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Jeanne Montastruc, David Amarantini, Valérie Lambert, Evelyne Castel-Lacanal, Philippe Marque, David Gasq
OBJECTIVE: Weight-bearing asymmetry (WBA) at the expense of the paretic side concerns 60% of stroke patients. WBA is associated with poor functional prognosis especially in terms of gait performance [1,2]. The primary objective was to assess the determinants of WBA in stroke patients from clinical and instrumental data. MATERIAL/PATIENTS AND METHODS: The sensitivity (EmNSA), motricity (Fugl-Meyer motor), spatial neglect and visual perception of verticality (VPV) were evaluated in 20 stroke patients (age: 53...
September 2016: Annals of Physical and Rehabilitation Medicine
Helene Dessort, Evelyne Castel-Lacanal, Xavier de Boissezon, Philippe Marque
OBJECTIVE: Intermittent self-catheterization is the gold standard for patients with central neurologic bladder. It allows to reduce all urinary tract complications and to improve the quality of life. The factors of good compliance are continence and autonomy regarding the introduction of the catheter. Nevertheless, self-catheterization can be difficult because of the usual shortcomings associated with bladder and sphincter disorders (motor, sensory…). We found only one study about one adaptive equipment to facilitate the gesture for monoplegic patients...
September 2016: Annals of Physical and Rehabilitation Medicine
Marie Belle, Caroline Terracol, Evelyne Castel-Lacanal, Gaelle Le Floch, Sylvie Hidalgo, Philippe Marque, Xavier de Boissezon
OBJECTIVE: The seating intervention for wheelchair users intends to achieve a comfortable and functional position and to limit the risk of complications due to long sitting period (pain and discomfort, skin disorders, orthopedic, respiratory, digestive diseases). Few scientific papers about seating intervention in adults are published. The objective of the present study is to assess the objective and subjective effects of wheelchair seating intervention for patients at Toulouse University Hospital's WSC...
September 2016: Annals of Physical and Rehabilitation Medicine
Mounir Beldjerd, Marie Belle, Claire Baradat, Magali Pradié, Claire Villepinte, Sylvie Hidalgo, Emilie Catella, Baptiste Gentilhomme, Thierry Cornier, David Gasq, Evelyne Castel-Lacanal, Philippe Marque, Xavier de Boissezon
OBJECTIVE: The shoulder is painful in 70% of post-stroke patients. Sling and shoulder orthosis are important for medical care. However, series slings have not proved efficiency to improve upper limb function. We realize (with OCTO31 company) a custom-made shoulder orthosis prototype (EO31) to set the upper limb in a posture with an elbow flexion, a forearm supination and, by the way, a finger extension. The objective is to facilitate the upper limb function and to decrease shoulder pain...
September 2016: Annals of Physical and Rehabilitation Medicine
Catherine Montaut, Xavier de Boissezon, Philippe Marque, Evelyne Castel-Lacanal
OBJECTIVE: Post intensive care rehabilitation is a relatively new concept that aims to admit in rehabilitation unit patients just after intensive care to deliver appropriate rehabilitation treatment while ensuring monitoring of heavy medical conditions. AIMS: Assess activity of post intensive care rehabilitation service in Toulouse University Hospital from 2008+ (year of creation) to 2015 and compare it to the work of other French post intensive care rehabilitation...
September 2016: Annals of Physical and Rehabilitation Medicine
Yann Le Déan, Benjamin Brissebrat, Evelyne Castel-Lacanal, Xavier De Boissezon, Philippe Marque
OBJECTIVE: Central neuropathic pain is common among neurological patients. Drug therapy has high pharmacoresistance and some GABAergic agents can be detrimental to the recovery process. Alternative therapies include neuromodulation techniques, such as repetitive transcranial magnetic stimulation (rTMS) and motor imagery techniques with mirror therapy. The objective of this study was to evaluate their effectiveness in clinical practice on central neuropathic pain. MATERIAL/PATIENTS AND METHODS: Thirty-two patients followed in the Physical Medicine and Rehabilitation department of Rangueil University Hospital were included...
September 2016: Annals of Physical and Rehabilitation Medicine
Catherine Montaut, Xavier Gamé, Xavier de Boissezon, Philippe Marque, Evelyne Castel-Lacanal
OBJECTIVE: Lower urinary tract dysfunctions (LUTD) are very common in neurological diseases. TENS is a therapeutic alternative in the treatment of urinary and pelvic perineal symptoms, whose effectiveness has been proven in multiple sclerosis. Evaluate the benefits of treatment with TENS (U3 program) in clinical practice for neurological lower urinary tract dysfunctions (LUTD), incompletely controlled by the usual pharmacological treatment, on urinary symptoms and quality of life. MATERIALS/PATIENTS AND METHODS: We performed a cohort, and prospective study, between June 2014 and September 2015 in the Physical Medicine and Rehabilitation Service in CHU Toulouse, Rangueil...
September 2016: Annals of Physical and Rehabilitation Medicine
Raul Hartke
The theory of the Oedipus complex as Freud formulated it rests on the following pillars: the child's characteristic sexual and aggressive impulses concerning the parents, phallic monism, and the castration complex. This paper reviews the context in which Freud discovered the Oedipus complex, as well as Freud's theory. It then examines the proposals of later authors whose general Oedipal theories differ from Freud's in an attempt to point out both their possible correlations and confrontations with Freud. It includes Klein's pre-genital Oedipal theory, Lacan's structuralist reinterpretation, Bion's reconception of the complex under the knowledge vertex, Green's generalized triangulation theory, Meltzer's notions of the aesthetic object and sexual mental states, and Chasseguet-Smirgel's archaic Oedipal matrix...
June 2016: International Journal of Psycho-analysis
Srdjan Sremac
Although the spiritual vibration of conversion can be felt (by the curious outsider) through what conversion performers say in their testimonial discourse, what transforms the convert 'on stage' into a 'new being' and what is 'the real' (le réel) in conversion performance remain unclear. An important question in this connection is, What is 'real' in a conversion representation, both with respect to the convert's interaction with the audience and to the construction of social reality? Following Lacan's tripartite register of the imaginary, the symbolic, and the real, in this essay I argue that through testimonial discourse converts construct social reality as an answer to the impossibility of 'the real' in their performative discursive practice...
2016: Pastoral Psychology
David S Caudill
In light of the ongoing controversy over the value of psychoanalysis generally, this article summarizes the standards for scientific expertise in law and concludes that the future of psychoanalytic jurisprudence does not lie in the courtroom. After a brief survey of the history of psychoanalytic jurisprudence in legal contexts and institutions, I identify a revival of psychoanalytic jurisprudence, including (i) its association, primarily as a social theory, with Critical Legal Studies (in the US context), and (ii) the influence of Jacques Lacan in the legal academy...
June 30, 2016: International Journal of Law and Psychiatry
Matthew Gildersleeve
No abstract text is available yet for this article.
May 2016: Indian Journal of Psychological Medicine
Hub Zwart
This article aims to develop a Lacanian approach to bioethics. Point of departure is the fact that both psychoanalysis and bioethics are practices of language, combining diagnostics with therapy. Subsequently, I will point out how Lacanian linguistics may help us to elucidate the dynamics of both psychoanalytical and bioethical discourse, using the movie One flew over the Cuckoo's Nest and Sophocles' tragedy Antigone as key examples. Next, I will explain the 'topology' of the bioethical landscape with the help of Lacan's three dimensions: the imaginary, the symbolical and the real...
May 20, 2016: Medicine, Health Care, and Philosophy
Benoit Peyronnet, Evelyne Castel-Lacanal, Mathieu Roumiguie, Lucie Even, Philippe Marque, Michel Soulié, Pascal Rischmann, Xavier Game
AIMS: To compare the outcomes of the first intradetrusor injections of abobotulinum toxin 750 U and onabotulinum toxin 200 and 300 U in patients with neurogenic detrusor overactivity (NDO). METHODS: A retrospective case-control study was conducted including 211 NDO patients treated in three consecutives eras with onabotulinum toxin 300 U (2004-2006; 80 patients), abobotulinum toxin 750 U (2007-2011; 78 patients) or onabotulinum toxin 200 U (2011-2014; 53 patients)...
March 31, 2016: Neurourology and Urodynamics
Evelyne Castel-Lacanal, Xavier Gamé, Michel Clanet, Xavier De Boissezon, David Brassat, Pascal Rischmann, Philippe Marque
AIMS: Urinary disorders (UD) secondary to multiple sclerosis (MS) are common and can be responsible for complications. Since 2004, we organized in our region their management through a neuro-urological activity and a care network that established and distributed an algorithm for screening and first line care. The objective was to assess the effects of this organization on the management of UD and its impact for patients. METHODS: Between January 2004 and December 2009, 328 patients were seen in neuro-urological consultation...
March 29, 2016: Neurourology and Urodynamics
B Chabi, M Pauly, J Carillon, G Carnac, F B Favier, G Fouret, B Bonafos, F Vanterpool, B Vernus, C Coudray, C Feillet-Coudray, A Bonnieu, D Lacan, C Koechlin-Ramonatxo
While myostatin gene deletion is a promising therapy to fight muscle loss during aging, this approach induces also skeletal muscle metabolic changes such as mitochondrial deficits, redox alteration and increased fatigability. In the present study, we evaluated the effects of aging on these features in aged wild-type (WT) and mstn knockout (KO) mice. Moreover, to determine whether an enriched-antioxidant diet may be useful to prevent age-related disorders, we orally administered to the two genotypes a melon concentrate rich in superoxide dismutase for 12 weeks...
June 2016: Experimental Gerontology
Amrathlal Rabbind Singh, Philippe Lacan, Estelle Cadet, Patricia Bignet, Cécile Dumesnil, Jean-Pierre Vannier, Philippe Joly, Jacques Rochette
We have identified a deletion of 125 bp (α-α(Δ125)) (NG_000006.1: g.37040_37164del) in the α-globin gene cluster in a Kabyle population. A combination of singlex and multiplex polymerase chain reaction (PCR)-based assays have been used to identify the molecular defect. Sequencing of the abnormal PCR amplification product revealed a novel α1-globin promoter deletion. The endpoints of the deletion were characterized by sequencing the deletion junctions of the mutated allele. The observed deletion was located 378 bp upstream of the α1-globin gene transcription initiation site and leaves the α2 gene intact...
2016: Hemoglobin
Alan Karbelnig
Using Kafka's short story A Country Doctor and clinical examples as vehicles, the author demonstrates the centrality of psychoanalysts' styles and life experiences to the psychoanalytic process. Albeit charged with a distinct facilitative task, psychoanalysts inevitably bring their qualities as "fellow sufferers" (to use D. M. Orange's term) into their sessions. They experience pressures placed upon them as the "subject presumed to know," as Lacan describes. They encounter the ubiquity of self-deception, facing many unknown and unpredictable elements as they surrealistically travel through time with their patients...
February 2016: Psychoanalytic Review
Kaatje Van Roy, Anne Marché-Paillé, Filip Geerardyn, Stijn Vanheule
In Balint groups, (para)medical professionals explore difficult interactions with patients by means of case presentations and discussions. As the process of Balint group work is not well understood, this article investigates Balint group meetings by making use of Lacan's theory of the four discourses. Five Balint group case presentations and their subsequent group discussion were studied, resulting in the observation of five crucial aspects of Balint group work. First, Balint group participants brought puzzlement to the group, which is indicative of the structural impossibility Lacan situates at the basis of all discourse (1)...
February 5, 2016: Health (London)
Grant Gillett
Truth and knowledge are conceptually related and there is a way of construing both that implies that they cannot be solely derived from a description that restricts itself to a set of scientific facts. In the first section of this essay, I analyse truth as a relation between a praxis, ways of knowing, and the world. In the second section, I invoke the third thing-the objective reality on which we triangulate as knowing subjects for the purpose of complex scientific endeavours like medical science and clinical care...
December 2015: Journal of Bioethical Inquiry
P Roulette, E Castel-Lacanal, J Guillotreau, J Soler, P Marque, M Soulié, P Rischmann, X Gamé
No abstract text is available yet for this article.
November 2015: Progrès en Urologie
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