Suburban maintenance gardening is one service sector that has grown in the United States, and in many parts of the country it has become a gendered occupational niche for Mexican immigrant men. What is the social organization of this occupation and to what extent are Mexican immigrant gardeners following in the footsteps of Japanese gardeners, achieving socioeconomic mobility through gardening? Based on interviews conducted with 47 Mexican immigrant maintenance gardeners in Los Angeles, this article examines the occupational structure of this informal sector job, the social context in which it has developed, the mix of informal and formal economic transactions involved, and the strategic challenges that gardeners negotiate. The data show that there is occupational differentiation and mobility within the gardening occupation, and that mobility in the job remains dependent on combining both ethnic entrepreneurship and subjugated service work. Gendered social and human capital, together with financial and legal capital are necessary for occupational mobility. Jardineria, or suburban maintenance gardening, is analogous to the longstanding labor incorporation of female immigrant domestic workers into affluent households, but it is also indicative of a new trend: the proliferation of hybrid forms of entrepreneurship and service work and the incorporation of masculine "dirty work" service jobs into affluent households.
Unilateral instrumentation used for the treatment of degenerative lumbar spondylolisthesis is as effective as bilateral instrumentation when performed in addition to 1- or 2-level posterolateral fusion. The cost of this method is lower, saves time, and reduces possible risk inserting screws in only one side.
In many parts of the United States, jardinería, or suburban maintenance gardening, has become a gendered occupational niche for Mexican immigrant men. Based on participant observation research with a group of Mexican immigrant gardeners in Los Angeles, this article examines the construction of masculinity in a workplace occupied by Mexican immigrant men. These jardineros construct, affirm, challenge, and negotiate their masculinity through their routine work activities and through their daily on-the-job interactions with their fellow workers. Moving beyond a sort of reiteration of a flat, cultural concept of machismo, jardinero masculinity stresses a more nuanced structural understanding of Mexican immigrant men's masculinity and how it is intertwined with their performance of masculinized ''dirty work'' in private households. It is a distinctly working-class form of masculinity, which results from the interplay between very specific, localized cultural constructions, and deployment in the context of racialized nativism and citizenship hierarchy in the United States.
Medication-related osteonecrosis of the jaw is a disease where there is necrotic bone exposed or that can be explored by means of a fistula in the maxillofacial region. It has been associated with the use Biphosphonates and denosumab for osteoporosis. Although its etiology is unclear, it may be related to a decrease in bone turnover produced by these drugs, rendering the bone more prone to generate cell necrosis during invasive dental procedures, especially in the posterior region of the jaw. There is no consensus about the prevention and treatment of this condition. The aim of this paper is to present a review of the literature with the main characteristics of osteonecrosis of the jaws associated with drugs, together with a proposal for prevention and treatment for these patients.
BackgroundLangerhans cell histiocytosis (LCH), previously known as Histiocytosis X, is an infrequent disease that congregates a wide spectrum of clinical presentations with variable systemic involvement. Unification of these diseases under only one category is based on the almost identical histopathologic features of the lesions, but the etiology and proper approach for each presentation remains controversial. The localized alternative of Langerhans cell histiocytosis (LLCH), known as Eosinophilic Granuloma (EG) of bone, is the predominant clinical presentation of LCH. The maxilla is involved in 1 % of the head and neck region cases, representing an uncommon condition in this area.Case PresentationIn this clinical case report, it is described a case of a 16-year-old male patient with an asymptomatic osteolytic lesion at first upper left molar apical level, a finding detected on control radiographic images was reported as “Monostotic Eosinophilic granuloma of the maxillary bone”, which was later confirmed through an incisional biopsy. A surgical excision was initially planned, but finally it was not performed due to a spontaneous healing of the lesion after the incisional biopsy.ConclusionsThe presented case supports a conservative approach in the management of solitary EG of maxillary and mandibular bone lesions and even supports an expectant attitude in the course of treatment given the possibility of a spontaneous regression after the biopsy, especially in small lesions.
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