El lugar vacante del concepto de sujeto en la clínica psicoanalítica del autismo / O lugar vago do conceito de sujeito na clínica psicanalítica do autismo / The vacant place of the concept of subject in the psychoanalytic clinic of Autism / La place vacante du concept de sujet dans la clinique psychanalytique de l'autisme

Frente a la hegemonía de abordajes behavioristas y cognitivistas en el acompañamiento precoz del autismo, muchos psicoanalistas tomaron la palabra para criticar dicha universalización, y defender el lugar que el psicoanálisis ocupa. Para ello, se utiliza a menudo el término "sujeto": estas prácticas, dicen los psicoanalistas, excluyen al sujeto, mientras que el psicoanálisis apuesta por su emergencia. Ahora bien, ¿Cuál es el estatuto del sujeto en la clínica psicoanalítica del autismo? A través de una revisión de textos, se puso de manifiesto que para muchos psicoanalistas el sujeto dividido, definido por Lacan, no operaría en el autismo. Al mismo tiempo, no contamos con muchas elaboraciones que propongan un estatuto especifico de sujeto para el autismo. Por consiguiente, se llegó a la conclusión que existe un lugar vacante de dicho concepto en la clínica psicoanalítica del autismo en la orientación lacaniana. En este artículo se proponen tres caminos para reducir la distancia entre una promoción del psicoanálisis como clínica del sujeto y nuestras elaboraciones teóricas sobre el sujeto en el autismo.

Resumos Diante da hegemonia das abordagens behavioristas e cognitivistas no acompanhamento precoce do autismo, muitos psicanalistas têm se manifestado para criticar essa universalização e defender o lugar ocupado pela psicanálise. Para isto, utiliza-se frequentemente o termo "sujeito": essas práticas, dizem os psicanalistas, excluem o sujeito, enquanto a psicanálise aposta em sua emergência. No entanto, qual é o estatuto do sujeito autista na clínica psicanalítica? Através de uma revisão da literatura, verificou-se que para muitos psicanalistas o sujeito dividido, definido por Lacan, não operaria no autismo. Ao mesmo tempo, não temos muitas elaborações que proponham um estatuto de sujeito específico para o autismo. Portanto, concluiu-se que há um lugar vago do conceito de sujeito na clínica psicanalítica do autismo de orientação lacaniana. Neste artigo, três caminhos são propostos para diminuir a distância entre a promoção da psicanálise como clínica do sujeito e nossas elaborações teóricas sobre o sujeito no autismo.

Given the hegemony of behavioral and cognitive approaches in the early accompaniment of autism, many psychoanalysts criticize this universalization and defend the place occupied by psychoanalysis. To do this, the term "subject" is often used: these practices, say psychoanalysts, exclude the subject, whereas psychoanalysis bets on its emergence. However, what is the autistic subject's status in the psychoanalytic clinic? From a texts' review, it appeared that for many psychoanalysts the divided subject, defined by Lacan, would not operate in autism. At the same time, we do not have many elaborations that propose a specific subject status for autism. Therefore, it was concluded that there is a vacant place of the concept of subject in the psychoanalytic clinic of autism of Lacanian orientation. In this article, three paths are proposed to reduce the distance between a promotion of psychoanalysis as a clinic of the subject and our theoretical elaborations on the subject in autism.

Face à l'hégémonie des approches comportementalistes et cognitivistes dans le suivi précoce de l'autisme, de nombreux psychanalystes se sont manifestés pour critiquer cette universalisation et défendre la place occupée par la psychanalyse. Pour cela, le terme « sujet ¼ est souvent utilisé : ces pratiques, disent les psychanalystes, excluent le sujet, alors que la psychanalyse fait le pari de son émergence. Mais quel est le statut du sujet autiste dans la clinique psychanalytique ? Une revue de la littérature a permis de constater que pour de nombreux psychanalystes, le sujet divisé, défini par Lacan, ne serait pas opérant dans l'autisme. En même temps, nous n'avons pas beaucoup d'élaborations qui proposent un statut de sujet spécifique pour l'autisme. On peut donc conclure que la place du concept de sujet dans la clinique psychanalytique de l'autisme d'orientation lacanienne est vacante. Dans cet article, trois pistes sont proposées pour combler le fossé entre la promotion de la psychanalyse comme clinique du sujet et nos élaborations théoriques sur le sujet dans l'autisme..

Effects of divided injection on the survival of fat graft in nude mice / 中华医学美学美容杂志

Objective To explore the effect of divided injection of fat grafting and to provide a new sight for the strategy of clinical particle fat transplantation.Methods Adipose tissue was aspirated from the healthy female abdomen by liposuction.In the control group,0.5 ml of adipose tissue was subcutaneously injected into the nude mice.The experimental group was injected with 0.25 ml first,followed by 0.25 ml injection of adipose tissue on the 7th,14th and 30th days.To assess graft retention rate and effectiveness we measured the wet weight and observed the pathological sections with HE or perilipin immunofluorescence.Results The wet weight of the tissue between the experimental group and the control group had no statistical difference,the experimental group had less necrosis and empty tissue than the control group.The proportion of perilipin positive staining tissue in 7 day group had statistical difference from that of the control group.Conclusions The strategy of preinjection of part of the adipose tissue and then supplement of the residual tissue after 7 days may increase the proportion of active adipose tissue in the graft.

Clinical application of modified kite flap in treatment of divided nevus of lateral canthus / 中国修复重建外科杂志

Objective: To investigate the effectiveness of modified kite flap in repair of soft tissue defect after divided nevus of lateral canthus excision. Methods: Between October 2010 and April 2018, 20 children (20 eyes) with divided nevus of lateral canthus were admitted. There were 13 boys and 7 girls, with an average age of 7.9 years (mean, 4-14 years). There were 11 cases of moderate range lesions (maximum diameter, 1.5-2.0 cm) and 9 cases of small range lesions (maximum diameter, <1.5 cm). After excising the divided nevus of lateral canthus, the area of soft tissue defect ranged from 0.72 to 3.23 cm2。The modified kite flap was used to reconstruct the structure and shape of lateral canthus. Results: There were 16 cases of mixed nevus and 4 cases of intradermal nevus. The flaps survived and the incisions healed by the first intention. The patients were followed up 12-22 months (mean, 13.6 months). There was no malformation, valgus, exposure keratitis, or obvious scar. No malignant transformation occurred or nevus recurred during follow-up. At last follow-up, the effectiveness was rated as excellent in 16 cases, good in 3 cases, and poor in 1 case. Conclusion: The modified kite flap can repair the soft tissue defect after excising the divided nevus of lateral canthus, and obtain the good appearance and function of lateral canthus.

Efectos del ejercicio físico sobre la atención: una revisión de los últimos años / Effects of the physical exercise on the attention: a review of last years

El siguiente trabajo es una revisión de las investigaciones sobre el efecto crónico del ejercicio físico en la atención, basado en el entrenamiento físico-deportivo en estudios de carácter longitudinal, el efecto agudo del ejercicio físico en la atención, basado en situaciones experimentales y la relación entre los niveles de actividad física y condición física con la atención realizado en estudios transversales. La bús-queda se realizó en las bases de datos Dialnet, Scielo y Pubmed. Se encontró un total de 119 artículos, de los cuales 28 cumplían con los criterios de inclusión (publicados entre el 1° de enero del año 2010 y el 31 de diciembre del 2016, idioma español, inglés o portugués, artículos de investigación, estudios realizados en seres humanos y muestras con sujetos sanos). De la revisión más del 70% dan cuenta de los efectos positivos del ejercicio físico sobre la atención, incluyendo trabajos con aplicaciones de una sesión de entrenamiento o de varias semanas/meses. También se observaron relaciones importantes en-tre la práctica de actividad física y esta función cerebral. Algunos trabajos no mostraron influencia del entrenamiento, lo que hace necesario más estudio orientados a determinar las intensidades y tiempos de aplicación mas adecuados para potenciar la atención en diferentes grupos etarios.

The following work is a review of the research carried out on the chronic effects of physical exercise on sustained attention, based on: Physical-sports training in longitudinal studies; chronic effects of physical exercise on sustained attention; experimental situations and the relationship between physical activity levels and physical condition with sustained attention, carried out in cross-sectional studies. The search was conducted in the following databases: Dialnet, Scielo and Pubmed. A total of 119 ar-ticles were found, of which 28 met the criteria of inclusion (published between January 1, 2010 and December 31, 2016, languages Spanish, English or Portuguese, research articles, studies carried out on human beings and healthy subject samples). Based this revision, more than 70% give account of the positive effects of physical exercise on sustained attention, including one session training workouts or after several weeks/months of workouts. Furthermore, important relations were observed between the practice of physical activity and this cerebral activity. Some workouts, however, did not show any influence on the subjects after the training session, which makes it necessary to study this further in order to determine the right intensities and the best times for the workouts in order to boost sustained attention for different age groups.

Brain Activation Follows Adding-Type Integration Laws: Brain and Rating Responses in an Integration Task with pairs of Emotional Faces / La activación cerebral seguida a las leyes de integración tipo adición: Tasa de respuestas y actividad cerebral en una tarea de integración con pares de rostros emocionales

This study was designed to investigate the relation between rating responses and the patterns of cortical activation in an integration task using pairs of emotional faces. Participants judged on a graphic rating scale the overall affective intensity conveyed by two emotional faces, each presented to one of the two hemispheres via a Divided Visual Field technique (DVF). While they performed the task, EEG was recorded from 6 scalp locations. Three discrete emotions were considered (Joy, Fear, and Anger) and varied across three levels of expression intensity. Some face pairs portrayed the same emotion (same-emotion pairs), others two different emotions (distinct-emotions pairs). The patterns of integration of the two sources of information were examined both at the level of the ratings and of the brain response (event-related-α-desynchronization: ERD) recorded at each EEG lead. Adding-type rules were found for the ratings of both same-emotion and different-emotions pairs. Adding-type integration was also commonly found when α-ERD was taken as a response. Outcomes are discussed with a link to the lateralization of emotional processing and the relations between the observable R (e.g., ratings) and possible implementational aspects of the implicit r posited by Information Integration Theory (IIT).

El objetivo de este estudio fue investigar la relación entre la tasa de respuestas y los patrones de activación cortical en la integración de tareas usando los pares de expresiones faciales. Los participantes emitieron un juicio sobre una gráfica y la calificaron en una escala de intensidad afectiva que transmitía dos expresiones faciales, cada una se presentó a uno de los dos hemisferios usando la técnica de Divides Visual Field (DVF). Mientras ellos realizaban la tarea, fue grabada su respuesta en el EEG usando 6 electrodos. Tres emociones discretas fueron consideradas (Alegría, Miedo y Rabia) y estas variaron en tres niveles de intensidad de la expresión. Varios pares de caras contenían la misma emoción, otras dos mostraban emociones diferentes. Los patrones de integración de las dos fuentes de información fueron examinadas tanto con las escalas como con las respuestas cerebrales (ERD) grabadas en cada seguimiento del EEG. El patrón de la regla de la adición fue observado en las calificaciones de pares de emociones iguales y pares de emociones diferentes. La integración de tipo aditivo fue comúnmente observada cuando el α -ERD fue tomado como una respuesta. Los resultados fueron discutidos teniendo en cuenta la lateralización de los procesamientos emocionales y las relaciones entre la R observable y los posibles aspectos prácticos de r propuestos por la Teoría de Integración de la Información (IIT).

Research progress of optimizing vancomycin individual administration with the PK/PD model / 临床儿科杂志

e: Vancomycin is a glycopeptide antibiotic separated from streptomycete, having been used as the ifrst choice to treat methicillin-resistant Staphylococcus aureus infection so far. The studies show that because of the individual difference in the metabolism of vancomycin, it is dififcult to get the trough concentration of pediatric patients severely ill or complicatedly in-fected to reach the target range (15—20 mg/L). However, with the help of therapeutic drug monitoring (TDM) of vancomycin and the pharmacokinetic/pharmacodynamic parameter (PK/PD) mode, the PK/PD parameters to achieve the precise control can be acquired by using the Bayes feedback. By a stretched review from clinical medication guide of vancomycin to the latest evidence from research, this paper fully demonstrates that renal function, weight, age, and disease state are the principal parameters to impact pediatric patient’s vancomycin metabolism and that the area under the concentration-time curve divided by the minimum inhibitory concentration (AUC/MIC)≥400 is the better cut-off value to determine vancomycin efifcacy and toxicity.

Plasmakinetic enucleation and resection of the prostate by divided into three parts and blocking blood flow in advance / 中国内镜杂志

Objective To investigate the efficacy and safety of plasmakinetic enucleation and resection of the prostate by divided into three parts and blocking blood flow in advance (PKERPDPB). Methods 158 patients with BPH were randomly divided two groups: 81 patients treated by plasmakinetic enucleation and resection of the prostate by divided into three parts and blocking blood flow in advance (PKERPDPB), 77 patients treated by plasmakinetic resection of the prostate (PKRP). All patients were evaluated preoperatively and at 1, 6, 12 months after surgery by IPSS, QOL, Qmax and PVR. Operation time, resected adenoma weight, catheterization time, hospital stay and complications were documented. Results There were no significant differences in preoperative parameters. The resected adenoma weight in the PKERPADPB group was heavier than that in the PKRP group, the difference was significant. Compared with PKRP, PKERPDPB required a longer operation time, but resulted in less hemoglobin decrease, less catheterization time and hospital time. During the 1, 6, 12 months of follow-up, there was no significant difference in Qmax, IPSS, PVR and QOL between the groups. Conclusion PKERPDPB was statistically superior to PKRP in blood loss, catheterization time, hospital stay but inferior in operation time. It was a safe and effective treatment for BPH.

Tiempos posibles de la transferencia en una adolescente: efectos en la subjetividad / Possible times of an adolescent transference: effects on subjectivity

El presente desarrollo se inscribe en la investigación "Modalidades de las transferencias de pacientes adolescentes que han sido abusados sexualmente en la infancia" 2013-2016.A partir de un caso de la práctica clínica se intenta dar cuenta de la apertura y devenir de la transferencia que, sostenida en el lazo analizante-analista, devela la continuidad-discontinuidad de los tiempos necesarios y propicios para que poco a poco lo disociado-silenciado que conlleva lo traumático: el abuso sexual vivido alrededor de los 8 años de edad, tenga lugar. Eso traumático se presenta como reviviscencia, no como recuerdo. Lo escindido (no reprimido) retorna y algo nuevo se produce: el abrazo y la mirada de la analista marca -como intervención en transferencia, el procesamiento de eso que era y sigue siendo tan excesivo.

This development is a part of the investigation "Transference Modalities of adolescent patients who have been sexually abused in childhood". From a clinical practice case, it is attemped to account of the opening and future of the transference. This phenomenon, when sustainedin the analysand-analyst link, reveals the continuity-discontinuity of the necessary and adequate times for the disassociated-silenced connected to the traumatic to take place little by little; that is, the sexual abuse experience around the age of eight. That traumatic episode is presented as a lashback, not as a memory. What is divided (not repressed) returns and something new takes place: the hug and look of the analyst marks - as intervention in transference- the processing of what was and remains so excessive.

Research on Fraction-splitting Technology of Seeds ofDescurainia Sophia / 世界科学技术-中医药现代化

This study was aimed to establish the method for fraction-splitting of seeds of Descurainia sophia, in order to study the stability and unoverlapping property of fractions of seeds of D. sophia. The fraction-splitting of seeds of D. sophia were obtained through the combination of various methods including decoction, distillation, extraction, ethanol precipitation and gradient elution of macroporous adsorption resin. HPLC and chemometrics software were used to analyze the stability and unoverlapping property of the fractions of D. sophia. The results showed that the chemical components from seeds of D. sophia was divided into six fractions. HPLC data and chemometrics analysis showed good stability of technology. The fraction-splitting of seeds of D. sophia was unoverlapping. It complied with the research model of chemical constituents of seeds of D. sophia which can be split and combinatorial. It was concluded that the established method for splitting fractions of seeds of D. sophia had good stability and repeatability. Each splitting fraction uncrossed others.

A Method for Evaluation of Non-similarity Degrees between Splitting Fractions of Atractylodis Macrocephalae Rhizoma / 分析化学

Five fractions were split for the chemical components of Atractylodis macrocephalae rhizome by the combination application of various separation methods and the over 90% similarity of HPLC fringerprints within each fractions indicated the good repeatability for the splitting procedure. Further, a term of nonsimilarity degree ( NSD) was introduced to measure the unoverlapping property of the chemical fractions and different statistic analyses, including principal component analysis, cluster analysis, angle cosin analysis, squared euclidean distance and the NSD of peak areas of crude drug were used to qualitatively and quantitatively analyze their unoverlapping property, revealing the NSD among different fractions was calculated above 85%. Among them, the NSD of peak area of crude drug established on the basis of HPLC fingerprints of crude drug is more suitable for the NSD evaluation of chemical splitting fractions of crude drug comparing with other statistical methods and practical for reflecting the real content-activity relationship in the subsequent exploration of effective substances of crude drugs. This research provides a new effective method to evaluate the chemical difference of splitting fractions of Chinese medicine and lay the foundation for exploring the effective and property-flavor substances or of Atractylodes macrocephala Koidz.

Avaliação neuropsicológica de habilidades atentivas em pacientes com transtorno depressivo maior / Neuropsychological evaluation of attention skills in patients with major depressive disorder / Evaluación neuropsicológica de las habilidades de atención en pacientes con transtorno depresivo mayor

O Transtorno Depressivo Maior (TDM) é um transtorno de humor que frequentemente cursa com prejuízos cognitivos. Estudos têm demonstrado que déficits cognitivos persistem mesmo após a melhora ou remissão total dos sintomas depressivos. Entretanto, pouco se sabe sobre o funcionamento da atenção concentrada e difusa após a fase aguda do transtorno. O presente estudo objetivou realizar uma avaliação neuropsicológica dessas habilidades atentivas em pacientes ambulatoriais com TDM, em fase de continuação ou manutenção do tratamento, comparando dois grupos: 1 – Grupo Diagnosticado (GD), constituído por pacientes ambulatoriais com diagnóstico de TDM, e 2 – Grupo Controle (GC), formado por indivíduos sem diagnóstico para TDM. Participaram 26 indivíduos, de ambos os sexos, com idades entre 20 e 55 anos, avaliados através da Bateria Geral de Funções Mentais 1 e 2. Os resultados demonstraram prejuízo da atenção concentrada e difusa entre os membros do GD. Os achados sugerem comprometimento da rede neural fronto-parietal...

Major Depressive Disorder (MDD) is a mood disorder that evolves to cognitive impairment. Studies have shown that cognitive deficits persist even after an improvement or total remission of depressive symptoms. However, little is known about the functioning of sustained and divided attention after the acute phase of the disorder. The aim of this study was to perform a neuropsychological evaluation of these attentional skills in MDD outpatients, in continuation or maintenance phases of treatment, comparing two groups: 1 – MDD Group (GD), consisting of outpatients with a MDD diagnosis, and 2 – Control Group (GC), consisting of individuals with no diagnosis of MDD. Participants included 26 (GD, n=12 and GC, n=14) individuals of both sex whose ages were between 20 and 55 years, assessed by the Battery General Mental Functions 1 and 2. Results showed loss of sustained and divided attention among the members of the MDD group. These findings suggest alteration of the fronto-parietal neural network...

Trastorno Depresivo Mayor (TDM) es un transtorno del humor que a menudo conduce a un deteriolo cognitive. Los estudios han demonstrado que los déficits cognivos persisten incluso después de la mejoría o remisión total de los síntomas depresivos. Sin embargo, poco se sabe sobre el funcionamiento de la atención sostenida y dividida tras la fase aguda de la enfermedad. Este estudio había como objetivo de lograr una evaluación neuropsicológica de estas habilidades atento en pacientes ambulatorios con trastorno depresivo mayor, en la fase de continuación o de mantenimiento del tratamiento, comparando dos grupos: 1 – Grupo de Diagnóstico (GD), que consta de los pacientes ambulatorios diagnosticados con trastorno depresivo mayor, y 2 – Grupo Control (GC), integrado por personas sin diagnóstico de trastorno depresivo mayor. Los participantes incluyeron 26 indivíduos de ambos sexos, con edades comprendidas entre 20 y 55 años, evaluado por la Batería Funciones Generales Mental 1 y 2. Los resultados mostraron que la pérdida de la atención sostenida y se dividen entre los miembros de GD. Los hallazgos sugieren la implicación de la red fronto-parietal neural...

Efecto de la exposición a un protocolo de estrés social agudo sobre los niveles sistémicos de cortisol y la ejecución de una tarea de atención sostenida y dividida / Efeito da exposição a um protocolo de estresse social agudo sobre os níveis sistêmicos de cortisol e a execução de uma tarefa de atenção sustentada e dividida / Effects of exposure to an acute social stress protocol on systemic levels of cortisol and on the execution of a sustained and divided attention task

La presente investigación tuvo como objetivo determinar los efectos del estrés social agudo inducido experimentalmente con una versión modificada del TSST (Trier Social Stress Test), en los niveles sistémicos de la hormona cortisol y en la ejecución de una tarea de atención sostenida y dividida, en estudiantes universitarios de ambos sexos. Los resultados mostraron que el protocolo modificado del TSST produjo incrementos en los niveles sistémicos de cortisol en los participantes de sexo masculino, pero no afectó la ejecución en la prueba PASAT (Paced Auditory Serial Addition Task). Se discuten estos resultados a la luz de trabajos previos en los que se observan diferencias por género en los efectos del estrés.

A presente pesquisa teve como objetivo determinar os efeitos do estresse social agudo induzido experimentalmente com uma versão modificada do TSST (Trier Social Stress Test), nos níveis sistêmicos do hormônio cortisol e na execução de uma tarefa de atenção sustentada e dividida, em estudantes universitários de ambos os sexos. Os resultados mostraram que o protocolo modificado do TSST produziu aumento nos níveis sistêmicos de cortisol nos participantes de sexo masculino, mas não afetou a execução na prova PASAT (Paced Auditory Serial Addition Task). Discutem-se esses resultados à luz de trabalhos prévios nos quais se observam diferenças por gênero nos efeitos do estresse.

This research project examined the effects of acute social stress induced experimentally with a modified version of TSST (Trier Social Stress Test) on the systemic levels of the cortisol hormone and on the execution of a sustained and divided attention task, in male and female university students. Results showed that the modified TSST protocol caused increases in the systemic levels of cortisol in male participants, but did not affect the execution of the PASAT (Paced Auditory Serial Addition Task). The results are discussed in the light of previous studies in which gender differences in the effects of stress are observed.

Desempenho no teste de atenção dividida como resultado da idade das pessoas / Performance in the divided attention test as a function of people's age

A literatura sobre atenção assinala acréscimo do desempenho atencional até a idade de adulto jovem, seguido de perdas significativas decorrentes do processo de envelhecimento. Dentro desse contexto, o objetivo desta pesquisa foi verificar evidência de validade em função da variável idade para o Teste de Atenção Dividida, partindo da hipótese de que ao aumento da idade corresponderia uma diminuição da capacidade de dividir a atenção. Participaram da pesquisa 878 indivíduos dos Estados da Bahia e Sergipe, sendo eles estudantes universitários ou pessoas que passaram por avaliação psicológica para motorista, com idade entre 18 e 72 anos (M=26,74, DP=8,14). Do total, 51,82 por cento eram homens. O instrumento foi aplicado coletivamente no Estado de Sergipe, e de forma individual na Bahia. Os resultados mostraram correlação negativa e significativa entre a pontuação do Teste de Atenção Dividida e a idade das pessoas. A análise de variância mostrou diferenças significativas entre as idades, permitindo agrupar três faixas etárias, diferenciadas pela prova de Tukey. Com base nos resultados concluiu-se por evidência de validade para o Teste de Atenção Dividida com base na diferenciação das idades.

Literature points to incremental performance in attention up until young adulthood, followed by significant losses arising from the aging process. In this context, the aim of this research was to ascertain proof of validity based on the age variable for the Divided Attention Test, based on the hypothesis that an increase in age would correspond to a decrease in the ability to divide attention. A total of 878 individuals took part from the states of Bahia and Sergipe and were undergraduates or individuals and that had undergone psychological assessment of drivers. Ages varied from 18 to 72 years old (M=26.74, SD=8.14). Men comprised 51.82 percent of the total. The instrument was applied collectively in the state of Sergipe, and individually in Bahia. Results showed significant, negative correlation between the Divided Attention Test scores and people's age. Analysis of variance showed significant differences between ages and, based on this, three age groups were formed that were differentiated by Tukey's test. Based on the results, it was concluded that there was evidence of validity for the Divided Attention Test based on age difference.

Sujeito dividido, proliferação de objetos e desinserção social: os laços sociais e o discurso capitalista na cultura contemporânea / Split subject, multiplication of objects and social detachment: social ties and the capitalist discourse in contemporary culture / Sujet divisé, prolifération d’objets et désinsertion sociale: les liens sociaux et le discours capitaliste dans la culture contemporaine

Há na cultura atual, a cultura comercial de que nos fala Lacan no Seminário 16, uma proliferação de objetos que interfere nos laços sociais a partir do discurso do capitalista. O sujeito dividido se vê assim diante de novas posições e de novos laços sociais, nos quais as latusas e o mais-de-gozar ocupam lugar estratégico. Os diferentes níveis de inserção social fazem com que as discussões relativas à desinserção social ocupem um lugar fundamental e revelem as diferentes formas de os sujeitos cindidos serem desinseridos dos contextos sociais.

There is on nowadays culture, a commercial culture told to us by Lacan at the Seminar 16, a proliferation of objects from the capitalist discourse that interfere on social bonds. The divided subject therefore sees himself facing new positions and new social bonds, on which the lathouse and the plus-de-jouir have a strategic placing. Different levels of social integration make discussions related to social detachment occupying a fundamental place and revel different forms of split subjects being detached from social contexts.

Il existe de nos jours, dans la culture du commerce dont nous parle Lacan dans son Séminaire 16, une prolifération d’objets intervient dans le lien social a partir du discours du capitalisme. Le sujet divisé se voit ainsi devant de nouvelles positions et de nouveaux liens sociaux dans lesquels les lathouses et le plus de jouir prennent une place stratégique. Les différents niveaux d’insertion sociale font en sorte que les discussions au sujet de la désinsertion sociale prennent une place fondamentale et révèlent quelles sont les différentes manières par lesquelles les sujets partagés se désinsèrent des contextes sociaux.

Temporal divided naevus of the eyelid: one-stage surgical treatment / 中华医学美学美容杂志

ObjectiveTo evaluate the clinical effects of one stage treatment for the temporal divided naevus of the eyelid.MethodsThe divided naevus infiltrated to the skin,eyelid margin and tarsal plate was completely resected,and co-pedicle double hatchet skin flaps were trimmed.According to the areas of the defects and tension of the sliding flaps,shortening of the eyelids' margins were undertaken.The upper eyelid margin was reconstructed by the downward shift of the tarsal plate.According to the resected height of the tarsal plate,the extended length of the levator aponeurosisMüller's muscle compound was measured.Skin trimming was unnecessary and the incisions were usually closed under no tensions.ResultsEight eyelids of eight cases were treated by this method and followed up for 22 months to 3 years,the eyelids' margins were all in normal positions,without skin chromatic aberration and obvious scar formation.The size of the palpebral fissure and eyelids' movement were normal and no recurrence happened in all patients.Conclusions In addition to the design of the skin flaps,the shortening and reconstruction of the eyelid margin and the balance of the levator palpebrae muscle should also be considered for a bigger temporal divided uaevus in the eyelid.

Escala de depressão (EDEP) e medidas de atenção dividida e sustentada em universitários / Depression scale (EDEP) and measures of sustained and divided attention in college students

Este estudo teve como objetivo buscar evidências de validade baseada na relação com outras variáveis para a Escala de Depressão - EDEP com os testes de atenção sustentada e dividida. Participaram 213 estudantes de uma universidade federal de Minas Gerais, entre 18 e 52 anos, predominantemente mulheres. Não foram encontradas correlações significativas entre os instrumentos, embora os sentidos das correlações tenham sido como o esperado. Quanto aos fatores de risco, também avaliados na pesquisa, percebeu-se que os participantes que relataram diagnóstico de depressão se diferenciaram dos não depressivos, pelo resultado da EDEP. Uma das explicações para a não associação entre sintomatologia depressiva e comprometimento da atenção foi a baixa variabilidade nos escores dos instrumentos, o que pode ter comprometido os resultados. Embora este trabalho apresente importantes considerações sobre os construtos e a amostra, estudos complementares devem ser realizados comparando pacientes com amostras não clínicas.

This study aimed to investigate evidences of validity based on the relationship among other variables for the Depression Scale - EDEP with the Tests of Sustained and Divided Attention. Participated 213 students of a federal university in Minas Gerais, aged between 18 and 52 years, predominantly women. No significant correlations between the instruments were found, although the directions of the correlations were as expected. Regarding the risk factors, also evaluated, it was noticed that the group of participants with depression diagnosis differed from the non-depressive, according to the results of the EDEP. One explanation for the lack of association between depressive symptoms and impaired attention was the low variability in the scores of the instruments, which may have affected the results. Although this work presents important considerations about the constructs and the sample, further studies should be conducted to highlight differences between clinical and other samples.

Effect of Multiple Interventions for Ketogenic Diet on Intractable Epilepsy in Children / 中国康复理论与实践

@#https://www.cjrtponline.com/CN/abstract/abstract1669.shtml

Evidence for divided automatic attention

A long-standing debate in the literature is whether attention can form two or more independent spatial foci in addition to the well-known unique spatial focus. There is evidence that voluntary visual attention divides in space. The possibility that this also occurs for automatic visual attention was investigated here. Thirty-six female volunteers were tested. In each trial, a prime stimulus was presented in the left or right visual hemifield. This stimulus was characterized by the blinking of a superior, middle or inferior ring, the blinking of all these rings, or the blinking of the superior and inferior rings. A target stimulus to which the volunteer should respond with the same side hand or a target stimulus to which she should not respond was presented 100 ms later in a primed location, a location between two primed locations or a location in the contralateral hemifield. Reaction time to the positive target stimulus in a primed location was consistently shorter than reaction time in the horizontally corresponding contralateral location. This attentional effect was significantly smaller or absent when the positive target stimulus appeared in the middle location after the double prime stimulus. These results suggest that automatic visual attention can focus on two separate locations simultaneously, to some extent sparing the region in between.

Congenital Divided Nevus of the Eyelid / 대한피부과학회지

Divided nevus of the eyelids is a rare form of congenital melanocytic nevus that involves the upper and lower eyelids of one eye. About 34 cases in both children and adults at present have been reported, but no case of divided nevus of the eyelids has previously been reported in the literature so far in Korea. A 12-year-old girl presented with a congenital divided nevus of the upper and lower lid. The histology of the pigmented plaque on the lower lid was confirmed to be that of a benign compound nevus. We, herein, report a case of divided nevus of the eyelids.

A Subtotally Divided End-loop Colostomy for Unresectable Rectal Cancer

PURPOSE: Divided end-loop colostomy is recommended in some cases of unresectable rectal cancer or anal incontinence, because a conventional loop colostomy is difficult to managing due to bulky stoma volume for a long period. In such case of the divided end-loop colostomy, severe inflammation may occur at the stoma site by poor conditions of the patient so that cause to be retracted or detached, and distal loop may be disrupted. To avoid these problems, we designed subtotally divided end-loop colostomy and studied its clinical effectiveness retrospectively. METHODS: About a 3 cm diameter, round skin incision as presumed colostomy size was made at the left lower abdomen, and entered the abdominal cavity by splitting the rectus muscle fibers. The caudal side of colon can be identified by confirming the fusioned taenia at the rectosigmoid colon level. After pulling out the colonic loop, the distal colon far from the lesion was subtotally divided by a GIA staple or manual suture, which cut obliquely 80% or 90% from the antimesenteric side of the distal loop while maintaining the 10% or 20% mesenteric side of the colonic loop. Then an end-loop colostomy is matured with a small fistularization of the distal loop as the undivided mesenteric side of colon. RESULTS: In 8 cases, subtotally divided colonic loop using a GIA staple. But in 9 cases, divided manually because of makedly thickened, edematous colonic wall resulting from prolonged obstruction. There were several mild complications, i.e. transient dermatitis in 5 cases, transient bulky stoma due to edema in 4 cases, mild retraction of stoma in 2 cases, and mild prolapse of stoma in 1 case. There were no major functional abnormalities during the follow-up period. CONCLUSIONS: Although we need to get further clinical experiences, the subtotally divided end-loop colostomy seems to be a useful alternative surgical procedure for unresectable rectal cancer.