RESUMO
Feyerabend's interests in religion and mysticism grew through his career. In his later writings, Feyerabend's numerous critiques of scientific materialism are often accompanied by purported advantages of religious orientations and temperaments. These recommendations do not simply follow from his tolerant theoretical pluralism; they are more positive attempts to articulate distinctive aspects of human life satisfied by religion, but not by scientific materialism. Elevating the human need for mystery, reverence, and love, he contrasts these goods with the deliverances of monistic conceptions of science and reason. I bring attention to some of the common themes in these remarks to argue that they were integral with other parts of his philosophical project and that they could serve as helpful rejoinders to contemporary exhortations to science-based secularism from philosophers of science.
Assuntos
Misticismo/história , Filosofia/história , Religião/história , História do Século XX , Ciência/históriaRESUMO
PURPOSE: To report the frequency of endoleaks after endovascular aneurysm repair (EVAR) with the AneuRx graft. MATERIAL AND METHODS: The study group included 121 consecutive patients treated with the first-generation AneuRx graft before December 2005, which ensured a potential minimum follow-up of 5 years. RESULTS: Thirty-seven patients (31%) had 45 different endoleaks at varying times in their follow-up. There were 18 type I endoleaks (15%), 56% of which developed more than 5 years after EVAR. All 12 type Ia endoleaks were associated with dilation of the neck of the aneurysm by a mean of 8.5 mm at a median follow-up of 4 years. Ten of the 12 type Ia endoleaks were judged to have very favorable necks for EVAR. Five additional patients being followed had documented neck dilation and/or migration without evidence of endoleak or aneurysm enlargement. All type II endoleaks were noted in the first 2 years, and one persisted untreated for 9 years. CONCLUSIONS: Type I endoleaks continue to appear over time, and 56% occurred at 5 years or later after EVAR. All were associated with dilation at the attachment site, and all type Ia endoleaks had migration. As type Ia endoleaks may not always be amenable to endovascular repair, EVAR should be considered a less attractive option for some patients whose life expectancy is predicted to exceed 10 years.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Prótese Vascular/efeitos adversos , Endoleak/etiologia , Falha de Prótese , Enxerto Vascular/efeitos adversos , Enxerto Vascular/instrumentação , Idoso , Idoso de 80 Anos ou mais , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Endoleak/diagnóstico por imagem , Análise de Falha de Equipamento , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Radiografia , Resultado do TratamentoRESUMO
Late aneurysm formation is a well-described complication after surgical correction of aortic coarctation. Endovascular repair of such aneurysms avoids the morbidity of conventional reoperative thoracic surgery. We describe a unique case of antegrade endovascular repair of a distal coarctation-associated aneurysm with vascular access acquired through the aortic arch by an upper hemi-sternotomy.
Assuntos
Angioplastia/métodos , Aneurisma da Aorta Torácica/cirurgia , Coartação Aórtica/complicações , Osteotomia , Stents , Esterno/cirurgia , Idoso , Aorta Abdominal/patologia , Artéria Axilar/cirurgia , Implante de Prótese Vascular , Neoplasias da Mama/cirurgia , Feminino , Artéria Femoral/cirurgia , Humanos , Hipertensão/cirurgia , Artéria Ilíaca/patologia , Mastectomia , Neoplasias Primárias Múltiplas/cirurgia , Complicações Pós-Operatórias/cirurgiaRESUMO
We report a case of spontaneous superior pole renal artery dissection in a healthy forty-one year old man. Spontaneous renal artery dissection is a rare event occurring in patients with hypertension or renovascular disease such as fibromuscular dysplasia. This case demonstrates the importance of maintaining renovascular accidents as part of the differential diagnosis of abdominal pain.