O império dos mil anos e a arte do "tempo barroco": a águia bicéfala como emblema da Cristandade

The article reveals that between the mid-17th century and the mid-18th century, in the ecclesiastical world of the religious orders (Jesuits, franciscans, Carmelites, Cistercians, Augustinian, etc.) and the episcopate, there was the progressive adoption of the imperial symbol, the double-headed eagle, attribute of the Christian Empire, the germanic Holy Roman Empire emblem. However, in the religious field, this imperial eagle of the baroque time appears without the political insignia (sword, scepter and the imperial orb), adorning altars, monstrances, trumphal archs, facades of temples, doors, walls, domes, pulpits, sacred washbasins, sculptures and paintings of the Virgin and Child, liturgical robes, etc.; therefore related to the cult and the dogmas of the Catholic faith - in artistic works, the association between the double eagle and the flesh-spirit or human-divine unity, axial principle of the Catholic faith, represented by Virgin-Mother and Christ, is often indicated directly. The research has located and identified numerous remnants of the double eagle emblem in religious field in Portugal and Spain and in their conquests and dominions in America, Asia and Africa, and also in Italy, and the historiography on painful birth of the modern era in the West has never realized this phenomenon. Symbolizing absolute power, universal power, these works with sacred significance, as the ecclesiastical discourse of the time, demonstrate movement occurred in religious plane. With the aim to assert not only spiritual but also temporal power of Christ and his mystical body, the Church was impelled by the idea of restoring the "Republica Christiana" or Christendon - disrupted by conflicts of power and faith - and of introducing a Universal Apostolic Monarchy extended to all mankind: the Empire of the Last Days, the Empire of Christ in the world, the fifth Empire

Synthesis and characterization of diorganotin(iv) compounds with dl-mandelic acid

Por reação de quantidades eqüimoleculares de R2SnO ou R2SnCl2 (R = -CH3; -C4H9) com ácido dl-mandélico, C6H5CH(OH)COOH, em meio de etanol, foram obtidos novos compostos formulados como [(LR2Sn)2O] [L= C6H5CH(OH)COO-], nos quais o átomo de estanho é pentacoordenado, com o ligante L estabelecendo uma ligação bidentada através dos átomos de oxigênio dos grupos ácido e hidroxila alcoólica. Nas mesmas condições, nenhum produto obtido a partir da reação de (C6H5)2SnO ou (C6H5)2SnCl2 pode ser identificado. No entanto, quando da reação de (C6H5)2SnCl2 com ácido dl-mandélico, em meio de acetonitrila, foi preparado um composto dimérico hexacoordenado formulado como [L(C6H5)2SnCl]2. Este composto não pode ser isolado de forma pura e está misturado com 7% de impurezas não identificadas, cujos parâmetros de interação hiperfina sugerem tratar de estanho tetravalente octaedricamente coordenado por oxigênio. Os compostos obtidos foram caracterizados por determinação de ponto de fusão, microanálise e espectroscopias i.v. e Mössbauer.Equimolecular reactions between R2SnO or R2SnCl2 (R= -CH3; -C4H9), in ethanol medium, with dl-mandelic acid, C6H5CH(OH)COOH, led to news compounds formulated as [(LR2Sn)2O] (L= C6H5CH(OH)COO-) in which the tin atom is pentacoordenated, with the ligand L performing a bidentate bonding mode through the both oxygen of acid and alcoholic hydroxylic groups. In the same conditions, any reaction product obtained from (C6H5)2SnO or (C6H5)2SnCl2 coud be identified. However when the reaction is performed with (C6H5)2SnCl2, in acetonitrile medium, a hexacoordenated compound formulated as [L(C6H5)2SnCl]2 is obtained in mixture with hydrated SnCl4. The reaction products were characterized by melting point, microanalysis, thermogravimetric analysis, infrared and Mössbauer spectroscopy

Amor e gênero em quadrinhas Love and gender in popular verses

O texto analisa a obra Quadrinhas populares, de Áurea Queiroz, a partir da categoria gênero. Identifica nas quadrinhas uma fonte de significação do feminino, do masculino e de suas relações. Do mesmo modo, evidencia que no conjunto de quadrinhas analisado predominam aquelas que dizem respeito aos significados do amor, do namoro e do casamento em suas interfaces com o feminino e o masculino. Os sentidos atribuídos aos verbos namorar, amar e casar ora confirmam concepções que se tornam normativas durante a primeira metade do século XX, ora as rebatem, apontando para o universo plural das relações de gênero no período.<br>The text analyses the work Quadrinhas populares [Popular verses], by Áurea Queiroz, from the perspective of gender. It identifies in the scenes a source of meaning of the feminine, the masculine and the relations between them. In the same way, it provides evidence that in the set of scenes analyzed those that deal with the meanings of love, courtship and marriage in their interfaces with the feminine and the masculine predominate. The meanings attributed to the verbs to court, to love and to marry, now confirm conceptions that became the norm during the first half of the 20th century, now rebut them, pointing to the multifarious nature of gender relationships in the period

Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study

Background Results from retrospective studies suggest that use of neuromuscular blocking agents during general anaesthesia might be linked to postoperative pulmonary complications. We therefore aimed to assess whether the use of neuromuscular blocking agents is associated with postoperative pulmonary complications. Methods We did a multicentre, prospective observational cohort study. Patients were recruited from 211 hospitals in 28 European countries. We included patients (aged ≥18 years) who received general anaesthesia for any in-hospital procedure except cardiac surgery. Patient characteristics, surgical and anaesthetic details, and chart review at discharge were prospectively collected over 2 weeks. Additionally, each patient underwent postoperative physical examination within 3 days of surgery to check for adverse pulmonary events. The study outcome was the incidence of postoperative pulmonary complications from the end of surgery up to postoperative day 28. Logistic regression analyses were adjusted for surgical factors and patients’ preoperative physical status, providing adjusted odds ratios (ORadj) and adjusted absolute risk reduction (ARRadj). This study is registered with ClinicalTrials.gov, number NCT01865513. Findings Between June 16, 2014, and April 29, 2015, data from 22803 patients were collected. The use of neuromuscular blocking agents was associated with an increased incidence of postoperative pulmonary complications in patients who had undergone general anaesthesia (1658 [7·6%] of 21694); ORadj 1·86, 95% CI 1·53–2·26; ARRadj –4·4%, 95% CI –5·5 to –3·2). Only 2·3% of high-risk surgical patients and those with adverse respiratory profiles were anaesthetised without neuromuscular blocking agents. The use of neuromuscular monitoring (ORadj 1·31, 95% CI 1·15–1·49; ARRadj –2·6%, 95% CI –3·9 to –1·4) and the administration of reversal agents (1·23, 1·07–1·41; –1·9%, –3·2 to –0·7) were not associated with a decreased risk of postoperative pulmonary complications. Neither the choice of sugammadex instead of neostigmine for reversal (ORadj 1·03, 95% CI 0·85–1·25; ARRadj –0·3%, 95% CI –2·4 to 1·5) nor extubation at a train-of-four ratio of 0·9 or more (1·03, 0·82–1·31; –0·4%, –3·5 to 2·2) was associated with better pulmonary outcomes. Interpretation We showed that the use of neuromuscular blocking drugs in general anaesthesia is associated with an increased risk of postoperative pulmonary complications. Anaesthetists must balance the potential benefits of neuromuscular blockade against the increased risk of postoperative pulmonary complications

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42·4% vs 44·2%; absolute difference -1·69 [-9·58 to 6·11] p=0·67; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5-8] vs 6 [5-8] cm H2O; p=0·0011). ICU mortality was higher in MICs than in HICs (30·5% vs 19·9%; p=0·0004; adjusted effect 16·41% [95% CI 9·52-23·52]; p&lt;0·0001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0·80 [95% CI 0·75-0·86]; p&lt;0·0001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status