El paciente crónico y la enfermera de práctica avanzada

según datos de la Organización Mundial de la Salud (OMS), las enfermedades crónicas son la causa del 63% de las muertes a nivel mundial y desencadenan el 75% del gasto sanitario público. La enfermedad crónica se define como un proceso incurable, de etiología múltiple y desarrollo poco predecible que puede generar incapacitación y dependencia social desde el punto de vista económico. Para la atención de estos pacientes surge la figura de la enfermera de práctica avanzada. El Consejo Internacional de Enfermería (CIE) la define como la una enfermera que ha adquirido la base de conocimientos de experto, las capacidades de adopción de decisiones complejas y las competencias clínicas necesarias para el ejercicio profesional ampliado. Objetivo: conocer modelos de atención de Enfermería de Práctica Avanzada y su repercusión en el cuidado del paciente crónico. Material y métodos: revisión sistemática de la literatura. Discusión y resultados: la figura de la Enfermera de Práctica Avanzada contribuye a la disminución de los reingresos hospitalarios así como de las visitas a urgencias, disminuyendo también las posibles complicaciones que se derivan tanto del tratamiento como de su patología de base. Existe consenso en afirmar que la figura del cuidador principal es imprescindible para el cuidado del paciente crónico de manera que la Enfermera de Práctica Avanzada contribuye también a mejorar la calidad de vida del cuidador. En España, la figura de la Enfermera de Práctica Avanzada está poco desarrollada, aunque existen experiencias satisfactorias con diferentes modelos organizativos en algunas Comunidades Autónomas.Grado en Enfermerí

Conceptions of the mind... that do not loose sight of logic

Which is the relation between logic and philosophy of mind? This work tries to answer that question by shortly examining, first, the place that is assigned to logic in three current views of the mind: Computationalism, Interpretativism and Naïve Naturalism. Secondly, the classical debate between psychologism and antipsychologism is reviewed –the question about whether logic is or not a part of psychology- and it is indicated in which place of such debate the three mentioned conceptions of mind are located

Presentation

Since the two of us have been very interested in the language-thought relationship for a long time, we decided we should start working together somehow, and we proposed the idea of a special issue to Theoria. Our specific interest in this classic problem is try-ing to avoid a purely philosophical approach (i. e., the attempt to identify and solve some of the numerous problems by only using conceptual analysis). In addition to conceptual analysis, which is always needed in dealing with notions so difficult and elusive as language and thought, we wanted to look for approaches that were charac-terized by the explicit effort to take into special consideration some form of empirical evidence. With this goal in mind, we invited philosophers who have been working on the problem with an eye on empirical results, and scientists whose publications showed not only relevant results for the problem, but also philosophical interest. The stature of the authors who accepted to participate in the project is so remarkable that we must start by expressing our gratitude to all of them here

Proteomic study of the membrane components of signalling cascades of Botrytis cinerea controlled by phosphorylation

Protein phosphorylation and membrane proteins play an important role in the infection of plants by phytopathogenic fungi, given their involvement in signal transduction cascades. Botrytis cinerea is a well-studied necrotrophic fungus taken as a model organism in fungal plant pathology, given its broad host range and adverse economic impact. To elucidate relevant events during infection, several proteomics analyses have been performed in B. cinerea, but they cover only 10% of the total proteins predicted in the genome database of this fungus. To increase coverage, we analysed by LC-MS/MS the first-reported overlapped proteome in phytopathogenic fungi, the “phosphomembranome” of B. cinerea, combining the two most important signal transduction subproteomes. Of the 1112 membrane-associated phosphoproteins identified, 64 and 243 were classified as exclusively identified or overexpressed under glucose and deproteinized tomato cell wall conditions, respectively. Seven proteins were found under both conditions, but these presented a specific phosphorylation pattern, so they were considered as exclusively identified or overexpressed proteins. From bioinformatics analysis, those differences in the membrane-associated phosphoproteins composition were associated with various processes, including pyruvate metabolism, unfolded protein response, oxidative stress response, autophagy and cell death. Our results suggest these proteins play a significant role in the B. cinerea pathogenic cycl

Anti-individualism and socialization

El trabajo analiza el argumento anti-individualista de Tyler Burge respecto al contenido de los estados mentales, insistiendo en su fuerte carácter interpretativo (en particular, su dependencia del Principio de Caridad). Se presenta otro argumento anti-individualista alternativo, basado en la noción misma de lenguaje y en las condiciones de posesión de conceptos.The paper analises Tyler Burge’s anti-individualist argument with respect to the contents of mental states, putting special emphasis on its strong interpretative character (in particular, its dependence on the Charity Principle). It is introduced an alternative anti-individualist argument, based on the very notion of language and on the conditions for concept possession

From modern Planetary Health to decolonial promotion of One Health of Peripheries

The concept of Planetary Health has recently emerged in the global North as a concern with the global effects of degraded natural systems on human health. It calls for urgent and transformative actions. However, the problem and the call to solve it are far from new. Planetary health is a colonial approach that disregards alternative knowledge that over millennia have accumulated experiences of sustainable and holistic lifestyles. It reinforces the monologue of modernity without realizing that threats to “planetary health” reside precisely in its very approach. It insists on imposing its recipes on political, epistemological, and ontological peripheries created and maintained through coloniality. The Latin American decolonial turn has a long tradition in what could be called a “transformative action”, going beyond political and economic crises to face a more fundamental crisis of civilization. It deconstructs, with other decolonial movements, the fallacy of a dual world in which the global North produces epistemologies, while the rest only benefit from and apply those epistemologies. One Health of Peripheries is a field of praxis in which the health of multispecies collectives and the environment they comprise is experienced, understood, and transformed within symbolic and geographic peripheries, ensuing from marginalizing apparatuses. In the present article, we show how the decolonial promotion of One Health of Peripheries contributes to think and advance decentralized and plural practices to attend to local realities. We propose seven actions for such promotion