86,641 research outputs found

    The Total Involvement Experience of Ted Talks. how to establish credibility through what you say and how you say it.

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    The aim of this study is to investigate how the meaning-making resources of visual communication and spoken discourse are integrated and implemented to engage TED audiences in order to co-construct a discourse experience that leads to the acceptance of “ideas worth sharing,” the guiding principle at the basis of TED talks. The author demonstrates how these resources are expertly woven to facilitate credibility in a context where audience feedback is apparently limited and any discussion or criticism is completely absent. The study draws on the notion that the power of talk lies in its ability to reflect the cultural experiences expressed through language (Tannen, 1995). According to the author, it is this power that TED talks rely on, bringing back the way humans have always connected with each other through face-to-face encounters, which is the true essence of culture and community

    To the Editor

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    Ethical and medical difficulties in diagnosing brain deat

    Long-term complications of COVID-19 in ICU survivors: What do we know?

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    Coronavirus disease 2019 (COVID-19) has caused more than 175 million persons infected and 3.8 million deaths so far and is having a devastating impact on both low and high-income countries, in particular on hospitals and Intensive Care Units (ICU). The ICU mortality during the first pandemic wave ranged from 40% to 85% during the busiest ICU period for admissions around the peak of the surge, and those surviving are frequently faced with impairments affecting physical, cognitive, and mental health status, complicating the postacute phase of COVID-19, which in the pre-COVID period, were defined collectively as postintensive care syndrome (PICS). Long COVID is defined as four weeks of persisting symptoms after the acute illness, and post-COVID syndrome and chronic COVID-19 are the proposed terms to describe continued symptomatology for more than 12 weeks. Overall, 50% of ICU survivors suffer from new physical, mental, and/or cognitive problems at 1 year after ICU discharge. The prevalence, severity, and duration of the various impairments in ICU survivors are poorly defined, with substantial variations among published series, and may reflect differences in the timing of assessment, the outcome measured, the instruments utilized, and thresholds adopted to establish the diagnosis, the qualification of personnel delivering the tests, the resource availability as well diversity in patients' case-mix. Future longitudinal studies of adequate sample size with repeated assessments of validated outcomes and comparison with non-COVID-19 ICU patients are needed to fully explore the long-term outcome of ICU patients with COVID-19. In this article, we focus on chronic COVID-19 in ICU survivors and present state-of-the-art data regarding long-term complications related to critical illness and the treatments and organ support received

    Following Up the Patients at Long Term

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    The post-intensive care syndrome (PICS) is a major health problem which impairs the quality of life of patients surviving an acute illness and that of their families and has a huge impact on the whole society. With decreasing ICU mortality observed in the last decades, the number of surviving patients is anticipated to increase, as is the number of those surviving with long-lasting severe functional, cognitive, and mental health impairments. The list of symptoms and signs affecting patients surviving the critical illness is continuously updated, and it is a safe bet that PICS will soon need to widen its definition to include new conditions. The critical care community should consider it a great priority to prepare the future generations of intensivists not only to save lives but also to take charge of PICS. This chapter describes a model to follow-up patients surviving an acute illness with a comprehensive clinical approach and reviews the most relevant clinical characteristics of PICS, the risk factors for post-ICU impairments and the strategies for their timely detection
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