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Fantastic Architecture and the Building of Europe in Valerio Evangelisti's Eymerich Fiction
No full textConcomitant with the horizontal expansion of EU territory through physical and political enlargement is a genealogy narrative, which emphasizes the ostensible roots of Europeanness in classical antiquity and Christianity. In the face of this sanitized genealogy, which lies at the heart of the European constitutional project, a range of alternative and more inclusive narratives circulate in contemporary European popular fiction. This paper focuses on a series of fantasy novels by the Italian author Valerio Evangelisti, featuring Inquisitor Eymerich as hero-investigator. In his highly popular novels, Evangelisti seeks to uncover layers of shared historical memory untainted with post-Enlightenment rhetoric.
The central architectural tropes of Evangelisti’s imaginary world are those of a castle and a convent, epitomizing the temporal and sacral power in European history. Each isolated from its outside environment and built on layer upon layer of subterranean chambers and corridors, the castle and the convent conceal a past quite different from the one championed in the official European genealogy. Memories of pagan worship and Islamic or Judaic learning – banished from the official rhetoric – continue to thrive, dark and threatening, in the subterranean strata of Evangelisti’s European edifice. Evangelisti thus provides an incisive critique of the official European story of origin, which threatens to suppress any alternative visions of European history or unorthodox avenues for European identity formation
The use of stent grafts for management of junctional vascular injuries: Is this accepted practice?
No full textN/
Hermann Kant. Ein bio- bibliografisches Profil
No full textThe proximity to the power apparatus has cast dark shadows on the literary work of Hermann Kant, who is regarded as one of the most read authors of the GDR. Valerio Furneri embeds Kant's life and work in the all-German context of the 20th century and reinterprets his classics such as Die Aula or Der Aufenthalt. The author does not pursue the claim to rehabilitate the GDR, nor to trivialise Kant's role in it. Instead, the attempt is made to look at Kant's entire work from a temporal distance and to re-evaluate it. Through his works, Kant was able to accompany and depict not only the German-German history, but also European history.Die Nähe zum Machtapparat hat dunkle Schatten auf das literarische Werk von Hermann Kant, der als meistgelesener Schriftsteller der DDR gilt, geworfen. Valerio Furneri bettet Kants Leben und Werk in den gesamtdeutschen Kontext des 20. Jahrhunderts ein und interpretiert vor diesem Hintergrund Klassiker wie Die Aula oder Der Aufenthalt neu. Der Autor verfolgt dabei weder den Anspruch, die DDR zu rehabilitieren, noch Kants Rolle darin kleinzureden. Stattdessen wird der Versuch unternommen, Kants Gesamtwerk aus zeitlicher Distanz zu betrachten und neu zu bewerten. Durch seine Werke gelang es Kant nämlich nicht nur die deutsch-deutsche, sondern auch die europäische Geschichte zu begleiten und abzubilden
Hermann Kant. Ein bio- bibliografisches Profil
No full textThe proximity to the power apparatus has cast dark shadows on the literary work of Hermann Kant, who is regarded as one of the most read authors of the GDR. Valerio Furneri embeds Kant's life and work in the all-German context of the 20th century and reinterprets his classics such as Die Aula or Der Aufenthalt. The author does not pursue the claim to rehabilitate the GDR, nor to trivialise Kant's role in it. Instead, the attempt is made to look at Kant's entire work from a temporal distance and to re-evaluate it. Through his works, Kant was able to accompany and depict not only the German-German history, but also European history.Die Nähe zum Machtapparat hat dunkle Schatten auf das literarische Werk von Hermann Kant, der als meistgelesener Schriftsteller der DDR gilt, geworfen. Valerio Furneri bettet Kants Leben und Werk in den gesamtdeutschen Kontext des 20. Jahrhunderts ein und interpretiert vor diesem Hintergrund Klassiker wie Die Aula oder Der Aufenthalt neu. Der Autor verfolgt dabei weder den Anspruch, die DDR zu rehabilitieren, noch Kants Rolle darin kleinzureden. Stattdessen wird der Versuch unternommen, Kants Gesamtwerk aus zeitlicher Distanz zu betrachten und neu zu bewerten. Durch seine Werke gelang es Kant nämlich nicht nur die deutsch-deutsche, sondern auch die europäische Geschichte zu begleiten und abzubilden
Special issue: Process safety in times of a pandemic
No full textGreen Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.Safety and Security Scienc
The intentionality of matter: the personal character of nature in Edith Stein's "Potency and act"
No full textIn the closing chapter, Francesco Valerio Tommasi elaborates upon the analogy between person and nature in Stein. As he emphasizes, Stein attributes to nature an objectively spiritual dimension, a hidden form of intentionality. As the author suggests, for Stein nature turns out to be a living sign of the spirit—thus, a sign expressing spiritual values, such as emotions. This perspective is present in both the lectures on The Constitution of the Human Person and Potency and Act: the phenomenological reflection on personhood is combined, Tommasi argues, with a Thomist view that brings Stein to conceiving the life of the entire cosmos as a spirit (or act) informing it and shaping it into a living sign of the creation
Complex Regional Pain Syndrome with Aortic Distress after Thoracic Endovascular Aortic Repair and False Lumen Exclusion with "Candy Plug" Technique
No full textA 41-year-old male presented for pain treated with oxycodone. A zone-2 thoracic endovascular aortic repair with distal PETTICOAT (provisional extension to induce complete attachment) for complicated Type-IIIb aortic dissection was performed 18 months before. Repeated hospitalizations did not show any issues to justify the recurrent pain. The aortic nature of the pain was suspected considering the plug as a pain trigger. Through a left thoracoabdominal incision in the eighth intercostal space, the candy plug was removed. Pain diminished after thoracoabdominal surgery steadily
A new Percutaneous technique for effective vascular Access Site closure in patients undergoing Transfemoral aortic valve implantation and thoraco-abdominal aortic aneurysm rEpair: the PASTE study
No full textAims: The success of transfemoral transcatheter aortic valve implantation (TAVI) and thoraco-abdominal aneurysm repair (TAAR) depends on haemostatic control of the access site, which is usually obtained with suture-based closure devices (Prostar or two ProGlide). A single ProGlide/Glubran technique, involving a suture placement on the vessel wall followed by tissue glue injection around the vessel wall, has not been previously investigated in this clinical setting. Our aim was to study the feasibility and safety of a single ProGlide/Glubran technique for vascular access-site closure after transfemoral TAVI and TAAR. Methods and results: This technique was used in 250 patients from 2012 to 2017. The primary endpoint was the success of the technique, defined as access-site haemostasis without complications and not requiring any additional intervention within 30 days of the index procedure. Patients had a mean age of 82.4±1.93 years, with a logistic EuroSCORE of 20.2±2.32. A total of 218 TAVI and 32 TAAR procedures were performed with a mean sheath size of 18.09±1.55 Fr. The mean sheath to femoral artery ratio was 1.04±0.16, with mean femoral artery minimal lumen diameter 6.65±0.64 mm. The overall success rate of this technique was 98.4%. Four patients (1.6%) developed critical stenosis of the femoral artery requiring balloon dilatation. No major VARC-2 vascular complications were observed. Thirty-day mortality was 0.4% (non-cardiovascular). Conclusions: The results of this study suggest that the single ProGlide/Glubran technique is a safe and effective method of closing the arterial access site after transfemoral TAVI and TAAR. The results of our study need to be confirmed in a randomised controlled trial before being adopted in routine clinical practice
Preliminary experience of the isolate left subclavian artery in-situ fenestration during "zone 2" thoracic endovascular aortic repair
No full textObjectives: To evaluate the results of isolate left subclavian artery (LSA) in-situ fenestration (ISF) during "zone 2" thoracic endovascular aortic repair (TEVAR) using a new adjustable needle puncturing device system. Methods: It is a multicentre, retrospective, physician-initiated cohort study of patients treated from July 28th 2021 to April 3rd 2024. Inclusion criteria were isolate LSA revascularization for elective or urgent/emergent "zone 2" TEVAR. The primary outcome was technical success and freedom from ISF TEVAR-related reintervention or endoleak. Results: We treated 50 patients: 28 (56.0%) atherosclerotic thoracic aneurysms, 12 (24.0%) type B aortic dissection, and 10 (20.0%) penetrating aortic ulcers. Elective intervention was carried out in 46 (92.0%) cases. ISF was successful in all cases, with a procedural primary technical success in 47 (94.0%) cases. Median time of intervention was 184 min (IQR, 135-220) with a median fenestration time of 20 min (IQR, 13-35). Operative mortality did not occur. We observed 1 case of spinal cord ischaemia, and 2 cases of bilateral posterior non-disabling stroke. Mortality at 30 days occurred in 1 (2.0%) patient (not aorta-related). The median follow-up median follow-up of 4 months (IQR, 1-12.25). Bridging stent graft patency was 100% with no ISF-related endoleak. In-situ fenestration-related reintervention was never required. Conclusions: ISF TEVAR using the AnkuraTM-II device with the self-centering adjustable needle system showed high technical success, promising stability, and stable aortic-related outcomes. Owing to these results, it represents a safe and effective alternative for standard "zone 2" TEVAR
Cardiac and Aortic Modifications After Endovascular Repair for Blunt Thoracic Aortic Injury: A Systematic Review
No full textObjective: Blunt thoracic aortic injury (BTAI) is a devastating condition that commonly occurs in healthy and young patients. Endovascular treatment is the first choice; however, it has also been demonstrated to alter cardiovascular haemodynamics. The aim of this systematic review was to describe the cardiovascular modifications after thoracic endovascular aortic repair (TEVAR) for BTAI. Data Sources: PubMed (MEDLINE), Scopus, and Web of Science were systematically searched for eligible studies reporting on modifications in aortic stiffness, blood pressure, cardiac mass, and aortic size. Review Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed. The Newcastle–Ottawa Scale was used to assess the methodological quality of included studies. Results: A total of 12 studies reporting on 265 patients were included. Severe heterogeneity existed among the included studies with regard to demographics, BTAI grade, endograft specifications, reported outcomes, and the method of evaluation. Regarding aortic stiffness, two studies found a significant increase in pulse wave velocity (PWV) in patients after TEVAR compared with a control group, while one did not find a significant increase in PWV and augmentation index after > 3 years of follow up. Five studies reported an increase in the incidence of post-TEVAR hypertension up to 55% (range 34.8% – 55.0%) vs. baseline. One study found a statistically significant increase in left ventricular mass and left ventricular mass index during follow up. Nine studies report data regarding aortic dilatation or remodelling after TEVAR. One found a 2.4 fold faster growth rate in ascending aortic diameter vs. controls, while other studies described significant changes in aortic size at different locations along the aorta and endograft after TEVAR. Conclusion: This systematic review highlights adverse cardiac and aortic modifications after TEVAR for BTAI. The results stress the need for lifelong surveillance in these patients and the necessity of developing a more compliant endograft to prevent cardiovascular complications in the long term
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