RESUMO
La situación mundial de pandemia COVID-19 y las medidas de aislamiento, supusieron la ruptura de muchas de las certezas que sostenían el mundo tal como lo conocíamos. Estos grandes cambios en la vida cotidiana, como en la institución escolar, pusieron aún más de manifiesto las altas exigencias que recaen en los niños, en los pedidos de adaptación. Reducido a las "tareas", lo educativo emerge como un nuevo imperativo, que si se sostiene desde el mero cumplimiento de las demandas anula el deseo, dando como resultado manifestaciones de angustia, desgano y malestar. La tarea desligada de la pulsión vivificante de la escuela se vuelve exceso. El desafío de la clínica y de la vida actual en general, parece debatirse en la posibilidad singular de pasar de lo obligado, al deseo. O mejor aún, el desafío de pasar "de lo obligado al deseo" a lo deseante(AU)
The global COVID-19 pandemic situation and the isolation meassures meant the rupture of many of the certainties that sustained the world as we knew it. These great changes in the daily life, as in the school institution,exposed even more the high demands that fall on children, in the requests for adaptation. Reduced to the "tasks", the education emerges as a new imperative, that if it is sustained in the mere fulfillment of the demands, it annuls the desire, resulting in manifestations of anguish, apathy and discomfort. The task detached from the school's vital impulse becomes an excess. The challenge of the clinic and of current life in general, seems to be debated in the singular possibility of going from the obligatory, to the desire. Or better yet, the challenge of going "from the obligation to the desire" ... to the desiring posture(AU)
La situation mondiale de la pandémie de COVID-19 et les mesures d'isolement ont entraîné la ruptura de bon nombre des certitudes qui soutenaient le monde tel que nous le connaissions. Ces grands changements dans la vie quotidienne, comme dans l'institution scolaire, ont rendu encore plus évidentes les exigences élevées imposées aux enfants, dans les demandes d'adaptation. Réduit à des "tâches", l'éducation apparaît comme un nouvel impératif qui, s'il est soutenu par la simple satisfaction des exigences, annule le désir, entraînant des manifestations d'angoisse, de réticence et d'inconfort. La tâche détachée de l'impulsion vivifiante de l'école devient un excès. L'enjeu de la clinique et de la vie actuelle en général, semble se débattre dans la possibilité singulière de passer de l'obligatoire, au désir. Ou mieux encore, le défi de passer "du forcé au désir" au désirant(AU)
A situação global da pandemia COVID-19 e as medidas de isolamento significaram o colapso de muitas das certezas que sustentavam o mundo como o conhecíamos. Essas grandes mudanças no cotidiano, como na instituição escolar, tornaram ainda mais evidentes as altas demandas das crianças, nas solicitações de adaptação. Reduzido a "tarefas", o educativo surge como um novo imperativo, que se sustentado a partir do mero cumprimento das demandas, anula o desejo, resultando em manifestações de angústia, relutância e desconforto. A tarefa separada do impulso vivificador da escola torna-se um excesso. O desafio da clínica e da vida atual em geral, parece ser debatido na possibilidade singular de passar do obrigatório ao desejo. Ou melhor, o desafio de ir "do forçado a desejar"... ao desejante(AU)
Assuntos
Humanos , Criança , Quarentena , Educação a Distância/métodos , Distanciamento Físico , COVID-19/psicologia , Apatia , Angústia PsicológicaRESUMO
Background: COVID-19 is highly transmissible, thus requiring strict measures to prevent its propagation. Aim: To report a survey about self-reported adherence to recommendations aimed to reduce the transmission of COVID-19, among health care personnel. Material and Methods: A cross-sectional survey among health professionals about adherence to recommendations to prevent COVID-19 transmission was carried out in a public hospital in Chile. The survey had 11 questions and was developed using Delphi methodology, according to the recommendations of the World Health Organization and the Centers for Disease Control. Results: The survey was answered by 137 of 155 invited workers. Hand washing, use of personal protection equipment, use of the elbow or tissue to sneeze, out-of-hospital hand washing and exclusive use of the uniform in the hospital, had an adherence of over 90%. The adherence to face touching avoidance during working hours, and face mask use in the public areas, was over 50%. No statistical differences were observed between gender or professionals. Conclusions: The adherence reported by health care workers was adequate in most of the evaluated recommendations.
Assuntos
Humanos , COVID-19 , Chile , Estudos Transversais , Pessoal de Saúde , Fidelidade a Diretrizes , SARS-CoV-2RESUMO
Background: Trauma is the main cause of death among people aged 5 to 44 years. Aim: To describe features, treatment and evolution of trauma patients admitted to an emergency room. Material and Methods: Adult patients admitted in the emergency department of a public hospital due to severe trauma were studied and followed during their hospital stay. Results: We included 114 patients aged 40 ± 17 years (78%men) with an injury severity score of 21 ± 11. Trauma was penetrating in 43%. Traumatic brain injury (TBI) was the most common diagnosis in 46%. In the emergency room, 8% had hypotension, 5% required vasopressors and 23% required mechanical ventilation. The initial lactate was 3.6 ± 2.9 mmol/L. Sixty-five patients (57%) required emergency surgery. The intraoperative lactate was 3 ± 1.7 mmol/L and 20% required vasopressors. Sixty-four patients (56%) were admitted to the ICU, with APACHEII and SOFA scores of 16 ± 8 and 5 ± 3, respectively. ICU lactate was 3.2±1.5 mmol/L. In the ICU 40% required vasopressors and 63% mechanical ventilation. Thirty two percent had coagulopathy, 43% received transfusions and 10% required massive transfusions. The hospital stay was 13 (6-32) days, being significantly longer in patients with TBI. ICU and hospital mortalities were 12.5 and 18.4% respectively. The only predictor for mortality was the APACHEII score (Hazard Ratio 1.18, 95% confidence intervals 1.03-1.36). Conclusions: APACHE score was a predictor of mortality in this group of patients.