scholarly journals Tracheal Transection—A Novel Airway Management

2020 ◽  
Vol 09 (01) ◽  
pp. e24-e28
Author(s):  
Felix Fleißner ◽  
Max Eike Timm ◽  
Carl Philipp Lang ◽  
Thomas Lenarz ◽  
Christian Kühn ◽  
...  

Abstract Background Traumatic injury of the trachea is rare, especially complete transection. Its operative revision requires an interdisciplinary approach. Case Description We hereby present a rare case of complete transection of the trachea by accident. To stabilize the patient and to allow for safe surgery, veno-venous extracorporeal support was initiated via the subclavian artery and the femoral vein. The patient was subsequently operated, and the trachea re-anastomosed with favorable outcome. Conclusion This rare case of an accidental transection of the trachea shows the importance of a good emergency rescue chain and the ability to facilitate interdisciplinary approaches in tertiary hospitals.

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Jacqueline Eng ◽  
Mark Aldenderfer

Anthropological research in the high-elevation regions of northwestern Nepal offers insights into the populationhistory of the Himalayan arc through a multi- and interdisciplinary approach that includes not only archaeologicaldata and historic and ethnographic accounts but also genomic, isotopic, and bioarchaeologicaldata, as well as innovative use of thermal niche modeling for paleoclimate reconstruction. Together these linesof evidence have allowed us to address project questions about human settlement into the region, including(1) sources of population movements into high-elevation environments of the Himalayan arc and (2) bioculturaladaptations to high-mountain environments. In this paper we compare research at several communalmortuary sites, each with a rich assemblage of material culture and human burials: Mebrak (400 B.C.–A.D. 50),Kyang (400–175 B.C.), and Samdzong (A.D. 450–650), as well as intriguing insights from finds in the earlier (ca.1250–450 B.C.) sites of Lubrak, Chokhopani, and Rhirhi. Our genomic findings demonstrate population originsfrom the Tibetan plateau, despite South Asian material culture recovered in early sites. Bioarchaeological findingsof low frequencies of non-specific stress and trauma indicate successful biocultural adaptation to highaltitudeconditions of hypoxia, cold, and low resource availability, potentially through buffering from exchangenetworks and local cultural practices, alongside high-altitude selected alleles. An integrative, multidisciplinaryapproach thus offers significantly greater opportunities for developing a more nuanced understanding of thepast processes of migration, settlement, and biocultural adaptation in the region. La investigación antropológica de las alturas del noroeste de Nepal nos proporciona conocimientos de la historiade la población del arco Himalaya a través de un enfoque multidisciplinario e interdisciplinario que incluyeno solamente datos arqueológicos y relatos históricos y etnográficos, sino también datos genómicos, isotópicos,y bioarqueológicos, tanto como uso innovador del modelado del nicho térmico para la reconstrucción paleoclimática.En conjunto, estas líneas de evidencia nos han permitido abordar temas sobre el asentamiento humanade la región, como: (1) los orígenes del movimiento hacia ambientes en las alturas del arco del Himalaya;y (2) las adaptaciones bioculturales necesarias para vivir en las alturas. En este artículo comparamos las investigacionesde varios mortuorios comunales que ofrecen conjuntos abundantes de entierros humanos y artefactosrelacionados: Mebrak (400 a.C.–d.C. 50), Kyang (400–175 a.C.), and Samdzong (d.C. 450–650), así como loshallazgos intrigantes de sitios anteriores (ca. 1250–450 a.C.) de Lubrak, Chokhopani, y Rhirhi. Nuestros datosgenómicos sugieren orígenes de le población del altiplano tibetano, a pesar del material que deriva del sur de Asia que se ha recuperado de los sitios mas tempranos. Los hallazgos bioarqueológicos demuestran niveles bajosde estrés y trauma inespecífico, y sugieren éxito en adaptación biocultural, a pesar de las condiciones de hipoxia,frio, y los recursos escasos en este ambiente. Es posible que alelos seleccionados a las alturas, junto con sistemasde intercambio y las costumbres locales contribuyeron al éxito de la adaptación. Por lo tanto, un enfoque multidisciplinarioque integra todas las evidencias ofrece una comprensión mas detallada de los procesos de migración,asentamiento, y adaptación biocultural de la región.


Jezikoslovlje ◽  
2019 ◽  
Vol 20 (2) ◽  
pp. 303-324
Author(s):  
Janja Čulig

The aim of this paper is to explain the motivation behind the creation of religious visual art in which light plays the role of the signifier of divine presence. We will endeavor to show that representations of light in paintings from a particular socio-cultural period and context are based on metaphorization. The meaning that arises from this metaphorization establishes a connection between depicted light and the basic conceptual metaphor KNOWING IS SEEING. Our aim is to show that the understanding of these kinds of representations by the viewer as the presence of the divine is based on the fundamental human capacity to conceptualize abstract notions through concrete ones. We propose that a visual representation of light would not be completely understandable if the viewer did not possess an inherent knowledge of basic conceptual metaphors of light. The visual material selected for this article comprises samples of 17th century religious paintings of the Western artistic tradition, in which light serves as the primary carrier of divine meaning and the central element of the composition. Our proposition is based on the conjoining of two disciplines into an interdisciplinary approach to analyzing paintings from the Baroque period. The selected theoretical framework includes Conceptual Metaphor Theory and the conceptualization of abstract notions (Lakoff & Johnson 1980; Gibbs 1994, 2008; Kövecses 2005; Forceville & Urios-Aparisi 2009; Sharifian 2011; Raffaelli 2012; Forceville 2017), as well as art-historical insights into the utilization of pictorial elements of light in the formal visual language of the Baroque (Haskell 1963; Lambert 2007; Toman 2007; Cvetnić 2007). The significance of this kind of research lies in the prospects of interdisciplinary approaches to concepts in general. This combination of scientific perspectives could enable us to approach the concept of light from a wider perspective, which could lead to a deeper understanding of the concept, its use in human communication, and its significance for the structuring of the knowledge of the world by an individual, but also by the wider socio-cultural collective to which they belong.


2017 ◽  
Vol 11 (1) ◽  
pp. 155-161
Author(s):  
Severin Gloor ◽  
Kai Oliver Jensen ◽  
Stefan Breitenstein ◽  
Christoph A. Binkert ◽  
Eliane Angst ◽  
...  

Spontaneous ruptures of hepatocellular carcinoma (HCC) are rare. Nevertheless they may lead to difficult decisions in the emergency situation. The acute therapies include conservative treatment, transarterial embolization and surgery. Curative treatment of HCC can be achieved by liver resection solely. The decision-making depends on prognostic patient’s factors, such as hepatic viral infection status, Child-Pugh grade, liver cirrhosis and number of tumors. In this case transarterial embolization was preferable as a bridging therapy prior to further diagnostics and therapy, to lower the perioperative morbidity and mortality. The therapy of these cases needs an interdisciplinary approach to choose the best possible procedure in each case.


2010 ◽  
Vol 16 (2) ◽  
pp. 227-232 ◽  
Author(s):  
H. ALLISON BENDER ◽  
ADOLFO MARTÍN GARCÍA ◽  
WILLIAM B. BARR

AbstractFew neuropsychological tests have been developed specifically for non-English speakers. Rather, assessment measures are often derived from English source texts (STs) and translated into foreign language target texts (TTs). An abundant literature describes the potential for translation error occurring in test construction. While the neuropsychology community has striven to correct these inadequacies, interdisciplinary approaches to test translation have been largely ignored. Translation studies, which has roots in linguistics, semiotics, computer science, anthropology, and philosophy, may provide a much-needed framework for test development. We aim to apply specific aspects of Descriptive Translation Studies to present unique and heretofore unapplied frameworks to the socio-cultural conceptualizations of translated tests. In doing so, a more theoretical basis for test construction will be explored. To this end, translation theory can provide valuable insights toward the development of linguistically and culturally relevant neuropsychological test measures suitable for an increasingly diverse patient base. (JINS, 2010, 16, 227–232.)


2010 ◽  
Vol 37 (8) ◽  
pp. 623 ◽  
Author(s):  
Piran C. L. White ◽  
Alastair I. Ward

Human–wildlife conflicts are increasing throughout the world, principally due to a combination of human population growth, increased pressure on land and natural resources and climate change. Many human–wildlife conflicts stem from differences in objectives between various stakeholder groups, especially where the wildlife in question is a resource that can be exploited for economic or cultural benefit, or where the conservation of wildlife is at odds with human population growth or development pressure. Conflicts can be exacerbated by an incomplete understanding of their causes and/or inappropriate intervention measures. Many traditional forms of intervention are also subject to increasing scrutiny and criticism from society. Here, we highlight the potential strategic benefits that can be made by an interdisciplinary approach to human–wildlife conflict situations, by integrating knowledge and understanding across the natural and social sciences. We also stress the potential tactical benefits from combining new approaches to management with more traditional ones. We emphasise the potential contribution of more recent developments in decision-making under conditions of limited data availability and uncertainty. Finally, we recommend that monitoring should play a more prominent role, both in assessing the role of stakeholder engagement in participatory decision-making and in contributing to the evidence base that will allow competing hypotheses about specific systems to be evaluated in an iterative manner.


2013 ◽  
Vol 70 (6) ◽  
pp. 612-614
Author(s):  
Viktor Till ◽  
Predrag Avramov ◽  
Viktorija Vucaj-Cirilovic ◽  
Vladan Popovic ◽  
Milos Lucic

Introduction. An arteriovenous fistula (AVF) is an abnormal connection between an artery and a vein which may result from traumatic injury or may occur as congenital abnormality. Stent graft repair through arteriovenous fistula could lead to complications. Case report. Endovascular stent graft repair in a 23-year-old patient with posttraumatic superficial femoral arteriovenous fistula was performed to cover a fistula. During the procedure the device migrated through the fistula into the femoral vein. Due to eventual risk of migration to the heart, a prompt decision was made to fix the stent graft with three puncture needles in the common femoral vein region under fluoroscopy guidance. The vascular surgeon was called to perform open surgery. Conclusions. The presented way of treating this rare complication in an extreme and uncommon situation is very efficient, safe and inexpensive.


2009 ◽  
Vol 14 (2) ◽  
pp. 149-151 ◽  
Author(s):  
Nikolaos Paraskevas ◽  
Yves Castier ◽  
Marie-Christine Dauge ◽  
Jean-Marc Alsac ◽  
Fady Francis ◽  
...  
Keyword(s):  

2014 ◽  
Vol 3 (18) ◽  
pp. 4808-4814
Author(s):  
Balamurugan R ◽  
Ravi P ◽  
Shivraj B ◽  
Bhaskaran Selvapathy ◽  
Vikram Yogish

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