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This is Not an Exit: Abjection and Identity in American Psycho
Get PDFThis paper delves into the multifaceted exploration of Patrick Bateman\u27s psyche in the film \u27American Psycho\u27 (2000) through the lens of the gaze. By dissecting the cinematic representation of Bateman\u27s abjection, dejection, and his insatiable desire to possess the abject, this analysis reveals how the movie employs visual and thematic elements to exemplify his abject status. Furthermore, it underscores the film\u27s portrayal of Bateman\u27s quest to transcend the constraints of his privileged position, which ultimately destabilizes him due to his lack of a coherent identity.
Throughout the film, Patrick Bateman emerges as a character who is both eroticized and humiliated. The film utilizes humorous and objectifying moments, such as Bateman\u27s comically strenuous exercise routines and meticulous skincare rituals, to reinforce the absence of a genuine identity within him.
Bateman\u27s engagement with the abject is most pronounced through the gruesome acts he commits, often stemming from his intense revulsion toward others, particularly women and the homeless, whom he ruthlessly eliminates. Paradoxically, he also desires these very individuals, not on an emotional level, but rather as objects of domination.
The film demonstrates Bateman\u27s pursuit of the abject as a means to establish his identity, even though he lacks a substantial one from the outset. His extensive monologues about music, politics, and his job serve as futile attempts to construct a meaningful existence, revealing the hollowness of his character.
In his desperate effort to manipulate his surroundings and demarcate the boundaries of his being through his acts of violence, Bateman ultimately strays further from any semblance of self. As he himself declares, he is not truly present, further emphasizing the film\u27s exploration of the fragile nature of identity in a society marked by privilege and excess
Tourniquet Use In Total Knee Arthroplasties
No full textThe use of tourniquets during total knee arthroplasties is a very controversial, yet relevant, matter in today’s orthopedic health industry. Knee arthroplasties are a very prominent procedure in healthcare, as the need for them continues to grow as a result of the increasing obesity epidemic as well as an increase in average life expectancy age. Because of the ever-growing phenomenon related to opioid addiction, it remains crucial that the newest surgical techniques involve methods that ensure a minimal amount of postoperative pain that can be appropriately managed. Additionally, increased postoperative pain can lead to further complications such as a delayed recovery process due to discomfort. Therefore, it is in the best interest of current medical providers to ensure surgical techniques that will result in minimal postoperative pain, decreased operative blood loss, and effective prosthetic adhesion, all while providing minimal risk of adverse events such as thromboembolic complications
Comparing Joint Materials Used in Total Hip Arthroplasty in Patients with Osteoarthritis
No full textOsteoarthritis (OA) is a very prevalent disease in the US that has an extraordinary cost burden on the affected patients. The most common joints that are affected by OA are the knee and the hip. Although many patients with hip OA have relief of symptoms with non-surgical therapies, the only definitive treatment is a joint replacement. Given increased risk of adverse outcomes in revision surgery, it is a high priority to perform the surgery on the joint only once. In order to better reduce the need for revision surgery and have the best possible outcome for patients with hip OA, the longevity of hip replacement must be considered, in addition to exploring any advantages, disadvantages, or differences in longevity of the various joint materials used in the hip replacement
Management of the Pregnant Opioid Misuser: Screening, Pharmacology, and Counseling
No full textLiterature has historically supported the discussion surrounding pharmacologic management of the pregnant patient who abuses opioids to include methadone or buprenorphine, but it has not provided as comprehensive of a review to compile that information with specific goals for counseling during the intrapartum and postpartum period. This review seeks to enhance prior dialogue on counseling by recognizing the various social determinants of health affecting this patient population, as well as patient-specific goals to encourage sobriety. It will also expand on recommended protocols for initiating pharmacotherapy and appropriate drug selection. Furthermore, various screening tools for opioid abuse are mentioned and assessed for sensitivity and specificity
Effects of Duckweed on Mosquito Oviposition and Larval Survivorship
Get PDFInvasive species are those non-natives to habitat and that negatively impact the environment or human health problems. Invasive mosquitoes threaten the environment and humans, as they transmit 17% of infectious diseases including malaria, West Nile virus and yellow fever. Aedes japonicas and Aedes albopictus are invasive mosquitoes that often deposit eggs in artificial containers. Chemical pesticides, such as Bacillus thuringiensis israelensis (BTI), utilizes endospores to release toxins into the larvae. However, BTI creates negative consequences for the environment and other species. Many plants are being examined to see if they can act as natural pesticides. Duckweeds are native to North America and commonly found in freshwater creeks and rivers. Duckweeds present unfavorable mechanisms for survival. It forms thick mats on the surface of the water, which decreases total sunlight and nutrient available for larvae. This study examined the effect of duckweeds (Spirodela polyrhiza and Lemna minor) on the oviposition and larval survivorship of invasive mosquitoes and the possibility of duckweeds being a natural method of mosquito population control. A total of 16,490 A. japonicas and A. albopictus with significantly more eggs laid in non-duckweed treatments (x̄= 419) versus those with duckweed (x̄= 124). Aedes mosquitoes tend to avoid sites with duckweed as these plants greatly decrease larval survivorship as 75% survivor in the control treatment compared to 10% in duckweed treatment. The presence of S. polyrhiza and L. minor also decreases oviposition and larval survivorship in other species. Duckweeds could act as a natural pesticide to better reduce invasive mosquito populations, and thus improving disease transmission to humans
Length and Extent of Contraceptive Effectiveness for Varying Intrauterine Devices (IUDs)
No full textIntrauterine Devices (IUDs) have gained greater attention and popularity over the past few decades as promising and effective contraceptive methods. The history and future of the IUD is long standing and ever evolving. Innovation over the 1900s and 2000s has developed these devices into the effective and safe long-acting reversible contraceptives (LARCs) that are increasingly being used in clinical practice today. In more recent years, IUDs have been studied for their extent of effectiveness and medical indications beyond contraception. This new research has significantly impacted the clinical application of IUDs, in their ability to prevent unwanted pregnancies for longer durations and to treat gynecological diseases. This poster presentation aims to highlight the differences between current IUDs, clarify the extent and length effectiveness of various IUDs based on new FDA approvals, analyze the increase in favorability of IUDs for contraception, address additional data regarding IUD longevity beyond current approvals, understand how IUDs impact unintended pregnancies and family planning and lastly address misconceptions and barriers toward IUD usage
Evaluating efficacy of different therapies for treatment resistant depression
Get PDFTreatment resistant depression(TRD) is something which has yet to be assigned a standard definition across different practice guidelines, textbooks, and clinical trials. Definitions have ranged from failure to respond to one treatment of antidepressant monotherapy to depression that necessitates electroconvulsive therapy(ECT). In light of this lack of consensus, this article will aim to help the clinician better identify patients suffering from TRD. Coupled with the spate of novel approaches that have been implemented in recent years to address TRD including transcranial magnetic stimulation(TMS) and ketamine use, a review of the newest evidence for treating TRD can better help the clinician manage this vulnerable patient population
One in Every Twenty-Six
Get PDFThere is a disorder that is rather common within the world and yet is not well known. It is a something that affects one in every twenty-six individuals. It is called epilepsy. Epilepsy is a neurological disorder in which a person to experience bursts of random electrical activity within their brains, these bursts being called seizures. This article discusses this disorder and goes into detail about the forms of it, procedures that are done to try and help those living with epilepsy, and artwork that is inspired by this disorder
Never Enough: EU Military Spending Challenges in the Face of Open Conflict
Get PDFThe Russian invasion of Ukraine in February 2022 sent a jolt of tension and anxiety throughout the European Union, as well as the rest of the world. Lawmakers and strategists scrambled to find a suitable response in the immediate aftermath and now, a year later, the conversation continues as to what the best course of action is for the EU. Should it amplify and radically increase its supranational defense budget and if so, how should it accomplish this monumental task? How much of it should fall on the Member States to meet the two percent threshold as laid out by NATO? The EU has come to a proverbial fork in the road. For decades, the EU has heavily relied on the United States for its military capabilities and provisions under the NATO umbrella. However, the current Russian aggression cannot be ignored or kept at arm’s length. This war has revealed a certain fragility within the EU’s defense infrastructure and as such, there are lingering questions. What precisely does the EU institutional leadership plan to do with its 8-billion-euro European Defence Fund (EDF)? Where does the European Peace Facility (EPF) fit in? How much variation is there among the national budgets? What is the quantifiable output of the EU private defense industry? Where is the divide between funding for research and development vs. that of acquisition and procurement in these European Commission-led efforts? This paper seeks to analyze these entities, as well as the responses of EU and national leadership. The EU has certainly taken productive steps in the past year to unify and project strength. Nevertheless, can the EU evolve to treating the US military as a true partner rather than a strategic fail-safe, as HR-VP Borrell and others advocate for? It will take years for experts to assess the overall impact of the war. In the meantime, it is important to consider what is unfolding in real time across national parliaments and in the European Commission. Russia does not show any signs of slowing down their assault on Ukraine. Where does that leave the EU? How can it respond in a timely, effective way without necessitating NATO’s primary involvement? Ultimately, the war in Ukraine has had terrible consequences, but it has also drawn attention to the supranational experiment’s precarious predicament
Managing Neonatal Pain: A Guideline for Non-neonatal Providers
Get PDFNeonatal pain, especially in settings outside of the NICU or newborn nursery, is often under-recognized or even unnoticed altogether. Many providers and parents do not know how to recognize when a neonate is in pain and many do not know how to minimize or alleviate this pain effectively. Even when providers know how to assess pain in neonates, they typically assess for acute pain in the presence of chronic pain, or vice-versa. Untreated pain in neonates harms brain development and can lead to behavior defects later in life for these babies. Due to these outcomes, the recognition and effective treatment of neonatal pain is crucial to healthy development. A more universal protocol to recognize and treat neonatal pain in different circumstances is necessary and should be easily accessible to all providers even outside of the NICU or newborn nursery