O que os homens têm a dizer sobre as mulheres? Os novos posicionamentos de jovens do gênero masculino frente às transformações femininas nas relações afetivas: uma leitura sob a ótica da Psicologia Analítica

Pós-graduação em Educação Sexual - FCLAR

Estratégia saúde da família e adolescência: as necessidades de cuidados e recursos utilizados em saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mandibular cortical bone evaluation on cone beam computed tomography images of patients with bisphosphonate related osteonecrosis of the jaws

Objectives The objective of this study was to develop a technique for detecting cortical bone dimensional changes in patients with bisphosphonate-related osteonecrosis of the jaw (BRONJ). Study Design Subjects with BRONJ who had cone-beam computed tomography imaging were selected, with age- and gender-matched controls. Mandibular cortical bone measurements to detect bisphosphonate-related cortical bone changes were made inferior to mental foramen, in 3 different ways: within a fixed sized rectangle, in a rectangle varying with the cortical height, and a ratio between area and height. Results Twelve BRONJ cases and 66 controls were evaluated. The cortical bone measurements were significantly higher in cases than controls for all 3 techniques. The bone measurements were strongly associated with BRONJ case status (odds ratio 3.36-7.84). The inter-rater reliability coefficients were high for all techniques (0.71-0.90). Conclusions Mandibular cortical bone measurement is a potentially useful tool in the detection of bone dimensional changes caused by bisphosphonates. Long-term administration of bisphosphonates (BPs) affects bone quality and metabolism following accumulation in bone.1 Since the first cases of bisphosphonate-related osteonecrosis of the jaw (BRONJ) were published in 2003,2 there has been a search for factors that can predict the onset of the condition. Oral and intravenous BPs reduce bone resorption, increase mineral content of bone, and alter bony architecture.3, 4, 5 and 6 Previous studies have demonstrated these changes both radiographically and following histologic analysis.1, 3, 7, 8, 9 and 10 The BP-related jaw changes may present radiological features, such as thickening of lamina dura and cortical borders, diffuse sclerosis, and narrowing of the mandibular canal3 and 11; however, oral radiographs of patients taking BPs do not consistently show radiographic changes to the jaws.11 and 12 The challenge is to find imaging tools that could improve the detection of changes in the bone associated with BP use. Various skeletal radiographic features associated with BRONJ in conventional periapical and panoramic radiographs, computed tomography, magnetic resonance imaging, and nuclear bone scanning have been described.3, 8, 9, 10 and 11 There has also been a search for BP-related quantitative methods for the evaluation of radiographic images, to avoid observer subjectivity in interpretation. Factors thought to be important include trabecular and cortical structure, and bone mineralization.4 Consequently, measurable bone data have been reported in subjects taking BPs through many techniques, including bone density, architecture, and cortical bone thickness.1, 4, 7 and 13 Trabecular microarchitecture of postmenopausal women has been evaluated with noninvasive techniques, such as high-resolution magnetic resonance images showing less deterioration of the bone 1 year after initiation of oral BP therapy.4 A decrease in bone turnover and a trend for an increase in the bone wall thickness has been detected by histomorphometry in subjects taking BPs.1 Alterations in the cortical structure of the second metacarpal have been detected in digital x-ray radiogrammetry of postmenopausal women treated with BPs.7 Mandibular cortical width may be measured on dental panoramic radiographs, and it has been suggested as a screening tool for referring patients for bone densitometry for osteoporosis investigation.14 and 15 Inhibition of the intracortical bone remodeling in the mandible of mice taking BPs has been reported.16 Thus, imaging evaluation of the mandibular cortical bone could be a biologically plausible way to detect BP bone alterations. Computed tomography can assess both cortical and trabecular bone characteristics. Cone-beam computed tomography (CBCT) can provide 3-dimensional information, while using lower doses and costing less than conventional CT. The CBCT images have been studied as a tool for the measurement of trabecular bone in patients with BRONJ.13 Therefore, cortical bone measurements on CBCT of the jaws might also help to understand bone changes in patients with BRONJ. There is no standard in quantifying dimensional changes of mandibular cortical bone. We explored several different approaches to take into consideration possible changes in length, area, and volume. These led to the 3 techniques developed in this study. This article reports a matched case-control study in which mandibular cortical bone was measured on CBCT images of subjects with BRONJ and controls. The aim of the study was to explore the usefulness of 3 techniques for detecting mandibular cortical bone dimensional changes caused by BP.

A configuração de forças na constituição histórica do trabalho como estratégia de cuidado em saúde mental: problematizações foucaultianas

Investigated in this paper, as contributions to Foucault's genealogy of knowledge, the historical constitution of the joint activities between Work and Care in Mental Health (called Therapeutic Workshops, among other names) in their different purposes and dimensions that contributed to the production care of patients with psychological distress at different times. History is here understood as a multiplicity (and nonlinearity) of time series and various blending and shuffleforming speeches as truths. In conjunction we have discussed, we conclude that the work as a therapeutic modality in nursing homes, there emerged in the world of psychiatry, but of capitalism. Associated with measures of occupation "empty minds" of misfits, later earned the position of an instrument of discipline and social regulation. With the Psychiatric Reform, activities Work in Mental Health have been re-invented as spaces enablers of access to citizenship and contractuality social network users.

Imagens, sensações e afetos: as personagens gays nos curtas-metragens brasileiros exibidos no Festival Mix Brasil de Cultura da Diversidade

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A intersecção da psicologia com a lei: problematizando a psicologia jurídica na prática profissional dos psicólogos

Pós-graduação em Psicologia - FCLAS

Contribuições da psicanálise de Freud e Lacan a uma Psicotherapia outra: a clínica do sujeito na saúde coletiva

Pós-graduação em Psicologia - FCLAS

Shopping center: consumo do espaço, cotidianidade e fetichismo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Contribuições da psicanálise de Freud e Lacan e do materialismo histórico para a terapia ocupacional: uma clínica do desejo e do carecimento na saúde coletiva

Pós-graduação em Psicologia - FCLAS

A dinâmica das pulsões na escola: um diálogo entre psicanálise e educação

Pós-graduação em Educação - FFC

O lugar da psicanálise e a universidade

As a usual practice in society, psychotherapy is considered a normal procedure, but how does it take place in an investigation method of subjectivity in the university? The theory of speech of Lacan helps us to locate a place to psychoanalysis in the university as a language practice in the role of teaching, research and extension (community work). In this sense, the university submits the ideas of conscience to science and material rationality, excluding the individual and the unconscious. The theory of speech helps us to see the difference between the speech the students use and the speech the annalist uses in his practice. The psychoanalysis has its own knowledge based on the unconscious, due to the clinic work precedes as well as the work in university extension (community work). The work of the annalist has his particular world to treat his mane object — the unconscious.

Jornalismo participativo, subjetividade e práticas discursivas

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Os fundamentos da Constituição Subjetiva segundo Laplanche

Article presents the concept of subjectivity in the theory of Jean Laplanche from his questioning of metapsychology´s drive theory which led to the proposal of the theory of generalized seduction. The objective is to show how in this conception otherness is presented in a traumatic way in the primary constitution of subjectivity, endorsing certain positions in the psychoanalytic literature that advocate symbolic violence as a fundamental aspect of the subject of psychoanalysis.

A concepção de sublimação no trabalho de Jean Laplanche

The theory of generalized seduction is a proposal for a new foundation to psychoanalysis that promotes a crucial metapsychological repositioning to rescue the other's role in subjectivity constituyion. The aim of this paper is to present and to discuss the concept of sublimation in this reference, working difficulties and limitations of a strict notion in which the concept appears as a mere modification of the object and the target of sexual drive. It is intended to discuss the limitations of this conception in its task of articulation between the individual subjectivity and the cultural organization, indicating the proposal of Jean Laplanche for originary sublimation and neoformation of drive, as attempts to overcome some of these theoretical and conceptual impasses. We conclude that Laplanche´s proposal is insufficient to account for the limitations in the theories of drives and culture in psychoanalysis, therefore, that it is a problem still current and relevant in this field of studies.

Subjetividade e intencionalidade: Searle crítico de Dennett

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)