RESUMO
Um grupo de psicanalistas da Sociedade Brasileira de Psicanálise de São Paulo sbpsp percebe a incidência cada vez maior de temas ligados à comunicação virtual em seus encontros clínicos semanais. A reflexão faz-se então necessária a partir da experiência de cada um dos membros e da literatura disponível. Autores como Giovanetti, Dorado de Lisondo, Guignard e Sharff contribuem para a discussão de um ponto de vista psicanalítico, bem como Novaes e Franklin Silva, através de uma abordagem filosófica. Várias vinhetas clínicas são apresentadas.
A group of psychoanalysts from SBPSP becomes aware of the increase in the number of themes related to virtual communication in their weekly clinical encounters. Thus, it becomes necessary to reflect based on the experience of each member and on the available literature. Authors such as Giovanetti, Dorado de Lisondo, Guignard and Sharff contribute to the discussion from a psychoanalytic point of view, as well as Novaes and Franklin Silva, through a philosophical approach. Several clinical vignettes are presented.
Un grupo de psicoanalistas de la SBPSP percibe la incidencia cada vez mayor de temas relacionados con la comunicación virtual en sus encuentros clínicos semanales. De ahí que la reflexión se hace necesaria a partir de la experiencia de cada uno de los miembros y de la literatura disponible. Autores como Giovanetti, Dorado de Lisondo, Guignard y Sharff contribuyen para la discusión de un punto de vista psicoanalítico, así como Novaes y Franklin Silva, a través de un enfoque filosófico. Varios casos clínicos son presentados.
RESUMO
OBJECTIVE: To examine the characteristics of children with traumatic amputations and the products associated with these injuries. METHODS: Data regarding amputation injuries to children younger than 18 years treated in US emergency departments from 1990 to 2002 were obtained from the National Electronic Injury Surveillance System. Data included demographics, product involved, and body region injured. RESULTS: An estimated 111,600 children younger than 18 years with amputation injuries were treated in US emergency departments from 1990 to 2002. The average age was 6.18 years (median: 4 years; mode: 1 year old). Males experienced 65.5% of these injuries. Finger amputations accounted for 91.6% of all amputations, ranging from 95.2% among 0- to 2-year-olds to 87.9% among 13- to 17-year-olds. Complete amputations accounted for 70.2% of all amputations among 13- to 17-year-olds compared with 52.6% of amputations among 0- to 2-year-olds. Adolescents also had the highest proportion of amputations resulting in hospital admission (26.6% for 13- to 17-year-olds compared with 11.9% for 0- to 2-year-olds). Adolescents had the highest proportion of amputation injuries involving lawn mowers (14.1% for 13- to 17-year-olds compared with 1.4% for 0- to 2-year-olds) and the highest proportion of amputations involving tools (29.3% for 13- to 17-year-olds compared with 2.5% for 0- to 2-year-olds). The percentage of amputations involving doors peaked in the youngest age group and decreased as age increased (65.8% of all amputations for 0- to 2-year-olds compared with 14.1% for 13- to 17-year-olds). CONCLUSIONS: To our knowledge, this is the first study to use a nationally representative sample to broadly investigate amputation injuries among children. The majority of traumatic amputation injuries occur to young children, to males, and to fingers and the majority involve doors. Adolescents experience a higher proportion of more serious amputation injuries. Effective interventions exist but are inadequately used to prevent many of these injuries, including door stops and modifications, bicycle-chain and spoke guards, wearing closed-toe footwear while bicycling, a no-mow-in-reverse default feature on ride-on lawnmowers with the override switch located behind the mower operator, and a SawStop system on power saws. Use of these technical countermeasures and changes in relevant product standards to promote their implementation and use could lead to a decrease in pediatric traumatic amputations.
