Cardiomyopathy and cardiac function in fetuses and newborns of diabetic mothers

Abstract Objective: To evaluate cardiac function and structural changes in children of diabetic mothers in the fetal and neonatal period using Doppler-echocardiographic data. Method: A prospective, descriptive observational study conducted in a private and tertiary care service for high-risk pregnant women. It included 48 children of mothers with gestational diabetes mellitus (GDM) considered clinically compensated during pregnancy, with a single fetus and absence of malformations. Myocardial thickness, shortening fraction, left ventricular (LVMPI) and right ventricular (RVMPI) myocardial performance index, and mitral and tricuspid valve E/A ratio were evaluated in 96 echocardiographic exams with Doppler. Results: The hypertrophic cardiomyopathy was 29% vs 6% p = 0.006 in the prenatal and postnatal periods respectively. The shortening fraction was 0% vs 6% p = 0.242 in the fetuses and newborns respectively. The myocardial performance index of the right ventricle was 12% vs 54% p ≤ 0.001, and on the left ventricle 27% vs 60% p = 0.001 in the prenatal and postnatal periods respectively. The ratio of mitral valve E/A waves was 6% vs 50% p ≤ 0.001 and the ratio of tricuspid valve E/A waves was 0% vs 27% p 0.001 in the fetuses and newborns respectively. Conclusion: A decrease in the rate of myocardial hypertrophy and changes in cardiac function parameters were observed in the fetal and neonatal periods.

Condensation, Trauma and Perceptive Density of Language - Freud with Jorge Luis Borges

This essay examines the question of perceptual vividness, which will lead to an exploration of condensation in its articulation with trauma. A hypothesis is then formulated around the existence of two different types of reproduction of the traces inscribed in the psychic apparatus: one to do with memory, the other with re-living. Jorge Luis Borges' story 'The Aleph' helps us to think about those traces as the letter - and about its relationship with perception as traumatic excess.

A Condensação, o Trauma e a Densidade Perceptiva da Linguagem - Freud com Jorge Luís Borges. O exame da questão da vivacidade perceptiva no sonho leva, neste ensaio, à condensação em sua articulação com o trauma. Formula-se então a hipótese da existência de dois tipos diferentes de reprodução dos traços inscritos no aparelho psíquico: um de memória e outro de revivescência. O conto "O Aleph", de Jorge Luís Borges, ajuda a pensar o traço como letra e sua relação com a percepção como um excesso traumático.

Colidouescapo: poesia, sonho, condensação e linguagem em Freud / Colidouescapo: poetry, dream, condensation and language in Freud

Nesse artigo são explorados pontos comuns entre as composições vocabulares do livro-poema Colidouescapo, de Augusto de Campos, e o tratamento que frequentemente as palavras recebem nos sonhos. Tanto nas formações do inconsciente como na poesia a palavra é tratada como matéria concreta, coisa sonora e visual. Nossa reflexão toma a condensação, conceito fundamental na teoria freudiana do trabalho do sonho, como a operação que permite a formação de palavras-valises que resistem a qualquer significado e ao mesmo tempo abrem para caminhos múltiplos de sentido. Neste paradoxal lugar, nos limites da linguagem, tais formações são articuladas ao umbigo do sonho, ponto de denso emaranhamento dos pensamentos do sonho que não cedem à interpretação.

In this article common points between the word formation taken from the book-poem Codidouescapo by Augusto de Campos and the treatment that words usually get in dreams are explored. In both shaping the unconscious and in poetry, the word is treated as a concrete subject, something visual and audible. Our reflexion uses the Condensation, the fundamental concept of the Freudian dream-work theory, as the operation that allows the formation of "portmanteau words" which resist to any signification and at the same time open themselves to multiple pathways of meanings. In this paradoxical place, in the limits of language, such formations are articulated to the navel of the dream, point of dense entanglement of the dream thoughts which do not succumb to interpretation.