Effects of cortisol-awakening response on multi-target tracking in children with attention deficit hyperactivity disorder: the mediating role of working memory / 中华行为医学与脑科学杂志

Objective:To explore the mediating role of working memory (WM) in the cortisol-awakening response (CAR) and multiple object tracking (MOT) in children with attention deficit hyperactivity disorder (ADHD).Methods:92 children with ADHD (ADHD group) and 94 typically developing children (control group) were selected from January 2022 to October 2022. Salivary cortisol levels were detected and analyzed in all children at four time points after awakening. Children's WM and MOT performance were assessed by the 1-back and MOT paradigms, respectively. SPSS 26.0 software was used for t-test and Pearson correlation analysis of the data, and plug-in PROCESS model 4 of SPSS 26.0 was used for mediated effects analysis. Results:(1) ADHD group showed significantly lower CAR, 1-back accuracy and MOT performance((30.97±5.63), (81.33±10.64) %, (2.36±0.37)) than the control group((32.41±3.48), (91.19±7.12) %, (2.62±0.28))( t=-2.09, -7.22, -5.31, all P<0.05). (2) Pearson analysis showed that CAR was positively correlated with 1-back accuracy ( r=0.293, P<0.01) and MOT performance ( r=0.740, P<0.01). 1-back accuracy was positively correlated with MOT performance ( r=0.368, P<0.01). (3) WM partially mediated the effect of CAR on MOT in children with ADHD, accounting for 6.13% (0.003/0.049) of the total effect. Conclusion:Children with ADHD have deficits in MOT.WM plays a mediating role between CAR and MOT performance in children with ADHD.

Fetal facial ultrasound plane recognition based on real-time object detection network and its application / 中国医学物理学杂志

Objective To explore the role of an artificial intelligence(AI)model based on real-time object detection network in fetal facial ultrasound examination.Methods With the normal fetal facial ultrasound standard plane(FFUSP)at 20-24 weeks of gestation as the research object,a FFUSP recognition model based on real-time object detection network was constructed.The recognition accuracy of the model for FFUSP and the anatomical structures were analyzed,and the clinical value was evaluated by analyzing its performance in identifying FFUSP in 119 cases of fetal ultrasound images.Results The overall precision,recall rate,mAP@.5 and mAP@.5:.95 of the AI model were 97.8%,98.5%,98.1%and 61.0%,respectively.The clinical validation showed that the AI model had a sensitivity,specificity,positive predictive value,negative predictive value and accuracy of 100.0%,98.5%,87.4%,100.0%and 98.7%for facial anatomy recognition,and the results were highly consistent with the classification of fetal ultrasound experts(k=0.925,P<0.001).The recognition accuracy of the model for 3 types of standard planes reached 100%;and the average speed of dynamic video detection was 33.93 frames per second.Conclusion The FFUSP recognition model based on real-time object detection network exhibits excellent performance,and it can be applied to real-time ultrasound diagnosis,teaching and intelligent quality evaluation.

Small lesion detection in ultrasound images of hepatic cystic echinococcosis based on improved YOLOv7 / 中国医学物理学杂志

Objective To propose a novel algorithm model based on YOLOv7 for detecting small lesions in ultrasound images of hepatic cystic echinococcosis.Methods The original feature extraction backbone was replaced with a lightweight feature extraction backbone network GhostNet for reducing the quantity of model parameters.To address the problem of low detection accuracy when the evaluation index CIoU of YOLOv7 was used as a loss function,ECIoU was substituting for CIoU,which further improved the model detection accuracy.Results The model was trained on a self-built dataset of small lesion ultrasound images of hepatic cystic echinococcosis.The results showed that the improved model had a size of 59.4 G and a detection accuracy of 88.1%for mAP@0.5,outperforming the original model and surpassing other mainstream detection methods.Conclusion The proposed model can detect and classify the location and category of lesions in ultrasound images of hepatic cystic echinococcosis more efficiently.

Design and implementation of registration system based on Elasticsearch / 中国医学装备

Objective:To design and implement a registration system based on Elasticsearch,so as to solve the problems of the conventional registration system included single method of appointment and registration,and one-sidedness information of search registration platform,and to meet the growing needs of patients for diversified and intelligent medical registration and treatment.Methods:The browser/server(B/S)architecture was used to implement the design of registration system.The front-end used the neuron organic object description language(NOODL)language to render the interface,and implemented interaction between function methods and interface data through Typescript.The Elasticsearch search engine implemented high efficient search functions.The back-end processed the requirements of data through the(edge-based cloud object storage)ECOS system,and stored business data in the MySQL database.The system included a three-layer architecture with application layer,service layer and storage layer,which can realize a series of functions such as login and registration,search for appointments,link appointments,scan code for appointments,and setting appointment information by doctors.Results:The registration system based on Elasticsearch can realize multiple methods of appointment registration such as online search appointment,exclusive link appointment of hospital,appointment by scanning code,etc.,which was suitable to multiple platforms such as Web and mobile device.It has been applied in many overseas medical institutions.As of June 2023,the system possessed 219 doctors,and had serviced for 19,903 patients,and had completed 62,737 appointments,which saved a lot of time for patients to seek medical treatment,and improved operation efficiency of hospital.Conclusion:The registration system based on Elasticsearch can meet the diversified and intelligent needs of patients for medical treatment,which can provide comprehensive,accurate and intelligent services of appointment and treatment for patients,and can effectively improve the efficiency of appointment and treatment.

A novel deep learning based cloud service system for automated acupuncture needle counting: a strategy to improve acupuncture safety / 数字中医药（英文）

Objective @#The unintentional retention of needles in patients can lead to severe consequences. To enhance acupuncture safety, the study aimed to develop a deep learning-based cloud system for automated process of counting acupuncture needles.@*Methods@#This project adopted transfer learning from a pre-trained Oriented Region-based Convolutional Neural Network (Oriented R-CNN) model to develop a detection algorithm that can automatically count the number of acupuncture needles in a camera picture. A training set with 590 pictures and a validation set with 1 025 pictures were accumulated for finetuning. Then, we deployed the MMRotate toolbox in a Google Colab environment with a NVIDIA Tesla T4 Graphics processing unit (GPU) to carry out the training task. Furthermore, we integrated the model with a newly-developed Telegram bot interface to determine the accuracy, precision, and recall of the needling counting system. The end-to-end inference timewas also recorded to determine the speed of our cloud service system.@*Result@#In a 20-needle scenario, our Oriented R-CNN detection model has achieved an accuracy of 96.49%, precision of 99.98%, and recall of 99.84%, with an average end-to-end inference time of 1.535 s.@*Conclusion@#The speed, accuracy, and reliability advancements of this cloud service system innovation have demonstrated its potential of using object detection technique to improve acupuncture practice based on deep learning.

Slicing Angle Recognition of Fritillariae Thunbergii Bulbus Based on Improved YOLOv7-tiny Algorithm / 中国实验方剂学杂志

ObjectiveTo realize the automatic recognition of the slicing angles of Fritillariae Thunbergii Bulbus （FTB） based on the improved YOLOv7-tiny algorithm. MethodFirstly， a diverse dataset of FTB images， totaling 16 000 pictures， with various angles was constructed. Furthermore， improvements were made to YOLOv7-tiny by replacing standard convolutions with ghost convolution （GhostConv）， incorporating the coordinate attention （CA） mechanism as a preferred addition， substituting some activation functions with HardSwish function for decreasing the floating point operations. Additionally， a penalty term for angle recognition error was integrated into the loss function， and modifications were made to the non-maximum suppression （NMS） strategy to address cases where multiple detection results were associated with the same target. In order to verify the effectiveness of different improvement points on the optimization of the algorithm model， ablation experiments were carried out on all the improvement points， and the effectiveness of the improvement points was proved by comparing the prediction results before and after the addition of a certain improvement point on the basis of the original model or the model with the addition of an improvement point that has been verified to be effective， in order to evaluate the improvement of the indexes. ResultThe number of parameters required for the improved slicing angle recognition algorithm of FTB was about 55.4% of the original algorithm， and the amount of computation was about 59.4% of the original algorithm. The mAP@0.5［mean average precision at an intersection over union（IoU） of 0.5］ increased by 12.2%， the mean absolute error（MAE） of the recognized angle was 5.02°， representing a reduction of 4.58° compared to the original algorithm. In the experimental environment of this paper， the average recognition time per image was as low as 8.7 ms， significantly faster than the average human reaction time. ConclusionThis study， by utilizing the improved YOLOv7-tiny algorithm， achieves effective slicing angle recognition of FTB with high accuracy and more lightweight， which provides a novel approach for stable and precise automated slicing of FTB， thereby providing valuable insights into the automation of processing other traditional Chinese medicines.

Grouping Effects and Its Additivity in Multiple Object Tracking / 生物化学与生物物理进展

Reducing the consumption of attentional resources and improving human performance in dynamic visual sustained attention tasks is a key issue in sustained attention research. The multiple object tracking (MOT) task is a widely used paradigm for studying individual sustained attention. In a classic MOT paradigm, observers need to maintain their attention on specific targets among a set of distractors and track their movement. To further utilize attentional resources and improve tracking performance, researchers have proposed studying the additivity problem of grouping effects in attention tracking. Grouping effects during MOT is the phenomenon that moving items can be perceived into larger moving units based on featural cues of themselves or task requirements. This article reviewed previous studies about attention resources, classification, additivity, and neural mechanisms of grouping effects in MOT. Based on previous research, we concluded that grouping effects in MOT can be classified into three categories, i.e., spatiotemporal-based grouping, object-based grouping, and feature-based grouping, according to different grouping cues (spatiotemporal continuity, global perception and organization of objects, and surface featural similarity). Grouping based on multiple cues will produce greater effects compared with one cue, this is the additive effect. The study of additivity is important for understanding the cognitive mechanisms of different grouping effects, the attentional mechanisms, and resource allocation in individual dynamic visual tracking. This study summarized previous behavioral and neuroimaging research and systematically explored the non-additivity based on different surface features and the additivity based on surface features and specific spatiotemporal features. Exploring the mechanism of additivity effects provides us with new insight into understanding grouping effects. For future studies, researchers need to thoroughly investigate the neural mechanisms of different kinds of groupings. This can not only provide explanations for the additivity of groupings but also provide substantial evidence for the classification of groupings.

Research on Automatic Microalgae Detection System Based on Deep Learning / 生物化学与生物物理进展

ObjectiveThe scale of microalgae farming industry is huge. During farming, it is easy for microalgae to be affected by miscellaneous bacteria and other contaminants. Because of that, periodic test is necessary to ensure the growth of microalgae. Present microscopy imaging and spectral analysis methods have higher requirements for experiment personnel, equipment and sites, for which it is unable to achieve real-time portable detection. For the purpose of real-time portable microalgae detection, a real-time microalgae detection system of low detection requirement and fast detection speed is needed. MethodsThis study has developed a microalgae detection system based on deep learning. A microscopy imaging device based on bright field was constructed. With imaged captured from the device, a neural network based on YOLOv3 was trained and deployed on microcomputer, thus realizing real-time portable microalgae detection. This study has also improved the feature extraction network by introducing cross-region residual connection and attention mechanism and replacing optimizer with Adam optimizer using multistage and multimethod strategy. ResultsWith cross-region residual connection, the mAP value reached 0.92. Compared with manual result, the detection error was 2.47%. ConclusionThe system could achieve real-time portable microalgae detection and provide relatively accurate detection result, so it can be applied to periodic test in microalgae farming.

Psicodrama infantil: criação de histórias em quadrinho como objeto intermediário e intraintermediário / Psicodrama con niños: creación de cómics como objeto intermedio y intra intermedio / Children's psychodrama: creating comic stories as an intermediate and intra-intermediate object

RESUMO O presente trabalho apresenta e discute a criação conjunta de histórias em quadrinho como objeto intermediário e intraintermediário na psicoterapia psicodramática com crianças. Foram realizados um relato de experiência do caso G e um estudo da arte, possibilitando reconhecer histórias em quadrinho como objetos intermediários e intraintermediários conforme o objetivo de sua utilização nas sessões, permitindo o uso de técnicas psicodramáticas, diminuindo o campo tenso e recuperando a criatividade-espontaneidade do paciente. Foi possível concluir que o emprego de histórias em quadrinho propicia maior vínculo entre terapeuta e criança, além de fornecer meios ao paciente de se expressar sem receio, abrindo espaço para o jogar psicodramático, para a cocriação e para o encontro de novas respostas para situações vividas.

RESUMEN El presente trabajo presenta y discute la Creación Conjunta de Cómics como Objeto Intermedio y Intra Intermedio, en psicoterapia psicodramática con niños. Se realizó un relato de experiencia del caso G., y se estudió el arte, permitiendo reconocer los cómics como Objetos Intermedios e Intra Intermedios según la finalidad de su uso en las sesiones, permitiendo el uso de técnicas psicodramáticas, reduciendo el tiempo. campo y recuperando la creatividad-espontaneidad del paciente. Es posible concluir que el uso de cómics proporciona un mayor vínculo entre terapeuta y niño, además de brindar medios para que el paciente se exprese sin miedo, abriendo espacio para el juego psicodramático, para la co-creación y la búsqueda de nuevas respuestas a situaciones vividas.

ABSTRACT The current paper aimed to comprehend the cooperative comic stories' creation as an intermediary and an intra-intermediary object, becoming a potential practice to be used during psychodramatic psychotherapy with children. An experience report on case G and a study of art were carried out, making it possible to recognize comic books as intermediate and intra-intermediate objects according to the objective of their use in the sessions, allowing the use of psychodramatic techniques, reducing the tense field and recovering patient's creativity-spontaneity. It was possible to conclude that the use of comic books provides a greater bond between therapist and child, in addition to providing means for the patient to express themselves without fear, opening space for psychodramatic play, for co-creation and for finding new responses to situations experienced.

Destructivité et survivance de l'objet dans les violences en couple / Destructividad y supervivencia del objeto en la violencia conyugal / Destructivness and survival of the object in domestic violence / Destrutividade e sobrevivência do objeto na violência doméstica

Peut-on distinguer les logiques inconscientes qui mènent à des violences conjugales léthales ou non-léthales? La littérature sur les auteurs conduit à penser que toute violence conjugale peut mener à une fin fatale pour la victime. La destructivité, la survivance de l'objet et son rôle ont éclairé les analyses cliniques des narrations de l'acte violent de deux sujets rencontrés en contexte pénitentiaire. Au-delà des différences dans les histoires conjugales et personnelles de ces hommes, il ressort un non-accès au conflit d'ambivalence de l'amour et de la haine. Tous deux ont agi leur violence léthale dans un contexte de survie narcissique face à une attaque symbolique pour Baum, imaginaire pour Paul lors d'un conflit avec l'autre qui a ou pas survécu. Agressivité existentielle et de vérification distinguent en partie les logiques inconscientes en jeu.

¿Se pueden distinguir los motivos inconscientes que llevan a la violencia doméstica letal o no letal? La literatura sobre los agresores muestra que toda violencia doméstica puede llevar a un final fatal para la víctima. La destructividad, la supervivencia del objeto y su papel arrojan luz sobre los análisis clínicos de los relatos del acto violento de dos sujetos encontrados en un contexto carcelario. Más allá de las diferencias en las historias conyugales y personales de estos hombres, lo que emerge es una falta de acceso al conflicto ambivalente del amor y el odio. Ambos ejercieron su violencia letal en un contexto de supervivencia narcisista frente a un ataque simbólico en el caso de Baum y un ataque imaginario en el caso de Paul, durante un conflicto con otra persona que puede o no haber sobrevivido. La agresión existencial y la agresión de verificación distinguen en parte las lógicas inconscientes en juego.

Resumos Can we distinguish between the unconscious logics that lead to lethal or non-lethal domestic violence? The literature on perpetrators suggests that all domestic violence can lead to a fatal end for the victim. Destructiveness, the survival of the object and its role shed light on the clinical analysis of the violent act narratives of two subjects found in a prison context. Beyond the differences in the marital and personal histories of these men, what emerges is a lack of access to the ambivalent conflict of love and hate. Both acted with lethal violence in a context of narcissistic survival in the face of a symbolic attack, in Baum's case, and an imaginary attack, in Paul's case, during a conflict with another person who may or may not have survived. Existential and verification aggression partly distinguish the unconscious logics at play.

Podemos distinguir entre as razões inconscientes que levam à violência doméstica letal ou não letal? A literatura sobre agressores sugere que toda violência doméstica pode levar a um fim fatal para a vítima. A destrutividade, a sobrevivência do objeto e seu papel lançam luz sobre as análises clínicas das narrativas do ato violento de dois sujeitos em contexto prisional. Além das diferenças nas histórias conjugais e pessoais desses homens, o que emerge é uma falta de acesso ao conflito ambivalente entre amor e ódio. Ambos agiram com violência letal em contexto de sobrevivência narcísica face a um ataque simbólico, no caso de Baum, e de um ataque imaginário, no caso de Paul, durante um conflito com outra pessoa que pode ou não ter sobrevivido. A agressão existencial e a agressão de verificação distinguem parcialmente as lógicas inconscientes em jogo.

O que pode uma câmera em sessões psicanalíticas com crianças com traços autistas? / What can do a camera do in psychoanalytic sessions with children with autistic traits? / Que peut apporter une caméra dans la prise en charge psychanalytiques des enfants autistes ? / ¿Qué puede hacer una cámara en sesiones psicoanalíticas con niños con rasgos autistas?

Resumo: A questão central que norteia este trabalho é se uma câmera de registro filmográfico, que é um objeto utilizado inicialmente com fins metodológicos, poderia ter uma função terapêutica. Objetiva-se apresentar e discutir as repercussões e possibilidades referentes à presença de uma câmera em atendimentos de casos de fechamento autístico no Programa de Intervenção Precoce, em uma perspectiva psicanalítica. É uma pesquisa clínico-qualitativa, com análise de conteúdo, a partir de vinhetas clínicas de três casos de crianças entre 2 e 3 anos. São discutidas três abordagens sobre os usos e os tipos de objetos pertencentes ao universo de um bebê, a fim de interrogar se elas poderiam auxiliar na clínica do autismo: objeto transicional, objeto tutor e objeto de mediação. Considerou-se que a câmera promoveu e sustentou encontros intersubjetivos importantes e o despertar da atenção de crianças, antes pouco interessadas por aquilo que lhes era ofertado, inaugurando um espaço de coconstrução e interludicidade.

Abstract: The central question that guides this work is about whether a film recording camera, which is an object initially used for methodological purposes, could have a therapeutic function. The aim is to present and discuss the repercussions and possibilities related to the presence of a camera in cases of autistic shutdown in the Early Intervention Program, from a psychoanalytic perspective. This is clinical-qualitative research, with content analysis, based on clinical vignettes of three cases of children, between 2 and 3 years old. Three approaches are discussed regarding the uses and types of objects belonging to a baby's universe, to ask if they could assist in the autism clinic: the transitional object, the tutor object, and the mediation object. It is considered that the camera promoted and sustained important intersubjective meetings and the awakening of children's attention, previously less interested in what was offered to them, initiating a space for co-construction and interludicity.

Résumé : La question centrale guidant ce travail porte sur l'éventuelle fonction thérapeutique d'une caméra, qui est un objet initialement utilisée à des fins méthodologiques. L'objectif est de présenter et de discuter, dans une perspective psychanalytique, les répercussions et les possibilités d'une caméra dans la prise en charge d'enfants présentant un repli autistique suivis au sein du Programme d'Intervention Précoce. C'est une recherche clinique-qualitative, avec analyse de contenu, à partir de vignettes cliniques de trois enfants, âgés de 2 à 3 ans. Trois approches concernant les usages et les types d'objets appartenant à l'univers d'un bébé seront repris, afin d'interroger s'ils pourraient aider à la clinique de l'autisme : l'objet transitionnel, l'objet tuteur et l'objet de médiation. Nous considérons que la caméra a favorisé et soutenu des rencontres intersubjectives importantes et a éveillé l'attention des enfants, auparavant peu intéressés par ce qui leur était offert, en créant un espace de co-construction et d'interludicité.

Resumen: La pregunta central que guía este trabajo gira en torno de la posibilidad de una cámara cinematográfica, un objeto inicialmente utilizado con fines metodológicos, para ser utilizada en sesiones terapéuticas. El objetivo es presentar y discutir las repercusiones y posibilidades relacionadas con la presencia de una cámara en la atención a casos de cierre autista en un Programa de Intervención Temprana, desde una perspectiva psicoanalítica. Se trata de una investigación clínico cualitativa, con análisis de contenido, a partir de viñetas clínicas de tres casos de niños, con edades de entre 2 y 3 años. Se discuten tres enfoques sobre los usos y tipos de objetos pertenecientes al universo de un bebé para observar si esto podría ayudar en la clínica del autismo: el objeto transicional, el objeto tutor y el objeto mediador. Se considera que la cámara promovió y sostuvo importantes encuentros intersubjetivos y el despertar de la atención de niños previamente poco interesados en lo que se les ofrecía, inaugurando un espacio de coconstrucción e interjuego.

Entre Freud e Abraham: um estudo das pulsões e das relações de objeto nas fundações da psicanálise / Between Freud and Abraham: a study of drives and object relations in the foundations of psychoanalysis / Entre Freud y Abraham: un estudio de las pulsiones y relaciones de objeto en las fundaciones del psicoanálisis

Buscamos neste ensaio apresentar algumas das principais transformações pelas quais passou a psicanálise no seu desenvolvimento histórico. Nesse movi-mento, os chamados paradigmas pulsional e objetal foram se estabelecendo como principais referências ao campo psicanalítico. Nossa intenção principal foi conhecer como a relação de objeto está presente na teoria pulsional de Freud, sobretudo na primeira tópica. Ademais, saber como a dinâmica pulsional e o objeto se apresentam no pensamento de um dos principais psicanalistas da primeira geração, Karl Abraham. Como desdobramento deste estudo, apre-sentamos alguns dos efeitos de como a noção de objeto, presente nas teorias desses paradigmas, pode fundamentar diferentes noções de desenvolvimento, de psicopatologia e de manejo clínico em nossa contemporaneidade. (AU)

In this essay, we aim to present some of the key transformations that psycho-analysis has undergone in its historical development. In this movement, the concepts of drive and object paradigms were established as main references to the psychoanalytic field. Our primary objective was to explore the presence of object relations in Freud's drive theory, especially in the first topography. Moreover, we seek to know how the dynamic of drives and the object are present in the thinking of one of the leading psychoanalysts of the first genera-tion, Karl Abraham. As an extension to this study, we point out some of the effects of how the notion of object, included in the theories of these paradigms, can underpin various concepts of development, psychopathology, and clinical practice in contemporary psychoanalysis. (AU)

En este ensayo buscamos presentar algunas de las principales transfor-maciones que ha sufrido el psicoanálisis en su desarrollo histórico. En este movimiento, los denominados paradigmas pulsionales y objetal se estable-cieron como referencias principales al campo psicoanalítico. Nuestra inten-ción principal era saber cómo está presente la relación de objeto en la teoría pulsional de Freud, especialmente en la primera tópica. Además, saber cómo la dinámica pulsional y el objeto se presentan en el pensamiento de uno de los principales psicoanalistas de la primera generación, Karl Abraham. Como consecuencia de este estudio, presentamos algunos de los efectos de cómo la noción de objeto, presente en las teorías de estos paradigmas, puede soportar diferentes nociones de desarrollo, psicopatología y manejo clínico en nuestros tiempos contemporáneos.

Considerações sobre a construção da noção de objeto em psicanálise: Freud, Klein e Pichon-Rivière / Reflections on the building of object notion in psychoanalysis: Freud, Klein, and Pichon-Rivière / Consideraciones sobre la construcción de la noción de objeto en psicoanálisis: Freud, Klein y Pichon-Rivière

Visamos com este trabalho contribuir com algumas considerações sobre a construção da noção de objeto em psicanálise, partindo dos referenciais teóricos de Freud e Melanie Klein, para em seguida pensar a abordagem de Pichon-Rivière, a qual traz uma relação de complementariedade a modificações inovadoras significativas. Foi a partir do curso em Coordenação e Manejo de Grupos em diferentes contextos realizado no Núcleo de estudos em saúde mental e psicanálise das configurações vinculares (NESME), que nasceram algumas inquietações que conduziram a este trabalho. Ao coordenar grupos trazemos conosco as nossas representações a respeito do que seja o objeto, e se o grupo é tomado como objeto, portaremos também uma noção de grupo internalizada. Pareceu-nos importante que essas questões pudessem ser alvo de reflexões constantes por parte de coordenadores de grupos, bem como a apropriação e fundamentação teórica de como se deram essas construções a partir da psicanálise. Este estudo introdutório poderá servir de base para a compreensão dos respectivos desdobramentos relacionados à constituição da subjetividade humana em psicanálise, alimentando posteriormente uma continuidade para pensar os fenômenos grupais propriamente ditos.

With this study, we aim to achieve a few considerations on the building of object notion in psychoanalysis, with a starting reference from Freud and Melanie Klein's theories, to then, consider Pichon-Rivière's approach, which brings a relationship of complementarity and significant innovative modifications. It was from the Group Management and Teórico Considerações sobre a construção da noção de objeto em psicanálise: Freud, Klein e Pichon-Rivière Reflections on the building of object notion in psychoanalysis: Freud, Klein, and Pichon-Rivière Consideraciones sobre la construcción de la noción de objeto en psicoanálisis: Freud, Klein y Pichon-Rivière Sandra Aparecida Ramos de Mello 1 sand.mello@yahoo.com.br Instituto Sedes Sapientiae, Brasil Recepção: 23 Fevereiro 2023 Aprovação: 08 Maio 2023 DOI: https://doi.org/10.32467/issn.1982-1492v20n1a9 Resumo: Visamos com este trabalho contribuir com algumas considerações sobre a construção da noção de objeto em psicanálise, partindo dos referenciais teóricos de Freud e Melanie Klein, para em seguida pensar a abordagem de Pichon-Rivière, a qual traz uma relação de complementariedade a modificações inovadoras significativas. Foi a partir do curso em Coordenação e Manejo de Grupos em diferentes contextos realizado no Núcleo de estudos em saúde mental e psicanálise das configurações vinculares (NESME), que nasceram algumas inquietações que conduziram a este trabalho. Ao coordenar grupos trazemos conosco as nossas representações a respeito do que seja o objeto, e se o grupo é tomado como objeto, portaremos também uma noção de grupo internalizada. Pareceu-nos importante que essas questões pudessem ser alvo de reflexões constantes por parte de coordenadores de grupos, bem como a apropriação e fundamentação teórica de como se deram essas construções a partir da psicanálise. Este estudo introdutório poderá servir de base para a compreensão dos respectivos desdobramentos relacionados à constituição da subjetividade humana em psicanálise, alimentando posteriormente uma continuidade para pensar os fenômenos grupais propriamente ditos. Palavras-chave: Psicanálise, Objeto, Relações de Objeto, Vínculo. Abstract: With this study, we aim to achieve a few considerations on the building of object notion in psychoanalysis, with a starting reference from Freud and Melanie Klein's theories, to then, consider Pichon-Rivière's approach, which brings a relationship of complementarity and significant innovative modifications. It was from the Group Management and Coordination course in different contexts carried out at the Center of mental health studies and psychoanalysis of linking configurations (NESME), where some disquietudes emerged and lead to this study. By coordinating groups, we bring with us our representations about what the object is and if the group is taken as object, and will also consider an internalized notion of group. It seemed important to us that these questions could be the target of constant deliberations from group coordinators, as well as the appropriation and theoretical foundations as to how these concepts from psychoanalysis came to be. This introductory study may serve as a basis for the comprehension of the respective unfolding related to the formation of human subjectivity in psychoanalysis, subsequently fostering a way to continue thinking about group phenomena per se.

Con este trabajo pretendemos contribuir con algunas consideraciones sobre la construcción de la noción de objeto en psicoanálisis, a partir de los referenciales teóricos de Freud y Melanie Klein, para luego pensar en el enfoque de Pichon-Rivière, que trae una relación de complementariedad a modificaciones innovadoras significativas. Fue a partir del curso de Coordinación y Gestión de Grupos en diferentes contextos realizado en el Núcleo de Estudios en salud mental y psicoanálisis de las configuraciones vinculares (NESME), que nacieron algunas inquietudes que llevaron a este trabajo. Al coordinar grupos, traemos con nosotros nuestras representaciones de lo que es el objeto, y si el grupo se toma como un objeto, también llevaremos una noción interiorizada de grupo. Nos pareció importante que estos temas pudieran ser objeto de constante reflexión por parte de los coordinadores de los grupos, así como la apropiación y fundamentación teórica de cómo se dieron estas construcciones desde el psicoanálisis. Este estudio introductorio puede servir de base para comprender los respectivos desarrollos relacionados con la constitución de la subjetividad humana en psicoanálisis, alimentando posteriormente una continuidad para pensar los fenómenos grupales propiamente dichos.

"Lá onde Isso era, [eu] devo devir": comentário sobre a Lição 21 do Seminário 6, de Lacan / Là où C'était, [je] dois devenir": commentaire de la leçon 21 du Séminaire 6 de Lacan / "Where Id was, [I] must become": commentary on Lesson 21 of Lacan's Seminar 6

O presente trabalho é um comentário da Lição 21 do Seminário sobre O desejo e sua Interpretação de Jacques Lacan. Nessa lição, intitulada. A forma do corte, Lacan percorre a ideia de que a psicanálise se interessa pelo efeito-sujeito, indicando-a a partir da expressão freudiana " Wo Es war, soll Ich werden" e de seus desenvolvimentos a propósito da noção de fantasia, o que inclui o objeto a. O texto percorre essas noções para pensar o trabalho que se realiza numa análise

Cet article est un commentaire de la leçon 21 du séminaire de Jacques Lacan sur Le désir et son interprétation. Dans cette leçon, intitulée La forme de la coupure, Lacan développe l'idée que la psychanalyse s'intéresse à l'effet-sujet, en l'indiquant à partir de l'expression freudienne " Wo Es war, soll Ich werden" et de ses développements sur la notion de fantasme, qui inclut l'objet a. Le texte passe en revue ces notions afin de réfléchir au travail qui s'opère dans une analyse

This paper is a commentary on Lesson 21 of Jacques Lacan's Seminar on "Desire and its Interpretation". In this lesson, entitled "The form of the cut", Lacan goes through the idea that psychoanalysis is interested in the subject-effect, indicating this from the Freudian expression "Wo Es war, soll Ich werden" and its developments with regard to the notion of fantasy, which includes the object a. The text goes through these notions in order to think about the work that takes place in an analysis

Yann Andréa, "une lettre que je continue de vous écrire / Uma carta que eu continuo te escrevendo / Yann Andréa, "a letter I keep writing to you"

Jeune étudiant en philosophie à Caen, Yann Andréa qui s'appelle encore Yann Lemée, découvre l'écriture de Marguerite Duras, instantanément galvanisé par l'expérience, il se met à lui écrire, presque tous les jours, parfois plusieurs fois par jour, par paquets, sans attente de réponse. Touchée par la puissance de Yann, Duras lui répond, lui dédie une œuvre et finit par partager sa vie avec lui. Il s'agit d'un amour qui n'est pas habillé par le fantasme mais qui est resserré autour d'un point de réel, l'écriture. Sophie Marret-Maleval prend le couple Duras/Andréa en exemple pour illustrer par la négative l'inexistence du rapport sexuel : la fonction d'agrafe de l'amour, qui s'écrit S1-a, serait réalisée dans ces moments d'écriture à travers leurs positions subjectives respectives : M. Duras en place de produire les S1 et Y. Andréa au lieu de l'objet

Jovem estudante de filosofia em Caen, Yann Andréa, então conhecido como Yann Lemée, descobre a escrita de Marguerite Duras e, instantaneamente galvanizado pela experiência, começa a escrever para ela, quase todos os dias, às vezes várias vezes ao dia, em pacotes, sem esperar por uma resposta. Tocada pela força de Yann, Duras lhe responde, dedica uma obra a ele e acaba compartilhando sua vida com ele. Trata-se de um amor que não é vestido pelo fantasma, mas que é apertado em torno de um ponto de realidade, a escrita. Sophie Marret-Maleval utiliza o casal Duras/Andréa como exemplo negativo para ilustrar a inexistência da relação sexual: a função de ligação do amor, expressa como S1-a, é realizada nesses momentos de escrita através de suas posições subjetivas respectivas: M. Duras no lugar de produzir os S1 e Y. Andréa no lugar do objeto.

A young philosophy student in Caen, Yann Andréa, still known as Yann Lemée, discovers the writing of Marguerite Duras, instantly galvanized by the experience, begins to write to her, almost every day, sometimes several times a day, in packages, without expecting a response. Touched by Yann's power, Duras replies to him, dedicates a work to him, and eventually shares her life with him. This is a love that is not clothed in fantasy but is centered around a point of reality: writing. Sophie Marret-Maleval uses the Duras/Andréa couple as a negative example to illustrate the absence of the sexual relationship: the function of bonding that love performs, expressed as S1-a, is realized in these moments of writing through their respective subjective positions: M. Duras in the position of producing the S1 and Y. Andréa in the place of the object

Yann Andréa, "uma carta que eu continuo te escrevendo" / Yann Andréa, "une lettre que je continue de vous écrire" / Yann Andréa, "a letter I keep writing to you"

Jovem estudante de filosofia em Caen, Yann Andréa, então conhecido como Yann Lemée, descobre a escrita de Marguerite Duras e, instantaneamente galvanizado pela experiência, começa a escrever para ela, quase todos os dias, às vezes várias vezes ao dia, em pacotes, sem esperar por uma resposta. Tocada pela força de Yann, Duras lhe responde, dedica uma obra a ele e acaba compartilhando sua vida com ele. Trata-se de um amor que não é vestido pelo fantasma, mas que é apertado em torno de um ponto de realidade, a escrita. Sophie Marret-Maleval utiliza o casal Duras/Andréa como exemplo negativo para ilustrar a inexistência da relação sexual: a função de ligação do amor, expressa como S1-a, é realizada nesses momentos de escrita através de suas posições subjetivas respectivas: M. Duras no lugar de produzir os S1 e Y. Andréa no lugar do objeto

eune étudiant en philosophie à Caen, Yann Andréa qui s'appelle encore Yann Lemée, découvre l'écriture de Marguerite Duras, instantanément galvanisé parl'expérience, il se met à lui écrire, presque tous les jours, parfois plusieurs fois par jour, par paquets, sans attente de réponse. Touchée par la puissance de Yann, Duras lui répond, lui dédie une œuvre et finit par partager sa vie avec lui. Il s'agit d'un amour qui n'est pas habillé par le fantasme mais qui est resserré autour d'un point de réel, l'écriture. Sophie Marret-Maleval prend le couple Duras/Andréa en exemple pour illustrer par la négative l'inexistence du rapport sexuel : la fonction d'agrafe de l'amour, qui s'écrit S1-a, serait réalisée dans ces moments d'écriture à travers leurs positions subjectives respectives : M. Duras en place de produire les S1 et Y. Andréa au lieu de l'objet

A young philosophy student in Caen, Yann Andréa, still known as Yann Lemée, discovers the writing of Marguerite Duras, instantly galvanized by the experience, begins to write to her, almost every day, sometimes several times a day, in packages, without expecting a response. Touched by Yann's power, Duras replies to him, dedicates a work to him, and eventually shares her life with him. This is a love that is not clothed in fantasy but is centered around a point of reality: writing. Sophie Marret-Maleval uses the Duras/Andréa couple as a negative example to illustrate the absence of the sexual relationship: the function of bonding that love performs, expressed as S1-a, is realized in these moments of writing through their respective subjective positions: M. Duras in the position of producing the S1 and Y. Andréa in the place of the object

Oblito como causa de fístula enteroentérica / Retained foreign object as a cause of entero-enteric fistula

RESUMEN Los oblitos son cuerpos extraños olvidados dentro de la cavidad después de una intervención quirúrgica; su incidencia es desconocida, ya que no se informan todos los casos debido a su implicancia legal. Su forma de presentación más frecuente es el abdomen agudo obstructivo y las fístulas enterocutáneas. Se presenta el caso clínico de una paciente de sexo femenino con antecentes de cesárea abdominal hace 30 años, que consultó por una formación palpable a nivel de hipogastrio; en la tomografía se evidenció una tumoración alargada, heterogénea, calcificada y con burbujas en su interior. Se realizó una laparotomía exploradora, se constató una formación duro-pétrea con múltiples adherencias al intestino delgado circundante. Se realizó la resección y anastomosis del intestino comprometido. La anatomía patológica informó: cuerpo extraño en la luz intestinal, y presencia de adherencias interasas, con fístula enteroentérica, lo que constituye un caso poco frecuente.

ABSTRACT Retained foreign objects are any items left inside a patient after a surgery. Their incidence is unknown as they are often the cause of lawsuits and are not reported. They usual present as acute intestinal obstruction or enterocutaneous fistulas. We report the case of a 65-year-old female patient, with a history of a cesarean section 30 years before, who presented with a palpable tumor in the hypogastrium. The computed tomography scan revealed an elongated, heterogeneous, calcified mass with bubbles inside. On exploratory laparotomy a stony-hard formation was observed with multiple adhesions to the surrounding small bowel. The intestinal segment involved was resected and anastomosed. The pathology examination reported a retained foreign object in the intestinal lumen and presence of adhesions between loops with entero-enteric fistula, constituting a rare case.

Remoção endoscópica de corpo estranho ventricular em gallus gallus domesticus da raça brahma: relato de caso / Endoscopic removal of a ventricular foreign body in a brahma gallus domesticus: case report / Extracción endoscópica de un cuerpo extraño ventricular en un brahma gallus domesticus: informe de un caso

Relatos de ingestão de corpos estranhos dos mais diferentes materiais são comuns em aves, especialmente nas mais jovens. Os corpos estranhos podem causar intoxicação (dependendo da composição do material) ou mesmo perfuração do canal alimentar ou obstrução gastrintestinal. Quando há suspeita de ingestão de corpos estranhos, exames de imagem como a radiologia, ultrassonografia e endoscopia são ferramentas valiosas para o diagnóstico. Objetivou-se relatar um caso de uma ave da espécie Gallus gallus domesticus, raça Brahma, sete meses de idade, macho, pesando 4,3 Kg com quadro de sensibilidade na cavidade corporal e histórico de regurgitação, hiporexia e prostração há cinco dias. As radiografias simples indicaram a presença de corpo estranho radiopaco (parafuso) alojado na região do ventrículo (moela). Após tratamento clínico com lavagens gástricas por cinco dias sem êxito, optou-se por realizar uma endoscopia digestiva alta sob anestesia geral com quetamina e isoflurano. O corpo estranho foi satisfatoriamente removido com pinça de alça de polipectomia e a ave apresentou rápida melhora clínica sem complicações. A endoscopia mostrou-se um procedimento pouco invasivo e eficaz para a resolução do presente caso. Os clínicos veterinários de aves devem considerar a possibilidade de usar a endoscopia como ferramenta para diagnóstico e resolução de corpos estranhos no canal alimentar das aves.(AU)

Reports of ingestion of foreign bodies from most different materials are common in birds, especially younger ones. Foreign bodies can cause intoxication (depending on the composition of the material) or even perforation of the alimentary canal and gastrointestinal obstruction. When foreign body ingestion is suspected, imaging tests such as radiology, ultrasound, and endoscopy are valuable diagnostic tools. The objective of this paper was to report a case of an avian of the species Gallus gallus domesticus, Brahma breed, seven months old, male, weighing 4.3 kg, with sensitivity in the body cavity, and a history of regurgitation, hyporexia, and prostration for five days. Plain radiographs indicated the presence of a radiopaque foreign body (screw) lodged in the ventricle region (gizzard). After clinical treatment with gastric lavages for five days without success, it was decided to perform an upper digestive endoscopy under general anesthesia with ketamine and isoflurane. The foreign body was satisfactorily removed with polypectomy loop forceps, and the bird showed rapid clinical improvement without complications. Endoscopy proved to be a minimally invasive and effective procedure for resolving the present case. Avian veterinary practitioners may consider using endoscopy to diagnose and resolve foreign bodies in the alimentary canal of birds.(AU)

Los informes de ingestión de cuerpos extraños de los más diferentes materiales son comunes en las aves, especialmente en las más jóvenes. Los cuerpos extraños pueden causar intoxicación (dependiendo de la composición del material) o incluso perforación del tubo digestivo u obstrucción gastrointestinal. Cuando se sospecha la ingestión de un cuerpo extraño, las pruebas de imagen como la radiología, la ecografía y la endoscopia son valiosas herramientas diagnósticas. El objetivo fue reportar un caso de un ave de la especie Gallus gallus domesticus, raza Brahma, de siete meses de edad, macho, con un peso de 4,3 kg, con sensibilidad en la cavidad corporal y antecedentes de regurgitación, hiporexia y postración de cinco días de evolución. Las radiografías simples indicaron la presencia de un cuerpo extraño radiopaco (tornillo) alojado en la región del ventrículo (molleja). Tras tratamiento clínico con lavados gástricos durante cinco días sin éxito, se decide realizar endoscopia digestiva alta bajo anestesia general con ketamina e isoflurano. El cuerpo extraño se extrajo satisfactoriamente con pinzas de asa de polipectomía y el ave mostró una rápida mejoría clínica sin complicaciones. La endoscopia demostró ser un procedimiento mínimamente invasivo y efectivo para la resolución del presente caso. Los veterinarios aviares deberían considerar la posibilidad de utilizar la endoscopia como herramienta para el diagnóstico y resolución de cuerpos extraños en el tubo digestivo de las aves.(AU)

Research on ontology construction of acupuncture effect based on ISO/TS 16843-6: 2022 / 中国针灸

In order to specify the information expression of acupuncture effect and realize the knowledge reuse and sharing, in view of animal experiments and clinical trials, the relevant knowledge of acupuncture effect is allocated. Using seven-step method and Protégé5.5.0 tool, the ontology of acupuncture effect is constructed on the base of ISO/TS 16843-6: 2022. A total of 199 classes are constructed, including 7 categories (acupuncture point, acupuncture therapy, needling method, biological process, genes and gene products, disorder, and anatomic structure), 12 object properties, 1 108 instances and 5 123 axioms. A semantic network with the characteristics of acupuncture and moxibustion is established and the structured expression for the knowledge of acupuncture effects is obtained, which lays the foundation for the innovation and development in the field of acupuncture and moxibustion.

Identification of Chinese Herb Pieces Based on YOLOv4 / 中国实验方剂学杂志

Chinese herbal piece is an important component of the traditional Chinese medicine （TCM） system， and identifying their quality and grading can promote the development and utilization of Chinese herbal pieces. Utilizing deep learning for intelligent identification of Chinese herbal pieces can save time， effort， and cost， while also reasonably avoiding the constraints of human subjectivity， providing a guarantee for efficient identification of Chinese herbal pieces. In this study， a dataset containing 108 kinds of Chinese herbal pieces （14 058 images） was constructed，the basic YOLOv4 algorithm was employed to identify the 108 kinds of Chinese herbal pieces of our database The mean average precision （mAP） of the developed basic YOLOv4 model reached 85.3%. In addition， the receptive field block was introduced into the neck network of YOLOv4 algorithm， and the improved YOLOv4 algorithm was used to identify Chinese herbal pieces. The mAPof the improved YOLOv4 model achieved 88.7%， the average precision of 80 kinds of decoction pieces exceeded 80%， the average precision of 48 kinds of decoction pieces exceeded 90%. These results indicate that adding the receptive field module can help to some extent in the identification of Chinese herbal medicine pieces with different sizes and small volumes. Finally， the average precision of each kind of Chinese herbal medicine piece by the improved YOLOv4 model was further analyzed. Through in-depth analysis of the original images of Chinese herbal medicine pieces with low prediction average precision， it was clarified that the quantity and quality of original images of Chinese herbal medicine pieces are key to performing intelligent object detection. The improved YOLOv4 model constructed in this study can be used for the rapid identification of Chinese herbal pieces， and also provide reference guidance for the manual authentication of Chinese herbal medicine decoction pieces.