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What does ‘brain dead’ really mean? The battle over how science defines the end of life
Ideological differences threaten to muddy the definition of death in the United States – with potentially negative consequences for clinicians and people awaiting organ transplants. • Max Kozlov • Published on 11 July 2023
Dead in California but alive in New Jersey: that was the status of 13-year-old Jahi McMath after physicians in Oakland, California, declared her brain dead in 2013, after complications from a tonsillectomy. Unhappy with the care that their daughter received and unwilling to remove life support, McMath’s family moved with her to New Jersey, where the law allowed them to lodge a religious objection to the declaration of brain death and keep McMath connected to life-support systems for another four and a half years. Prompted by such legal discrepancies and a growing number of lawsuits around the United States, a group of neurologists, physicians, lawyers and bioethicists is attempting to harmonize state laws surrounding the determination of death. They say that imprecise language in existing laws – as well as research done since the laws were passed – threatens to undermine public confidence in how death is defined worldwide. “It doesn’t really make a lot of sense,” says Ariane Lewis, a neurocritical care clinician at NYU Langone Health in New York City. “Death is something that should be a set, finite thing. It shouldn’t be something that’s left up to interpretation.” Since 2021, a committee in the Uniform Law Commission (ULC), a non-profit organization in Chicago, Illinois, that drafts model legislation for states to adopt, has been revising its recommendation for the legal determination of death. The drafting committee hopes to clarify the definition of brain death, determine whether consent is required to test for it, specify how to handle family objections and provide guidance on how to incorporate future changes to medical standards. The broader membership of the ULC will offer feedback on the first draft of the revised law at a meeting on 26 July. After members vote on it, the text could be ready for state legislatures to consider by the middle of next year.
(Disponível em: <https://www.nature.com/articles/d41586-023-02226-z> . Acesso em: 12 set. 2023.)
Leia o fragmento do texto a seguir.
They say that imprecise language in existing laws – as well as research done since the laws were passed – threatens to undermine public confidence in how death is defined worldwide.
Com base no fragmento do texto, assinale a alternativa que apresenta, corretamente, o sinônimo da palavra “undermine”.
Ultra-processed products now make up 60% of our diet – and they’re killing us
Strange as it may seem, food has replaced tobacco as the leading cause of early death globally. Each year,more people die in America from illnesses caused by poor diet than were killed fighting in every war in US history combined. In the UK the situation is equally 1. dire. Officially, the health effects of food are entirely due to its nutritional content – the amount of fat, salt, sugar and fibre it contains. The current system leaves it up to you to read the detailed information on the pack and decide how much to eat based on recommended values, and if you have children, you’ll need to know the values for them too. This is nigh-on impossible for most people – but even if you were able to calculate exactly how much fat, salt and sugar you were consuming in each 2. mouthful, you would still be neglecting one vital determinant of health – how the food was processed. You might feel like you’ve heard all this before. People have expressed concern about “processed food” for a long time, but it’s not always been an easy concept to 3. pin down. After all, we have been processing food for hundreds of thousands of years. The human diet was invented by primarily female domestic scientists who modified plants and animals by milling, shaking, pounding and grinding them, or altering them via fermentation and heat, before salting, smoking and drying them for preservation. Food processing has shaped almost every aspect of our bodies: we have the shortest guts of any animal our size because part of their job is outsourced to our kitchens. We are the only animal that must process its food to survive. Processing is fine.
But just over a decade ago a team of scientists in Brazil noticed a 4. paradox in the data from their national nutrition surveys. Obesity had gone from being rare, to being the country’s dominant public health problem – even though people were buying less oil and sugar. What theywere eating more of was industrially processed food: biscuits, emulsified breads, confectionary and so on. The team developed a definition that distinguished between traditional food, whole or processed, and these items, which they termed ultra processed foods, or UPFs for short.
Disponible in: https://www.theguardian.com/books/2023/may/15/the-big-idea-why-we-need-a-new-definition-of-junk-food. Access in: May, 15 2023 (adapted).
Choose the alternative whose bold words have similar meanings in the sentences.
Essential reading on, and beyond, Indigenous Peoples Day

to acknowledge what is working in our communities and in our movements. (l. 31)
The underlined word may be substituted, without significant change in meaning, by the one below:
Considering dental assessments, machine learning tools should:
If you take a look at my smartphone, you’ll know that I like to order out. But am I helping the small local businesses? You would think that if you own a restaurant you’d be thrilled to have an outsourced service that would take care of your delivery operations while leveraging their marketing might to expand your businesses’ brand. However, restaurant owners have complained of lack of quality control once their food goes out the door. They don’t like that the delivery people are the face of their product when it gets into the customer’s hand. Some of the delivery services have been accused of listing restaurants on their apps without the owners’ permission, and oftentimes publish menu items and prices that are incorrect or out of date.
But there is another reason why restaurant owners aren’t fond of delivery services. It’s the costs, which, for some, are becoming unsustainable. Even with the increased revenues from the delivery services, the fees wind up killing a restaurant’s margins to the extent that it’s at best marginally profitable. Therefore, some restaurants are pushing harder to drive orders from their own websites and offering special deals for customers that use their in-house delivery people.
The simple fact is that these delivery apps are here to stay. They are enormously popular and have significantly grown. I believe that restaurant owners that resist these apps are hurting their brands by missing out on potential customers. The good news is that the delivery platforms are not as evil as some would portray them. They have some skin in the game. They are competing against other services. They want their listed restaurants to profit. Maybe instead of fighting, the nation’s restaurant industry needs to proactively embrace the delivery service industry and figure out ways to profitably work together.
The Guardian. 02 December, 2020. Adaptado.

PAUL SIMON and ART GARFUNKEL
Adaptado de genius.com.

PAUL SIMON and ART GARFUNKEL
Adaptado de genius.com.

PAUL SIMON and ART GARFUNKEL
Adaptado de genius.com.
How things have changed.
Now disagreements feel deadly serious. Like when your colleague pronounces that wearing a face mask in public is a threat to his liberty. Or when you see that one of your friends has just tweeted that, actually, all lives matter. Before you know it, you’re feeling angry and forming harsh new judgments about your colleagues and friends. Let’s take a collective pause and breathe: there are some ways we can all try to have more civil disagreements in this febrile age of culture wars.
1. ‘Coupling’ and ‘decoupling’
The first is to consider how inclined people are to ‘couple’ or ‘decouple’ topics involving wider political and social factors. Swedish data analyst John Nerst has used the terms to describe the contrasting ways in which people approach contentious issues. Those of us more inclined to ‘couple’ see them as inextricably related to a broader matrix of factors, whereas those more predisposed to ‘decouple’ prefer to consider an issue in isolation. To take a crude example, a decoupler might consider in isolation the question of whether a vaccine provides a degree of immunity to a virus; a coupler, by contrast, would immediately see the issue as inextricably entangled in a mesh of factors, such as pharmaceutical industry power and parental choice.
2.____________________
A study at Arizona State University, U.S., analysed more than 100,000 comments on a forum where users post their views on an issue and invite others to persuade them to change their mind. The researchers found that regardless of the kind of topic, people were more likely to change their mind when confronted with more evidence-based arguments. “Our work may suggest that while attitude change is hard-won, providing facts, statistics and citations for one’s arguments can convince people to change their minds,” they concluded.
3. Just be nicer?
Finally, it’s easier said than done, but let’s all try to be more respectful of and attentive to each other’s positions. We should do this not just for virtuous reasons, but because the more we create that kind of a climate, the more open-minded and intellectually flexible we will all be inclined to be. And then hopefully, collectively, we can start having more constructive disagreements — even in our present very difficult times.
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What is Distance Learning and Why Is It So Important?






