102,094 research outputs found

    Use of totally inplantable venous systems in long-term infusional therapy

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    Totally implantable vascular devices for long term venous access compares favourably with classical methods of vascular access. Between October 1988 and December 1993 we implanted 59 of these devices in 58 patients, in the Institute of Clinical Surgery of the University of Modena. The catheters were introduced with the cutdown technique in to the superior vena cava, via the internal jugular vein. The total complication rate was 15.2%. In 5 patients (8.5%) the system was removed: in 3 for subcutaneous pocket infection, in 1 for thrombosis of the left brachio-cephalic vein and in 1 for migration of the catheter into the pulmonary artery. Four (6.8%) complications didn't require the removal of the catheter: 1 case of cardiac arrhythmia, 1 of wound dehiscence, 1 of fever above 380 and 1 of drug extravasation around the reservoir. Routine use of intraoperative radiography or radioscopy should be performed to avoid malposition of the system. Patient acceptance is excellent. Implantable vascular devices provide a convenient route for administering chemotherapy and intravenous therapy in chronically ill patients; they are safe and reliable with adequate management

    Containment beyond detention: The hotspot system and disrupted migration movements across Europe

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    This article focuses on the ways in which migrants are controlled, contained and selected after landing in Italy and in Greece, drawing attention to strategies of containment that are put into place for disciplining mobility and that are not narrowed to detention infrastructures. The paper suggests that the notion of containment remains under-theorised in geography and in migration literature, and rethinks it beyond spatial confinement and detention. It traces a genealogy of the use of the term “hotspot” in policy documents suggesting that the multiplication of hotspots-like designated spaces is related to a reconceptualisation of the border as a critical site requiring prompt enforcement intervention. The article proceeds by analysing the mechanisms of partitioning, identification and preventive illegalisation that are at stake in the hotspots of Lampedusa and Lesvos. Hotspots are not analysed here as as sites of detention per se: rather, the essay turns the attention to the channels of forced mobility that are connected to the Hotspot System, focusing on the forced internal transfers of migrants from the Northern Italian cities of Ventimiglia and Como to the hotspot of Taranto, located in Southern Italy.In the final section, the article takes into account the channels of forced mobility in the light of the fight against “secondary movements” that is at the core of the current EU’s political agenda, suggesting that further academic research could engage in a genealogy of practices of migration containment

    Challenging the discipline of migration: militant research in migration studies, an introduction

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    In the last two decades, we have witnessed a proliferation of studies on migrations that, taking human mobility as their focus, contributed to the profiling of migrations as an object of research and to the institutionalization of its stakes. While, on the one hand, this has coincided with the becoming a discipline of migrations (i.e. their acquiring the status of a specific field of scholarly knowledge), it has, on the other hand, coincided with a disciplinarization of migrations themselves, a sort of disciplining effect of migrations' contested politics at the very moment of their academic heyday. This contribution interrogates the discipline of migrations as an academic domain of knowledge, as the governmental conduct of mobility, and as the governmentality at the intersection of these two layers. © 2013 The Institute of Postcolonial Studies

    The biopolitical warfare on migrants: EU Naval Force and NATO operations of migration government in the Mediterranean

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    This paper deals with the recent transformations of the military-humanitarian technology for managing migration in the Mediterranean Sea, focusing on two naval operations, i.e. the European Union Operation Sophia deployed in the central Mediterranean and the North Atlantic Treaty Organisation (NATO) operation in the Aegean Sea, both deployed between 2015 and 2016 and still underway. Building on archival research on both missions and interviews with officials of Operation Sophia, we propose the notion of ‘biopolitical warfare’ to discuss these military-humanitarian interventions in the field of migration. These operations, we argue, stage a move to the offensive in the military-humanitarian government of migration by enlisting warfare against the logistics of migrant journeys. We then situate this argument within both the activist and the International Relations (IR) discourses on migration in the Mediterranean context: we differentiate the framework of ‘warfare’ from the ‘war on migrants’ argument deployed since the 1990s as part of activist discourse; we discuss the migration and warfare nexus in relation to the deployment of ‘migrants as a human bomb’ which has characterized the international relations discourse in Mediterranean countries since the early 2000s, including the recent Turkish–Greek context that led to the NATO intervention. Subsequently, the paper focuses on the targets and operations of the EU and NATO interventions and mobilizes the concept of ‘hybrid war’ to discuss how military and humanitarian techniques and rationales work when deployed as instruments of migration containment

    The Humanitarian War Against Migrant Smugglers at Sea

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    This paper deals with the military-humanitarian technology of migration management, focusing on the EUNAVFOR MED “Operation Sophia”, the naval and air force intervention deployed by the EU in the Central Southern Mediterranean to disrupt “the business model of human smuggling and trafficking” while “protecting life at sea." The essay takes into account military-humanitarian mode of migration management that EUNVAFOR MED operation performs from three vantage points: logistics, with a focus on the infrastructure of migrant travels; subjectivity, looking at the migrant profiles this operation works through; and epistemology, building on the mission’s first stage of intelligence and data gathering. Through this multi-focal approach, the paper illuminates the productivity of this military-humanitarian approach to the migration crisis in the Mediterranean

    Arab Springs making space: territoriality and moral geographies for asylum seekers in Italy

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    This paper engages the instabilities of the category of ‘asylum’ looking at Arab Uprisings' mobility to Italy and highlighting the contested encounter between governmental practices in managing asylum seekers and the embodied experiences of mobility from Libya and Tunisia to Italy in 2011–12. Focusing on asylum application processing, our analysis tackles its sorting rationalities (asylum seekers versus irregular migrants, country of birth versus country of refuge), its produced spatialities (processing centers and ‘humanitarian emergency zones’), and its moral predicaments (how vulnerability and protection are put to work). Our aim is to contribute to a political epistemology of asylum whereby asylum's normative instabilities are mobilized to trouble its exclusionary boundaries and the profiling of the refugee as the alter ego figure of the citizen. The paper revolves around four episodes: it opens attending to an epistemological challenge; it stages a critical engagement with the Italian ‘North Africa Emergency’ in the second and third section; finally, it puts this analysis to work on the terrain of a political struggle to demand a right to presence for Libyan war evacuees

    Counter-mapping, refugees and asylum borders

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    The aim of this article is to mobilise a counter-mapping approach with respect to the normative geographies of the asylum system, and to explore firstly what “counter” means in the context of a critical cartography of migration, and then to unpack the main theoretical and political tenets such a methodological perspective mobilizes against. Our take on counter-mapping relies on what we would call a reflexive cartography, meaning by that an analysis that does not consist only in a cartographic practice, but that, rather, interrogates the predicaments and the implications of mapping migration. More precisely, counter-mapping is for us a “reflexive practice” (Foucault, 1968), that is a methodological approach that unsettles and unpacks the spatial assumptions upon which migration maps are crafted. Moreover we also refer to cartographic experimentations that trouble the spatial and temporal fixes of a state-based gaze on migration. In sum, counter-mapping as a method and counter-mapping as a cartographic experimentation intertwine as part of our critical account of the visualisations of migration and refugee issues

    Lateral ventral hernias of the abdominal wall. Anatomo-pathological, clinical and therapeutical considerations

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    Ventral lateral hernias of the abdominal wall are rare. On the basis of their location we can classify them as follows: hernias of the aponeurosis of the transversus muscle, hernias of the rectal sheath and transmuscular hernias of the iliac region. In a group of 3134 hernias of the abdominal wall observed in a period of 16 years, 11 ventral lateral hernias have been encountered (0.3%). The diagnosis often presents great difficulties as the symptoms and the clinical findings are not typical. They must be differentiated from hematomas of the rectus sheath, abscess or intrabdominal processes. Echography and Computed Tomography have an important role in their detection. Nevertheless in some patients the true diagnosis is reached only intraoperatively. The treatment generally consists in surgical correction by layer closure of the fascial or muscular defect. In selected cases the use of prosthetic material and videolaparoscopic repair are indicated

    Double opening, split temporality, and new spatialities: an interview with Sandro Mezzadra on ‘militant research’

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    In the interview Sandro Mezzadra addresses the topics at stake in several projects of "militant research" on borders and migration developed over the last decade. He discusses questions of method as well as some of the most dramatic transformations that reshaped practices of mobility and their management regimes in the framework of globalization
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