Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

Subjetividade e crítica cultural

Nos muitos trabalhos que tentam resgatar "o ator" em algum sentido, existe uma tendência a evitar questões de subjetividade, ou seja, "estruturas de sentimento" complexas (na expressão de Raymond Williams). Este artigo retorna ao trabalho de Max Weber e Clifford Geertz para considerar várias questões de subjetividade, incluindo tanto ansiedades existenciais fundamentais como construções sociais e históricas específicas de "consciência". O artigo conclui com uma releitura de vários textos recentes sobre a consciência pós-moderna como uma configuração específica de ansiedades, ligadas a formações do "capitalismo tardio".<br>In the many works that try to bring back 'the actor' in some sense, there is a tendency to avoid questions of subjectivity, that is, complex 'structures of feeling' (in Raymond Williams's phrase). This article returns to the work of Max Weber and Clifford Geertz to consider various issues of subjectivity, including both fundamental existential anxieties, and specific cultural and historical constructions of 'consciousness'. The article concludes with a rereading of several recent texts on postmodern consciousness as a specific configuration of anxieties, tied in turn to formations of 'late capitalism'