Patent foramen ovale screening by ear oximetry in divers

The aim of this study was to test the hypothesis that ear oximetry immediately after the release of a sustained Valsalva maneuver accurately detects patent foramen ovale (PFO). One hundred sixty-five scuba divers underwent transesophageal echocardiography (TEE; reference method) for PFO assessment. Ear oximetry of the right earlobe was performed in a different room within a time frame of 2 hours before or after TEE. The subject and the oximetry operator were unaware of the results of TEE. Oxygen saturation (SO(2)) measurements were obtained at baseline and during the release phase of 4 Valsalva maneuvers within 10 minutes, and the average SO(2) change (SO(2) at baseline minus SO(2) at Valsalva release) was determined as the primary study end point. One hundred seventeen divers had no PFO, and 48 (29%) had PFO by TEE (mean age 39 ± 8 years). The average SO(2) change was 0.79 ± 1.13% (i.e., a slight absolute SO(2) decrease in response to the Valsalva maneuver) in the group without PFO and 1.67 ± 1.19% in the PFO group (p <0.0001). Using receiver-operating characteristic curve analysis, a PFO as defined by TEE could be detected at a threshold of a Valsalva-induced decrease in SO(2) of ≥0.825 percentage points in comparison to baseline (sensitivity 0.756, specificity 0.706, area under the receiver-operating characteristic curve 0.763, p <0.0001, negative predictive value 0.882). In conclusion, the entirely noninvasive method of ear oximetry in response to repetitive Valsalva maneuvers is accurate and useful as a screening method for the detection of a PFO, as shown in this study of divers.

Recital pieces the whole world plays : containing forty-seven compositions, especially adapted for solo playing, by the most celebrated modern and contemporary composers /

Contains works by Moussorgsky, Arensky, Brahms, Debussy, Dvorak, Gliére, Grieg and others.

Manifesta och latenta ideologier om lärande inom svensk spelmansrörelse under 1920-talet

The purpose of this article was to illuminate existing educational ideologies in the Swedish fiddler movement (Spelmansrörelsen) 1923-1927. This period was characterized by the organization and to some extent institutionalization of Swedish folk music. Furthermore, the purpose was to discuss the results in relation to the folk music education of today. The empirical data was taken from the journal Hembygden, which was a magazine for scholars, enthusiasts and practitioners of folk music. Theoretically, the study was based on a concept of ideology developed by Sven-Eric Liedman: in every time there are two basic forms of identifiable ideology, manifest and latent. From the empirical material as a whole (around 900 articles), a selection was made to find articles dealing with aspects of learning among the fiddlers (33 articles). After content analysis the following themes were generated: Fiddlers’ repertoire, Fiddlers’ masters, Rooms for learning, Learning formation. The writers in Hembygden often emphasized the autodidactic aspects of learning and especially the importance of learning by ear. This manifest ideology of authenticity presumed that learning directly from another fiddler by playing together was to prefer to formal schooling. In spite of a tendency towards more ensemble playing, the folk music education of today in Sweden is characterized by a similar retrospective ideology as in the 1920s.

On democracy

If one clear argument emerged from my doctoral thesis in political science, it is that there is no agreement as to what democracy is. There are over 40 different varieties of democracy ranging from those in the mainstream with subtle or minute differences to those playing by themselves in the corner. And many of these various types of democracy are very well argued, empirically supported, and highly relevant to certain polities. The irony is that the thing which all of these democratic varieties or the ‘basic democracy’ that all other forms of democracy stem from, is elusive. There is no international agreement in the literature or in political practice as to what ‘basic democracy’ is and that is problematic as many of us use the word ‘democracy’ every day and it is a concept of tremendous importance internationally. I am still uncertain as to why this problem has not been resolved before by far greater minds than my own, and it may have something to do with the recent growth in democratic theory this past decade and the innovative areas of thought my thesis required, but I think I’ve got the answer. By listing each type of democracy and filling the column next to this list with the literature associated with these various styles of democracy, I amassed a large and comprehensive body of textual data. My research intended to find out what these various styles of democracy had in common and to create a taxonomy (like the ‘tree of life’ in biology) of democracy to attempt at showing how various styles of democracy have ‘evolved’ over the past 5000 years.ii I then ran a word frequency analysis program or a piece of software that counts the 100 most commonly used words in the texts. This is where my logic came in as I had to make sense of these words. How did they answer what the most fundamental commonalities are between 40 different styles of democracy? I used a grounded theory analysis which required that I argue my way through these words to form a ‘theory’ or plausible explanation as to why these particular words and not others are the important ones for answering the question. It came down to the argument that all 40 styles of democracy analysed have the following in common 1) A concept of a citizenry. 2) A concept of sovereignty. 3) A concept of equality. 4) A concept of law. 5) A concept of communication. 6) And a concept of selecting officials. Thus, democracy is a defined citizenry with its own concept of sovereignty which it exercises through the institutions which support the citizenry’s understandings of equality, law, communication, and the selection of officials. Once any of these 6 concepts are defined in a particular way it creates a style of democracy. From this, we can also see that there can be more than one style of democracy active in a particular government as a citizenry is composed of many different aggregates with their own understandings of the six concepts.

Impressão de livros sob demanda: o design como ponte entre distintos registros produtivos

A presente dissertação trata de um estudo sobre produção de livros sob demanda em dois momentos distintos da indústria gráfica. Apresentamos uma abordagem histórica do percurso do livro, segundo seus atributos materiais e tecnológicos, que marcaram a transformação de seu caráter fabril de micro e pequena escalas à produção em massa. Ao analisar referências manufatureiras de tiragem limitada do livro no âmbito da impressão tipográfica e digital, observamos o papel que o design é capaz de exercer, representando uma conexão entre esses dois registros técnicos intrinsecamente diferentes. Através da utilização de um modelo descritivo de obras sob o ponto de vista do design gráfico, buscamos pontos de convergência e divergência passíveis de auxiliar na compreensão do atual contexto de transição por que passa o mercado editorial.

ken

From the beginning, the world of game-playing by machine has been fortunate in attracting contributions from the leading names of computer science. Charles Babbage, Konrad Zuse, Claude Shannon, Alan Turing, John von Neumann, John McCarthy, Alan Newell, Herb Simon and Ken Thompson all come to mind, and each reader will wish to add to this list. Recently, the Journal has saluted both Claude Shannon and Herb Simon. Ken’s retirement from Lucent Technologies’ Bell Labs to the start-up Entrisphere is also a good moment for reflection.

Análise das manifestações auditivas em individuos com hipertensão arterial sistêmica

Objective: To determine the prevalence of auditory manifestations in individuals with hypertension and analyze the association between hearing loss, systemic hypertension and quality of life in hypertensive patients. Method: This was a prospective, observational, case-control study, carried out from June 2010 to December 2013 at the University Hospital Onofre Lopes, in Natal, Brazil, which involved 120 patients of both sexes were analyzed with a diagnosis of hypertension and 120 patients without a diagnosis of hypertension. The audiological function was assessed by tonal and vocal audiometry. The quality of life was defines by the MINICHAL BRASIL questionnaire. Results: The prevalence of hearing loss was high in both groups (82.5 % and 75.8 %, in hypertension group and control, respectively, p=0.003). The sensorineural was the most common type of hearing loss (48.5 %) in hypertension group while conductive hearing loss was predominant (61.5 %) in the control group. There were no difference in the intensity of hearing loss between the groups (p=0,21). The main hearing complaint was hearing loss (51 %), followed by ear pain (14 %). There was worse quality of life in hypertensive individuals with hearing loss (p= 0.0001). Conclusion: Hypertensive individuals showed higher prevalence of auditory events, including hearing loss, sensorineural hearing loss is predominant . Hearing loss is associated with worse quality of life of hypertensive individuals even when these pressure values are within normal limits

Desempenho agronômico de híbridos de milho, em função da aplicação foliar de fungicidas

The objective of the study was to evaluate the agronomic performance of corn hybrids (AG 8088, BG 7049, CD 327, CD 384, CD 351 and CD 321) at function of the foliar application of two fungicides (piraclostrobina + epoxiconazol and azoxistrobina + ciproconazol) at pre-tasseling of the culture. The experiment was conducted In Selviria - MS, in the experimental Farm of the Faculty of Engineering of Ilha Solteira - SP (UNESP), Brazil, during the harvest of 2008/09. The treatments were disposed in randomized complete block design in a factorial scheme 6 x 3 (corn hybrids x fungicides), with four replications. There was valued plant height and of insertion of the ear, number of rows of grains by ear and of grains by row, incidence of foliar diseases, weight of hundred grains and productivity. The results were submitted to the analysis of variance, and the hybrids and fungicides compared by Tukey test (P<0.05). For data analysis were used the software SISVAR. The foliar application of the fungicides piraclostrobina + epoxiconazol and azoxistrobina + ciproconazol in pre-tasseling of the culture the corn reduced the incidence of foliar diseases, nevertheless, was not sufficient to provoke growth of productivity. The hybrids CD 321, AG 8088 and CD 351 were highlighted by the higher yield obtained.

Sinais e sintomas na Síndrome de Costen associada a desordens temporomandibulares: relato de caso clínico

Costen’s syndrome is defined as a set of auditory signs and symptoms in patients with TMD. It is characterized by ear fullness, hearing loss, tinnitus, ear pain and vertigo with nystagmus.It has predilection for females and fourth decade of life. The multidisciplinary monitoring of these patients is imperative in its recognition and the establishment of effective therapy. In this paper we report a case of Costen’s Syndrome patient whose treatment consisted of advice on the etiology of the disorder and weekly sessions of acupuncture. The clinical features that led to the diagnosis and treatment plan, and the effectiveness of acupuncture as supportive therapy were also discussed.

Fronteras sociales de la Odisea

La relación entre pretendientes, nobles y servidores resulta muy compleja en Odisea. Dentro del expandido mundo doméstico que el poema presenta no se halla una respuesta clara para la presencia de los pretendientes, como tampoco para el rol social desempeñado por algunos servidores cuya característica definitoria es haber sido nobles y expresar en la actualidad una prueba fehaciente de las variaciones de la fortuna. Tal es el caso de Euriclea y Eumeo. El trabajo propone la discusión de la elaboración de los límites entre una clase social y otra, así como la constitución de las fronteras entre ellas, para interpretar la forma en que se articulan en el poema la situación social de personajes menores con la adhesión al héroe protagonista.

Fronteras sociales de la Odisea

La relación entre pretendientes, nobles y servidores resulta muy compleja en Odisea. Dentro del expandido mundo doméstico que el poema presenta no se halla una respuesta clara para la presencia de los pretendientes, como tampoco para el rol social desempeñado por algunos servidores cuya característica definitoria es haber sido nobles y expresar en la actualidad una prueba fehaciente de las variaciones de la fortuna. Tal es el caso de Euriclea y Eumeo. El trabajo propone la discusión de la elaboración de los límites entre una clase social y otra, así como la constitución de las fronteras entre ellas, para interpretar la forma en que se articulan en el poema la situación social de personajes menores con la adhesión al héroe protagonista.

Fronteras sociales de la Odisea

La relación entre pretendientes, nobles y servidores resulta muy compleja en Odisea. Dentro del expandido mundo doméstico que el poema presenta no se halla una respuesta clara para la presencia de los pretendientes, como tampoco para el rol social desempeñado por algunos servidores cuya característica definitoria es haber sido nobles y expresar en la actualidad una prueba fehaciente de las variaciones de la fortuna. Tal es el caso de Euriclea y Eumeo. El trabajo propone la discusión de la elaboración de los límites entre una clase social y otra, así como la constitución de las fronteras entre ellas, para interpretar la forma en que se articulan en el poema la situación social de personajes menores con la adhesión al héroe protagonista.