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Slang. (of a story, image, etc.) to dominate (the media) or be spread rapidly or widely on (the internet or a website): The scandal has been blowing up the national news reports. His offensive comments blew up Twitter.
In turn, that has served as a major blow to the women selling khat, says Sahra Ahmed Koshin, a doctoral candidate at the University of Copenhagen studying the Somali diaspora who has tracked the lives of several female khat dealers.
However, the distinguishing feature of the Boeotian pertained to its sloping metal rim that extended at the rear to protect the neck while also slightly projecting downwards at the front to deflect blows.
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A blow-in fracture is an inwardly displaced fracture of the orbital rim or wall resulting in decreased orbital volume. The purpose of this study is to classify orbital blow-in fractures, describe the distinguishing clinical and radiologic features, and review the result of treatment. The series consists of 41 patients with blow-in fractures (34 males and 7 females). The mean age of the patients was 36 years. All were treated between 1979 and December of 1986 at Sunnybrook Medical Centre in Toronto. Clinical features of blow-in fractures were primarily related to the decrease in volume of the orbital cavity. Proptosis was a consistent finding, and in 27 percent of patients, the globe was further displaced in a coronal plane. Restricted ocular motility and diplopia were documented in 24 and 32 percent of patients, respectively. Fracture fragments displaced into the orbit resulted in globe rupture in 12 percent of patients, superior orbital fissure syndrome in 10 percent, and optic nerve injury in 1 patient. Blow-in orbital injuries were classified as pure fractures, consisting of an isolated blow-in of a segment of the roof, floor, or walls, or impure fractures, where the orbital rim itself was disrupted. In all cases, early decompression of the orbit and open reduction of fractures was necessary. Late sequelae of blow-in fractures were primarily related to injuries of intraorbital contents. Twelve percent of patients underwent enucleation and 8 percent reported persistent diplopia. Despite the presence of superior orbital fissure syndrome and complete ophthalmoplegia in 10 percent of patients, early orbital decompression resulted in resolution of nerve palsies in all but one patient.
The science on climate change has been clear for a very long time now. Yet despite decades of appeals, mass street protests, petition campaigns, and peaceful demonstrations, we are still facing a booming fossil fuel industry, rising seas, rising emission levels, and a rising temperature. With the stakes so high, why haven't we moved beyond peaceful protest?
In this lyrical manifesto, noted climate scholar (and saboteur of SUV tires and coal mines) Andreas Malm makes an impassioned call for the climate movement to escalate its tactics in the face of ecological collapse. We need, he argues, to force fossil fuel extraction to stop--with our actions, with our bodies, and by defusing and destroying its tools. We need, in short, to start blowing up some oil pipelines.
Offering a counter-history of how mass popular change has occurred, from the democratic revolutions overthrowing dictators to the movement against apartheid and for women's suffrage, Malm argues that the strategic acceptance of property destruction and violence has been the only route for revolutionary change. In a braided narrative that moves from the forests of Germany and the streets of London to the deserts of Iraq, Malm offers us an incisive discussion of the politics and ethics of pacifism and violence, democracy and social change, strategy and tactics, and a movement compelled by both the heart and the mind. Here is how we fight in a world on fire.
Thomas wanders into a park and sees, at a distance, a man and a woman. Are they struggling? Playing? Flirting? He snaps a lot of photos. The woman (Vanessa Redgrave) runs after him. She desperately wants the film back. He refuses her. She tracks him to his studio, takes off her shirt, wants to seduce him and steal the film. He sends her away with the wrong roll. Then he blows up his photos, and in the film's brilliantly edited centerpiece, he discovers that he may have photographed a murder.
Antonioni cuts back and forth between the photos and the photographer--using closer shots and larger blowups, until we see arrangements of light and shadow, dots and blurs, that may show--what? He is interrupted by two girls who have been pestering him all day, and engages in wild sex play as they roll around in crumpled backdrop paper. Then his eyes return to his blowups, he curtly sends them away, he makes more prints, and in the grainy, almost abstract blowups it appears that the woman is looking toward some bushes, there is a gunman there, and perhaps in one photo we see the man lying on the ground. Perhaps not.
Whether there was a murder isn't the point. The film is about a character mired in ennui and distaste, who is roused by his photographs into something approaching passion. As Thomas moves between his darkroom and the blowups, we recognize the bliss of an artist lost in what behaviorists call the Process; he is not thinking now about money, ambition or his own nasty personality defects, but is lost in his craft. His mind, hands and imagination work in rhythmic sync. He is happy.
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With corneal abrasion, which is very common in orbital trauma, patients can be profoundly uncomfortable, making pain control particularly important. If there's a potential orbital floor injury, it's critical the patient avoids or takes great care with nose blowing, so nasal bacteria are not passed upward into the orbit. If the orbital injury is connected in any manner to the sinus or nasal cavity, administer antibiotics.
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White-eyed blow out fracture (WEBOF) is a term for a single or multiple wall orbital fracture with intact orbital rim, with herniation and (typically) entrapment of periorbital soft tissues, restrictive strabismus and a clinically quiet 'white' eye'. There is usually no periorbital ecchymosis or subconjunctival hemorrhage. ICD codes include fracture codes (e.g. S02.40, S02.32) and restricted motility/diplopia codes.
A WEBOF is a type of blow out orbital fracture with orbital soft tissue herniation, which is often but not always associated with an entrapped extraocular muscle-inter muscular septum (EOM-IMS) complex which may result in restrictive strabismus and vasovagal phenomenon, especially in young children..
As with other fractures, a WEBOF is due to trauma. The trauma can be a direct or indirect trauma to the eye and/or periorbital region and commonly occurs during sporting activities. White-eyed blow out fracture (WEBOF) is a term coined by Jordan and colleagues describing the paucity of external findings in setting of an orbital fracture. [1].
Inferior wall blow out fracture: A high (sub tarsal) or low (inferior forniceal) conjunctival incision is made with dissection towards the inferior orbital rim. The periosteum is incised (blade or sharp monopolar cautery) just anterior to the arcus marginalis and elevated over the anterior wall of maxilla and along the floor until anterior end of fracture site is identified. Depending on the size of the defect the orbital contents may be elevated with a hand-over-hand technique. If difficult and the bony defect is small, aggressive elevation of soft tissue should not be performed. Instead the bony defect may be enlarged by manoeuvring the trapdoor towards the maxillary sinus with a 'push and sweep technique' releasing the orbital soft tissue with atraumatic return of orbtial contents. Care should be taken to avoid rupturing the herniated muscle and damaging the infraorbital neuromuscular bundle. The entire orbital defect should be directly visualised identifying the anterior, medial, lateral and posterior edges with complete release or orbital contents an normal forced duction tests. Aggressive intrazonal tissue manipulation should be avoided to minimise damage to the extra ocular muscle and ciliary ganglion.
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