A study on phytogenotoxicity induced by biogenic amines: cadaverine and putrescine.

Among the compounds present in necro-leachate, a liquid released during the process of decomposition of the human body, are the biogenic amines cadaverine and putrescine. Although some studies on necro-leachate have indicated a potential ecotoxicological and public health risk associated with it, the research on this type of contamination is still rather limited. This study presents information about the phytotoxic and cytogenotoxic potential of cadaverine and putrescine, evaluated separately and within a mixture. Phytotoxicity was evaluated through a germination test, the initial growth of seedlings with Lactuca sativa, and cytogenotoxicity through chromosomal aberration and micronucleus tests with Allium cepa. The L. sativa results showed a phytotoxic effect for the evaluated amines, by reducing root (> 90%) and hypocotyl (> 80%) elongation. The co-exposure of cadaverine and putrescine potentiated cytogenotoxic activity by aneugenic action in the meristematic cells of A. cepa. From this result, it is possible to infer the eco-toxicogenic potential of cadaverine and putrescine. This study not only highlights the importance of the phytotoxic and cytogenotoxic effects of these amines but also emphasizes the urgent need for further investigation into contamination originating from cemetery environments. By evaluating the risks associated with necro-leachate, this research is aimed at informing global efforts to protect ecological and public health.

Evaluation of the ecotoxicological effects of biogenic amines derived from cadaverous putrefaction on springtails Folsomia candida.

Necro-leachate, a liquid released during cadaveric decomposition, is considered the main culprit for impacts on cemetery environments. The biogenic amines cadaverine and putrescine make up part of the composition of necro-leachate and have a certain toxicity to different organisms. Springtails are among the most used bioindicators to assess the impacts of soil contaminants. As there are no data on the acute and chronic toxicity of springtails exposed to cadaverine and putrescine, the objective of this study was to evaluate the toxic potential of both amines, under the behavioral effect of avoidance and reproduction in the species Folsomia candida. Springtails were exposed to soils contaminated with different concentrations of cadaverine and putrescine, and different mixtures of these amines. To evaluate the avoidance and reproduction test, the individuals were exposed for periods of 48 h and 28 days, respectively. The results obtained in the avoidance test showed that springtails exhibited a preference for the treated soil in both isolated and mixed treatments. The chronic evaluation assays showed that the reproduction was affected, particularly in the treatments with combined amines, resulting in a reduction in the total number of juveniles. From the results, it is possible to infer that the methods applied in this research have provided information that will contribute to a better understanding of the toxicity of putrefactive biogenic amines, since there exist few ecotoxicological studies carried out with these amines, and especially with those from cemetery environments.

Apelin and Visfatin Expression in Placental Tissue in Women With Preeclampsia and Overweight/Obesity.

BACKGROUND: Preeclampsia (PE) is a multifunctional and multisystem disorder. Several factors favor the development of PE, including obesity. Cytokines are also expressed in the placenta, predisposing to local alterations that favor the development of distinct pathological processes, including PE. This study aimed to evaluate the apelin and visfatin mRNA expression in the placental tissue of women with preeclampsia and overweight/obesity and correlates with maternal and fetal variables. METHODS: A cross-sectional analytical study was performed with 60 pregnant women and their newborns. Clinical, anthropometric, and laboratory variables were collected. Placental tissue samples were obtained, and the apelin and visfatin mRNA expression levels were assessed by qRT-PCR. RESULTS: The main findings evidenced lower levels of apelin expression in overweight/obese women, accompanied by a negative correlation with BMI and pre-pregnancy weight; a higher expression of apelin was also observed in women with late PE and no personal history of PE. For visfatin levels, higher expression levels were observed in women with late PE and term delivery. Furthermore, a positive correlation was observed between visfatin levels and fetal anthropometric parameters, such as weight, length, and head circumference. CONCLUSION: Apelin levels were less expressed in overweight/obese women. Apelin and visfatin levels were correlated/associated with maternal-fetal variables.

Rhizobacteria from Brazilian semiarid biome as growth promoters of soybean (Glycine max L.) under low water availability.

Caatinga is the predominant biome in the Brazilian semiarid region. Its vegetation is composed by plants and microorganisms with high tolerance to drought. Microorganisms associated with plants in this biome can develop mechanisms to protect cells from water stress and desiccation. The aim of this study was to identify plant growth-promoting rhizobacteria associated with the drought-tolerant legume Mimosa artemisiana and to examine their effect on the growth of soybean (Glycine max L.) under drought condition (irrigation with 30% of field capacity). Rhizospheric soil was collected along the Caatinga (In the States of Bahia and Pernambuco) at 4 collection points, totaling sixty subsamples. Xerotolerant bacteria with plant growth-promotion characteristics were isolated in a selective culture medium for diazotrophic bacteria. Two strains of the genera Bacillus and one Paenibacillus were promising in in vitro and in vivo tests. Both were able to grow in a medium with low water availability (0.919 Aw) and could produce exopolysaccharides and indole acetic acid (up to 130 µg mL-1). In addition, they produced 1-aminocyclopropane-1-carboxylate (ACC) deaminase and formed biofilms under drought conditions. The inoculation with the isolated strains in the seedling root system mitigated the adverse effects of drought, increasing roots and shoots dry weights of soybean seedlings compared with non-inoculated.

LIECHTENSTEIN VERSUS LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) HERNIA REPAIR: A PROSPECTIVE COMPARATIVE STUDY FOCUSED ON POSTOPERATIVE OUTCOMES IN A GENERAL SURGERY UNIT. / LIECHTENSTEIN VERSUS CORREÇÃO DE HÉRNIA LAPAROSCÓPICA TRANSABDOMINAL PRÉ-PERITONEAL (TAPP): UM ESTUDO COMPARATIVO PROSPECTIVO COM FOCO NOS RESULTADOS PÓS-OPERATÓRIOS EM UMA UNIDADE DE CIRURGIA GERAL.

AIM: Three surgical techniques for inguinal hernia repair are currently validated. Few studies have compared results among Lichtenstein and transabdominal preperitoneal (TAPP) laparoscopic approach obtained at an early step of the learning curve. This study aims to compare the early treatment results between the Liechtenstein technique and the laparoscopic TAPP approach to provide a basis for the surgeon's decision-making. METHODS: Patients were divided into two groups: those who underwent laparoscopic TAPP approach (114 patients), and those who underwent open Lichtenstein repair (35 patients). Data were collected from the medical records during the evolution of the immediate postoperative period and by telephone contact after hospital discharge. For the analysis of the variables, the chi-square test of independence was implemented, with a level of significance set at a p-value of 0.05. RESULTS: There was a strong association between laparoscopy, less postoperative pain, and longer operative time. In addition, a preference for the technique in cases of recurrence, bilaterality, associated umbilical hernia, or obesity was noticed. In this study, the Lichtenstein technique was associated with a shorter time to return to work and was the treatment of choice for elderly patients. CONCLUSION: TAPP laparoscopic herniorrhaphy should be the first choice in cases of bilaterality, associated umbilical hernia, obesity, and recurrence to a previous anterior repair. The surgical risk is adequate for the procedure, even at early stages of the learning curve.

OBJETIVO: Três técnicas cirúrgicas para correção de hérnia inguinal estão atualmente validadas. Poucos estudos compararam os resultados entre Lichtenstein e a abordagem laparoscópica transabdominal pré-peritoneal obtidos em uma etapa inicial da curva de aprendizado. Comparar os resultados iniciais do tratamento entre a técnica de Liechtenstein e a abordagem pré-peritoneal transabdominal laparoscópica para fornecer uma base para a tomada de decisão do cirurgião. MÉTODO: Os pacientes foram divididos em grupo 1: aborgadem laparoscópica transabdominal pré-peritoneal (114 pacientes), e grupo 2: reparo aberto de Lichtenstein (35 pacientes). Os dados foram coletados em prontuários médicos durante a evolução do pós-operatório imediato e por contato telefônico após a alta hospitalar. Para a análise das variáveis, foi implementado o teste de independência Qui-Quadrado, com nível de significância estabelecido em p-valor = 0,05. RESULTADOS: Houve forte associação entre laparoscopia, menos dor pós-operatória e maior tempo operatório. Além disso, notou-se preferência pela técnica nos casos de recorrência, bilateralidade, hérnia umbilical associada ou obesidade. Neste estudo, a técnica de Lichtenstein foi associada a um menor tempo de retorno ao trabalho e foi o tratamento de escolha para pacientes idosos. CONCLUSÃO: A herniorrafia laparoscópica transabdominal pré-peritoneal deve ser a primeira escolha em casos de bilateralidade, hérnia umbilical associada, obesidade e recorrência para reparo anterior. O risco cirúrgico é adequado para o procedimento, mesmo nos estágios iniciais da curva de aprendizado.

Another casualty of the SARS-CoV-2 pandemic-the environmental impact.

Cemetery leachate generated by the process of cadaveric decomposition is a significant contaminant of several matrices in the cemetery environment (soil, groundwater, and surface water). The biogenic amines cadaverine and putrescine stand out among the cemetery leachate contaminants, since they are potentially carcinogenic compounds. This review article presents a discussion of possible environmental impacts caused by the increase in deaths resulting from COVID-19 as its central theme. The study also aims to demonstrate the importance of considering, in this context, some climatic factors that can alter both the time of bodily decomposition and the longevity of the virus in the environment. Additionally, some evidence for the transmission of the virus to health professionals and family members after the patient's death and environmental contamination after the burial of the bodies will also be presented. Several sources were consulted, such as scientific electronic databases (NCBI), publications by government agencies (e.g., ARPEN, Brazil) and internationally recognized health and environmental agencies (e.g., WHO, OurWorldInData.org), as well as information published on reliable websites available for free (e.g., CNN) and scientific journals related to the topic. The data from this study sounds the alarm on the fact that an increase in the number of deaths from the complications of COVID-19 has generated serious environmental problems, resulting from Cemetery leachate.

Liechtenstein versus correção de hérnia laparoscópica transabdominal pré-peritoneal (tapp): um estudo comparativo prospectivo com foco nos resultados pós-operatórios em uma unidade de cirurgia geral / Liechtenstein versus laparoscopic transabdominal preperitoneal (tapp) hernia repair: a prospective comparative study focused on postoperative outcomes in a general surgery unit

RESUMO - RACIONAL: Três técnicas cirúrgicas para correção de hérnia inguinal estão atualmente validadas. Poucos estudos compararam os resultados entre Lichtenstein e a abordagem laparoscópica transabdominal pré-peritoneal obtidos em uma etapa inicial da curva de aprendizado. OBJETIVO: Comparar os resultados iniciais do tratamento entre a técnica de Liechtenstein e a abordagem pré-peritoneal transabdominal laparoscópica para fornecer uma base para a tomada de decisão do cirurgião. MÉTODO: Os pacientes foram divididos em grupo 1: aborgadem laparoscópica transabdominal pré-peritoneal (114 pacientes), e grupo 2: reparo aberto de Lichtenstein (35 pacientes). Os dados foram coletados em prontuários médicos durante a evolução do pós-operatório imediato e por contato telefônico após a alta hospitalar. Para a análise das variáveis, foi implementado o teste de independência Qui-Quadrado, com nível de significância estabelecido em p-valor = 0,05. RESULTADOS: Houve forte associação entre laparoscopia, menos dor pós-operatória e maior tempo operatório. Além disso, notou-se preferência pela técnica nos casos de recorrência, bilateralidade, hérnia umbilical associada ou obesidade. Neste estudo, a técnica de Lichtenstein foi associada a um menor tempo de retorno ao trabalho e foi o tratamento de escolha para pacientes idosos. CONCLUSÃO: A herniorrafia laparoscópica transabdominal pré-peritoneal deve ser a primeira escolha em casos de bilateralidade, hérnia umbilical associada, obesidade e recorrência para reparo anterior. O risco cirúrgico é adequado para o procedimento, mesmo nos estágios iniciais da curva de aprendizado.

ABSTRACT - BACKGROUND: Three surgical techniques for inguinal hernia repair are currently validated. Few studies have compared results among Lichtenstein and transabdominal preperitoneal (TAPP) laparoscopic approach obtained at an early step of the learning curve. AIM: This study aims to compare the early treatment results between the Liechtenstein technique and the laparoscopic TAPP approach to provide a basis for the surgeon's decision-making. METHODS: Patients were divided into two groups: those who underwent laparoscopic TAPP approach (114 patients), and those who underwent open Lichtenstein repair (35 patients). Data were collected from the medical records during the evolution of the immediate postoperative period and by telephone contact after hospital discharge. For the analysis of the variables, the chi-square test of independence was implemented, with a level of significance set at a p-value of 0.05. RESULTS: There was a strong association between laparoscopy, less postoperative pain, and longer operative time. In addition, a preference for the technique in cases of recurrence, bilaterality, associated umbilical hernia, or obesity was noticed. In this study, the Lichtenstein technique was associated with a shorter time to return to work and was the treatment of choice for elderly patients. CONCLUSION: TAPP laparoscopic herniorrhaphy should be the first choice in cases of bilaterality, associated umbilical hernia, obesity, and recurrence to a previous anterior repair. The surgical risk is adequate for the procedure, even at early stages of the learning curve.

Seasonal Variation in Mycorrhizal Community of Different Cerrado Phytophysiomies.

Purpose: Understanding the dynamics of mycorrhizal fungi in the Cerrado is fundamental for the adoption of conservation practices and for understanding the resilience of this biome in relation to long periods of drought. Thus, this work aimed to verify the dynamics of the mycorrhizal population in five phytophysiognomies of the Cerrado biome. Methods: The samples were taken from the Chapada dos Veadeiros National Park, a permanent preservation with native Cerrado vegetation without any anthropic influence. The five main phytophysiognomies of the Cerrado biome were chosen: the Campo Limpo, Campo Sujo, Cerrado Strictu Sensu, Cerradão, and Veredas. Rhizospherical soil samples were collected in both the wet and dry seasons. Spore density, mycorrhizal colonization rate, easily extractable glomalin, and associated mycorrhizal fungi genera were identified. Results: The values of spore density, mycorrhizal colonization rate, and glomalin were higher in the samples performed during the dry season compared to the samples performed in the rainy season. The same behavior was observed when comparing the different phytophysionomies. Conclusion: Mycorrhizal activity is higher in dry periods when compared to rainy periods. There is no specificity of genera of arbuscular mycorrhizal fungi within the Cerrado phytophysiognomies.

Produção científica em cuidados paliativos e terapia ocupacional: revisão de escopo / Scientific production in palliative care and occupational therapy: a scoping review / Producción científica en cuidados paliativos y terapia ocupacional: revisión de alcance

Objective: The study's main purpose has been to characterize the scientific production addressing palliative care and occupational therapy published in peer-reviewed open access journals available online, as well as identify the approaches used by such publications selected for this work. Methods: This is a scoping review, which performed a thorough search in the following databases: MEDLINE, LILACS, IBECS and INDEX PSI. Furthermore, it considered articles published over the period from 2000 to July 2019, eventually obtaining a sample of 29 studies. Results: The analysis resulted in six categories that addressed subjects on the profile, role, interventions, difficulties, information technology and home care of the occupational therapy in palliative care, where a predominance of English written articles was observed. Conclusion: The study findings have revealed rather small evidences on the occupational therapists' profile and their big challenges - such as updates related to the current practice and the educational curriculum. Hence, it is essential to promote new investigations aimed at demonstrating the effectiveness of interventions focused on improving the occupational therapists' performance and the patient's quality of life

Objetivo: Caracterizar a produção científica sobre os cuidados paliativos e a terapia ocupacional publicada em periódicos online, e identificar os enfoques abordados nas publicações selecionadas para o estudo. Método: Trata-se de uma revisão de escopo, cuja pesquisa foi realizada nas bases de dados MEDLINE, LILACS, IBECS e INDEX PSI, em artigos publicados entre 2000 e julho de 2019, cujas amostras contemplaram 29 estudos. Resultado: Da análise, resultaram seis categorias que contemplam temas sobre o perfil, papel, intervenções, dificuldades, tecnologia da informação e atenção domiciliar da terapia ocupacional em cuidados paliativos, com predominância de artigos em inglês. Conclusão: Os achados desta pesquisa revelam poucas evidências sobre o perfil dos terapeutas ocupacionais e grandes desafios ­ como atualizações na prática atual e no currículo educacional, sendo fundamental o desenvolvimento de novas pesquisas voltadas a demonstrar a eficácia das intervenções, à melhoria do desempenho ocupacional e à qualidade de vida do paciente

Objetivo: Caracterizar la producción científica sobre los cuidados paliativos y la terapia ocupacional publicada en periódicos online y identificar las perspectivas abordadas en las publicaciones seleccionadas para el estudio. Método: Se trata de una revisión de alcance, cuya investigación fue realizada en las bases de datos MEDLINE, LILACS, IBECS y INDEX PSI, en artículos publicados entre 2000 y julio de 2019, de cuales las muestras contemplaron 29 estudios. Resultado: Del análisis, resultaron seis categorías que contemplan temas sobre el perfil, papel, intervenciones, dificultades, tecnología de la información y atención domiciliar de la terapia ocupacional en cuidados paliativos, con predominancia de artículos en inglés. Conclusión: Los hallados de esta investigación revelan pocas evidencias sobre el perfil de los terapeutas ocupacionales y grandes desafíos ­ como actualizaciones en la práctica actual y en el currículo educacional, siendo fundamental el desarrollo de nuevas pesquisas destinadas a demostrar la eficacia de las intervenciones dirigidas a la mejoría del desempeño ocupacional y a la calidad de vida del paciente

Produção científica sobre psicologia dos desastres: Uma revisão da literatura nacional / Scientific literature on disasters in psychology: A review of national literature / La literatura científica sobre desastres en psicología: Una revisión de la literatura nacional

As notícias sobre a ocorrência de desastres têm-se tornado parte do cotidiano das brasileiras e brasileiros nos últimos anos, dada a elevada quantidade de eventos climáticos extremos agravados pela degradação ambiental e problemas sociais severos. Este estudo apresenta uma revisão sistemática da literatura científica produzida no Brasil sobre a Psicologia dos Desastres, a fim de se conhecer como o evento e os fenômenos sociais inerentes a ele estão sendo tomados como objeto de estudo pela Psicologia, dando enfoque aos desastres socioambientais. A revisão recuperou 11 artigos nas bases de dados Bireme e SciELO, considerando como critérios de inclusão: artigos produzidos no Brasil, temporalidade entre 2005 a 2015 e que discutissem apenas desastres socioambientais. Os resultados mostram que o desastre ainda é um desafio para o estudo da psicologia, existindo poucos estudos que são em sua maioria teóricos. Observa-se que existe um campo profícuo para a construção do conhecimento na temática.

The news about the occurrence of disasters has become part of the daily life of Brazilians in recent years, given the high amount of extreme climatic events aggravated by environmental degradation and severe social problems. This study presents a systematic review of the scientific literature produced in Brazil on Disaster Psychology, in order to know how the event and all the social phenomena inherent to it are being taken as an object of study by Psychology, focusing on socio-environmental disasters. The review retrieved 11 articles in the databases Bireme and SciELO, considering as inclusion criteria: articles produced in Brazil, temporality between 2005 and 2015 and that only discussed socioenvironmental disasters. The results show that the disaster is still a challenge for the study of psychology, with few studies that are mostly theoretical. It is observed that there is a profitable field for the construction of knowledge in the theme.

Las noticias sobre la ocurrencia de desastres se han convertido en parte del cotidiano de brasileñas y brasileños en los últimos años, dada la elevada cantidad de eventos climáticos extremos agravados por la degradación ambiental y problemas sociales severos. Este estudio presenta una revisión sistemática de la literatura científica producida en Brasil sobre la psicología de desastres, con el fin de saber cómo están tomando el caso de desastres y todos los fenómenos sociales inherentes a ella como estudiado por la psicología, centrándose en los desastres sociales y medioambientales. La revisión se recuperó 11 artículos en las bases de datos de BIREME y SciElo, teniendo en cuenta los siguientes criterios de inclusión: los artículos producidos en Brasil, la temporalidad entre 2005-2015 y discutir sólo los desastres ambientales. Los resultados muestran que el desastre sigue siendo un reto para el estudio de la psicología, hay pocos estudios que son en su mayor parte teórica. Se observa que existe un campo fértil para la construcción del conocimiento en la materia.

Escutando os subterrâneos da cultura: racismo e suspeição em uma comunidade escolar / Escuchar lo subterráneo de la cultura: racismo y sospechaen una comunidad escolar / Listening to hidden cultural aspects: racism and suspicions within a school community

RESUMO. Este artigo pretende abordar alguns desdobramentos de um dispositivo de intervenção clínico-político em uma escola municipal de São Paulo. Utilizando um Grupo de Conversas com adolescentes foi possível observar e escutar uma cena que se repetia à exaustão e a partir dela supor um não dito social sobre os estudantes, suas mães e suas configurações familiares. Seguindo as indicações de Freud, Lacan, Benjamin e Gagnebin, consideramos o não dito que paira sobre elas como um modo de o passado perdurar de maneira não reconciliada no presente, acarretando uma contiguidade social e simbólica da mucama até as mulheres negras de hoje. O imaginário social sobre estas mulheres aponta para uma concepção de servidão e de corpo à disposição que, apesar de tantas mudanças históricas e conquistas femininas, ainda permanece e se transmite nos subterrâneos da nossa cultura. Recolocar tanto as falas e os atos dos estudantes, como os de suas mães, como prenhez de sentido e inscritos numa rede discursiva política e libidinal, nos permite reencontrar a potência e a capacidade de resistir desses sujeitos. Torna-se fundamental discernir o que é o sujeito colocado no lugar de resto no discurso social e o que é uma subjetivação da falta, pois enquanto esta última é o que promove o desejo, a primeira, é o que violenta e silencia o sujeito.

RESUMEN. Este artículo se propone abordar algunos desdoblamientos de un dispositivo de intervención psicoanalítica clínica-política en una escuela municipal de São Paulo. En un Grupo de Conversaciones con adolescentes, pudimos escuchar una escena que se repetía y, a partir de la misma, suponer un "no dicho" social sobre los estudiantes, sus madresy sus configuraciones familiares. Siguiendo la huella de Freud, Lacan, Benjamin y Gagnebin con- sideramos lo que no se dijo como un modo en que el pasado perdura de manera no recon- ciliada en el presente, acarreando una contigüidad social y simbólica de la mucama hasta las mujeres negras de hoy. El imaginario social sobre esas mujeres revela una concepción de servidumbre y de cuerpo a disposición que, a pesar de tantos cambios históricos, aún permanece y se transmite en los subterráneos de nuestra cultura.Volver a poner el discurso y las acciones de los estudiantes y de sus madres como llenos de sentido y matriculados en una red política y discursiva de la libido, nos permite redescubrir el poder y la capacidad de soportar de estos sujetos. Es esencial discernir lo que es el objeto colocado en la posición de resto en el discurso social y lo que es una subjetivación de la falta, pues una vez que esta última es lo que promueve el deseo, el primero es lo que violenta y silencia el tema.

ABSTRACT. This article addresses some effects of a political-clinical psychoanalytic inter- vention implemented at a public school in Sao Paulo. The focusconversations group held with adolescents enabled us to watch and to listen to a repeatedly returned scene, which al- lowed us to assume a social "unsaid" about students, their mothersand their family settings. Embracing the indications of Freud, Lacan, Benjamin and Gagnebin, we considered that the unsaidthat accompanies these mothers as an enduring pastunreconciled with the present, thereby causing a social and symbolic contiguity of the master's slave girl to today's black women. The social imaginary of these women points to a conception of servitude and sex- ually available body, which, despite the many historical changes and female achievements, still remains and istransmitted in the underground of our culture. Replacing both speeches and acts of the students and of their mothers, as laden with meaning and enrolled in a po- litical and libidinal discursive network, allows us to rediscover the power and resilience of these subjects. It is fundamental to discern between a subject placed in the place of rest in the social discourse, and a subjectivation of the lack, since while the latter is what promotes the desire, the former is what violates and silences the subject.

Clínica psicanalítica implicada: conexões com a cultura, a sociedade e a política / Psychoanalytic clinic implicated: connections with culture, society and politics / Clínica psicoanalítica implicada: conexiones con la cultura, la sociedad y la política

Este artigo aborda os dilemas do avanço da psicanálise quando leva em conta certas problemáticas, tais como exclusão social, racismos e situações outras desse gênero. Essas questões emergem quando o psicanalista oferece sua escuta na pólis: em instituições de saúde, de assistência ou de educação, em comunidades. Tais práticas psicanalíticas que denominamos aqui de clínico-políticas se dão nos limites do campo psicanalítico e incitam ao diálogo necessário com outros campos de conhecimento. Também convocam ao aprofundamento dos conceitos e à criação de dispositivos clínicos condizentes com a dimensão sociopolítica do sofrimento. Na primeira parte do artigo, abordamos o avanço teórico da psicanálise em relação à teoria da cultura. Na construção da psicanálise, Freud articula clínica, teoria e questões sociais. A partir dele, no entanto, o avanço teórico da psicanálise na sua interface com a cultura aparentemente privilegiou os fatos artísticos e religiosos, em detrimento da dimensão política, econômica e social. Na segunda parte, apresentamos nossa concepção de psicanálise clínico-política ou a de psicanálise implicada.

This article addresses the dilemmas of the advancement of psychoanalysis when taking into account certain problems, such as social exclusion, racism and others. These issues emerge when the psychoanalyst offers his or her listening in the pólis: in health care, assistance or education institutions, in communities. Such clinical-political psychoanalytic practices find the limits of its field and encourage the necessary dialogue with other fields of knowledge. On the other hand, they encourage the deepening of concepts and the creation of clinical devices compatible with the sociopolitical dimension of suffering. In the first part of the article, we discuss present the way that Freud articulates clinical practice, theory and social issues. Since then, however,the theoretical advance of psychoanalysis in its interface with culture has privileged artistic and religious facts, at the expense of the political, economic and social dimension. In the second part, we present our conception of clinical-political psychoanalytic or implicated psychoanalysis.

En este artículo se analiza los dilemas del avance del psicoanálisis que, se tiene en cuenta ciertas cuestiones como la exclusión social, el racismo entre otras. Estas preguntas surgen cuando el psicoanalista ofrece su escucha en la ciudad: en las instituciones de salud, educación o asistencia, en las comunidades. Tales prácticas psicoanalíticas clínico políticas encuentran los límites de su campo y fomentanel diálogo necesario con otros campos del conocimiento. Instan, por el contrario, a la profundizaciónde los conceptos y a la creación de dispositivos compatibles con la dimensión sociopolítica del sufrimiento. En la primera parte del artículo se discute el avance de la teoría del psicoanálisis en su interrelación con la cultura. En la construcción del psicoanálisis, Freud articula clínica, teoría y problemas sociales. A partir de ella, sin embargo, el avance teórico del psicoanálisis en su interfaz con las manifestaciones artísticas de la cultura y la dimensión religiosa son privilegiadas más que las dimensiones políticas, económicas y sociales. En la segunda parte presentamos nuestra concepción del psicoanálisis clínico política o el psicoanálisis implicado.

Tempo de internamento e desfecho de vítimas de traumas por causas externas / Time of internment and outcome of trauma victims for external causes

Objetivo: caracterizar pacientes vítimas de traumas por causas externas quanto ao tempo de internamento e desfecho de um hospital terciário de Fortaleza/CE. Metodologia: estudo descritivo, quantitativo, documental e retrospectivo.Amostra de 151 prontuários. A pesquisa ocorreu no período de fevereiro a setembro de 2016, por meio de um formulário pré-elaborado. O projeto foi aprovado pelo Comitê de Ética da instituição. Dados posteriormente analisados pelo software Statistical Package of Social Sciences (SPSS). Resultados: a maioria dos pacientes em estudo é oriundo de outros municípios cearenses. Os acidentes de moto foram a principal causa dos internamentos. Em se tratando do tempo de permeância no hospital, tratou-se de um período de 0 a 10 dias,na maioria dos casos. Cabe ressaltar que esse número zero (0) se deve aos pacientes que são admitidos no hospital mas não completaram nem 24 horas de internamento e foram à óbito.Sendo que o período variou de 0 a 1.111 dias. Conclusão: o alto percentual de óbitos demonstra, em parte, a gravidade desses casos.

Objective: to characterize patients who are victims of trauma due to external causes regarding hospitalization time and outcome of a tertiary hospital in Fortaleza/CE. Methodology: descriptive, quantitative, documentary and retrospective study. Sample of 151 medical records. The research took place in the period from February to September 2016, through a pre-elaborated form. The project was approved by the institution's Ethics Committee. Data later analyzed by the Statistical Package of Social Sciences (SPSS) software. Results: most of the patients in the study are from other municipalities of Ceará. Motorcycle accidents were the main cause of hospitalizations. Regarding the time of permeation in the hospital, it was a period of 0 to 10 days, in most cases. It should be noted that this number zero (0) is due to the patients who are admitted to the hospital but did not complete nor 24 hours of hospitalization and died. The period varied from 0 to 1,111 days. Conclusion: the high percentage of deaths demonstrates, in part, the severity of these cases.

Os muitos nomes de Silvana: contribuições clínico-políticas da psicanálise sobre mulheres negras / The many names of Silvana: the clinical-political contributions of psychoanalysis of black women

Esta pesquisa aponta alguns dos efeitos subjetivos e estratégias singulares de resistência frente à desigualdade racial no nosso país, abordando as vicissitudes de inscrição no laço social de mulheres negras e pobres. É fruto de uma intervenção clínico-política com um grupo de adolescentes em uma Escola Municipal de Ensino Fundamental de São Paulo na qual foi se evidenciando, para nós, a necessidade de cada um desses adolescentes de defender intransigentemente a honra e o valor de suas mães frente aos outros membros do grupo. Tanto pelo seu excesso como pela sua repetição, essa situação nos sugeria um mal-estar e um não dito referido às configurações familiares e à posição destas mulheres nesta comunidade escolar, que nos levou a escutá-las. Tomando a indicação freudiana de que a psicologia individual seria também psicologia social e a formulação lacaniana de que podemos considerar o Inconsciente como sendo a Política, acreditamos ser indispensável escutar o sujeito levando em consideração o Outro, entendido tanto do ponto de vista sócio-histórico, como libidinal. Isso significa que não poderíamos escutar estas mulheres sem considerar o campo de desigualdades sociais e raciais no qual estavam inscritas discursivamente, o que nos exigiu uma interlocução fundamental tanto com pesquisas da antropologia social e da sociologia, como da história. A fala destas mulheres foi nos revelando que, além de outras identificações contingentes, o fato de serem reconhecidas e se reconhecerem como mulheres negras era um elemento fundamental nas suas vivências cotidianas. Uma vez que nosso passado escravista não teria sido suficientemente lembrado e admitido, alguns traços se fariam presentes através de uma transmissão simbólica, pelos subterrâneos da cultura, de uma posição de servidão a elas atribuída. Permaneceria de uma forma atualizada e insidiosa uma divisão racializada da nossa sociedade, ancorada na herança de uma cisão entre a mulher mundana... (AU)

This research points out some of the subjective effects and peculiar strategies of resistance against racial line quality in our country, addressing the vicissitudes poor black women face to inscribe themselves in the social bond. It is the result of a clinical-political intervention with a group of teenagers in a São Paulo Municipal Basic Education School that revealed to us the need for each of these teenagers to defend the honor and the value of their mothers uncompromisingly before the other members of their groups. Both for its excess and for its repetition, the situation suggested a malaise and a non-said regarding the family configurations and the position of these women in this school community, which led us to listen to them. Taking the Freudian indication that individual psychology would also be social psychology and the Lacanian formulation that we can consider the Unconscious as Politics, we believe it is essential to listen to the subject taking into account the Other, understood in both the socio-historical and the libidinal perspectives. This means that we could not listen to these women without considering the field of social and racial inequalities into which they were inscribedin discourse, and that required us to have a fundamental dialogue with researches in social anthropology, sociology and history. These women´s speech revealed to us that, in addition to other contingent identifications, the fact that they are recognized and recognize themselves as black women was a key element in their daily experiences. Since our past of slavery was not sufficiently remembered and admitted, some traits of it are still present by means of a symbolic and inexplicit transmission by culture, that assigns to these women a position of servitude. In an updated and insidious form a racialized division of our society persists, anchored in the inheritance of a scission between the maid the worldly woman whose body is seen as source of pleasure, but without... (AU)

Persistent fetal vasculature: ocular features, management of cataract and outcomes.

PURPOSES: To describe ocular features, management of cataract and functional outcomes in patients with persistent fetal vasculature. METHODS: Retrospective, descriptive case series of patients with persistent fetal vasculature. Data were recorded from the Congenital Cataract Section of Federal University of São Paulo, Brazil from 2001 to 2012. All patients were evaluated for sex, age at diagnosis, systemic findings, laterality, age at surgery, and initial and final follow-up visual acuities. Follow-up and complications after cataract surgery were recorded. Ultrasound was performed in all cases and ocular eco-Doppler was performed in most. RESULTS: The study comprised 53 eyes from 46 patients. Age at diagnosis ranged from 5 days of life to 10 years-old (mean 22.7 months). Twenty-seven patients were male (58.7%). Persistent fetal vasculature was bilateral in 7 patients (15.2%). Forty-two eyes (79.2%) had combined (anterior and posterior forms) PFV presentation, 5 eyes (9.4%) had only anterior persistent fetal vasculature presentation and 6 eyes (11.3%) had posterior persistent fetal vasculature presentation. Thirty-eight eyes (71.7%) were submitted to cataract surgery. Lensectomy combined with anterior vitrectomy was performed in 18 eyes (47.4%). Phacoaspiration with intraocular lens implantation was performed in 15 eyes (39.5%), and without lens implantation in 5 eyes (13.2%). Mean follow-up after surgery was 44 months. Postoperative complications were posterior synechiae (3 cases), retinal detachment (2 cases), phthisis (3 cases), posterior capsular opacification (8 cases), inflammatory pupillary membrane (5 cases), glaucoma (4 cases), intraocular lens implantation displacement (1 case) and vitreous hemorrhage (2 cases). Complications were identified in 19 (50%) of the 38 operated eyes. Visual acuity improved after cataract surgery in 83% of the eyes. CONCLUSIONS: Patients with persistent fetal vasculature have variable clinical presentation. There is an association of persistent fetal vasculature with congenital cataract. Severe complications are related to cataract surgery in patients with persistent fetal vasculature, but 83% of the operated eyes improved visual acuity.

Persistent fetal vasculature: ocular features, management of cataract and outcomes / Persistência da vasculatura fetal: características oftalmológicas, manuseio da catarata e resultados cirúrgicos

PURPOSES: To describe ocular features, management of cataract and functional outcomes in patients with persistent fetal vasculature. METHODS: Retrospective, descriptive case series of patients with persistent fetal vasculature. Data were recorded from the Congenital Cataract Section of Federal University of São Paulo, Brazil from 2001 to 2012. All patients were evaluated for sex, age at diagnosis, systemic findings, laterality, age at surgery, and initial and final follow-up visual acuities. Follow-up and complications after cataract surgery were recorded. Ultrasound was performed in all cases and ocular eco-Doppler was performed in most. RESULTS: The study comprised 53 eyes from 46 patients. Age at diagnosis ranged from 5 days of life to 10 years-old (mean 22.7 months). Twenty-seven patients were male (58.7%). Persistent fetal vasculature was bilateral in 7 patients (15.2%). Forty-two eyes (79.2%) had combined (anterior and posterior forms) PFV presentation, 5 eyes (9.4%) had only anterior persistent fetal vasculature presentation and 6 eyes (11.3%) had posterior persistent fetal vasculature presentation. Thirty-eight eyes (71.7%) were submitted to cataract surgery. Lensectomy combined with anterior vitrectomy was performed in 18 eyes (47.4%). Phacoaspiration with intraocular lens implantation was performed in 15 eyes (39.5%), and without lens implantation in 5 eyes (13.2%). Mean follow-up after surgery was 44 months. Postoperative complications were posterior synechiae (3 cases), retinal detachment (2 cases), phthisis (3 cases), posterior capsular opacification (8 cases), inflammatory pupillary membrane (5 cases), glaucoma (4 cases), intraocular lens implantation displacement (1 case) and vitreous hemorrhage (2 cases). Complications were identified in 19 (50%) of the 38 operated eyes. Visual acuity improved after cataract surgery in 83% of the eyes. CONCLUSIONS: Patients with persistent fetal vasculature have variable clinical presentation. There is an association of persistent fetal vasculature with congenital cataract. Severe complications are related to cataract surgery in patients with persistent fetal vasculature, but 83% of the operated eyes improved visual acuity.

OBJETIVOS: Descrever as características oftalmológicas, o tratamento da catarata e os resultados funcionais em pacientes com o diagnóstico de persistência da vasculatura fetal. MÉTODOS: Estudo retrospectivo e descritivo de série de casos de pacientes com persistência da vasculatura fetal. Dados foram obtidos dos arquivos do Setor de Catarata Congênita da Universidade Federal de São Paulo, Brasil, durante o período entre 2001 a 2012. Todos os pacientes foram avaliados quanto ao sexo, idade ao diagnóstico, achados sistêmicos, lateralidade, idade à cirurgia e acuidade visual inicial e final ao seguimento. Complicações após a cirurgia da catarata foram analisadas. Ultrassom foi realizado em todos os casos e eco-Doppler foi realizado na maioria dos pacientes. RESULTADOS: O estudo incluiu 53 olhos de 46 pacientes. Idade ao diagnóstico variou de 5 dias de vida até 10 anos (média 22,7 meses). Vinte e sete pacientes eram masculinos (58,7%). A persistência da vasculatura fetal foi bilateral em 7 pacientes (15,2%). Quarenta e dois olhos (79,2%) apresentaram formas combinadas (anterior e posterior) da persistência da vasculatura fetal, 5 olhos (9,4%) tinham somente a forma anterior da persistência da vasculatura fetal e 6 olhos (11,3%) tinham a forma posterior de apresentação da persistência da vasculatura fetal. Trinta e oito olhos (71,7%) foram operados de catarata. Lensectomia com vitrectomia anterior foi realizada em 18 olhos (47,4%). Facoaspiração com implante de lente intraocular foi realizada em 15 olhos (39,5%) e sem implantação de lente em 5 olhos (13,2%). O seguimento médio após cirurgia foi de 44 meses. Complicações pós-operatórias foram: sinéquias posteriores (3 casos), descolamento da retina (2 casos), atrofia do globo ocular (3 casos), opacificação da cápsula posterior (8 casos), membrana pupilar inflamatória (5 casos), glaucoma (4 casos), deslocamento da lente implantada (1 caso) e hemorragia vítrea (2 casos). Complicações foram identificadas em 19 (50%) dos 38 olhos operados. Acuidade visual melhorou após a cirurgia da catarata em 83% dos olhos. CONCLUSÕES: Pacientes com persistência da vasculatura fetal tem apresentações clínicas variáveis. Existe uma associação da persistência da vasculatura fetal com catarata congênita. Complicações graves são associadas com a cirurgia da catarata nesses pacientes, mas 83% dos olhos operados melhoraram a acuidade visual nesse estudo.

Utilização de órteses de porcelana fria para a realização no ato de brincar da criança com défice motor / The use of cold porcelain orthoses to implement the act of playing of a child with motor deficit

Objetivo: Analisar a utilização da órtese confeccionada com porcelana fria para a realização do ato de brincar da criança com défice motor. Métodos: Pesquisa aplicada, quantitativa e qualitativa, no Núcleo de Assistência Médica Integrada (NAMI) em Fortaleza - CE, Brasil. A investigação ocorreu no período de fevereiro a junho de 2008. Amostra constituída por 22 crianças, sendo 14 selecionadas na pesquisa intitulada ?Redução nos custos para a confecção de órteses? e 8 indicadas por profissionais. Aplicou-se entrevista semiestruturada com os responsáveis; avaliação do comportamento lúdico baseado no protocolo de Ferland. Na análise das informações qualitativas; utilizou-se Analise de Conteúdo de Bardin. Para os dados quantitativos, utilizamos o tratamento estatístico de Morettin. Resultados: As categorias qualitativas foram organizadas em três: opinião dos pais em relação ao ato de brincar de seus filhos, tipo de brinquedo e melhora no desempenho ocupacional com o uso da órtese. A análise quantitativa permitiu a consolidação dos dados em tabelas, após a Avaliação do Comportamento Lúdico, aplicada no início e ao final da pesquisa. Conclusões: O estudocomprovou, por conseguinte, que a utilização da órtese confeccionada com porcelana fria interferiu, de forma preponderante, tanto na realização do ato de brincar das crianças que participaram desta pesquisa, como também no desempenho ocupacional em suas diversas áreas, passando por modificações consideráveis, reunindo valor também no interesse, na capacidade de realizar uma atividade e nos relacionamentos e sentimentos.

Objective: To analyze the use of cold porcelain orthoses for the performing of act of playing of the child with motor deficit. Methods: Applied research, quantitative and qualitative, in the Center for Integrated Healthcare (NAMI) in Fortaleza - CE, Brazil. The investigation occurred in the period from February to June 2008. Sample of 22 children, 14 selected in the survey entitled Reduction in costs for making orthoses and 8 indicated by professionals. We applied semi-structured interviews with officials, evaluate the play behavior based on the Protocol of Ferland. In the analysis of qualitative information, we used Bardins Content Analysis. For quantitative data, we used the statistical treatment of Morettin. Results: The qualitative categories were organized into three: the parents opinion about the act of playing of their children, type of toy and improvement in occupational performance with the use of orthosis. The quantitative analysis allowed the consolidation of data in tables, after the Behavior Assessment Playful, applied in the beginning and in the end of the study. Conclusions: This study showed, therefore, that the use of cold porcelain orthoses interfered, overwhelmingly, both in performing of the act of playing of the children who participated in this research, as well as in occupational performance in various areas, passing by significant changes, bringing value also in the interest, ability to perform an activity and relationships and feelings.

Entre conversas e descobertas: dispositivos de intervenção diante das urgências de uma escola de São Paulo / Amidst cinversations and discoveries: intervention strategies vis-à-vis the urgencies of school in São Paulo

Este artigo pretende relatar dois dispositivos de intervenção, Oficina de Descobertas e Grupo de Conversa, realizadas dentro de uma escola

pública de ensino fundamental da cidade de São Paulo. Ambos os dispositivos se inscrevem no campo das práticas que convencionamos chamar clinicopolíticas,

na medida em que se constituem como estratégias de intervenção, grupais, orientadas pela teoria da psicanalítica implicada com o contexto social no qual se inserem

[Poor self-rated mastication and associated factors in Brazilian adults]. / Autopercepção da mastigação e fatores associados em adultos brasileiros.

This study estimated the prevalence of bad/very bad self-rated mastication and investigated associated factors among Brazilian adults. The sample included 13,431 adults examined and interviewed in the SBBrazil project. Self-rated mastication was combined in three categories: good/ very good (the reference), fair, and bad/very bad. Multinomial logistic regression was performed to measure the association between fair and bad/very bad self-rated mastication and all independent variables included in the analysis, with significance set at p < 0.05. 55.6% of participants rated their mastication as good/very good, 24.9% as fair, and 19.5% as bad/very bad. In the final multivariate analysis, factors associated with bad or fair self-rated mastication were: receiving no information on how to avoid oral problems; presenting fewer than 23 remaining teeth; requiring total or partial prosthesis; bad/very bad self-rated oral health; gingival pain and/or toothache in the previous year; and need of dental treatment. In conclusion, various factors were associated with self-rated mastication, especially subjective conditions, thus emphasizing its importance as an oral health indicator.

Autopercepção da mastigação e fatores associados em adultos brasileiros / Poor self-rated mastication and associated factors in Brazilian adults

Propôs-se estimar a prevalência da autopercepção da mastigação e investigar os fatores relacionados à autopercepção regular e ruim. Foram entrevistados e examinados 13.431 adultos, participantes do projeto SBBrasil. Foram realizadas análises descritiva, bivariada (χ2; p < 0,20) e multivariada por meio de regressão logística multinomial (p < 0,05), com IC95%. 55,6% classificaram a mastigação como boa; 24,9%, como regular; e 19,5%, como ruim. Na analise bivariada, todos os fatores foram associados à autopercepção da mastigação regular ou ruim (p < 0,20). No modelo final, os fatores associados tanto com a percepção regular como ruim foram: não receber informações sobre como evitar problemas bucais, apresentar menos de 23 dentes remanescentes, necessitar de prótese parcial ou total, perceber a saúde bucal como regular ou ruim/péssima, relatar dor em dentes e gengivas e necessidade de tratamento odontológico. Conclui-se que diversos fatores associam-se à autopercepção da mastigação, principalmente as condições subjetivas, reforçando sua importância como indicador em saúde bucal.

This study estimated the prevalence of bad/very bad self-rated mastication and investigated associated factors among Brazilian adults. The sample included 13,431 adults examined and interviewed in the SBBrazil project. Self-rated mastication was combined in three categories: good/ very good (the reference), fair, and bad/very bad. Multinomial logistic regression was performed to measure the association between fair and bad/very bad self-rated mastication and all independent variables included in the analysis, with significance set at p < 0.05. 55.6% of participants rated their mastication as good/very good, 24.9% as fair, and 19.5% as bad/very bad. In the final multivariate analysis, factors associated with bad or fair self-rated mastication were: receiving no information on how to avoid oral problems; presenting fewer than 23 remaining teeth; requiring total or partial prosthesis; bad/very bad self-rated oral health; gingival pain and/or toothache in the previous year; and need of dental treatment. In conclusion, various factors were associated with self-rated mastication, especially subjective conditions, thus emphasizing its importance as an oral health indicator.