27 research outputs found

    Resultados funcionales en pacientes pediátricos con diagnóstico de osteosarcoma en miembros inferiores sometidos a reconstrucción biológica versus reconstrucción mecánica para el salvamento de la extremidad. Revisión sistemática

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    El osteosarcoma es el tumor primario más común, siendo el tipo osteoblástico aquel con mayor prevalencia, se presenta en fémur distal y tibia proximal como sitios de predilección, actualmente el manejo en estos pacientes es multidisciplinario, iniciando manejo con quimioterapia neoadyuvante, posterior a esto es necesaria la cirugía de resección tumoral y salvamento de extremidad, para lo cual hay múltiples técnicas biológicas y mecánicas, como el uso de aloinjertos y el uso de endoprótesis, sin embargo estos tratamientos son un reto en la población pediátrica debido a múltiples factores como lo son la presencia de centros de osificación, la discrepancia de miembros resultante con el crecimiento, así como las secuelas postquirúrgicas funcionales y los múltiples eventos quirúrgicos que tienden a requerir fallas en los tratamientos. Dentro de las reconstrucciones biológicas se han reportado la falta de osteointegración y la falla del procedimiento, siendo esta la mayor complicación asociada, mientras que en el uso de las endoprótesis modulares nos enfrentamos a las infecciones y a la discrepancia de miembros, así como aflojamientos y demás complicaciones propias del material que pueden conllevar a múltiples cirugías a lo largo de la vida, razones por las cuáles habrá que tomar decisiones multidisciplinarias para individualizar y elegir el mejor método para lograr el salvamento de extremidad en el paciente pediátrico basado en la eficacia clínica demostrada.InvestigadoresEstudiante

    MAGICAL REALISM AND LATIN AMERICA BY

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    This work is an attempt to present a brief and simple view, both written and illustrated, concerning the controversial concept of Magical Realism for non-specialists. This study analyzes Magical Realism as a form of literary expression and artistic style by some Latin American authors and two artists. First a definition of this term is given, in addition to a definition of other, related terms. Mention is made of the origin of the term in general and a short account of the history and its use is provided. There are other, related, concepts that critics, authors and artists believe have contributed to its development. The German art critic Franz Roh is said to have been the first to use this term officially, due to the necessity of providing a suitable title for the new art form. Continuing with its development are Miguel Angel Asturias, Angel Flores, and especially Alejo Carpentier. Also included are the commentaries of Gabriel Garcia Mikquez, one of the most notable authors of Latin America identified with Magical Realism, those of the Chilean author Isabel Allende, and the commentaries of the critics Enrique Anderson, Seymour Menton, Massim

    Migrações internacionais e mundos do trabalho

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    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas. Programa de Pós-graduação em HistóriaA presente tese aborda o processo de migrações internacionais e de transformações do mundo do trabalho entre o final do século XX e início do século XXI. Seu foco são os brasileiros e brasileiras, documentados e indocumentados, que, em 2007 e 2008, viviam em Portugal e na Espanha. O trabalho tem como objetivos investigar a história das migrações internacionais entre Brasil, Portugal e Espanha, mostrando a chegada de espanhóis e portugueses no Brasil e o contexto de ampliação das migrações de brasileiros para esses dois últimos países a partir de 1986; mostrar as narrativas, memórias, territórios e o cotidiano dos imigrantes brasileiros em Portugal e Espanha; e identificar as novas faces do trabalho imigrante entre o final do século XX e início do século XXI tendo como referência o trabalho de imigrantes brasileiros na construção civil, na limpeza e no cuidado de pessoas, na agricultura e na hotelaria. O período estudado vai de 1986 até 2008. Dentre as fontes documentais utilizadas estão entrevistas orais, notícias de jornais, documentos oficiais e dados estatísticos. O principal argumento defendido é o de que as migrações internacionais e a dinâmica atual do mundo do trabalho não são algo novo na história, mas são parte de uma estrutura que se mantém há mais de 100 anos. Contudo, a conjuntura do final do século XX e início do século XXI é distinta, principalmente em aspectos relacionados ao trabalho imigrante. Tal trabalho vem sofrendo interferências diretas de alterações mais amplas nos padrões produtivos, nas tecnologias e nos fluxos internacionais do capital e força de trabalho. Ao mesmo tempo, ainda que os imigrantes enfrentem piores condições de trabalho, que tenham lugares reservados para atuar e que recebam menores salários que os trabalhadores nacionais, estes não formam um mundo do trabalho à parte, uma vez que estão contabilizados, como precarizados, entre aqueles que devem produzir a riqueza mundial. Outro argumento defendido é o de que no contexto atual também são distintas para os imigrantes as formas de morar e de viver, bem como as noções de família, comunidade, profissão, emprego, sociabilidade, pertencimento e a maneira como estes lidam com o passado, o presente e o futuro. This dissertation investigates the international migration process and the transformations in the world of work between 1986 and 2008 so as to contribute to deepen the research on international migrations and the contemporary world of work. It focuses on Brazilian documented and non-documented immigrants who were living in Portugal or Spain in 2007 and 2008. The specific objectives of this study are (1) to investigate the history of international migrations among Brazil, Portugal, and Spain focusing on the arrival of the Portuguese and Spanish immigrants in Brazil and the context of expansion of the Brazilian migrations to Portugal and Spain; (2) to identify the narratives, memories, territories, and the everyday life of Brazilian immigrants in Portugal and Spain; (3) to uncover the new features of the immigrant work in the end of the twentieth century and beginning of the present century having as reference the work of Brazilian immigrants in areas like civil construction, cleaning, in the care of people, agriculture, and hotel management. The data analyzed in this study consist of recorded interviews in which Brazilian immigrants tell their life stories, newspaper news, official documents, pictures, statistics, among others. The main argument defended in this study is that the international migrations and the present dynamics of the world of work are not something new in the world history, but they are part of a structure that has been in existence for more than a century. However, the conjuncture of the end of the twentieth century and beginning of the present century is different, especially in aspects related to immigrant work which has been suffering direct interferences from wide changes in the productive patterns, in the technology, international flux of capital and work force. Despite the fact that the immigrants have worse working conditions, specific working areas, and get lower salaries that the national workers, they do not form an apart world of work, since they are counted as precarious workers between those who have to generate the worldwide wealth. Another argument defended in this dissertation is that in the present context the ways of living as well as the notions of family, community, profession, employment, sociability, belonging and the way the migrants deal with the past, the present, and the future are also different

    Magical Realism and Latin America

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    This work is an attempt to present a brief and simple view, both written and illustrated, concerning the controversial concept of Magical Realism for non-specialists. This study analyzes Magical Realism as a form of literary expression and artistic style by some Latin American authors and two artists. First a definition of this term is given, in addition to a definition of other, related terms. Mention is made of the origin of the term in general and a short account of the history and its use is provided. There are other, related, concepts that critics, authors and artists believe have contributed to its development. The German art critic Franz Roh is said to have been the first to use this term officially, due to the necessity of providing a suitable title for the new art form. Continuing with its development are Miguel Angel Asturias, Angel Flores, and especially Alejo Carpentier. Also included are the commentaries of Gabriel Garcia Mikquez, one of the most notable authors of Latin America identified with Magical Realism, those of the Chilean author Isabel Allende, and the commentaries of the critics Enrique Anderson, Seymour Menton, Massimo Bontempelli and the French surrealist Andr6 Breton. There are several different ways in which the term Magical Realism has been used in Europe and especially Latin America. The use of Magical Realism as a means of artistic and literary expression continues to prevail for now, because while there exist problematic situations or changes in normal life in the countries of Latin America, there will always be inspiration for the creators and a motive to express their feelings. Its use will disappear for periods of time and will reappear at other times, as if it were manipulated by the magic of life. At the time that Magical Realism is observed, other styles will also be seen. But this is the one that many prefer and which will prevail. A large part of this project consists of the 26 works of art that are the Magical Realism interpretation by the author of this project Maria E. Rav

    The virtual image : Brazilian literature in English translation

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    The aim of this thesis is to examine how the virtual image of Brazil and its literature is constructed in the Anglo-American world. To this end, a survey of Brazilian literary works in English translation was carried out. Having gathered this data, it became possible to establish correlations between the historical moments when such translations were made, when their number increased, and the events occurring at those times in the international panorama, as well as to look into the role of sponsors, publishers and translators in the selection and production of such translations. The data also allowed a profile of Brazilian literary works in English translation to be drawn. It became possible to suggest that such works fall into four main categories: `authorial works', 'topical works', `ambassadorial works' and `consumer-oriented works'. In order to look more closely into how the translation process has helped to shape the virtual image of Brazilian literary works in the Anglo-American world, an analysis of a sample of translations of such works was made. Included in this sample were the translations of works by Machado de Asis, by Indianist and Regionalist wirters, culminating in an examination of translations of GuimarAes Rosa's works. Having looked at these aspects of the translation process, what remained to be done was to investigate to what extent Brazilian literary works in English translation are read by the English- speaking public. To this end, a survey of availability and library readership was undertaken. Finally, a reading experiment was carried out in which native speakers of English were asked to read the short story 'A terceira margem do rio', by GuimarAes Rosa. The conclusion attempts to pull all these threads together and to indicate directions for further research

    Fantasising the self: a study of Alasdair Gray's 'Lanark', '1982 Janine', 'Something Leather' and 'Poor Things'

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    This thesis explores the use of fantasy in Alasdair Gray's major fictions: Lanark (1981), 1982 Janine (1984), Something Leather (1990) and Poor Things (1992). The main purpose is to study the way Alasdair Gray borrows elements from different forms of fantasy - magical realism, pornography, the Gothic and science fiction - in order to explore and resolve the internal conflicts of his characters. In the introduction current definitions of fantasy are surveyed. Also explored is the concept of magical realism, as one of the objectives of the thesis is to demonstrate that some of Gray's work, particularly Lanark, presents some of the characteristics of this branch of Postmodernism. The first chapter concerns Lanark. The juxtaposition of fantasy and realism is explored in order to show the fragmentation of the self represented by the figure of Thaw/Lanark. Also paradoxes and contradictions at the heart of this work are investigated from the point of view of form and content. Of particular importance is the conflict between the individual and society. In the chapter dealing with 1982 Janine, the concept of deidealisation is introduced to show how Jock deals with the figures in his past, Scotland and himself Jock's personal conflicts and damaged psyche are explored through his pornographic fantasies. In chapter III Something Leather is compared to works by Sade, particularly their use of sadomasochistic and homosexual fantasies as a form of social subversion. Chapter IV discusses Poor Things from the point of view of how characteristics typical of the Gothic novel are parodied to explore gender issues such as the construction of female identity by a male Other. Parallelisms between this novel and Salman Rushdie's Midnight's Children and John Fowles' A Maggot are also explored. In the conclusion the main concerns and obsessions of Gray's fiction are explored through a discussion of his shorter fiction

    Das memórias às veredas: Revista USP - letras, cenas e sons

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    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão. Programa de Pós-graduação em LiteraturaEsta tese tenta configurar o espaço ocupado pela literatura na Revista USP, partindo da reflexão que ali se realiza sobre a arte produzida nos anos 80 e 90. As criações recentes da música popular, do teatro e do cinema são submetidas a um balanço enquanto a literatura não recebe o mesmo tipo de abordagem crítica. Investigar as motivações e desdobramentos de tal postura por parte da revista é a principal proposição desta pesquisa, que busca desenvolver a seguinte hipótese: um vasto conjunto de ensaios publicados na Revista USP compõe um mosaico, no qual a reflexão acerca da literatura brasileira se configura através da constituição de um eixo monumental, formado por Memórias póstumas de Brás Cubas, de Machado de Assis e Grande sertão: veredas, de João Guimarães Rosa. Estas duas obras sustentam e demarcam os limites do cânone proposto pela revista, que posiciona a obra de Guimarães Rosa como última baliza do ciclo criativo da literatura brasileira. Entretanto, é possível perceber algumas sombras que conturbam o desenho nítido do referido eixo. A primeira delas é Grande sertão: veredas enquanto texto neobarroco e a segunda é uma antologia de poesia brasileira publicada na revista Universidad de México. This thesis tries to configure the space occupied by literature in Revista USP magazine, starting from the reflection about the art produced in the 80's and 90's. The popular music, the theater and the movies are submitted to an evaluation of their recent creations while the literature does not receive the same kind of critical approach. Investigating motivations and consequences of this attitude is the main proposition of this research, which intends to develop the following hypothesis: a great amount of texts published in Revista USP composes a mosaic, in which the reflection about Brazilian literature configures itself through the constitution of a monumental axle, formed by Memórias póstumas de Brás Cubas, written by Machado de Assis and Grande sertão: veredas, by João Guimarães Rosa. These books mark and support the limits of the canon proposed by the magazine, which considers Guimarães Rosa's narrative as the last sign of creativity in Brazilian literature. Although, it's possible to perceive some shadows that disturb the clearness of this axle. The first one is Grande sertão: veredas seen as a "neobarroco" text, and the second is an anthology of Brazilian poetry published at Universidad de México magazine

    A Literatura em exílio: uma leitura de Lavoura Arcaica, Relato de um certo Oriente e Dois irmãos

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    Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão, Programa de Pós-Graduação em Literatura, Florianópolis, 2011Após a constatação do fracasso de algumas ilusões políticas, tal qual a que identificava como produtores de conflito e exílio apenas as grandes estruturas opressivas, observamos a progressiva redução dos espaços de convivência, atestada pelo fim das grandes cidades cosmopolitas mediterrâneas, pela violenta repressão à imigração e, mais recentemente, pela decretação do fracasso do multiculturalismo. Diante de tal cenário, a problemática do exílio passou a receber papel de destaque junto aos estudos humanísticos contemporâneos, em que despontam tentativas de compreendê-lo enquanto fenômeno moderno multifacetado. Espaço privilegiado, a literatura capta e leva a público esse jogo de tensões, de modo que refletir sobre a presença do exílio em formas de expressão artísticas como o romance, símbolo da #ausência de uma pátria transcendental#, pode nos levar também a uma crítica mais consciente de nossa própria época. Assim, compreendendo o #real# como algo que desafia a representação, investigamos os recursos empregados na tentativa de problematizar o exílio, colocando em xeque a própria natureza da literatura. Lançando mão de três romances: Lavoura arcaica, de Raduan Nassar, Relato de um certo Oriente e Dois irmãos, de Milton Hatoum, analisamos a procura, a deriva e a falta manifestas por personagens deslocadas, sejam elas nacionais ou não. Somam-se desse modo tentativas de reaver um bem imaterial, cuja perda é capaz de contaminar a estrutura, a forma e o conteúdo, evidenciando como a condição primordial do homem e da literatura, enquanto ser e enquanto linguagem, ou melhor dito, enquanto ser na linguagem, é o exílio. Afinal, diante da leitura dos romances, como definir o limiar, estabelecer fronteiras, se para a literatura não existe o lugar próprio? A resposta parece estar contida nessa falta de lugar, nessa impropriedade que lhe é própria, na qual concentra sua potência, questionando os lugares/limites do discurso

    Skyler and Bliss

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    Hong Kong remains the backdrop to the science fiction movies of my youth. The city reminds me of my former training in the financial sector. It is a city in which I could have succeeded in finance, but as far as art goes it is a young city, and I am a young artist. A frustration emerges; much like the mould, the artist also had to develop new skills by killing off his former desires and manipulating technology. My new series entitled HONG KONG surface project shows a new direction in my artistic research in which my technique becomes ever simpler, reducing the traces of pixelation until objects appear almost as they were found and photographed. Skyler and Bliss presents tectonic plates based on satellite images of the Arctic. Working in a hot and humid Hong Kong where mushrooms grow ferociously, a city artificially refrigerated by climate control, this series provides a conceptual image of a imaginary typographic map for survival. (Laurent Segretier

    Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic

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    Background Age >= 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients >= 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 +/- 2.5 years, 119.5 +/- 24.5 kg, and 43 +/- 7 in Group I and 39.8 +/- 11.3 years, 117.7 +/- 20.4 kg, and 43.7 +/- 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I ( 11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those >= 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups
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