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Introduction: Kite flying is a colourful festival; it is unfortunately associated with a significant number of in-cising injuries of neck and face caused by the kite string (Manja). The emergency departments report a large number of patients with such injuries during this festival. Materials And Methods: Patients presented to the Emergency Department at Civil Hospital, Gandhinagar on 14th and 15th January with neck and face injury caused by contact with kite string were included in study. Af-ter careful assessment (primary and secondary survey) patients were classified as Superficial (Laceration lim-ited to the skin and subcutaneous tissue) or Deep injury (breach of the platysma, and damage to muscles, thy-roid gland, neurovascular or airway involvement). Results: 20 patients were included in study. Out of which 18 were males and 2 were females. Amongst 18 males 2 were children. Two patients wearing a helmet suffered an injury to the nose. The neck zones involved in the injury, 5 cases involved zone I injury, 9 cases in zone II, 4 cases were in zone III and the remaining 2 had the nasal injury. Conclusion: From this study we conclude that kite string injury lead to serious damage to local tissues. Using protective measures can reduce the incidence and severity of injuries
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Objective:To investigate the clinical effect of repairing postoperative nasal skin cancer defect with subcutaneous pedicle flap based on partition and blood supply.Methods:From March 2018 to September 2020, 39 patients with skin cancer (basal cell carcinoma, Bowen′s disease, squamous cell carcinoma and malignant melanoma in situ) were repaired with kites subcutaneous pedicle flap after extensive resection.Results:Thirty-nine patients were treated with parafasal kite flaps, including 44 cases. The donor sites of the flap were nasal tip in 4 cases, bilateral alar in 7 cases, bilateral nasolabial sulcus in 19 cases, bilateral parasinal in 12 cases and interglabellar in 2 cases. There were no serious complications such as necrosis, hematoma or infection. During the follow-up period of 6 to 24 months, 2 patients complained of occasional tingling in the surgical area, 1 complained of occasional pruritus, and 1 patient had local recurrence of squamous cell carcinoma and underwent surgery again. The scar was evaluated 6 months after surgery, and the scores of Vancouver scar scale and visual analogue scale were 2.42±1.04 and 7.83±1.21, respectively. The skin color of the operation area was similar to that of the surrounding skin without obvious local strain deformation.Conclusions:The subcutaneous pedicle flap designed by considering the nasal division and blood supply has a high survival rate, fewer complications and small local appearance deformation, which is worthy of popularization and application.
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Background: Bareilly is famous for its manjha all over the world. More than 20,000 workers are engaged in the making the Manjha in Bareilly which is an important unorganized sector in western Uttar Pradesh. Objective was to study health profile of manjha makers in district Bareilly.Methods: The workers engaged in making manjha were randomly approached in the selected areas and interviewed using a semi open ended questionnaire. Responses were marked based on duration and severity of symptoms.Results: The mean age of study participants was 31±9.9 years. The mean age of starting manjha making was 15.3±6.7 years. 51 (47.2%) study participants were having wounds and cuts in hands and fingers.Conclusions: Manjha makers are in direct contact with inhalable glass dust (silica dust) and chemical colors which can reach the circulation through cuts and wounds. The higher prevalence of musculoskeletal and respiratory symptoms as well as other symptoms like cut wounds in hands and possible absorption of dyes through cuts underlines the need of a larger study to know the factors causing these symptoms and ways to prevent the suffering of manjha makers.
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Objective: To investigate the effectiveness of modified kite flap in repair of soft tissue defect after divided nevus of lateral canthus excision. Methods: Between October 2010 and April 2018, 20 children (20 eyes) with divided nevus of lateral canthus were admitted. There were 13 boys and 7 girls, with an average age of 7.9 years (mean, 4-14 years). There were 11 cases of moderate range lesions (maximum diameter, 1.5-2.0 cm) and 9 cases of small range lesions (maximum diameter, <1.5 cm). After excising the divided nevus of lateral canthus, the area of soft tissue defect ranged from 0.72 to 3.23 cm2。The modified kite flap was used to reconstruct the structure and shape of lateral canthus. Results: There were 16 cases of mixed nevus and 4 cases of intradermal nevus. The flaps survived and the incisions healed by the first intention. The patients were followed up 12-22 months (mean, 13.6 months). There was no malformation, valgus, exposure keratitis, or obvious scar. No malignant transformation occurred or nevus recurred during follow-up. At last follow-up, the effectiveness was rated as excellent in 16 cases, good in 3 cases, and poor in 1 case. Conclusion: The modified kite flap can repair the soft tissue defect after excising the divided nevus of lateral canthus, and obtain the good appearance and function of lateral canthus.
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Objective@#To evaluate the clinical effect of subcutaneous pedicle skin flap for repairing skin and soft tissue defect in the philtrum area.@*Methods@#From November 2015 to July 2016, 6 patients with pigmented nevus and basal cell carcinoma were treated with regional subcutaneous pedicled flaps. The functional and aesthetical outcomes were evaluated.@*Results@#Follow-up was performed at 6-12 months postoperatively. All 6 flaps survived. The wounds healing was good, and the postoperative appearance was satisfactory.@*Conclusions@#The kite subcutaneous pedicled flap is an ideal method for repairing the skin and soft tissue defects in philtrum area, and it can produce satisfactory clinical results.
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Resumo Operamos com o conceito de fé(i)tiche, proposto por Latour, para entender o poder de influência e aglutinação de um brinquedo milenar na relação com os humanos que o têm como um objeto de alta significação em suas biografias. Neste artigo, a palavra fetiche foi problematizada para assumir uma versão composta que se traduz, ao mesmo tempo, como fato e feitiço, objeto feito e objeto encantado, passando ao largo das dicotomias entre o que é fabricação e o que é realidade. Na busca por restaurar a integração dos todos que foram cindidos pelo pensamento moderno, opta-se por estudar os fenômenos como efeitos de cadeias cujos mediadores são investigados tendo o mesmo valor enquanto operadores de efeitos. Foram privilegiadas as narrativas de pipeiros coletadas em entrevistas, assim como contribuições encontradas na literatura, realçando o poder de encantamento do papagaio de papel como objeto sagrado que protagoniza eventos e mobiliza afetos e ações.(AU)
Abstract We operate with the concept of fé(i)tiche proposed by Latour to understand the power of influence and agglutination of an ancient toy in its relationship with humans that have it as an object of high significance in their biographies. In this article, the word fetish was problematized to assume a composite version which translates, at the same time, a fact and a sorcery, object made and enchanted object, bypassing the dichotomies between what is reality and what is fabrication. In the quest to restore the integration of wholes that were split by modern thought, is chosen to study phenomena as an effect of chains whose mediators are investigated with the same value as operators of effects. Narratives of kite players collected in interviews have been privileged, as well as contributions in the literature, by highlighting the power of the kite as a sacred object that is protagonist of events and mobilizes feelings and actions.(AU)
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Humans , Male , Female , Adult , Middle Aged , Aged , Affect , Play and Playthings , SocializationABSTRACT
The Kite Runner, written by Khaled Hosseini, is a famous novel for its devastating and painfully honest depiction of identity, betrayal, deception and atonement. The narrative portrays the journey of a boy escaping from his haunted childhood while torturing himself with his own contrition. These two concepts of identity and redemption play a vital role in creating the string that binds the characters together. As a reader of The Kite Runner, one embarks on a journey that leads through the life of the glamorous prosperous Afghanis, as well as the treacherous horrific life of those less fortunate. Most importantly, however, one encounters face-to-face the good and evil that comes out when these two very distinct lives are intertwined. Amir‟s “unatoned sins”, as they are described in the novel‟s opening chapter, have plagued his conscience and cast an oppressive shadow over his joys and triumphs. The phone call interrupts Amir‟s seemingly comfortable life as a married man and newly-published novelist in America, and launches an epic journey back to Afghanistan in search of redemption. The present paper explores guilt and perseverance in The Kite Runner as the motivation for an individual to seek redemption and attain the satisfaction of self-fulfillment. Unfolded through the first person narrative mode , the novel is structured like the memory lane of the protagonist Amir whose sense of remorse and guilt over the sin of leaving behind his ever loyal friend Hassan, for reasons far too vague , force him to commit acts of expiation through return . Amir‟s return to homeland, tarnished and tattered by war, fundamentalism and the turbulence of a Taliban led regime unfolds his journey towards self identity and redemption. Unlike Changez in The Reluctant Fundamentalist, in The Kite Runner, Amir faces no sense of identity crisis in the adopted homeland. Rather he feels himself a stranger when he returns to the changed realities of his home town, Kabul. Amir‟s journey home in search of Hassan‟s surviving son, Sohrab is replete with conflict, violence and violations. In the novel, the border between Afghanistan and Pakistan is a volatile plane of clash and confrontation of identities and loyalties. As Seyham describes,” border carries intrinsically within itself an idea of perpetual motion and confrontation (201). The border thus turns almost into a real space in which the confrontations between cultures , nationalities and languages take place , and in which , ideally the culture of hybridization replaces the traditional idea of a national identity. Amir is a cultural hybrid which makes him distinct and unique. Thus the novel revolves around the central axiom of personal selves permeated by political prejudices and permutations.
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The urban landscape asses a broad spectrum of variable environments ranging from remnant patches to highly modified streetscapes. Population growth and human intervention results in loss of biodiversity. Compare to other vertebrates, Raptors are easily monitored for changes at an ecosystem scale. Biodiversity is being lost at an increased rate as a result of human activities. One of the major threats to biodiversity is infrastructural development. Despite the expansion of urban environments, few studies have examined the influence of urbanization on faunal diversity. In this study we observed that distribution of black kite was fluctuating seasonally and less in disturbed area while high in undisturbed area. Number of Black kites was high in the monsoon while low in summer because of migration of birds from neighboring cities. Our findings show the importance of minimizing human intervention and disturbance for wildlife conservation in relatively undisturbed areas.
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OBJETIVO: Descrever as características das vítimas de acidentes por linhas com cerol atendidas em hospital de trauma de Belo Horizonte, Brasil. MÉTODOS: Estudo seccional com vítimas de acidentes por linhas com cerol no período de 2005 a 2009. Os dados foram coletados retrospectivamente nos prontuários médicos. Foram utilizadas medidas de tendência central e comparação entre proporções para descrever as características das vítimas. RESULTADOS: Foram identificadas 211 vítimas no período estudado, 94% das quais eram do sexo masculino. Houve concentração do atendimento nos meses de junho e julho (37% e 41,7%, respectivamente). A média de idade foi de 15 anos, não havendo diferença entre os sexos. No conjunto das vítimas, os membros superiores foram o local mais prevalente de lesões, mas entre os motociclistas e ciclistas os principais locais de lesão foram o pescoço e a face. Foram registrados 2 óbitos (0,95%), ambos em motociclistas e causados por lesões das estruturas anatômicas do pescoço. O local de residência das vítimas se concentrou em distritos sanitários de Belo Horizonte (Leste, Nordeste e Centro-Sul). CONCLUSÃO: Apesar da benignidade das lesões identificadas no período estudado, podem ocorrer lesões fatais, principalmente em motociclistas. Medidas educativas e preventivas são necessárias para evitar a ocorrência de lesões potencialmente fatais.
OBJECTIVE: To describe the characteristics of victims of powdered glass-coated (manja) kite line injuries admitted to a trauma hospital in Belo Horizonte, Brazil. METHODS: Cross-sectional study of victims with powdered glass-coated kite line injuries between 2005 and 2009. Data were obtained retrospectively from medical records. Central tendency and comparison of ratios were used to characterize victims. RESULTS: 211 victims were admitted between 2005 and 2009, 94% of which males. The majority of cases occurred in June and July (37% e 41.7%, respectively). Mean age was 15 years, with no difference between men and women. For the group of victims as a whole, upper limbs were the most prevalent site of injury, although neck and face injuries were the main site of injury among motorcyclists and cyclists. Two deaths (0.95%) were identified, both in motorcyclists, due to injury to neck structures. Residences were concentrated in three administrative areas (East, Northeast and South-central). CONCLUSION: Although the majority of injuries recorded were not severe, fatal injuries can occur, mainly among motorcyclists. Educational and preventive measures are needed to avoid potentially fatal injuries.
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Adolescent , Adult , Aged , Child , Child, Preschool , Female , Humans , Male , Middle Aged , Young Adult , Athletic Injuries/epidemiology , Wounds and Injuries/epidemiology , Brazil , Cross-Sectional Studies , Glass , Trauma CentersABSTRACT
No Kitesurfing, o indivíduo utiliza o vento para deslizar com uma prancha sobre a água por meio de um kite, que pode ser preso ao praticante pelos equipamentos: trapézio (posicionado em volta da cintura) ou cadeirinha (posicionada em volta do quadril). A diferença entre eles consiste no ponto em que o kite exerce força sobre o indivíduo. O objetivo do presente estudo foi medir a força das linhas do kite (FLK) exercida sobre um praticante em terra, utilizando o trapézio e a cadeirinha em diferentes posições angulares entre o tronco do indivíduo e as linhas do kite. Um praticante foi preso às cordas de um kite, que foram fixadas à parede e ao teto de uma sala. Ele foi solicitado a manter por 8 s o corpo com certa inclinação em relação ao solo de modo a formar ângulos próximos de 35, 45, 60 e 90° entre a linha de ação da FLK e o seu corpo (medidos com um goniômetro manual), utilizando a cadeirinha e o trapézio. Com uma célula de carga foi registrado a FLK exercida sobre o indivíduo (normalizada pelo seu peso) e com uma câmera de vídeo foram verificadas a sua posição angular. Com o trapézio, a força avaliada foi 43,4±0,2%, 48,5±0,5%, 57,1±0,3% e 25,4±0,11% para os ângulos avaliados em ordem crescente; com a cadeirinha, a força foi 51,9±0,2%, 62,1±1,5%, 57,9±0,2% e 28,3±0,1% para os mesmos ângulos. A FLK sobre o praticante variou de 25 a 60% do peso corporal.
During kitesurfing, the athlete propels himself and his board across the water by transferring the energy of the wind into speed by a large controllable kite, which can be attached to the athlete by 2 equipment: the trapeze harness (placed around the waist) or the seat harness (placed around the hip). The difference between them consist on the point where the kite apply force on the athlete, changing the sailing conditions. However, measuring this force is not easy, due to the environment in which the sport is practiced, therefore to evaluate this force on earth is the first step towards the development of a methodology. To measure the Kites lines forces (KLF), applied on the athlete in land, using a trapeze harness and a seat harness in different angular positions between his trunk and the kites lines. One practitioner (22years old; 76kg; 1,79m) was attached to the kites lines, which were linked to the wall and to the ceiling of a room. The practitioner was asked to keep during 8 s the body with determined inclination in relation to the ground to form angles close to 35, 45, 60 and 90 ° between the line of action of KLF and his body (measured by a manual goniometer and similar to the angles that occur in the sport) using a trapeze harness and a seat harness. The KLF was recorded with a dinamometer. Later this force was normalized by the practitioner weight. And with a video camera the body position and angles desired were checked. With the trapeze harness, the forces evaluated were 43,4±0,2%, 48,5±0,5%, 57,1±0,3% e 25,4±0,11% for the angles measured in ascending range; with the seat harness the forces were 51,9±0,2%, 62,1±1,5%, 57,9±0,2% e 28,3±0,1% for the same angles. The KLF on the practitioner ranged from 25 to 60% of the practitioners weight. The next step will be evaluate the forces and practitioners the body position in land with the kite, to later perform measurements in terms of the sport.
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Humans , Male , Young Adult , Muscle, Skeletal , Sports , Stress, Mechanical , Aquatic Environment , Muscle Strength , Nature , Wind , Wounds and InjuriesABSTRACT
Objective To evaluate the use of the kite flap (als o known as subcutaneous pedicled V-Y advancement flap)for the repair of moderate -sized anterior lamellar skin defects of eyelid. Methods Since 1994, kite flaps have been used to repair anterior lamellar skin defects of eyelids in 14 patients. Six patients were male and eight female, with a mean age of 43 years (range 15-64 years). The diameter of the largest defect reache d 1/3 length of the eyelid. The flaps were designed adjacent to the defects and the incision line corresponding to natural winkle lines on the eyelid. We underm ined the flap under the orbicular muscle, and advanced the flap to cover the def ect. The incisions were closed with 7-0 suture. Results After operation, all flaps survived with primary healing. Follow-up for 3 to 12 months showed that all cases had achieved satisfactory cosmetic effects without secondary deformity. Conclusions It is a simple, safe, an d reliable method to use kite flap for the repair of moderate-sized anterior la mellar eyelid skin defects that are too large to achieve primary approximation. Because kite-flap covers the defect through a direct advancement way without ro tation and twist, there are no dog-ear deformitys present at the pedical area a nd the repaired area looks smoothly. Because of its widely based muscle pedicle which incorporates venous and lymphatic drainage over most of its length, the un desirable pigment deposition is avoided.
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Six volatic kite flaps were used to covering the missing lesions of thumb skin. The flaps were collected from dorsum of phalanx 1 and from hand-finger join 2. The flaps involved three feeding components: the dorsal finger 2 artery that separated from radial artery, vein, the nerve branch that separated from radial nerve. These flaps were used effectively for covering the missing lesion of inter-phalangeal joint 1-2. It is more difficult in covering the palm of phalanx 2 of finger 1 because the flap must be collected from far area, the blood supply is poor in distal tip and the flap is stretched. (There was one case in which this flap was used to cover the palm of phalanx 2 of finger 1 had necrosis in distal part of the flap).
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Skin , Thumb , Surgical Flaps , General SurgeryABSTRACT
Objective To evaluate the effect of “flying kite” technique and detachable balloon on embolization of carotid-cavernous fistulas (CCF). Methods 9 cases of CCF were treated by using“flying kite”technique, and 6 cases of CCF were treated by using detachable balloon. Results In “flying kite” treatment group, 8 cases were completely cured, and 1 case was partly cured. In detachable ballon treatment group, all 6 cases were completely cured once. Conclusion The“flying kite”technique was simple method for embolization of CCF, which didn't need special instruments and materials, and was easy to use in the basic hospitals, but it could obstruct carotid artery and lead to CCF recurrence. The embolization of CCF by using detachable balloon had a higher curative rate and recurred rarely, but it needed special instruments and skills. Detachable balloon embolization of CCF is a reliable method for the treatment of CCF. [