54 resultados para Oeuvre narrative


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Charles Taylor’s monumental book A Secular Age has been extensively discussed, criticized, and worked on. This volume, by contrast, explores ways of working with Taylor’s book, especially its potentials and limits for individual research projects. Due to its wide reception, it has initiated a truly interdisciplinary object of study; with essays drawn from various research fields, this volume fosters substantial conversation across disciplines.

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Guidelines on the diagnosis and management of urinary tract infections in childhood do not address the issue of abnormalities in Na(+), K(+), Cl(-) and acid-base balance. We have conducted a narrative review of the literature with the aim to describe the underlying mechanisms of these abnormalities and to suggest therapeutic maneuvers. Abnormalities in Na(+), K(+), Cl(-) and acid-base balance are common in newborns and infants and uncommon in children of more than 3 years of age. Such abnormalities may result from factitious laboratory results, from signs and symptoms (such as excessive sweating, poor fluid intake, vomiting and passage of loose stools) of the infection itself, from a renal dysfunction, from improper parenteral fluid management or from the prescribed antimicrobials. In addition, two transient renal tubular dysfunctions may occur in infants with infectious renal parenchymal involvement: a reduced capacity to concentrate urine and pseudohypoaldosteronism secondary to renal tubular unresponsiveness to aldosterone that presents with hyponatremia, hyperkalemia and acidosis. In addition to antimicrobials, volume resuscitation with an isotonic solution is required in these children. In secondary pseudohypoaldosteronism, isotonic solutions (such as 0.9 % saline or lactated Ringer) correct not only the volume depletion but also the hyperkalemia and acidosis. In conclusion, our review suggests that in infants with infectious renal parenchymal involvement, non-renal and renal causes concur to cause fluid volume depletion and abnormalities in electrolyte and acid-base balance, most frequently hyponatremia.

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Milan Kundera emigrierte 1975 nach Frankreich. Der Zeitpunkt seiner Emigration trifft mit jenem zusammen, in dem sich in seiner Arbeit Überlegungen zu Exil, Grenzen und Raum entwickeln. In seinen politischen Schriften hebt er die Veränderung der europäischen Grenzen nach dem Zweiten Weltkrieg hervor sowie den Umstand, dass sich die Tschechoslowakei und Zentraleuropa in der Sowjetunion im „Exil“ befinden. In seinen Exilromanen bewegen sich die Figuren zwischen heimischem und exilischem Raum, und diese territoriale Grenzüberschreitung wird systematisch von einem metaphysischen Grenzübergang begleitet. Schliesslich zeigt Kundera in seinen Erwägungen zur Literatur, dass literarische Werke, um in ihrer ganzen Vielfalt berücksichtigt zu werden, in anderen Kulturräumen als ihrem eigenen zirkulieren müssen. Diese „Reise“ durch Kunderas Werk wird uns denn auch dazu bringen, über mögliche paradigmatische Figuren des zeitgenössischen Exils nachzudenken.