Sunday, June 21, 2009

FRATURA PENIANA - EXISTE???


Sim, existe (infelizmente). E depois de ler o relato de uma leitora assídua sobre o que aconteceu com ela e seu namorado (poor man), resolvi falar um pouco sobre o assunto. Aliás, quero já agradecer a colaboração do Médico Urologista e amigo Dr. Mauro César Sampáio.
#
Um pouco de anatomia
#
Um corte transversal do pênis mostrará a pele e tecido subcutâneo, e logo abaixo desta, uma capa fibrosa muito resistente chamada túnica albugínea. E abaixo desta, aparecem os famosos corpos cavernosos, cuja função é receber o sangue para causar a ereção. No centro deste corte, apareceria a uretra.
#
Mecanismo de Lesão
#
Na quase totalidade dos casos, a lesão acontece durante o ato sexual. Também na quase totalidade dos casos, a mulher está por cima na hora da lesão. Ocorre um traumatismo do pênis contra a região perineal ou a sínfise púbica da mulher, o que causa uma dobra súbita no coitado do pênis, neste momento em ereção total. A túnica albugínea suporta até mais ou menos 1500 mmHg de pressão até se romper. Em boa parte dos casos, apenas a túnica se rompe, mas pode ocorrer ruptura dos corpos cavernosos e até da uretra.
#
Diagnóstico
#
Os dois primeiros sinais são nítidos. Um estalo audível e dor súbita. A flacidez ocorre instantaneamente. O paciente pode ter dificuldade para urinar ou saída de sangue na urina, o que sugere lesão uretral. Lesões tardias podem apresentar-se como disfunção erétil, desvio peniano ou a presença de uma placa fibrosa. Pode ocorrer extra-vazamento de sangue para a bolsa escrotal.
#
À inspeção, o pênis apresenta-se inchado, dolorido e com aspecto de machucado. Pode-se sentir o defeito à pal-pação, mas normalmente dói tanto que não se consegue examinar.
#
Tratamento
#
O tratamento de eleição é a exploração cirúrgica imediata da lesão. A fratura peniana é uma EMERGÊNCIA. Tratamentos não operatórios podem elevar sobremaneira o índice de complicações. A abordagem mais comum é através de uma incisão circunferencial no pênis, desenluvando-o (mais ou menos como se desencapa um fio elétrico), e assim tendo acesso direto à lesão. Drena-se o hematoma e sutura-se a lesão com fio absorvível. Se houver lesão de uretra, faz-se também o reparo. Há alguma discussão quanto ao tempo para retorno à atividade sexual, com alguns artigos defendendo que o período de duas semanas é mais do que adequado. Porém, a maioria dos urologistas prefere recomendar um período de 6-8 semanas de abstinência, até para o homem poder se recuperar do trauma psicológico de experiência tão desagradável. É aquela história, o cara que quebrou a perna numa bola dividida, não vai entrar numa dividida no seu primeiro jogo de volta, não é?
#
Complicações e Prognóstico
#
90% dos pacientes evoluem satisfatoriamente após o tratamento operatório, tendo ereções normais e podendo fazer sexo sem dor. O aparecimento de uma curvatura peniana pode ocorrer em até 5% dos casos. Em 0 a 5% dos casos pode ocorrer disfunção erétil, com causa vascular em 2/3 destes. É importante registrar que seqüelas psicoló-gicas do evento podem afetar a performance sexual da pessoa, também causando disfunção. Outras complicações mais raras são dor ao coito, priapismo e fístulas penianas, mas felizmente são raras.
#
Resumindo
#
Caro leitor, poderia discursar horas e horas sobre o que se passa na cabeça de um homem que perde sua capacidade sexual. Simplesmente é como se nossa masculinidade tivesse sido abduzida de súbito, e isso fala por si só, é capaz de transformar o campeão mundial de Vale-Tudo num frango indefeso pronto para o abate. Agora, tente explicar isso à sua companheira.
#
#
#

Wednesday, June 17, 2009

MySpace SET TO LAY OFF 400 WORKERS

The .latest .step .in Rupert Murdoch’s effort to turn around the fortunes of his digital businesses came Tuesday in the form of hefty layoffs at MySpace.
#
MySpace, the social networking site owned by News Corpor-ation, the media conglomerate controlled by Mr. Murdoch, said it was laying off roughly 400 em-ployees, or nearly 30 percent of its staff. After the layoffs, MySpace will have about 1,000 workers.
#
The company said the layoffs were an attempt to return to a “start-up culture.” In a statement, Owen Van Natta, a former Facebook
executive who became chief executive of MySpace in April, said: “Simply put, our staffing levels were bloated and hindered our ability to be an efficient and nimble team-oriented company. I understand these changes are painful for many. They are also necessary for the long-term health and culture of MySpace. Our intent is to return to an environment of innovation that is centered on our user and our product.”
#
MySpace, which was acquired by News Corporation in 2005 for $580 million, was once the pre-eminent social networking site. But more recently it has lost some luster to Facebook, and at the same time has come up short of News Corporation’s financial projections.

#
Until recently, MySpace still had an advantage over Facebook in the United States, although Facebook had more users globally. But recently, according to comScore
, Facebook has matched MySpace in the United States, with about 70 million members.
#
MySpace’s identity is closely associated with entertainment and music — a place where, for example, an upstart band would go to find a following. But Facebook has become the gathering place for users who want to share photos and connect with long-lost friends.

#
“Right now, MySpace has been attempting to compete to be the biggest social networking site,” said Josh Bernoff, an analyst at Forrester Research
“I don’t think that’s been successful. If MySpace is about your entertainment life, Facebook is about your whole life.”
#
Financially, MySpace is said to be profitable but has fallen short of expectations at a time when some of News Corporation’s other business, like newspapers and local television, have been a drain on the company’s earnings.

#
Last year, Fox Interactive Media, the unit that includes MySpace, fell about 10 percent short of a $1 billion revenue projection. In the latest quarter the company did not break out revenue for the unit, but did say that revenue at an operating division, of which Fox Interactive Media is a large component, decreased by $254 million, or 35 percent.

#
In the previous quarter, the unit had declines in both revenue and operating income. In addition, News Corporation also cut jobs at the unit. “We are examining the operating structure of Fox Interactive Media and its role as a corporate umbrella for a number of our digital businesses,” said Dan Berger, a spokesman for the unit. “In conjunction with the MySpace staff cuts this week, we reduced our corporate F.I.M. staff and also assigned certain positions to specific business units,” he added, referring to Fox Interactive Media.

#
To revamp MySpace, Mr. Murdoch has lately engineered a series of management changes. In April, News Corporation appointed Jon Miller, the former chief executive of America Online
, as the chief digital officer of the company, overseeing MySpace and the com-pany’s other Internet businesses — Photobucket, IGN Entertainment and the company’s interest in Hulu, the online video partnership with NBC Universal.
#
Mr. Miller wasted little time in making changes. Just weeks later he pushed out Chris DeWolfe, one of the founders and then the chief executive of MySpace. Tom Anderson, another founder of the social networking site, has stayed on.

#
#
http://topics.nytimes.com/top/news/business/companies/myspace_com/index.html
#
http://query.nytimes.com/search/sitesearch?query=facebook.com&st=cse-related

PATÉTICO

É como classifico o discurso do “ilustríssimo” Senador José Sarney. Sim-plesmente patético, pra não falar em vergonhoso, hipócrita, sem vergo-nha e porque não, cara-de-pau!!!
#
“...com tantos anos de vida pública, não pode ser julgado...” Porque não? Tem que ser julgado sim! Aliás ele se esquece que é exatamente o que caracteriza um cargo público – estar constantemente sob julgamento da nação, que paga seu salário através dos impostos. Sarney, como os demais, estão onde estão pra servir aos interesses da nação, e não aos próprios, que é o que temos visto.
#
Outro ponto patético de seu discurso foi querer se excluir de todas as acusações, dizendo tudo “diz respeito ao passado” e não à sua administração. Ora, ele está presidindo o Senado pela terceira vez, desde 1995! Será que ele se esquece que, das 181 “diretorias” recentemente encontradas, pelo menos 50 foram criadas por ele; que esse “ex-poderoso” Agaciel Maia, foi nomeado por ele; que seu neto foi sim, empregado com um documento secreto; que duas sobrinhas também foram; que ele recebia auxílio moradia indevidamente, comprovado em seu holerite (que afirma de pés juntos que não sabia); que usou seguranças do Senado pra proteger suas casas no Maranhão... Como pode vir a público e dizer que “não tem nada com isso”?
#
Ele não tem o direito de dizer que a crise não é dele. É evidente que ele é o principal responsável por essa crise – não é o único – mas é! E eu me pergunto: o que vai acontecer agora? NADA! Absolutamente nada, como sempre! Ontem mesmo antes do Senador Sarney fazer seu patético discurso, todo o seu grupo liderado pelo Senador Renan Calheiros (é, ele mesmo!!!) já estava no plenário fazendo ameaças aos outros senadores, dizendo coisas do tipo “olha, se não apoiarem, vai sobrar pra todo mundo”. Mas o que é que é isso? A que ponto chegamos? Tem é que sobrar mesmo! Gostaria muito de saber o que O senador Sarney o e Senador Renan Calheiros têm contra os outros senadores.

#
O mais absurdo de tudo são palavras como “eu não sabia”, “eu não pedi”, “eu não vi”
... típicas do (assim chamado) Presidente Lula (o da Silva, o da marolinha). Uma coisa ninguém pode negar: a máscara caiu! Caiu pra todo mundo, a começar pelo Senador Sarney.

#
E os escândalos não param. Não foram apenas seu neto e suas sobrinhas que receberam cargos públicos. O mais novo nome da lista é o de Virgínia Murad de Araújo, que em 2007 foi nomeada assistente parlamentar do gabinete da liderança do governo no Congresso, à época ocupada por Roseana, e que hoje está no gabinete de Mauro Fecury, que assumiu a vaga de Roseana. Outro nome, Isabella Murad Cabral Alves dos Santos, arquiteta, de 25 anos, que vinha ganhando salário do Senado, apesar de morar em Barcelona, na Espanha. Isabella estava lotada na liderança do PTB. Foi nomeada em fevereiro de 2007. Na época, o líder do PTB era o senador Epitácio Cafeteira (MA), aliado de Sarney. Esse ainda teve a pachorra de afirmar "nunca ter dado falta da Isabella no gabinete". E a história continua...
#
Resumindo, é uma falta de respeito à minha inteligência e à de todo cidadão brasileiro, que trabalha, que paga seus impostos e que ainda é obrigado a comparecer às urnas pra votar. Votar em quem? Nesses que estão aí? Lembrem-se: temos eleições em 2010!
#
#

Monday, June 8, 2009

A NEW ANGLE ON HISTORY

Twenty years ago, on June 5, 1989, following weeks of huge protests in Beijing and a crackdown that resulted in the deaths of hundreds, a lone man stepped in front of a column of tanks rumbling past Tiananmen Square. The moment instantly became a symbol of the protests as well as a symbol against oppression worldwide — an anonymous act of defiance seared into our collective consciousnesses.
#
“It all started with
a man in a white shirt who walked into the street and raised his right hand no higher than a New Yorker hailing a taxi,” James Barron wrote the following day in The New York Times. The picture appeared on the front page of this newspaper as well as in countless other publications around the world.
#
To this day, the identity and fate of the man in the picture remain unclear. A riveting documentary,
The Tank Man,” by PBS Frontline in 2006 explored his fate. Yet still no one knows for certain who he is or what exactly happened to him. The image is largely blocked on the Internet in China. Despite its iconic status and historical significance elsewhere, most young people there do not recognize the photograph.
#
There was not just one “tank man” photo. Four photographers captured the encounter that day from the Beijing Hotel, overlooking Changan Avenue (the Avenue of Eternal Peace), their lives forever linked by a single moment in time. They shared their recollections with The Times through e-mail.
#
#
Charlie Cole was in Beijing on June 5, 1989 for Newsweek magazine. His version of the moment is tight — three stacked tanks, painted lines in the road emphasizing the direction of the tanks, all paths leading towards one man. The details are clear and striking: the red star on the tank and the bags held by the man, making it seem like his protest was an afterthought on the way home from work or from the market. Simple, striking, and powerful.
#
#
Stuart Franklin’s photograph feels like a painting. Mr. Frank-lin, a Magnum photographer on assignment to Time magazine, was shooting from the rooftop with Mr. Cole. He gives us the entire scene. The lone figure’s small space in the frame emphasizes what he’s up against — a burned bus looms in the background, broken remains of the previous night’s violent clashes. Shadows dominate the left side, like storm clouds.
#
#
Jeff Widener framed his picture a little tighter, similar to Mr. Cole’s, but with an additional tank in the frame and a street light protruding mysteriously from the bottom. Mr. Widener’s version, shot for The Associated Press, was probably the most circulated of the four. It was made from a lower floor of the hotel, closest to the ground, and captured a face-to-face meeting between the lone man and the driver of the first tank.
#
#
Arthur Tsang Hin Wah of Reuters was beaten two nights earlier by students who mistook him for a spy. His photograph of the tank man, divided into thirds by two light poles, was taken seconds before the others, as the tanks jostled for position behind the lone man. The burned bus looms heavy in Mr. Tsang’s version.
#
#
Terril Jones had only shown the photograph to friends.
#
While working as a reporter in Beijing during the Tiananmen Square protests of 1989, he shot many photographs and recorded several hours of video. It wasn’t until weeks afterwards, when he had returned to Japan, that he discovered the magnitude of what he had captured — an iconic moment in history from an entirely unique angle.
#
His version of the tank man has never been published until now. For 20 years the negatives rested in Mr. Jones’ belongings, following him across the world throughout his career as a journalist. He contacted The New York Times after reading
the accounts of the other four photographers in Wednesday’s Lens blog.
#
Mr. Jones’ angle on the historic encounter is vastly different from four other versions shot that day, taken at eye level moments before the tanks stopped at the feet of the lone protester. Wildly chaotic, a man ducks in the foreground, reacting from gunfire coming from the tanks. Another flashes a near-smile. Another pedals his bike, seemingly passive as the tanks rumble towards confrontation.


#
The photograph encourages the viewer to reevaluate the famous encounter. Unlike the other four versions, we are given a sense of what it was like on the ground as the tanks heaved forward, the man’s act of defiance escalated by the flight of others.
#
Mr. Jones shared his experience in an e-mail message to The Times:
#
I was extremely high strung by June 5 when I took this photo. I had been running on little sleep since students began a hunger strike in Tiananmen Square on May 13, and I had been trading shifts with other A.P. reporters, staffing the square 24/7 for nearly three weeks.
#
Adrenaline and the drive to stay close to the action took me back to the street on June 5. I was in front of the Beijing Hotel and I could hear tanks revving up and making their way toward us from Tiananmen. I went closer to the street and looked down Changan Avenue over several rows of parked bicycles when another volley of shots rang out from where the tanks were, and people began ducking, shrieking, stumbling and running toward me. I lifted my camera and squeezed off a single shot before retreating back behind more trees and bushes where hundreds of onlookers were cowering. I didn’t know quite what I had taken other than tanks coming toward me, soldiers on them shooting in my direction, and people fleeing.
#
I stayed in Beijing for another month, until after Tiananmen Square and the Gate of Heavenly Peace were reopened to the public. It was only some time after I returned to Tokyo that, as I was going through my negatives, I printed this photo and noticed that I, too, had captured the so-called “tank man,” but from a completely different angle. He is small but unmistakable as he stands in the center of Changan Jie, clearly positioning himself for a confrontation with the approaching army. I was stunned to see him in my photo because his image had become a global icon of the events in Beijing. But I made the discovery several weeks after the fact, and the A.P. had already sent out a defining photo of that moment. So I filed away my picture, along with a couple of hundred more, and six hours of videotape that I had taken over three weeks of growing demonstrations.

#
I never published them, and only showed them to a few friends and fellow reporters. But they were never far from my mind. I’ve always regretted not staying in place longer 20 years ago, despite the gunshots, and taken more photos, so that I might have realized what was unfolding before my eyes. But while I missed the timeliest opportunity to share this photo in 1989, today is an appropriate time to pull it out finally from its decades-old wraps.
#
#