Sobre la imagen del cuerpo y su fragmentación en el dispositivo analítico

Por supuesto que son necesarios los tres tiempos lógicos que formula Lacan para poder establecer análisis rigurosos de las consecuencias que la pandemia, la cuarentena y la atención online tendrán en nuestra práctica. Es verdad también que el “hace falta tiempo”, que refiere a lo cronológico, contradice también la idea lacaniana de que el momento de concluir es una precipitación, es algo que pone fin al tiempo de comprender. Es decir que, recién cuando se precipita, se está al tanto de que se estuvo en el tiempo para comprender. La lógica (y no la cronología) de los tres tiempos articulados no impide que algunas cosas se vayan pensando, que haya algunas elaboraciones de lo que se hace en estos días. Es por eso que, ante el dispositivo de lo online, surgen algunas preguntas que, a veces, tienden rápidamente a dar una posición a favor o en contra. Tanto un extremo como el otro, cierran la posibilidad a las preguntas, a los efectos de saber. Hablan quizás más de un prejuicio o de una pereza de pensamiento que de un verdadero deseo de saber. El objetivo de este trabajo es señalar algunos conceptos que puedan colaborar para cernir lo que ocurre con la presencia mediada por los dispositivos virtuales, con la intención de llevar dichos conceptos a la pregunta por la “práctica analítica online”. Cada uno juzgará, según su experiencia, el uso que haga de los dispositivos virtuales y sus consecuencias para cada caso.Cátedra Libre Jacques Laca

El inconsciente es político: el psicoanálisis en la civilización contemporánea

A partir del Complejo de Edipo construido por Sigmund Freud, Lacan extrae el concepto del Nombre-del-padre como un potente operador clínico. Sin embargo, a pesar de la fuerza que ha tenido en su teorización, entender al psicoanálisis como un defensor del Nombre-del-padre no es más que un error. La teoría se va nutriendo de lo que la práctica ofrece. Esta mesa se propone discutir en torno a algunos fenómenos que leemos en el malestar de la civilización actual que desde el psicoanálisis se interpreta como la del ascenso del imperativo de satisfacción, en detrimento del significante. Es por eso que se presentarán algunos desarrollos teóricos que se siguen del título de la mesa, a partir de la elaboración desde la práctica, la investigación, las discusiones vigentes y las lecturas. El objetivo es demostrar la operatividad de los desarrollos de la teoría psicoanalítica de orientación lacaniana para realizar una lectura de las manifestaciones epocales de la subjetividad contemporánea, tales como la revalorización de la individualidad; la segregación; los usos actuales del lenguaje y la marca como modelo identitario. Son objetivos de esta mesa el reflexionar alrededor del sintagma lacaniano "el inconsciente es político"; ubicar algunas de las perspectivas psicoanalíticas sobre lo social y el capitalismo y transmitir la vigencia de las categorías psicoanalíticas como herramientas conceptuales para analizar la actualidad.Fil: González, David Albano. Universidad Nacional de Córdoba. Facultad de Psicología. Instituto de Investigaciones Psicológicas; Argentina.Fil: Smania, Gisela. Escuela de la Orientación Lacaniana; Argentina.Fil: Meichtri Quintans, Matías. Escuela de la Orientación Lacaniana; Argentina.Fil: Marchese, María Pía. Universidad Nacional de Córdoba. Facultad de Psicología. Instituto de Investigaciones Psicológicas; Argentina.Fil: Alfieri, Marco. Universidad Nacional de Córdoba. Facultad de Psicología. Cátedra de Psicopatología I; Argentina

Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part VII, nerves of the lower limb.

Funder: Università degli Studi di MilanoOBJECTIVES: To perform a Delphi-based consensus on published evidence on image-guided interventional procedures for peripheral nerves of the lower limb (excluding Morton's neuroma) and provide clinical indications. METHODS: We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around peripheral nerves in the lower limb (excluding Morton's neuroma) to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper. RESULTS: Nine statements on image-guided interventional procedures for peripheral nerves of the lower limb have been drafted. All of them received strong consensus. Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. CONCLUSION: Despite the promising results reported by published papers on image-guided interventional procedures for peripheral nerves of the lower limb, there is still a lack of evidence on the efficacy of most procedures. KEY POINTS: • Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. • US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. • US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. The volume of local anesthetic affects the size of the blocked sensory area

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Desengañar la extimidad : Montajes del cuerpo | Grama | 2022

El cuerpo se ha tornado, desde hace algunos años, una referencia ineludible tanto en el campo del psicoanálisis de la orientación lacaniana como en el de otras disciplinas. Porque justamente, el cuerpo ha adquirido un protagonismo inusitado en la clínica, en la política y en los debates sociales. Hemos propuesto a los/las autores/as que gentilmente participaron de este libro el abordaje de diferentes producciones audiovisuales siguiendo esa brújula de lectura, apuntando a recortar un detalle singular sobre los cuerpos, atravesados por cuestiones de época que hemos considerado insoslayables

Clinical indications for image-guided interventional procedures in the musculoskeletal system:a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)—part VII, nerves of the lower limb

OBJECTIVES: To perform a Delphi-based consensus on published evidence on image-guided interventional procedures for peripheral nerves of the lower limb (excluding Morton’s neuroma) and provide clinical indications. METHODS: We report the results of a Delphi-based consensus of 53 experts from the European Society of Musculoskeletal Radiology who reviewed the published literature for evidence on image-guided interventional procedures offered around peripheral nerves in the lower limb (excluding Morton’s neuroma) to derive their clinical indications. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when > 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the Delphi-based consensus were used to write the paper. RESULTS: Nine statements on image-guided interventional procedures for peripheral nerves of the lower limb have been drafted. All of them received strong consensus. Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. CONCLUSION: Despite the promising results reported by published papers on image-guided interventional procedures for peripheral nerves of the lower limb, there is still a lack of evidence on the efficacy of most procedures. KEY POINTS: • Image-guided pudendal nerve block is safe, effective, and well tolerated with few complications. • US-guided perisciatic injection of anesthetic provides good symptom relief in patients with piriformis syndrome; however, the addition of corticosteroids to local anesthetics still has an unclear role. • US-guided lateral femoral cutaneous nerve block can be used to provide effective post-operative regional analgesia. The volume of local anesthetic affects the size of the blocked sensory area