126 resultados para Cervical manipulation


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Figurentheater für ein erwachsenes Publikum findet vermehrt auch auf den institutionalisierten Bühnen des Sprech-, Tanz- und Musiktheaters statt. Diese Entwicklung steht symptomatisch für eine in allen Künsten beobachtbare Tendenz, Genre- und Formgrenzen zu öffnen. Mit der Auflösung strikter Grenzziehungen zwischen den Künsten sowie der Enthierarchisierung der Theatermittel in postdramatischen Formen werden mittlerweile verstärkt auch in Schauspielinszenierungen Puppen, die gleichberechtigt neben den menschlichen Darsteller_innen agieren, eingesetzt (z. B. Frankenstein, Regie: Philipp Stölzl, Theater Basel 2014; Die Brüder Löwenherz, Regie: Ingo Berk, Puppen: Mervyn Millar, Schauspielhaus Zürich 2014; Der Untergang des Hauses Usher, Regie und Puppen: Suse Wächter, Residenztheater München 2015; Merlin oder das wüste Land, Regie: Jan-Christoph Gockel, Puppen: Michael Pietsch, Schauspielhaus Graz 2015). Der seit etwa 20 Jahren beobachtbare massive Entwicklungsschub im west- und zentraleuropäischen Figurentheater ist eng verknüpft mit der Form der offenen Manipulation, bei der Puppenspieler_innen sichtbar die Spielfigur animieren. Inspiriert ist diese offene Spielweise vom traditionellen japanischen Figurentheater Bunraku, bei dem drei sichtbare Puppenspieler eine Figur animieren. Das Bühnengeschehen wird von einem am Seitenrand der Bühne platzierten Rezitator, welcher die Handlung erzählt und den Text aller Figuren spricht, sowie von einem Shamisen-Spieler begleitet. Während für Vertreter der historischen Avantgarde wie beispielsweise Edward Gordon Craig die Puppe aufgrund ihrer Kontrollierbarkeit als Schauspielerersatz von Interesse war, rückt im zeitgenössischen, offen manipulierenden Figurentheater der Fokus auf die Konfrontation von menschlichen Darsteller_innen und Kunstkörpern. Der Beitrag möchte das evidente Interesse der zeitgenössischen Theaterpraxis an der figurentheaterspezifischen Spielweise der offenen Manipulation zum Ausgangspunkt nehmen, um deren Potenzial zur Fragmentierung, Collagierung und Hybridisierung von Körperkonstruktionen und Körperdarstellungen sowie die damit einhergehenden Fragen nach Subjekt- versus Objektstatus zu untersuchen. Abschliessend soll der Frage nachgegangen werden, welche tradierten schauspieltheoretischen Setzungen mit Blick auf die Möglichkeiten der offenen Manipulation als theatrale Praktik im Sprechtheater einer Revision unterzogen werden müssen.

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BACKGROUND CONTEXT Several randomized controlled trials (RCTs) have compared patient outcomes of anterior (cervical) interbody fusion (AIF) with those of total disc arthroplasty (TDA). Because RCTs have known limitations with regard to their external validity, the comparative effectiveness of the two therapies in daily practice remains unknown. PURPOSE This study aimed to compare patient-reported outcomes after TDA versus AIF based on data from an international spine registry. STUDY DESIGN AND SETTING A retrospective analysis of registry data was carried out. PATIENT SAMPLE Inclusion criteria were degenerative disc or disc herniation of the cervical spine treated by single-level TDA or AIF, no previous surgery, and a Core Outcome Measures Index (COMI) completed at baseline and at least 3 months' follow-up. Overall, 987 patients were identified. OUTCOME MEASURES Neck and arm pain relief and COMI score improvement were the outcome measures. METHODS Three separate analyses were performed to compare TDA and AIF surgical outcomes: (1) mimicking an RCT setting, with admission criteria typical of those in published RCTs, a 1:1 matched analysis was carried out in 739 patients; (2) an analysis was performed on 248 patients outside the classic RCT spectrum, that is, with one or more typical RCT exclusion criteria; (3) a subgroup analysis of all patients with additional follow-up longer than 2 years (n=149). RESULTS Matching resulted in 190 pairs with an average follow-up of 17 months that had no residual significant differences for any patient characteristics. Small but statistically significant differences in outcome were observed in favor of TDA, which are potentially clinically relevant. Subgroup analyses of atypical patients and of patients with longer-term follow-up showed no significant differences in outcome between the treatments. CONCLUSIONS The results of this observational study were in accordance with those of the published RCTs, suggesting substantial pain reduction both after AIF and TDA, with slightly greater benefit after arthroplasty. The analysis of atypical patients suggested that, in patients outside the spectrum of clinical trials, both surgical interventions appeared to work to a similar extent to that shown for the cohort in the matched study. Also, in the longer-term perspective, both therapies resulted in similar benefits to the patients.

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The merozoite stage of the malaria parasite that infects erythrocytes and causes the symptoms of the disease is initially formed inside host hepatocytes. However, the mechanism by which hepatic merozoites reach blood vessels (sinusoids) in the liver and escape the host immune system before invading erythrocytes remains unknown. Here, we show that parasites induce the death and the detachment of their host hepatocytes, followed by the budding of parasite-filled vesicles (merosomes) into the sinusoid lumen. Parasites simultaneously inhibit the exposure of phosphatidylserine on the outer leaflet of host plasma membranes, which act as "eat me" signals to phagocytes. Thus, the hepatocyte-derived merosomes appear to ensure both the migration of parasites into the bloodstream and their protection from host immunity.

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The generation of rodent Plasmodium strains expressing fluorescent proteins in all life cycle stages has had a big impact on malaria research. With this tool in hand, for the first time it was possible to follow in real time by in vivo microscopy the infection route of Plasmodium sporozoites transmitted to the mammalian host by Anopheles mosquitoes. Recently, this work has been extended to the analysis of both hepatocyte infection by Plasmodium sporozoites, as well as liver merozoite transport into blood vessels. The stunning results of these studies have considerably changed our understanding of hepatocyte invasion and parasite liberation. Here, we describe the most important findings of the last years and in addition, we elaborate on the molecular events during the intracellular development of Plasmodium exoerythrocytic forms that give rise to erythrocyte infecting merozoites.