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Lo marino y lo fluvial: dos motivos narrativos en la novelística latinoamericana de la segunda mitad del Siglo XX. El Siglo de Las Luces de Alejo Carpentier, y El río sin orillas de Juan José Saer (Dos modelos especiales)
Evidentemente, lo marítimo y lo fluvial son dos motivos narrativos recurrentes en la novelística hispanoamericana. El mar y el río se convierten en eminentes escenarios de profundas connotaciones contextuales, de modo que, cuando el autor o el lector piensan en mar y literatura, aparece en la mente, de manera espontánea y automática, una imagen clásica que a su vez evoca la calma, la contemplación y la tranquilidad. El objetivo principal de este trabajo consiste en discutir la especificidad de la temática del mar y el río como dos fenómenos destacables en la novelística hispanoamericana de la segunda mitad del siglo XX, partiendo de un breve estudio crítico de dos novelas latinoamericanas de autores de distinta nacionalidad: El Siglo de Las Luces (1962), del escritor cubano Alejo Carpentier, y El río sin orillas (1991) del escritor argentino Juan José Saer.The maritime and the fluvial are two recurring narrative motifs in Spanish-American novels. The sea and the river become eminent scenarios of deep contextual connotations, so that when the author or the reader thinks of sea and literature, a classical image appears in the mind, spontaneously and automatically, which in turn evokes calm, contemplation and tranquility. The main objective of this paper is to discuss the specificity of the theme of the sea and the river as two outstanding phenomena in Spanish-American novels of the second half of the twentieth century, based on a brief critical study of two Latin American novels by authors of different nationalities: El Siglo de Las Luces (1962), by the Cuban writer Alejo Carpentier, and El río sin orillas (1991) by the Argentine writer Juan José Saer.
España. Entre ríos congelados y lagos esteparios : Análisis de la obra de Alfred Edmund Brehm en su viaje al mar de Kara desde los postulados de las humanidades azules
Este estudio ofrece una nueva lectura de los diarios de viaje de Alfred Edmund Brehm a Siberia Occidental en 1876, aplicando el marco teórico de las humanidades azules para explorar la dimensión simbólica y cultural de los ríos en su obra. A través de un análisis ecocrítico de los diarios, se revela cómo los ríos siberianos no solo son elementos geográficos, sino también ejes narrativos, símbolos culturales y recursos económicos fundamentales para las comunidades locales. Alfred Brehm, como naturalista y escritor, no solo documenta la biodiversidad y las costumbres locales, sino que también reflexiona sobre la compleja relación entre el ser humano y la naturaleza. Este trabajo contribuye a enriquecer nuestra comprensión de la obra de Alfred Brehm y a destacar la importancia de las humanidades azules para analizar las representaciones culturales del agua y su impacto en las sociedades humanas, ofreciendo valiosas perspectivas para los debates contemporáneos sobre la conservación de los ecosistemas acuáticos.Questo studio offre una nuova lettura dei diari di viaggio di Alfred Edmund Brehm nella Siberia occidentale nel 1876, applicando il quadro teorico delle blue humanities per esplorare la dimensione simbolica e culturale dei fiumi nel suo lavoro. Attraverso un'analisi ecocritica dei diari, si rivela come i fiumi siberiani non siano solo elementi geografici, ma anche snodi narrativi, simboli culturali e risorse economiche fondamentali per le comunità locali. Alfred Brehm, come naturalista e scrittore, non solo documenta la biodiversità e le usanze locali, ma riflette anche sul complesso rapporto tra uomo e natura. Questo lavoro contribuisce ad arricchire la nostra comprensione dell'opera di Alfred Brehm e a sottolineare l'importanza delle blue humanities nell'analisi delle rappresentazioni culturali dell'acqua e del loro impatto sulle società umane, offrendo spunti preziosi per i dibattiti contemporanei sulla conservazione degli ecosistemi acquatici
Antonio de Guevara, Aviso de privados y doctrina de cortesanos, ed. Emilio Blanco: Jaén, Universidad de Jaén, UJA Editorial, 2024
Reseña de la edición de Emilio Blanco del libro de Antonio de Guevara Aviso de privados y doctrina de cortesanos. Se resume el libro y se comentan las diferentes secciones y las principales hipótesis sobre el proceso de redacción y el tema clásico de las fuentes de la obra.Recensione dell'edizione di Emilio Blanco dell’Aviso de privados y doctrina de cortesanos di Antonio de Guevara. Il libro viene riassunto e vengono discusse le varie sezioni, insieme alle principali ipotesi sul processo di scrittura e sul tema classico delle fonti dell'opera.
Impact of High-Performance Work System (HPWS) on Employee Job Engagement and Job Performance with Moderating Role of Islamic Work Ethics
The current study examines the impact of High-Performance Work System (HPWS) on Employee Job Engagement (EJE) and Job Performance with the moderation of Islamic Work Ethics (IWE). The cross-sectional data is collected from the primary source with the use of self-administered questionnaire. The sample size is 318 and data is collected from the education sector of Pakistan. For the data collection the convenience sampling technique is used. The present study shows that the High-Performance Work System has significant effect on Employee Job Engagement and Job Performance. The present study also shows that the Islamic Work Ethics has positive significant effect on Employee Job Engagement and Job Performance, but the moderation of the present study is not supported by the results. This study will help the education sector and other policy makers to use fair HRM practices at work setting. This study is limited up to one source data and cross-sectional design due to limited time but in future many other outcomes and variables can be discussed through longitudinal design in any other sector or industry. Additionally, the study contributes to the literature on High-Performance Work Systems (HPWS), employee engagement, and Islamic Work Ethics (IWE) by addressing gaps identified in previous studie
Planetary health impairments and the myopia pandemic
The Rockefeller Foundation–Lancet Commission defines planetary health as:
the achievement of the highest attainable standard of health, wellbeing, and equity worldwide through judicious attention to the human systems—political, economic, and social—that shape the future of humanity and the Earth's natural systems that define the safe environmental limits within which humanity can flourish. Put simply, planetary health is the health of human civilisation and the state of the natural systems on which it depends (Whitmee et al., 2015, p.1978).
While this definition clearly demonstrates what is at stake for human systems if the state of natural systems is disrupted, putting emphasis first on humanity and the consequences for human civilisation of such disruption rather than on the equilibria of natural systems as the basis for planetary health, still places the analysis within an anthropocentric perspective. Inverting the emphasis to give priority to natural systems and humanity’s ecological niches and roles (together with all the other species that are currently present in the biosphere) within these systems establishes an ecocentric perspective. This enables clearer vision for understanding and addressing complex, interrelated causes of planetary health impairment such as climate change, biodiversity loss, urbanisation and its effects, damage to coastal areas, wetlands loss and damage, land degradation and desertification, forest clearance and land cover change, freshwater depletion and contamination, and numerous others, and the reciprocal interactions these have with human systems.
A recurring myopic focus on climate change
At this time of the year, as the dust settles on the latest edition of the annual COP meeting, particular attention is paid to climate change, both in terms of published scientific research and media coverage. The outcome of the recent COP 30 exemplifies various aspects of how myopia is a condition that afflicts humanity at two levels, both of which have complex multiple intersecting causes and effects.
At the literal level, as a result of the rapid global rise of myopia, or near-sightedness, it is estimated that by 2050 more than half the world’s population will suffer from distance vision impairment (Lee et al., 2025). The result of this will be a massive increase in public health costs due to a need for treatment related to vision correction and the increased risk of numerous associated chronic pathologic visual changes.
Moreover, although myopia and other eye conditions are the result of many interconnected phenomena, an increasing body of research shows how climate change is having an increasing negative impact on ocular health and that implementing strategies for mitigating climate change and its effects is imperative in order to counter this (Wong et al., 2024). At the same time, it is paradoxical that another significant cause of myopia is the lack of contact with nature, with all the benefits this brings, as humans young and old spend less time in the open air, thereby reducing the capacity of one of the principal organs through which they can acquaint themselves with their ecological surroundings (Clark et al., 2023).
This leads to the increasing figurative myopia we currently suffer from as short-sightedness, having a limited capacity to foresee, an inability to assume a long-term perspective on the relationship between planetary crises and human trajectories. This may be because we are literally unequipped, biologically, historically, and politically, to foresee the long-term consequences that our actions now produce. For most of human history, limited impacts unfolded over short temporal and spatial scales. Only in the Anthropocene have our technologies generated massive lasting effects. This creates a structural mismatch between the unprecedented reach of our technological power and the limited temporal horizon of human cognition. At the same time, such myopia may also be an unwillingness to acknowledge the consequences of our actions, manifesting itself as a focus only on specific short-term interests while ignoring the catastrophic future consequences of triggering tipping points and the incalculable ensuing human and planetary health costs.
At both levels myopia has long reached pandemic levels and shows few signs of slowing its exponential growth. However, while the consequences of myopia as a medical condition are serious and impact negatively on individuals and societies in numerous ways, the consequences of myopia as a psychological condition hamper our ability to understand the temporal and spatial dimensions of vital issues related to planetary health that are devastating for the entire biosphere as we know it. Moving from an anthropocentric to an ecocentric perspective is essential to be able to see things from a distance and act to avoid these consequences, reducing our impacts and the reach and intensity of technological systems whose effects exceed our capacity to anticipate or control them.
As we look back on COP 30, we can only conclude that, despite overwhelming scientific evidence of future catastrophes, at international level there is still a total lack of a long‐term and planet-wide perspective in line with science and the necessary legislative and regulatory frameworks able to bring about action to change human trajectories and thereby mitigate and adapt behaviours and outcomes at environmental, economic, social and political levels. There is no explicit commitment to phasing out fossil fuels. Around 80 countries have not submitted any national climate plans to cut greenhouse gas emissions, while the others have submitted vague and inadequate plans. Given the gravity of our predicament, many scientists now project that the world is heading for at least 2.6° C of warming by 2100 (Climate Action Tracker, November, 2025), a scenario that can only mean global biotic disaster.
Nevertheless, scientific research continues to increase our knowledge of specific issues such as climate change and the multiple questions and challenges posed concerning diverse aspects of mitigation and adaptation strategies. Moreover, scientific research must necessarily continue to render this knowledge available in the effort to counter the myopia pandemic that encompasses large numbers of the current human population, creating literal or wilful ignorance of what is at stake and thereby endangering the very existence of humanity itself. This issue of Visions for Sustainability is part of our ongoing endeavour to contribute to this, and, in particular, continue to provide a platform for research from the Global South so as to ensure a truly planetary vision.
Climate change, economic growth and technological innovation
In recent decades a vast body of research has studied the complex relationship between climate change, economic growth and technological innovation from multiple perspectives such as causes, impacts, mitigation and adaptation (Bousina et al., 2025), and also increasingly of the necessity of assuming a post-growth or degrowth perspective (Kallis et al., 2025).
In “Are we on the right track for mitigating climate change?”, La et al. assesses global climate mitigation efforts in terms of what they consider both achievements and persistent shortcomings. Despite growth in renewable energy, international agreements, and technological innovation, as well as a carbon market, greenhouse gas emissions remain at record highs, and climate impacts continue to accelerate. The ongoing hegemonic growth-oriented paradigm and belief in technological solutions reinforce existing exploitation paradigms rather than transforming them. They propose transitioning from an eco-deficit to an eco-surplus culture, where ecological restoration and protection are fundamental for socio-economic well-being and development.
In “Towards an eco-surplus culture. From market failures to vulnerabilities and logical flaws of ‘artificial’ environmental protection systems” Vuong et al. continue their analysis of mainstream economics’ growth-oriented and technology-centric paradigms. They show how these perpetuate the illusion that continuous economic growth is compatible with environmental protection through prioritizing investment in technological solutions. As an alternative paradigm they propose the adoption of the semiconducting principle of monetary and environmental value exchange. This requires the cultivation of Nature Quotient (NQ) across society and a broader socio-cultural shift toward an eco-surplus culture, in which environmental protection, restoration, and regeneration are foundational preconditions for long-term economic resilience, political stability, and social well-being.
There is an intimate connection between climate change and rural health and resilience. By 2050, an estimated 70% of the human population is expected to live in urban areas. If an increasing majority of people becomes urban dwellers, they still totally depend on those that live in rural areas and the rural ecologies they are a part of, many of which are particularly vulnerable and at risk.
In “Climate resilience to floods on rural roads in Cambodia” Ly & Yeom examine the vulnerability of rural roads in Cambodia to flooding and ways of enhancing climate resilience through spatial and hydrological analysis. The study utilizes Geographic Information Systems (GIS) and a Rational Method to assess flood risks and identify infrastructure vulnerabilities in Siem Reap Province. To mitigate the risks of the growing impact of climate variability, they recommend infrastructure improvements such as enhanced drainage systems, road elevation, and the use of permeable materials. They argue that the results of their sudy offer valuable insights for policymakers and engineers to prioritize investments and develop climate-resilient infrastructure strategies and foster sustainable rural development.
In “Ecosystem-based adaptation as a strategy to increase climate resilience of small island communities in Indonesia” Sekarwulan & Rachmawati examine communities on small islands are more vulnerable to the impacts of climate change. Through a literature review of 31 key studies they consider the potential of the ecosystem-based climate change adaptation model (Ecosystem-Based Adaptation) to increase climate resilience in small island communities. They identify gaps that need to be filled in current research and argue that for Ecosystem-Based Adaptation to be effective, it needs to be community-led alongside empowerment, integrative-collaborative, and adaptive.
Circularity visions and discourses
Circularity thinking is linked to a global economic model that decouples economic growth and development from the consumption of finite resources. This has led to a range of visions and discourses related to circular economy systems that focus on extraction, production, consumption and waste processes in the context of R-frameworks or hierarchies and a regenerative vision (Kopnina et al., 2025).
In “Circular economy in action. Co-creating shared value in the tapioca industry of Indonesia” Istanto et al. argue that previous studies on Circular Economy (CE) and its correlation with Creating Shared Value (CSV) predominantly focus on developed nations. Their research aims to fill the gap by showing an empirical investigation of the implementation of a circular business model in the tapioca industry of Indonesia. Their study employs the Triple Bottom Line (TBL) framework and analyses 132 survey responses from tapioca business managers and owners in Indonesia using a quantitative approach with SmartPLS 4. The findings indicate that CE and CSV practices positively influence TBL performance and reveal a strong association between CE practices and CSV opportunities, demonstrating the transformative potential of CE and CSV practices in driving sustainability, profitability, and social equity in the global agroindustry.
In “The sustainability lag. A cross-regional analysis of techno-dependency and e-waste outcomes in Africa and Asia” Chisika & Yeom argue that while digital technologies are expanding rapidly in developing countries, their environmental consequences—particularly electronic waste (e-waste)—remain poorly integrated into digital development discourse, leading to limited empirical evidence on how digital infrastructure impacts waste management,
They introduce the concept of a “sustainability lag” to explain why rising digital access does not automatically translate into improved environmental outcomes in the Global South. They propose a series of measures whereby policymakers and international development actors can ensure that digital expansion is accompanied by capacity building, not just connectivity, to prevent the externalization of environmental harms to the most vulnerable countries.
In “Land use conflicts. Urban expansion vs. mangrove conservation in the Portoviejo River estuary, Ecuador” Zambrano Ureta et al. examine the paradox of how territories prioritize economic development over the conservation of the very environmental resources that sustain their economy. Their study of the Mangrove Community Reserve of the Portoviejo River Estuary shows how the ecosystem has been affected since 1950 by the expansion of urban boundaries, intensive agricultural practices, and, most notably, aquaculture activities, which have deforested approximately 86% of the original mangrove cover. Their findings demonstrate that the urban footprint has increased by 146% since 2006, the population is growing around the mangrove reserve, and their socio-productive activities have fragmented the ecosystem and transformed the natural landscape.
In “Theories and models for sustainable agroecology business networks. Lessons for agroecology business networks and markets in Eastern Uganda-Teso region” Namanji et al. examine problems involved in transitioning from conventional market-driven agriculture to agroecology-based systems. They analyse various theories and models for sustainable agroecological business networks in the attempt to identify interventions that catalyse the transitioning and sustainability of agroecological business networks through enhanced marketing. Their analysis leads them to propose a model called EquiAgro: A gender-inclusive Agroecological Business Model for Agroecology Business Networks and Markets, together with strategies for co-creating sustainable, resilient and socially inclusive agricultural systems that prioritize environmental stewardship and community well-being.
In “Rethinking sustainability. When social conformity and identity transform students’ consumption” Mulyono et al. argue that although environmental education is widely endorsed as a key driver of pro-environmental behaviour, its real-world impact often remains limited when psychosocial dynamics are overlooked. They investigate how conformity, social environment, and self-concept function as moderating factors that enhance the impacts of environmental education on sustainable consumption behaviour. Their study aims to contribute to sustainable consumption literature by integrating educational, social, and psychological constructs within a cohesive theoretical framework for designing transformative educational interventions that cultivate social influence, internalized norms, and environmentally responsible identities among students.
An ecocentric nature-human dialogue
Cultivating environmental responsibility involves recognizing the massive debt we owe to natural systems and understanding that the further we continue in the myopic enterprise of plundering resources and exploiting other forms of life in the name of economic growth, and the supposed contribution this makes to a particular idea of human well-being and sustainable development goals, the more we will multiply the extent to which we are a threat to and live in conflict with those systems.
In “Peace with nature as the new nature of peace” Vuong et al. examine the relationship between ecological crises that act as “threat multipliers” and violent conflict. They argue that peace in the twenty-first century must extend beyond the absence of armed conflict to encompass harmony between humanity and the natural environment and that promoting lasting peace requires reinvestment in ecosystems as critical foundations for resilience, prosperity, and stability. Cultivating Nature Quotient (NQ) - the capacity to perceive and act upon ecological interdependence - is a prerequisite for leaders and societies to secure peace with nature and safeguard civilization’s continuity.
Cultivating NQ means developing ecological wisdom, the basis of knowing “how to live on Earth enjoying and respecting the full richness and diversity of life-forms of the ecosphere” (Naess, 1989, p.185). This requires a combination of both exospection and introspection in an ecocentric nature-human dialogue unhampered by near-sightedness or short-sightedness.
In “Green Mindfulness: A systematic review of the literature” Ghezzi et al. present a systematic review designed to ascertain whether Nature-based mindfulness (Green Mindfulness) is synergistic, neutral, or antagonistic compared to indoor mindfulness or Nature exposure considered separately. They show how the field of Nature-based mindfulness is still emerging and highly heterogeneous in activity design and reporting and suggest that the lack of superior efficacy in some studies suggests that formal, introspective mindfulness may impede the necessary sensory relationship with the environment. They propose an ecopsychological perspective for future research together with an ecocentric green mindfulness model that includes the locus Naturae (the place as a living presence) and an ecotuner (a specialized facilitator) to better capture and maximize the bi-directional, restorative effects of the human-Nature relationship.
Taken together, the contributions to this issue illuminate how planetary health challenges manifest across interconnected domains: climate dynamics, economic models, resource circularity, behavioural and cultural patterns, rural and coastal vulnerabilities, and the evolving relationship between humanity and the wider ecosphere. Although they differ in scale and method, each study exposes in its own way the limitations of prevailing growth oriented, technologically centred, or socially narrow perspectives that reflect the figurative myopia shaping contemporary human systems. At the same time, they collectively point toward directions for addressing and attempting to overcome this short-sightedness: through more ecologically grounded economic paradigms; through infrastructural and ecosystem-based approaches sensitive to local contexts; through attention to social and psychological dimensions of consumption and identity; all through renewed understandings of nature-human interdependence.
References
Bousnina, R., Lajnaf, R., Mnif, S. & Gabsi, F.B. (2025). Economic growth, technological innovation and CO₂ emissions in developed countries: Is there an inverted U-shaped relationship? Management of Environmental Quality: An International Journal 36 (8) 2106-2016. https://doi.org/10.1108/MEQ-12-2024-0555
Clark, R., Kneepkens, S. C. M., Plotnikov, D., Shah, R. L., Huang, Y., Tideman, J. W. L., Klaver, C. C. W., Atan, D., Williams, C., Guggenheim, J. A., & UK Biobank Eye and Vision Consortium. (2023). Time Spent Outdoors Partly Accounts for the Effect of Education on Myopia. Investigative ophthalmology & visual science, 64(14), 38. https://pmc.ncbi.nlm.nih.gov/articles/PMC10683767/
Climate Action Tracker. (November, 2025). Warming Projections Global Update. https://climateactiontracker.org/documents/1348/CAT_2025-11-13_GlobalUpdate_COP30.pdf
Kallis, G., Hickel, J., O’Neill, D.W., Jackson, T. Victor, P.A., Ranworth, K., Schor, J.B., Steinberger, J.K., & Ürge-Vorsatz, D. (2025). Post-growth: the science of wellbeing within planetary boundaries. Lancet Planetary Health, 9 e:62-69 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(24)00310-3/fulltext
Kopnina, H., Fellinger, E., de Jong, J., & Bowden, A. (2025). Bridging ESGand the Circular Economy.Advancing corporate sustainability through the updated R-Hierarchy and Circularity Scoring Model. Visions for Sustainability, 23. https://ojs.unito.it/index.php/visions/article/view/11829/9765
Lee L, De Angelis L, Barclay E, Tahhan N, Saunders K, McConnell E, Ghorbani-Mojarrad, N., Dahlmann-Noor, A., Jaselsky, A. Leveziel, N., Bremond-Gignac, D., Resnikoff, S., & Fricke, T.R. (2025). Factors affecting the lifetime cost of myopia and the impact of active myopia treatments in Europe. American Journal of Ophthalmology. 278: 212–221. https://www.ajo.com/article/S0002-9394(25)00336-8/pdf
Whitmee, S., Haines, A, Beyrer, C., Boltz, F., Capon, A.G., de Souza Dias, B.F., Ezeh, A., Frumkin, H., Gong, P., Head, P., Horton, R.., Mace, G.M., Marten, R., Myers, S.S., Nishtar, s., Osofsky, S.A., Pattanayak, S.K., Pongsiri, M.J., Romanelli, C., Soucat, A., Vega, J., & Yach, D. (2015) Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health. Lancet. http://dx.doi.org/10.1016/S0140-6736(15)60901-1
Wong, Y.L., Wong,S.W., Ting, D.S.J. Muralidhar, A., Sen, S., Schaff, O., Istre-Wilz, H., Erny, B. (2024). Impacts of climate change on ocular health: A scoping review. The Journal of Climate Change and Health, 15 https://doi.org/10.1016/j.joclim.2023.10029
Analisi proattiva del rischio in Pronto Soccorso con metodologia FMEA: risultati a confronto di un Hub ed uno Spoke di un’azienda sanitaria del nord Italia.
INTRODUCTION
Among the various clinical settings, the Emergency Department is one of the most complex, both due to intrinsic characteristics resulting from unscheduled and often time-dependent activity, and extrinsic factors, including overcrowding and suboptimal resources, which lead to a disproportion between healthcare demand and the resources needed to meet it.
The aim of the study is to evaluate the different types of risk that characterize two organizational settings - a Hub and a Spoke - belonging to a healthcare organization in northern Italy, with particular reference to the phases of triage, waiting time management, intra-hospital transport, and patient discharge or admission.
MATERIALS AND METHODS
Following a process analysis, a proactive evaluation was conducted using the Failure Mode and Effect Analysis methodology. Specifically, the following steps were performed:
establishing the multidisciplinary working group;
collecting and organizing information relating to the process to be analyzed;
performing the risk analysis and defining the related priority index;
develop improvement actions to increase process safety.
RESULTS
In the two healthcare facilities, 47 and 42 activities were identified, respectively, with 79 and 71 associated error modes. These were mostly attributable to organizational causes or inadequate communication, both within the team and with the patient.
The RPN values assigned ranged from a maximum of 567 (Waiting - Incorrect patient reassessment) to a minimum of 2 (Intra-hospital transport - Omission of record investigation/consultation in the electronic system) in the Hub and 567 (Triage - Incorrect priority code assignment) and 7 (failure modes mostly related to the Admission phase) in the Spoke.
DISCUSSION AND CONCLUSIONS
The analysis highlighted how, despite two substantially overlapping processes, the major risk factors were different in the two settings considered. This is caused by their different organizational and structural characteristics: in the Hub Emergency Department, waiting time management was the most at-risk, while priority code assignment was the most critical in the Spoke facility.INTRODUZIONE
Tra i diversi ambiti clinici, quello di Pronto Soccorso è senz’altro uno dei più complessi, sia per caratteristiche intrinseche, derivate da un’attività non programmata e spesso tempo-dipendente, sia per fattori estrinseci, tra cui sovraffollamento e risorse non sempre ottimali, che determinano una sproporzione tra la domanda sanitaria ed i mezzi necessari a soddisfarla.
Obiettivo dello studio è quello di valutare il livello di rischio che caratterizza le attività delle due realtà organizzative, un Hub ed uno Spoke, afferenti ad una Azienda Sanitaria del Nord Italia, con particolare riferimento alle fasi di triage, gestione dell’attesa, trasporto intra-ospedaliero e dimissione o ricovero dell’utente ed evidenziarne le differenze.
MATERIALI E METODI
Previa analisi del processo, è stata effettuata valutazione proattiva con metodologia Failure Mode and Effect Analysis. Nello specifico si è proceduto a:
costituire il gruppo di lavoro multidisciplinare;
raccogliere ed organizzare le informazioni relative al processo da sottoporre ad analisi;
effettuare l’analisi dei rischi e definire il relativo indice di priorità;
identificare azioni di miglioramento per aumentare la sicurezza del processo.
RISULTATI
Nelle due strutture sanitarie, sono state individuate rispettivamente 47 e 42 attività con 79 e 71 modi d’errore associati, per lo più riconducibili a cause di carattere organizzativo o derivati da una non adeguata comunicazione, sia all’interno dell’equipe che verso l’utente. I punteggi relativi agli IPR attribuiti sono stati da un massimo di 567 (Attesa - Errata rivalutazione del paziente), ad un minimo di 2 (Trasporto intra-ospedaliero - Mancato inserimento informatico indagine/consulenza) nell’Hub e di 567 (Triage - Errata attribuzione codice di priorità) e 7 (failure mode per lo più appartenenti alla fase di Accettazione) nello Spoke.
DISCUSSIONE E CONCLUSIONI
L’analisi effettuata ha evidenziato come, a fronte di due processi sostanzialmente sovrapponibili, i maggiori elementi di rischio siano risultati diversi nelle due realtà, in considerazione delle differenti caratteristiche organizzative e strutturali, derivanti dal modello organizzativo di rete: nel Pronto Soccorso Hub la gestione dell’attesa è risultata essere quella più a rischio, mentre l’attribuzione del codice di priorità quella più critica nel presidio Spoke
Conceptual developments in the literary expression of the romancero nuevo: love and militia in its phraseological formulations
El objetivo fundamental de este trabajo es el de analizar desde el punto de vista estilístico las formulaciones fraseológicas vinculadas con los tópicos del amor y de la milicia en el entorno textual del romancero nuevo. Para ello, se fija como corpus nuclear la Flor de varios romances nuevos y canciones recopiladas por Pedro de Moncayo (Huesca, 1589), si bien se complementan los datos ofrecidos por esta muestra temprana del nuevo estilo romanceril con los proporcionados por el Romancero historiado (Alcalá, 1582) de Lucas Rodríguez. Así, partiendo de la relación estrecha entre fraseología histórica y romancero, se pretende subrayar, por una parte, la línea cronológica que se dibuja en los textos romancísticos con relación al proceso de institucionalización de las unidades fraseológicas consideradas y, por otra, se persigue destacar cómo el componente fraseológico puede contribuir a caracterizar el universo creativo del romancero nuevo desde la diacronía fraseológica.The main objective of this work is to analyze, from a stylistic point of view, the phraseological formulations related to the themes of love and the milita in the textual environment of the romancero nuevo. For this purpose, the Flor de varios romances nuevos y canciones recopiladas por Pedro de Moncayo (Huesca, 1589) is taken as the core corpus, although the data provided by this early example of the new romancero style are complemented by those of the Romancero historiado (Alcalá, 1582) by Lucas Rodríguez. Thus, based on the close relationship between historical phraseology and the romancero, the aim is, on the one hand, to underline the chronological line drawn in the romancero texts in relation to the process of institutionalization of the phraseological units considered and, on the other hand, to highlight how the phraseological component can contribute to characterize the creative universe of the romancero nuevo from a phraseological diachrony
Between refinement and vulgarity: Apparent contradictions in Ouyang Xiu’s song lyrics
Revered as one of the greatest Confucian scholars of the Northern Song dynasty (960–1127), Ouyang Xiu 歐陽修 (1007–1072) also went down in history for his reputation as a libertine and his involvement in a series of sexual scandals. A persistent contradiction between the public orthodoxy of the great statesman and the heterodoxy of his private experiences has marked Ouyang’s life and was reflected in his work. This paper aims to investigate the traces of such tensions in the song lyrics (ci 詞) attributed to the author. In fact, his songbook includes compositions that fully embody the ideal of “refinement” (ya 雅) generally appreciated by the elite alongside others that show a clear affinity with a diction and style typical of the vulgar (su 俗) tradition. If criticism has often been divided in the evaluation of these heterogeneous components, sometimes viewing them as expressions of separate corpora, I intend to explore the possibility of an organic reading of the two. Therefore, I seek to present the disparate lyrics attributed to Ouyang as potentially ascribable to a single, multifaceted literary sensibility
Consideraciones en torno a las formaciones locucionales de ámbito militar en el Libro de Alexandre y el Poema de Fernán González
La presente investigación tiene como finalidad el estudio de las construcciones idiomáticas de ámbito militar en el Libro de Alexandre y en el Poema de Fernán González, dos textos que abren y cierran el primer ciclo del mester de clerecía. De esta manera, se pretende esbozar el análisis de dichas construcciones desde una perspectiva diacrónica que permita explicar su proceso de fraseogénesis, así como su filiación textual entre una y otra obra.
Palabras clave: Historia de la lengua española, fraseología histórica, literatura medieval, mester de clerecía
The current research aims to study the military idiomatic constructions in the Libro de Alexandre and the Poema de Fernán González, two texts that open and close the first cycle of the Mester de Clerecía. In this way, it aims to outline the analysis of these constructions from a diachronic perspective that allows for the explanation of their phraseogenesis process, as well as their textual affiliation between the two works.
Keywords: History of Spanish Language, Historical Phraseology, Medieval Literature, Mester de ClerecíaThe current research aims to study the military idiomatic constructions in the Libro de Alexandre and the Poema de Fernán González, two texts that open and close the first cycle of the Mester de Clerecía. In this way, it aims to outline the analysis of these constructions from a diachronic perspective that allows for the explanation of their phraseogenesis process, as well as their textual affiliation between the two works.
Keywords: History of Spanish Language, Historical Phraseology, Medieval Literature, Mester de Clerecía
La presente investigación tiene como finalidad el estudio de las construcciones idiomáticas de ámbito militar en el Libro de Alexandre y en el Poema de Fernán González, dos textos que abren y cierran el primer ciclo del mester de clerecía. De esta manera, se pretende esbozar el análisis de dichas construcciones desde una perspectiva diacrónica que permita explicar su proceso de fraseogénesis, así como su filiación textual entre una y otra obra.
Palabras clave: Historia de la lengua española, fraseología histórica, literatura medieval, mester de clerecí
Ficciones biográficas y creación del personaje en los apócrifos de Max Aub (Vida y obra de Luis Álvarez Petreña, Jusep Torres Campalans y Luis Buñuel, novela)
Muy estudiados son los apócrifos de Max Aub: Vida y obra de Luis Álvarez Petreña, Jusep Torres Campalans para empezar, objetos de interés crítico desde varios puntos de vista y manifestación de la idea de literatura que Aub defiende desde siempre en toda su producción, en cualquiera de sus páginas y a pesar del género.
Dentro de la reflexión sobre este tipo de escritura, en la que se borran las fronteras entre realidad y ficción, historia e invención, este trabajo analiza el papel del personaje, persona inventada o en carne y hueso, en la estructura narrativa tomando en consideración Vida y obra de Luis Álvarez Petreña, Jusep Torres Campalans y Luis Buñuel, novela: con la intención de ampliar el marco teórico al que referirse, se puede conferir nueva luz crítica a estas obras aubianas de difícil clasificación aprovechando las últimas aportaciones críticas que explotan las ficciones biográficas como género o subgénero con sus rasgos peculiares, las que consideran la categoría del personaje literario y las que se refieren a la biopoética.
Los tres ejemplos se pueden a la vez considerar como una única propuesta en la que se han inspirado también autores posteriores a Max Aub (Aramburu, Muñoz Molina), que han experimentado en la construcción de ficciones biográficas el mismo juego literario y el mismo compromiso.Object of critical interest from various points of view, Max Aub’s apocrypha, such as Vida y obra de Luis Álvarez Petreña and Jusep Torres Campalans, are representative of an idea of literature that the author defended in all his whole production.
Concentrating our attention on this type of writing, focused according to the most recent critical contributions that value biographical fictions as a genre or sub-genre with peculiar characteristics, this work analyses the role of the character in the narrative structure by considering Vida y obra de Luis Álvarez Petreña, Jusep Torres Campalans and Luis Buñuel, novela: with the intention of broadening the theoretical framework to which reference can be made, it is indeed possible to shed new critical light on these works of difficult classification by exploiting the most recent contributions that consider the category of literary character, to which can be added the studies that refer to biopoetic.
The three examples can be considered at the same time as a single proposal that may also have inspired other authors (Aramburu, Muñoz Molina), who experimented with the same literary game and commitment in the construction of biographical fictions