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1.
Ecol Evol ; 14(7): e11615, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38952666

ABSTRACT

This study delves into the concept of niche conservatism (NC) and its implications for how hornets (Hymenoptera: Vespidae) and honeybees respond to climate change. Our primary objectives are threefold: firstly, to assess whether distinct environmental niche spaces (E-space) exist between 12 hornets and honeybees like Apis cerana and Apis mellifera in Asia; Secondly, to explore the degree to which Asian hornets have attained geographic equilibrium alongside honeybee species. Lastly, is to investigate how the geographic niche overlap (G-space) between hornets and honeybees could potentially change under climate change scenarios. To accomplish these goals, we employed ordination and ecological niche modeling techniques to analyze 91 pairs of hornets and honeybees in both geographic (G-space) and environmental (E-space) contexts. Then, we projected the potential impacts of climate change on the future geographic overlap between hornets and honeybees, specifically under the SSP585 climate scenario for the year 2070. Our results demonstrated that the environmental niches (E-space) of hornets and honeybees can be treated as interchangeable, indicating they have similar environmental preferences despite being unrelated taxa. We found that Vespa velutina currently exhibits a moderate geographic niche overlap (G-space) of 0.63 with both honeybee species. Meanwhile, Vespa mandarinia demonstrates an overlap of 0.46 with Apis cerana and 0.63 with Apis mellifera. The overlap of Vespa velutina with Apis cerana might potentially decrease to 0.51 and 0.56 with Apis mellifera. For Vespa mandarinia, the overlap could reach 0.41 with Apis cerana and 0.6 with Apis mellifera under a climate change scenario. This study indicates that the limited spatial overlap between honeybees and hornets across certain areas in Asia is more likely influenced by geographical barriers rather than solely environmental unsuitability for hornets. In this study, we delve into the concept of niche conservatism (NC) and its implications for how hornets (Hymenoptera: Vespidae) and honeybees respond to climate change.

2.
Bull Cancer ; 111(7-8): 646-660, 2024.
Article in French | MEDLINE | ID: mdl-38879410

ABSTRACT

Facing breast cancer, women in precarious situations are more likely to be diagnosed at an advanced stage, and when detected at the same stage, they are more to die as well as faster. In this paper, we analyze a corpus of 40 semi-structured interviews conducted in six cancer services in hospitals of the Paris area on the care pathways of women with breast cancer. The analysis focuses on the beginning of the pathways (until the first treatments) and concentrates on their spatial and temporal dimension in the light of precariousness. Depending on the women's situations with regard to precariousness, the spatial and temporal organization of the pathways differs. There are socially differentiated latency periods that delay diagnosis (prior to meeting a medical professional) or the beginning of treatment (in relation to rights, the responsiveness of the health care system, and the interactions between women and the system). Spatially, the geometry of the pathways is variable and reflects different expectations of health institutions and medical staff according to the social profiles of the women. However, a detailed analysis of the pathways allows us to nuance these differences in terms of precariousness. The women's capacity to be autonomous, their network of contacts, the accessibility and responsiveness of the health care system, as well as the sensitive and emotional dimension of this stressful event affect the pathways both in terms of time and space.


Subject(s)
Breast Neoplasms , Critical Pathways , Delayed Diagnosis , Humans , Female , Breast Neoplasms/therapy , Breast Neoplasms/psychology , Time Factors , Health Services Accessibility , Time-to-Treatment , Paris , Qualitative Research
3.
Soins Psychiatr ; 45(351): 29-32, 2024.
Article in French | MEDLINE | ID: mdl-38527870

ABSTRACT

Music can be used as a therapeutic tool with people suffering from complex addictions and traumas. By playing together, the patient and care team create a transitional space conducive to emotional attunement and trust. This shared experience facilitates connection and engagement in the therapeutic relationship, which conveys a sense of security. Music is a powerful tool in the treatment of addiction and trauma. It helps to repair damaged bonds and develop empathy, cooperation and creativity within the care team.


Subject(s)
Behavior, Addictive , Music , Humans , Music/psychology , Emotions , Empathy , Creativity
4.
Can J Aging ; : 1-14, 2023 Dec 13.
Article in English | MEDLINE | ID: mdl-38088160

ABSTRACT

Loneliness among older adults is a leading health and social concern globally and in Canada, including racialized and minoritized groups. Although previous studies have explored loneliness among ethnic minoritized groups in Canada, little is known about the constellating factors contributing to loneliness among native-born and immigrant Black older adults (BOAs) in Canada and their unique ways of dealing with the experience. Our study explores the constellating factors shaping loneliness experiences among BOAs living in Ontario. Using a narrative approach, we purposively selected and interviewed 13 BOAs. Time as a driver of change, a sense of belonging reinforced through place identity, and challenges of making a new home were dominant themes. Our finding highlights the need for increased cultural sensitivity at the micro and macro levels, which will improve a sense of belonging and reduce loneliness among racialized immigrant older adults.

5.
Rev Infirm ; 72(292): 29-31, 2023.
Article in French | MEDLINE | ID: mdl-37364973

ABSTRACT

The development of alternatives to seclusion and restraint is a priority for psychiatric care services. Among them, the implementation of soothing spaces is currently experiencing considerable growth.


Subject(s)
Mental Disorders , Psychiatry , Humans , Patient Isolation/methods , Patient Isolation/psychology , Restraint, Physical/psychology , Psychotherapy , Hospitals, Psychiatric , Mental Disorders/therapy , Mental Disorders/psychology
6.
Ann Pharm Fr ; 81(1): 64-73, 2023 Jan.
Article in English | MEDLINE | ID: mdl-35803334

ABSTRACT

OBJECTIVE: A simple and robust head space/gas chromatography with flame ionisation sensor (HS/GC/FIS) approach for the trace evaluation of carcinogenic impurity, methyl chloride, in trimetazidine dihydrochloride (TRD) drug ingredient and its formulation is described. METHOD: This HS/GC/FIS approach was based on separation and analysis of CH3Cl content on DB-624 [75.0m - length, 0.53mm - internal diameter, 3.0µm - film thickness] column using nitrogen as carrier gas flowing through the column at 3mL/min stream rate. Detection of eluted CH3Cl was accomplished with flame ionization sensor at a set temperature of 260̊C. RESULTS: The optimised HS/GC/FIS methodological approach was thoroughly validated, demonstrating that it was linear with range of 5.0ppm to 1508.4ppm, sensitive with detection limit of 1.65ppm and quantification limit of 5.01ppm, reproducible with RSD values of 2.10-2.35%, accurate with recoveries of 81.9-99.0%, robust with percent variation of 7.5-12.22% with respect to changes in oven temperature, injector temperature, detector temperature and practical for regular TRD quality control. CONCLUSION: The findings revealed that with this optimised HS/GC/FIS methodological approach, the trace amounts of carcinogenic impurity (methyl chloride) in TRD drug ingredient and formulation could be successfully measured.


Subject(s)
Methyl Chloride , Trimetazidine , Trimetazidine/analysis , Methyl Chloride/analysis , Carcinogens/analysis , Chromatography, Gas/methods , Temperature , Flame Ionization
7.
Soins ; 67(868): 52-54, 2022 Sep.
Article in French | MEDLINE | ID: mdl-36442928

ABSTRACT

The Medical Network for Nutrition against Obesity (Emno) breaks new ground in the treatment of obesity through a project within the legal framework of the so-called "Article 51". The medical and educational support it provides rests on four pillars: a continuum of care via a territorial network, multi-professional cooperation in e-healthcare, the partner-patient and the expert patient. Thanks to its Nuvee online platform for therapeutic patient education, Emno takes advantage of the current digital developments, in the spirit of rigorous medical as well as economic logic.


Subject(s)
Health Facilities , Obesity , Humans , Obesity/therapy , Educational Status
8.
Praxis (Bern 1994) ; 111(14): 789-792, 2022.
Article in German | MEDLINE | ID: mdl-36285412

ABSTRACT

Medication and Communication Pitfalls at the Family Practitioner/Hospital Interface Abstract. Polypharmacy and cumulative hospitalizations of multimorbid patients can lead to certain medical risks for these patients at the transfer from family doctor to hospital and back. Quite often, this interface also causes unnecessary public health costs. Awareness of these facts has to be sharpened on both sides and the teamwork between family doctors and hospitals should be optimized. Unfortunately, the perspective of the other interface partner is often missing. Various proposals for improving this situation for all involved shall contribute to change it for good, whereby certain new and efficient digital tools might play an important role.


Subject(s)
Communication , Hospitals , Humans
9.
Soins Psychiatr ; 43(340): 33-36, 2022.
Article in French | MEDLINE | ID: mdl-36109136

ABSTRACT

In view of the major psychological issues that characterize the mourning process, a system has been working for about ten years in a group of health and medico-social institutions to support caregivers. The institutional intervention unit, composed of specially trained psychologists, offers discussion groups for these teams who have been confronted with the sometimes very brutal experience of loss and accompanies them towards the resumption of a mourning process. Based on group psychodynamic approaches, the reasons that can hinder the stages of mourning in these groups and the effects of the proposed discussion groups are explored.


Subject(s)
Bereavement , Caregivers , Ambulatory Care Facilities , Caregivers/psychology , Grief , Humans
10.
Front Syst Neurosci ; 16: 945722, 2022.
Article in English | MEDLINE | ID: mdl-36032325

ABSTRACT

This paper elaborates on a proposal for mapping a configuration space for selector circuits (SCs), defined as the subset of neural correlates of consciousness (NCCs) responsible for evoking particular qualia, to its experiential counterpart, experience-space (E-space), as part of an investigation into the nature of conscious experience as it first emerged in evolution. The dimensionality of E-space, meaning the degrees of freedom required to specify the properties of related sets of qualia, is at least two, but the utility of E-space as a hypothetical construct is much enhanced by assuming it is a large dimensional space, with at least several times as many dimensions as there are categories of qualia to occupy them. Phenomenal consciousness can then be represented as having originated as one or more multidimensional ur-experiences that combined multiple forms of experience together. Taking this as a starting point, questions concerning evolutionary sequence can be addressed, including how the quale best suited to a given sensory modality would have been extracted by evolution from a larger set of possibilities, a process referred to here as dimensional sorting, and how phenomenal consciousness would have been experienced in its earliest manifestations. There is a further question as to whether the E-space formulation is meaningful in analytical terms or simply a descriptive device in graphical form, but in either case it provides a more systematic way of thinking about early stages in the evolution of consciousness than relying on narrative and conjecture alone.

11.
Appl Physiol Nutr Metab ; 47(6): 659-670, 2022 Jun 01.
Article in English | MEDLINE | ID: mdl-35271376

ABSTRACT

When considering the impacts of historical trauma and colonization on the lived realities of Indigenous young people within Canada, it is essential that research uses strength-based, capacity-building approaches to ensure that the voices are heard and that their perspectives and advice can be actioned. A series of participatory workshops with adults and children were conducted within urban geographies to explore health-seeking behaviours, health knowledge, and community resiliency. Research took place in Manitoba, Canada (2015-2016, n = 36 girls and 24 adults) with First Nations and Métis community members and British Columbia, Canada (2017, n = 11 children and 15 adults) with Métis community members. Children participated in community transect walks, photo elicitation activities, discussion circles (with adult participant contribution), and projected community mapping exercises where they drew their ideal, imagined community. Community consensus processes were used for member checking as well as initial evaluation of research findings, including the establishment of key themes. Field notes, discussion transcripts, and images were analyzed for similarities and differences between ages, genders, cultural identifiers, and geographies. A key finding was the need for safe spaces that can also be brave spaces, or moments when the community can be free to push for change without reprimand. Children were particularly concerned with sustainable, appropriate housing, safe methods of transportation, access to green spaces, and environmental stewardship within their day-to-day lives. Novelty: Brave spaces are essential for achieving/maintaining wellness within Indigenous communities. This article responds to a need to shift to a determinants of life focus.


Subject(s)
Health Behavior , Adolescent , Adult , British Columbia , Canada , Child , Female , Humans , Male , Manitoba
12.
Rev. latinoam. psicopatol. fundam ; 25(1): 226-240, jan.-mar. 2022.
Article in French | LILACS-Express | LILACS, Index Psychology - journals | ID: biblio-1376981

ABSTRACT

Cette étude examine les conditions de l'avènement de l'espace chez les jeunes enfants. Dans ce but, on procède à une relecture attentive de l'analyse du fort-da par Sigmund Freud, montrant comment ce jeu, inventé spontanément par un enfant de 18 mois, témoigne précisément l'articulation entre le langage, l'espace et l'émergence du désir. Nous nous appuierons également sur plusieurs remarques de Jacques Lacan à ce sujet.


Este estudo tem como objetivo questionar as condições do advento do espaço em crianças pequenas. Para isso, faremos uma releitura da análise que Sigmund Freud fez do fort-da, a fim de mostrar como esse jogo espontaneamente inventado por uma criança de um ano e meio atesta precisamente a articulação entre a linguagem, o espaço e o advento do desejo. Nós vamos assentar com diversos comentários de Jacques Lacan sobre o assunto.


This study investigates how the notion of space emerge in young children. To do so, it carries out a careful re-reading of Sigmund Freud's analysis of the "fort-da," showing how this game, spontaneously invented by an 18-month-old child, precisely indicates the articulation between language, space, and the emergence of desire. The discussion also borrows from several remarks made by Jacques Lacan on the topic.


Este estudio se propone interrogar las condiciones del advenimiento del espacio en la primera infancia. Para ello, se presenta el análisis de Sigmund Freud sobre el fort-da, con el fin de mostrar cómo este juego inventado espontáneamente por un niño de un año y medio atestigua precisamente la articulación entre el lenguaje, el espacio y el advenimiento del deseo. También se utilizan varios comentarios de Jacques Lacan sobre este tema.

13.
Sex., salud soc. (Rio J.) ; (38): e22211, 2022.
Article in Spanish | LILACS | ID: biblio-1424633

ABSTRACT

Resumen El presente ensayo analiza el concepto de «heterotopía¼ propuesto por Michel Foucault como una localización epistemológica a propósito de las imbricaciones existentes entre las dimensiones espaciales y sexuales. Así, el objetivo de este ensayo es trazar una asociación entre la vida urbana y aquellas libertades singulares que se pretender obtener en el imaginario de una ciudad. Para tales cometidos el texto reúne una serie de entrevistas etnográficas que engloban, por un lado, la caracterización de un desplazamiento localizado por varones homosexuales y, por el otro, un recurso epistemológico para pensar dichos movimientos espaciales.


Abstract The present essay analyzes the concept of "heterotopía" proposed by Michel Foucault as an epistemological location with regard to the imbrications existing between the spatial and sexual dimensions. Thus, the aim of this essay is to draw an association between urban life and those singular freedoms that are intended to obtain in the imaginary of a city. For such tasks the text brings together a series of ethnographic interviews that include, on the one hand, the characterization of a displacement located by homosexual men and, on the other, an epistemological resource to think about these spatial movements.


Resumo O presente ensaio analisa o conceito de "heterotopia" proposto por Michel Foucault como uma localização epistemológica em relação às imbricações existentes entre as dimensões espacial e sexual. Assim, o objetivo deste ensaio é traçar uma associação entre a vida urbana e as liberdades singulares que se pretende obter no imaginário de uma cidade. Para tais tarefas, o texto reúne uma série de entrevistas etnográficas que incluem, por um lado, a caracterização de um deslocamento localizado por homens homossexuais e, por outro, um recurso epistemológico para pensar sobre esses movimentos espaciais.


Subject(s)
Homosexuality, Male , Sexuality , Homophobia , Sexual and Gender Minorities , Personal Narrative , Anthropology, Cultural
14.
Rev. bras. psicanál ; 55(3): 97-107, jul.-set. 2021. ilus
Article in Portuguese | LILACS, Index Psychology - journals | ID: biblio-1341199

ABSTRACT

O artigo centra-se no trabalho analítico com adolescentes, em busca da constituição do setting interno da dupla, em dois momentos: no consultório e no encontro online. Diante dos modelos relativos a espaços, a autora insere a questão do público e do privado, avaliados em graus, e dos impasses para criar, simbolicamente, limites nesse contexto. As reflexões abrem caminho para os próximos passos.


This article focuses on the analytical work with adolescents, in search of the constitution of the duo's internal setting, in two moments: in the office and in the online meeting. In the presence of models related to spaces, the issue of public and private, evaluated in degrees, and the issue of impasses to symbolically create limits in this context are inserted. The reflections pave the way for the next steps.


El artículo se centra en el trabajo analítico con adolescentes, en busca de la constitución del setting interno del dúo, en dos momentos, en la oficina y en la reunión online (modelo virtual). En vista de los modelos relacionados con los espacios, se incluye el tema de lo público y lo privado, evaluados en grados, y los obstáculos para crear, simbólicamente, límites en este contexto. Las reflexiones allanan el camino para los próximos pasos.


Cet article est centré sur le travail analytique auprès des adolescents, recherchant la constitution du cadre interne de deux personnes, à deux moments, dans le cabinet ou en ligne. En face des modèles relatifs aux espaces, on pose la question de ce qui est public et ce qui est privé, évalués à différents degrés, et celle des impasses pour créer symboliquement les limites dans ce contexte. Les réflexions ouvrent la voie aux prochains pas.


Subject(s)
Humans , Adolescent , Personal Space , Psychoanalysis/methods , Symbolism
15.
Cancer Radiother ; 25(6-7): 642-644, 2021 Oct.
Article in French | MEDLINE | ID: mdl-34218965

ABSTRACT

Since 2017, IRSN has been developing a new proactive risk analysis method. The Work Complexity Sharing and Exploration Spaces (EPECT in French) were tested for the first time in 2020 in the radiotherapy department of the Gustave Roussy Institute. The EPECT method makes it possible to anchor the analysis of risks incurred by patients in daily work situations and to involve the top management. The time required to involve the teams is comparable to or even less than that required for a conventional risk analysis. The cost/benefit ratio of the method seems to be advantageous because it provides access to numerous information on daily activities, which makes it possible to improve the safety of patient care in radiotherapy. The information gathered allows relevant actions to be envisaged at both the technical and organizational levels, and to be linked to departmental projects.


Subject(s)
Patient Safety , Radiology Department, Hospital , Radiotherapy , Risk Assessment/methods , Cost-Benefit Analysis , France , Humans , Quality Improvement , Radiation Oncology , Time Factors
16.
J Anal Psychol ; 66(3): 605-619, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34231896

ABSTRACT

COVID-19, Black Lives Matter, and financial and political turmoil have uprooted our sense of personal and collective safety and predictability. Analysts are faced with professional and personal challenges, as well as a charge to help make sense of this new normal. This reflective piece focuses on the author's thoughts on a wounded and bleeding temenos. She grapples with the new reality of analysis carried out via technology (e.g. Zoom or telehealth). The article interweaves personal experiences with theoretical and professional reflections on two Jewish myths that relate to creating temenos or sacred space in the face of ancient disasters. Specifically, she discusses Choni HaMagel, a first-century BCE Jewish scholar and miracle-maker who prays for relief from a drought from inside a sacred circle. She also tells the tale of four Chassidic Rebbes who face crisis from a sacred space in the forest. The author frames this piece with two personal and numinous dreams dreamt during the pandemic; one offering scenes of destruction and one offering hope for a future transformation.


La COVID-19, le mouvement Black Lives Matter, et l'agitation politique et financière ont déraciné notre sentiment de sécurité personnelle et collective, ainsi que le caractère prévisible dans notre expérience. Les analystes font face à des défis professionnels et personnels, et à la responsabilité d'aider à donner du sens à cette nouvelle normalité. Ce travail réflectif s'articule autour des pensées de l'auteur concernant un téménos blessé, qui perd son sang. L'auteur se confronte à la nouvelle réalité de l'analyse, pratiquée par le biais de la technologie (par exemple zoom). L'article entremêle les expériences personnelles et les réflexions théoriques et professionnelles sur deux mythes Juifs qui parlent de la création d'un téménos ou espace sacré dans une situation de désastres antiques. Elle étudie Honi HaMe'aguel, érudit Juif et faiseur de miracles du premier siècle avant J.C., qui prie - à partir d'un cercle sacré - pour le soulagement d'une terrible sècheresse. Elle évoque également le récit de quatre Rabbins Hassidiques qui font face à une crise à partir d'un espace sacré dans la forêt. L'auteur structure son travail autour de deux rêves personnels numineux rêvés durant la pandémie, l'un montrant des scènes de destruction et l'autre montrant l'espoir d'une transformation future.


COVID-19, el movimiento Black Lives Matter, y la crisis política y financiera ha removido nuestra sensación de seguridad y previsibilidad personal y colectiva, Los y las analistas se confrontan con nuevos desafíos profesionales y personales, así como con la carga de ayudar a crear algún sentido de esta nueva normalidad. Esta pieza reflexiva se centra en los pensamientos del autor acerca de un herido y sangrado temenos. Ella lidia con la nueva realidad del análisis llevado a cabo por vía de la tecnología (Zoom o telesalud). El artículo integra experiencias personales con reflexiones teóricas y profesionales sobre dos mitos judíos, que se relacionan con la creación de un temenos o espacio sagrado frente a antiguos desastres. Específicamente, describe Choni HaMagel, un erudito Judío del Siglo I AC y creador de milagros quien reza pidiendo el alivio de una sequía desde dentro de un círculo sagrado. También cuenta la historia de cuatro Rabi Jasídicos quienes confrontan una crisis desde un espacio sagrado en el bosque. La autora estructura esta pieza con dos sueños personales y numinosos, soñados durante la pandemia; uno ofreciendo escenas de destrucción y otro, escenas de esperanza para una futura transformación.


Subject(s)
COVID-19 , Judaism , Religion and Psychology , Adult , Humans , Psychoanalytic Therapy , Telemedicine
17.
J Anal Psychol ; 66(3): 411-428, 2021 Jun.
Article in English | MEDLINE | ID: mdl-34231902

ABSTRACT

This paper contains reflections on the use of the imagination in technologically-mediated therapy and analysis. As part of the individuation process the psyche is seen as needing to adapt to new technological ways of communicating. The notion of a technologically-mediated self is posited describing a self which can only be apprehended through, and by, the use of telecommunications. This self is seen as identical to the in-person self, a subset, or superset of it. There is a revisioning of our notions of the container and the field in this work performed through technological-mediation. The need to engage the imagination in approaching this kind of work is emphasized in order to create an imaginal play-space in which the body will be deeply affected. Some thoughts on how the process of individuation might look through such analytic work is presented.


Cet article contient des réflexions sur l'utilisation de l'imagination dans la thérapie et l'analyse pratiquées par la médiation de la technologie. En tant que partie intégrante du processus d'individuation, la psyché est considérée comme devant s'adapter à de nouvelles façons de communiquer, basées sur la technologie. La notion d'un soi atteint par la médiation de la technologie est postulée, un soi qui ne peut être appréhendé que par le biais de l'utilisation des télécommunications. Ce soi est considéré comme étant identique au soi dans la personne; un sous-ensemble, ou un sur-ensemble. L'article présente une révision de nos notions de contenant et de champ quand on travaille avec la médiation de la technologie. Il souligne le besoin de mobiliser l'imagination quand on aborde ce genre de travail afin de créer un espace imaginal de jeu dans lequel le corps sera profondément affecté. Il propose quelques pensées sur comment le processus d'individuation pourrait se présenter au travers d'un tel travail analytique.


El presente trabajo contiene reflexiones sobre el uso de la imaginación en terapia y análisis mediado por la tecnología. Como parte del proceso de individuación, la psique necesita adaptarse a nuevos modos tecnológicos de comunicación. Se propone la noción de un self mediado-tecnológicamente, al describir a un self que solamente puede ser aprehendido a través y por el uso de las telecomunicaciones. Este self es considerado como idéntico al self presencial, una parte o una versión mayor del mismo. Se presenta una revisión de nuestras nociones acerca del campo y del espacio de contención en este trabajo realizado a través de la mediación tecnológica. Se enfatiza la necesidad de comprometer a la imaginación al abordar esta forma de trabajo, para crear un espacio de juego-imaginal, en el cual el cuerpo estará profundamente afectado. Se presentan algunas reflexiones acerca de cómo podría mirarse el proceso de individuación a través de dicho trabajo.


Subject(s)
Individuation , Telecommunications , Humans , Imagination
18.
Rev Infirm ; 70(271): 36-37, 2021 May.
Article in French | MEDLINE | ID: mdl-34024582

ABSTRACT

The mobilization and commitment of hospital staff in the fight against the COVID-19 epidemic have been remarkable since the beginning of this unprecedented health crisis. To support the teams of the Confluence Hospitals, the management has set up relaxation areas for the professionals.


Subject(s)
COVID-19 , Hospitals , Humans , Personnel, Hospital , SARS-CoV-2
19.
J Fr Ophtalmol ; 44(4): 494-498, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33736858

ABSTRACT

PURPOSE: To assess the perception of patients undergoing cataract surgery under topical anesthesia in an open-space operating hall. METHODS: The study was set in the department of ophthalmology, Cochin Paris Descartes University Hospital, in a newly built open-space operating hall dedicated to ophthalmic surgery. It was a prospective study of consecutive patients undergoing cataract surgery by 11 surgeons. Our population study comprised 250 patients operated in an open-space operating hall with 3 surgical areas. Only first-eye standard cataract surgeries performed under topical anesthesia were included. Responses to a face-to-face questionnaire administered by a single interviewer to patients before their discharge on the day of their surgery were analyzed. RESULTS: Fifty-two patients (21%) knew beforehand that their procedure would take place in an open-space operating hall, 118 (47%) realized that they were in such an environment on the occasion of their surgery and 80 (32%) did not notice. Conversations and noises unrelated to their own surgeries were overheard respectively by 15 (6%) and 37 (15%) patients. Of the 250 patients, 237 (95%) did not report any discomfort associated with the fact that their procedure had been performed in an open-space operating hall. CONCLUSIONS: Cataract surgery performed in an open-space setting did not seem to affect the patients' comfort during the procedure.


Subject(s)
Cataract Extraction , Cataract , Anesthesia, Local , Cataract/epidemiology , Humans , Perception , Prospective Studies
20.
Estilos clín ; 25(3): 518-533, maio-dez. 2020. ilus
Article in Portuguese | LILACS, Index Psychology - journals | ID: biblio-1286405

ABSTRACT

Nesse artigo buscamos entender a continuidade das proposições teórico-clínicas de Winnicott e Ogden, que incluem a contratransferência no processo analítico do paciente, e mais, o psiquismo do analista em sua parte mais inconsciente. Essas proposições implicariam um entendimento intersubjetivo do enquadre, produzindo uma nova maneira de enxergar a relação analítica e, consequentemente, a técnica. Escolhemos o termo "espaço-entre" para nomear tais propostas, pois concluímos que um outro lugar ou processo é produzido no encontro analítico. Esse lugar não é nem do analista, nem do paciente, mas de ambos. Tal encontro produziria um inconsciente do vínculo, capaz de gerar trabalho psíquico e gerar efeitos importantes.


Este artículo tiene como objetivo analizar la continuidad del proceso analítico entre el analista y su paciente a través del enfoque teórico-clínico de Winnicott y Ogden. En particular, tratamos de entender la contratransferencia, la psique del analista y su inconsciente. Estas proposiciones implicarían una compreensión intersubjetiva del encuentro, produciendo una nueva forma de ver la relación analítica y el manejo clínico psicoanalítico. Usamos l'expresión "espacio entre" para nombrar tales propuestas, cuyos lugares o procesos se producen en la reunión analítica, que no es ni el analista ni el paciente, sino ambos al mismo tiempo. Este encuentro produciría un inconsciente del vínculo, y es capaz de generar trabajo psíquico y producir efectos importantes.


This paper aims to analyse the continuity of the analytic process between the analyst and his patient through Winnicott and Ogden's theoretical-clinical approach. In particular, we try to understand the countertransference, the psyche of the analyst and his unconscious. These propositions would imply an intersubjective understanding of the encounter, producing a new way of seeing the analytic relationship and the psychoanalytic clinical management. We use Winnicott's term "space in between" to name such proposals, whose places or process are produced at the analytical meeting, which is neither the analyst nor the patient, but both at the same time. This encounter would produce an unconscious of the bond, and is able to generate psychic work and produce important effects.


Dans cet article, nous cherchons à comprendre la continuité des propositions théorico-cliniques de Winnicott et Ogden, qui incluent le contre-transfert dans le processus analytique du patient, et plus encore, la psyché de l'analyste dans sa partie la plus inconsciente. Ces propositions impliqueraient une compréhension intersubjective du cadre, produisant une nouvelle façon de voir la relation analytique et, par conséquent, la technique. Nous avons choisi le terme « espace entre ¼ pour nommer ces propositions, car nous concluons qu'un autre lieu ou processus est produit dans la rencontre analytique. Cette place n'est ni de l'analyste, ni du patient, mais des deux. Une telle rencontre produirait un inconscient du lien, capable de générer un travail psychique et des effets importants.


Subject(s)
Humans , Female , Psychoanalysis , Transference, Psychology , Object Attachment
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