EVOCAÇÃO POÉTICA : O velar e o desvelar da obra pictórica Menino morto de Cândido Portinari à luz das concepções de Paul Tillich e de Martin Heidegger sobre as artes

A arte sempre esteve presente entre os humanos como um grande mistério. Sua característica polissêmica nos desafia a pensá-la como algo sempre aberto. Isto é, livre para que os indivíduos a experimentem de formas diversas. Nossa intenção, ao escolher a tela Menino morto do pintor Cândido Portinari, é mostrar que o encontro com uma obra de arte é forçosamente atual, vivo, surpreendente, extraordinário... Não apenas como um mero objeto de prazer, mas, sobretudo, como possibilidades de desvelar experiências originárias, abrindo gamas de sentidos que ajudam os seres humanos a significar a própria existência. Para seguir na investigação, privilegiam-se, nesta dissertação, os estudos sobre as artes do teólogo Paul Tillich e do filósofo Martin Heidegger. Para Tillich, numa obra de arte deve-se buscar o que se esconde no inaparente, pois é aí que reside a sua substância. Assim, na arte, como em qualquer manifestação cultural, por mais secular que aparente ser, se expressa sempre uma preocupação última. Para Heidegger, a arte é fonte de revelação da verdade. Todavia, essa revelação traz em si o ocultamento da mesma verdade, posto que a verdade e a não-verdade acontecem simultaneamente na obra de arte. Portanto, à luz dos estudos feitos por esses dois autores, tentamos captar o desnudar de Menino morto .(AU)

Rastros e rostos do protestantismo brasileiro: uma historiografia de mulheres

Esta pesquisa abrange mulheres atuantes no chamado protestantismo histórico, principalmente vinculadas à Igreja Metodista do Brasil. O trabalho pretende visibilizar especialmente mulheres leigas e suas redes, geralmente informais, de articulação e chamar a atenção para seu papel na constituição destas comunidades de fé. Trata-se de um aspecto pouco explorado nas investigações sobre o protestantismo no Brasil que, quando abordado, se restringe a alguns ícones femininos. O foco principal do trabalho se restringe ao período de 1930, ano em que a Igreja Metodista do Brasil se constituiu como instituição autônoma, desvinculando-se formalmente de sua congênere nos EUA, até 1970/71, quando mulheres metodistas passam a ser admitidas no presbiterato, ou seja, podem solicitar a ordenação ao pastorado. Além de discutir a produção bibliográfica principalmente no âmbito da história do protestantismo, a pesquisa se baseia em fontes primárias, como boletins e jornais denominacionais, relatórios de eventos, correspondências e informações dispersas em diferentes materiais. Como referencial teórico a pesquisa se valeu da micro-história, procurando assim dar vida a personagens esquecidos e desvelar enredos ocultados pela história oficial. Portanto, além de demonstrar aspectos da atuação de mulheres no protestantismo brasileiro, silenciados tanto na memória institucional como na historiografia em suas diferentes matizes, a pesquisa pretende contribuir para uma avaliação crítica da mentalidade de mulheres sobre sua atuação no campo religioso, entre a adequação aos padrões culturais dominantes e os indícios de autonomia de pensamento diante de demandas específicas.(AU)

Pragmatic approach to the development of robust real-time protocols

This research is concerned with the development of distributed real-time systems, in which software is used for the control of concurrent physical processes. These distributed control systems are required to periodically coordinate the operation of several autonomous physical processes, with the property of an atomic action. The implementation of this coordination must be fault-tolerant if the integrity of the system is to be maintained in the presence of processor or communication failures. Commit protocols have been widely used to provide this type of atomicity and ensure consistency in distributed computer systems. The objective of this research is the development of a class of robust commit protocols, applicable to the coordination of distributed real-time control systems. Extended forms of the standard two phase commit protocol, that provides fault-tolerant and real-time behaviour, were developed. Petri nets are used for the design of the distributed controllers, and to embed the commit protocol models within these controller designs. This composition of controller and protocol model allows the analysis of the complete system in a unified manner. A common problem for Petri net based techniques is that of state space explosion, a modular approach to both the design and analysis would help cope with this problem. Although extensions to Petri nets that allow module construction exist, generally the modularisation is restricted to the specification, and analysis must be performed on the (flat) detailed net. The Petri net designs for the type of distributed systems considered in this research are both large and complex. The top down, bottom up and hybrid synthesis techniques that are used to model large systems in Petri nets are considered. A hybrid approach to Petri net design for a restricted class of communicating processes is developed. Designs produced using this hybrid approach are modular and allow re-use of verified modules. In order to use this form of modular analysis, it is necessary to project an equivalent but reduced behaviour on the modules used. These projections conceal events local to modules that are not essential for the purpose of analysis. To generate the external behaviour, each firing sequence of the subnet is replaced by an atomic transition internal to the module, and the firing of these transitions transforms the input and output markings of the module. Thus local events are concealed through the projection of the external behaviour of modules. This hybrid design approach preserves properties of interest, such as boundedness and liveness, while the systematic concealment of local events allows the management of state space. The approach presented in this research is particularly suited to distributed systems, as the underlying communication model is used as the basis for the interconnection of modules in the design procedure. This hybrid approach is applied to Petri net based design and analysis of distributed controllers for two industrial applications that incorporate the robust, real-time commit protocols developed. Temporal Petri nets, which combine Petri nets and temporal logic, are used to capture and verify causal and temporal aspects of the designs in a unified manner.

Efficacy and safety of second-generation antipsychotic long-acting injections (SGA LAIs) in maintenance treatment of bipolar disorder:protocol for a systematic review and meta-analysis

INTRODUCTION: Bipolar disorder requires long-term treatment but non-adherence is a common problem. Antipsychotic long-acting injections (LAIs) have been suggested to improve adherence but none are licensed in the UK for bipolar. However, the use of second-generation antipsychotics (SGA) LAIs in bipolar is not uncommon albeit there is a lack of systematic review in this area. This study aims to systematically review safety and efficacy of SGA LAIs in the maintenance treatment of bipolar disorder. METHODS AND ANALYSIS: The protocol is based on Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) and will include only randomised controlled trials comparing SGA LAIs in bipolar. PubMed, EMBASE, CINAHL, Cochrane Library (CENTRAL), PsychINFO, LiLACS, http://www.clinicaltrials.gov will be searched, with no language restriction, from 2000 to January 2016 as first SGA LAIs came to the market after 2000. Manufacturers of SGA LAIs will also be contacted. Primary efficacy outcome is relapse rate or delayed time to relapse or reduction in hospitalisation and primary safety outcomes are drop-out rates, all-cause discontinuation and discontinuation due to adverse events. Qualitative reporting of evidence will be based on 21 items listed on standards for reporting qualitative research (SRQR) focusing on study quality (assessed using the Jadad score, allocation concealment and data analysis), risk of bias and effect size. Publication bias will be assessed using funnel plots. If sufficient data are available meta-analysis will be performed with primary effect size as relative risk presented with 95% CI. Sensitivity analysis, conditional on number of studies and sample size, will be carried out on manic versus depressive symptoms and monotherapy versus adjunctive therapy.

Patient perspectives of a diagnosis of myeloproliferative neoplasm in a case control study

Background: Myeloproliferative neoplasms (MPNs) including the classic entities; polycythemia vera (PV), essential thrombocythemia (ET) and primary myelofibrosis are rare diseases with unknown aetiology. The MOSAICC study, is an exploratory case–control study in which information was collected through telephone questionnaires and medical records. Methods: As part of the study, 106 patients with MPN were asked about their perceived diagnosis and replies correlated with their haematologist’s diagnosis. For the first time, a patient perspective on their MPN diagnosis and classification was obtained. Logistic regression analyses were utilised to evaluate the role of variables in whether or not a patient reported their diagnosis during interview with co-adjustment for these variables. Chi square tests were used to investigate the association between MPN subtype and patient reported categorisation of MPN. Results: Overall, 77.4 % of patients reported a diagnosis of MPN. Of those, 39.6 % recognised MPN as a ‘blood condition’,23.6 % recognised MPN as a ‘cancer’ and 13.2 % acknowledged MPN as an ‘other medical condition’. There was minimal overlap between the categories. Patients with PV were more likely than those with ET to report their disease as a ‘blood condition’. ET patients were significantly more likely than PV patients not to report their condition at all.Patients from a single centre were more likely to report their diagnosis as MPN while age, educational status, and WHO re-classification had no effect. Conclusions: The discrepancy between concepts of MPN in patients could result from differing patient interest in their condition, varying information conveyed by treating hematologists, concealment due to denial or financial concerns. Explanations for the differences in patient perception of the nature of their disease, requires further, larger scale investigation.

La pintura que no se deja ver. La pintura avergonzada, la pintura escondida (a propósito de los escritos de Ángela de La Cruz, Georges didi-Huberman y Honoré de Balzac)

El artículo «La pintura que no se deja ver: la pintura avergonzada, la pintura escondida» relaciona una de las primeras obras de la artista Ángela de la Cruz ashamed (1995), con La pintura encarnada (1984) de Georges Didi-Huberman, ensayo que a su vez analiza La obra maestra desconocida (1837) de Honoré de Balzac. Entre Ángela de la Cruz, didi-Huberman y Balzac se establece un triángulo en torno al concepto cuadro-cuerpo. A través de una pintura, un ensayo filosófico y un relato, tres autores de tres tiempos distintos recuperan las mismas ideas de carne y piel pictórica y cuadro humanizado. Su objetivo: superar las barreras de representación en la pintura para crear un ser más allá del objeto pictórico. Sin embargo, cuanto más idealizan la pintura y más pretenden superar la pantallapictórica, más se desvanece el concepto de «cuadro»; cuanto más acercan el cuadro a ser, más se aleja de ser un cuadro y menos se permite el acceso a lo que representa. La persecución del ideal implica que el cuadro se vea sometido a su ocultación, al deterioro y a la destrucción de su imagen.

A randomised controlled trial evaluating a rehabilitation complex intervention for patients following intensive care discharge: the RECOVER study.

Introduction: Patients who survive an intensive care unit admission frequently suffer physical and psychological morbidity for many months after discharge. Current rehabilitation pathways are often fragmented and little is known about the optimum method of promoting recovery. Many patients suffer reduced quality of life. Methods and analysis: The authors plan a multicentre randomised parallel group complex intervention trial with concealment of group allocation from outcome assessors. Patients who required more than 48 h of mechanical ventilation and are deemed fit for intensive care unit discharge will be eligible. Patients with primary neurological diagnoses will be excluded. Participants will be randomised into one of the two groups: the intervention group will receive standard ward-based care delivered by the NHS service with additional treatment by a specifically trained generic rehabilitation assistant during ward stay and via telephone contact after hospital discharge and the control group will receive standard ward-based care delivered by the current NHS service. The intervention group will also receive additional information about their critical illness and access to a critical care physician. The total duration of the intervention will be from randomisation to 3 months postrandomisation. The total duration of follow-up will be 12 months from randomisation for both groups. The primary outcome will be the Rivermead Mobility Index at 3 months. Secondary outcomes will include measures of physical and psychological morbidity and function, quality of life and survival over a 12-month period. A health economic evaluation will also be undertaken. Groups will be compared in relation to primary and secondary outcomes; quantitative analyses will be supplemented by focus groups with patients, carers and healthcare workers. Ethics and dissemination: Consent will be obtained from patients and relatives according to patient capacity. Data will be analysed according to a predefined analysis plan.

Application of Lidocaine Spray for Tracheal Intubation in Neonates - A Clinical Trial Study

Background: Tracheal intubation is extremely distressing, painful, and may influence heart rate and blood pressure. Sedatives, analgesics, and muscle relaxants are not commonly used for intubation in neonates. Objectives: This study aimed to evaluate the effects of lidocaine spray as a non-intravenous drug before neonatal intubation on blood pressure, heart rate, oxygen saturation and time of intubation. Patients and Methods: In a randomized, controlled study each neonate was randomly assigned to one of the two study groups by staffs who were not involved in the infant's care. The allocation concealment was kept in an opaque sealed envelope, and the investigators, the patient care team, and the assessors were blinded to the treatment allocation. The selected setting was NICU unit of a teaching hospital in Ilam city, Iran and participants were 60 neonates with indication of tracheal intubation with gestational age >30 weeks. Patients in the treatment group received lidocaine spray and the placebo group received spray of normal saline prior to intubation. Main outcome measurements were the mean rates of blood pressure, heart rate, oxygen saturation, intubation time and lidocaine side effects were measured before and after intubation. Results: Totally 60 newborns including 31 boys and 29 girls were entered into the study (drug group n = 30; placebo group n = 30). Boy/girl ratio in treatment and placebo groups were 1.3 and 0.88, respectively. Mean age ± SD of participants was 34.1 ± 24.8 hours (treatment: 35.3 ± 25.7; placebo: 32.9 ± 24.3; P < 0.0001). Mean weight ± SD of neonates was 2012.5 ± 969 g. Application of lidocaine spray caused a significant reduction of mean intubation time among treatment group compared with placebo group (treatment: 15.03 ± 2.2 seconds; placebo: 18.3 ± 2.3 seconds; P < 0.0001). Mean blood pressure, heart rate and oxygen saturation rate, among neonates in treatment group was reduced after intubation compared with their relevant figures before intubation; however, their differences were not statistically significant except for mean oxygen saturation rate that was reduced significantly in placebo group. No side effects were observed during study. Conclusions: Though the current study revealed some promising results in the application of lidocaine spray during neonatal intubation without any considerable side effects; however, the current investigation could only be considered as a pilot study for further attempts in different locations with higher sample sizes and in different situations.

Une mémoire oublieuse : théorie et pratique de l'énonciation de l'acteur chez Larry Tremblay, Daniel Danis et Christian Lapointe

Prenant appui sur l’occultation de la mémoire verbale par la théorie théâtrale actuelle, le présent mémoire questionne l’exercice mémoriel des acteurs contemporains à partir de la dialectique mémoire/oubli dans les théories et pratiques de l’énonciation de Larry Tremblay, de Daniel Danis et de Christian Lapointe. Le premier chapitre s’intéresse aux fondements de l’énonciation privilégiés par les praticiens dans leurs discours théoriques – Le crâne des théâtres (Tremblay), « La mémoire intime au théâtre » (Danis), « Petit guide de l’apparition à l’usage de ceux qu’on ne voit pas » (Lapointe) –, plus précisément à la valeur accordée à la mémorisation verbale. Le deuxième s’attache à montrer que les textes dramatiques des auteurs-metteurs en scène – The Dragonfly of Chicoutimi (Tremblay), Mille anonymes (Danis), Sepsis (Lapointe) – engagent aussi un rapport oblique à l’apprentissage par cœur. Enfin, le troisième cherche à définir la notion de mémoire oublieuse à la lumière de laquelle les théories et les pratiques de Tremblay, de Danis et de Lapointe peuvent être analysées ainsi qu’à en identifier certaines conséquences dans leurs mises en scène.

Privatisation and accountability in a “crony capitalist” Nigerian state

Nigeria is richly endowed with oil and gas resources, but the country’s continued reliance on loans from international financial institutions raises questions about the transparency and accountability of its utilisation of the huge revenues resulting from these two resources. In order to attract international capital to bolster its revenues from sales of oil and gas, a huge proportion of which continues to be used corruptly, the World Bank has encouraged the Nigerian government to subscribe to neoliberal economic policies by enlisting accounting firms and privatising state-owned enterprises. Key justifications for this have included enhancing accountability, reducing public-sector corruption, promoting market efficiency and attracting international capital. However, this paper presents evidence of the role of accounting in the undervaluation of assets, concealment of possible malpractice, and subversion of the accountability that it should have delivered in the privatisation process. The assumption that accounting will enhance accountability, reduce public-sector corruption and promote market efficiency in privatisation, and ultimately attract investment into a crony capitalist Nigerian state, appears to be an illusion created partly through the apparent legitimacy of accounting.

Une mémoire oublieuse : théorie et pratique de l'énonciation de l'acteur chez Larry Tremblay, Daniel Danis et Christian Lapointe

Prenant appui sur l’occultation de la mémoire verbale par la théorie théâtrale actuelle, le présent mémoire questionne l’exercice mémoriel des acteurs contemporains à partir de la dialectique mémoire/oubli dans les théories et pratiques de l’énonciation de Larry Tremblay, de Daniel Danis et de Christian Lapointe. Le premier chapitre s’intéresse aux fondements de l’énonciation privilégiés par les praticiens dans leurs discours théoriques – Le crâne des théâtres (Tremblay), « La mémoire intime au théâtre » (Danis), « Petit guide de l’apparition à l’usage de ceux qu’on ne voit pas » (Lapointe) –, plus précisément à la valeur accordée à la mémorisation verbale. Le deuxième s’attache à montrer que les textes dramatiques des auteurs-metteurs en scène – The Dragonfly of Chicoutimi (Tremblay), Mille anonymes (Danis), Sepsis (Lapointe) – engagent aussi un rapport oblique à l’apprentissage par cœur. Enfin, le troisième cherche à définir la notion de mémoire oublieuse à la lumière de laquelle les théories et les pratiques de Tremblay, de Danis et de Lapointe peuvent être analysées ainsi qu’à en identifier certaines conséquences dans leurs mises en scène.

Optimizing countershading camouflage

Countershading, the widespread tendency of animals to be darker on the side that receives strongest illumination, has classically been explained as an adaptation for camouflage: obliterating cues to 3D shape and enhancing background matching. However, there have only been two quantitative tests of whether the patterns observed in different species match the optimal shading to obliterate 3D cues, and no tests of whether optimal countershading actually improves concealment or survival. We use a mathematical model of the light field to predict the optimal countershading for concealment that is specific to the light environment and then test this prediction with correspondingly patterned model “caterpillars” exposed to avian predation in the field. We show that the optimal countershading is strongly illumination-dependent. A relatively sharp transition in surface patterning from dark to light is only optimal under direct solar illumination; if there is diffuse illumination from cloudy skies or shade, the pattern provides no advantage over homogeneous background-matching coloration. Conversely, a smoother gradation between dark and light is optimal under cloudy skies or shade. The demonstration of these illumination-dependent effects of different countershading patterns on predation risk strongly supports the comparative evidence showing that the type of countershading varies with light environment.

Review : regular brisk walking improves cardiovascular risk factors in healthy sedentary adults

QUESTION In healthy sedentary adults, does regular brisk walking improve cardiovascular risk factors?

METHODS Data sources: Medline and Web of Science (1971 to September 2004) and reference lists.Study selection and assessment:English-language, randomised controlled trials (RCTs) with duration ⩾4 weeks that assessed the effects of walking as the only intervention on changes in cardiovascular risk factors in sedentary, but otherwise healthy, adults. 24 RCTs (n = 1128, mean age 52 y, 83% women) met the selection criteria. The mean length of the walking programmes was 35 weeks (range 8–104 wk). On average, walking was done 4.4 days/week for 38 minutes per session. The mean intensity of the walking interventions was 70% of predicted maximum heart rate or 56% of VO2 max. Quality of individual studies was assessed based on allocation concealment. Outcomes: cardiovascular fitness (VO2 max), body weight, percent body fat, body mass index, and systolic and diastolic blood pressure (BP).

MAIN RESULTS Brisk walking increased cardiovascular fitness and reduced body weight, body mass index, body fat composition, and diastolic BP more than the control condition (table). No effect on systolic BP was observed (table).

CONCLUSION In healthy sedentary adults, regular brisk walking improves cardiovascular fitness, body composition, and diastolic blood pressure.

Testing hypotheses about the function of repeated nest abandonment as a life history strategy in a passerine bird

Nest structures are essential for successful reproduction in most bird species. Nest construction costs time and energy, and most bird species typically build one nest per breeding attempt. Some species, however, build more than one nest, and the reason for this behaviour is often unclear. In the Grey Fantail Rhipidura albiscapa, nest abandonment before egg-laying is very common. Fantails will build up to seven nests within a breeding season, and pairs abandon up to 71% of their nests before egg-laying. We describe multiple nest-building behaviour in the Grey Fantail and test four hypotheses explaining nest abandonment in this species: cryptic depredation, destruction of nests during storm events, and two anti-predatory responses (construction of decoy nests to confuse predators, and increasing concealment to 'hide' nests more effectively). We found support for only one hypothesis - that abandonment is related to nest concealment. Abandoned nests were significantly less concealed than nests that received eggs. Most abandoned nests were not completely built and none received eggs, thus ruling out cryptic predation. Nests were not more likely to be abandoned following storm events. The decoy nest hypothesis was refuted as abandoned nests were constructed at any point during the breeding season and some nests were dismantled and the material used to build the subsequent nest. Thus, Grey Fantails are flexible about nest-site locations during the nest-building phase and readily abandon nest locations if they are found to have deficient security.