EL PROYECTO DE UN SUJETO ENTRE LO SAGRADO Y LO PROFANO EN LA NOVELA LUMINOSA DE MARIO LEVRERO

Configuraciones de lo sagrado en la literatura contemporánea del Cono Su

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

La herencia como una red de agujeros

Este ensayo se propone articular una transcrítica de la tradición literaria en términos de los puntos paradójicos de la herencia. A partir de Borges y su noción de los precursores y T.S. Eliot acerca de la tradición y el talento individual, se derivan dos líneas contradictorias de la tradición literaria que se desarrollan en el ensayo: el cruce de temporalidades y el vaciamiento de la identidad del escritor. Desde esos dos vectores, se argumenta que la concepción y uso de la tradición en la obra del escritor mexicano José Emilio Pacheco y del escritor argentino Ricardo Piglia, son el marco necesario para radicalizar y potenciar la noción de la retroactividad y sentido histórico de cómo se construye la tradición literaria y, también, cómo en estas lecturas y esquemas se vacía la identidad del escritor como creador y autoridad, propietario de su discurso. Desde esta concepción de la herencia como una red de agujeros, el artículo traza las premisas de lo que es una “transcrítica” que desestabiliza tanto la concepción de la historia y las historias en sentido de acumulación lineal de acontecimientos continuos (la herencia) como la noción de un sujeto-centro que les da sentido.The purpose of this essay is to articulate a transcritique of the literary tradition in terms of the paradoxes of inheritance. From Borges’ notion of the precursors and T.S. Eliot’s notion of the tradition and the individual talent, I derive two contradictory ways of conceiving the literary tradition: the knots of temporalities and the emptying out of the writer’s identity. From these two ideas I argue that the conception and use of the tradition in the work of the Mexican writer José Emilio Pacheco and the Argentinian writer Ricardo Piglia is the necessary framework to radicalize and develop the notion of “retroactivity” and “historical sense” of how a literary tradition is built. In their work there is also an emptying out of the identity of the writer as an authority figure and as proprietor of his own discourse. From this conception of inheritance as a net full of holes, the essay traces the premises of a “transcritique” that destabilizes both the conception of history and histories in the sense of a linear accumulation of continuous events (inheritance) and the notion of a subject-center that gives them meaning

Curaçao: Costa de cemento, pueblo de prisión

“En Curaçao habitan las anécdotas, expulsadas de la historia y la economía moderna. No tiene uso, no tienen cabida” Como ocurre con los otros regionalismos, la identidad latinoamericana es una ficción ensamblada con partes heterogéneas. En Curaçao: costa de cemento, pueblo de prisión, libro ganador del Premio Nacional de Crónica Joven Ricardo Garibay 2019, Christina Soto van der Plas elige a la pequeña isla antillana para diseccionar, con una prosa dura y exacta, la construcción identitaria. Mientras que la primera parte del libro se sirve del ensayo histórico, la segunda utiliza transcripciones que se convierten en la mirada crítica del libro. Estamos ante un experimento literario destinado a abrir sendas creativas.https://scholarcommons.scu.edu/faculty_books/1465/thumbnail.jp

The Marx Through Lacan Vocabulary: A Compass for Libidinal and Political Economies

This text explores a set of key concepts in Marxist theory as developed and read by Lacan, demonstrating links and connections between Marxist thought and Lacanian practice. The book examines the complexity of these encounters through the structure of a comprehensive vocabulary which covers diverse areas, from capitalism and communism to history, ideology, politics, work, and family. Offering new perspectives on these concepts in psychoanalysis, as well as in the fields of political and critical theory, the book brings together contributions from a range of international experts to demonstrate the dynamic relationship between Marx and Lacan, as well as illuminating untranslatable points which may offer productive tension between the two. The entries trace the trajectory of Lacan’s appropriation of Marx’s concepts and analyses how they were questioned, criticized, and reworked by Lacan, accounting for the wide reach of two thinkers and worlds in constant homology. Each entry also discusses psychoanalytic debates relating to the concept and seeks to refine the clinical scope of Marx’s work, demonstrating its impact on the social and individual dimensions of Lacanian clinical practice. With a practical and structured approach, The Marx through Lacan Vocabulary will appeal to psychoanalysts and researchers in a range of fields, including political science, cultural studies, and philosophy.https://scholarcommons.scu.edu/faculty_books/1574/thumbnail.jp

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease

Delaying surgery for patients with a previous SARS-CoV-2 infection

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