38 research outputs found
Η θέση των περιφερικών νευρικών αποκλεισμών στη σύγχρονη χειρουργική μαστού
No full textΣτη χειρουργική μαστού ακόμα και οι μικρές επεμβάσεις συνοδεύονται από σημαντικό μετεγχειρητικό πόνο, ο οποίος εάν υποθεραπευτεί μπορεί να μεταπέσει σε χρόνιο πόνο. Για την αντιμετώπιση του η περιοχική αναισθησία κατέχει σημαντική θέση, στα πλαίσια της πολυδύναμης-πολυπαραγοντικής αναλγησίας. Οι συνήθεις χρησιμοποιούμενες τεχνικές της θωρακικής επισκληριδίου και του θωρακικού παρασπονδυλικού αποκλεισμού τείνουν να εγκαταλειφθούν και να αντικατασταθούν από τους περιφερικούς νευρικούς αποκλεισμούς του θωρακικού τοιχώματος. Αυτοί αποτελούν λιγότερο επεμβατικές νεότερες τεχνικές, με ελάχιστες αντενδείξεις και επιπλοκές, χαμηλή καμπύλη εκμάθησης και ασφαλή εκτέλεση με την καθοδήγηση υπερήχου. Κυριότερα χρησιμοποιούμενοι αποκλεισμοί στη χειρουργική μαστού είναι οι αποκλεισμοί στο επίπεδο του μείζονος και ελάσσονος θωρακικού μυός (PECS 1 και PECS 2) και στο επίπεδο του πρόσθιου οδοντωτού μυός (SAP block). Αποτελούν στην ουσία εγχύσεις τοπικού αναισθητικού διαμέσου των περιτονιών του θώρακα και για την εκτέλεση τους είναι απαραίτητη η γνώση της ανατομίας των μυών, των περιτονιών και των νεύρων που πορεύονται μέσα στους χώρους που σχηματίζονται από τις περιτονίες.In breast surgery, even minor procedures are associated with significant postoperative pain, which if left poorly treated can turn into chronic pain. For its treatment local anesthesia holds an integral place in the context of multimodal analgesia. The commonly used techniques of thoracic epidural and thoracic paravertebral blockade tend to be abandoned and replaced by peripheral nerve blocks of the chest wall. These are less invasive newer techniques, with minimal contraindications and complications, a shallow learning curve and safe execution with ultrasound guidance. The most commonly used blocks in breast surgery are the pectoral muscles plane nerve blocks (PECS 1 and PECS 2) and the serratus plane nerve block (SAP block). They are, in practice, injections of local anesthetic through the fascias of the chest and in order to perform them it is essential to know the anatomy of the muscles, fascias and nerves that traverse the spaces formed by them
The Transition towards Circular Economy in the Dutch Built Environment: An exploratory research on the application of Product-Service Systems as Circular Business Models for the products, components, and materials in the building layers
No full textThe current industrial system is established on one fundamental characteristic: a linear model of resource consumption that follows a ‘take-make-dispose’ pattern. However, the emerging concept of Circular Economy (CE) is proposed to change the current production and consumption patterns that put a significant burden on our planet and its environmental capacity. In this context, scholars argue that the built environment is one of the key sectors that can benefit maximally from the development of CE. The Dutch government recognized this opportunity and in the publication of the Transition Agenda: Circular Economy in the Netherlands by 2050 acknowledged the construction industry as one of the five key economic sectors and value chains which will be the first to make the shift. In order to support the transition towards a circular built environment, experts from academia, policy, and business advocate that innovative business models that allow new ownership relationships are required. In this context, scholars argue that a promising business models for the implementation of circular economy thinking in the sector are product-service systems. This research focuses on buildings which are considered the most complex element within the built environment. Literature on the application of circular economy for buildings suggests looking at them as a collection of interlinking layers. This idea based on the “6S” framework developed by Stewart Brand in 1990s which includes six layers, namely: Site, Structure, Skin, Services, Space Plan, and Stuff. However, researchers argue that there is still great uncertainty regarding the application of circular business models in the Dutch built environment, as well as the fact that the transition from traditional product-oriented business models to service-oriented ones is highly complex and contextual illustrates that further research is required in this area. Therefore, the objective of this thesis is to examine the application of product-service systems as circular business models for the products, components and materials in buildings’ Structure, Skin and Services layers in order to contribute to the Dutch built environment’s shift towards circular economy. As a result, the main research question formulated is: “What is the current state of product-service systems as circular business models in the built environment and how can its application contribute to a circular built environment?” For answering the research question a literature review was conducted in order to examine the relevant concepts, along with expert interviews with the aim to explore the barriers, enablers and opportunities of the application of product-service systems as circular business models. Finally, a case study survey was carried out with the aim to analyze the business models of two companies who are active in the built environment and have successfully applied product-service systems as circular business models. The analysis illustrated that even though numerous opportunities are offered by this business model to both the company and the client when applied in the different building layers, it is not yet accepted in the sector and its application is hindered by several barriers. However, a number of enablers which can facilitate the implementation of product-service systems as circular business models were recognized. In addition, the analysis illustrated that for the successful implementation of product-service systems as circular business model incorporating servitization and circularity characteristics in all business model elements is necessary.Management of Technology (MoT
A poem on the refortification of Dorylaion in 1175
No full text In the summer/autumn of 1175, Manuel Komnenos (1143-1180) undertook the rebuilding of Dorylaion, one of the major aplekta in Asia Minor. For this occasion a poem was written. The strong acquaintance of the poet with the conventions of court literature, the occasional content of the poem and its panegyric character, suggest that the text was written for a small ceremony which took place at Dorylaion. The author is probably an anonymous professional court poet who accompanied Manuel in his expedition. The authorship is further discussed since the manuscript tradition might suggest that John Tzetzes was the author. After a close look at the language, style and metre of the poem, this identification is excluded. In 1908, Spyridon Lambros published the poem on the basis of manuscript Barocci 194 (fifteenth century) of the Bodleian Library. This study re-edits the poem on the basis of two more manuscripts: manuscript Parisinus Graecus 2644 (late thirteenth century) of the Bibliothèque Nationale and Auctarium T.1.10 of the Bodleian Library (sixteenth century). The history of each manuscript is analysed and the relation between them examined. It is established that the Auctarium is a direct copy from the Parisian manuscript. The metrical analysis of the poem follows and special textual problems are discussed. Finally, the translation of the original text is provided. In the summer/autumn of 1175, Manuel Komnenos (1143-1180) undertook the rebuilding of Dorylaion, one of the major aplekta in Asia Minor. For this occasion a poem was written. The strong acquaintance of the poet with the conventions of court literature, the occasional content of the poem and its panegyric character, suggest that the text was written for a small ceremony which took place at Dorylaion. The author is probably an anonymous professional court poet who accompanied Manuel in his expedition. The authorship is further discussed since the manuscript tradition might suggest that John Tzetzes was the author. After a close look at the language, style and metre of the poem, this identification is excluded. In 1908, Spyridon Lambros published the poem on the basis of manuscript Barocci 194 (fifteenth century) of the Bodleian Library. This study re-edits the poem on the basis of two more manuscripts: manuscript Parisinus Graecus 2644 (late thirteenth century) of the Bibliothèque Nationale and Auctarium T.1.10 of the Bodleian Library (sixteenth century). The history of each manuscript is analysed and the relation between them examined. It is established that the Auctarium is a direct copy from the Parisian manuscript. The metrical analysis of the poem follows and special textual problems are discussed. Finally, the translation of the original text is provided.
Redesigning Waste: The Change of perception and implementation of (plastic) waste into the built environment.
No full textThe way the western society currently treats waste is hazardous and can threaten not only the public health but also (very delicate) eco systems. Annually over 87 million tonnes of plastic are being produced. Only 2 % is reintroduced into the original purpose. The rest of this plastic is downcycled, landfilled, burned or leaked into the environment. Because plastic hardly deteriorates and the production of plastic with will not decrease anytime soon these problems will increase over time. The building industry is the biggest consumer of raw materials and has one of the biggest carbon dioxide emissions of the world, therefore the building industry should act in a responsible and responsive way. We have to change our linear economy into a circular economy and thereby change our way of working, living and designing. Redesigning waste focuses on the implementation of the plastic waste stream into the built environment. One of the main focus points understanding plastic as a material and where the negative connotation latched on to this material is coming from and then shifting (the public’s) perception towards a more positive outlook on this alien material. By consulting relevant literature, companies who have experience in the working field and potential customers a (new) roadmap towards the topic of creating value in this undervalued materials has been created
Anesthetic Management of A Patient with Charcot-Marie-Tooth Disease for 2-stage Revision of Total Knee Replacement
No full textGreek translations of French literature : a contribution to the recording and the study of their presence in the Greek literary world from 1900 to 2010.
No full textCette étude a pour champ l'inventaire des traductions d'œuvres de la littérature française vers le grec, et l'étude de leur présence dans les lettres grecques du début du XXe siècle à l'aube du XXIe siècle.Le constat, en premier lieu, que les traductions jouent un rôle primordial pour la réception en Grèce de la littérature en question et, en deuxième lieu, que leur inventaire sur la période considérée n'était pour l'instant que fragmentaire, nous a conduit à définir comme but de notre recherche le recensement exhaustif des œuvres françaises traduites et publiées en Grèce entre 1900 et 2010 et qui figurent dans les catégories de la prose, la poésie, le théâtre.Le traitement quantitatif et qualitatif de paramètres comme l'année d'édition, l'auteur traduit, l'œuvre traduite, le/la traducteur/-rice, la maison d'édition, ainsi que leur analyse conclusive qui sert de tentative d'interprétation, nous ont permis de dresser un panorama global de l'image de la littérature française traduite dans la langue grecque.This study covers the Greek translations of French literature and their presence in the Greek literary world during the entire twentieth century and at the dawn of the twenty-first. The finding that translations play a crucial role in the absorption of this literature in Greece, and that, to date, their recording within the examined period is fragmented, set a research goal for the fullest possible, accurate and documented recording of any Greek translations of works of French literature (prose - plays - poetry), published in our country in the period from 1900 to 2010.The quantitative and qualitative processing of certain parameters, such as the year of publication of a translation, the translated author, the translator, the translated work and the publisher, as well as the relevant conclusions, intend to contribute to the presentation and overview of the overall image of this translation sector
Cavafy hero: literary appropriations and cultural projections of the poet in English and American literature
No full textThe present thesis examines the way E.M. Forster, Lawrence Durrell, W.H. Auden, Stephen Spender, Joseph Brodsky, and James Merrill appropriated C.P. Cavafy in writings that were disseminated and consumed amongst culturally dominant literary circles, and which eventually determined the Greek-Alexandrian poet’s international reputation. I aim to contribute a new perspective on Cavafy, by evading the text-based tradition of reception studies, and proposing an alternative method of discussing the production of Cavafy's canonical status. Inspired by Pierre Bourdieu's sociological theory, I view literary canonization as involving a variety of factors at play beyond creative achievement: in particular, relationships of 'authorial consecration' whereby writers create and circulate cultural capital through their power to legitimize other artists. The critical and fictional texts I analyse perform readings of Cavafy's poetry alongside imaginative portrayals of the poet's life and personality. I take this complementary relationship - between the image of the poet each author projects and their reading of his work - as a starting point to explore the broader ideas of aesthetics and authorial subjectivity that inform the renderings of Cavafy generated by prominent literary figures. Rather than passive recipients of influence, these figures are considered as active agents in the production of 'Cavafy narratives', appropriating the poet according to their own agendas, while also projecting onto him their own position within the cultural field. Eventually, Cavafy becomes a point of insight into the multiplicity of networks and practices involved in the production of cultural currency; in turn, the study of the construction of Cavafy's authorial identity sheds light on the cumulative processes that have defined the way the poet is read and perceived to the present day. This duality of perspective is essential to a study concerned with the cultural contexts framing the poet's steady rise to international fame throughout the 20th century
Non-Motor Symptoms in Primary Motor Neurological Disorders: from Molecular Pathways to Clinical and Therapeutic Implications
No full textThis eBook is a collection of articles from a Frontiers Research Topic. Frontiers Research Topics are very popular trademarks of the Frontiers Journals Series: they are collections of at least ten articles, all centered on a particular subject. With their unique mix of varied contributions from Original Research to Review Articles, Frontiers Research Topics unify the most influential researchers, the latest key findings and historical advances in a hot research area! Find out more on how to host your own Frontiers Research Topic or contribute to one as an author by contacting the Frontiers Editorial Office: frontiersin.org/about/contac
Cavafy hero: literary appropriations and cultural projections of the poet in English and American literature
No full textThe present thesis examines the way E.M. Forster, Lawrence Durrell, W.H. Auden, Stephen Spender, Joseph Brodsky, and James Merrill appropriated C.P. Cavafy in writings that were disseminated and consumed amongst culturally dominant literary circles, and which eventually determined the Greek-Alexandrian poet’s international reputation. I aim to contribute a new perspective on Cavafy, by evading the text-based tradition of reception studies, and proposing an alternative method of discussing the production of Cavafy's canonical status. Inspired by Pierre Bourdieu's sociological theory, I view literary canonization as involving a variety of factors at play beyond creative achievement: in particular, relationships of 'authorial consecration' whereby writers create and circulate cultural capital through their power to legitimize other artists.
The critical and fictional texts I analyse perform readings of Cavafy's poetry alongside imaginative portrayals of the poet's life and personality. I take this complementary relationship - between the image of the poet each author projects and their reading of his work - as a starting point to explore the broader ideas of aesthetics and authorial subjectivity that inform the renderings of Cavafy generated by prominent literary figures. Rather than passive recipients of influence, these figures are considered as active agents in the production of 'Cavafy narratives', appropriating the poet according to their own agendas, while also projecting onto him their own position within the cultural field.
Eventually, Cavafy becomes a point of insight into the multiplicity of networks and practices involved in the production of cultural currency; in turn, the study of the construction of Cavafy's authorial identity sheds light on the cumulative processes that have defined the way the poet is read and perceived to the present day. This duality of perspective is essential to a study concerned with the cultural contexts framing the poet's steady rise to international fame throughout the 20th century.This thesis is not currently available in OR
