Las elaboraciones subjetivas del trauma en la clínica psicoanalítica

El presente trabajo intenta analizar las modalidades de respuesta subjetiva al trauma, las cuales son abordadas desde diferentes corrientes del psicoanálisis. Consideramos un aporte novedoso el acceso a una sistematización de dichas modalidades, para poder localizar, a partir de la escucha, las primeras orientaciones de la cura. En un primer momento se indagó en la bibliografía el concepto mismo de trauma para luego precisar la concepción que emerge del psicoanálisis. El trauma se consideró como irrupción violenta de un real, imposible de anticipar, que cae sobre el individuo y que aparentemente excluye la incidencia del inconsciente y del deseo de quien lo padece. Sin embargo como la clínica psicoanalítica preserva para el sujeto una decisión que le concierne, este aspecto del trauma no puede ser considerado en un diagnóstico universalizante que deje nula la responsabilidad subjetiva.Facultad de Psicologí

Las elaboraciones subjetivas del trauma en la clínica psicoanalítica

El presente trabajo intenta analizar las modalidades de respuesta subjetiva al trauma, las cuales son abordadas desde diferentes corrientes del psicoanálisis. Consideramos un aporte novedoso el acceso a una sistematización de dichas modalidades, para poder localizar, a partir de la escucha, las primeras orientaciones de la cura. En un primer momento se indagó en la bibliografía el concepto mismo de trauma para luego precisar la concepción que emerge del psicoanálisis. El trauma se consideró como irrupción violenta de un real, imposible de anticipar, que cae sobre el individuo y que aparentemente excluye la incidencia del inconsciente y del deseo de quien lo padece. Sin embargo como la clínica psicoanalítica preserva para el sujeto una decisión que le concierne, este aspecto del trauma no puede ser considerado en un diagnóstico universalizante que deje nula la responsabilidad subjetiva.Facultad de Psicologí

Spanish Norms for Mini-SEA (Mini Social Cognition and Emotional Assessment) in adults in Buenos Aires

Introducción y objetivos: El Mini-SEA es una evaluación cognitiva rápida para estudiar la cognición social. Consiste en una versión de la Prueba de faux pas y una prueba de reconocimiento emocional. El objetivo deltrabajo fue obtener los primeros valores normativos del Mini-SEA de habla hispana. Material y métodos: Sereclutaron 64 voluntarios sanos que fueron evaluados con el Mini-SEA por neuropsicólogos especializados dedos centros especializados en Buenos Aires. Resultados: La media (M) total fue de 25+/- 4. La M del Score delfaux pas fue de 12,5+/- 2,4 y del Score del Reconocimiento Emocional fue 12,8+/- 1,5. Se dividió la muestraen 4 grupos etarios: Grupo 1 (<50 años), Grupo 2 (50-59 años), Grupo 3 (60-69 años) y Grupo 4 (más de 70años). Se hallaron diferencias en el continuo de la edad en el puntaje del Reconocimiento Emocional entre elgrupo 1 y 4 (p<0,05) y entre el grupo 3 y el 4 (p<0,01), no así en la prueba modificada del faux pas. Conclusión:Este estudio presenta los primeros valores normativos del Mini-SEA para una población de habla hispana. Esuna prueba rápida y fácil y permite estudiar la cognición social de forma adecuada y precisa sobre todo enestadios prodrómicos de enfermedades neurodegenerativas.Introduction and objective: The Mini-SEA is a quick and brief cognitive assessment test developed to study social cognition. It consists of a modified version of the faux pas Test and an emotional recognition test based on Ekman’s faces. The objective of this work was to obtain the first Spanish Speaking norms for the Mini-SEA test. Material and methods: 64 healthy volunteers, between 35 and 80 years old, were recruited and evaluated with the Mini-SEA by specialized neuropsychologists from the Cities of Buenos Aires and La Plata, both in the Province of Buenos Aires, Argentina. Results: The total mean (M) of the Mini-SEA was 25 +/- 4. The M of the faux pas Score was 12.5 +/- 2.4 and the M of the Emotional Recognition Score was 12.8 +/- 1.5. The sample was divided into 4 age groups: Group 1 (<50 years), Group 2 (50-59 years), Group 3 (60-69 years) and Group 4 (more than 70 years). Differences were found in the age continuum in the Emotional Recognition score between group 1 and 4 (p <0.05) and between group 3 and 4 (p <0.01), but not in the Faux Pas Score. Conclusion:This study presents the first normative values of the Mini-SEA Social Cognition test for a Spanish-speaking population. The Mini-SEA, being a quick and easy to administer test, allows the study of social cognition in an adequate and precise way, especially in prodromal stages of neurodegenerative disease.Fil: Clarens, Maria Florencia. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Crivelli, Lucía. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Fisiología, Biología Molecular y Neurociencias. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Fisiología, Biología Molecular y Neurociencias; ArgentinaFil: Martin, Maria Eugenia. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Fisiología, Biología Molecular y Neurociencias. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Fisiología, Biología Molecular y Neurociencias; ArgentinaFil: Fernández, Rodrigo Sebastián. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Fisiología, Biología Molecular y Neurociencias. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Fisiología, Biología Molecular y Neurociencias; Argentina. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Canyazo, Carlos. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Arruabarrena, Micaela. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Tabernero, Maria Eugenia. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Fisiología, Biología Molecular y Neurociencias. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Fisiología, Biología Molecular y Neurociencias; ArgentinaFil: Cervino, Cecilia. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Varela, Yanina. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Prestupa, Romina Vanesa. Instituto de Neurociencias Alexander Luria; Argentina. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; ArgentinaFil: Pereyra, Lucrecia. Instituto de Neurociencias Alexander Luria; ArgentinaFil: Rossi, Francina. Instituto de Neurociencias Alexander Luria; ArgentinaFil: Sarasola, Ruben. Instituto de Neurociencias Alexander Luria; ArgentinaFil: Allegri, Ricardo Francisco. Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Fisiología, Biología Molecular y Neurociencias. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Fisiología, Biología Molecular y Neurociencias; Argentin

Las elaboraciones subjetivas del trauma en la clínica psicoanalítica

El presente trabajo intenta analizar las modalidades de respuesta subjetiva al trauma, las cuales son abordadas desde diferentes corrientes del psicoanálisis. Consideramos un aporte novedoso el acceso a una sistematización de dichas modalidades, para poder localizar, a partir de la escucha, las primeras orientaciones de la cura. En un primer momento se indagó en la bibliografía el concepto mismo de trauma para luego precisar la concepción que emerge del psicoanálisis. El trauma se consideró como irrupción violenta de un real, imposible de anticipar, que cae sobre el individuo y que aparentemente excluye la incidencia del inconsciente y del deseo de quien lo padece. Sin embargo como la clínica psicoanalítica preserva para el sujeto una decisión que le concierne, este aspecto del trauma no puede ser considerado en un diagnóstico universalizante que deje nula la responsabilidad subjetiva.Facultad de Psicologí

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

Performance of oilseed flax varieties in the southeast of Buenos Aires, Argentina

El cultivo de lino oleaginoso (Linum usitatissimum L.) se realiza en algunos establecimientos del Sudeste Bonaerense y presenta oportunidades de negocio a pesar de no contar con un importante caudal de información actualizada. En el presente trabajo se llevaron a cabo experimentos en tres campañas para evaluar la fenología, componentes del rendimiento, porcentaje de aceite y producción de materia seca de las cuatro variedades de lino oleaginoso de reciente inscripción en el país. Los experimentos se sembraron el 10 de julio de 2015, el 17 de julio de 2019 y el 18 de agosto de 2020. Se utilizaron los cultivares de lino: Aguará INTA, Caburé INTA, Panambí INTA y Curundú INTA. Los cultivares Aguará INTA y Caburé INTA tendieron a presentar índices de cosecha, rendimientos y porcentajes de aceite que superarían a los materiales más antiguos, sin presentar diferencias en su fenología. Los porcentajes de intercepción de la radiación durante floración se relacionaron con la producción de materia seca y esta con el rendimiento. En condiciones de buenas precipitaciones durante el mes de noviembre en la campaña, Caburé INTA presentó mayores rendimientos, aunque dicho potencial podría no ser estable en condiciones restrictivas. Mientras tanto, Aguará INTA presentó un rendimiento algo menor al promedio pero con menor variabilidad interanual. El aumento en la información recolectada permitirá a futuro seleccionar la variedad más apropiada en cada situación de producción.Flax (Linum usitatissimum L.) cultivation is carried out in some fields in the Southeast of Buenos Aires province and presents business opportunities, despite did not have an important amount of updated information. In the present work, experiments were carried out in three campaigns to evaluate phenology, yield components, oil percentage and dry matter production of four flax varieties recently registered in the country. The experiments were sown on july 10th of 2015, july 17th of 2019 and august 18th of 2020. Flax cultivars used were Aguará INTA, Caburé INTA, Panambí INTA and Curundú INTA. Aguará INTA and Caburé INTA tended to present harvest indices, yields and oil percentages that would exceed older materials, without presenting differences in their phenology. Intercepted radiation percentages during flowering were related to dry matter production and thus with grain yield. In field conditions with high rainfall during november, Caburé INTA presented higher yields, but their yield potential was not stable under restrictive conditions. Meanwhile, Aguará INTA presented a somewhat lower performance than varieties average, but with the lowest year-on-year yield variability. Increase in data collected will allow in the future to select most appropriate varieties at each field condition.Facultad de Ciencias Agrarias y Forestale

Impact of COVID-19 on the imaging diagnosis of cardiac disease in Europe

Objectives We aimed to explore the impact of the COVID-19 pandemic on cardiac diagnostic testing and practice and to assess its impact in different regions in Europe. Methods The online survey organised by the International Atomic Energy Agency Division of Human Health collected information on changes in cardiac imaging procedural volumes between March 2019 and March/April 2020. Data were collected from 909 centres in 108 countries. Results Centres in Northern and Southern Europe were more likely to cancel all outpatient activities compared with Western and Eastern Europe. There was a greater reduction in total procedure volumes in Europe compared with the rest of the world in March 2020 (45% vs 41%, p=0.003), with a more marked reduction in Southern Europe (58%), but by April 2020 this was similar in Europe and the rest of the world (69% vs 63%, p=0.261). Regional variations were apparent between imaging modalities, but the largest reductions were in Southern Europe for nearly all modalities. In March 2020, location in Southern Europe was the only independent predictor of the reduction in procedure volume. However, in April 2020, lower gross domestic product and higher COVID-19 deaths were the only independent predictors. Conclusion The first wave of the COVID-19 pandemic had a significant impact on care of patients with cardiac disease, with substantial regional variations in Europe. This has potential long-term implications for patients and plans are required to enable the diagnosis of non-COVID- 19 conditions during the ongoing pandemic.</p

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-U.S. 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.</p

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted