3D printed orthopedic insoles for flatfoot: a systematic review / 中国康复理论与实践

ObjectiveTo review the classification of orthopedic insoles, common techniques of 3D printing orthopedic insoles, common materials and their application for flatfoot. MethodsLiteratures were retrieved from PubMed, Web of Science, CNKI and Wanfang Data from 2012 to 2022, and the relevant contents were summarized. ResultsA total of ten studies were finally included, from 5 countries, involving 290 participants, which published from 2019 to 2022. Orthotic insoles were classified as prefabricated, semi-custom, and custom, while custom ones were classified as traditional custom and 3D printed custom. 3D printed orthotic insoles were often made with selective laser sintering, fused deposition modeling (FDM) and PolyJet printing technologies, and commonly used materials included ethylene-vinyl acetate (EVA), polylactic acid, thermoplastic polyurethane, polyamide, and polypropylene. For flatfoot, 3D printed orthotic insoles could improve plantar pressure, relieve foot pain and the combined use of insole posting could control rearfoot valgus. Conclusion3D printed custom insoles can be made more efficiently and accurately than traditional custom insoles. The printing technologies and materials often chosen for 3D printed orthotic insoles are mainly FDM and EVA. 3D printed orthotic insoles is effective on plantar pressure, comfort and foot movement function of flatfoot.

Chinese Expert Consensus on Pharmacokinetics Guided Treatment for Hemophilia A / 罕见病研究

@#Hemophilia A is an X-chromosome-linked recessive genetic disease that lacks coagulation factor Ⅷ (Factor Ⅷ, FⅧ) and is clinically manifested as spontaneous or excessive bleeding after injury.The current main treatment for hemophilia A is alternative infusion of FⅧ, but the fixed infusion mode is still used for the dosage and frequency of infusion, which cannot achieve the optimal curative effect under the principle of individualized treatment.Among the factors that affect the efficacy of FⅧ replacement therapy, the difference in the pharmacokinetics (PK) of FⅧ products by individuals is an important factor.The clinical understanding of individualized FⅧ replacement therapy under the guidance of PK is not sufficient.Therefore, this article reviews the PK characteristics, analysis models, clinical application scenarios and specific treatment plan formulation of FⅧ.

Digital design and effect evaluation of three-dimensional printing scoliosis orthosis / 中国组织工程研究

BACKGROUND: At present, the traditional orthosis manufacturing technology needs a lot of time and materials. The larger expansion coefficient of gypsum and the springback of material cooling will reduce the accuracy of orthosis. Therefore, the application of computer-aided design technology and three-dimensional printing technology in the field of orthosis is booming. OBJECTIVE: Based on the concept of multidisciplinary collaboration, a new scoliosis orthopedic device was designed and manufactured by optical scanning, computer-aided design and 3D printing, and its correction effect was evaluated. METHODS: Seven adolescent idiopathic scoliosis patients, who were treated in the Three-Dimensional Printing Center of Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University between March and October 2019, were enrolled in this study. The patient’s trunk was scanned with three-dimensional scanner. Virtual orthopedic treatment was conducted in Rodin4D software. Data were imported into Magics to carry out the hollow out design of orthosis, which was made by three-dimensional printing technology. Seven patients were followed up for 6 months after wearing orthopedic devices for more than 20 hours every day. The scoliosis before and after intervention was analyzed to observe the clinical efficacy. RESULTS AND CONCLUSION: (1) The contactless iPad scanner was successfully used for mold taking. The orthopedic model was designed in the French Rodin4D software, and the orthopedic model was hollowed-out by the Magics software. A suitable three-dimensional printed personalized scoliosis orthopedic device was produced through three-dimensional printing. (2) All the seven patients were improved significantly. Cobb angle before treatment was (29.43±7.68)°, and the angle of trunk inclination was (11.57±2.76)°. At 6 months after treatment, Cobb angle was (8.71±5.96)° (corrected 72%), and the angle of trunk inclination was (3.57±2.57)° (corrected 70%). The Cobb angle and angle of trunk inclination were significantly different before and after treatment (P < 0.01). (3) The digital medicine and 3D printing technology are applied in the field of rehabilitation AIDS, based on the concept of multidisciplinary collaboration. The production of personalized scoliosis orthopedic program is feasible, and the orthopedic rehabilitation effect is remarkable.

Breast plastic reconstruction surgery in China arrives a new era of precision and personalization / 中华整形外科杂志

There still remains a great amount of details in many aspects of mammaplasty and breast reconstruction. To meet personal requirements of different individuals, it is necessary to continuously explore and master new techniques, while constantly refining aesthetic and technical standards. In recent years, great technical progress has been made in mammaplasty and breast reconstruction in China. Here we published several domestic representative frontier studies in current issue: (1)Through investigation and comparative study of breast reconstruction patients by using BREAST-Q scale, it was found that the indexes were significantly higher in patients who underwent breast reconstruction than those who did not, while the satisfaction with the abdominal function considerably decreased in patients of breast reconstruction with abdominal flaps. (2)As a remarkable supplement to domestic breast reconstruction technique, applying transverse upper gracilis flap(TUG) could be well-indicated for patients with less skin defects and smaller unaffected breast, and for bilateral simultaneous breasts reconstruction. (3)Breast reconstruction with simultaneous implant placement and autologous fat granules grafting after tissue expansion can solve the problem of insufficient coverage on implant resulted from tissue expansion, and therefore provide better palpability, appearance and symmetry of reconstructed breasts. (4) The new method of positioning the nipple in reduction mammaplasty for different degrees of breast hypertrophy is of great practical value to asymmetrical hypermastia and contralateral breast reduction operation following unilateral breast reconstruction.The academic literature on mammaplasty and breast reconstruction published in this issue highlights the domestic developments in this domain in recent years. It represents the trend in refining and individualizing breast reconstruction, indicating a new era of precise and personalized mammaplasty and breast reconstruction has arrived.

Com os pés no chão: sobre como se pode sonhar a conquista de um corpo próprio num processo de análise / Keeping both feet on the ground: about how one may dream of conquering one's own body in a process of analysis / Con los pies en la tierra: sobre cómo se puede soñar la conquista de un cuerpo propio en un proceso de análisis / En ayant les pieds sur terre: à propos de comment on peut rêver sur la conquête un corps propre, dans un processus d'analyse

Neste artigo, descreve-se o caso clínico de um paciente borderline, cujo self era inicialmente formado por uma hipertrofia da área intelectual e que, ao longo da análise, veio a conquistar um corpo próprio e, com isso, uma unidade psicos-somática. Essa descrição tem a finalidade de mostrar que, na perspectiva winnicot-tiana, existem outras possibilidades de interpretar os sonhos em casos de patologia borderline, possibilidades que escapam à teoria dos sonhos proposta por Freud. Não se pretende fazer uma revisão da teoria freudiana, o que exigiria um estudo à parte. Conclui-se que, na perspectiva winnicottiana, o sonho geralmente traduz características do estágio de amadurecimento em que o paciente se encontra.

The author describes a clinical case of a borderline patient, whose self was first formed by a hypertrophy of intellectual area. Throughout the process of analysis, this self has achieved an own body and therefore a psychosomatic unity. The purpose of this description is to show, from a Winnicottian perspective, the existence of other ways of interpreting dreams in cases of borderline disorder. These possible ways were not considered by Freud in his theory of dreams. This paper is not an attempt of reviewing Freud's theory; it would require at least a separate study because of its complexity. From a Winnicottian perspective, in cases of borderline pathology, the dream usuallly does not express an unconscious sexual desire, but rather translates aspects of the maturational stage of the patient, the author concludes.

Este artículo describe el caso clínico de un paciente cuyo self estaba formado por una hipertrofia del área intelectual y que, durante el análisis, conquistó un cuerpo proprio y, con esto, una unidad psicosomática. La descripción tiene el objetivo de mostrar que, en la perspectiva de Winnicott, existen otras posibilidades de interpretar los sueños en casos de patología borderline, posibilidades que escapan en la teoría de los sueños propuesta por Freud. No se pretende aquí una revisión de la teoría de Freud, pues esto es una tarea compleja, que exigiría otro estudio. Se concluye que, en la perspectiva winnicottiana, el sueño generalmente traduce características de la etapa de madurez en la que se encuentra el paciente.

Dans cet article, on décrit le cas clinique d'un patient borderline, dont le self était d'abord formé par une hypertrophie du champ intellectuel, et qui, tout au long de l'analyse, parvient à la conquête d'un corps qui lui est propre et, par conséquent, d'une unité psychosomatique. Cette description a pour but montrer que, dans la perspective Winicottienne, il y a d'autres possibilités d'interpréter les rêves, dans des cas de pathologie borderline, des possibilités qui ne sont pas comprises dans la théorie des rêves proposé par Freud. On n'a pas l'intention de faire une révision de la théorie Freudienne, ce qui exigerait une étude particulière. On conclut que, dans la perspective Winicottienne, le rêve généralement traduit des caractéristiques du stage de maturité où se trouve le patient.

Categorización de los objetos que forman parte del Extended Self, y sus discursos asociados / Categorization of objects that are part of the extended self, and its associated discourses

Resumen La personalización del espacio se construye con las claves que el propietario distribuye en el espacio. Estas claves, mayoritariamente objetos, forman parte del Extended Self. Para comprobar si existe un discurso diferenciado según la categoría a la que pertenecen los objetos de los dormitorios, se realizaron tres estudios. Tras obtener una lista de los objetos más representativos, en el siguiente estudio los participantes clasificaron bajo su criterio estos objetos. Un análisis de cluster mostró dos categorías: funcional y simbólico. Finalmente, un análisis de contenido de las razones de selección de los objetos mostró discursos diferenciados para cada categoría. Los resultados confirman que los objetos se organizan en funcional y simbólico, en donde se obtienen discursos diferenciados según la categoría a la que pertenecen.

Abstract Personalization of space is constructed through the cues that the owner leaves in the space. These cues, mostly objects, are also a basic part of the extended self. To check if there is a differentiate discourse consistent with the categories in which the objects belong, three studies are carried out. After obtaining a list of the most representative, in the subsequent study the participants short these objects using their own criteria. A Cluster analysis showed two categories, Functional and Symbolic. Finally, a content analysis about the reasons of participants to choose each object showed differentiated discourses for each category. These results confirm the objects are organized into Functional and Symbolic, producing differentiated discourses. depending on the category they belong.

Precision evaluatation of personalized knee osteotomy instrument based on 3D printing technology for the total knee arthroplasty / 局解手术学杂志

Objective To construct a personalized knee osteotomy instrument(POI)based on 3D printing technology for the total knee arthroplasty(TKA)and to evaluate the precision of POI.Methods The full-length CT scanning and MRI scanning of the affected lower limbs were performed before operation respectively.The data fusion of CT scanning and MRI scanning were performed with the 3D anatomical data,and then the articular cartilage were reconstructed.The force lines were measured with virtual personalized osteotomy,and TKA prosthe-sis installation were calculated by CAD software.Based on CAD mimic,the registration surface of POI for femoral condyle and tibial plateau were designed by Boolean Subraction calculation technique.The shape and limit structure(LS)of POI were designed according to the regis-tration surface and the osteotomy surface.Finally,POI were fabricated by FDM 3D printing technology.Femoral condylar POI and tibial plat-eau POI were manufactured 15 cases in each group.The difference between design and actual values(DDA)of POI and LS size were meas-ured with the DDA of DML calculated.And the deviation of the TKA prosthesis angle from the design value was measured to verify the precision of the osteotomy of POI.Results There was no significant difference in the shape of POI and LS between design and actual values(P>0.05). Moreover,there was no significant difference of DMLs(P>0.05).Meanwhile,there was no significant difference of TKA prosthesis angle be-tween the design and postoperative values(P>0.05).Conclusion 3D printing technique can accurately construct the POI of TKA.POI can accurately register the articular surface and guide the osteotomy in TKA,which is conducive to the precision of TKA operation.

Focus on the evaluation of visual quality in cataract patients / 中华实验眼科杂志

With the improvement of cataract examination methods,intraocular lens (IOL) design and process,surgical equipments and techniques,cataract surgery was gradually developed from vision rehabilitation to refractive surgery.Therefore,the assessment of visual quality is getting more attention.Clinically,in addition to the extension of concept of visual acuity,contrast sensitivity function (CSF),modulation transfer function (MTF),point spread function (PSF),wavefront aberration and scattering index are also used,with a view to making a comprehensive assessment of visual quality of cataract patients preoperatively and postoperatively.Ophthalmologists should pay attention to the methods and results of evaluation on the visual quality,to provide support for the design of personalized surgery and the improvement of visual quality.

¿Cómo llenar un continente no diferenciado con un determinado contenido? Abordaje psicodinámico de un síntoma alimentario / How to fill an undifferentiated continent with a determined content? Psychodynamic approach of an eating symptom

Resumen El objetivo del presente trabajo fue establecer, a través del análisis de un caso clínico, que la falta de distinción entre el adentro y el afuera de la paciente era uno de los factores centrales de su síntoma alimentario: los «atracones¼ con lechuga. Para tal fin se presentan viñetas del proceso terapéutico que, bajo un enfoque psicodinámico y un dispositivo bifocal, fue llevado a cabo con Rosa a lo largo de 10 años, con énfasis en la relación transferencia-contratransferencia. Viñetas y aspectos evocados del caso se teorizan a partir de los planteamientos de diversos autores. El proceso terapéutico permitió construir-reconstruir lo que falló en el desarrollo temprano de Rosa, a través del cual fue edificando una imagen corporal y psíquica de sí misma, enriqueciendo su Self y sus relaciones interpersonales. Esta experiencia clínica invita a pensar que las fallas tempranas se presentan a través de múltiples expresiones -con predominio en cuerpo o en psique- y su tratamiento requirió el abordaje de múltiples aspectos y, en ello, el dispositivo bifocal usado mostró ser una opción pertinente.

Abstract The aim of this study was to establish that the lack of distinction between inside and outside of the patient presented was one of the nuclear factors in Rosa's eating symptom. For this purpose we present the clinical materials issued from the psychotherapeutic process carried on with Rosa during 10 years -one of the two components of the bifocal therapy-emphasizing the transference-countertransference relation. The comprehension achieved from clinical materials is enriched by means of discussing approaches of several authors on relevant concepts. Results showed that what had failed during Rosa's early development was built-rebuilt throughout therapy. She worked on building a bodily and mental image, enriched her self and her relationships with others. This clinical experience is an invitation to think about the great variety of expressions -sometimes by means of the body and sometimes of the psyche- of early failures and also, that treatments must include various aspects, with bifocal therapy being an option.

Experiencia en la adaptación de actividades a los estilos de aprendizaje desde la educación de posgrado a distancia / Experience in adapting activities to the learning styles of postgraduate distance learning

Introducción: de una Universidad Innovadora emergen modelos para facilitar el aprendizaje. Un elemento a tener en cuenta para su personalización es la determinación de los estilos con que aprenden los estudiantes. Objetivo: socializar los resultados de una experiencia en el ajuste instructivo de un curso de postgrado a distancia a los estilos de aprendizaje de los estudiantes. Métodos: la experiencia se realizó desde octubre de 2015 hasta febrero de 2016. Se utilizó el Aula Virtual de Salud (UVS) cubana, ubicada en la dirección http://aulavirtual.sld.cu/. Se determinó los estilos de aprendizaje mediante el cuestionario Honey-Alonso. Se distribuyeron los estudiantes en dos subgrupos: activos y pragmáticos, y reflexivos y teóricos. Se adaptaron las actividades de aprendizaje a los estilos de los estudiantes. Se observaron sistemáticamente los procesos y las interacciones que tienen lugar en el curso y se aplicó encuesta de satisfacción. Entre los métodos matemáticos - estadísticos se emplearon: los de estadística descriptiva, Alfa de Crombach, prueba T, Chi-cuadrado y análisis de correlación de Pearson. Resultados: los estilos de aprendizaje activo, reflexivo, y pragmático se encuentra en el estándar de preferencia moderada, en los estudiantes y para el estilo teórico, en el estándar de preferencia Alta; no existieron diferencias entre géneros. Los estudiantes de ambos subgrupos aprobaron todas las actividades de aprendizaje. Los estudiantes mostraron satisfacción con los elementos evaluados del curso, no existiendo diferencias entre los subgrupos/estilos(AU)

Introduction: Models to facilitate learning emerge from an innovative university. One element to take into account for their personalization is to determine the styles with which the students learn. Objective: To socialize the results of an experience in the instructive adjustment of a distance postgraduate course to the learning styles of the students. Methods: The experiment was carried out from October 2015 to February 2016. The Virtual Health Classroom (VHC) was used in Cuba, located at http://aulavirtual.sld.cu/. Learning styles were determined using the Honey-Alonso questionnaire. The students were divided into two subgroups: one active and pragmatic, and the other reflective and theoretical. The learning activities were adapted to the styles of the students. The processes and interactions that took place in the course were systematically observed and a satisfaction survey was applied. Mathematical-statistical methods were used: descriptive statistics, Crombach's Alpha, T-test, Chi-square, and Pearson's correlation analysis. Results: Active, reflective, and pragmatic learning styles are found in the standard of moderate preference, in students and for the theoretical style, in the standard of preference as high; there were no gender differences. Students in both subgroups approved all learning activities. The students showed satisfaction with the evaluated elements of the course, with no differences between subgroups or styles(AU)

Discussion on Wisdom Education of Medical Colleges in the Big Data Era / 医学信息学杂志

The paper analyzes the opportunities and challenges for medical education in the big data era,puts forward the wisdom way of thinking,teaching mode,examination mode,etc.of wisdom education,and explores and analyzes the big data about the learning conditions of students through the data mining technology,in order to truly achieve the teaching concept of students development oriented and individualized teaching.

Study on the application of personalization customized oral positioning stent in head and neck cancer patients with intensity modulated radiation therapy / 医学研究生学报

Objective Head and neck cancer radiotherapy patients often appear a series of oral complications including mucositis, xerostomia, pain, dysphagia.The purpose of this study was to investigate whether personalization customized positioning oral stent was able to push normal tissue off the high dose target area and maintain accurate repeatable stable positions, thus protecting the normal tissue during radiotherapy of the nasopharyngeal carcinoma patients.Methods 15 newly diagnosed nasopharyngeal carcinoma patients were collected from March to August 2016 in Department of Radiation Oncology, Nanjing General Hospital of Nanjing Military Region and randomly divided into trial group and control group.Two groups of patients were treated with intensity modulated radiation therapy (IMRT).Trial group patients wear personalization customized oral positioning stents during radiotherapy while the control group did not wear.After radiotherapy, we compared the exposure doses of clinical target area(CTV) and normal oral tissue in two groups.ResultsThe left parotid gland radiotherapy doses of the trail group and the control group were 2223.557±294.549 cGy and 2900.563±374.660 cGy, the difference was statistically significant(t=3.847, P=0.002);the right parotid gland radiotherapy doses of the trail group and control group were 2284.957±256.673 cGy and 2994.670±339.264 cGy, the difference was statistically significant(t=4.512, P=0.001).The mean exposure doses of CTV in two groups were no statistically significant difference (6142.829±135.986 cGy vs 173.306±6221.825 cGy, t=0.971, P=0.349.Conclusion During the intensity modulated radiation therapy, patients with personalization customized oral positioning stents can keep the mandible in a precise repeatable stable position.And it can reduce the exposure dose of bilateral parotid without affect the radiotherapy effect of the clinical target area.

Leveraging Multimodal Supports using Mobile Phones for Obesity Management in Elementary-School Children: Program Providers' Perspective from a Qualitative Study / 대한지역사회영양학회지

OBJECTIVES: This study was conducted to investigate providers' perspectives on current challenges in implementing a program for prevention and management of childhood obesity and adoption of mobile phone as a potential solution of leveraging multimodal delivery and support in a school setting. METHODS: The qualitative data were collected through face-to-face in-depth interviews with 23 elementary-school teachers, 6 pediatricians, and 6 dieticians from community health centers and analyzed using a qualitative research methodology. RESULTS: Current challenges and potential solutions of obesity-prevention and -management program for obesity program for elementary school children were deduced as two themes each. Lack of tailored intervention due to limited recipient motivation, lack of individualized behavioral intervention, and different environmental conditions can be solvable by mobile technology-based personalized intervention which brings about interactive recipient participation, customized behavioral intervention, and ubiquitous accessibility. Lack of sustainable management due to stigmatization, limited interactions between program providers and inconsistent administrative support can be handled by multimodal support based on school setting using mobile platform providing education of health promoting behaviors toward larger scale and interactive networking between program participants, and minimizing administrative burden. CONCLUSIONS: Adoption of mobile-based health management program may overcome current limitations of child obesity program such as lack of tailored intervention and sustainable management via personalized intervention and multimodal supports although some concerns such as increased screen time need to be carefully considered in a further study.

La reactividad constitucional del sujeto: una piedra de rosetta interdisciplinaria / A reatividade constitucional do sujeito. Uma pedra de roseta interdisciplinar / Subject’s constitutional reactivitya: interdisciplinary rosetta stone

Aprender a identificar de manera integral, mixta y dinámica la constitución de un sujeto significa, por un lado, ayudarlo a autoconocerse en su manera de reaccionar (por eso se habla de reactividad constitucional y no más de biotipos o rasgos), de desarrollarse (madurar o destruirse), de relacionarse y aceptar a los demás tal como son; por otro lado, sirve para personalizar diagnóstico, terapia y pronóstico. La historia del constitucionalismo y un esquema sinóptico interdisciplinario (filosofía griega, teología, medicina hipocrática, galénica, homeopática, china, ayurvédica y holística, biología, embriología, bioquímica, fisiopatología, neurología, endocrinología, psicología y espiritualidad) muestra una precisa correspondencia y un denominador común sobre la base de la teoría constitucional embriológica que habla de endoblasto, mesoblasto y ectoblasto. Una coherencia que dura por más de 24 siglos en occidente y pasa también las barreras culturales (oriente y occidente) y paradigmáticas (biomedicina y homeopatía), no puede ser casual.

To learn to identify in an integral, mixed and dynamic way the subject’s constitution means, on one hand, to help him to a self-knowledgement of his reactive way (for this, we speak of constitutional reactivity and no more of biotipe or trait), to develop himself (to mature or to destroy), to join and accept the others like they are; on the other way, it serve to personalize diagnosis, therapy and prognosis. The constitution history and a synoptic interdisciplinary diagram (Greek philosophy, theology, hippocratic, galenic, homeopatic, chinese, ayurvedic and holistic medicines, biology, embriology, biochemistry, physiopathology, neurology, endocrinology, psychology and spirituality) shows a precise link and a common denominator according to an embriologic constitutional theory, that speaks about endoblast, mesoblast and ectoblast. A coherence thas lasts for more than 24 centuries in occident and goes through even the cultural borders (eastern and western world) and paradigmatic logics (biomedicine and homeopaty) cannot be casual.

Aprender a identificar de maneira integral, mista e dinâmica a constituição de um sujeito significa, por um lado, ajudá-lo a se autoconhecer na sua maneira de reagir (por isso se fala de reatividade constitucional e não mais de biotipos ou traços), de desenvolver-se (amadurecer ou destruir-se), de relacionar-se e aceitar os demais taisl como são; por outro lado, serve para personalizar diagnóstico, terapia e prognóstico. A história do constitucionalismo e um esquema sinóptico interdisciplinar (filosofia grega, teologia, medicina hipocrática, galênica, homeopática, chinesa, ayurvédica e holística, biologia, embriologia, bioquímica, fisiopatologia, neurologia, endocrinologia, psicologia e espiritualidade) mostra uma precisa correspondência e um denominador comum sobre a base da teoria constitucional embriológica que fala de endoblasto, mesoblasto e ectoblasto. Uma coerência que dura por mais de 24 séculos no ocidente e ultrapassa também as barreiras culturais (oriente e ocidente) e paradigmáticas (biomedicina e homeopatia), não pode ser casual.

Task-driven pe rsonal teaching model of Medical Information Retrieval / 中华医学图书情报杂志

The task-driven personal teaching model of Medical Info rmation Retrieval was designed according to the individual differences in medical undergraduates and the characteristics and processes of task-driven teaching followed by an elaboration on its implementing methods, such as investigating the information literacy of medical undergraduates, teaching in classification of medical undergraduates, designing teaching task, completing teaching task, assessing infor-mation literacy of medical undergraduates and applying knowledge in medical undergraduates.

Nuestro recorrido hacia el verdadero self de Miguel / Our journey to the true self of Miguel

Objetivo: Mostrar el proceso analítico de Miguel, un hombre joven que nace con defectos congénitos en su cuerpo y funciones corporales que teñirán de forma particular la construcción de su self y de sus relaciones de objeto tempranas. Método: Estudiar los materiales clínicos del proceso psicoanalítico que llevaba dos años al momento de escribir este trabajo, con énfasis en la relación transferencia – contratransferencia. El tratamiento se llevó a cabo a razón de cuatro sesiones semanales. Resultados y Conclusiones: El trabajo analítico con Miguel permitió mostrar su camino desde un falso self defensivo, tendiendo hacia la emergencia de su self verdadero, logrando una existencia psico- somática, que le permitió asumir su cuerpo defectuoso, su funcionamiento mental y sus afectos de un modo integrado. Esta experiencia nos invita a pensar en el tratamiento psicoanalítico como una opción a proponer a pacientes cuyo sufrimiento se origina en haber nacido con defectos en su cuerpo.

Objective: To give an account of Miguel’s psychoanalytical process. He is a young man with various birth defects and impaired bodily functions which distorted the structuring of his self and early relationships. Method: The study of the clinical material of the first years of Miguel’s psychoanalytical process, time at which this paper was written, emphasizing the transference- countertransference relation. The treatment was conducted four times weekly. Results and Conclusions: Miguel’s psychoanalytical process enabled the passage from a defensive false self towards the emergence of this true self, achieving a psycho- somatic unity which enabled him to assume his defective body, his mind and his feelings in an integrated way. This experience invites us to consider psychoanalysis as a therapeutic option to be proposed to patients whose suffering originated in being born with body defects.

Sobre a importância do corpo para a continuidade do ser / On the importance of the body to the continuity of being

Da forma como Donald Winnicott o entendia, o corpo seria essencial para a psique, na medida em que ela era vista, antes de tudo, como uma organização específica, proveniente da elaboração imaginativa das funções corporais. Contudo, do ponto de vista do indivíduo em processo de amadurecimento emocional, o autor não considerava que o self e o corpo seriam inerentemente superpostos. Ainda assim, para que houvesse saúde, seria necessário que essa superposição se tornasse um fato. Gradualmente, a psique chegaria a um acordo com o corpo, de tal forma que, na saúde, deveria existir um estado no qual as fronteiras corporais seriam também as fronteiras da psique. Levando em conta estas considerações, o objetivo principal do presente artigo é delimitar o lugar do corpo na obra do psicanalista inglês, procurando articular esse conceito com a experiência de continuidade do ser. Para isso, percorremos os seus principais artigos sobre o tema, desde os anos trinta até o início da década de setenta, supondo que desta maneira é possível detectar, de forma mais rigorosa, as principais transformações pelas quais passaram as relações entre corpo e ser. No decorrer deste percurso, são discutidas ainda outras noções e conceitos fundamentais formulados pelo autor, tais como os de integração, personalização, holding e handling, assim como a sua abordagem dos distúrbios psicossomáticos.

As Donald Winnicott understood it, the body would be essential for the psique while it was seen, first of all, as a specific organization, proceeding from the imaginative elaboration of the corporal functions. However, from the point of view of the individual in process of emotional maturation, the author did not consider that the self and the body would be inherently superposed. Nevertheless, in health, it would be necessary that this superposition becomes a fact. Gradually, the psique would arrive at an agreement with the body, in such a way that, in health, there should be a state in which the corporal borders would also be the borders of the psique. Taking in account these considerations, the main objective of the present article is to delimit the place of the body in the work of the English psychoanalyst, trying to articulate this concept with the experience of continuity of the being. For this, we traverse its main articles on the subject, since the Thirties until the beginning of the decade of seventy, assuming that in this way it is possible to detect in a more rigorous way the main transformations in the relations between body and being. During this course, we still discuss other fundamental concepts and notions formulated by the author, such as integration, personalization, holding and handling, as well as his approach of psychosomatic disturbance.

To Facilitate Personalize Information Service in Pharmacology by Means of the Personalized Service Functions of PubMed/Medline / 中国药房

OBJECTIVE:To facilitate personalize information service in pharmacology by means of the personalized service functions of PubMed/Medline.METHODS:We reviewed the development process and the functions of My NCBI in the personalized information service in PubMed/Medline.RESULTS:The personalized information service in pharmacology can be achieved by using the multi-functions of PubMed/Medline which included My NCBI,RSS,E-mail,SMS and PDA downloads.CONCLUSION:My NCBI,RSS,E-mail,SMS and PDA downloads、the multi-functions of PubMed/Medline can be counted on to achieve personalized information service.