12 research outputs found
Galicia, ou a filla espĂșrea: orixes ilexĂtimas na novela moderna
The present article uses Suso de Toroâs Sete palabras as a starting point for analyzing the protagonism of illegitimate children in the Galician novel since the Rexurdimen- to. Considered in a historical context and as a literary trope, the illegitimate child can be read as an expression of anxiety around a national identity rested upon a notion of purity, be it linguistic, ethnic or territorial. These unclear origins, rather than preclude the possibility of identity formation and history âindividual or collectiveâ can serve as a source for alternative histories and identities.Este artigo emprega a novela Sete palabras de Suso de Toro como punto de partida para analizar o protagonismo dos nenos ilexĂtimos na novela galega dende o Rexurdimento. Examinado no seu contexto histĂłrico e como un tropo literario, o fillo ilexĂtimo pode entenderse como expresiĂłn de ansiedades sobre a identidade nacional baseada nun concepto de pureza lingĂŒĂstica, Ă©tnica ou territorial. Estas orixes ilexĂtimas, en lugar de descartar a posibilidade de xerar unha identidade e unha historia âxa sexan individuais ou colectivasâ, teñen o potencial de axudarnos a concibir historias e identidades alternativas
Repensar els estudis catalans des de la teoria queer
Catalan Studies are basically focused on national/linguistic identity, but recent debate on Catalan identity triggered by the current pro-independent process in Catalonia, may help reshape this academic field. A more diverse approach to Catalan culture should consider sexuality, which has traditionally been banished from literary analysis as a âprivateâ matter. Here, we discussed how queer theory can reframe Catalan Studies mainly by building a specific LGBT literary tradition, identifying queer episodes and characters in the canon, questioning received meanings, promoting interdisciplinary analysis of Catalan culture and exploring the role of queer subjectivity in history
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprungâs disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprungâs disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36â39) and median bodyweight at presentation was 2·8 kg (2·3â3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
pâ€0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88â4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59â2·79], p<0·0001), sepsis at presentation (1·20
[1·04â1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4â5 vs ASA 1â2, 1·82 [1·40â2·35], p<0·0001; ASA 3 vs ASA 1â2, 1·58, [1·30â1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02â1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41â2·71], p=0·0001; parenteral nutrition 1·35, [1·05â1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47â0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50â0·86], p=0·0024) or percutaneous central line (0·69 [0·48â1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Galicia, or the Spurious Child: Illegitimate Origins in the Modern Novel
The present article uses Suso de Toroâs Sete palabras as a starting point for analyzing the protagonism of illegitimate children in the Galician novel since the Rexurdimen- to. Considered in a historical context and as a literary trope, the illegitimate child can be read as an expression of anxiety around a national identity rested upon a notion of purity, be it linguistic, ethnic or territorial. These unclear origins, rather than preclude the possibility of identity formation and history âindividual or collectiveâ can serve as a source for alternative histories and identities
Galicia, or the Spurious Child: Illegitimate Origins in the Modern Novel
The present article uses Suso de Toroâs Sete palabras as a starting point for analyzing the protagonism of illegitimate children in the Galician novel since the Rexurdimen- to. Considered in a historical context and as a literary trope, the illegitimate child can be read as an expression of anxiety around a national identity rested upon a notion of purity, be it linguistic, ethnic or territorial. These unclear origins, rather than preclude the possibility of identity formation and history âindividual or collectiveâ can serve as a source for alternative histories and identities.</div
Lonxe da ĂĄrbore familiar: Queerizar xenealoxĂas e arquivos literarios en Outono aquĂ de Mario Regueira
This article offers an analysis of the ways in which Mario Regueiraâs novel, Outono aquĂ, and its characters challenge the silence imposed upon non-hegemonic national and sexual identities and narratives. Outono aquĂ establishesâthrough a series of intertextual referencesâa literary genealogy that exceeds the limits of sexuality, language, and nation, to offer a queer Galician literary aesthetic that, far from marginal, can only be understood in a transnational and transhistoric context.Este artigo presenta unha anĂĄlise de Outono aquĂ de Mario Regueira, en particular, das formas nas que a novela e os seus personaxes resisten as forzas que silencian as narrativas e identidades nacionais e sexuais non hexemĂłnicas. Outono aquĂ establece âpor unha serie de referencias intertextuaisâ una xenealoxĂa literaria que supera os lindes da sexualidade, da lingua e da naciĂłn, e que ofrece unha estĂ©tica literaria galega queer que, lonxe de ser marxinal, sĂł pode entenderse nun contexto transnacional e transhistĂłrico
Development and validation of a multi-locus DNA metabarcoding method to identify endangered species in complex samples
DNA metabarcoding provides great potential for species identification in complex samples such as food supplements and traditional medicines. Such a method would aid Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) enforcement officers to combat wildlife crime by preventing illegal trade of endangered plant and animal species. The objective of this research was to develop a multi-locus DNA metabarcoding method for forensic wildlife species identification and to evaluate the applicability and reproducibility of this approach across different laboratories. A DNA metabarcoding method was developed that makes use of 12 DNA barcode markers that have demonstrated universal applicability across a wide range of plant and animal taxa and that facilitate the identification of species in samples containing degraded DNA. The DNA metabarcoding method was developed based on Illumina MiSeq amplicon sequencing of well-defined experimental mixtures, for which a bioinformatics pipeline with user-friendly web-interface was developed. The performance of the DNA metabarcoding method was assessed in an international validation trial by 16 laboratories, in which the method was found to be highly reproducible and sensitive enough to identify species present in a mixture at 1% dry weight content. The advanced multi-locus DNA metabarcoding method assessed in this study provides reliable and detailed data on the composition of complex food products, including information on the presence of CITES-listed species. The method can provide improved resolution for species identification, while verifying species with multiple DNA barcodes contributes to an enhanced quality assurance