542 research outputs found
Are you Ernest Shackleton, the polar explorer? Refining the criteria for delirium and brain dysfunction in sepsis
Estimated cerebral perfusion pressure among post-cardiac arrest survivors
SCOPUS: le.jinfo:eu-repo/semantics/publishe
Electroencephalographic monitoring of brain activity during cardiac arrest: a narrative review
Take home message Future randomized trials are required to adopt EEG monitoring during CPR, also considering its possible role in a multiparametric assessment of cerebral function and perfusion
Music in words : the music of Anthony Burgess, and the role of music in his literature
Theý principal focus of the thesis is Anthony Burgess, a prolific novelist whose first and
enduring creative passion was music in general and composition in particular. Burgess
criticism is limited and largely out-of-date, showing little recognition of the aural or musical
elements in his fiction, and virtually no specialist commentary on the music and its
relationships with the literature. The main aim of the thesis, therefore, is to demonstrate the
variety and strength of the widespread musical elements in Burgess's literature, including the
importance he attaches to the sonic basis of language, and to show that these are supported by
the musical sensibility and technical competence evident in his. compositions. It is suggested
that in the inevitable reassessmenot f his work following his death in 1993, the effects of his
musicianship on his literary work should play a greater part than hitherto, and the thesis makes
a contribution to this reassessmenbt oth through its original critical commentaries on his music
and through the music-orientated discussion of his literature.
After an introduction and literature review, the first chapter examines three examples of
Burgess's little-known music. All are associated with verbal texts, though the range is
otherwise wide, and through them it is possible to draw conclusions about the competence of
his handling of musical language and structure. The second and third chapters examine the
more familiar work of Burgess the acclaimed author, but from the unfamiliar viewpoint of its
musical content, including not only surface references but also hidden allusions and technical
puzzles aimed at the musician reader. Two instances of music serving as a structural template
for literature are analysed in detail, and attention is also drawn to Burgess's awareness of
musical elements in the content and language of the, work of some. of his predecessors. The
final core-chapter,e xamines the fusion of Burgess's literary and,m usical skills in the context of
his music and words for stage and radio.
What emerges is the clear intermeshing of his parallel careers;, and the production within his
distinctive literary output of work which, due to the radical extent of its musicalisation, has to
be viewed as musically-aware literature for specialised readers, at times evincing, it is
proposed, a logic which springs primarily from music
The road not travelled: Tracking love in Frank Anthony�s the journey: The revolutionary anguish of Comrade B
The Journey (1991) is a virtually unknown �struggle� novel by Frank Anthony
(d. 1993), a senior member of the African People�s Democratic Union of
Southern Africa (APDUSA), who was incarcerated on Robben Island for six
years. The novel and its author have been elided from South African history
as a racialized literary establishment and the defensiveness of the resistance
organization of which he was a member reinforced each other in tacit
censorship. Anthony�s novel presents revealing insights into the repression of
the personal in the anti-apartheid movement, which reflected the �liquidation�
of love in leftist discourse of the period. The importance of love, especially
romantic love � the highly volatile emotion which is often boundary-breaking
and radically transformative � has been recognized in contemporary post-
Marxism and critical race theory. Blindness to the potential of love in dominant
struggle politics is reflected in the protagonist of The Journey, whose passion
for social justice leads, paradoxically, to repression of the empowerment and
emancipation of self(lessness) through other(s), enabled by eros.
A final version of this article appears in English in Africa 50.1 (Apr 2023): 73�98, DOI: https://dx.doi.org/10.4314/eia.v50i1.
Tony and Tonicho Fenoglio and friends playing bocce, late 1960s
Photograph shows l. to r. Glenn Wilson; Anthony Paul (Tony the Rep) Fenoglio; author Frank X. Tolbert; and Anthony H. (Tonicho) Fenoglio playing bocce
Processed Electroencephalogram-Based Monitoring to Guide Sedation in Critically Ill Adult Patients: Recommendations from an International Expert Panel-Based Consensus
BACKGROUND: The use of processed electroencephalography (pEEG) for depth of sedation (DOS) monitoring is increasing in anesthesia; however, how to use of this type of monitoring for critical care adult patients within the intensive care unit (ICU) remains unclear. METHODS: A multidisciplinary panel of international experts consisting of 21 clinicians involved in monitoring DOS in ICU patients was carefully selected on the basis of their expertise in neurocritical care and neuroanesthesiology. Panelists were assigned four domains (techniques for electroencephalography [EEG] monitoring, patient selection, use of the EEG monitors, competency, and training the principles of pEEG monitoring) from which a list of questions and statements was created to be addressed. A Delphi method based on iterative approach was used to produce the final statements. Statements were classified as highly appropriate or highly inappropriate (median rating ≥ 8), appropriate (median rating ≥ 7 but < 8), or uncertain (median rating < 7) and with a strong disagreement index (DI) (DI < 0.5) or weak DI (DI ≥ 0.5 but < 1) consensus. RESULTS: According to the statements evaluated by the panel, frontal pEEG (which includes a continuous colored density spectrogram) has been considered adequate to monitor the level of sedation (strong consensus), and it is recommended by the panel that all sedated patients (paralyzed or nonparalyzed) unfit for clinical evaluation would benefit from DOS monitoring (strong consensus) after a specific training program has been performed by the ICU staff. To cover the gap between knowledge/rational and routine application, some barriers must be broken, including lack of knowledge, validation for prolonged sedation, standardization between monitors based on different EEG analysis algorithms, and economic issues. CONCLUSIONS: Evidence on using DOS monitors in ICU is still scarce, and further research is required to better define the benefits of using pEEG. This consensus highlights that some critically ill patients may benefit from this type of neuromonitoring.sponsorship: Open access funding provided by Universita degli Studi di Brescia within the CRUI-CARE Agreement. None. (Universita degli Studi di Brescia within the CRUI-CARE Agreement)status: Publishe
Blissful violence ambiguity in Stanley Kubrick's a clockwork orange
Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão. Programa de Pós-Gradução em Letras/Ingrês e Literatura Correspondente.Analise da construção da ambigüidade na narrativa do filme Laranja Mecânica, de Stanley Kubrick (1971). Investiga a relação identificação-afastamento que o filme promove entre o protagonista e o espectador, assim como o modo peculiar como o filme trata a violência. Observa um movimento em direção à ambigüidade que se desenvolve ao longo da obra do diretor, iniciando com estruturas e personagens mais tradicionais, abandonando gradualmente as posições morais seguras. Três filmes são também discutidos como uma amostra da obra do diretor, de modo a traçar a evolução de seu estilo e sua visão de mundo: Dr. Fantástico ou Como Aprendi a Parar de me Preocupar e Amar a Bomba (1963), 2001- Uma Odisséia no Espaço (1968) e De Olhos Bem Fechados (1999)
The Association Between Peri-Hemorrhagic Metabolites and Cerebral Hemodynamics in Comatose Patients With Spontaneous Intracerebral Hemorrhage: An International Multicenter Pilot Study Analysis
Background and Objective: Cerebral microdialysis (CMD) enables monitoring brain tissue metabolism and risk factors for secondary brain injury such as an imbalance of consumption, altered utilization, and delivery of oxygen and glucose, frequently present following spontaneous intracerebral hemorrhage (SICH). The aim of this study was to evaluate the relationship between lactate/pyruvate ratio (LPR) with hemodynamic variables [mean arterial blood pressure (MABP), intracranial pressure (ICP), cerebral perfusion pressure (CPP), and cerebrovascular pressure reactivity (PRx)] and metabolic variables (glutamate, glucose, and glycerol), within the cerebral peri-hemorrhagic region, with the hypothesis that there may be an association between these variables, leading to a worsening of outcome in comatose SICH patients. Methods: This is an international multicenter cohort study regarding a retrospective dataset analysis of non-consecutive comatose patients with supratentorial SICH undergoing invasive multimodality neuromonitoring admitted to neurocritical care units pertaining to three different centers. Patients with SICH were included if they had an indication for invasive ICP and CMD monitoring, were >18 years of age, and had a Glasgow Coma Scale (GCS) score of ≤8. Results: Twenty-two patients were included in the analysis. A total monitoring time of 1,558 h was analyzed, with a mean (SD) monitoring time of 70.72 h (66.25) per patient. Moreover, 21 out of the 22 patients (95%) had disturbed cerebrovascular autoregulation during the observation period. When considering a dichotomized LPR for a threshold level of 25 or 40, there was a statistically significant difference in all the measured variables (PRx, glucose, glutamate), but not glycerol. When dichotomized PRx was considered as the dependent variable, only LPR was related to autoregulation. A lower PRx was associated with a higher survival [27.9% (23.1%) vs. 56.0% (31.3%), p = 0.03]. Conclusions: According to our results, disturbed autoregulation in comatose SICH patients is common. It is correlated to deranged metabolites within the peri-hemorrhagic region of the clot and is also associated with poor outcome.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
Theories of the information society
This book sets out to examine and assess the variety of theories of information in society currently available. Frank Webster sceptically examines what thinkers mean by an information society, and looks closely at different approaches to informational developments. He provides critical commentaries on the major postwar theories: Daniel Bell's ideas on a post-industrial information society, Anthony Giddens' thoughts on the growth of surveillance and the expansion of the nation state, Herbert Schiller's insistence that information both expresses and consolidates the interests of corporate capitalism: Jurgen Habermas' account of the diminishment of the public sphere; Jean Baudrillard's thoughts on postmodernism and information, and Manuel Castells' depiction of the 'informational city'. Each theorisation is subjected to close scrutiny and is tested against empirical evidence to assess its worthThe author concludes that, while there has undoubtedly been an information explosion, it is premature to conceive of an information society. We should rather emphasise the 'informatisation' of established relation
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