Effects of negative capacity in the prevention of subcutaneous fluid accumulation after modified radical mas-tectomy / 中国基层医药

Objective To investigate the effect of negative capacity on drainage time,subcutaneous fluid accumulation,etc.after modified radical mastectomy.Methods 80 breast cancer patients after modified radical mas-tectomy.Used computer to produce random number,then 80 patients were randomly divided into the two groups.A group were adopted negative capacity of 200mL and B group adopted 400mL.Both groups used disposable negative pressure drainage balls.Results A group patients′subcutaneous fluid accumulation incidence was 27.91%,skin flap necrosis incidence was 2.33%,indwelling time was (25.00 ±2.59)days.B group patients′subcutaneous fluid accumulation incidence was 8.11%,skin flap necrosis incidence was 0,indwelling time was (12.00 ±2.34)days. Drainage time and subcutaneous fluid accumulation incidence were reduced in B group in comparison with A group, and the differences were statistically significant(P<0.01 or P<0.05).Conclusion High negative capacity is recommended in postoperative drainage of modified radical mastectomy,with a minimum of the equivalence of maximum daily drainage volume.If not,drainage in early postoperative duration will not be sufficient enough to insure complete adherence of skin flap,and postponed extubation and subcutaneous fluid accumulation would be expected.

O fazer poético de Manuel Bandeira: aproximações psicanalíticas / El hacer poético de Manuel Bandeira: acercamientos psicoanalíticos / The poetic making of Manuel Bandeira: psychoanalytic approaches

Procura-se descrever a experiência poética de Manuel Bandeira e explorar a sua criação a partir de uma leitura psicanalítica fundamentada em algumas ideias das obras de Freud, Bion e Meltzer. Tendo como texto base a autobiografia do poeta, relaciona a psicanálise com os processos mentais implicados na elaboração de textos poéticos. Ao longo do artigo, os poemas serão trazidos à leitura para ilustrarem o fazer poético de Manuel Bandeira. Através dos poemas, o leitor tem acesso a emoções...

The intention here is to describe Manuel Bandeira’s poetic experience and explore his literary creation using as starting point the psychoanalytic reading, based on some ideas from the works of Freud, Bion, and Meltzer. Taking as foundation text the author’s autobiography, the author relates psychoanalysis to the mental processes involved in the creation of poetic texts. Throughout the article, the poems will be brought to the reading to illustrate the poetic making of Manuel Bandeira. Through the poems, the reader has access to emotions...

Se busca describir la experiencia poética de Manuel Bandeira y explorar su creación a partir de una lectura psicoanalítica fundamentada en algunas ideas de las obras de Freud, Bion y Meltzer. Teniendo como texto base la autobiografía del poeta, relaciona el psicoanálisis con los procesos mentales implicados en la elaboración de textos poéticos. A lo largo del artículo, los poemas serán traídos a la lectura para ilustrar el hacer poético de Manuel Bandeira. Por medio de los poemas, el lector tiene acceso a las emociones...

Voilà mon coeur: o gesto amoroso do analista / Voilà mon coeur: the loving gesture of the analyst

A autora usa como inspiração a obra de José Leonilson, Voilà mon coeur (1989), para falar do gesto amoroso do analista na relação com o analisando. Trata-se da disponibilidade do analista, em sua tarefa diária, para entregar-se à experiência emocional, que se apresenta para ser vivida na sala de análise. O gesto amoroso inclui disposição à profunda intimidade psíquica, à hospitalidade, ao exercício da capacidade negativa, da convivência permanente com fragmentos e escuridão. O gesto amoroso é também a tessitura cuidadosa, humilde e respeitosa do que foi esgarçado pelos traumas do viver humano.

Inspired in the work of José Leonilson, Voilà mon coeur (1989), the author deals about the loving gesture of analyst in your relationship with patient. Loving gesture is the analyst availability, in your daily function, to abandon yourself toward emotional experience presents in the analysis room. The loving gesture comprehends inclination to deep psychic intimacy, to hospitality, to exercise the negative capacity, living together fragments and darkness. The loving gesture is also the careful, modest and respectful tissue of disruptions induces by traumatic human experiences.