Art Nouveau in the context of realism: Ilya Repin at the turn of two centuries

The main subject of this research is the specificity of I. E. Repin's perception of the dynamics of artistic-aesthetic tasks formed under the influence of changing modernity. In view of this, one of the compositional centers of the research is the history of relationship that developed between I. E. Repin and the artists of the “first wave of symbolism” – members of the association “The World of Art” (primarily, the editor-in-chief of the eponymous journal S. P. Diaghilev, A. N. Benois, K. A. Somov, Y. Y. Lanceray). Special attention is given to the question of perception of I. E. Repin by certain representatives of the avant-garde in 1910s. Developing in the range “attraction – negation”, full of dramatic and comic moments, the dialogue between Repin and younger generation indicates the hastiness of univocal view of realism and Art Nouveau as opposing imagery systems. For the first time, on the current level of scientific comprehension of the aesthetics of symbolism and neo-romanticism, the article analyzes the attitude of I. E. Repin towards the innovative imagery pursuits of the Art Nouveau artists. At the same time, the very concept of Art Nouveau is interpreted in two dimensions: as a certain milestone in the context of the development of the history of art of the late XIX – early XX century; and as an inner dynamic potential embedded by I. E. Repin in his works since the beginning of his creative path. Based on systematization of the artistic and documentary sources and  the method of complex reconstruction of the views of Peredvizhniki and symbolist artists upon the objectives and nature of art, the author concludes that the poetics of art of Ilya Repin, synthesizing the ideas of time, tends to reflect a complicated and distinctive artistic image formed by realistic and idealistic principles.

Geology of the Tinui district

<p>The Tinui District is assumed to be typical of the more deformed part of the New Zealand Mobile Belt. It contains an unusually complete stratigraphic record, rocks representing most stages from Upper Jurassic to Recent being present. Although the rocks are strongly deformed, the complex diapiric structures that occur in the northeast of the mobile belt are absent. The stratigraphy is described in terms of formations which are then used to infer the paleogeography for eight periods of time. An attempt is made to treat the structure according to its development with time. The main conclusion is that there was a change in the strike of the fold axes and in the sense of movement of the faults. Strong folds, striking approximately northeast, are Paleocene in age and weak folds, striking approximately north, are post-Miocene. There are two fault trends, one NNE and the other ENE. The ENE striking faults were dominant in the Early Cenozoic and the NNE striking faults were dominant in the Late Cenozoic. The sense of movement on the NNE faults changed from sinistral to dextral. The change in the direction of the axes and in the sense of movement on the faults can be expressed as a change in the direction of maximum horizontal shortening, which is inferred to have changed with time. It is also found that the rates of tilting, and probably faulting, have not been constant with time, but occurred as bursts (disturbances) in the Paleocene, Early Miocene Late Pliocene, and Late Quaternary. The Mesozoic part of the geological history of the Tinui District is scrappy and far less complete than the Cenozoic part. In order to place the Tinui District in a broader setting, the central part of the New Zealand landmass in the Cenozoic, called the New Zealand Mobile Belt, is discussed in some detail. The mobile belt consists of fault blocks which form a geanticline along the New Zealand landmass and a geosynclinal trough between the east coast and the Hikurangi Trench. It is shown that a clear distinction has to be made between tilting and uplift. A main feature of the New Zealand Mobile Belt is the dextral faulting, on major NNE striking faults, in the Late Cenozoic. A major reversal in the direction of maximum horizontal shortening was found in the Tinui District to have taken place at the beginning of the Miocene or in the Oligocene. The reversal indicates that the dextral faulting of the New Zealand Mobile Belt may have started at that time, and that earlier strike-slip movement had been sinistral. This conclusion contradicts existing reconstructions of the New Zealand landmass with time, and a more complex reconstruction is required to satisfy the tectonics of the Tinui District.</p>

Geology of the Tinui district

<p>The Tinui District is assumed to be typical of the more deformed part of the New Zealand Mobile Belt. It contains an unusually complete stratigraphic record, rocks representing most stages from Upper Jurassic to Recent being present. Although the rocks are strongly deformed, the complex diapiric structures that occur in the northeast of the mobile belt are absent. The stratigraphy is described in terms of formations which are then used to infer the paleogeography for eight periods of time. An attempt is made to treat the structure according to its development with time. The main conclusion is that there was a change in the strike of the fold axes and in the sense of movement of the faults. Strong folds, striking approximately northeast, are Paleocene in age and weak folds, striking approximately north, are post-Miocene. There are two fault trends, one NNE and the other ENE. The ENE striking faults were dominant in the Early Cenozoic and the NNE striking faults were dominant in the Late Cenozoic. The sense of movement on the NNE faults changed from sinistral to dextral. The change in the direction of the axes and in the sense of movement on the faults can be expressed as a change in the direction of maximum horizontal shortening, which is inferred to have changed with time. It is also found that the rates of tilting, and probably faulting, have not been constant with time, but occurred as bursts (disturbances) in the Paleocene, Early Miocene Late Pliocene, and Late Quaternary. The Mesozoic part of the geological history of the Tinui District is scrappy and far less complete than the Cenozoic part. In order to place the Tinui District in a broader setting, the central part of the New Zealand landmass in the Cenozoic, called the New Zealand Mobile Belt, is discussed in some detail. The mobile belt consists of fault blocks which form a geanticline along the New Zealand landmass and a geosynclinal trough between the east coast and the Hikurangi Trench. It is shown that a clear distinction has to be made between tilting and uplift. A main feature of the New Zealand Mobile Belt is the dextral faulting, on major NNE striking faults, in the Late Cenozoic. A major reversal in the direction of maximum horizontal shortening was found in the Tinui District to have taken place at the beginning of the Miocene or in the Oligocene. The reversal indicates that the dextral faulting of the New Zealand Mobile Belt may have started at that time, and that earlier strike-slip movement had been sinistral. This conclusion contradicts existing reconstructions of the New Zealand landmass with time, and a more complex reconstruction is required to satisfy the tectonics of the Tinui District.</p>

P093 RESULTS OF CYTOREDUCTION SURGERY AND HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) WITH SIMULTANEOUS COMPLEX RECONSTRUCTION OF THE ABDOMINAL WALL

Aim “Cytoreductive surgery (CRS) together with the application of hyperthermic intraperitoneal chemotherapy (HIPEC) has proven to be a feasible and effective method in the management of selected patients with peritoneal metastases and/or primary peritoneal tumors. Infiltration of the abdominal wall is a frequent finding in these patients, which often leads to extensive resections and complex parietal reconstructions in the same surgical act. This may be associated with wound complications and the consequent delay in postoperative therapy of the patient. For this reason, an exquisite management of the abdominal wall is required. Our goal is to evaluate the technique and results of two clinical cases that required simultaneous complex reconstructions.” Material and Methods “Review patients undergoing CRS and HIPEC and simultaneous complex abdominal wall reconstruction between 2015 and 2020. Analysis of oncological history, description of the defect resulting from cytoreduction and the reconstruction technique used, postoperative course and medium-term results.” Results “Different techniques were used to reconstruct the abdominal wall according the caracteristics of the defect after cytoreduction. The simultaneous performance of reconstruction techniques did not increase the hospital stay nor the rate of complications of the surgical wound. Systemic chemotherapy was continued without delay and we have no evidence of incisional hernias in the medium term.” Conclusions “In our experience, the use of abdominal wall reconstruction techniques in the same surgical time after performing CRS and HIPEC is safe and with good results in the medium term.”

Use of Intraoperative Frozen Section in the Surgical Management of Patients with Nonmelanoma Skin Cancer

Background. Intraoperative frozen section (IFS) is often utilised in the surgical treatment of nonmelanocytic skin cancer (NMSC) in sensitive facial regions when Mohs micrographic surgery (MMS) is not available. Objective. To compare the outcome of NMSC patients with excision performed with and without IFS. Materials and Methods. A retrospective, single-centre study was performed on all patients who had undergone resection of NMSC with and without IFS control at the National University Hospital (NUH) from 2010 to 2015. Results. 116 patients were recruited, of which 86 had IFS and 30 did not. The complete excision rate of patients with IFS was higher at 87.2% ( p = 0.0194 ), need for secondary operation was lower at 1.2% ( p = 0.005 ), and need for postsurgery radiotherapy or chemotherapy was lower at 1.2% ( p = 0.001 ). The average duration of surgery in patients who underwent IFS was 95.4 minutes compared to 70.1 minutes in cases which did not undergo IFS. Conclusion. Our study showed an increased complete excision rate and reduced need for secondary surgeries and adjuvant therapy in patients with IFS. However, a longer operative duration was required. Use of IFS may be useful in patients with NMSC lesions in sensitive regions requiring complex reconstruction after tumour excision.

903 React! – An Aide Memoire to Guide Management of Extravasation Injuries

Introduction Intravenous infusions are common practice but come with the risk of extravasation injury. Although overall incidence is low, in those undergoing chemotherapy and in children the risk is much greater (4.7% and 11-58% respectively). These injuries can have severe consequences ranging from skin necrosis to loss of function, some necessitating complex reconstruction. Prompt recognition and treatment reduces the chance of these outcomes. Whilst classically managed by plastic surgeons, many hospitals do not have such services locally. Time-delays introduced by remote referral or inadequate initial treatment result in poor outcomes. We describe a simple algorithm with accompanying video designed to enable confident immediate management. Method We devised a simple acronym describing the basic steps, based on the technique described by Gault. Accompanied by an instructional video demonstrating the technique they form a simple to follow guide. Results The initial treatment of an extravasation injury can be split into the following key steps: These steps, detailed in a simple poster, sit alongside a descriptive video which could be accessed through hospital intranets and video publishing platforms, such as Youtube and Vimeo, can allow potential users access on their portable devices. Conclusions The combination of the REACT! acronym and video provides an example of an easy-to-use teaching tool, when combined with local training, could improve the initial management of extravasation injuries in hospitals where plastic surgery input is not immediately available, reducing poor outcomes.

Modular neck stems in total hip arthroplasty: current concepts

Modular neck (MN) implants can restore the anatomy, especially in deformed hips such as sequelae of development dysplasia. Early designs for MN implants had problems with neck fractures and adverse local tissue, so their use was restricted to limited indications. Results of the latest generation of MN prostheses seem to demonstrate that these problems have been at least mitigated. Given the results of the studies presented in this review, surgeons might consider MN total hip arthroplasty (THA) for a narrower patient selection when a complex reconstruction is required. Long MN THA should be avoided in case of body mass index > 30, and should be used with extreme caution in association with high offset femoral necks with long or extra-long heads. Cr-Co necks should be abandoned, in favour of a titanium alloy connection. Restoring the correct anatomic femoral offset remains a challenge in THA surgeries. MN implants have been introduced to try to solve this problem. The MN design allows surgeons to choose the appropriate degree and length of the neck for desired stability and range of motion. Cite this article: EFORT Open Rev 2021;6:751-758. DOI: 10.1302/2058-5241.6.200064