ABSTRACT
Apesar da rarefação de casos de estigmatização cristã, o interesse por esse fenômeno corporal insólito perdura. Um estudo dos casos Madeleine Lebouc e Yvonne-Aimée de Jesus revela que seus estigmas derivam ou de uma automutilação ou de uma farsa. No entanto, este não é o ponto essencial. Mais frutífera ainda mostra-se a pesquisa focada nesse modo original de relação do sujeito a seu corpo, e principalmente por que ele se sustenta em uma relação mística com Jesus. Orientando-se pela teoria freudiana e lacaniana, o presente artigo demonstra, a partir da clínica, as duas funções principais dos estigmas para esses dois sujeitos, a saber: o tratamento de um gozo louco pertencente ao corpo próprio e a emergência de um processo de representação permitindo assumi-lo e tratá-lo.
Although cases of Christian stigmatization have become rare, general interest in this unusual physical phenomenon endures. Yet, a study of the cases of Madeleine Lebouc and Yvonne-Aimée de Jésus has revealed that their stigmata proceed either from self-mutilation or fraud. However, that's not the main point. Research into this peculiar form of relationship between a subject and his body proves to be quite rewarding, mainly because the phenomenon is sustained by a mystic relation to Jesus. Based on Freud's and Lacan's theories and on clinical elements, the present paper describes the two main functions of stigmata for these subjects, i.e. the processing of uncontrollable jouissance assigned to the body itself and the development of a process of representation that enables the subject to accept it and to deal with it.
Malgré la raréfaction des cas de stigmatisation chrétienne, la passion pour ce phénomène corporel insolite perdure. Pourtant une étude des cas Madeleine Lebouc et Yvonne-Aimée de Jésus révèle que les stigmates relèvent soit d'une automutilation, soit d'une feinte suggérant leur présence. Là n'est cependant pas l'essentiel. Il importe d'interroger ce mode original du rapport du sujet à son corps et ce d'autant plus qu'il se soutient d'un rapport mystique à Jésus. A la faveur des enseignements freudiens et lacaniens, cet article démontre, à partir de la clinique, les deux fonctions principales des stigmates pour ces sujets. Soit le traitement d'une jouissance folle appartenant au corps propre et d'un processus de représentation permettant de l'assumer et de la prendre en charge.
A pesar de los pocos casos de estigmatización cristiana, el interés por este insólito fenómeno corporal perdura. Un estudio de los casos de Madeleine Lebouc e Yvonne-Aimée de Jesús revela que los estigmas delatan una automutilación o un ademán que sugiere su presencia. No obstante, esto no es lo esencial. Se muestra aún más fructífera una investigación basada en este modo original de relación entre el sujeto y su cuerpo y principalmente porque se sostiene en una relación mística con Jesús. Gracias a los aportes freudianos y lacanianos, este artículo demuestra clínicamente las dos principales funciones de los estigmas para estos dos sujetos, a saber: el tratamiento de un goce loco que pertenece al cuerpo propio y el advenimiento de un proceso de representación, permitiendo asumirlo y tratarlo.
Trotz der Seltenheit von Fällen christlicher Stigmatisierung besteht das Interesse an diesem ungewöhnlichen Körperphänomen weiter. Eine Untersuchung der Fälle Madeleine Lebouc und Yvonne-Aimée de Jésus zeigt, dass ihre Stigmata entweder auf Selbstverstümmelung oder Betrug beruhen. Dies ist jedoch nicht der wesentliche Punkt. Die Erforschung dieser eigentümlichen Form der Beziehung zwischen dem Subjekt und seinem Körper erweist sich als notwendig, vor allem weil das Phänomen sich auf eine mystische Beziehung zu Jesus stützt. In Anlehnung an die Theorien von Freud und Lacan enthüllt dieser Artikel anhand klinischer Elemente die zwei Hauptfunktionen der Stigmata für diese Subjekte: einerseits die Verarbeitung unkontrollierbaren Genießens [Jouissance], dass dem Körper selbst zugeordnet wird und anderseits das Entstehen eines Repräsentationsprozesses, der es dem Subjekt ermöglicht, dieses Genießen zu akzeptieren und es zu verarbeiten.
ABSTRACT
Objective: To study the chemical constituents of the methanol extract from the aerial parts of the mangrove plant Sonneratia paracaseolaris. Methods: The methanol extract was isolated and purified with various chromatographic methods, including silica gel, ODS, Sephadex LH-20 columns, TLC, and HPLC. The compounds were identified by their physical chemical properties and 1H-NMR and 13C-NMR data. Results: Seventeen compounds were obtained from the methanol extract of Sonneratia paracaseolaris and identified as phytol (1), stigmasta-4-ene-3,6-dione (2), stigmata-4,22-diene-3,6-dione (3), cholesterol (4), (22E)-cholesterol-5,22-diene-3β-alcohol (5), diosmetin (6), tricin (7), 5,3′,5′-trihydroxy-7,4′-dimethoxyflavone (8), 5-hydroxy- 7,4′-dimethoxyflavone (9), 5-hydroxyl-7,3′,4′-trimethoxydihydroflavone (10), vanillin (11), p-hydroxy benzaldehyde (12), salicylic acid (13), trans-p-hydroxyl ethyl cinnamate (14), 4-hydroxy-2,6-dimethoxy-benzaldehyde (15), 3,4,5-trimethoxybenzoic acid (16), and 3,3′,4-trimethoxyellagic acid (17). Conclusion: All the compounds except 4, 11, 15, and 17 are obtained from genus Sonneratia. All compounds are isolated from S. paracaseolaris for the first time.
ABSTRACT
Objective To investigate the predisposing locations of active hemorrhage in patients with esophageal variceal bleeding. Methods Data of 823 patients with acute esophageal and gastric variceal hemorrhage receiving emergency gastroscopy diagnosed from January 2003 to December 2013 were retrospectively studied. The location and site of active hemorrhage or stigmata were analyzed and its relationship with active hemorrhage was discussed. Results A total of 372(45. 2%,372/823) patients with active bleeding and stigmata were found under emergency endoscopy. Among 372 patients, 190 got accurate hemorrhage and stigmata location and site description. Bleeding or stigmata in 58(30. 5%) patients was 28-32 cm from incisor in group A, and that in 132 (69. 5%) patients was more than 35 cm in group B ( χ2＝57. 642, P＜0. 000 1). In 190 cases, the proportion of bleeding or stigmata at 3:00 point was the highest (37%,70/132), followed by those at 12:00 point(30%,58/132),6:00 point(24%,45/132),and 9:00 point (9%,17/132). The change trend of the percentage of each point in group A and group B was the same as that in all cases. The percentage of almost all points in group B was significantly higher than that in group A except that at 9:00 point ( P＜0. 000 1).Conclusion Esophageal variceal bleeding in cirrhosis is more common at 3:00 point, 6:00 point and 12:00 point of esophagus, and the high risk area is 35 cm below the incisors.
ABSTRACT
Objective: To study the chemcial constituents from Melicope ptelefolia. Methods: The constituents were isolated and purified by chromatography with silica gel, Sephadex LH-20, and recrystallization. The structures were elucidated by sepectroscopic anaylsis (NMR and ESI-MS). Results: Twelve compounds were isolated from petroleum ether and ethyl acetate soluble fraction and identified as: physcion (1), stigmata-3,5-dien-7-one (2), β-sitostenone (3), 24(R)-24-ethyl-5α-cholestane-3β,5α,6β-triol (4), dihydroxanthyletin (5), methyl icosanoate (6), emodin (7), (+)-marmesin (8), rudicoumarin C (9), 3-(2',3'-dihydroxy) isopentyl-7- hydroxycoumarin (10), and 4-methoxy-2(1H)-quinolinone (11). Conclusion: Compounds 1-11 are isolated from M. ptelefolia for the first time. Compound 10 is a new compound named pteleifolosin D.
ABSTRACT
O atual cenário de violência instalado na sociedade e o envolvimento de crianças e adolescentes chamam a atenção para uma questão importante: o debate acerca do ato infracional. As discussões que o norteia partem do pressuposto de que o adolescente deve ser punido igualmente ao adulto; que o Estatuto da Criança e do Adolescente (ECA) fortaleceu a proteção ao jovem "bandido", levando-o à impunidade e acentuando os índices da criminalidade juvenil. Percebe-se uma crise ética quando se discute adolescência, pobreza, violência e ato infracional, nos levando a essa reflexão que se mostra oportuna e desafiadora no tempo presente.
The current scenario of violence installed in the society and the involvement of children and adolescents in the settlement of this draws the attention to an important issue: the debate about the infraction act. The discussions that guides this question assumes that teenagers should be punished equally to adults; the Child and Adolescent Statute (ECA) strengthened the protection of the young "criminal", which leads him/her to impunity and increasing the rates of juvenile crimes. We perceived an ethical crisis when adolescence, poverty, violence and infractional acts are discussed, leading us to this reflection, which shows itself convenient and challenging nowadays.
Subject(s)
Social Work , Adolescent , Crime/prevention & controlABSTRACT
Se presenta el caso de una mujer de 44 años, blanca, ingresada en el Servicio de Medicina Interna del Hospital Clinicoquirúrgico Docente "Miguel Enríquez" por síndrome febril agudo y hematuria. En el examen físico realizado se notó la salida de lágrimas con sangre muy fluida, por el ángulo externo del ojo izquierdo. La inyección intradérmica en la cara dorsal del muslo derecho de 0,1 mL de sangre autóloga, indujo una reacción equimótica dolorosa en el sitio de la inyección. La inyección de 0,1 mL de solución salina al 0,9 % como control en el muslo contralateral, resultó negativa. Sobre la base del examen clínico y estas pruebas, se concluyó como un Síndrome de Gardner-Diamond. Esta entidad debe ser considerada en el diagnóstico diferencial de un síndrome purpúrico de etiología no bien precisada, fundamentalmente en pacientes con problemas psiquiátricos.
This is the case of a white woman aged 44, admitted in the Internal Medicine Service of "Miguel Enríquez" Clinical Surgical Hospital due to acute febrile syndrome and hematuria. At physical examination performed we noted a very high level of watering with presence of blood by left angle of left eye. The intradermal injection of 0,1 ml of autologous blood in dorsal part of right thigh, induced a painful ecchymotic reaction in injection site. The injection of 0.1 ml of 0,9% saline solution as control in contralateral thigh was negative. On the base of clinical examination and these tests, we conclude that it was a Gardner-Diamond syndrome. This entity must to be considered in differential diagnosis of a purpuric syndrome of a non-well established etiology, mainly in patients presenting with psychiatric disorders.
ABSTRACT
Bleeding that recur or continues after hospital admission for an acutely bleeding peptic ulcer is the single most important factor adversely affecting prognosis. The endoscopic findings of stigmata of recent hemorrhage such as active bleeding, a visible vessel or fresh blood clots in peptic ulcer indicate relatively high rebleeding risk. 30 patients with stigmata of recent hemorrhage in bleeding peptic ulcers were treated by endoscopic alcohol injection therapy during the 3-year period from August 1989 to July 1992. 30 cases included 24 gastric ulcers, 4 duodenal ulcers, and 2 stomal ulcers. 8 of these were actively bleeding at the time of endoscopy and non-bleeding visible vessels were identified in 15 patients and fresh blood clots were present in 7. 12 of total 30 cases had rebleeding or continuous bleeding. 3 of 8 with active bleeding, 5 of 15 with non-bleeding bisible vessels, and 4 of 7 with fresh blood clots had rebleeding. Emergency operations were done in 4 cases. There was no complication such as perforation and mortality. We think that this modality of endoscopic hemostasis is safe and simple, but further randomized controlled trials will be needed to evaluate the efficacy of hemostasis by endoscopic alcohol injection therapy.