Therapeutic Pathways of Vesicovaginal Fistula, From the Past to the Future: A Mini-Review

Over the last decade, innovation of medical interventions concerning less radical surgery consists cornerstone of therapeutic management. Among gynecologic surgical procedures, medical experience and completion of educational curve lead to the decrease of potential post-operative complications. Vesicovaginal Fistula (VVF) represent ultimate medical injury in cases of total laparoscopic or abdominal hysterectomy. The aim of our study, consists of primary detection of such cases, assiduous imaging depiction, and ultimate therapeutic strategy. New technical innovations and less radical intervention consist of necessary conditions to establish proper therapeutic mapping.

About primary gastric sarcoma

The only radical method of treatment of malignant neoplasms of the stomach today is surgical, surgical intervention. The results of such an intervention are closely related to how timely and. it is radically produced. It is therefore clear that in relation to malignant tumors of the stomach, it is not important to recognize the disease in general, but to early recognition, in which radical intervention can give a satisfactory result.

‘This is what a radical intervention could look like’: an interview with Barbara Ransby

An interview with Chicago-based Black historian, activist and writer Barbara Ransby in July 2020 as to how to understand the significance of the Movement for Black Lives (M4BL) uprisings across the US. Ransby defines the movement and the forces that made George Floyd’s murder a pivotal point for so many people, bringing them on to the streets in over 500 locations. She explains the gestation of the movement against ‘racial capitalism’ from 2012 onwards and its current political formation as made up of an array of forces. The largest most organised coalition is the Movement for Black Lives (M4BL). She traces the white Left’s unwillingness to see the Black working class as now the defining point of class politics and addresses issues of police violence, incarceration and white supremacy. Organic solidarity is developing between progressive groups around an abolition agenda, which is simultaneously about dismantling the carceral state and building new institutions.

Intención o deseo: tabaquismo como adicción que afecta el desarrollo humano

The aim is to know the motives as intention and desire as action to stop smoking. A qualitative ethnomethodological research was carried out with 100 adults, men and women, over 18 years of age and under 85 years of age, who attend a health service. The data were collected through a response protocol with 112 questions. The different scholars on the subject refer to the importance of studying the differences between the intention to quit smoking and desire as an action to quit smoking; The results show that the people in the group of desire as an action to stop smoking are single, young and without work; while in the group of intention they are married, older in age and with paid work, in addition to presenting anxiety and depression. The proposal indicates that radical intervention measures are required in the groups of initiation in early ages in the consumption of tobacco.

Ludic displacement of a biblical myth: 'the Binding of Isaac'

The Binding of Isaac, a 2011 video game by Edmund McMillan, is a postmodern take on the biblical episode of the same name which can be characterized as a displacement, in terms of Lubomh Doležel's Heterocosmica. It presents a radical intervention on the original narrative, one that creates a polemical anti world transmitted through the perspective of Isaac, a boy suffering abuse from his televangelism-obsessed mother. The main fabric of the game is his grotesque, gamified fantasy about encountering the delusional parent, which is filled with anxiety about his own sinfulness, with a counterweight that can be found in entities imported from popular culture, especially video games. The game's roguelike genre enables a procedural expression of the experience of abuse through an iterative storytelling technique, with the interplay of difference and repetition forming a cyclical narrative about the (im)possibilities of contemporary ludism to amend trauma.

Greer’s ‘Bad Sex’ and the Future of Consent

Germaine Greer’s polemic ‘On Rape’ has proved controversial and has served to further divide feminist opinion on the way to move forward from #MeToo in consent reform. Greer’s work, along with other second wave feminists, has been rejected by third wave feminist scholarship for simultaneously minimising the harm caused to victims of sexual violence and claiming that rape is not ‘catastrophic’, with Naomi Wolf being Greer’s most vocal and powerful opponent. Yet, I claim that in maintaining this position in opposition to Greer we are missing the real transformative power of Greer’s revival of second-wave arguments in relation to reforming our laws on consent post #MeToo. The consent framework and the definition of consent under the Sexual Offences Act 2003 has been readily criticised for its vague definition of ‘freedom’ and ‘capacity’ in that such a definition misses the subtler, yet powerful, ways in which victims are coerced and abused—those which are most insidious, since they are embedded within the fabric of our society, and within the ‘tissue’ of heterosex. Greer’s position that rape is ‘bad sex’ may well hold some truth—since bad sex for women has long been accepted as part of life albeit reduced to sufferance and duty. Inevitably, this leads us to the conclusion that there are many more instances of rape than we thought, and many more women suffering, than we thought. This article examines this position and argues for urgent research on women’s sexuality, and radical intervention in the law and academia, in the quest for consent law reform.

Gendering the History of Education

Gendered analysis has enacted a radical intervention in educational history through highlighting women’s roles and experiences, exploring gendered educational forces, institutions, practices, and policies, and expanding theories and methodologies. The field encompasses women’s, feminist, and gender history and diverse sites and periods of study. Although distinct in central concerns and emphases, these approaches continue to overlap, intersect, or unfold concurrently in practice, creating productive tensions that shape the field. The perspective of how the field is gendered depends in part on how its boundaries are drawn. This is both a theoretical and a methodological matter and, for many gender scholars, also a political one. The reach and production of gendered historiography is inevitably uneven, shaped by disciplinary identities, material conditions of embodied academic labor, and the uneven availability of resources to support historical research and teaching.

The radical turn of Portuguese social work during the democratic transition (1974–76)

The transition to democracy in Portugal in the 1970s provides the socio-historical background for this article. It focuses on the period of 1974–76, known as the revolutionary phase, when a series of progressive political programmes, forms of direct democracy, collective mobilisation and widespread grass-roots initiatives emerged in the aftermath of the dictatorial regime. The experiences of Portuguese social workers in the aforementioned revolutionary vanguards will be compared and interpreted by using the radical social work approaches that sprang up in the UK and US at the time. Ten in-depth interviews with social workers involved in radical intervention during the revolutionary phase will be compared to the key tenets of the radical social work literature of the 1970s.

Selection of the resection volume of the liver in patients with Klatskin tumor

The objective of the study was to determine the possibilities of surgical treatment and to evaluate the criteria for selecting the resection volume of the liver in patients with Klatskin tumor.Material and methods. From 2005 to 2018, 36 patients with Klatskin tumor aged from 30 to 74 years were operated in the Department of surgery of «Russian scientific center of radiology and surgical technologies n.a. acad. A. M. Granov». Radical surgical interventions (R0) were performed in 28 (77.7 %) patients. 7 (19.5 %) patients underwent palliative surgery.Results. Selection of the resection volume of the liver and bile duct was carried out on the basis of assessment of the functional state, morphological changes in the liver and results of urgent intraoperative histological examination. As a radical intervention for IIIa, IIIb and IV types of Klatskin tumor (93.1 % of patients), extensive liver resection (left-sided or right-sided hemihepatectomy) with biliary and, in the presence of invasion into the main vessels, with vascular reconstruction was performed.Сonclusion. Timely and adequate liver resection with biliary reconstruction is a radical surgical intervention for Klatskin tumors. Selection of the resection volume of the liver, especially for type IV tumors, is determined by the morphological changes and the reserve capacity of the liver. The status of the resection edge is crucial for the selection of subsequent treatment tactics. Combination of methods of regional chemoinfusion and intraductal photodynamic therapy is necessary after non-radical intervention.