526 research outputs found
Picturesque Violence: Tourism, the Film Industry, and the Heritagization of ‘Bandoleros’ in Spain, 1905–1936
This article examines the debates about the Andalusian ‘bandoleros’ (bandits) in the context of early tourism as a state-guided policy in Spain. As we argue, the development of tourism made Spanish intellectuals reconsider the real armed activity in Andalucía as part of Spanish national heritage and a tourist attraction. Consistent with the stereotypical image of Spain coined by the Romantic travelers, such an early heritagization of brigandry reveals the role of the élites in recasting exotic imagery into modern tourism-shaped identities: in the hands of early century writers, bandits were reshaped as part of the ‘modern picturesque’. Furthermore, the role given to brigands in early cinema allows one to see how the early heritage discourse bridged transnational and centralist interests at the expense of the regional ones, thus foreshadowing the debates about hegemony in present-day heritage studies
Cine y Moda. Moda y cine. Caminos de investigación
En la conferencia se investigará sobre como la moda y el cine son dos lenguajes con la capacidad de construir la identidad de la humanidad del siglo XXI. Esta charla quisiera plantear una reflexión académica sobre el cine y la moda como lenguajes (o sistemas de comunicación) capaces de construir la identidad de la humanidad del siglo XXI. Una reflexión que permita a los estudiantes de Comunicación Audiovisual y Publicidad Encontrar caminos de investigación para su TFMs y sus posteriores Tesis Doctorales.Plantearemos entonces un análisis desde múltiples perspectivas para que el estudiante pueda encontrar algunas ideas (por supuesto no respuestas) que le permitan seguir haciéndose preguntas.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech
Review article: Risk factors of infection following total knee arthroplasty
22 PubMed articles in English were identified
using the key words: ‘risk factors’, ‘infection’, and
‘primary total knee arthroplasty (TKA)’. The 10
most relevant articles were reviewed. In one study,
obesity and diabetes were considered risk factors
for infection following TKA. In another study,
postoperative infection correlated with a history of
open reduction and internal fixation, male gender,
remnants of previous internal fixation material,
and body mass index. In yet another study, the risk
factors were (in decreasing order of significance):
congestive heart failure, chronic pulmonary disease,
preoperative anaemia, diabetes, depression, renal
disease, pulmonary circulation disorders, obesity,
rheumatologic disease, psychoses, metastatic tumour,
peripheral vascular disease, and valvular diseas
El papel del plasma rico en plaquetas (PRP) en las lesiones deportivas de rodilla
El plasma rico en plaquetas (PRP) se está utilizando
cada vez más. Usando como palabras
clave “PRP” y “knee” (rodilla) se hizo una búsqueda
en PubMed sobre el uso del PRP en las
lesiones deportivas de la rodilla. Se encontraron
22 artículos. Muchos de ellos fueron estudios
realizados en animales y el resto estudios sin
grupo control llevados a cabo en humanos y publicados
en revistas de rigor científico modesto.
Dichos estudios animales y humanos sugieren
que la colocación de un andamio en puente de
colágeno-PRP en el defecto central del LCA
podría estimular biomecánicamente e histológicamente
su cicatrización. También que las inyecciones
intra-articulares de PRP podrían mejorar
la cicatrización de defectos meniscales. Por último,
que las inyecciones de PRP podrían promover
resultados satisfactorios en casos de rodilla
de saltador (tendinitis rotuliana). Teniendo en
cuenta la baja calidad de los datos publicados
en la bibliografía y tras realizar una valoración
objetiva del valor del PRP en las indicaciones
previamente mencionadas, mi conclusión es que
el PRP es todavía es un tratamiento experimental,
que en muchos casos no ha demostrado tener
un valor significativo en cuanto a sus efectosThe use of platelet-rich plasma (PRP) is becoming
increasingly available. PubMed articles
related to the use of PRP in sports injuries of
the knee were searched using the following key
words: PRP and knee. A total of 22 reports
were found. Many of them were animal studies
and the rest were human clinical studies with
no controls and published in journals that do
not expect as much rigour in the scientific validity.
The aforementioned animal experiments
and clinical studies suggest that placement of
a collagen-PRP bridging scaffold in a central
ACL defect can stimulate healing of the ACL
histologically and biomechanically. Also that intra-
articular injections of PRP can enhance the
healing of meniscal defects. Finally, that PRP
injections can have the potential to promote the
achievement of a satisfactory clinical outcome
in cases of jumper´s knee (patellar tendinopathy).
Taking into account the low quality of the
data reported in the literature and after performing
an objective view of the value of PRP for
the various indications, my conclusion is that
PRP is a treatment that is still experimental and
in many instances shown to be not significant
in its effect
The treatment of patellar tendinopathy
Background Patellar tendinopathy (PT) presents a challenge
to orthopaedic surgeons. The purpose of this review
is to revise strategies for treatment of PT
Materials and methods A PubMed (MEDLINE) search of
the years 2002–2012 was performed using ‘‘patellar tendinopathy’’
and ‘‘treatment’’ as keywords. The twenty-two
articles addressing the treatment of PT with a higher level
of evidence were selected.
Results Conservative treatment includes therapeutic
exercises (eccentric training), extracorporeal shock wave
therapy (ESWT), and different injection treatments (plateletrich
plasma, sclerosing polidocanol, steroids, aprotinin,
autologous skin-derived tendon-like cells, and bone marrow
mononuclear cells). Surgical treatment may be indicated in
motivated patients if carefully followed conservative treatment
is unsuccessful after more than 3–6 months. Open
surgical treatment includes longitudinal splitting of the tendon,
excision of abnormal tissue (tendonectomy), resection
and drilling of the inferior pole of the patella, closure of the
paratenon. Postoperative inmobilisation and aggressive
postoperative rehabilitation are also paramount. Arthroscopic
techniques include shaving of the dorsal side of the
proximal tendon, removal of the hypertrophic synovitis
around the inferior patellar pole with a bipolar cautery system,
and arthroscopic tendon debridement with excision of
the distal pole of the patella.
Conclusion Physical training, and particularly eccentric
training, appears to be the treatment of choice. The literature
does not clarify which surgical technique is more
effective in recalcitrant cases. Therefore, both open surgical
techniques and arthroscopic techniques can be use
Orthopedic surgery is possible in hemophilic patients with inhibitors
Este artículo está disponible en la página web de la revista: http://www.amjorthopedics.comHemophilia is an inherited recessive sex-linked bleeding
disorder. An insufficiency of coagulation factor VIII
produces hemophilia A, and lack of factor IX causes
hemophilia B. Prevention and management of the disease
require intravenous infusion of the deficient factor.
Worldwide, hemophilia affects approximately 600,000
people, 20% of whom develop antibodies against the
deficient coagulation factor. Hemophilic patients with
inhibitors present with multiarticular joint degeneration
(hemophilic arthropathy) secondary to recurrent
hemarthroses. The availability of activated prothrombin
complex concentrates and activated recombinant factor
VII allows hemophilic patients with high inhibitor titers to
undergo elective orthopedic surgery with a high expectation
of success, and thorough individual case analysis
by a multidisciplinary team allows surgeons to obtain
satisfactory results. However, the rate of potential complications
must not be underestimate
Intra-articular injections of mesenchymal stem cells for knee osteoarthritis
Este artículo está disponible en la página web de la revista: http://www.amjorthopedics.comKnee osteoarthritis (KOA) represents an enormous
societal burden. This review article summarizes the
knowledge on the efficacy of using intra-articular injections
of mesenchymal stem cells (MSCs) to treat KOA.
PubMed (Medline) and the Cochrane Library were
searched for literature related to MSC therapy and KOA
up until January 31, 2014. The key search terms used
were stem cells and knee osteoarthritis. One hundred
thirty-five reports were found, but only the 25 fully focused
on the topic were used for analysis.
Only 3 randomized controlled trials (level II evidence)
found pain relief and functional improvement
over the short term. The other human studies also reported
encouraging results, but their evidence level
was very low (IV).
Larger randomized controlled trials are needed to
support these preliminary encouraging results. The
relatively short duration of the studies is also a limitation
for the technique at presen
Hemophilic pseudotumors: Diagnosis and management
Prevention is essential for avoiding the complications of muscle hematomas (pseudotumors, compartment syndromes and peripheral nerve lesions) in hemophilic patients. This is achieved through early diagnosis of muscle hematomas and proper long-term hematological treatment until they have resolved (confirmed by image studies). Ultrasound-guided percutaneous drainage could be beneficial in terms of achieving better and faster symptom relief. When suspecting a hemophilic pseudotumor, biopsy will help us confirm the diagnosis and rule out true tumors (chondrosarcoma, liposarcoma, synovial sarcoma) that sometimes mimic hemophilic pseudotumor. Surgical removal of hemophilic pseudotumor is the best solution. As alternatives, there are curettage and filling with cancellous bone and radiotherapy (when surgery is contraindicated). Preoperative arterial embolization (ideally 2 weeks before surgery) helps control intraoperative bleeding during surgery for giant pelvic pseudotumors
Value-Based Information Systems and Technologies Governance Quality Assessment
The quality is a degree of excellence, and what is excellent is new. The evaluations of the quality of the organizations, departments, functional areas, activities, products and services have been recognized by the goodness of their results beginning to be mandatory and of increasingly strict application in the search of the fulfilment of its purposes. The quality has been a goal of many countries. In Ecuador, the Constitution establishes that the public administration is governed by principles, among others: the quality. This involves the participation of the people to ensure the actions in the organizational context. The quality has an impact on people, activities, processes and outcomes; all guided toward excellence. An intention of quality (not exclusive from the point of view of the analysis of other models) and at the same time of the Government of the TSI is the application of good practices of the Ibero-American Model [3] and of the standard ISO/IEC 38500 [4], respectively.
The proposed quality assessment model exposes the government of TIS as a functional team at the service of the organization of TIS. Therefore, the model is a response to the value-based quality concept on value due to the extent that Ecuador is gaining a growth in the use of technology. The existing literature on EFQM models, Malcolm Baldrige and other authors who support it, was available for this work [5] [6] [7] [8]. In such a way that it is appropriate to identify suitable criterion relations between standards of governance and models of excellence, the criteria and sub-criteria, dimensions and evidence that arise as part of the quality model.Tesis presentada el 19/09/2017 en la Army Forces University ESPE, Department of Computer Science, PhD Thesis in Computer Science. Advisors: Claudia Pons, Rocio Rodríguez.Facultad de Informátic
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