La escritura femenina española del siglo XVI y los paradigmas usados por Beatriz Bernal en Cristalián de España

Las escritoras del siglo XVI, al buscar un espacio propio de creación, solían apegarse a un paradigma establecido por sus contrapartes masculinos. Al hacerlo, utilizaban distintos mecanismos. Por su parte, Beatriz Bernal no se apartó del modelo y utilizó varias herramientas al escribir su libro de caballerías, Cristalián de España. En el artículo se analiza la obra de Beatriz Bernal a partir de distintos conceptos y herramientas de análisis como la polifonía en Bajtin, la deconstrucción del cuerpo femenino como modelo de creación, siguiendo los conceptos de Derrida y Ricouer, y, por último la concepción de autora- lectora- escritora que se debe a María Carmen Marín

Partial anomalous pulmonary venous connection with intact atrial septum in a child with ventricular septal defect: a case report

Partial anomalous pulmonary vein connection (PAPVC) is a rare congenital abnormal cardiac defect involving the pulmonary veins draining into the right atrium (RA) directly or indirectly by venous connection. Ninety percent of PAPVCs are accompanied by atrial septal defect (ASD). To our knowledge, there is no previous report of PAPVC with ventricular septal defect (VSD) without ASD in Korea, and in this paper, we report the first such case. A 2-day-old girl was admitted into the Chonnam National University Hospital for evaluation of a cardiac murmur. An echocardiogram revealed perimembranous VSD without ASD. She underwent patch closure of the VSD at 5 months of age. Although the VSD was completely closed, she had persistent cardiomegaly with right ventricular volume overload, as revealed by echocardiography. Three years later, cardiac catheterization and chest computed tomography revealed a PAPVC, with the right upper pulmonary vein draining into the right SVC. Therefore, correction of the PAPVC was surgically performed at 3 years of age. We conclude that it is important to suspect PAPVC in patients with right ventricular volume overload, but without ASD

Intrapericardial migration of dislodged sternal struts as late complication of open pectus excavatum repairs

<p>Abstract</p> <p>We present a case of sternal steel strut dislodgement and migration in a patient undergoing Ravitch repair for pectus excavatum (PE) 37 years ago. Broken struts perforated the right ventricle and right ventricular outflow tract (RVOT) and additionally migrated into the left upper lobar bronchus.</p> <p>Dislodged sternal struts represent rare complications after surgical repair of patients suffering from pectus excavatum. Reviewing the literature, only five cases of intrapericardial migration of dislodged sternal struts or wires have been reported so far.</p> <p>In our case, the first strut was removed from the airways through a left antero-lateral thoracotomy. Using cardiopulmonary bypass, a second strut was removed via ventriculotomy. These life-threatening sequelae underscore the importance of postoperative follow-up and early removal of osteosynthetic materials used in open PE repair. Accurate preoperative localization of migrated materials and availability of CPB support are crucial for successful surgical removal.</p> <p>Introduction</p> <p>The migration of dislodged sternal steel struts or wires into the pericardium and cardiac cavities is a rare but life-threatening complication of open pectus excavatum (PE) repair <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. Removal of these materials poses a challenge for cardiothoracic surgeons. Herein, the authors report a case of migration of dislodged steel struts through the right ventricle and right ventricular outflow tract (RVOT) into the left upper lobar bronchus in a patient who underwent Ravitch repair 37 years ago.</p

Intra-abdominal pectus bar migration – a rare clinical entity: case report

We present the case of a 20-year-old male who underwent successful surgical correction of pectus excavatum with the Highly Modified Ravitch Repair (HMRR). At 29 months the attempted operative removal of the Ravitch bar was unsuccessful despite the impression of adequate bar location on chest x-ray. Subsequent imaging with computed tomography was unclear in determining whether the bar was supra or infra-diaphragmatic due to the tissue distortion subsequent to initial surgery. Video assisted thoracoscopic surgery (VATS) successfully retrieved the bar and revealed that it was not in the thorax, but had migrated to the intra-abdominal bare area of the liver, with no evidence of associated diaphragmatic defect or hernia. Intra-abdominal pectus bar migration is a rare clinical entity, and safe removal can be facilitated by the use of the VATS technique

Intrapartum Antibiotic Chemoprophylaxis Policies for the Prevention of Group B Streptococcal Disease Worldwide: Systematic Review.

Background: Intrapartum antibiotic chemoprophylaxis (IAP) prevents most early-onset group B streptococcal (GBS) disease. However, there is no description of how IAP is used around the world. This article is the sixth in a series estimating the burden of GBS disease. Here we aimed to review GBS screening policies and IAP implementation worldwide. Methods: We identified data through (1) systematic literature reviews (PubMed/Medline, Embase, Literature in the Health Sciences in Latin America and the Caribbean [LILACS], World Health Organization library database [WHOLIS], and Scopus) and unpublished data from professional societies and (2) an online survey and searches of policies from medical societies and professionals. We included data on whether an IAP policy was in use, and if so whether it was based on microbiological or clinical risk factors and how these were applied, as well as the estimated coverage (percentage of women receiving IAP where indicated). Results: We received policy information from 95 of 195 (49%) countries. Of these, 60 of 95 (63%) had an IAP policy; 35 of 60 (58%) used microbiological screening, 25 of 60 (42%) used clinical risk factors. Two of 15 (13%) low-income, 4 of 16 (25%) lower-middle-income, 14 of 20 (70%) upper-middle-income, and 40 of 44 (91%) high-income countries had any IAP policy. The remaining 35 of 95 (37%) had no national policy (25/33 from low-income and lower-middle-income countries). Coverage varied considerably; for microbiological screening, median coverage was 80% (range, 20%-95%); for clinical risk factor-based screening, coverage was 29% (range, 10%-50%). Although there were differences in the microbiological screening methods employed, the individual clinical risk factors used were similar. Conclusions: There is considerable heterogeneity in IAP screening policies and coverage worldwide. Alternative global strategies, such as maternal vaccination, are needed to enhance the scope of global prevention of GBS disease

Paralelismos de dependencia narrativa entre dos cronistas de Indias: Francisco López de Gómara y Bernal Díaz del Castillo. Historias. Revista de la Dirección de Estudios Históricos. Num. 85 (2013) mayo-agosto

Sobre la naturaleza genérica de las crónicas de Indias mucho se ha escrito y dicho. Sin embargo, la atención de la crítica tradicional y ortodoxa a las distintas obras no siempre ha sido equitativa. En general las crónicas se analizan unilateralmente, bien desde el punto de vista histórico, bien desde el narrativo, con lo que se atribuyen a los textos cualidades o, en el peor de los casos defectos que no necesariamente tienen. El propósito de este artículo es analizar algunas de las características narrativas que usan López de Gómara y Díaz del Castillo en sus respectivas obras: La historia de las Indias y conquista de México y La historia verdadera de la conquista de la Nueva España. Tal análisis ha de situarse en el contexto de la época, pues no se debe perder de vista que los relatos que hoy agrupamos como “Crónicas de Indias” se escribieron desde y para la cultura europea del siglo XVI. Con esa perspectiva se analiza aquí su pertenencia a diversos subgéneros narrativos.Much has been said and written on the generic nature of the chronicles of the Indies. However, the focus of traditional orthodox criticism on different works has not always been fair. In general, the chronicles have been analyzed unilaterally, whether from the historical point of view or the narrative perspective, in which qualities are attributed to the texts, or in the worst of cases, defects that they do not necessarily have. The purpose of this article is to analyze some of the narrative features employed by López de Gómara and Díaz del Castillo in their respective works: La historia de las Indias y conquista de México and La historia verdadera de la conquista de la Nueva España (The True History of the Conquest of New Spain). This analysis must be situated in the context of the time, because one must not overlook the fact that the accounts that today we regard as “chronicles of the Indies” were written from the standpoint of and for sixteenth-century European culture. With this perspective, their belonging to diverse narrative subgenres is assessed.</p