98 research outputs found
Эффективность лигирования наружной сонной артерии с целью остановки кровотечения из неоперабельных злокачественных опухолей челюстно-лицевой области
Резюме. Согласно клиническим наблюдениям и гистологическим исследованиям возможно имплантационное метастазирование при применении традиционного доступа к наружной сонной артерии в случаях необходимости ее перевязки при неоперабельных злокачественных опухолях челюстно-лицевой области. Эффективность этого сосуда для остановки кровотечения из опухоли, локализующейся в области корня языка, дистальных отделов дна полости рта и ротоглотки недостаточна. Последнее обстоятельство мы связываем с тем, что в лигатуру не попала восходящая глоточная артерия, которую трудно идентифицировать при традиционном доступе. В разработанном нами доступе к наружной сонной артерии удалось избежать указанных недостатков, что подтверждено клиническими наблюдениями и гистологическими исследованиями.
Ключевые слова: наружная сонная артерия, лимфатические узлы, регионарные метастазы, кровотечение, лигатура, имплантационные метастазы.Summary. As proved by clinical observations and histological examinations, the use of a traditional access in cases where delitigation of the external carotid artery is needed in patients with nonresectable malignant maxillofacial tumors may result in surgical implantation of metastases. There are also evidences that this vessel is not efficient enough to control bleeding in tumors located close to the root of the tongue or in distant areas of the mouth floor or the oropharynx. This latter effect can be caused by a failure to apply the ligature in such a way as to include the ascending pharyngeal artery, which is difficult to identify when the traditional access is used. The method to access the external carotid artery proposed by the authors is free from the above-mentioned flaws; this is proved by clinical observations and histological examinations.
Key Words: external carotid artery, lymph nodes, regional metastases, bleeding, ligature, implanted metastases
More than jedug-jedug: dynamics of discontent with tourist activity in Prawirotaman, Yogyakarta
Residents of Kampung Prawirotaman, Yogyakarta, Indonesia respond differently to night-time tourist activity. This historic batik kampung was transformed into an international tourist destination, sowing resident discontent over traffic, anti-social behaviour and noise. Conflict with religious values also features in this dynamic. Observations and in-depth interviews with residents, artists, and hotel/café owners in Prawirotaman and surrounding Islamic kampungs differentiated two phases of touristification. From the 1980s through the 1990s, batik factories were turned into lodgings primarily serving backpackers, and global practices co-existed with traditional culture. Prawirotaman became known as Kampung Bule, a neighbourhood for foreign tourists, reflecting optimism that tourism would define its identity. Then three consecutive crises (the 1998 Asian monetary crisis, the 2002 Bali bombing, and the 2006 Yogyakarta earthquake) propelled Prawirotaman into the second touristification phase. Welcoming higher-end visitors brought rising prosperity, but residents became unhappy about the noise, traffic, and late-night drinking. This dynamic became more complex as residents of surrounding religious kampungs, Karangkajen and Jogokariyan, added their voices. Forming a mosque alliance, they instigated a massive crack-down on the sale of alcohol in restaurants and cafés during the New Year celebrations of 2018. This response to the impact of tourism in Prawirotaman suggests that the current level of discontent corresponds to the final stage of the ‘Irridex’ model in which the residents have become openly hostile toward tourism
Op zoek naar eldorado : over internationale migratie, sociale mobiliteit en ontwikkeling
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29827.pdf (publisher's version ) (Open Access)38 p
Koop je eigen paradijs : over land, mobiliteit en ontwikkelingsbeleid
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78417.pdf (publisher's version ) (Open Access)6 p
La ruta del Inca. Perspectivas y ambivalencias del desarrollo turistico en los Andes bolivianos y Peruvianos
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46081.pdf (publisher's version ) (Open Access
Reactie : In de ontwikkelingsindustrie barst het van de geografen!
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68894.pdf ( ) (Open Access)1 p
Rushing for land: equitable and sustainable development in Africa, Asia and Latin America
The global land grab is causing radical changes in the use and ownership of land. This ‘foreignization’ of space is driven primarily by the acquisition of land for growing biofuels, food crops and/or nature conservation. In addition, pressure on the land is rapidly increasing due to entrepreneurs investing in tourism development (including residential tourists buying properties at ‘exotic’ locations); expanding mining concessions; governments developing business parks or urban extensions and acquiring new territories ahead of the rise in sea level and/or REDD; and migrants purchasing land in their areas of origin. Annelies Zoomers argues that this has important implications for equitable and sustainable development: local peoples must either endure enclosure or move to marginal location
Three decades of rural development projects in Asia, Latin America, and Africa: learning from successes and failures
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46496.pdf (publisher's version ) (Closed access
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