141 research outputs found

    EFFECTS OF LENGTH OF PROXIMAL FEMORAL NAIL ON INTRAOPERATIVE AND POST-OPERATIVE OUTCOMES OF INTERTROCHANTERIC FRACTURES

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    Background: Trochanteric femoral fractures are often seen in patients aged they can be caused by high-energy or low energy trauma or may be pathological. Particularly in the elderly, hip fractures are a major cause of increased mortality and morbidity. Because of the decreased physical capacity, concomitant systemic diseases, and increased vulnerability to environmental dangers, even low-energy trauma can cause unstable femoral trochanteric fractures in this age group. Compare the functional outcome of the short proximal femoral nail with a long proximal femoral nail in intertrochanteric fractures. Methods: This randomized control trial was conducted in the Department of Orthopedics, Surat Municipal Institute of Medical Science, Surat. Results: The mean duration of surgery in the long PFN group was 79.84 +7.09 minutes and the short PFN group was 50.72 +7.96 minutes. The two-tailed P value<0.001this difference is considered to be extremely statistically significant. The mean intra operative blood loss in the long PFN group was 330.8+ 31.74 ml and the short PFN group was 170 + 23.10 ml. The two-tailed P value < 0.001, this difference is considered to be statistically significant. The number of cases with limb shortening were more in the Short PFN group than the patients in whom long PFN was use. Conclusion: Both the long and short intramedullary nails are the optional internal fixation choices for femoral intertrochanteric fracture. But the long nail could avoided the refracture of femur and reduced postoperative hip pain whereas the short nail has the advantage of reduced surgical time, blood loss and fluoroscopic time

    Beyond spheres of influence: the myth of the state and Russia’s seductive power in Kyrgyzstan

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    This article questions the analytical value of “spheres of influence” for understanding power and the state in the post-Soviet region and beyond, based on a critical deconstruction of the ontological and epistemological assumptions inherent in the concept. It proposes an alternative reading of power and the state, drawing on the concept of “seductive power” at a distance and Timothy Mitchell’s “state effect.” Rather than the concept of a sphere of influence, a highly politicized concept that conveys an ontology that flattens and divides space, essentializes the state, and relies on an intentionalist account of power, we need an analytical framework that can help us make sense of the multiple, varied spatialities and historical legacies that produce the state and power. I demonstrate this through an extended discussion of Russian power in Kyrgyzstan, a country often described as a Russian client state. Mobilizing recent re-conceptualizations of state and power in anthropology and political geography, I present an analysis of Russia’s seductive power in Kyrgyzstan and the way it contributes to producing Kyrgyz state-ness. I also show how Russia’s Great Power myth is itself evolving and conclude that the differentiated, relational production of space and power in either Kyrgyz or Russian myths of the state is not captured by a the concept of a return to spheres of influence

    1989 as a mimetic revolution: Russia and the challenge of post-communism

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    Various terms have been used to describe the momentous events of 1989, including Jürgen Habermas’s ‘rectifying revolution,’ and my own notion of 1989 as a type of ‘anti-revolution’: repudiating not only what had come before, but also denying the political logic of communist power, as well as the emancipatory potential of revolutionary socialism in its entirety. In the event, while the negative agenda of 1989 has been fulfilled, it failed in the end to transcend the political logic of the systems that collapsed at that time. This paper explores the unfulfilled potential of 1989. Finally, 1989 became more of a counter- rather than an anti-revolution, replicating in an inverted form the practices of the mature state socialist regimes. The paucity of institutional and intellectual innovation arising from 1989 is striking. The dominant motif was ‘returnism,’ the attempt to join an established enterprise rather than transforming it. Thus, 1989 can be seen as mimetic revolution, in the sense that it emulated systems that were not organically developed in the societies in which they were implanted. For Eastern Europe ‘returning’ to Europe appeared natural, but for Russia the civilizational challenge of post-communism was of an entirely different order. There could be no return, and instead of a linear transition outlined by the classic transitological literature, Russia’s post-communism demonstrated that the history of others could not be mechanically transplanted from one society to another

    "More than just a run in the park": an exploration of parkrun as a shared leisure space

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    Over the last 13 years, parkrun has grown from a small time trial in Bushy Park, London, to become a global social movement. During this time, much has been claimed about the potential health-related benefits from participating, but comparatively little attention has been given to the social reasons for attending. The aim of this study was to better understand the meanings of participation for both runners and volunteers using an intrinsic case study that focused on a specific event, Colwick parkrun in Nottingham, England. Building on literature that positions leisure sites as third places, the article seeks to enhance our understanding of parkrun as a community-based initiative. Data collection included observation, participant observation, semi-structured interviews (N = 19), and a survey (N = 235). Several themes emerged, suggesting that participation in parkrun provides an inclusive leisure space for casual sociability, as well as facilitating a shared experience of exercising with others
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