Desamparo, transferência e hospitalização em Centro de Terapia Intensiva

O objetivo desta dissertação foi o de investigar a noção de desamparo na teoria freudiana, articulada ao estudo de caso de três pacientes internados em Centro de Terapia Intensiva (CTI), no Hospital Universitário João de Barros Barreto, em Belém do Pará. Na transferência, identificou-se que a enfermidade e a internação desses pacientes produziam um sofrimento psíquico tão intenso que os remetia à revivescência do desamparo infantil. Considerou-se que, a escuta analítica desse sofrimento, deu suporte a esses pacientes no sentido de subjetivar essa vivência dolorosa. Escutar o paciente pela palavra dita ou não dita, pelas linguagens possíveis e, diante das impossibilidades reais derivadas de uso de aparelhos e sondas, colocou-nos frente às questões sobre os processos de transferência e contratransferência nesse contexto hospitalar, levando-nos a uma revisão de literatura sobre a ampliação de dispositivos clínicos em ambientes não classicamente analíticos. Neste sentido, concluiu-se que um ambiente acolhedor e seguro, constituído na e, pela transferência, permitiu aos pacientes agir criativamente sobre seu mundo externo e interno e, buscarem uma superação, ainda que nunca definitiva, do estado de desamparo, atribuindo novos sentidos para suas enfermidades, suas internações e até para suas vidas.

Clinical features of tic-related obsessive-compulsive disorder: results from a large multicenter study

Objective. To evaluate the clinical features of obsessive-compulsive disorder (OCD) patients with comorbid tic disorders (TD) in a large, multicenter, clinical sample. Method. A cross-sectional study was conducted that included 813 consecutive OCD outpatients from the Brazilian OCD Research Consortium and used several instruments of assessment, including the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Yale-Brown Obsessive-Compulsive Scale, the Yale Global Tic Severity Scale (YGTSS), the USP Sensory Phenomena Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Results. The sample mean current age was 34.9 years old (SE 0.54), and the mean age at obsessive-compulsive symptoms (OCS) onset was 12.8 years old (SE 0.27). Sensory phenomena were reported by 585 individuals (72% of the sample). The general lifetime prevalence of TD was 29.0% (n=236), with 8.9% (n=72) presenting Tourette syndrome, 17.3% (n=5141) chronic motor tic disorder, and 2.8% (n=523) chronic vocal tic disorder. The mean tic severity score, according to the YGTSS, was 27.2 (SE 1.4) in the OCD1TD group. Compared to OCD patients without comorbid TD, those with TD (OCD1TD group, n=236) were more likely to be males (49.2% vs. 38.5%, p<005) and to present sensory phenomena and comorbidity with anxiety disorders in general: separation anxiety disorder, social phobia, specific phobia, generalized anxiety disorder, post-traumatic stress disorder, attention-deficit hyperactivity disorder, impulse control disorders in general, and skin picking. Also, the "aggressive," "sexual/religious," and "hoarding" symptom dimensions were more severe in the OCD+TD group. Conclusion. Tic-related OCD may constitute a particular subgroup of the disorder with specific phenotypical characteristics, but its neurobiological underpinnings remain to be fully disentangled.

Estrogen Receptor α Signaling in T Lymphocytes Is Required for Estradiol-Mediated Inhibition of Th1 and Th17 Cell Differentiation and Protection against Experimental Autoimmune Encephalomyelitis

Estrogen treatment exerts a protective effect on experimental autoimmune encephalomyelitis (EAE) and is under clinical trial for multiple sclerosis therapy. Estrogens have been suspected to protect from CNS autoimmunity through their capacity to exert anti-inflammatory as well as neuroprotective effects. Despite the obvious impacts of estrogens on the pathophysiology of multiple sclerosis and EAE, the dominant cellular target that orchestrates the anti-inflammatory effect of 17β-estradiol (E2) in EAE is still ill defined. Using conditional estrogen receptor (ER) α-deficient mice and bone marrow chimera experiments, we show that expression of ERα is critical in hematopoietic cells but not in endothelial ones to mediate the E2 inhibitory effect on Th1 and Th17 cell priming, resulting in EAE protection. Furthermore, using newly created cell type-specific ERα-deficient mice, we demonstrate that ERα is required in T lymphocytes, but neither in macrophages nor dendritic cells, for E2-mediated inhibition of Th1/Th17 cell differentiation and protection from EAE. Lastly, in absence of ERα in host nonhematopoietic tissues, we further show that ERα signaling in T cells is necessary and sufficient to mediate the inhibitory effect of E2 on EAE development. These data uncover T lymphocytes as a major and nonredundant cellular target responsible for the anti-inflammatory effects of E2 in Th17 cell-driven CNS autoimmunity.

Using the Europarl corpus for linguistic research

Europarl is a large multilingual corpus containing the minutes of the debates at the European Parliament. This article presents a method to extract different corpora from Europarl: monolingual and multilingual comparable corpora, as well as parallel corpora. Using state-of-the-art measures of homogeneity, we show that these corpora are very similar. In addition, we argue that they present many advantages for research in various fields of linguistics and translation studies, and we also discuss some of their limitations. We conclude by reviewing a number of previous studies that made use of these corpora, emphasizing in each case the possibilities offered by Europarl.

Militares, gobierno y sociedad civil, en Israel

Este trabajo trata acerca de las cambiantes relaciones entre las fuerzas armadas, el gobierno y la sociedad civil en Israel. A pesar de que Israel cuenta con una democracia bien establecida, una sociedad civil activa e históricamente las fuerzas armadas han mostrado una subordinación a los gobiernos electos, los cambios que afectan los distintos niveles de la democracia en el país, los desarrollos sociales y la naturaleza evolutiva de sus fuerzas armadas presentan un desafío para el análisis. El marco de este tema es lo que generalmente es conocido como el conflicto Árabe-Israelí, en sus diversas fases. La larga duración de los conflictos en los que Israel ha estado involucrado desde su establecimiento como un estado independiente en 1948, sus múltiples y cambiantes características, ambos generan presiones sobre los distintos actores fuerzas armadas, sociedad y gobierno - y sirven como un recurso para la legitimación y deslegitimación de iniciativas, actitudes y políticas.

¿Por qué fantaseamos con el apocalipsis zombie? Lo que dice de "nosotros" el éxito The Walking Dead y otras ficciones del capitalismo tardío

Fil: Labra, Diego. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

¿Por qué fantaseamos con el apocalipsis zombie? Lo que dice de "nosotros" el éxito The Walking Dead y otras ficciones del capitalismo tardío

Fil: Labra, Diego. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.

¿Por qué fantaseamos con el apocalipsis zombie? Lo que dice de "nosotros" el éxito The Walking Dead y otras ficciones del capitalismo tardío

Fil: Labra, Diego. Universidad Nacional de La Plata. Facultad de Humanidades y Ciencias de la Educación; Argentina.