Este artículo estudia los problemas sociales y psicológicos del protagonista de la novela Karna’s Wife: The Outcast’s Queen de la escritora india Kavita Kane. Para ello, se revisan las causas de los ...problemas sociales y psicológicos de los marginados en la literatura de la era épica de la India. Por esto, este artículo presenta una investigación sobre las condiciones sociales que causan un trauma en la mente del protagonista. Para acercarse al problema se hace una revisión desde el psicoanálisis freudiano donde se determina que el malestar y la angustia surgen de causas inconscientes. Por otro lado, se acude al marxismo para determinar que el trauma emerge de las condiciones materiales de la vida social. Se encuentra que la crítica literaria marxista es iluminadora a la hora de entender al protagonista de la obra ya que se comprende la relación dialéctica entre la psiquis y las relaciones sociales. Finalmente, se concluye que las discriminaciones sociales causan, de manera adversa, los problemas psicológicos como se puede ver en la novela de Kavita Kane que el artículo estudia.Este artigo estuda os problemas sociais e psicológicos do protagonista do romance Karna's Wife: The Outcast's Queen da escritora indiana Kavita Kane. Também são analisados os motivos dos problemas sociais e psicológicos dos proscritos na literatura da era épica indiana. Portanto, este artigo apresenta uma pesquisa sobre as condições sociais que causam traumas na mente do protagonista. A fim de abordar o problema, é desenvolvida uma revisão da psicanálise freudiana, onde se determina que o desconforto e a angústia surgem de causas inconscientes. Por outro lado, o marxismo é usado para determinar que o trauma emerge das condições materiais da vida social. Assim, constata-se que a crítica literária marxista é esclarecedora quando se trata de compreender o protagonista da peça, uma vez que a relação dialética entre a psique e as relações sociais é compreendida. Por fim, conclui-se que as discriminações sociais causam os problemas psicológicos de forma adversa, como pode ser visto no romance de Kavita Kane.
Background
Injuries to the ureter or bladder are relatively rare. Therefore, a high level of clinical suspicion and knowledge of operative anatomy is of utmost importance for their management. ...Herein, a review of the literature related to the modern diagnosis, management, and prognosis for bladder and ureteral injuries is presented.
Methods
A literature search was conducted through PubMed. A thorough search of the world’s literature published in English was completed. Search terms included “injury, diagnosis, prognosis, and management for ureter and bladder”. All years, both genders, as well as penetrating, blunt, and iatrogenic mechanisms were evaluated for inclusion. Following PRISMA guidelines, studies were selected based on relevance and then categorized.
Results
172 potentially relevant studies were identified. Given our focus on modern diagnosis and treatment, we then narrowed the studies in each category to those published within the last 30 years, resulting in a total of 26 studies largely consisting of Level IV retrospective case series. Our review found that bladder ruptures occur from penetrating, blunt, or iatrogenic mechanisms, and most are extraperitoneal (63%). Ureteral injuries are incurred from penetrating mechanisms in 77% of cases. The overall mortality rates for bladder rupture and ureteral injury were 8 and 7%, respectively.
Limitations
Limitations of this article are similar to all PRISMA-guided review articles: the dependence on previously published research and availability of references.
Conclusion
The bladder is injured far more often than the ureter but ureteral injuries have higher injury severity. Both of these organs can be damaged by penetrating, blunt, or iatrogenic mechanisms and surgical intervention is often required for severe ureter or bladder injuries. Since symptoms of these injuries may not always be apparent, a high level of suspicion is required for appropriate diagnosis and treatment.
Talar body fracture associated with pan-talar (tibiotalar, talocalcaneal, talonavicular) dislocation is a rare condition. Timely intervention with anatomical reduction will lead to better healing of ...the fracture. It will result in articular congruity of the talus and less chance of secondary arthritis. We describe a rare talar body fracture with pan-talar dislocation, which does not fit into any of the classifications mentioned in the literature.
A young male of 21 years old was admitted to the trauma and emergency department of a tertiary care hospital within three hours of injury. Following the radiological investigations, the patient was found to have a talar body fracture with pan-talar dislocation. Initially, a close reduction was attempted which failed. Subsequently, it was managed with open reduction and internal fixation after eight hours of injury. Talar body fracture was fixed with cannulated cancellous screws and ankle stabilized with joint spanning external fixator. At six months the patient had satisfactory healing of fracture without any irregularity of the articular surface of talus or arthritic changes of involved joints.
Early surgical intervention with anatomical reduction of talar body fracture with pan-talar dislocation may lead to better union and less chance of secondary arthritis of peri talar joints.
In this essay I introduce the term voice-under, a tool I use to explore and better understand the queer potential of film. My creative practice revolves around finding ways to depict a queer reality. ...If the superimposed voice narrating the story is the voice-over, then what I am exploring is the voice-under: a voice of other, parallel truths. I listen to the dump and the trauma, the rubbish and chewing gum, my friends and my little toe. I listen to the warm fear. What might a film look like that depicts trauma and injuries without holding on to them? What will we hear, if we stop listening to the loudest voice? Could it make visible to us small, crawling feelings, glimpses of another world? Instead of voice being used to stand for something essentialist, I see voice as a productive concept that looks at relations and its touches. Voice-under is a term developing through my ongoing doctoral research, in the dialogue that appears between writing and workshops with actors who are co-writers and other collaborators. In this essay I try to show what a voice-under can be, by examining the process of making my “hybrid film” She Male Snails, titled Pojktanten in Swedish (2012). Further, I offer examples from my feature film Nånting måste gå sönder (Something Must Break, 2014) as well as from works by other queer film makers and trans artists like Wu Tsang, Sonja Nilsson, and Marcelo Caetanos.
Depuis 2015, les flux migratoires ont augmenté de façon importante en raison des divers conflits armés ou situations de répression dans les pays d’Afrique et d’Europe de l’Est. En 2017, la France et, ...par exemple, le département du Maine-et-Loire ont vu arriver sur leur territoire un nombre massif de jeunes mineurs non accompagnés (+85 %). Ces enfants âgés d’une douzaine d’années pour les plus jeunes sont tous profondément impactés par leur parcours d’exil. Des événements traumatisants jalonnent ce parcours commençant souvent par ce qui a causé leur départ et surtout marqué par les différents pays qu’ils ont été amenés à traverser et notamment la Libye qu’ils qualifient comme étant identique à l’enfer mais aussi l’Italie. En partenariat avec le Département, l’association Abri de la Providence et l’Université d’Angers, un dispositif d’accompagnement du trauma a été mis en place par l’intermédiaire d’ateliers ouverts encadrés par des psychologues en formation spécialisée dans la question du traumatisme. C’est au cours de ces ateliers que Farid, un jeune mineur non accompagné de 15 ans, a trouvé un espace thérapeutique dans lequel il a pu réécrire son histoire et son parcours d’exil. La construction d’une maison aux contours traditionnels français lui a permis une traversée symbolique du ventre maternel contenant dans laquelle il a retrouvé sens à l’existence et aux désirs de projection.
Zusammenfassung
Die Hauptursachen erworbener Ohrmuscheldefekte sind chirurgische Behandlung von Hauttumoren und Traumata. Wegen der komplexen Anatomie des Außenohrs ist die chirurgische ...Rekonstruktion von Defekten in dieser Region für Operateure herausfordernd, insbesondere wenn die mittlere Helix und Anthelix von größeren Weichteil– und Knorpelverlusten betroffen sind.
Wir stellen hier die wichtigsten Techniken zur Rekonstruktion großer Defekte der mittleren Helix und Anthelix sowie die Vor– und Nachteile jedes chirurgischen Verfahrens vor. Bei älteren, multimorbiden Patienten werden meist einstufige Verfahren mit primärem Verschluss/Keilexzision angewandt; es können aber auch mehrere komplexe chondrokutane, retroaurikuläre, temporoparietale Vollhautlappen–Verfahren durchgeführt werden, um ein normal aussehendes Ohr zu rekonstruieren.
Die aurikuläre Rekonstruktion großer Defekte der mittleren Helix‐Anthelix Region erfordert gute Kenntnisse der Ohrmuschel–Anatomie und der verschiedenen chirurgischen Verfahren zur Korrektur solcher Defekte.
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