Recuperación de pacientes en postoperatorio de drenaje de hematoma subdural crónico asociado al uso de ácidotranexámico / Recovery of patients operated with technical drain of chronic subdural hematome, associated to tranexamic acid

Con el objetivo de evaluar la recuperación de pacientes que recibieron ácido tranexámico luego del drenaje de hematoma subdural crónico (HSC), se seleccionan al azar 22 pacientes de ambos sexos en edades comprendidas de 32 a 87 años. A un grupo de 11 paciente intervenidos, se les continuó el tratamiento con la colocación de un sistema de drenaje externo tipo Jackson-Pratt (grupo A) y un segundo grupo de pacientes, se les continuó tratamiento con Ácido Tranexámico (grupo B). Ambos grupos fueron evaluados en aspectos clínicos y tomográficos una semana después de la intervención. La distribución obtenida por género representó 99,5 por ciento masculino. Del total de pacientes, la mitad presentó HSC en el lado derecho y los casos bilaterales representaron 31,8 por ciento. Los resultados funcionales postoperatorio fueron satisfactorios en el 59,1 por ciento comparado con los obtenidos en la escala Glasgow preoperatorio donde más del 50 por ciento de los casos no superaban el valor 13 de la escala. El síntoma más común fue hemiparesia izquierda (45,5 por ciento), seguido de hemiparesia derecha (22,7 por ciento). El tratamiento con Ácido Tranexámico obtuvo resultados satisfactorios en el 63,6 por ciento de los casos de manera inmediata y en el 27,3 por ciento a las 24 horas; caso contrario a los resultados obtenidos con el sistema de Jackson-Pratt, donde el 54,5 por ciento obtuvo mejoría a las 24 horas. Deigual manera la relación entre días de hospitalización y tratamiento fue significativa. Estos resultados permiten concluir que el tratamiento con Ácido Tranexámico ofrece una excelente tasa de recuperación, con menor número de complicaciones,...

The research presented as techniques to evaluate chronic subdural hematoma drainage associated with the use of tranexamic acid in the recovery of postoperative patients in IAHULA: Mérida, Venezuela. It is a descriptive, cross-sectional and retrospectivestudy. Randomly selected patients of both sexes aged 32 to 87 years old who had a diagnosis of Chronic SubduralHematoma, unilateral or bilateral. From a total of 22 patients, which will have surgery criteria: Drawing Subdural Hematoma. A group of 11 patients who underwent classic fashion, they continued the surgery with placement of an external drain JacksonPratt type. The other group of patients also underwent the classic way, they continued postoperative treatment with tranexamic acid. Both groups were evaluated clinically and tomographic week intervention. As a result it was found that most patients with surgical drainage of chronic subdural hematoma are the right area, in the group A (with A Jackson-Pratt) and group B (tranexamic acid). The present study showed male predominance (99.5 percent) and 50.0 percent of hematomas occurred on the right side, followed by bilateral cases (31.8 percent). The postoperative functional results were satisfactory in 59.1 percent compared with those obtained in the preoperative Glasgow where over 50 percent of cases did not exceed the value of the scale 13 scale. The most common symptom was left hemiparesis (45.5 percent), followed by right hemiparesis (22.7 percent). Treatment with Tranexamic Acid obtained satisfactory results in 63.6 percent of cases immediately and in 27.3 percent at 24 hours; Otherwise the results obtained with the system of Jackson-Pratt, where 54.5 percent improvement obtained by 24 hours. Similarly the relationship between days of hospitalization and treatment gave significant. These results suggest that treatment with tranexamic acid offers higher cure rate with fewer complications, mortality and sequelae, allowing also reduce hospitalization time,...

Pratt e Rorschach: uma leitura fenomenológica / Pratt and Rorschach: a fenomenological approach

Este ensaio estabelece algumas comparações aproximativas entre as concepções do filósofo americano James B. Pratt (1875-1944) e do psiquiatra suíço Herman Rorschach (1884-1922), a partir de uma leitura fenomenológica inspirada nas contribuições de Husserl e Merleau-Ponty. Tal leitura retoma, principalmente, os conceitos "fundo de sentimento vital", em Pratt, e "tipo de vivência", em Rorschach, e seus respectivos fundamentos teórico-filosóficos e os coloca em diálogo com outros conceitos de autores de sua época, em especial de Freud e Jung. Tomando-se como fio condutor as relações entre o fundo irrefletido e a atividade reflexiva que caracterizam a existência humana, conclui-se que tanto Pratt como Rorschach buscaram reenviar, por meio de seus conceitos e instrumentos, e cada um a seu modo, às contínuas transformações e às diferentes modalidades de realizações da intencionalidade psíquica.(AU)

This essay provides some estimated comparisons between the conceptions from the American philosopher James B. Pratt (1875-1944) and from the Swiss psychiatrist Herman Rorschach (1884-1922), based on the phenomenological approach from Husserl and Merleau-Ponty. The main focus of these comparisons are the concepts of the "vital feeling background", by Pratt, and the "experience type", by Rorschach, along with their theoretical and philosophical principles, which are put in connection with the concepts from other authors of their time, especially Freud and Jung. In these connections, the main thread of discussion is the relationship between the unreflective background and the reflective activity that characterize human existence. The conclusion is that both Pratt and Rorschach attempted to resubmit, through their concepts and instruments, and each one in their own way, to the continuous changes and the different modalities of achievement of the psychic intentionality.(AU)