37 research outputs found
Poesia oral tradicional e funcionalidade
A poesia oral nĂŁo pode ser compreendida fora da estrutura social em que vive, nem o funcionamento
da comunidade pode ser integralmente apreendido sem um conhecimento da sua poesia
de transmissão oral. Por isso, neste estudo, influenciado pelo pensamento de José de Almeida Pavão
JĂșnior e Paul Zumthor, procuramos demonstrar que uma abordagem sĂ©ria da poesia oral nĂŁo pode
fixar-se unicamente no Ăąmbito do literĂĄrio, nem apenas nos seus aspectos culturais, antropolĂłgicos e
sociológicos. A poesia oral, como as tradiçÔes em geral, só existe porque cumpre funçÔes. Refletir
sobre este aspecto é também pensar sobre o contexto social e cultural da performance literåria, a
idiossincrasia dos poetas-intérpretes e do grupo social, as diferentes espécies, a linguagem e o estilo,
as circunstùncias da composição, da transmissão e da recepção dos textos.Oral poetry cannot be understood outside of the social structure in which they live, nor
the functioning of the community can be fully understood without a knowledge of its oral poetry.
Therefore, in this study, influenced by Paul Zumthorâs thought, we try to demonstrate that a serious
approach to oral poetry cannot fix solely in the literary, nor only in its cultural, anthropological and
sociological context. The oral poetry, as the traditions in general, only exists because it fulfills functions.
Reflecting on this aspect is also thinking about the social and cultural context of literary performance,
the idiosyncrasy of the poet-performers and the social group, the species, the language and style, the
circumstances of the composition, transmission and reception of texts
Herkules â Held zwischen Tugend und Hybris. Ein europĂ€ischer Erinnerungsort der FrĂŒhen Neuzeit?
This essay traces some of the contexts and media in which "Heracles-Hercules" - as a hero between virtue and hubris - was visible in European societies from the end of the middle ages onwards. It discusses whether this example of the reception, appropriation and transformation of classical myths in the early modern period can be understood as a European "lieu de mémoire", and to what extent the concept of "lieux de mémoire" (or sites of memory) can foster our understanding of a particular object of study (here the Heracles/Hercules myth). Against this backdrop, we conclude with some general questions about the more ambitious project* of a comprehensive register of European "lieux de mémoire".
* * Published as: Boer, Pim den / Duchhardt, Heinz / Kreis, Georg / Schmale, Wolfgang (eds.): EuropĂ€ische Erinnerungsorte, 3 vols., Munich 2011â201
COVID-19 severity and vaccine breakthrough infections in idiopathic inflammatory myopathies, other systemic autoimmune and inflammatory diseases, and healthy controls: a multicenter cross-sectional study from the COVID-19 Vaccination in Autoimmune Diseases (COVAD) survey
Objectives
We aimed to compare the spectrum and severity of COVID-19 and vaccine breakthrough infections (BIs) among patients with IIMs, other systemic autoimmune and inflammatory diseases (SAIDs), and healthy controls (HCs).
Methods
This is a cross-sectional study with data from the COVAD study, a self-reported online global survey that collected demographics, COVID-19 history, and vaccination details from April to September 2021. Adult patients with at least one COVID-19 vaccine dose were included. BIs were defined as infections occurringâ>â2 weeks after any dose of vaccine. Characteristics associated with BI were analyzed with a multivariate regression analysis.
Results
Among 10,900 respondents [42 (30â55) years, 74%-females, 45%-Caucasians] HCs were (47%), SAIDs (42%) and IIMs (11%). Patients with IIMs reported fewer COVID-19 cases before vaccination (6.2%-IIM vs 10.5%-SAIDs vs 14.6%-HC; ORâ=â0.6, 95% CI 0.4â0.8, and ORâ=â0.3, 95% CI 0.2â0.5, respectively). BIs were uncommon (1.4%-IIM; 1.9%-SAIDs; 3.2%-HC) and occurred in 17 IIM patients, 13 of whom were on immunosuppressants, and 3(18%) required hospitalization. All-cause hospitalization was higher in patients with IIM compared to HCs [23 (30%) vs 59 (8%), ORâ=â2.5, 95% CI 1.2â5.1 before vaccination, and 3 (18%) vs 9 (5%), ORâ=â2.6, 95% CI 1.3â5.3 in BI]. In a multivariate regression analysis, age 30â60 years was associated with a lower odds of BI (ORâ=â0.7, 95% CI 0.5â1.0), while the use of immunosuppressants had a higher odds of BI (ORâ=â1.6, 95% CI 1.1â2.7).
Conclusions
Patients with IIMs reported fewer COVID-19 cases than HCs and other SAIDs, but had higher odds of all-cause hospitalization from COVID-19 than HCs. BIs were associated with the use of immunosuppressants and were uncommon in IIMs
Impaired health-related quality of life in idiopathic inflammatory myopathies: a cross-sectional analysis from the COVAD-2 e-survey
Objectives
To investigate health-related quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared with those with non-IIM autoimmune rheumatic diseases (AIRDs), non-rheumatic autoimmune diseases (nrAIDs) and without autoimmune diseases (controls) using Patient-Reported Outcome Measurement Information System (PROMIS) instrument data obtained from the second COVID-19 vaccination in autoimmune disease (COVAD-2) e-survey database.
Methods
Demographics, diagnosis, comorbidities, disease activity, treatments and PROMIS instrument data were analysed. Primary outcomes were PROMIS Global Physical Health (GPH) and Global Mental Health (GMH) scores. Factors affecting GPH and GMH scores in IIMs were identified using multivariable regression analysis.
Results
We analysed responses from 1582 IIM, 4700 non-IIM AIRD and 545 nrAID patients and 3675 controls gathered through 23 May 2022. The median GPH scores were the lowest in IIM and non-IIM AIRD patients {13 [interquartile range (IQR) 10â15] IIMs vs 13 [11â15] non-IIM AIRDs vs 15 [13â17] nrAIDs vs 17 [15â18] controls, Pâ<â0.001}. The median GMH scores in IIM patients were also significantly lower compared with those without autoimmune diseases [13 (IQR 10â15) IIMs vs 15 (13â17) controls, Pâ<â0.001]. Inclusion body myositis, comorbidities, active disease and glucocorticoid use were the determinants of lower GPH scores, whereas overlap myositis, interstitial lung disease, depression, active disease, lower PROMIS Physical Function 10a and higher PROMIS Fatigue 4a scores were associated with lower GMH scores in IIM patients.
Conclusion
Both physical and mental health are significantly impaired in IIM patients, particularly in those with comorbidities and increased fatigue, emphasizing the importance of patient-reported experiences and optimized multidisciplinary care to enhance well-being in people with IIMs