Um psicanalista no hospital geral: possibilidades e limites de atuação

Desde a criação do instituto de Berlim, em 1919, primeiro serviço ambulatorial em que psicanalistas prestavam assistência aos neuróticos de guerra, a psicanálise não mais se limita às quatro paredes de um consultório particular. A aplicação da psicanálise se dá nas mais diversas instituições e o hospital geral é uma delas. Portanto, esse trabalho é resultado de um estudo realizado durante o estágio que fazia parte do programa da especialização em Psicologia Hospitalar do Instituto Central do Hospital das Clínicas de São Paulo. Além disso, encontra-se aqui também experiências decorrentes de nossa experiência enquanto pesquisador auxiliar do mesmo instituto. Assim, atendimentos à beira dos leitos do pronto socorro, de unidades de tratamento intensivo, de enfermaria, além de atendimentos ambulatoriais, discussão de casos e o trabalho de consultoria e interconsultoria com equipes multiprofissionais, são relatados nesta dissertação, numa tentativa de seguir a indicação freudiana de que, em Psicanálise, clinica e pesquisa coincidem. O objetivo principal deste trabalho foi dissertar sobre as possibilidades e limites de atuação do analista em um hospital geral, partindo da indicação lacaniana de que todo discurso traz em sua estrutura a marca do real, ou seja, o impossível de coincidir seu produto com a verdade, que é sempre não toda. Para isso, coloca-se em relevo a necessidade do retorno de cada um psicanalista aos fundamentos da teoria freudiana e da técnica da psicanálise para que possa não só entrar, mas se inserir em uma equipe multiprofissional. Além disso, partimos da teoria dos quatro discursos de Jacques Lacan para diferenciar a ética da psicanálise da ética aristotélica e a ética dos bens. Isso se faz importante para evidenciar que os limites de atuação de um analista no contexto hospitalar são mais éticos do que burocráticos. Posteriormente, considerando a avaliação como um dos principais efeitos do discurso capitalista no hospital, discutimos o sentido do significante eficácia em psicanálise, ao se diferenciar eficácia simbólica de eficácia analítica. Finalmente, delimitamos que as especificidades de atuação do analista no hospital refere-se ao método e não à teoria e, com isso, propomos a localização subjetiva como o que geralmente se faz possível no hospital em termos de entrevistas preliminares

Validação dos processos envolvidos na obtenção do polissacarídeo capsular de Haemophilus influenzae tipo b conjugado com toxóide tetânico utilizado para produção de vacina

Haemophilus influenzae tipo b (Hib) é a principal causa de pneumonia bacteriana e meningite em crianças com menos de 5 anos de idade. A doença pode ser prevenida através da vacinação com uma vacina conjugada polissacarídeo-proteína, uma vez que a vacina de polissacarídeo não é eficaz. Desde 1999, o Ministério da Saúde incluiu a vacina conjugada Hib na rotina do calendário de imunização para crianças rotineiramente. Sendo este um processo de grande importância para as pessoas e demanda de produção significativa para o governo brasileiro, é necessário que os processos estejam de acordo com as normas nacionais e internacionais de regulamentação e devem ser validados. Uma operação validada assegura a produção de lotes uniformes que atendem as especificações exigidas, consequentemente, garantindo ao fabricante a capacidade de proporcionar um produto de qualidade. O trabalho propõe o desenvolvimento de uma metodologia que evidencie e garanta o processo de produção de um conjugado de polissacarídeo-proteína pelo método de conjugação química e que será produzido de forma consistente e de acordo com as suas especificações pré-definidas. Os atributos de qualidade garantem o não desabastecimento da vacina Haemophilus influenzae tipo b por desvios de processo, o que contribui com aumento do valor agregado ao produto em questão. Portanto, a metodologia de validação foi aplicada ao estudo de validação. O estudo baseou-se em três etapas. A primeira foi baseada em análise de parâmetros do processo de conjugação química para mapear e estabelecer intervalos críticos de controle quanto a estes parâmetros, a segunda fase foi realizada com a produção de três lotes consecutivos, em escala industrial, com monitorização regular dos parâmetros críticos mapeados anteriormente. A fase final consistiu em amostras recolhidas, em tempo pré-determinado, durante o processo de produção e de controle do produto final em tamanho 50% a mais que na rotina de produção. Estas amostras foram analisadas utilizando os métodos de análise que foram anteriormente validados, a fim de garantir a reprodutibilidade dos resultados. A robustez do processo foi assegurada uma vez que todos os parâmetros do processo avaliados apresentaram resultados dentro do padrão de conformidade com os resultados de controle determinados durante o processo, e no produto final para a população de amostragem dentro de especificações definidas pelas metodologias analíticas validadas garantindo os resultados. O trabalho proposto assegura status de processo validado para o conjugado polissacarídeo-proteína com excepcionais rendimentos obtidos, combinado com características químicas bem definidas

Effect of different media on the determination of the number of micro organisms in frozen prawns (shrimp)

The Indian standards Institution have recently laid down specifications for the grading of frozen shrimp of which the bacterial examination of the product forms a significant part. Work carried out in this regard in our laboratories have shown that various improvements could be made in the composition of the medium to obtain a more true picture of the total bacterial count. Changes in the medium for total bacterial count have, therefore, been suggested and the reasons for the same discussed.

MPC: A paradigm shift for automatic control

Model Predictive Control (MPC) represents a major paradigm shift in the field of automatic control. This radically affects synthesis techniques (illustrated by control of an unstable system) and underlying concepts (illustrated by control of a multivariable system), as well as lifting the control engineer's focus from prescriptions to specifications ('what' not 'how', illustrated by emulation of a conventional autopilot). Part of the objective of this paper is to emphasize the significance of this paradigm shift. Another part is to consider the fact that this shift was missed for many years by the academic community, and what this tells us about teaching and research in the field.

Engineering change impact on product development processes

This paper presents a method to manage Engineering Changes (EC) during the product development process, which is seen to be a complex system. The ability to manage engineering changes efficiently reflects the agility of an enterprise. Although there are unnecessary ECs that should be avoided, many of the ECs are actually beneficial. The proposed method explores the linkages between the product development process features and product specifications dependencies. It suggests ways of identifying and managing specification dependencies to support the Engineering Change Management process. Furthermore, the impacts of an EC on the product specifications as well as on the process organization are studied. © 2009 World Scientific Publishing Company.

New approaches to materials education for students of engineering

A novel approach to the teaching of materials to engineering students is outlined. It starts from the overview of the "world" of materials made possible by material property charts, and develops both an understanding of material properties and skills in selecting materials and processes to meet design specifications. It is supported by extensive computer-based methods and tools, and is well adapted both for elementary and for advanced courses.

Preliminary observations of the use of under-water light in fish catch

Experiments with drift gill net with under-water lights were carried out in the sea and estuarine region along with a control net of the same specifications without any light in the same fishing ground for comparison. The experimental net caught more fish in number and weight than the control. Fishes like pomfrets (Pampus chinensis, Parastromafeus niger), seer (Scomberomorus spp), hilsa (Ilisha spp) etc showed positive phototaxis and were gilled encircling the point of illumination. Young skates (Mobula spp) and Polynemus tetradactylus were antiphototactic. The number of fishes caught increased with increase in period of illumination. The catch of larger fishes was maximum at 60 mts of illumination and the total catch increased with increase in intensity of light. Additional cost of operation with under-water light was Rs 1-25 per hr but the catch was 4 to 5 times greater than that of the control net.

A survey on the quality of Indian fish meal of commerce

Data on proximate composition, total volatile bases, total non-protein nitrogen and bacterial quality of commercial samples of Indian fish meal are presented in this communication. The samples vary very much in quality depending on the type of raw material used and method of processing followed. The data are discussed in relation to the Indian standard Specifications for fish meal as livestock feed.

Selectivity of gill nets for Scomberomorus commersoni

Selectivity of gill nets for S. commersoni was studied with nets made of 4 different mesh sizes fabricated with 4 different specifications of nylon twines. Fishing operations were conducted off Cochin through the fishing seasons 1968-72. The commercially significant size group of S. commersoni was found to fall in the length range of 850-950 mm. The optimum mesh size required for the capture of this group of S. commersoni was estimated as 76 mm. bar in nylon twine 210/12/3. The relationship between the twine size and mesh size was also worked out.

A pilot scale set up for the manufacture of fish hydrolysate

This paper describes a set up for a pilot plant with a capacity of 50 kg raw material per batch for the production of fish hydrolysate by enzymatic hydrolysis. Process flow sheet and complete specifications and functions of individual equipment have been described. Multifunctional equipment designed for this pilot plant set up has reduced the number of equipment considerably.

Survey of marine turtles ecobiology in north of Persian Gulf

Sea turtles are counted as rare and extincting species. During the last century the population of sea turtles are drastically reducd and the remaining ones are considerd either threatend or endangerd because of some factors as sea pollution, economic benefits, intense fishing effort, beach man-made structures and so on. So, in recent years, more attention to conserving and surviving them is assumed. After a preliminary studies on some of the biological specifications in northern beach of Persian Gulf, three islands ; Hormoz, Hengam and Larak for the biometry of the turtles, a total number of 179, from 1999 to 2002 (4 years) are chosen. Some of the biological attributes as weight, length and their egg-laying are recorded, these items are then analyzed using SPSS software. The observed results are as follows . The lowest weight of the turtles was 35 kg, the highest 59 kg, and the average 45.24 kg. The lowest carapace length was 64 cm. the highest 86 cm and the average 76.79. the lowest number of laying eggs was 73, the highest 126, and the average 86.79. The results are discussed in three following sections: 1-A contrastive analysis of the biometric characteristics during 1999 in the three mentiond islands. 2-A contrastive analysis of the biometric characteristics in Hormoz island from 1999 to 2002. 3-A contrastive analysis of all the biometric characteristics in the three islands and other parts of the world. The results obtained from the turtles biometry in 1999 shows that the average of the turtles weight in Larak is lower than the other mentioned ones, and the heighest average is observed in Hormoz island. The turtles of Hengm have laid more eggs than the others. The results of Hengani turtles biometry during 1999-2002 indicates that the average of their weight in 2002 is more than the other three years in the same place. The least number of eggs laid during these years are 53 and the most are 126. The most number of eggs are laid in Hormoz in 2002, but the average number does not show any significant change.

Identification and distribution of cartilaginous fishes of the Persian Gulf (Bushehr Province waters)

Class Condrichthyes consist of two sub-classes: Holocehali and. Elasmobranchii, the second one are more divers and has more importance. Selachimorpha (sharkes) and Batidoidimorpha (rays and skates) are two super-order of Elasmobranchii, which they have crucial role in ecological balance in marine ecosystmes. Except few cases, most of sharks and rays (rays and skates) are not well identified, so a lot of works need to be done in this regards. The area of study is located between 49°, 35' and 52°, 33' E and between 27°, 21' and 30°, 02' N in depth of 7 to 78 in. Study were conducted diuring August 1998, September 1999. Samples were taken during 3 sea cruises from 70 bottom trawl net. All sharks and batoid fishes were identified based on biometric specifications (weight, total, length and sexuality for both group and extra biometric specifications, disc width, disc length, and tail length only for, batoid fishes). The 1140 specimens of batoid fishes identified belonged to 6 families, and 18 species. 3 new species were identified, they are Himantura sp.1 and Himantura sp.2 belonged to Dasyatidae family and Rhinobatos sp. belonged to Rhinobatidae Familiy. It needs more works and more adaquate ducuments for cl.earfing scientific names of these species. The 275 specimens of sharks identified belonged to 6 families and 10 species. Chiloscyllium sp. belonged to Hemiscylliidae, family as a new species was identified.

Improving communication in design: Recommendations from the literature

Communication permeates every aspect of an engineer's work-from clarifying product specifications to shaping social ties. This paper offers an overview of recommendations from literature to improve communication within and among engineering teams. We assume communication problems are often the outcome of underlying factors and that it is fruitful to study and improve these influences. Having been empirically elicited in prior research, 24 factors considered in this paper include, e.g., availability of information about product specifications, roles and responsibilities, and overview of sequence of tasks. To improve these factors in order to enable effective communication, this paper collates more than hundred recommendations from journal articles and textbooks published in the fields of engineering design, management science, sociology, and psychology. Recommendations include, for example, identify priorities through risk and bottleneck analysis, give clear descriptions and role expectations, and employ effective process modeling tools. Contributions of this paper are a list of recommendations for industry practitioners and an effort-benefit evaluation of individual recommendations. Copyright © 2002-2012 The Design Society. All rights reserved.

The retrieval of structured design rationale for the re-use of design knowledge with an integrated representation

Design knowledge can be acquired from various sources and generally requires an integrated representation for its effective and efficient re-use. Though knowledge about products and processes can illustrate the solutions created (know-what) and the courses of actions (know-how) involved in their creation, the reasoning process (know-why) underlying the solutions and actions is still needed for an integrated representation of design knowledge. Design rationale is an effective way of capturing that missing part, since it records the issues addressed, the options considered, and the arguments used when specific design solutions are created and evaluated. Apart from the need for an integrated representation, effective retrieval methods are also of great importance for the re-use of design knowledge, as the knowledge involved in designing complex products can be huge. Developing methods for the retrieval of design rationale is very useful as part of the effective management of design knowledge, for the following reasons. Firstly, design engineers tend to want to consider issues and solutions before looking at solid models or process specifications in detail. Secondly, design rationale is mainly described using text, which often embodies much relevant design knowledge. Last but not least, design rationale is generally captured by identifying elements and their dependencies, i.e. in a structured way which opens the opportunity for going beyond simple keyword-based searching. In this paper, the management of design rationale for the re-use of design knowledge is presented. The retrieval of design rationale records in particular is discussed in detail. As evidenced in the development and evaluation, the methods proposed are useful for the re-use of design knowledge and can be generalised to be used for the retrieval of other kinds of structured design knowledge. © 2012 Elsevier Ltd. All rights reserved.

Superconducting fault current limiter design using parallel-connected YBCO thin films

Superconducting Fault Current Limiters (SFCLs) are able to reduce fault currents to an acceptable value, reducing potential mechanical and thermal damage to power system apparatus and allowing more flexibility in power system design and operation. The device can also help avoid replacing circuit breakers whose capacity has been exceeded. Due to limitations in current YBCO thin film manufacturing processes, it is not easy to obtain one large thin film that satisfies the specifications for high voltage and large current applications. The combination of standardized thin films has merit to reduce costs and maintain device quality, and it is necessary to connect these thin films in different series and parallel configurations in order to meet these specifications. In this paper, the design of a resistive type SFCL using parallel-connected YBCO thin films is discussed, including the role of a parallel resistor and the influence of individual thin film characteristics, based on both theory and experimental results. © 2009 IEEE.