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Color Atlas of Endo-Otoscopy
A powerful guide to the primary diagnosis of disorders of the external auditory canal, tympanic membrane, middle ear, temporal bone, and skull base
Despite the many advances in diagnostic technologies and imaging modalities in recent years, otoscopy remains the first diagnostic option in the diagnosis of otologic disease.
This is an easy-to-consult book for residents and specialists, featuring brilliant diagnostic images from the newest generation of endoscopic otoscopes. Written by a renowned team of experts with 30 years of experience, this book helps readers obtain proficiency in otoscopy and in the interpretation of findings. Readers will learn what clinical consequences the diagnoses may have through case examples and treatment suggestions.
Key Features:
* Richly illustrated with over 1000 mostly full-color photographs and many radiological studies
* Shows a vast range of common and rare pathologies that can be visualized and assessed via endo-otoscopy
* Juxtaposes, when appropriate, the clinical picture, radiological diagnosis, and intraoperative findings with the endo-otoscopic findings of the patient
* In each chapter, a surgical summary lists various approaches that may be used to optimally plan treatment of the patient
* A special final chapter covers the assessment of postsurgical findings as seen in otoscopy, so as to distinguish between normal healing and changes that may require further intervention
Color Atlas of Endo-Otoscopy, produced with the support of Mario Sanna Foundation, is certain to become a valuable tool for all physicians involved in the care of patients with ear ailments.
eBook
Referendums and the European Union : a comparative inquiry
\"Why have referendums on European integration proliferated since the 1970s? How are referendums accommodated within member states' constitutional orders and with what impact on the European integration process? What is the likely institutional impact of referendums on the future of the European integration process? Drawing on an interdisciplinary approach, these are just some of the fundamental questions addressed in this book. The central thesis is that the EU is faced with a 'direct democratic dilemma', which is compounded by the EU's rigid constitutional structure and a growing politicisation of the referendum device on matters related to European integration. Referendums and the European Union discusses how this dilemma has emerged to impact on the course of integration and how it can be addressed\"-- Provided by publisher.
Book
Análisis de la frontera Colombia-Venezuela
Esta obra es resultado del trabajo adelantado por los autores en las líneas de acción del Centro de Pensamiento UN-Caribe y del grupo de investigación \"Agenda Internacional\", ambos de laUniversidad del Norte. Se enmarca en la iniciativa de este grupo de articular una serie de trabajos académicos e investigativos sobre las fronteras colombianas y sus reales posibilidades (y desafíos) de integración, no solo con sus pares vecinos, sino también con los centros político-administrativos del interior del país. Se presenta un análisis multidimensional de la frontera colombo-venezolana a partir de los seis componentes básicos propuestos por Benedetti y Laguado (2013): - Diferenciación territorial- Fronterización- Territorios subnacionales o inferiores- Territorios exteriores- Lugares de frontera- MovilidadesDe manera novedosa se incluye una séptima categoría que busca identificar si existen o no iniciativas, estrategias o propuestas para promover la integración y el desarrollo de lasrelaciones fronterizas desde los municipios colombianos.
eBook
Theatre Semiotics
Theatre is composed of a multitude of signifying systems that have a dual function: as literary practice and as performance practice. Fernando de Toro carefully considers the multiple and complex components which constitute the relationships between a text, its concretization as performance, and its reception by the audience in this translation and revision of his Semi3/4tica del teatro: Del texto a la puesta en escena. He focuses on discourse, textuality, semiosis, reception, actantial functions, and history; this comprehensive overview of the various semiotic approaches is placed in the context of modern European, North American, and Latin American theatre.
De Toro begins with an examination of theatre discourse as linguistic expression and as semiosis, and differentiates theatre discourse from other forms of literary discourse and performance. He then thoroughly explores the relationship between the dramatic text and the performance text. A chapter devoted to theatre semiotics establishes how signification functions in drama and performance, in terms of Charles Sanders Peirce's trichotomy (icon, index, symbol). Final chapters focus on theatre reception (the emitter and receptor); the actantial model, and how it has evolved; and a semiological reflection on the history of the theatre. Theatre Semiotics provides a thorough argument for the place and the necessity of semiotics within the interpretive process of theatre.
eBook
Cervical length distribution among Brazilian pregnant population and risk factors for short cervix: A multicenter cross-sectional study
Since there are populational differences and risk factors that influence the cervical length, the aim of the study was to construct a populational curve with measurements of the uterine cervix of pregnant women in the second trimester of pregnancy and to evaluate which variables were related to cervical length (CL) [less than or equal to]25 mm. This was a multicenter cross-sectional study performed at 17 hospitals in several regions of Brazil. From 2015 to 2019, transvaginal ultrasound scan was performed in women with singleton pregnancies at 18 0/7 to 22 6/7 weeks of gestation to measure the CL. We analyzed CL regarding its distribution and the risk factors for CL [less than or equal to]25 mm using logistic regression. The percentage of CL [less than or equal to] 25mm was 6.67%. Shorter cervices, when measured using both straight and curve techniques, showed similar results: range 21.0-25.0 mm in straight versus 22.6-26.0 mm in curve measurement for the 5.sup.th percentile. However, the difference between the two techniques became more pronounced after the 75.sup.th percentile (range 41.0-42.0 mm straight x 43.6-45.0 mm in curve measurement). The risk factors identified for short cervix were low body mass index (BMI) (OR: 1.81 CI: 1.16-2.82), higher education (OR: 1.39 CI: 1.10-1.75) and personal history ([one prior miscarriage OR: 1.41 CI: 1.11-1.78 and [greater than or equal to]2 prior miscarriages OR: 1.67 CI: 1.24-2.25], preterm birth [OR: 1.70 CI: 1.12-2.59], previous low birth weight <2500 g [OR: 1.70 CI: 1.15-2.50], cervical surgery [OR: 4.33 CI: 2.58-7.27]). By contrast, obesity (OR: 0.64 CI: 0.51-0.82), living with a partner (OR: 0.76 CI: 0.61-0.95) and previous pregnancy (OR: 0.46 CI: 0.37-0.57) decreased the risk of short cervix. The CL distribution showed a relatively low percentage of cervix [less than or equal to]25 mm. There may be populational differences in the CL distribution and this as well as the risk factors for short CL need to be considered when adopting a screening strategy for short cervix.
Journal Article
Lima Barreto
This edited volume is a collection of twelve interdisciplinary essays from various Brazilian literary scholars, historians, and anthropologists analyzing the work of 19th- and 20th-century Afro-Brazilian writer Afonso Henriques de Lima Barreto. This is the first collection to present a cohesive analysis of this writer’s work in English. It is an intellectually diverse collection of essays that recover Barreto’s œuvre and consider a wide range of topics, including Barreto’s treatment of race, family, class, social and gender politics of postabolition Brazil, neocolonialism, the disjuncture between urban and suburban spaces, and national identity politics.
eBook