the AD continuum; however, the profiles and their pattern of neurodegeneration were unsuccessful to determine the current clinical status.ConclusionsMRI is useful in the determination of the specific brain structural changes of AT profiles along the AD continuum, allowing differentiation between MCI adults with or without pathological AD biomarkers.