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1.
Edumecentro ; 13(2): 269-286, abr.-jun. 2021.
Article in Spanish | LILACS | ID: biblio-1286254

ABSTRACT

RESUMEN Introducción: se consideran las ideas de L.S. Vygotsky (1896-1934) teórico del enfoque histórico-cultural con su propuesta para elaborar una teoría y práctica psicológica materialista-dialéctica. Objetivo: valorar la dependencia emocional con sus causas y factores asociados a partir de la apreciación teórica de los autores sobre su diagnóstico, orientación, educación, prevención, tratamiento y rehabilitación. Métodos: se realizó una revisión bibliográfica sobre la dependencia emocional por las bases de datos SciELO y Google Académico con predominio de los últimos 5 años, con la mirada multicausal, multidisciplinar, eminentemente psicológica, integracionista de la psicología cubana y de la escuela histórico-cultural de Vygotsky, consecuentes con lo psicobiológico, socio-económico-cultural en interacción con lo cualitativo-cuantitativo y lo clínico-epidemiológico. Desarrollo: se referenciaron múltiples disciplinas de las ciencias humanísticas, con el liderazgo de la psicología y el axioma vigotskiano: "...más allá de las potencialidades humanas para adaptarse al medio, están las posibilidades transformadoras del ser humano"; se reconocieron herramientas instrumentadas, devenidas en procesos psicológicos, protectores de personas con dependencia emocional. Conclusiones: la prevención de la dependencia emocional y su control, valorada a través de la escuela vigotskiana se apoya en la estimulación de la zona de desarrollo próximo y en la explicación de la situación social del desarrollo, regulada por actividades socio-culturales con su base natural en el sistema nervioso, regida por órganos funcionales, sin trasmisión biológica, con implicaciones de la psiconeuroinmunología, a partir de la cual se trata de solucionar el dilema cuerpo-mente relacionado con el tema.


ABSTRACT Introduction: the ideas of L.S. Vygotsky (1896-1934) theorist of the historical-cultural approach with his proposal to elaborate a materialist-dialectic psychological theory and practice are considered. Objective: to assess emotional dependence with its causes and associated factors based on the theoretical appreciation of the authors about its diagnosis, orientation, education, prevention, treatment and rehabilitation. Methods: a bibliographic review on emotional dependence was carried out by the SciELO and Google scholar databases with a predominance of the last 5 years, with a multicausal, multidisciplinary, eminently psychological, integrationist view of Cuban psychology and the historical-cultural school of Vygotsky, consistent with the psychobiological, socio-economic-cultural in interaction with the qualitative-quantitative and the clinical-epidemiological. Development: multiple disciplines of the humanistic sciences were referenced, with the leadership of psychology and the Vigotskian axiom: "... beyond the human potentialities to adapt to the environment, there are the transforming possibilities of the human being"; Instrumented tools were recognized, turned into psychological processes, protectors of people with emotional dependence. Conclusions: the prevention of emotional dependence and its control is valued through the Vigotskian school which is based on the stimulation of the zone of proximal development and on the explanation of the social situation of development, regulated by socio-cultural activities with its natural base in the nervous system, that is governed by functional organs, without biological transmission, with implications of psychoneuroimmunology, from which it is a matter of solving the mind-body dilemma related to the subject.


Subject(s)
Psychology , Conditioning, Psychological , Handling, Psychological
2.
Agora (Rio J.) ; 23(3): 90-98, set.-dez. 2020.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1130833

ABSTRACT

RESUMO: A partir de questões suscitadas pela clínica da recepção em um ambulatório público de saúde mental, investigamos o manejo clínico da urgência subjetiva. Tendo em vista a recorrência do sofrimento psíquico relacionado à angústia e a manifestações ligadas ao ato, revisamos o lugar da angústia em psicanálise e sua relação com o acting out e a passagem ao ato. Verificamos como o psicanalista pode acolher a urgência subjetiva, permitindo que este momento de crise dê lugar ao trabalho psíquico e possibilite uma subjetivação do sofrimento.


Abstract: From issues raised by the reception clinic in a public mental health clinic, we investigated the clinical management of subjective urgency. In view of the recurrence of psychic suffering related to the anguish and manifestations associated with the act, we review the place of anguish in psychoanalysis and its relation to the acting out and the passage to the act. We verify how the psychoanalyst can take on the subjective urgency, allowing this moment of crisis to give way to psychic work and enable a subjectivation of suffering.


Subject(s)
Psychoanalysis , Psychological Distress , Handling, Psychological
3.
Rev. salud bosque ; 10(1): 1-9, 2020.
Article in Spanish | LILACS, COLNAL | ID: biblio-1103952

ABSTRACT

Introducción. El apego se define como aquel vínculo significativo que se establece entre personas. Cuando este se rompe, ocurre lo que se denomi-na una pérdida significativa seguida de un proceso de duelo, el cual con-siste en una reacción de dolor natural ante el desprendimiento de algo o de alguien. Durante este proceso, la espiritualidad es una estrategia central para sobreponerse a una experiencia dolorosa; sin embargo, esta también puede verse afectada por los significados que se le atribuyen. La terapia de aceptación y compromiso se emplea en distintos desórdenes psicológicos que involucran la evitación experiencial, incluyendo el duelo.Objetivo. Evaluar el duelo complicado espiritual en pacientes tratados con terapia de aceptación y compromiso, antes y después de la intervención.Materiales y métodos. Se aplicó el cuestionario Inventory of Complicated Spiritual Grief a pacientes con duelo antes y después de ser tratados con terapia de aceptación y compromiso en la Clínica del Duelo del Cen-tro Universitario de Ciencias de la Salud de la Universidad de Guadalaja-ra, México.Resultados y conclusiones. La terapia de aceptación y compromiso ha de-mostrado ser útil en el proceso del duelo, así como en el restablecimiento de la espiritualidad, toda vez que esta es resignificada y da sentido a las experiencias dolorosas.Palabras clave: Duelo; Apego; Espiritualidad; Terapia de aceptación y compromiso.


Introduction: Attachment refers to the significant bond we establish with a person, when this is broken, what we call a significant loss occurs, followed by a grieving process: natural pain reaction to the detachment of something or someone who had a It was worth it During this, spirituality appears as a cen-tral strategy to overcome painful experiences, but it can also be affected by the meanings attributed to it. Acceptance and commitment therapy has been used in different psychological disorders that involve experiential avoidance, including grief.Objectives: The central objective of the study is to evaluate the complicated spiritual duel. Material and methods: The Inven-tory of Complicated Spiritual Grief (ICSG) was applied in pa-tients with grief, before and after being treated with Acceptance and Commitment Therapy in the grief clinic of the University Center of Health Sciences.Results and Conclusions: Acceptance Therapy and commitment has proven to be useful in facilitating the elaboration of grief, as well as in restoring spirituality since it is resignified and gives meaning to painful experiences.


Introdução. O apego refere-se ao vínculo significativo estabe-lecido entre pessoas, se vier a quebrar acontece uma perda significativa, seguida de um processo de luto que envolve uma reação natural de dor ao desapego. Durante esse processo, a espiritualidade é uma estratégia central para superar uma expe-riência dolorosa, no entanto, esteja afetada pelos significados atribuídos a ela. A Terapia de aceitação e comprometimento é usada em várias circunsatâncias que envolvem evasão expe-riencial, incluindo luto.Objetivo. O principal objetivo do estudo é avaliar o luto com-plicado espiritual.Materiais e métodos. O questionário Inventory of Complicated Spiritual Grief foi aplicado em pacientes com perdas significa-tivas, antes e depois de serem tratados com a Terapia de acei-tação e compromisso na clínica de luto do Centro Universidade de Ciências da Saúde da Universidade de Guadalajara.Resultados e conclusões. Terapia de aceitação e compromisso mostrou ser útil no processo de luto, bem como na restauração da espiritualidade, uma vez que é ressignificada e dá sentido à experiências dolorosas


Subject(s)
Humans , Spirituality , Acceptance and Commitment Therapy , Suicide , Grief , Handling, Psychological
4.
Psicol. rev ; 27(2): 263-285, dez. 2018.
Article in Portuguese | LILACS | ID: biblio-998679

ABSTRACT

O presente artigo procura compreender a função da mentira contada em análise, bem como refletir sobre o manejo transferencial solicitado por tal tipo de relato, à luz da teoria psicanalítica freudiana. Com esses objetivos, efetuou-se um estudo sobre as realidades psíquica e material, a fantasia e a mentira, a fim de poder analisar a incidência do referido relato na clínica psicanalítica e como escutá-lo, desvinculando-o de um viés moralista e atrelado ao desejo. Pretende-se com este artigo esclarecer que, para a clínica, o aspecto da função do mentir que importa é sua forma e não seu conteúdo, além de propor um espaço benevolente para escutar, a partir da livre associação, o discurso mentiroso dos pacientes. Essas reflexões podem contribuir de forma significativa para o aprimoramento do fazer do analista na clínica psicanalítica.


This article intends to understand the role of a lie told in psychoanalysis, as well as reflect on the transferencial management requested by such type of report, in light of the Freudian psychoanalytical theory. With these objectives, a study was conducted about the psychic and material realities, the fantasy and the lie, so as to analyze the incidence of the referred report in the psychoanalytical practice and how to study it, detaching it from a bias that is moralist and connected to desire. This article intends to clarify that, for the practice, the aspect of the lie that matters is its form and not its content, as well as proposing a benevolent place to listen, from free association, to the untruthful discourse of the patients. These reflections can contribute in a significant manner to the improvement of the analyst's work in psychoanalytic practice.


El presente artículo trata de comprender la función de la mentira contada en análisis, bien como reflexionar sobre el manejo transferencial solicitado por tal tipo de relato, a la luz de la teoría psicoanalítica freudiana. Con esos objetivos, se efectuó un estudio sobre las realidades psíquica y material, la fantasía y la mentira, a fin de poder analizar la incidencia del referido relato en la clínica psicoanalítica y como escucharlo, desvinculándolo de un enfoque moralista y entrelazado con el deseo. Se pretende con este artículo esclarecer que, para la clínica, el aspecto de la función de mentir que importa es su forma y no su contenido, además de proponer un espacio benevolente para escuchar, a partir de la asociación libre, el discurso mentiroso de los pacientes. Estas reflexiones pueden contribuir de manera significativa para la mejora del hacer del analista en la clínica psicoanalítica.


Subject(s)
Humans , Reality Therapy , Fantasy , Handling, Psychological , Deception
5.
J. psicanal ; 51(95): 193-210, jul.-dez. 2018.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-984674

ABSTRACT

Escrito na forma de diálogo com um jovem colega, o artigo tem como ponto de partida material clínico ligado a núcleos neuróticos e não neuróticos em uma mesma paciente. O objetivo é discutir como se constituem esses núcleos, como se dá sua repetição na transferência e como trabalhar com eles na situação analítica.


Written in the form of a dialogue with a young colleague, the article has as its starting point clinical material related to neurotic and non-neurotic nuclei in the same patient. My purpose is to discuss how do these nuclei originate, how their repetition occurs in transference and how to work with them in the analytic situation.


Escrito en forma de diálogo con un joven colega, el artículo tiene como punto de partida material clínico ligado a núcleos neuróticos y no neuróticos en una misma paciente. El objetivo es discutir cómo se constituyen esos núcleos, como se da su repetición en la transferencia y cómo trabajar con ellos en la situación analítica.


Rédigé sous la forme d'un dialogue avec une jeune collègue, l'article a pour point de départ d matériel clinique lié aux noyaux névrotiques et non névrotiques chez une même patiente. L'objectif est de discuter la façon dont se constituent ces noyaux, comment leur répétition apparaît dans le transfert et la manière de travailler avec eux dans la situation analytique.


Subject(s)
Handling, Psychological , Neurotic Disorders , Psychoanalysis
6.
Psicol. Estud. (Online) ; 23: e2311, 2018.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1098492

ABSTRACT

RESUMO. A alucinação auditiva é um fenômeno que participa da vida de muitas pessoas que fazem tratamento no sistema público de saúde mental de nosso país. No cotidiano de um Centro de Atenção Psicossocial de uma capital brasileira, ouvidores de vozes relatavam com frequência que continuavam sofrendo em função de experiências alucinatórias, mesmo seguindo o tratamento prescrito pela equipe de saúde. Considerando esse problema, foi criado no local um grupo voltado para a lida com o fenômeno. Este artigo teve como objetivo analisar experiências desse grupo. Para isso, utilizou-se o método qualitativo, o qual envolveu o registro de 62 sessões sob a forma de diário de campo, e a análise do corpus. A organização dos dados se deu em três espectros temporais estruturantes de (psico)terapias de grupo em geral: "apresentação", "trocas de experiências", e "fechamento"; além de um aspecto dinâmico, denominado de "manejo terapêutico". A apresentação promoveu a ambientação dos participantes e possibilitou o surgimento de temas importantes, os quais foram trabalhados no decorrer da sessão. Ao trocarem experiências, os integrantes conseguiram compreender algumas dinâmicas relativas às vozes, e houve a promoção de determinados fatores terapêuticos. O manejo serviu para alinhavar os espectros temporais e garantir a fluidez da atividade. Recomenda-se a adoção de grupos com esse foco e formato nos serviços de saúde mental, considerando que eles ampliam a capacidade de cuidado.


RESUMEN. La alucinación auditiva es un fenómeno que forma parte de la vida de muchas personas que hacen tratamiento en el sistema público de salud mental de nuestro país. En el cotidiano de un Centro de Atención Psicosocial de una capital brasileña, oyentes de voces relataban con frecuencia que seguían sufriendo en función de experiencias alucinatorias, aun siguiendo el tratamiento prescrito por el equipo de salud. Considerando este problema, se creó un grupo orientado a la lectura del fenómeno. En este artículo se tuvo como objetivo analizar experiencias de ese grupo. Para ello, se utilizó el método cualitativo, el cual involucró el registro de sesenta y dos sesiones en forma de diario de campo, y el análisis del corpus. La organización de los datos se dio en tres espectros temporales estructurantes de (psico)terapias de grupo en general: "presentación", "intercambios de experiencias", y "cierre"; además de un aspecto dinámico, denominado "manejo terapéutico". La presentación promovió la ambientación de los participantes y posibilitó el surgimiento de temas importantes, los cuales fueron trabajados en el transcurso de la sesión. Al intercambiar experiencias, los integrantes lograron comprender algunas dinámicas relativas a las voces, y hubo la promoción de determinados factores terapéuticos. El manejo sirvió para alinear los espectros y garantizar la fluidez de la actividad. Se recomienda la adopción de grupos con ese foco y formato en los servicios de salud mental, considerando que ellos amplían la capacidad de cuidado.


ABSTRACT. Auditory hallucination is a phenomenon that is part of the lives of many people who are treated in the public mental health system of our country. In the daily life of a Psychosocial Care Center in a Brazilian capital, voice hearers frequently reported that they continued to suffer from hallucinatory experiences, even following the treatment prescribed by the health team. Considering this problem, a group was set up to deal with the phenomenon. This article aimed to analyze the experiences of this group. For this, the qualitative method was used, which involved the registration of sixty-two sessions in the form of a field diary, and the analysis of the corpus. The organization of the data occurred in three temporal spectra that structure group (psycho)therapies in general: "presentation", "exchanges of experiences", and "closure"; besides a dynamic aspect, called "therapeutic management". The presentation promoted the setting of the participants and allowed the emergence of important themes, which were worked on during the session. By exchanging experiences, the members were able to understand some dynamics related to voices, and there was the promotion of certain therapeutic factors. The management served to tie the spectra together and ensured the fluidity of the activity. It is recommended the adoption of groups with this focus and format in mental health services, considering that they increase the capacity of care.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Voice , Mental Health , Hallucinations/therapy , Psychotherapy , Therapeutics/psychology , Confusion/psychology , Health of Specific Groups , Handling, Psychological , Mental Health Services
7.
Aletheia ; 49(2): 76-88, jul.-dez. 2016. ilus, tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-916103

ABSTRACT

A adaptação do comportamento da criança é um tema amplo e muito estudado em Odontopediatria. Esta revisão integrativa da literatura avaliou artigos nacionais publicados de 1980 a 2016, relacionados ao manejo comportamental em Odontopediatria. Foram analisados 87 artigos em bases de dados nacionais como a BVS, PePSIC, SciELO e LILACS. Os resultados demonstraram um número elevado de publicações relacionadas ao manejo comportamental com abordagem não farmacológica (82,75%) e o delineamento observacional transversal foi o mais prevalente, bem como um aumento de publicações, a cada década. Concluiu-se que os artigos que retratam as técnicas de abordagem não farmacológica predominam na literatura nacional, destacando-se o papel da interdisciplinaridade entre a Odontopediatria e a Psicologia, no Brasil. A produção científica ao longo do período avaliado por este estudo vincula fortemente os saberes entre as duas profissões, no intuito de promover a abordagem mais apropriada às demandas clínicas de um paciente infantil.(AU)


Handling is a broad subject and much studied in pediatric dentistry. This integrative literature review evaluated national articles published from 1980 to 2016, related to Behavioral Management in Pediatric Dentistry. Eighty seven articles were analised from national databases such as the BVS, PePSIC, SciELO and LILACS. The results showed a high number of publications related to behavioral management with a non-pharmacological approach (82,75%) and the cross-sectional observational design was the most prevalent, as well as an increase in publications, every decade. It was concluded that the articles that portray the techniques of non-pharmacological approach predominate in the national literature, highlighting the role of interdisciplinarity between Pediatric Dentistry and Psychology, in Brazil. The scientific production during the evaluated period showed a strong relation between the two professions, in order to promote the most appropriate approach to the child patient clinical demands.(AU)


Subject(s)
Humans , Child Behavior , Pediatric Dentistry , Handling, Psychological , Patients , Dentistry
8.
Rev. etol. (Online) ; 13(1): 1-9, jun. 2014. ilus, tab
Article in Portuguese | LILACS | ID: lil-772586

ABSTRACT

No presente estudo, investigou-se a influência da disposição de diferentes itens de ambientação no recinto sobre o padrão comportamental de um grupo de 21 papagaios-chauá (Amazona rhodocorytha), constituído por indivíduos de ambos os sexos e diferentes procedências e idades, alojados em um recinto no Centro de Reintrodução de Animais Silvestres (Cereias, ES). As observações ocorreram durante o inverno, entre os meses de julho e setembro. Utilizou-se o método de varredura para quantificar as categorias locomoção, exploração, manutenção, repouso, vocalização em movimento, vocalização em repouso, interações sociais agonísticas e afiliativas. Registrou-se também, durante as varreduras, a utilização do espaço pelas aves. Os resultados indicam que: 1) em ambientes mais abertos (com mais luminosidade) os animais tendem a ficar mais ativos; 2) os indivíduos desta espécie apresentam um tropismo por regiões mais altas (Atividade: 24,4%; Repouso: 64,7%) e evitam repousar no chão (Atividade: 8,4%; Repouso: 2,5%). Os resultados são discutidos em função do conhecimento disponível sobre o comportamento de outras espécies de psitacídeos, sua manutenção em cativeiro, e a relevância deste estudo para os programas de conservação da espécie.


In the present study the behaviors of a "chauá" group (Amazon rhodocorytha), a threatened species of parrot, was described and quantified. The group was constituted by 21 individuals from different origins, with different ages and from both sexes, kept in captivity. The influence of the position of different objects in the enclosed space and of the period of the day on the pattern of activity of the group was also investigated. The observation took place between July and September. The scan method was used to quantify the categories locomotion, exploration, maintenance, rest, vocalization in movement, vocalization in rest, agonistic and affiliative social interactions. Space use was also registered during scans. The results indicate that: 1) the activity of the animals depends on characteristics of the environment-in more exposed environments the animals tend to be more active; 2) the individuals of this species present a tropism for higher areas and they avoid to rest in the ground. The results are discussed in the light of the knowledge available about the behavior of other species of parrots, their maintenance in captivity, and the relevance of this study for species conservation programs.


Subject(s)
Animals , Behavior, Animal , Parrots , Handling, Psychological
9.
Article in Korean | WPRIM | ID: wpr-222066

ABSTRACT

This study describes the characteristics of injuries and high risk situation in the Korean professional soccer matches using the video analysis. Video analysis is a video based method describing incidents and injuries that may result in an injury using 19 variables and categories modified from the soccer matches. During the 2012 season K-league, video files from 60 matches in the Korean professional soccer matches were reviewed. Injuries and Incidents were recorded when the match was interrupted by the referee because of a suspected injury. As results, 201 incidents were recorded in 60 matches. The most injured body part was ankle. The majority of the injury risk incidents occurred during receiving the ball and heading. Midfielders appeared to be at greater risk than others and most incidents and injuries occurred during breakdown attacks and when a player was involved in duels. Also, improved ball handling skill (especially 1st touching the ball) may reduce the incidents and injuries.


Subject(s)
Animals , Ankle , Athletic Injuries , Football , Handling, Psychological , Head , Seasons , Soccer , Sports
10.
Subj. procesos cogn ; 17(2): 174-188, 2013.
Article in Spanish | LILACS | ID: lil-706346

ABSTRACT

Este artículo presenta un aporte al estudio de la persuasión dentro del marco de la intersubjetividad en los vínculos. El conjunto corresponde a una tesis doctoral sobre la manipulación a través del discurso. La muestra que se utilizó para esta investigación es una obra literaria –el Ricardo III de Shakespeare– cuyo personaje central es un maestro en el arte de persuadir. La investigación abarca dos etapas: la primera, en que los estudios se focalizaron en el proceso que se produce al momento de la persuasión y una segunda etapa, en que el acento está puesto en lo que resulta apto, en cada caso particular, para convencer o persuadir al interlocutor. El texto que aquí se analiza está formado por fragmentos seleccionados de una escena de la obra, a los que se le aplicó el Algoritmo David Liberman (ADL), un método de análisis del discurso, basado en la teoría freudiana de pulsiones y defensas. Dicha escena, considerada de antología, nos ha ofrecido óptimas condiciones para generar un nuevo aporte a la interpretación de la persuasión desde la perspectiva psicoanalítica y para profundizar en el tema de la intersubjetividad en los vínculos.


Subject(s)
Handling, Psychological , Persuasive Communication , Psychoanalysis , Psychology , Psychometrics , Speech
11.
Article in Korean | WPRIM | ID: wpr-656147

ABSTRACT

Intervention using ultrasonography includes injection, aspiration, needling (barbotage), nerve block, tumor biopsy, and removal of the foreign body. The principles of disinfection during skin preparation, as well as handling of the transducer and needle should be maintained. The needle could be visualized on the ultrasonographic image, and could be tracked during the intervention. Factors affecting visualization of the needle on ultrasonography include the diameter and the incidence angle of the needle. Ultrasonography can be classified as an indirect technique or a real-time technique according to constant use. According to the angle between the transducer and needle, it can be classified as a lateral approach or a coaxial approach.


Subject(s)
Biopsy , Disinfection , Foreign Bodies , Handling, Psychological , Incidence , Needles , Nerve Block , Skin , Track and Field , Transducers , Ultrasonography
12.
Genomics & Informatics ; : 102-113, 2013.
Article in English | WPRIM | ID: wpr-58527

ABSTRACT

Metagenomics has become one of the indispensable tools in microbial ecology for the last few decades, and a new revolution in metagenomic studies is now about to begin, with the help of recent advances of sequencing techniques. The massive data production and substantial cost reduction in next-generation sequencing have led to the rapid growth of metagenomic research both quantitatively and qualitatively. It is evident that metagenomics will be a standard tool for studying the diversity and function of microbes in the near future, as fingerprinting methods did previously. As the speed of data accumulation is accelerating, bioinformatic tools and associated databases for handling those datasets have become more urgent and necessary. To facilitate the bioinformatics analysis of metagenomic data, we review some recent tools and databases that are used widely in this field and give insights into the current challenges and future of metagenomics from a bioinformatics perspective.


Subject(s)
Computational Biology , Dermatoglyphics , Ecology , Handling, Psychological , High-Throughput Nucleotide Sequencing , Metagenomics
13.
Article in English | WPRIM | ID: wpr-78477

ABSTRACT

Duplicated ureters are the most common congenital malformation of the upper urinary tract, but there are few reports on the transplantation of kidneys with duplicated ureters. We introduce different techniques for the ureteroneocystostomy of double ureters and long-term results. We specifically detail the experience of two patients with duplicated ureters at Bong Seng Memorial Hospital from March 1995 to May 2012. In our first case, the top technique of spatulating and suturing duplicated ureters was applied with the bottom technique for double ureteroneocystostomy. The operation time was 4 hours and 45 minutes, while the ureteroneocystostomy took 32 minutes. In the second case a double-armed 4.0 Vicryl suture was placed on each tip of the ureter and both needles passed from the inside out through the bladder wall. The ureters were pulled into the bladder and the suture was tied on the serosa of the bladder. The operation time was 3 hours and 50 minutes, while the ureteroneocystostomy took 15 minutes. Neither urological complications nor urinary tract infections were observed in the follow-up period and no double-J stent was needed. We therefore conclude that these two techniques are available procedures for handling duplicated ureters, with the technique applied in the second case particularly time-effective.


Subject(s)
Follow-Up Studies , Handling, Psychological , Humans , Kidney , Kidney Transplantation , Needles , Polyglactin 910 , Serous Membrane , Stents , Sutures , Transplants , Ureter , Urinary Bladder , Urinary Tract , Urinary Tract Infections
14.
Article in English | WPRIM | ID: wpr-72879

ABSTRACT

PURPOSE: Recently many cases of appendectomy have been conducted by single-incision laparoscopic technique. The aim of this study is to figure out the benefits of transumbilical single-port laparoscopic appendectomy (TULA) compared with conventional three-port laparoscopic appendectomy (CTLA). METHODS: From 2010 to 2012, 89 patients who were diagnosed as acute appendicitis and then underwent laparoscopic appendectomy a single surgeon were enrolled in this study and with their medical records were reviewed retrospectively. Cases of complicated appendicitis confirmed on imaging tools and patients over 3 points on the American Society of Anesthesia score were excluded. RESULTS: Among the total of 89 patients, there were 51 patients in the TULA group and 38 patients in the CTLA group. The visual analogue scale (VAS) of postoperative day (POD) #1 was higher in the TULA group than in the CTLA group (P = 0.048). The operative time and other variables had no statistical significances (P > 0.05). CONCLUSION: Despite the insufficiency of instruments and the difficulty of handling, TULA was not worse in operative time, VAS after POD #2, and the total operative cost than CTLA. And, if there are no disadvantages of TULA, TULA may be suitable in substituting three-port laparoscopic surgery and could be considered as one field of natural orifice transluminal endoscopic surgery with the improvement and development of the instruments and revised studies.


Subject(s)
Anesthesia , Appendectomy , Appendicitis , Handling, Psychological , Hospital Costs , Humans , Laparoscopy , Medical Records , Natural Orifice Endoscopic Surgery , Operative Time , Retrospective Studies
15.
Article in English | WPRIM | ID: wpr-90656

ABSTRACT

Hypertension is closely related to salt and water retention. The kidney plays an important role in the blood pressure regulation primarily to modulating tubular sodium and water reabsorption. The regulation of the salt and water balance depends upon an array of solute and water channels in the renal tubules. An altered regulation of sodium and water channels in the kidney may be related to various pathological conditions associated with altered salt and water retention. This review will discuss renal handling of sodium and water, with particular emphasis on aquaporins and renal sodium transporters and channels.


Subject(s)
Aquaporins , Blood Pressure , Handling, Psychological , Hypertension , Kidney , Membrane Transport Proteins , Retention, Psychology , Sodium , Water
16.
Article in English | WPRIM | ID: wpr-176209

ABSTRACT

BACKGROUND: To date, various types of acellular dermal matrix (ADM) have been developed for clinical use. AlloDerm is the most familiar type of ADM to most surgeons in breast reconstruction. It is prepared by freeze-drying. CG CryoDerm is the first form of ADM that requires no drying process. Therefore, theoretically, it has a higher degree of preservation of the dermal structures than AlloDerm. We conducted this study to compare the clinical course and postoperative outcomes of patients who underwent direct-to-implant breast reconstructions using AlloDerm and those who did using CG CryoDerm. METHODS: We performed a retrospective analysis of the medical records in a consecutive series of 50 patients who underwent direct-to-implant breast reconstruction using AlloDerm (n=31) or CryoDerm (n=19). We then compared the clinical course and postoperative outcomes of the two groups based on the overall incidence of complications and the duration of drainage. RESULTS: The mean follow-up period was 16 months. There were no significant differences in the overall incidence of complications (seroma, infection, skin flap necrosis, capsular contracture, and implant loss) between the two groups. Nor was there any significant difference in the duration of drainage. CONCLUSIONS: CG CryoDerm has the merits of short preparation time and easy handling during surgery. Our results indicate that CG CryoDerm might be an alternative allograft material to AlloDerm in direct-to-implant breast reconstruction.


Subject(s)
Acellular Dermis , Breast , Breast Implantation , Collagen , Contracture , Female , Follow-Up Studies , Handling, Psychological , Humans , Incidence , Mammaplasty , Medical Records , Necrosis , Retrospective Studies , Skin , Transplantation, Homologous
17.
Article in English | WPRIM | ID: wpr-48227

ABSTRACT

Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is becoming a standard method for invasive mediastinal staging and for the diagnosis of paratracheal and peribronchial lesions. It is essential to understand the technical aspects of EBUS-TBNA to ensure safe and efficient procedures. In this review, we discuss the practical aspects to be considered during EBUS-TBNA, including anesthesia, manipulation of equipment, understanding mediastinal ultrasound images, target selection, number of aspirations needed per target, sample handling, and complications.


Subject(s)
Anesthesia , Aspirations, Psychological , Bronchoscopy , Handling, Psychological , Lung Neoplasms , Needles , Ultrasonography
18.
Article in English | WPRIM | ID: wpr-27437

ABSTRACT

Even in a well-designed and controlled study, missing data occurs in almost all research. Missing data can reduce the statistical power of a study and can produce biased estimates, leading to invalid conclusions. This manuscript reviews the problems and types of missing data, along with the techniques for handling missing data. The mechanisms by which missing data occurs are illustrated, and the methods for handling the missing data are discussed. The paper concludes with recommendations for the handling of missing data.


Subject(s)
Bias , Handling, Psychological
19.
Article in Korean | WPRIM | ID: wpr-48548

ABSTRACT

Quite high prevalence of acute and chronic complications of calcaneal fractures has been reported. Acute complications include blisters, wound necrosis or infection. Late complications include subtalar arthritis, calcaneal malunion, lateral subfibular impingement, tendon problems, sural nerve complications. There are many surgical or nonsurgical treatment modalities to manage those complications. However strategic initial surgical approach with gentle soft tissue handling accompanied by comprehensive understanding about numerous complications might be the best tool to achieve pain free and functional heel after treating calcaneal fractures.


Subject(s)
Arthritis , Blister , Calcaneus , Handling, Psychological , Heel , Necrosis , Organic Chemicals , Prevalence , Sural Nerve , Tendons
20.
Article in Korean | WPRIM | ID: wpr-64675

ABSTRACT

PURPOSE: This study was to explore situations that might put the middle-aged Korean-Chinese female migrant workers at risk for work-related musculoskeletal diseases (WMSDs). At the development phase of a continuing health project, the study aimed to clarify health promotion program needs of the migrant population. METHODS: A qualitative description research design was used with three focus groups of 23 Korean-Chinese female migrant workers. Each focus group interview was conducted for 70-minutes using semi-structured interview guidelines. The data were analyzed using directed qualitative content analysis techniques. RESULTS: The majority of the participants were household workers and their work included heavy material handling, standing for a long time, and working in awkward postures. They experienced discrimination from employers, lack of control at work, limitations in open-communication, job insecurity, and acculturation. They had needs to have health promotion programs for preventing and managing chronic diseases, depression and menopause as well as WMSDs. CONCLUSION: The participants were situated in work environments with physical demanding tasks, acculturative and job-related stress and lack of opportunities to participate in health promotion programs. It is suggested to develop a comprehensive program to better meet the needs of middle-aged Korean-Chinese female migrant workers rather than targeting the reduction of WMSDs.


Subject(s)
Acculturation , Chronic Disease , Depression , Discrimination, Psychological , Family Characteristics , Female , Focus Groups , Handling, Psychological , Health Promotion , Humans , Menopause , Musculoskeletal Diseases , Posture , Research Design , Risk Factors , Transients and Migrants
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