Loores de la Virgen nuestra Señora ... sobre la exposicion de las siete palabras que esta virgen hablo : conforme alo que los Eu?gelistas escriu? c? la aplicaci? de cada uno de los siete dones /

Martín Abad

Noticias de la vida, virtudes, y dones sobrenaturales del Venerable, y Espiritualissimo P. Francisco Tamariz, de la Compañia de Jesus /

Mode of access: Internet.

Vida, virtudes, dones sobrenaturales y milagros de el venerable siervo de Dios el hermano Antonio Alonso Bermejo, natural de la villa de la Nava del Rey y fundador en ella de el Hospital de curacion de el arcangel San Miguel ... /

Mode of access: Internet.

Cryptogamie illustrée; ou, Histoire des familles naturelles des plantes acotylédones d'Europe, coordonnée suivant les dernières classifications et complétée par les recherches scientifiques les plus récentes. Famille des lichens.

Mode of access: Internet.

United States Customs Service commercial directives reference manual.

Shipping list no.: 91-310-P.

Directives, publications and reports index.

"CG-236."

La mano izquierda de las empresas : Circulación de dones, alimentos y usos del dinero

El Banco Provincial de Alimentos ("banco") es una fundación que se encarga de recibir donaciones de distintas empresas alimenticias, para luego distribuirlas a un "precio simbólico", a un conjunto de instituciones denominadas "entidades receptoras" (hogares, comedores, organizaciones de base, escuelas públicas, etc.) ubicadas en el extenso territorio del Conurbano Bonaerense. A través de la reconstrucción de ciertos tramos de este circuito de alimentos, nos proponemos detectar las contiendas que se producen en torno a el status de las personas y los objetos que circulan en las transferencias, movilizando la forma don- mercancía. Contiendas existentes entre los distintos actores involucrados en el intercambio: el "banco" y las organizaciones sociales que se vinculan con él, entre las organizaciones sociales y entre las organizaciones sociales y los "beneficiarios". Es así que nos preguntamos: ¿Cuáles son las apreciaciones de los distintos actores involucrados en el intercambio? ¿Cuáles son las representaciones que limitan y definen la circulación de los alimentos? ¿Qué rol juega el uso del dinero en la denominación de las distintas transferencias?

La mano izquierda de las empresas : Circulación de dones, alimentos y usos del dinero

El Banco Provincial de Alimentos ("banco") es una fundación que se encarga de recibir donaciones de distintas empresas alimenticias, para luego distribuirlas a un "precio simbólico", a un conjunto de instituciones denominadas "entidades receptoras" (hogares, comedores, organizaciones de base, escuelas públicas, etc.) ubicadas en el extenso territorio del Conurbano Bonaerense. A través de la reconstrucción de ciertos tramos de este circuito de alimentos, nos proponemos detectar las contiendas que se producen en torno a el status de las personas y los objetos que circulan en las transferencias, movilizando la forma don- mercancía. Contiendas existentes entre los distintos actores involucrados en el intercambio: el "banco" y las organizaciones sociales que se vinculan con él, entre las organizaciones sociales y entre las organizaciones sociales y los "beneficiarios". Es así que nos preguntamos: ¿Cuáles son las apreciaciones de los distintos actores involucrados en el intercambio? ¿Cuáles son las representaciones que limitan y definen la circulación de los alimentos? ¿Qué rol juega el uso del dinero en la denominación de las distintas transferencias?

Effects of two intervention strategies on the behavior of nurses and nurse students related to advance directives

Advance directives are one mechanism for preserving the rights of individuals to exercise some control over their health care when serious illness may prevent them from direct participation. Nurses, as the health care providers with the closest and most sustained contact with critically ill and dying patients, are positioned to assist patients to plan for future health care needs. Although a majority of nurses favor the concept of advance directives for their patients and for themselves, they have not played a significant role in facilitating advance health care planning with their patients nor implemented advance health care planning for themselves.^ Research has also shown that differing forms of education and counseling increase the completion rates for advance directives in selected populations, mostly the elderly and seriously ill. Not yet developed are effective educational strategies to assist nurses and nurse students to make optimal contributions in assisting their clients' plans for future health care decision-making. This study sought to determine whether specific learning strategies (a) increased the involvement of nurses and nurse students in facilitating advance care planning with patients and (b) increased the percentage of the nurses' and nurse students' own personal advance care planning activities.^ The study compared two learning interventions and two populations, nurses and nurse students. The participants were randomly assigned to one of the two learning interventions, L1 or L2. Participants in L1 received a lecture, discussion and exploration of the forces impacting on advance directive behavior. Participants in L2 received the same intervention components with the additional component of group practice completing advance directives.^ Analysis of the data by chi-square and logistic regression did not support the hypotheses that the practice component would make a difference in the participants' facilitation of advance care planning with patients or in their own personal advance care planning activities. There were significant differences in post-intervention behavior between the nurse and nurse student groups. The nurses in the study did significantly more facilitation of advance care planning with patients and completed significantly more advance care documents than the nurse students post-intervention. However, the nurse students held more post-intervention family discussions than did the nurses. ^

Nurses' knowledge of advance directives and perceived confidence in end-of-life care: a cross-sectional study in five countries

Nurses' knowledge regarding advance directives may affect their administration and completion in end-of-life care. Confidence among nurses is a barrier to the provision of quality end-of-life care. This study investigated nurses' knowledge of advance directives and perceived confidence in end-of-life care, in Hong Kong, Ireland, Israel, Italy and the USA using a cross-sectional descriptive design (n = 1089). In all countries, older nurses and those who had more professional experience felt more confident managing patients' symptoms at end-of-life and more comfortable stopping preventive medications at end-of-life. Nurses in the USA reported that they have more knowledge and experience of advance directives compared with other countries. In addition, they reported the highest levels of confidence and comfort in dealing with end-of-life care. Although legislation for advance directives does not yet exist in Ireland, nurses reported high levels of confidence in end-of-life care.

Une analyse des limites inhérentes au nouveau régime des directives médicales anticipées face à l'essor du droit à l'autonomie décisionnelle du patient

Résumé : La Loi concernant les soins de fin de vie ainsi que la mise en place du régime des directives médicales anticipées sont le résultat d’une profonde transformation sociétale, guidée par l’importance grandissante du respect de l’autonomie décisionnelle des personnes et à leur droit à l’autodétermination. Au regard de ce contexte, cet essai décrit en première partie l’état du droit actuel en matière de volontés exprimées de manière anticipée, il analyse les enjeux qui s’y rapportent tout en soulevant les pistes de réflexion déjà amorcées en droit québécois. Il existe effectivement de nombreux outils qui permettent à un individu d’exprimer ses volontés en prévision de son inaptitude, mais les directives médicales anticipées se distinguent d’une façon bien précise : elles possèdent un caractère contraignant qui reconnaît la primauté des volontés relatives aux soins. Or, parallèlement à cela, le régime des directives médicales anticipées impose des limites à ce droit. Dans ce contexte d’essor du droit à l’autonomie, cet essai étudie, en seconde partie, les limites inhérentes au régime des directives médicales anticipées puis propose une analyse critique des défis liés à l’opérationnalisation clinique de ces directives.

"A mulher que venceu Don Juan" ou as mulheres que venceram os “dones Juanes” desta vida

Teresa Martins Marques é professora na Faculdade de Letras da Universidade de Lisboa e conhecida ensaísta no meio académico, sobretudo pelos trabalhos sobre José Rodrigues Miguéis e David Mourão-Ferreira. Em 2009 escreveu um conto, «Carioca de café», que já deixava antever a fluência da escrita, o mundano e o erudito fundidos nas personagens, tal como podemos encontrar neste seu primeiro romance, A Mulher que Venceu Don Juan.

Adults who lack capacity : substitute decision-making

• Mechanisms to facilitate consent to healthcare for adults who lack capacity are necessary to ensure that these adults can lawfully receive appropriate medical treatment when needed. • In Australia, the common law plays only a limited role in this context, through its recognition of advance directives and through the parens patriae jurisdiction of superior courts. • Substitute decision-making for adults who lack capacity is facilitated primarily by guardianship and other related legislation. This legislation, which has been enacted in all Australian States and Territories, permits a range of decision-makers to make different types of healthcare decisions. • Substitute decision-makers can be appointed by the adult or by a guardianship or other tribunal. Where there is no appointed decision-maker, legislation generally empowers those close to the adult to make the relevant decision. Most Australian jurisdictions have also provided for statutory advance directives. • For the most serious of decisions, such as non-therapeutic sterilisations, consent can only be provided by a Tribunal. Other decisions can generally be made by a range of substitute decision-makers. Some treatment, such as very minor treatment or that which is needed in an emergency, can be provided without consent. • Guardianship legislation generally establishes a set of principles and/or other criteria to guide healthcare decisions. Mechanisms to resolve disputes as to who is the appropriate decision-maker and how a decision should be made have also been established.