ResumenObjetivo: El propósito de este estudio es valorar la necesidad de bloquear distalmente los clavos Gamma 3 (Stryker. Mahwah, New Jersey. USA) en fracturas pertrocantéreas de fémur 31-A1 y 31-A2 de la AO. Material y métodos: Desde junio de 2011 hasta enero de 2013 se recoge una muestra formada por 177 pacientes con fractura pertrocantérea de fémur tratados en nuestro centro mediante osteosíntesis con clavo Gamma 3 estándar. Es un estudio prospectivo y aleatorizado según el año de nacimiento de cada paciente, par con bloqueo o impar sin bloqueo distal del clavo, formando dos grupos de 90 y 87 fracturas respectivamente. Resultados: En los pacientes intervenidos mediante clavo con bloqueo distal se observó una mayor incidencia de complicaciones médicas, una menor incidencia de complicaciones biomecánicas y un aumento en el colapso del foco de fractura en comparación con el grupo control, siendo estas diferencias estadísticamente significativas (p < 0,05). También se observa en el grupo con bloqueo distal un mayor requerimiento transfusional y una mayor tasa de éxitus presentando diferencias estadísticamente significativas (p < 0,05), sin embargo esta significación desaparece al ajustar los resultados por otras características relacionadas con los pacientes. Conclusiones: Basándonos en los resultados hallados en este trabajo, el uso del tornillo de bloqueo distal en los clavos Gamma 3 debe restringirse a fracturas pertrocantéreas inestables tras reducción donde se requiera una estabilidad adicional al clavo intramedular, pudiendo así disminuir el riesgo de complicaciones derivadas de su uso.
An uitenta anhos quaijeque nun sali deiqui. L mundo ye grande. Queda para un lado i pa l outro, al redror. Por esso, l centro solo puode quedar onde pongo la punta de la caiata. Cada pessona sou centro, cun caiata ó nó. Son centros a mais para mundos a menos. Fracisco Niebro Belheç iii ABSTRACT This dissertation, Emancipated Peripheries. Politics of Spatial Representation in the Re-imagined Iberia, explores how the emergence of Basque, Galician and Asturian literatures has changed the web of relations between these literatures and the other consolidated Iberian literatures (Castilian, Portuguese, and Catalan), and how the coexistence of these literatures in the Iberian Peninsula forces us to re-conceptualize Iberian space as the place where the identity of a certain linguistic community is performed, understanding space in a performative way. This dissertation questions two predominant assumptions: first, that peripheral literatures are nothing but small imitations of national literatures, and that they follow the same paradigm at a minor scale, with minor achievements which are significant only in their own context. Second, that there is a centripetal center towards which every cultural movement tends to refer. I argue that peripheral Iberian literatures establish themselves as new interconnected centers of cultural production that are no longer dependent, but rather are inter-dependent, transforming the periphery into a privileged place for renovation and the formulation of new cultural proposals and tendencies. This reading of the Iberian context also invites a new reading of the Castilian canon, unearthing hidden masterpieces and alternative readings of the tradition. A post-colonial, ecocritical and biopolitical approach to these issues allows an in-depth understanding of what has been hidden: alternative conceptions of modernity, dissimilar readings of the literary canon, and the strong and concealed voices of the peripheral, the women, or the rural. iv This dissertation examines how peripheral literatures (and among these I include a certain reading of the Castilian tradition) redefine the relation between the human and non-human, masculine and feminine, nature and culture (focusing on the poetry of the Galician poet Olga Novo); how they draw new symbolic maps of the Iberian literatures and their traditions (as the Asturian writer Xuan Bello does); how they recover the lost memory of certain communities (studying novels by Basque writer Iñigo Aranbarri and the Castilian novelist Julio Llamazares, as well as video installations by artists like Barbara Fluxá or Iván Cortázar); and how certain literary works propose a new web of relations between peripheries (analyzing the novels by the Portuguese writer Valter Hugo Mãe). v PUBLIC ABSTRACT This dissertation deals with the new webs of relations established between the different literatures in the Iberian Peninsula after the restoration of democracy. The emergence of democratic governments in Portugal (1974) and in Spain (1975) completely changed not only the p...
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Resenha do livro:NOBREGA, Luiza. No Reino da água o Rei do Vinho. Submersão Dionisíaca e Transfiguração Trágico-Lírica d’Os Luisíadas. Natal: EDUFRN/ANRL, 2013.
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