Deformities

Artikkel annab ülevaate narratiivteraapia teoreetilistest alustest ja selle meetodi kasutamisest seoses kehakuvandi  kujunemisega  teisme- ja noorukieas. See on kirjutatud sooviga aidata kaasa teooria ja praktika lõimimisele kliinilises ja rakenduslikus sotsiaaltöös. Ülevaade põhineb narratiivteraapia kasutamise juhistel ja kirjandusallikatel, ühtlasi on artiklis kirjeldatu ka minu doktoriõpingute teema.
Tutvustan analüüsi aluseks olevat teaduskirjandust ja materjale narratiivteraapia kohta, alustades selle poststrukturalistliku teraapiameetodi kõige üldisemast raamistikust ning liikudes kitsamate kehakuvandit puudutavate alateemadeni. Narratiivteraapia põhimõtteid saab kasutada nii töös inimestega, kellel on moonutatud arvamus oma välimusest (nn keha düsmorfiline häire) kui ka näiteks kaasasündinud rindkere moonutusega inimeste puhul: mõlemal juhul võib tulla kõne alla kas kirurgiline või mittekirurgiline korrektsioon. Jättes kõrvale meditsiinilised sekkumised, analüüsin oma uurimistöös nii kirjandusest pärinevaid kui ka teraapia eri osapooltelt (noorukid ise, nende pered, terapeudid ja arstid) kogutud andmeid selle kohta, kuidas narratiivteraapia soodustab positiivse kehakuvandi kujunemist teismelistel ja noorukitel, võttes arvesse ka teraapias osalevate noorte sotsiaalkultuurilist konteksti. Kuna narratiivteraapia põhimõtteid saab kasutada igasuguse nõustamise puhul, siis pakuvad artikli järeldused huvi lugejatele, kes soovivad rohkem teada saada sellest lähenemisviisist ja selle kasutamise võimalustest rakenduslikus sotsiaaltöös.

The congenital malformation leading to cleft-lip and palate (CL/P) is one of the most common of all congenital deformities (Ardinger et al, 1989; Hagberg et al, 1998, Muir, 1974; Watson, 2004), which appears in the first trimester of pregnancy and is thought to start ‘during the fourth week of intrauterine life’ (Muir, 1974: 107). It is estimated that there are around 85,000 people in the UK with a cleft if you use the 2001 census figures (CLAPA, 2009), though a more accurate figure can be given once the 2011 census is released. The prevalence and incidence of the deformity show slight variations between the year of the research and indeed the location. The lowest of recorded incidences states that CL/P affects approximately 1/800 births (Muir, 1974); slightly under-representative to other research that indicates occurrence is 1/750 live births (Davies, 1985; Speltz at al, 1997) and 1/700 births respectively (Sargent, 1999). Ardinger et al (1989) leaves capacity for fluctuation by presenting the incidence of a cleft-lip with or without a cleft-palate at 1/700 – 1/1000 babies. Differing from these results, other research predict that clefts affect 1.7/1000 (Henriksson, 1971), 1.89/1000 (Jenson et al, 1988) and 2/1000 newborns (Hagberg et al, 1998).

OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles. METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions , with 3 questions specifically evaluating interest in narrative therapy. RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05). CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisci-plinary model.

Lesser toes that are longer than the great toe can present both functional and painful problems. The toes can be categorized as rigid or flexible deformities. The preferred method to correct the rigid deformities is to fuse the proximal interphalangeal (PIP) joint. The flexible deformity offers another option of proximal phalanx shortening with soft tissue balancing. This paper details the technique of joint sparing correction of symptomatic flexible toes.

MOURÃO, Cátia – AVTEM NON SVNT RERVM NATVRA - Figurações heteromórficas em mosaicos hispano-romanos, Vols. I e II, Dissertação de Doutoramento em História da Arte da Antiguidade apresentada à Faculdade de Ciências Sociais e Humanas da Universidade Nova de Lisboa, Lisboa, 2010.

PALAVRAS-CHAVE
Bestiário fantástico; híbridos; monstros; deformidades; metamorfoses; iconografia; mosaicos romanos.

RESUMO
Na presente dissertação de Doutoramento em História da Arte da Antiguidade são analisadas, do ponto de vista formal, compositivo, temático e simbólico, as figurações heteromórficas (teratologias, hibridismos, metamorfoses em progressão e algumas variantes decorativas) registadas num vasto conjunto de mosaicos da antiga Hispânia romana, território hoje correspondente a Portugal e Espanha.
Começando por distinguir as diferenças entre fenómenos reais e recriações míticas de excepção à norma morfológica de cada espécie, e por salientar as relações psicossomáticas das personagens representadas – numa correspondência entre integridade corporal e moralidade, ou corrupção física e imoralidade, e entre beleza, virtude e prémio, ou fealdade, vício e castigo, características que enfatizam o papel dos protagonistas como seres civilizados ou bárbaros e como coadjuvantes ou oponentes dos heróis na narrativa mitológica, em todo o caso promotores de uma noção de equilíbrio baseada na harmonia dos opostos –, o estudo permite não só reconhecer o valor destas criaturas como alegorias morais, mas também perceber a sua função didáctica na formação das mentalidades greco-romanas, e ainda aferir o grau de aculturação nas Províncias mais ocidentais do Império Romano.
Torna-se igualmente possível determinar as incidências de cada figura por tema e área geográfica, definir as preferências dos encomendantes e avaliar os conhecimentos dos artesãos sobre os modelos, constatar a proximidade ou o afastamento em relação a outros mosaicos extra-peninsulares e a outras formas artísticas e literárias coevas, assim como entender a evolução diacrónica e sincrónica da iconografia dos seres com morfologias imaginárias até à Idade Média.

---

KEYWORDS
Fantastic bestiary; hybrids; monsters; deformities; metamorphosis; iconography; roman mosaics.

ABSTRACT
In this doctor's degree thesis in Art History of Antiquity we analyse the formal, compositional, thematic and symbolic dimensions of the heteromorphic figurations (teratologies, hybridisms, metamorphosis in progress and some decorative variations) registered in a vast range of mosaics found in roman Hispania, nowadays corresponding to Portugal and Spain.
Beginning with a distinction between real and mythical exceptions to the morphological pattern of each specie and with an enhancement of the psychosomatic manifesttations in these figures – in a correspondence between body integrity and morality, or physical corruption and immorality, and between beauty, virtue and prize, or ugliness, vice and punishment, characteristics that emphasise the role of the protagonists as civilized or barbarian and as adjuvants or opponents to the heroes in the myths, in any case promoters of a sense of balance based on the harmony of opposites –, the study allows us not only to recognize the value of this creatures as moral allegories, but also to understand their didactical function in educational training of greco-roman ethical awareness, and even determine the degree of acculturation in the most occidental Provinces of the Roman Empire.
It is also possible to check the incidence of each figure by subject and geographical area, to know the commissioners’ preferences and assess the craftsmen’s knowledge of the models, to point out the similarities and differences from other foreign mosaics, the compliance or deviation from other coeval art and literature, and to track the diachronic and synchronic evolution of the iconography of the mythological creatures with unreal morphologies until the Middle Ages.

This ain’t new to talk about, that technology and evolution has gone beyond our imagination uptil now. Everyone has hooked badly to the technology and materialistic world. And ofcourse it has cut short times in many of the processes that often used to go longer when it comes to get done with the process. t is amazing how things are going faster and faster. We are living so fast, ain’t we?
Things have become easy and fast in every part of the world, yeah!, Healthcare industries have boomed with portentous equipment & machines with the help of people who work in collaboration with information technology and this way, it has become easy to come up with solutions, be it into healthcare, mechanical world or any other industrial domain.

Trend now!! Well healthcare is going to face a big challenge in tackling with issues coming up in terms of healthcare problems, deformities, diseases that have been detected for the first time and have no solution right now. It will need another span of time to study the particular disease and issues and to come up with solution.

One disease comes and research starts on that, by the time solution comes, it would start coming with cases in some part of the world with sever deformities and sometimes that is through the same virus but different strain of the virus. Mind, strains designed manually during research and developed due to mutations are horrible in terms of result in human and in animals.