In the sense of destitution, human wretchedness, and powerlessness, poverty is a permanent feature of medieval society, inescapable for many men and women. Some virtuous, self-denying people voluntarily chose a life o...In the sense of destitution, human wretchedness, and powerlessness, poverty is a permanent feature of medieval society, inescapable for many men and women. Some virtuous, self-denying people voluntarily chose a life of poverty, usually with a sense of advancing in Christian spirituality. Often associated in moral writing with covetousness, poverty figures among the vices to avoid. In literary works, some instances of poverty and its victims have acquired exemplary value, as is the case of Yvain＇s encounter with three hundred women silk workers in Chr6tien de Troyes＇s 12th-century romance Le Chevalier au lion and its socio-economic implications. Two particular literary contexts are studied here： firstly, where poverty is a temporary condition, susceptible to change, that is improvement, by virtue of courtly-chivalrous action; and secondly, where poverty provides an effective means of disguise, despite possible dangers. While serving the narrative purpose, an ever-present aspect of reality was thus impressed on the audience展开更多
Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and ca...Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.展开更多
文摘In the sense of destitution, human wretchedness, and powerlessness, poverty is a permanent feature of medieval society, inescapable for many men and women. Some virtuous, self-denying people voluntarily chose a life of poverty, usually with a sense of advancing in Christian spirituality. Often associated in moral writing with covetousness, poverty figures among the vices to avoid. In literary works, some instances of poverty and its victims have acquired exemplary value, as is the case of Yvain＇s encounter with three hundred women silk workers in Chr6tien de Troyes＇s 12th-century romance Le Chevalier au lion and its socio-economic implications. Two particular literary contexts are studied here： firstly, where poverty is a temporary condition, susceptible to change, that is improvement, by virtue of courtly-chivalrous action; and secondly, where poverty provides an effective means of disguise, despite possible dangers. While serving the narrative purpose, an ever-present aspect of reality was thus impressed on the audience
文摘Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.
