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pair_31899447 | The work of veterinarians is continuously undergoing structural changes. A shift from purely curative individual animal care towards herd-health management is observed worldwide in the livestock sector. To illustrate the practical implementation with all its advantages and disadvantages, an online survey was conducted among all practicing livestock veterinarians in the Canton of Fribourg. A link to the survey was sent by email, it was voluntary and possible to complete the questionnaire anonymously. The survey focused on four topics: Demographic data, herd-health management, billing of counselling and use of antimicrobial drugs. Forty veterinarians from at least 79.2% (n = 19) of all veterinary practices located in the canton of Fribourg (n = 24) responded. Of these, 67.5% were practice owners or partner (n = 27) and 32.5% were employed veterinarians (n = 13). In Fribourg, only herd fertility management is included in the herd-health management on a regular basis. The quality and quantity of advanced trainings in herd-health management for veterinarians was assessed as moderate to poor. There are various options for charging herd-health management services. The amount charged was variable. The most frequently used options were hourly rates (100-300 CHF/h), 'rate per cow per year excl. visit rate' (22-75 CHF/cow/year) or 'rate per cow per year incl. visit rate' (85-98 CHF/ cow/year). Only one veterinarian (2.5%) charges for advisory activities not included in the the herd-health management service, which was asked for separately. However, the time required for counselling (excluding herd-health management) was estimated to be between 5.0-70.0% of the total working time (median 15.0%, interquartile range = 10.0-32.5%). Veterinarians in Fribourg are reHauptluctant to follow the international trend towards a regular, integrated herd-health management. The majority of them do not charge for consultancy outside the herdhealth management service. A nationwide survey should be considered to better assess the situation all over Switzerland. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Die Tierärzteschaft ist in ihrer Arbeit einem ständigen Strukturwandel unterworfen und ein stetiger Wandel in Richtung Bestandesmedizin wird im Nutztiersektor beobachtet. Um die praktische Umsetzung mit ihren Vorund Nachteilen abzubilden, wurde eine Online-Umfrage bei allen im Kanton Freiburg und angrenzenden Gebieten praktizierenden Nutztierärzten durchgeführt. Ein Link zur Umfrage wurde per Email verschickt, die Teilnahme war freiwillig und die Daten konnten auf Wunsch anonymisiert erfasst werden. Der Fokus der Umfrage lag auf folgenden vier Themen: demographische Daten, Bestandesmedizin, Verrechnung von Beratungstätigkeiten und Antibiotikaeinsatz. Vierzig Tierärzte aus mindestens 79.2% (n = 19) aller Freiburger Nutztierarztpraxen (n = 24) haben geantwortet. Davon waren 67.5% Praxisinhaber oder Teilinhaber (n = 27) und 32.5% angestellte Tierärzte (n = 13). Im Kanton Freiburg wird lediglich Fruchtbarkeitsbetreuung flächendeckend und regelmässig in die Bestandesbetreuung miteinbezogen (100.0%). Das Fortbildungsangebot für Tierärzte zum Thema Bestandesmedizin wird als mittelmässig bis schlecht beurteilt. Die Verrechnung bestandesmedizinischer Dienstleistungen erfolgt bei den Studienteilnehmern auf unterschiedliche Weise mit teils sehr hohen Differenzen: Am häufigsten wird im Stundenansatz (100–300 CHF/h) verrechnet, am zweithäufigsten „pro Kuh pro Jahr exkl. Besuchstarif “ (22–75 CHF/Kuh/Jahr) und am dritthäufigsten „pro Kuh pro Jahr inkl. Besuchstarif “ (85–98 CHF/Kuh/Jahr). Nur ein Tierarzt (2.5%) gab an, seine Beratungstätigkeit ausserhalb der Bestandesmedizin zu verrechnen. Der zeitliche Aufwand für die Beratung (exkl. Bestandesbetreuung) wird auf zwischen 5.0–70.0% der Gesamtarbeitszeit geschätzt (Median 15.0%, Interquartilsabstand = 10.0–32.5%). Die Freiburger Tierärzteschaft folgt dem internationalen Trend zur Einführung der regelmässigen integrierten Bestandsbetreuung nur zögerlich. Eine schweizweite Umfrage sollte in Betracht gezogen werden, um die Situation landesweit beurteilen zu können. | de |
pair_31899448 | A manuscript from 1748 in Rhaeto-Romanic language is discussed. It's an unfinished translation of a publication in German language from 1715 which contains elements from the standard work on household and agriculture by Johannes Coler, 1645. By comparing the manuscript with 15 contemporary publications and manuscripts from Switzerland, textual similarities were found in three publications. The manuscript contains 62 therapy instructions for cattle diseases and 7 for pig diseases. Remedies of plant origin, food of animal origin and faeces are applied. Various interventions lead to painful injuries of the animals. Most therapies have to be considered as irrational. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Questo manoscritto in romancio del 1748 è una traduzione incompleta di una pubblicazione in tedesco del 1715. Il testo contiene elementi provenienti da un’opera generale sulla casa e l’agricoltura di Johannes Coler, 1645. Un confronto con altre 15 pubblicazioni e manoscritti svizzeri dell’epoca ha rilevato somiglianze testuali in tre pubblicazioni. Il testo contiene 62 indicazioni terapeutiche per delle malattie dei bovini e sette per delle malattie dei suini. Vengono utilizzati rimedi di origine vegetale, alimenti di provenienza animale e feci. Diversi interventi hanno portato a lesioni dolorose negli animali e molte terapie devono essere considerate irrazionali. | it |
pair_31899448 | A manuscript from 1748 in Rhaeto-Romanic language is discussed. It's an unfinished translation of a publication in German language from 1715 which contains elements from the standard work on household and agriculture by Johannes Coler, 1645. By comparing the manuscript with 15 contemporary publications and manuscripts from Switzerland, textual similarities were found in three publications. The manuscript contains 62 therapy instructions for cattle diseases and 7 for pig diseases. Remedies of plant origin, food of animal origin and faeces are applied. Various interventions lead to painful injuries of the animals. Most therapies have to be considered as irrational. | en | lexi-ml/wmt_22_dataset_en_it | train | text | On présente un manuscrit en langue romanche datant de l’année 1748. Il s’agit d’une traduction inachevée d’une publication en allemand de 1715. Il contient des éléments de l’ouvrage standard de Johannes Coler, 1645, consacré à la gestion du ménage et à l’agriculture. Une comparaison avec 15 publications et manuscrits contemporains de Suisse montre dans trois publications des similitudes textuelles. Le texte contient 62 instructions thérapeutiques pour les maladies des bovins et sept pour les maladies des porcs. Des remèdes d’origine végétale, des aliments d’origine animale et des matières fécales sont utilisés. Diverses procédures entraînent des blessures douloureuses chez les animaux et de nombreux traitements doivent être décrits comme irrationnels. | fr |
pair_31899448 | A manuscript from 1748 in Rhaeto-Romanic language is discussed. It's an unfinished translation of a publication in German language from 1715 which contains elements from the standard work on household and agriculture by Johannes Coler, 1645. By comparing the manuscript with 15 contemporary publications and manuscripts from Switzerland, textual similarities were found in three publications. The manuscript contains 62 therapy instructions for cattle diseases and 7 for pig diseases. Remedies of plant origin, food of animal origin and faeces are applied. Various interventions lead to painful injuries of the animals. Most therapies have to be considered as irrational. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Ein Manuskript aus dem Jahr 1748 in rätoromanischer Sprache wird besprochen. Es handelt sich um eine unvollendete Übersetzung einer Publikation in deutscher Sprache aus dem Jahr 1715. Diese enthält Elemente aus dem Standardwerk über Haushalt und Landwirtschaft von Johannes Coler, 1645. Ein Vergleich mit 15 zeitgenössischen Publikationen und Manuskripten aus der Schweiz zeigt bei drei Publikationen textliche Übereinstimmungen. Der Text enthält 62 Therapieanweisungen für Krankheiten des Rindes und sieben für Krankheiten des Schweines. Es werden Heilmittel pflanzlicher Herkunft, Lebensmittel tierischer Herkunft und Fäkalien verwendet. Verschiedene Eingriffe führen zu schmerzhaften Verletzungen der Tiere und viele Therapien müssen als irrational bezeichnet werden. | de |
pair_31899449 | In autumn 2015, the book 'Protocol of the Veterinary Association of the Canton of Lucerne' was found in the attic a farmhouse in Sempach. The book was missing until this time. It covers the Association activities from 1837-1871. The book origins from the estate of Dr. med. H. c. Peter Knüsel (1857-1954). The transcription of the German Kurrent allows an insight into the protocols and thus into veterinary medicine and health care of the mid-19th century. Besides the Association business, the written reports or oral scientific presentations provide (technical presentations) an interesting insight into the scientific veterinary knowledge of this time. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Nell’autunno 2015 in un solaio è stato trovato il libro „Protokoll der thierärztlichen Gesellschaft des Kantons Luzern“ (Protocollo dell’associazione veterinaria del canton Lucerna). Il libro, fino ad allora, era stato considerato perso. Esso copre le attività dell’associazione dal 1837 al 1871. Proviene dall’eredità di Dr. h. c. Peter Knüsel (1857-1954). Grazie alla trascrizione in tedesco corrente, i protocolli offrono una panoramica nel mondo della sanità e della veterinaria della metà del XIX secolo. Oltre agli affari interni dell’associazione i documenti scritti o orali di relazioni specializzate dei veterinari forniscono una visione interessante dello stato delle conoscenze veterinarie di quei tempi. | it |
pair_31899449 | In autumn 2015, the book 'Protocol of the Veterinary Association of the Canton of Lucerne' was found in the attic a farmhouse in Sempach. The book was missing until this time. It covers the Association activities from 1837-1871. The book origins from the estate of Dr. med. H. c. Peter Knüsel (1857-1954). The transcription of the German Kurrent allows an insight into the protocols and thus into veterinary medicine and health care of the mid-19th century. Besides the Association business, the written reports or oral scientific presentations provide (technical presentations) an interesting insight into the scientific veterinary knowledge of this time. | en | lexi-ml/wmt_22_dataset_en_it | train | text | En automne 2015, un ouvrage intitulé «Protocoles de la Société vétérinaire du canton de Lucerne» a été retrouvé dans un grenier à Sempach. Le livre était considéré jusqu’alors comme perdu. Il couvre les activités de la société de 1837 à 1871. Il provient de la succession du Dr. med. h. c. Peter Knüsel (1857-1954). Grâce à la transcription de l’écriture cursive allemande, ces protocoles fournissent un aperçu du secteur vétérinaire et de la santé du milieu du XIXe siècle. Outre les affaires internes de la société, les travaux réalisés par écrit ou oralement (conférences spécialisées) par les vétérinaires fournissent un aperçu intéressant des connaissances vétérinaires de l’époque. | fr |
pair_31899449 | In autumn 2015, the book 'Protocol of the Veterinary Association of the Canton of Lucerne' was found in the attic a farmhouse in Sempach. The book was missing until this time. It covers the Association activities from 1837-1871. The book origins from the estate of Dr. med. H. c. Peter Knüsel (1857-1954). The transcription of the German Kurrent allows an insight into the protocols and thus into veterinary medicine and health care of the mid-19th century. Besides the Association business, the written reports or oral scientific presentations provide (technical presentations) an interesting insight into the scientific veterinary knowledge of this time. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Im Herbst 2015 wurde in Sempach auf einem Dachboden das Buch „Protokoll der thierärztlichen Gesellschaft des Kantons Luzern“ aufgefunden. Das Buch galt bis zu diesem Zeitpunkt als vermisst. Es deckt die Vereinstätigkeit von 1837–1871 ab. Es stammt aus dem Nachlass von Dr. h. c. Peter Knüsel (1857–1954)4. Dank der Transkription der deutschen Kurrentschrift eröffnen die Protokolle einen Einblick in das Veterinär- und Gesundheitswesen der Mitte des 19. Jahrhunderts. Nebst den vereinsinternen Angelegenheiten geben die von den Herren Tierärzten schriftlich oder mündlich abgelieferten Arbeiten (Fachreferate) einen interessanten Einblick in den damaligen tierärztlichen Wissenstand. | de |
pair_31899450 | The biography of Colonel Hermann Schwyter, equine surgeon of the Swiss Army from 1928 to 1937, and the history of training of farriers in Switzerland since the 18th century are presented. Hermann Schwyters dissertation examined the changes of equine hoof confirmation as a result of standing and gait in approximately 2,000 horses and numerous anatomical specimens. He defines the foot placement, describes possible variations, their causes and effects. Significant is also his study of the compression pathology in horses and mules. His recommendations are still valid today. The present article refers to his authored textbook 'The Swiss military farrier' and to his established journal, which is bearing the same title. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Vengono qui presentate la biografia del colonnello Hermann Schwyter, capo clinica equini dell’esercito svizzero dal 1928 al 1937 e la storia della preparazione dei maniscalchi in Svizzera nel XVIII secolo. Nella sua tesi di laurea, Hermann Schwyter ha esaminato il cambiamento di forma del piede del cavallo risultato dalla posizione e dall’andatura di circa 2000 cavalli con l’uso di molte preparazioni. Egli ha definito la posizione normale del piede e descritto le deviazioni con le loro cause e i loro effetti. Di particolare importanza sono pure i suoi studi sui danni da pressione nei cavalli e nei muli. Le sue raccomandazioni sono tutt’oggi valide. Inoltre si segnala il suo libro di testo „Der Schweizerische Militärhufschmied“ (Il maniscalco militare svizzero) e la rivista omonima fondata da lui. | it |
pair_31899450 | The biography of Colonel Hermann Schwyter, equine surgeon of the Swiss Army from 1928 to 1937, and the history of training of farriers in Switzerland since the 18th century are presented. Hermann Schwyters dissertation examined the changes of equine hoof confirmation as a result of standing and gait in approximately 2,000 horses and numerous anatomical specimens. He defines the foot placement, describes possible variations, their causes and effects. Significant is also his study of the compression pathology in horses and mules. His recommendations are still valid today. The present article refers to his authored textbook 'The Swiss military farrier' and to his established journal, which is bearing the same title. | en | lexi-ml/wmt_22_dataset_en_it | train | text | On présente la biographie du colonel Hermann Schwyter, vétérinaire en chef de l’armée suisse de 1928 à 1937 et l’historique de la formation des maréchaux en Suisse depuis le XVIIIe siècle. Dans sa thèse, Hermann Schwyter a examiné l’évolution de la forme du pied du cheval en fonction des aplombs et des allures sur environ 2000 chevaux et de nombreuses préparations. Il a défini la position normale du pied, décrit les déviations, leurs causes et leurs effets. Il faut également souligner son étude sur les dommages dus aux pressions chez les chevaux et les mulets. Ses recommandations sont toujours valables aujourd’hui. Il est également fait référence à son ouvrage «Le maréchal-ferrant militaire suisse» ainsi qu’au journal portant le même titre qu’il avait créé. | fr |
pair_31899450 | The biography of Colonel Hermann Schwyter, equine surgeon of the Swiss Army from 1928 to 1937, and the history of training of farriers in Switzerland since the 18th century are presented. Hermann Schwyters dissertation examined the changes of equine hoof confirmation as a result of standing and gait in approximately 2,000 horses and numerous anatomical specimens. He defines the foot placement, describes possible variations, their causes and effects. Significant is also his study of the compression pathology in horses and mules. His recommendations are still valid today. The present article refers to his authored textbook 'The Swiss military farrier' and to his established journal, which is bearing the same title. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Die Biographie von Oberst Hermann Schwyter, Oberpferdarzt der Schweizer Armee von 1928 bis 1937, und die Geschichte der Ausbildung der Hufschmiede in der Schweiz seit dem 18. Jahrhundert werden dargestellt. Hermann Schwyter hat in seiner Dissertation die Gestaltsveränderung des Pferdefusses infolge Stellung und Gangart bei rund 2000 Pferden und anhand zahlreicher Präparate untersucht. Er definiert die Normalstellung des Fusses, beschreibt die Abweichungen, deren Ursachen und die Auswirkungen. Bedeutsam ist auch seine Studie über die Druckschäden bei Pferden und Maultieren. Seine Empfehlungen sind noch heute gültig. Es wird ferner auf sein Lehrbuch «Der Schweizerische Militärhufschmied » und auf die den gleichen Titel tragende, von ihm begründete Zeitschrift hingewiesen. | de |
pair_31929171 | In this study, we aimed to investigate the early results of the safety and efficacy of adipose-derived stem cells (ADSCs) injection along with the repair of the internal orifice in the recovery of complex perianal fistula. The study included patients who underwent autologous adipose tissue-derived stemcell injection for complex perianal fistula between December2017 and January2018. The FDA-approved Lipogems® system was used to prepare autologous micro-fragmented adipose stem cells. Demographic characteristics, history of inflammatory bowel disease, fistula type and length of fistula tract determined by endoanal ultrasound, mean operation duration, postoperative complications, and fistula healing of the patients were evaluated. Fistula healing was evaluated on the 30th ,90th days and 9th months. A total of 10 patients, with male predominance, were included in our study. The mean age was 47±13.1 and mean BMI was 28.3±4.79. None of the patients had inflammatory bowel disease Based on endoanal ultrasound findings, fistula type was transsphincteric, extrasphincteric and suprasphincteric for 7, 2 and 1 patients, respectively. Calculated length of fistula tract based on ultrasound was 4.45±1.69(2.5-6.4). Mean duration of operation was 45±7 minutes. None of the patients had any treatment related toxicity, however, two patients experienced bruising at the liposuction site. Healing rate in the follow-up of 30-day, 90-day and 9-month was 70%, 80% and 70%, respectively. In addition to surgical treatment in the form of curettage and closure of the fistula tract, autologous micro-fragmented adipose tissue injection is a safe, feasible, and reproducible procedure that can be performed based on the early results in complex anal fistula healing. Lipogems®, Mesenchymal stem cell, Regenerative medicine, Adipose tissue-derived mesenchymal stem cell. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Si comunicano i primi risultati sulla sicurezza ed efficacia dell’iniezione di cellule staminali di derivazione adiposa (ADSC) insieme alla riparazione dell’orifizio interno per il trattamento della fistola perianale complessa. Sono stati inclusi nello studio un totale di 10 pazienti, in prevalenza machi, sottoposti a iniezione autologa di cellule staminali di derivazione dal tessuto adiposo per il trattamento di fistola perianale complessa tra il dicembre 2017 e il gennaio 2018. Per preparare cellule staminali adipose micro frammentate autologhe è stato utilizzato il sistema Lipogems® approvato dalla FDA. Sono state valutate le caratteristiche demografiche, la storia della malattia infiammatoria intestinale, il tipo di fistola e la lunghezza del tratto di fistola determinati con ecografia endoanale, la durata media dell’operazione, le complicanze postoperatorie e la guarigione della fistola dei pazienti. La guarigione della fistola è stata valutata il 30°, 90° giorno e 9° mese. L’età media dei pazienti era di 47 ± 13,1 e l’IMC media era di 28,3 ± 4,79. Nessuno dei pazienti aveva una malattia infiammatoria intestinale In base ai risultati ecografici endoanali, il tipo di fistola era transsfincterico, extrasincincico e soprasfincterico rispettivamente in 7, 2 e 1 paziente. La lunghezza calcolata del tratto di fistola basato sull’ecografia era 4,45 ± 1,69 2,5-6,4. La durata media dell’operazione è stata di 45 ± 7 minuti. Nessuno dei pazienti ha presentato tossicità correlata al trattamento, tuttavia, due pazienti hanno manifestato lividi nel sito di liposuzione. Il tasso di guarigione nel follow-up di 30 giorni, 90 giorni e 9 mesi è stato rispettivamente del 70%, 80% e 70%. Si può concludere che oltre al trattamento chirurgico per curettage e chiusura del tratto di fistola, l’iniezione di tessuto adiposo micro frammentato autologo è una procedura sicura, fattibile e riproducibile che può essere eseguita sulla base dei primi risultati nella complessa guarigione della fistola anale. | it |
pair_31929173 | Since the 1970s, in the USA, we witnessed a progressive increase of one-day surgical procedures. This attitude soon gained ground in Europe as well. In proctology, this kind of clinical approach has always been limited by the acute sensitivity of the anal- perineal area and by difficulties in attaining a complete sphincter relaxation with local anesthesia. Posterior perineal block seems to be associated with both a good pain control and an effective sphincter relaxation. Between January 2017 and January 2018, we enrolled in our study 33 patients suffering from hemorrhoidal disease. They were all subjected to posterior perineal block. We measured anal resting pressure and squeeze pressure before and after anesthesia. Measurements where taken 5 minutes before and 15 minutes after the administration of local. We registered an average decrease of 39,2% of resting pressure and of 45,4% of squeeze pressure. We may state that perineal posterior block, while reducing striated muscle contractile activity, also causes a relevant reduction of anal basal tone. During surgical procedures done under regional anesthesia, we experienced a good sphincter relaxation, which was comparable, if not equal, to that induced by general anesthesia. In fact, 10 to 15 minutes after performing the block you could observe the elevation of the inferior margin of the exterior sphincter and the concomitant descent of the inferior margin of the internal sphincter (coaxial dislocation). Anorectal manometry, Anesthesia, Local-regional, Perineal block. | en | lexi-ml/wmt_22_dataset_en_it | train | text | A partire dagli anni 70 negli Stati Uniti si è assistito ad un progressivo aumento delle procedure chirurgiche in day surgery Questo processo si è diffuso anche nella maggior parte delle strutture sanitarie in Europa. In ambito proctologico le indicazioni sono sempre state limitate dalla particolare sensibilità della zona ano-perineale e da un difficile completo rilassamento dell’apparato sfinteriale dopo anestesia locale. Il blocco perineale posteriore sembra essere associato oltre che ad una buona analgesia ad un efficace rilassamento sfinterico. Da gennaio 2017 a gennaio 2018 sono stati arruolati 33 pazienti affetti da patologia emorroidaria. In tutti i pazienti è stato eseguito un blocco perineale posteriore. Sono state misurate la pressione basale del canale anale e la contrazione massima volontaria prima e dopo l’anestesia. Le due rilevazioni manometriche sono avvenute in posizione litotomica 5 minuti prima e 15 minuti dopo l’esecuzione dell’anestesia. La diminuzione media del tono basale dopo blocco perineale posteriore è stata pari al 39,2% e la riduzione media della contrazione massima è stata del 45,4%. Possiamo affermare che il blocco perineale posteriore determina oltre alla riduzione dell’attività contattile della muscolatura striata, anche un rilevante decremento del tono anale di base. Durante interventi proctologici eseguiti in anestesia locoregionale con il blocco perineale posteriore si è riscontrato notevole rilasciamento della parete sfinteriale dell’ano paragonabile, anche se non uguale, a quello che si verifica durante un’anestesia generale. Infatti dopo circa 10-15 minuti nella quasi totalità dei casi si osserva sia la risalita del margine inferiore dello sfintere esterno che la concomitante discesa del margine inferiore dello sfintere interno (dislocazione coassiale). | it |
pair_31929174 | The aim of this study is to verify whether the postural alterations can influence the development of the varicose disease with unilateral and bilateral saphenous incompetence. 39 patients suffering from saphenous incompetence diagnosed by hemodynamic study with eco-color doppler (20 patients with bilateral venous insufficiency (VI), 19 patients with unilateral VI) have performed the gait analysis though wireless inertial sensor and baropodometry to assess the plantar pressure distribution both statically and dynamically. The 68% and the 60% of subjects suffering from unilateral or bilateral VI present a plantar pressure dysfunction a single foot or both feet in static and/or in dynamic. In 63% of subjects with unilateral VI the propulsion is reduced on the lower limb damaged. The number of asymmetries in walking and dysfunctions in planar pressure in both groups has been calculated. The average number of asymmetries in walking in the group of patients with unilateral VI is significantly greater (p-value=0.0075) compared to the group of patients with bilateral VI. Plantar pressure and increased valvo-muscular pump pressure (VMPP) are not the main etiological factors that modify the hemodynamic in walking. In unilateral cases the postural alterations may contribute to worsening or to appearance of the varicose veins. Postural disorders treatment in children of phlebopaths during the childhood could maintain the mild condition of varicose disease silent. The treatment in adults suffering from unilateral VI may reduce or prevent the appearance of relapses KEY WORDS: Gait analysis, Hemodynamic of the gait, Postural alterations, Saphenous incompetence, Venous insufficiency. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Lo studio è stato quello di verificare se le alterazioni posturali possono influenzare lo sviluppo della malattia varicosa con incontinenza safenica monolaterale e bilaterale MATERIALI E METODI: 39 pazienti affetti da incontinenze safeniche diagnosticate con studio emodinamico con eco-color doppler (20 affetti da insufficienza venosa (IV) bilaterale, 19 affetti da IV monolaterale) hanno effettuato un’analisi del cammino attraverso sensore inerziale wireless e baropodometro per valutare la distribuzione delle pressioni plantari sia staticamente che dinamicamente RISULTATI: Il 68% e il 60% dei soggetti affetti da IV monolaterale e bilaterale presentano una disfunzione di appoggio su uno o su entrambi i piedi in statica e/o in dinamica. Nel 63% dei casi di IV monolaterale la propulsione è ridotta dal lato colpito. È stato calcolato il numero di asimmetrie del cammino e disfunzioni dell’appoggio plantare di entrambi i gruppi. Il numero delle asimmetrie medio nel gruppo di soggetti con IV monolaterale è significativamente maggiore (p-value= 0.0075) rispetto al gruppo di soggetti con IV bilaterale CONCLUSIONI: Appoggio plantare e aumento della pressione della pompa valvolo-muscolare (PPVM) non sono i principali fattori eziologici che modificano l’emodinamica del cammino. Nei casi di monolateralità le alterazioni posturali possono contribuire al peggioramento o alla comparsa delle varici. La loro correzione nei figli dei flebopatici durante l’età evolutiva potrebbe mantenere allo stato latente la malattia varicosa di lieve grado, mentre negli adulti con malattia varicosa monolaterale trattata con terapia ablativa o conservativa potrebbe ridurre o arrestare la comparsa delle recidive. | it |
pair_31929175 | The aim of the study was to assess whether the reliability of Touch Imprinting Cytology (TIC) of Sentinel lymph node biopsy (SLNB) in skin melanoma patients allows intraoperative decisions regarding simultaneous radical lymphadenectomy to be made. Previous experiences have shown that the limit of TIC in extemporaneous diagnosis was represented by the minimal deposits of the tumor. Many current data seem to show that in this situation radical lymphadenectomy is no longer necessary, so we wondered if TIC could regain importance in the intraoperative management of these patients. TIC results of Sentinel Lymph Nodes Biopsy (SLN) were compared with those of standard histopathological and immunohistochemical examinations. A total number of 110 SLN were detected from 50 melanoma patients.TIC revealed the presence of metastases only in 1 out of 13 melanoma-positive SLN (sensitivity 7.6%). There were no false-positive results of TIC (specificity 100%). The negative predictive value was 75.5%, the positive one 100% with a total diagnostic accuracy of 76%. TIC for SLNs is a reliable method, relatively fast and not very expensive. Although with a very high specificity, its sensitivity was very low, and almost exclusively limited to macro-metastases (>2mm). Furthermore, it was not possible to identify a subgroup of patients, based on the characteristics of the primary tumor, in which the method could have been more useful. Finally, even in positive cases, the method rarely reduced the need of a tactic in two stages, principally for the management of the operating room. Melanoma, Sentinel lymph node (SLN), Touch Imprinting Cytology (TIC). | en | lexi-ml/wmt_22_dataset_en_it | train | text | Lo scopo dello studio era di valutare se l’affidabilità di Touch Imprinting Cytology (TIC) nella biopsia del linfonodo sentinella (SLNB) nei pazienti con melanoma cutaneo consente di prendere decisioni intraoperatorie riguardanti la linfoadenectomia radicale simultanea. Precedenti esperienze hanno mostrato che il limite del TIC nella diagnosi estemporanea era rappresentato dai depositi minimi del tumore. Molti dati attuali sembrano mostrare che in questa situazione non è più necessaria la linfoadenectomia radicale, quindi ci siamo chiesti se il TIC potesse riacquistare importanza nella gestione intraoperatoria di questi pazienti. I risultati TIC della biopsia del linfonodo sentinella (SLN) sono stati confrontati con quelli degli esami istopatologici e immunoistochimici standard: su 50 pazienti con melanoma sono stati prelevati un totale di 110 SLN, e su questi è stato individuata la presenza di metastasi solo in 1 su 13 SLN melanoma-positivi (sensibilità 7,6%), senza falsi positivi di TIC (specificità 100%). Il valore predittivo negativo era del 75,5%, quello positivo del 100% con una precisione diagnostica totale del 76%. In conclusione la TIC per SLN è un metodo affidabile, relativamente veloce e non molto costoso. Sebbene con una specificità molto elevata, la sua sensibilità risulta molto bassa e quasi esclusivamente limitata alle macrometastasi (> 2mm). Inoltre, non è stato possibile identificare un sottogruppo di pazienti, in base alle caratteristiche del tumore primario, in cui il metodo avrebbe potuto essere più utile. Infine, anche in casi positivi, il metodo raramente ha ridotto la necessità di una tattica in due fasi, principalmente per la gestione della sala operatoria. Queste considerazioni ci hanno spinto a sospendere l’analisi TIC intraoperatoria a favore di una più accurata ecografica dei linfonodi superficiali ad opera di personale dedicato, da eseguirsi prima di ogni ricerca del linfonodo sentinella. | it |
pair_31929178 | The purpose of this study was to examine the influence of aneurysm size on early outcome in women undergoing abdominal aortic aneurysm (AAA) repair, with suggestion of lowered threshold for intervention. Retrospective cohort study on the early outcome of 25 females undergoing elective endovascular (EVAR) and open AAA repair, compared to 340 males from 2005 to 2017. The study was focused on 30-days mortality (primary endpoint) and incidence of non fatal major adverse events - MAE (secondary endpoint) of two subgroups of women: AAA diameter <50 mm (n.14, group F1), AAA diameter ≥ 50mm (n.11, group F2). The incidence of the primary endpoint at 30 days was 4% in females, and 1.1% in males, respectively (p=ns). Similarly, females showed a higher rate of MAE compared to males (16% vs 9.4%, p=ns). Women who underwent surgery with small aneurysms (F1 group) had an early outcome similar to men (30-day death 0% vs 1.1%, p=ns; MAE 7.1% vs 9.4%, p=ns) and significantly better than women with larger aneurysms (30-day death 0% vs 9%, p=ns; MAE 7.1% vs 27.2, p=ns). Although poorly significant from a statistical point of view, the present report seems to confirm that the AAA diameter is a relevant marker of disease severity in women, assuming that repair at smaller size may be associated with less comorbidity and better outcome. Abdominal aortic aneurysm, Abdominal aortic aneurys open repair, Endovascular aortic aneurysm repair, Female gender. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Il sesso femminile, influenza in senso sfavorevole la presentazione clinica ed i risultati del trattamento per aneurisma dell’aorta addominale (AAA). In particolare, le donne candidate al trattamento chirurgico di AAA risultano affette da comorbidità significativamente maggiore rispetto agli uomini e, indipendentemente dal tipo di tecnica utilizzata – chirurgica tradizionale od endovascolare, manifestano un tasso doppio di complicanze e mortalità rispetto al sesso maschile. Poiché il diametro dell’AAA è direttamente correlato all’incidenza di comorbidità ed alla prognosi, un’indicazione chirurgica più precoce per il sesso femminile, potrebbe associarsi ad un migliore risultato del trattamento. Lo scopo di questo studio è stato quello di valutare l’influenza del diametro dell’AAA su mortalità ed incidenza di complicanze a 30 giorni dalla correzione chirurgica od endovascolare nel sesso femminile. MATERIALI E METODI. Studio retrospettivo su 25 pazienti di sesso femminile sottoposte a chirurgia in elezione per AAA (2005-2017), con tecnica tradizionale (OR) od endovascolare (EVAR). Sono stati individuati due sottogruppi di donne: 14 pazienti con diametro dell’AAA inferiore a 50 mm (group F1); 11 pazienti con diametro dell’AAA uguale o superiore a 50mm (group F2). Come gruppo di controllo, sono stati individuati 340 maschi sottoposti in elezione nello stesso arco di tempo ad EVAR od OR. Endpoint primario: mortalità a 30 giorni nel gruppo femminile e nei sottogruppi F1 e F2. Endpoint secondario: incidenza a 30 giorni di eventi non fatali (MAE) nel gruppo femminile e nei sottogruppi F1 e F2. Globalmente il gruppo di sesso femminile risultava di età più avanzata (73.3 ± 9.9 vs 71.2 ± 7.1) e maggiormente affetto da comorbidità significativa rispetto al sesso maschile, soprattutto in termini di ridotta funzione renale (36% vs 18%, p=ns) e presenza di bronchite cronica ostruttiva (48% vs 40.8%, p=ns). L’incidenza degli endpoint primario e secondario risultava più elevata per il sesso femminile rispetto al sesso maschile (endpoint primario 4% vs 1.1%, p=ns; endpoint secondario 16% vs 9.4%, p=ns ). Il sottogruppo di femmine sottoposte alla correzione di AAA < 50 mm (gruppo F1) manifestavano una prognosi molto simile a quella dei maschi (endpoint primario 0% vs 1.1%, p=ns ; endpoint secondario 7.1% vs 9.4%, p=ns) e migliore rispetto alle pazienti sottoposte ad intervento con AAA ≥ 50 mm (endpoint primario 0% vs 9%, p=ns ;endpoint secondario 7.1% vs 27.2%, p=ns). DISCUSSIONE E CONCLUSIONI. La prognosi dopo chirurgia per AAA risulta generalmente meno favorevole per il sesso femminile. Anche senza una solida significatività statistica, i risultati del presente studio sembrano confermare che nel sesso femminile il diametro dell’AAA è direttamente correlato alla comorbidità ed alla prognosi, in quanto le pazienti sottoposte alla correzione chirurgica od endovascolare con diametro < 50 mm manifestano una prognosi del tutto simile a quella dei maschi. In accordo con altri dati di letteratura, il nostro studio suggerisce l’opportunità di studi prospettici, adatti a riconsiderare il diametro minimo per l’indicazione chirurgica dell’AAA per il sesso femminile, con lo scopo di condizionare favorevolmente i risultati del trattamento. | it |
pair_28516959 | The present research deals with the clinical and social problems present during linguistic and cognitive development of deaf children. Currently, the development of Theory of Mind represents an important research field in deafness studies. These international studies highlighted a significant alteration in the development of Theory of Mind in deaf children compared to normal hearing children, especially in cases of congenital or preverbal hearing loss. In particular, the research focuses on the skills of deaf children in recognising emotions and desires, through both perceptive and cognitive methods, by evaluation of psycho-cognitive skills of children with severe hearing loss using a set of questions to be administered to hearing loss patients. The experiment was performed on a group composed of 10 children (5 males and 5 females) aged 4 to 9 years and 54 to 108 months, affected by bilateral congenital hearing loss (severe to total), or hearing loss that developed in preverbal children the year before entering elementary school, or during the fourth year of elementary school. The selection criteria were based on: audiologic evaluation, neuro-psychological tests administered to assess general, cognitive as well as praxis and perceptive abilities, and clinical observations performed to assess psychopathology using tests that assess development of both visual perceptive (Coloured Progressive Matrices) and graphic representational abilities (Test of Human Figure Drawings and the Family Drawing Test). The instrument 'cognitive' was the 'Deaf Children Series', arranged by us, that consists of a mental status examination (MSE) that evaluates: level of cognitive (knowledge-related) ability, emotional mood, and speech and thought patterns at the time of evaluation. Deaf children show a reduced responsiveness to the expressions of sadness on the perceptive side. Through the test, we observed a psychodynamic defense mechanism considering perceptive understanding performance. On the contrary, in normal hearing children, the emotion 'fear' is the most difficult to identify. Deaf children seem to be more susceptible to recognition of visual emotions. Furthermore, deaf children present significant problem-solving skills and emotional recognition skills, possibly as a result of their hearing impairment. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La presente ricerca affronta i problemi clinici e sociali che riguardano lo sviluppo linguistico e cognitivo nei bambini sordi. Attualmente, lo sviluppo della “Teoria della mente” rappresenta un importante campo di ricerca nello studio della sordità. Questi studi internazionali hanno evidenziato nei bambini sordi una significativa alterazione nello sviluppo della “Teoria della Mente”, soprattutto in caso di perdita congenita o preverbale dell’udito. In particolare, la ricerca si concentra sulle competenze dei bambini sordi nel riconoscere emozioni e desideri, attraverso metodi sia cognitivi che percettivi, per la valutazione delle capacità psico-cognitiva attraverso una serie di domande composte da alcuni test adeguati, da somministrare ai pazienti con perdita uditiva. L’esperimento è stato condotto su un gruppo composto da 10 bambini (5 maschi e 5 femmine), di età compresa tra 4 e 9 anni e tra 54 e 108 mesi), affetti da perdita uditiva congenita bilaterale (da grave a cofosi), o da perdita uditiva preverbale sviluppata sia in bambini che attendono l’ultimo anno prima di frequentare la scuola elementare, sia in quelli che frequentano il quarto anno di scuola elementare. I criteri di selezione sono stati basati su: valutazione audiologica, somministrazione di test neuropsicologici al fine di valutare, in generale, le capacità cognitive e percettive e osservazioni cliniche effettuate, al fine di valutare la psicopatologia del campione, attraverso dei test che valutano più facilmente lo sviluppo sia della percettività visiva (Coloured Progressive Matrices), sia della rappresentazione grafica (Test di disegno sulla figura umana e il Test di disegno sulla famiglia). Lo strumento di misurazione “cognitiva” è stato il “Deaf Children Series”, test strutturato da noi, che consiste in un esame dello stato mentale (MSE), capace di valutare: il livello di capacità cognitiva (conoscenza-correlato), l’umore e modelli di discorso e di pensiero di un paziente al momento della valutazione. I bambini sordi mostrano sul lato percettivo una sensibilità ridotta alle espressioni di tristezza. Nel test possiamo osservare un meccanismo di difesa psicodinamico per quanto riguarda la prestazione percettiva. Al contrario, per quanto riguarda i bambini normoudenti, la paura è l’emozione più difficile da identificare. I bambini sordi sembrano essere maggiormente predisposti al riconoscimento di emozioni visive. Inoltre, i bambini sordi presentano notevoli capacità di “problem solving”, capacità di riconoscimento emotivo, probabilmente a causa del loro problema. | it |
pair_28516960 | Cancer of the nasopharynx displays an unparalleled skewness of its epidemiologic, pathogenic and clinico-prognostic characteristics depending on the geographic location. Between the endemic and sporadic forms, which occur in Southeastern Asia and Northern America, respectively, intermediate incidence is noted around the Mediterranean. This study describes the patterns of the disease affecting the population of Western Greece. The records of 70 patients with nasopharyngeal cancer diagnosed in a single institution between 1994-2014 were retrospectively reviewed. Primary treatment involved irradiation with or without concurrent chemotherapy. Demographic data, patient risk factors, tumour parameters, clinical presentation and treatment outcomes were assessed for potential intercorrelations. Overall (OS) and disease-specific (DSS) 5-year survival rates were determined. Possible predictors of survival were tested on univariate and multivariate analysis. WHO-type 3 histopathology was diagnosed predominantly (74.3%) and associated significantly with nasal symptomatology upon presentation (p = 0.050), metastatic lymphadenopathy (p = 0.028), advanced clinical stage (p = 0.009) and complete response to initial treatment (p = 0.018). Univariate analysis revealed a negative prognostic significance for older age (OS, p = 0.029 DSS, p = 0.041), poor response to treatment (OS & DSS p < 0.001) and cancer recurrence (OS, p = 0.003 DSS, p = 0.001). On multivariate analysis, disease relapse maintained its adverse effect (HR 7.442, 95% CI 2.199-25.187, p = 0.001). In conclusion, among nasopharyngeal carcinomas arising in western Greece, lymphoepitheliomas manifest a distinct clinical behaviour, so that their latest grouping along with WHO-type 2 tumours into the 'non-keratinising' category may not apply. Regardless of pathology, cancer recurrence after initial remission is a severe event. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Il carcinoma del rinofaringe presenta una notevole eterogeneità per quanto riguarda le caratteristiche epidemiologiche, patogenetiche, cliniche e prognostiche sulla base dell’area geografica considerata. L’incidenza registrata nel Mediterraneo per tale patologia si colloca fra quella delle forme epidemiche e sporadiche registrate rispettivamente nel Sud Est Asiatico e nel Nord America. Il presente studio descrive le caratteristiche di questa patologia per quanto riguarda l’ovest della Grecia. Sono stati analizzati i dati relativi a 70 pazienti affetti da carcinoma del rinofaringe la cui diagnosi è stata posta presso un singolo centro fra il 1994 e il 2014. Il trattamento primario si è basato sulla radioterapia con o senza chemioterapia associata. Sono stati raccolti ai fini dell’analisi statistica i dati demografici, i fattori di rischio, le caratteristiche della neoplasia, la presentazione clinica e l’outcome. Sono state calcolate sia la sopravvivenza globale (OS) che la sopravvivenza specifica per malattia (DSS) a 5 anni. Tutti i fattori potenzialmente predittori di sopravvivenza sono stati testati a un’analisi univariata e multivariata. La variante maggiormente diagnosticata all’analisi istopatologica è stato il tipo 3 secondo la WHO (74,3%) che si è associato in modo significativo con sintomatologia nasale alla presentazione (p = 0,050), linfoadenopatie metastatiche (p = 0,028), stage clinico avanzato (p = 0,009) e risposta completa al trattamento iniziale (p = 0,018). L’analisi univariata ha evidenziato un impatto negativo in termini prognostici per l’età avanzata (OS p = 0,029, DSS p = 0,041), la mancata risposta ai trattamenti (OS & DSS p < 0,001) e la recidiva di malattia (OS p = 0,003, DSS p = 0,001). A un’analisi multivariata la recidiva di malattia ha mantenuto un impatto prognostico negativo (HR 7,442, 95% IC 2,199-25,187, p = 0,001). In conclusione, fra i carcinomi nasofaringei diagnosticati nell’ovest della Grecia, il linfoepitelioma mostra caratteristiche peculiari sotto il profilo clinico, tali per cui la sua inclusione assieme alle neoplasie tipo 2 secondo la WHO nel gruppo di carcinomi rinofaringei “non cheratinizzanti” potrebbe risultare inappropriata. Infine, la recidiva di malattia, indipendentemente dagli altri fattori in gioco, appare essere un evento gravemente avverso. | it |
pair_28516961 | Glottic cancers discovered at an early stage (T1-T2) can be treated with either radiotherapy or surgery. The aim of our study is to analyse survival and functional results of supra-cricoid partial laryngectomy (SCPL) with crico-hyoido-epiglottopexy (CHEP) as surgical treatment for glottic carcinoma with anterior commissure involvement. We performed a retrospective study (1996-2013) which included patients who underwent SCPL-CHEP for glottic squamous cell carcinoma with involvement of the anterior commissure. Before surgery, all patients underwent staging including head, neck and chest CT-scan with contrast injection as well as suspension laryngoscopy under general anaesthesia. A total of 53 patients were included. The median follow-up period was 124 months. Tumour resection was complete in 96.2% of cases. The overall, specific and recurrence-free survival rates at 5 years were, respectively, 93.7%, 95.6% and 87.7%. The average period of hospitalisation was 18 days. The average time elapsed before decannulation and before restoration of oral feeding were 15 and 18 days, respectively. SCPL-CHEP is an important option for laryngeal surgical preservation. It allows adequate disease control as well as good functional results as long as the indications are well respected and the surgical techniques are mastered. | en | lexi-ml/wmt_22_dataset_en_it | train | text | I tumori della glottide scoperti in fase precoce (T1-T2) possono essere trattati sia con la radioterapia, sia mediante un intervento chirurgico. Lo scopo del nostro studio è stato quello di analizzare la sopravvivenza ed i risultati funzionali della laringectomia parziale sopracricoidea con crico-ioido-epiglotto-pessia per trattare il carcinoma della glottide con coinvolgimento della commissura anteriore. Abbiamo condotto uno studio retrospettivo (1996-2013), che includeva pazienti sottoposti a laringectomia parziale sopracricoidea con crico-ioidoepiglotto- pessia per un carcinoma a cellule squamose della glottide coinvolgente la commissura anteriore. Prima dell’intervento è stato inoltre effettuato uno staging completo con TC del collo e del torace, nonché una laringoscopia diretta in sospensione in anestesia generale. 53 pazienti sono stati inclusi nel nostro studio. Il periodo mediano di follow-up è stato di 124 mesi. La resezione tumorale è stata completa nel 96,2% dei casi. I tassi di sopravvivenza, specifica e senza recidiva, a 5 anni sono stati rispettivamente 93,7%, 95,6 e 87,7%. Il periodo medio di ricovero è stato di 18 giorni. I tempi medi trascorsi prima del decannulamento e prima della ripresa dell’alimentazione per os sono stati rispettivamente 15 e 18 giorni. La laringectomia parziale sopracricoidea con crico-ioido-epiglotto-pessia è un’opzione importante per la conservazione chirurgica della laringe. Tale approccio consente un adeguato controllo della malattia e buoni risultati funzionali, purchè le indicazioni siano seguite pedissequamente e la tecnica chirurgica sia perfetta. | it |
pair_28516962 | The gold standard for mandibular reconstruction is universally recognised and consists of the replacement of the bony part of the mandible with a bony microvascular free flap supported by a reconstructive plate. Although this procedure is feasible and reproducible in most patients, at times poor oncological prognosis or poor performance status force surgeons to consider other reconstructive solutions. In these cases, the main alternative in reconstructing a mandibular defect is represented by bridging plates combined with soft tissue flaps. However, repairing a mandibular defect with a reconstructive plate only can lead to a series of diverse complications. The most frequent complications reported are rupture and oral exposure of the plate. In this paper, we describe a new method for mandibular reconstruction using a customised bridging mandibular prosthesis (CBMP) without bone free flap. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La ricostruzione mandibolare è attualmente effettuata mediante il trasferimento di lembi liberi rivascolarizzati di tessuto osseo, supportati da placche di osteosintesi. Sebbene questa procedura sia generalmente efficace e riproducibile, talvolta la scarsa prognosi oncologica o le condizioni cliniche scadenti del paziente costringono il chirurgo a considerare alternative ricostruttive. In tali casi, la principale possibilità è rappresentata dall’utilizzo di placche ricostruttive ‘a ponte’, associate a lembi liberi di tessuti molli. Comunque la ricostruzione così concepita espone a un significativo rischio di sviluppare complicanze di vario genere. Le più frequenti complicanze sono rappresentate dalla rottura e dall’esposizione della placca. In questo articolo descriviamo un nuovo metodo ricostruttivo mandibolare, che si avvale di una protesi mandibolare customizzata, senza lembo libero osseo. | it |
pair_28516963 | Oral FEES (O-FEES) is an endoscopic procedure conceived to directly visualise the oral phase of swallowing. In the perspective of clinical use, the feasibility, safety and acceptability of O-FEES has been evaluated. Subsequently, the procedure was compared with the radiological gold standard. The acceptability of O-FEES was compared to that of FEES using a 10 point questionnaire submitted to a sample of 52 outpatients complaining of swallowing disorders. Repeated measure analysis of variance (rm-ANOVA) models were used to test the mean difference of acceptability in the same subjects after FEES and O-FEES. Subsequently, another sample of 8 male outpatients underwent a simultaneous O-FEES and videofluoroscopic study (VFSS). The inter-rater reliability using 10 radiological landmarks, compared to O-FEES, was blindly determined between two raters. Inter-rater agreement between the two judges for O-FEES and VFSS scores was assessed with the single score intra-class correlation coefficient (ICC). Differences between FEES and O-FEES answers for each question and among all the items considered overall were statistically significant (rm-ANOVA; F-statistic p < 0.001). The inter-rater agreement concerning endoscopic and radiological evaluations between the two raters showed strong values of intra-class correlation coefficient (ICC) (95% confidence interval): 0.875 (0.373-0.979) and 0.921 (0.542-0.986), respectively. The Bland-Altman test showed a bias of -0.24 (95% limits of agreement; -1.77 to +1.19), which suggests that both methods produced almost identical results. In clinical practice and compared with FEES, O-FEES is a well tolerated and safe procedure. Compared with the radiological gold standard, O-FEES offers reliable information about oral preparation and oral propulsion of the bolus. | en | lexi-ml/wmt_22_dataset_en_it | train | text | O-FEES (O-FEES) è una procedura endoscopica, concepita per visualizzare direttamente la fase orale della deglutizione. Nella prospettiva di un utilizzo clinico, la fattibilità, la sicurezza e l’accettabilità dell’O-FEES è stata inizialmente valutata. Successivamente, la procedura è stata confrontata con il gold standard radiologico. L’accettabilità dell’O-FEES è stata confrontata con quello della FEES per mezzo di un questionario a dieci punti, sottoposto ad un campione di 52 pazienti ambulatoriali che lamentavano di disturbi della deglutizione. Il modello Repeated measure analysis of variance (rm-ANOVA) è stato utilizzato per testare la differenza media di accettabilità delle due procedure nello stesso soggetto. Successivamente un altro campione di 8 pazienti ambulatoriali di sesso maschile, è stato sottoposto alla registrazione simultanea di O-FEES e videfluoroscopia (VFSS). L’affidabilità inter-individuale, utilizzando 10 parametri radiologici di riferimento, fra O-FEES e VFSS, è stata determinata alla cieca tra due giudici. La concordanza inter-individuale tra i due giudici, per i punteggi di O-FEES e della VFSS è stata determinata con il Single score intra-class correlation coefficient (ICC). Le differenze FEES e O-FEES tra le risposte per ogni domanda e tra tutte le domande considerate, sono risultate statisticamente significative (rm-ANOVA; F-statistica p < 0,001). La concordanza inter-individuale fra la valutazione endoscopica e radiologiche tra i due valutatori, ha mostrato una forte correlazione intra-classe (ICC) (intervallo di confidenza al 95%): 0,875 (0,373-0,979) e 0,921 (0,542-0,986) rispettivamente. Il test di Bland-Altman suggerisce che le due metodiche producono risultati analoghi. Nella pratica clinica e confrontata con la FEES, l’O-FEES è una procedura tollerata e sicura. Rispetto al gold standard radiologico, l’O-FEES offre informazioni affidabili sulla preparazione e propulsione orale del bolo. | it |
pair_28516964 | The surgical treatment of obstructive sleep apnoea in patients who are non-compliant with continuous positive airway pressure therapy still represents a valid alternative. In recent years, the multilevel approach is becoming more diffuse in routine surgical practice, especially since the introduction of transoral robotic surgery. Barbed reposition pharyngoplasty in multilevel robotic surgery for OSA may represent a valid option to surgically approach the soft palate. Herein, we describe the technique and preliminary results of our experience. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Il trattamento chirurgico delle apnee ostruttive in sonno rappresenta una valida alternativa per i pazienti non complianti al ventilatore CPAP. Negli ultimi anni, l’approccio chirurgico multilivello sta divenendo pratica comune, soprattutto dall’introduzione della chirurgia robotica. La Barbed Reposition Pharyngoplasty nella chirurgia robotica multilivello per OSA potrebbe rappresentare una valida opzione per il trattamento del palato molle. In questo lavoro descriviamo la tecnica e risultati preliminari della nostra esperienza. | it |
pair_28516965 | In this retrospective chart review we compared the subjective and objective benefits of active middle ear implants (AMEIs) with conventional hearing aids (HAs) in patients with sloping high tone hearing loss. Thirty-four patients with sensorineural hearing loss were treated with AMEIs. Of these, six had sloping high tone hearing loss and had worn an HA for more than 6 months. Objective assessments, a pure-tone audiogram, as well as a word recognition test, and the Korean version of the Hearing in Noise Test (K-HINT), and a subjective assessment, the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire, were performed. Tests were conducted under three circumstances: 1) the unaided state before surgery; 2) the HA-aided state before surgery; and 3) the AMEI-aided state 3 months after surgery. The average high-frequency hearing gain (≥ 2 kHz) was significantly better with AMEIs than with HAs. Although the result had no statistical significance, AMEIs showed a superior word recognition score (WRS) compared to HAs. However, the most comfortable hearing level at which the WRS was tested was significantly decreased with an AMEI compared to an HA. In the K-HINT, patients with an AMEI showed greater recognition than those fitted with an HA under both quiet and noisy conditions. The APAHB scores revealed that patients were more satisfied with an AMEI rather than an HA on all subscales. The use of vibroplasty in patients with sloping high tone loss resulted in positive hearing outcomes when compared to conventional HAs. Based on the data from this study, AMEIs provided better objective and subjective results and could, therefore, be a better alternative for the treatment of sloping hearing loss. | en | lexi-ml/wmt_22_dataset_en_it | train | text | In questo studio retrospettivo, abbiamo confrontato i benefici oggettivi e soggettivi degli impianti attivi dell’orecchio medio (AMEI) rispetto alle tradizionali protesi acustiche (HA) nei pazienti con perdita dell’udito per le frequenze acute. Trentaquattro pazienti con ipoacusia neurosensoriale sono stati trattati con l’impianto di AMEI. Tra questi, sei avevano un audiogramma “in discesa” con perdita dell’udito per le frequenze acute, ed avevano usato per più di sei mesi HA. È stata quindi eseguita una valutazione oggettiva, tramite l’audiometria tonale e il test di riconoscimento delle parole, una versione coreana del “Hearing in Noise Test” (K-HINT), ed una valutazione soggettiva tramite il seguente questionario: Abbreviated Profile of Hearing Aid Benefit (APHAB). I pazienti sono stati sottoposti ai suddetti test in tre occasioni distinte: 1) prima della chirurgia, senza protesi; 2) prima della chirurgia, con HA; 3) tre mesi dopo l’impianto di AMEI. Il guadagno medio per le alte frequenze (≥ 2 kHz) si è rivelato migliore con AMEI che con HA. Sebbene il risultato non ha raggiunto un livello di significatività statistica, gli impianti attivi dell’orecchio medio hanno mostrato un punteggio di riconoscimento delle parole superiore rispetto a HA. Ad ogni modo, il livello di comoda udibilità al quale il punteggio di riconoscimento delle parole è stato testato si è rivelato significativamente più basso con AMEI rispetto ad HA. Al K-HINT i pazienti con AMEI hanno mostrato un migliore riconoscimento rispetto ai risultati ottenuti con HA, sia in condizione di quiete sia di rumore. Gli score APAHB hanno rivelato che i pazienti erano più soddisfatti con AMEI. L’uso degli impianti attivi dell’orecchio medio in pazienti con perdita dell’udito per le frequenze acute ha permesso di ottenere risultati migliori rispetto all’utilizzo delle protesi tradizionali. Basandoci su questi dati, gli AMEI hanno offerto risultati oggettivi e soggettivi migliori, e pertanto, potrebbero rappresentare una valida alternativa per il trattamento delle ipoacusie con audiogramma in discesa. | it |
pair_28516966 | The aim of this paper is to describe and evaluate the feasibility of an expanded endoscopic transcanal transpromotorial approach (ExpTTA) to the internal auditory canal and the cerebellopontine angle. To this end, we performed a cadaveric dissection study in September 2015. In total, 2 heads (4 sides) were dissected focusing on anatomical landmarks and surgical feasibility. Data from dissections were reviewed and analysed for further consideration. In all 4 sides of the cadavers the procedure was feasible. In all cadavers, it was necessary to extensively drill the temporo-mandibular joint and to calibrate the external ear canal to allow adequate room to manoeuver the instruments and optics and to comfortably access the cerebellopontine angle. In addition, thorough skeletonisation of the carotid artery and the jugular bulb were necessary for the same purpose. In conclusion, ExpTTA appeared to be successful to access the internal auditory canal and cerebellopontine angle region. Potential extensive and routine application of this type of approach in lateral skull base surgery will depend on the development of technology and surgical refinements and on the diffusion of skull base endoscopic skills among otolaryngologists and neurosurgical community. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Lo scopo dello studio è quello di descrivere e valutare la fattibilità di un approccio allargato transcanalare transpromontoriale al condotto uditivo interno e all’angolo pontocerebellare (ExpTTA). Nel settembre 2015 è stato condotto uno studio di dissezione su cadavere. In totale 2 teste (4 lati) son state dissecate focalizzando l’attenzione sull’anatomia chirurgica. I dati ottenuti dalle dissezioni son stati quindi analizzati. In tutti e quattro i lati è stato possibile eseguire la procedura, e tutti i punti di repere descritti son stati identificati. In tutti i cadaveri si è resa necessaria una ampia fresatura della articolazione temporo-mandibolare e il calibraggio del condotto uditivo esterno per permettere una adeguata esposizione e possibilità di manovra degli strumenti e le ottiche, e per accedere agevolmente all’angolo pontocerebellare. Anche la scheletrizzazione della carotide interna e del golfo della giugulare si sono rese necessarie con la stessa finalità. In conclusione l’ExpTTA si è dimostrata efficace per accedere chirugicamente al condotto uditivo interno e all’angolo pontocerebellare. Il potenziale uso estensivo e routinario di questo tipo di approccio alla pratica clinica dipenderà dallo sviluppo di tecnologie adeguate, dal rifinirsi di questa nuova tecnica, e dalla diffusione delle capacità manuali di chirurgia endoscopica del basicranio tra la comunità otorinolaringoiatrica e neurochirugica internazionale. | it |
pair_28516967 | Since changes in vestibular function may be one cause of disequilibrium, major advances in measuring postural control and sensory integration in vestibular impairments have been achieved by using posturography. However, in order to overcome problems related to this type of technology, body-worn accelerometers (ACC) have been proposed as a portable, low-cost alternative to posturography for measurements of postural sway in a friendly and ecologic environment. Due to the fact that no study to date has shown the experimental validity of ACC-based measures of body sway with respect to posturography for subjects with vestibular deficits, the aim of the present study was: i) to develop and validate a practical tool that can allow clinicians to measure postural sway derangements in an otoneurological setting by ACC, and ii) to provide reliable, sensitive and accurate automatic analysis of sway that could help in discriminating unilateral vestibular failure (UVF) patients. Thus, a group of 13 patients (seven females, 6 males; mean age 48.6 ± 6.4 years) affected for at least 6 months by UVF and 13 matched healthy subjects were instructed to maintain an upright position during a static forceplate-based posturography (FBP) acquisition while wearing a Movit® sensor (by Captiks) with 3-D accelerometers mounted on the posterior trunk near the body centre of mass. Pearson product moment correlation demonstrated a high level of correspondence of four time-domain and three frequency-domain measures extracted by ACC and FBP testing; in addition, t-test demonstrated that two ACC-based time- and frequency-domain parameters were reliable measures in discriminating UVF subjects. These aspects, overall, should further highlight the attention of clinicians and researchers to this kind of sway recording technique in the field of otoneurological disorders by considering the possibility to enrich the amount of quantitative and qualitative information useful for discrimination, diagnosis and treatment of UVF. In conclusion, we believe the present ACC-based measurement of sway offers a patient-friendly, reliable, inexpensive and efficient alternative recording technique that is useful - together with clinical balance and mobility tests - in various circumstances, as well as in outcome studies involving diagnosis, follow-up and rehabilitation of UVF patients. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Poichè le alterazioni della funzione vestibolare possono essere causa di disequilibrio, i principali reperti sviluppati ad oggi per misurare il controllo posturale e l’integrazione sensoriale nel danno vestibolare sono stati ottenuti grazie alla posturografia. Tuttavia, al fine di superare i problemi legati a tale genere di tecnologia, sono stati proposti gli accelerometri indossabili (ACC) come un’alternativa portatile e a basso costo per la misurazione dell’oscillazione corporea in ambienti confortevoli. D’altro canto, nessuno studio ad oggi ha dimostrato la validità sperimentale delle misurazioni ottenute con ACC - rispetto a quelle derivanti dalla posturografia - in soggetti affetti da deficit vestibolare. Pertanto, l’obiettivo del presente lavoro è stato quello di i) sviluppare e validare una strumentazione pratica che potesse consentire la misurazione dei disordini dell’oscillazione corporea nell’ambito della valutazione otoneurologica attraverso gli ACC e ii) fornire un’analisi delle oscillazioni affidabile ed automatica, che potesse implementare in modo sensibile ed accurato la possibile discriminazione di pazienti affetti da deficit vestibolare unilaterale (UVF). A tale scopo, un gruppo di 13 pazienti (sette femmine, 6 maschi; età media 48.6 ± 6.4 anni) affetti da UVF da almeno 6 mesi e un altro omogeneo di 13 soggetti sani sono stati invitati a mantenere la posizione eretta durante l’esecuzione della posturografia statica (FBP) mentre indossavano a livello lombare - vicino al centro di massa - un sensore Movit® (by Captiks) costituito da accelerometri 3-D. La correlazione ‘product-moment’ secondo Pearson ha dimostrato un elevato livello di corrispondenza di quattro misure, estratte da ACC e da FBP, nel dominio del tempo e di tre in quello della frequenza. Inoltre il t-test ha evidenziato che due parametri nel dominio del tempo e due in quello della frequenza si sono dimostrati affidabili nel discriminare i soggetti affetti da UVF. Tali aspetti, nel loro complesso, dovrebbero focalizzare l’attenzione in ambito clinico e di ricerca su tale tecnica di registrazione, considerato l’arricchimento quantitativo e qualitativo di informazioni utili nella discriminazione, diagnosi e trattamento di pazienti affetti da UVF. In conclusione, noi riteniamo che la misurazione basata su ACC offra un’alternativa confortevole, affidabile, economica ed efficiente utile, assieme ai test clinici di equilibrio e mobilità, in molteplici circostanze così come negli studi implicati nella diagnosi, controllo e riabilitazione di pazienti affetti da UVF. | it |
pair_28516968 | During the last two decades endoscopic skull base surgery observed a continuous technical and technological development 3D endoscopy and ultra High Definition (HD) endoscopy have provided great advances in terms of visualisation and spatial resolution. Ultra-high definition (UHD) 4K systems, recently introduced in the clinical practice, will shape next steps forward especially in skull base surgery field. Patients were operated on through transnasal transsphenoidal endoscopic approaches performed using Olympus NBI 4K UHD endoscope with a 4 mm 0° Ultra Telescope, 300 W xenon lamp (CLV-S400) predisposed for narrow band imaging (NBI) technology connected through a camera head to a high-quality control unit (OTV-S400 - VISERA 4K UHD) (Olympus Corporation, Tokyo, Japan). Two screens are used, one 31' Monitor - (LMD-X310S) and one main ultra-HD 55' screen optimised for UHD image reproduction (LMD-X550S). In selected cases, we used a navigation system (Stealthstation S7, Medtronic, Minneapolis, MN, US). We evaluated 22 pituitary adenomas (86.3% macroadenomas; 13.7% microadenomas). 50% were not functional (NF), 22.8% GH, 18.2% ACTH, 9% PRL-secreting. Three of 22 were recurrences. In 91% of cases we achieved total removal, while in 9% near total resection. A mean follow-up of 187 days and average length of hospitalisation was 3.09 ± 0.61 days. Surgical duration was 128.18± 30.74 minutes. We experienced only 1 case of intraoperative low flow fistula with no further complications. None of the cases required any post- or intraoperative blood transfusion. The visualisation and high resolution of the operative field provided a very detailed view of all anatomical structures and pathologies allowing an improvement in safety and efficacy of the surgical procedure. The operative time was similar to the standard 2D HD and 3D procedures and the physical strain was also comparable to others in terms of ergonomics and weight. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Negli ultimi venti anni la chirurgia endoscopica del basicranio ha osservato continui sviluppi tecnici e tecnologici. L’endoscopia 3D e l’ alta definizione (HD) 4K hanno fornito grandi vantaggi in termini di visualizzazione e di risoluzione spaziale. L’ ultra HD 4K, recentemente introdotta nella pratica clinica, determinerà i prossimi passi soprattutto nella chirurgica endoscopica del basicranio. I pazienti sono stati operati attraverso un approccio transnasale transfenoidale endoscopico, utilizzando un endoscopio Olympus NBI 4K UHD con ottica 4 mm 0 ° Ultra Telescope, lampada allo xeno 300 W (CLV-S400) predisposto per la tecnologia narrow band imaging (NBI) collegato con una videocamera ad un alta qualità unità di controllo (OTV-S400 - VISERA 4K UHD) (Olympus, Tokyo, Giappone). Due schermi, un 31 “Monitor - (LMD-X310S) e quello principale ultra-HD 55” a pollici ottimizzati per la riproduzione immagini UHD (LMD-X550S). In casi selezionati abbiamo usato un sistema di navigazione (Stealthstation S7, Medtronic, Minneapolis, MN, Stati Uniti). Abbiamo valutato 22 adenomi ipofisari (86,3% macroadenomi; 13,7% microadenomi). Il 50% non erano secernenti (NS), 22,8% GH, 18,2% ACTH, 9% PRLsecernenti. 3/22 erano recidive. Nel 91% dei casi abbiamo raggiunto la rimozione totale, mentre nel 9% la resezione subtotale. Un followup medio di 187 giorni, durata media del ricovero era 3,09 ± 0,61 giorni. Tempo chirurgico 128,18 ± 30,74 minuti. Abbiamo avuto solo 1 caso di fistola intraoperatoria a basso flusso senza ulteriori complicazioni nel follow up. Il 100% dei casi non ha richiesto emotrasfusione. La visualizzazione e l’alta risoluzione del campo operatorio hanno fornito una vista dettagliata di tutte le strutture anatomiche e patologie e permesso il miglioramento della sicurezza e l’efficacia della procedura chirurgica. Il tempo operatorio è stato simile a quello dell’endoscopio HD standard 2D e 3D, come la fatica fisica era paragonabile ad altri in termini di ergonomicità e peso. | it |
pair_28516969 | Laryngeal schwannomas are extremely uncommon. We present a case of bulky supraglottic schwannoma with involvement of the preepiglottic and superior paraglottic spaces. Clinical findings, computed tomography and magnetic resonance images are presented. These characteristics are typical, however not specific to schwannomas. For definitive diagnosis, histology and immunohistochemistry are necessary. We present an external mini-invasive approach that allowed us to both obtain diagnosis and provide definitive treatment for this kind of voluminous laryngeal tumour. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Gli schwannomi laringei sono una variante estremante rara dei tumori benigni della laringe. Riportiano il caso di un voluminoso schwannoma localizzato nella regione sopraglottica, con coinvolgimento dello spazio pre-epiglottico e paraglottico superiore. I segni e i sintomi di presentazione di tale tumore e le principali caratteristiche radiologiche riscontrabili alla TC e alla RMN sono descritte dettagliatamente. Pur non permettendo una diagnosi certa, tali caratteristiche, tipiche ma non esclusive dello schwannoma, sono importanti per sospettare il tumore in fase preoperatoria. La diagnosi definitiva necessita comunque dell’esame istologico e immunoistochimico, ottenibile mediante biopsia escissionale. Nello specifico descriviamo l’utilizzato nuovo approccio open mini-nvasivo che consente di ottenere la exeresi completa del tumore, con un ottimo outcome funzionale. | it |
pair_28516970 | Inflammatory and obstructive disorders of the salivary glands are caused by very different pathological conditions affecting the gland tissue and/or the excretory system. The clinical setting is essential to address the appropriate diagnostic imaging work-up. According to history and physical examination, four main clinical scenarios can be recognised: (1) acute generalised swelling of major salivary glands; (2) acute swelling of a single major salivary gland; (3) chronic generalised swelling of major salivary glands, associated or not with 'dry mouth'; (4) chronic or prolonged swelling of a single major salivary gland. The algorithm for imaging salivary glands depends on the scenario with which the patient presents to the clinician. Imaging is essential to confirm clinical diagnosis, define the extent of the disease and identify complications. Imaging techniques include ultrasound (US), computed tomography (CT) and magnetic resonance (MR) with MR sialography. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La patologia infiammatoria ed ostruttiva delle ghiandole salivari riconosce molteplici eziologie con coinvolgimento del parenchima ghiandolare e/o del sistema escretore. Il quadro clinico è essenziale per indirizzare l’integrazione diagnostica con adeguate metodiche di imaging. Sulla base dell’anamnesi e dell’esame obiettivo, possono riconoscersi quattro scenari clinici: (1) tumefazione acuta generalizzata delle ghiandole salivari maggiori; (2) tumefazione acuta di un’unica ghiandola salivare maggiore; (3) tumefazione cronica generalizzata delle ghiandole salivari maggiori associata o meno a xerostomia; (4) tumefazione cronica o persistente di una singola ghiandola salivare maggiore. L’algoritmo diagnostico per la scelta della metodica di imaging più appropriata dipende quindi dallo scenario clinico. L’imaging è essenziale per confermare la diagnosi clinica, per definire l’estensione della patologia ed identificare eventuali complicanze. Le metodiche di imaging disponibili includono l’ecografia, la tomografia computerizzata e la risonanza magnetica, anche con scialografia RM. | it |
pair_28516971 | Saliva testing is a non-invasive and inexpensive test that can serve as a source of information useful for diagnosis of disease. As we enter the era of genomic technologies and -omic research, collection of saliva has increased. Recent proteomic platforms have analysed the human salivary proteome and characterised about 3000 differentially expressed proteins and peptides: in saliva, more than 90% of proteins in weight are derived from the secretion of three couples of 'major' glands; all the other components are derived from minor glands, gingival crevicular fluid, mucosal exudates and oral microflora. The most common aim of proteomic analysis is to discriminate between physiological and pathological conditions. A proteomic protocol to analyze the whole saliva proteome is not currently available. It is possible distinguish two type of proteomic platforms: top-down proteomics investigates intact naturally-occurring structure of a protein under examination; bottom-up proteomics analyses peptide fragments after pre-digestion (typically with trypsin). Because of this heterogeneity, many different biomarkers may be proposed for the same pathology. The salivary proteome has been characterised in several diseases: oral squamous cell carcinoma and oral leukoplakia, chronic graft-versus-host disease Sjögren's syndrome and other autoimmune disorders such as SAPHO, schizophrenia and bipolar disorder, and genetic diseases like Down's Syndrome and Wilson disease. The results of research reported herein suggest that in the near future human saliva will be a relevant diagnostic fluid for clinical diagnosis and prognosis. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Lo studio della proteomica salivare, test economico e non invasivo, rappresenta una fonte di numerose informazioni, ed è utile per la diagnosi di svariate malattie. Da quando siamo entrati nell’era della tecnologia genomica e delle scienze “omiche”, la raccolta di campioni salivari è aumentata esponenzialmente. Recenti piattaforme proteomiche hanno analizzato il proteoma salivare umano, caratterizzando circa 3000 peptidi e proteine, espressi in maniera differente: più del 90% in peso deriva dalla secrezione delle tre ghiandole salivari maggiori, mentre la restante parte proviene dalle ghiandole salivari minori, dal fluido crevicolare gengivale, da essudati mucosi e dalla microflora orale. L’obiettivo principale dell’analisi proteomica è discriminare tra condizioni fisiologiche e patologiche. Ad oggi, tuttavia, non esiste un preciso protocollo che permetta di analizzare l’intero proteoma salivare, pertanto sono state realizzate svariate strategie. Innanzitutto, è possibile distinguere due tipologie di piattaforme proteomiche: l’approccio “top-down” prevede l’analisi delle proteine sotto esame come entità intatte; nell’approccio “bottom-up” la caratterizzazione della proteina avviene mediante lo studio dei peptidi ottenuti dopo digestione enzimatica (con tripsina tipicamente). A causa di questa eterogeneità, per una stessa patologia sono stati proposti differenti biomarkers. Il proteoma salivare è stato caratterizzato in numerose malattie: carcinoma squamoso e leucoplachie orali, malattia del trapianto contro l’ospite (GVHD) cronica, sindrome di Sjögren e altri disordini autoimmuni come la sindrome SAPHO (sinovite, acne, pustolosi, iperostosi e osteite), schizofrenia e disordine bipolare, malattie genetiche come la sindrome di Down o la malattia di Wilson. In conclusione, i risultati delle ricerche riportate in questa review suggeriscono che nel prossimo futuro la saliva diverrà un fluido di indubbia rilevanza diagnostica utile per fini clinici, sia diagnostici, sia prognostici. | it |
pair_28516972 | Obstructive sialadenitis is the most common non-neoplastic disease of the salivary glands, and sialendoscopy is increasingly used in both diagnosis and treatment, associated in selected cases with endoscopic laser lithotripsy. Sialendoscopy is also used for combined minimally invasive external and endoscopic approaches in patients with larger and proximal stones that would require excessively long laser procedures. The present paper reports on the technical experience from the Ear, Nose and Throat Unit of the Sant'Orsola-Malpighi Hospital of Bologna, and from the Department of Otorhinolaryngology of the University Hospital of Cagliari, Italy, including the retrospective analysis of the endoscopic and endoscopic assisted procedures performed on 48 patients (26 females and 22 males; median age 45.3; range 8-83 years) treated for chronic obstructive sialadenitis at the University Hospital of Cagliari from November 2010 to April 2016. The results from the Sant'Orsola-Malpighi Hospital of Bologna have been previously published. The technical aspects of sialendoscopy are carefully described. The retrospective analysis of the University Hospital of Cagliari shows that the disease was unilateral in 40 patients and bilateral in 8; a total of 56 major salivary glands were treated (22 submandibular glands and 34 parotids). Five patients underwent bilateral sialendoscopy for juvenile recurrent parotitis. 10 patients were treated for non-lithiasic obstructive disease. In 33 patients (68.75%) the obstruction was caused by salivary stones (bilateral parotid lithiasis in 1 case). Only 8 patients needed a sialectomy (5 submandibular glands and 3 parotids). The conservative approach to obstructive sialadenitis is feasible and can be performed either purely endoscopically or in a combined modality, with a high percentage of success. The procedure must be performed with dedicated instrumentation by a skilled surgeon after proper training since minor to major complications can be encountered. Sialectomy should be the 'extrema ratio' after failure of a conservative approach. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La scialoadenite cronica ostruttiva rappresenta una delle più frequenti patologie non-neoplastiche delle ghiandole salivari e la scialoendoscopia è sempre più utilizzata nella sua diagnosi e nel suo trattamento, associata o meno con la litotripsia laser. La scialoendoscopia può essere inoltre associata ad approcci esterni mini-invasivi nelle litiasi troppo voluminose per essere rimosse con un approccio unicamente endoscopico. Il presente articolo riporta l’esperienza delle Cliniche Otorinolaringoiatriche dell’Ospedale Sant’Orsola-Malpighi di Bologna e dell’Azienda Ospedaliero Universitaria di Cagliari, Italia. È stata eseguita un’analisi retrospettiva su 48 pazienti (26 femmine, 22 maschi; età media di 45,3 anni; range 8-83 anni) trattati per patologia cronica ostruttiva delle ghiandole salivari maggiori mediante procedure chirurgiche endoscopiche o combinate da novembre 2010 ad aprile 2016 presso l’Azienda-Ospedaliero-Universitaria di Cagliari. I risultati dell’Ospedale Sant’Orsola-Malpighi di Bologna erano stati precedentemente pubblicati. Gli aspetti tecnici della scialoendoscopia sono stati accuratamente descritti. I pazienti trattati presso l’Azienda Ospedaliero Universitaria di Cagliari presentavano una patologia unilaterale in 40 casi e bilaterale in 8 casi; sono state trattate 56 ghiandole salivari maggiori (22 sottomandibolari e 34 parotidi). 5 pazienti sono stati sottoposti a scialoendoscopia bilaterale per parotite ricorrente giovanile, 10 per patologia ostruttiva non litiasica e 33 (68,75%) presentavano calcoli salivari (1 paziente presentava una litiasi parotidea bilaterale). Solo 8 pazienti sono stati sottoposti a scialectomia radicale per via esterna (5 scialectomie sottomandibolare e 3 parotidectomie). La chirurgia conservativa nei pazienti con scialoadenite cronica ostruttiva appare efficace e può essere realizzata mediante un approccio puramente endoscopico o combinato, con un’alta percentuale di successo. La procedura richiede una strumentazione adeguata e deve essere eseguita da un chirurgo esperto, che abbia svolto un training specifico scialoendoscopico, in modo da evitare le possibili complicanze maggiori e minori. La scialectomia tradizionale rappresenta la “extrema ratio”, limitata nei casi in cui un approccio conservativo sia risultato inefficace o controindicato. | it |
pair_28516973 | The traditional management of obstructive salivary disorders has been replaced by minimally-invasive gland-preserving techniques including shock-wave lithotripsy, sialendoscopy, interventional radiology and endoscopically video-assisted trans-oral and cervical stone retrieval, of which sialendoscopy is considered to be the method of first choice. Primary endoscopically controlled stone extraction without prior fragmentation is only possible in 15-20% of cases; in more than 80%, fragmentation is necessary because of the size, impactation and location of the stone, or an alternative treatment such as transoral duct surgery or combined approaches are required. Moreover, about 10-20% of all stones cannot be adequately accessed by means of a sialendoscope or any alternative surgical method and, in such cases, extra-corporeal shock wave lithotripsy (ESWL) is the treatment of choice. However, in endoscopically accessible stones, ESWL is being gradually replaced by endoscopically assisted intra-corporeal techniques, including endoscopically guided laser and pneumatic intracorporeal lithotripsy. We describe the currently most widely used techniques for salivary lithotripsy, including ESWL, and endoscopically guided laser, electrohydraulic, electrokinetic and pneumatic intra-corporeal lithotripsy, and discuss their indications given the widespread use of advanced rehabilitative sialendoscopy and combined therapeutic approaches. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Negli ultimi decenni i tradizionali approcci terapeutici alla patologia ostruttiva salivare sono stati gradualmente sostituiti da trattamenti conservativi e mini-invasivi tra cui la litotrissia salivare, la scialoendoscopia, le tecniche di radiologia interventistica e la rimozione vidoendoscopica di calcoli per via trans-orale o trans-cervicale. Tra queste tecniche la scialoendoscopia è attualmente considerata il trattamento di scelta, tuttavia la sola scialoendoscopia interventistica non preceduta da tecniche di frammentazione garantisce una completa rimozione dei calcoli salivari all’incirca nel 15-20% dei casi. Inoltre il 10-20% dei calcoli non è raggiungibile endoscopicamente o con altri approcci chirurgici. In questi casi la litotrissia salivare extracorporea rappresenta il trattamento di scelta. Nonostante ciò negli ultimi anni la litotrissia salivare extracorporea è stata gradualmente sostituita dalle tecniche di frammentazione intracorporee eseguite sotto controllo endoscopico tra cui la litotrissia salivare intracorporea laser e pneumatica video-assistita. In questo articolo verranno descritte le tecniche e le indicazioni residue alla litotrissia salivare, comprendente la litotrissia extracorporea e la litotrissia salivare intracorporea laser, elettroidraulica, elettrocinetica e pneumatica video-assistite. Verranno inoltre fornite le indicazioni residue di tali trattamenti. | it |
pair_28516974 | It has been suggested that a conservative trans-oral approach to proximal and hilo-parenchymal submandibular stones (HPSMS) is a valid alternative to the more frequently used sialadenectomy. The aim of this study was to evaluate the surgical, ultrasonographic and patients' subjective outcomes of results of the trans-oral removal of HPSMS. Between January 2003 and September 2015, sialendoscope-assisted trans-oral surgery was used to remove symptomatic, large (> 7 mm), fixed and palpable HPSMS from 479 patients under general anaesthesia. All patients were followed clinically and ultrasonographically to investigate symptom relief and recurrence of stones, and were telephonically interviewed to assess saliva-related subjective outcomes with a questionnaire. Stones were successfully removed from 472 patients (98.5%); the seven failures (1.5%) concerned pure parenchymal stones. One year after the procedure, 408 patients (85.1%) were symptom free, 59 (12.3%) had recurrent obstructive symptoms and 12 (2.6%) had recurrent infections. Of the 54 patients who developed a recurrent stone (11.2%), 52 underwent a second procedure: 29 interventional sialendoscopies, two sialendoscope-assisted intra-corporeal pneumatic lithotripsy, eight secondary transoral surgery to remove residual stones, six a cycle of extra-corporeal lithotripsy and seven submandibular sialadenectomy. Most patients (75.2%) reported mild surgery-related pain. The symptoms of 454 patients (94.8%) improved after adjunctive treatment and, at the end of follow-up, the affected gland was preserved in 98.5% of patients. A sialendoscope-assisted trans-oral removal of large HPSMS is a safe, effective, conservative surgical procedure, and functional preservation of the main duct and parenchyma of the obstructed gland allows sialendoscopic access through the natural ostium in case of recurrence. Combining a trans-oral approach with other minimally invasive, conservative procedures ensures symptomatic relief and salivary duct system clearance in the majority of patients. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Come si evince dall’analisi della letteratura, l’approccio transorale ai calcoli prossimali e ilo-parenchimali della ghiandola sottomandibolare rappresenta una valida alternativa alla scialoadenectomia tradizionale. Lo scopo di questo studio è quello di valutare i risultati chirurgici, ecografici e soggettivi di questa tecnica conservativa. Tra Gennaio 2003 e Settembre 2015 sono stati trattati con l’approccio transorale scialoendoscopico-assistito 479 pazienti affetti da calcoli ilo-parenchimali sottomandibolari palpabili, non mobili, di dimensioni superiori ai 7 mm. Tutti i pazienti sono stati sottoposti ad un follow-up clinico, ecografico e ad una valutazione soggettiva dell’outcome chirurgico per mezzo di un apposito questionario somministrato attraverso un’intervista telefonica. Il successo chirurgico definito come completa asportazione del calcolo ilo-parenchimale è stato ottenuto in 472 pazienti (98.5%); in sette casi (1.5%) si è verificato un insuccesso chirurgico, riguardante esclusivamente calcoli parenchimali puri. Un anno dopo l’intervento chirurgico, 408 pazienti (85.1%) non riferivano più sintomi ostruttivi, 59 pazienti (12.3%) riferivano sintomi ostruttivi ricorrenti e 12 (2.6%) infezioni ricorrenti. Dei 54 pazienti (11.2%) affetti da litiasi sottomandibolare ricorrente, 52 sono stati sottoposti ad una seconda procedura terapeutica, nello specifico in 29 casi a scialoendoscopia, in 2 casi a litotrissia pneumatica intracorporea, in 8 casi a chirurgia transorale, in 6 casi ad un ciclo di litotrissia extracorporea, in 7 casi a scialoadenectomia sottomandibolare. La maggior parte dei pazienti (75.2%) ha riferito un dolore post-chirurgico di grado lieve. Al termine del follow-up, i sintomi riferiti da 454 pazienti (94.8%) erano migliorati dopo il secondo trattamento e la ghiandola sottomandibolare affetta era stata preservata nel 98.5% dei casi. La chirurgia transorale scialoendoscopico-assistita dei calcoli ilo-parenchimali della ghiandola sottomandibolare rappresenta un’opzione terapeutica sicura, efficace e conservativa e la preservazione del dotto e del parenchima ghiandolare permette di esplorare il sistema duttale attraverso l’ostio naturale in caso di ricorrenza della patologia. L’utilizzo combinato dell’approccio transorale e delle altre tecniche mini-invasive permette di trattare con successo la maggior parte dei pazienti affetti da litiasi ilo-parenchimale sottomandibolare. | it |
pair_28516977 | The morbidity following traditional surgery of the salivary glands is well documented and includes postsurgical complications such as the Frey's syndrome, complete or partial facial nerve damage, facial scarring, greater auricular nerve numbness, sialocoeles and salivary fistula. The avulsion of the salivary duct, secondary strictures, gland swelling, salivary fistulas and perforations (false rout), traumatic ranulas, and the lingual nerve paraesthesia are the main endoscopy-related complications. In general, the rate of postsurgical complications after modern advanced minimally invasive surgical interventions is significantly lower compared with traditional surgery of the salivary glands. However, such comparisons cannot be performed because up-to-date traditional and minimally invasive surgical techniques are applied to different salivary disorders. Combinations of various minimally invasive techniques are also possible. There is no clear borderline between 'traditional' and 'modern' surgery of the salivary glands. It is appropriate to write about gradual replacement of old techniques with newer ones, and this process has no traffic lights. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Le complicanze dopo chirurgia tradizionale delle ghiandole salivari sono notoriamente documentate in letteratura e comprendono: la sindrome di Frey, la paralisi parziale o completa del nervo facciale, le lesioni del nervo grande auricolare, lo scialocele, la fistola salivare e gli esiti cicatriziali a livello della cute del volto. Per contro, le principali complicanze secondarie ai trattamenti endoscopici risultano essere l’avulsione del dotto salivare, le stenosi secondarie, la tumefazione ghiandolare, le fistole salivari, le perforazioni da falsa strada, le ranule post- traumatiche e le parestesie del nervo linguale. In generale, le moderne tecniche di chirurgia minimamente invasiva mostrano un tasso di complicanze post-operatorie significativamente inferiore rispetto alla chirurgia tradizionale delle ghiandole salivari. Tuttavia, un confronto tra le due strategie chirurgiche non può svolgersi correttamente perché esse sono applicate a diversi ambiti patologici. La combinazione di più tecniche di chirurgia minimamente invasiva rende sfumata la linea di confine tra chirurgia “tradizionale” e “moderna”, risultando utile e necessaria una più dettagliata descrizione del progressivo abbandono delle tecniche tradizionali a favore delle nuove. | it |
pair_28516976 | The management of stenoses of the major salivary glands had undergone a significant change during the last 15-20 years. Accurate diagnosis forms the basis of adapted minimal invasive therapy. Conventional sialography and MR-sialography are useful examination tools, and ultrasound seems to be a first-line investigational tool if salivary duct stenosis is suspected as cause of gland obstruction. Sialendoscopy is the best choice to establish final diagnosis and characterise the stenosis in order to plan accurate treatment. In all major salivary glands, inflammatory stenosis can be distinguished from fibrotic stenosis. In the parotid duct system, an additional stenosis associated with various abnormalities of the duct system has been reported. Conservative therapy is not sufficient in the majority of cases. The development of a minimally invasive treatment regime, in which sialendoscopy plays a major role, has made the preservation of the gland and its function possible in over 90% of cases. Ductal incision procedures are the most important measure in submandibular duct stenoses, but sialendoscopy becomes more important in the more centrally located stenoses. Sialendoscopic controlled opening and dilation is the dominating method in parotid duct stenoses. In 10-15% of cases, success can be achieved after a combined treatment regime had been applied. This review article aims to give an overview on the epidemiology, diagnostics and current state of the art of the treatment of salivary duct stenoses. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La gestione delle stenosi delle ghiandole salivari maggiori ha subito un cambiamento significativo nel corso degli ultimi 15-20 anni. L’elemento fondamentale che sta alla base di una scelta terapeutica minimamente invasiva è rappresentato da un’accurata diagnosi. La scialografia convenzionale e la scialo-RM possono essere utili strumenti per la diagnosi delle stenosi salivare, senza dimenticare il ruolo basilare e centrale dell’ecografia qualora si sospetti che un processo stenotico a carico dei dotti salivari sia la causa dell’ostruzione. Tuttavia, ad oggi, la scialoendoscopia rappresenta la scelta diagnostica migliore, permettendo una corretta pianificazione terapeutica attraverso una quanto più precisa caratterizzazione della stenosi. Sia a livello sottomandibolare che parotideo è possibile distinguere le stenosi infiammatorie da quelle secondarie a processi fibrotici e, inoltre, a carico dei dotti salivari parotidei è stata descritta una stenosi associata a varie anomalie del sistema duttale. Nella maggior parte dei casi la sola terapia conservativa non è sufficiente per la risoluzione della sintomatologia ostruttiva, tuttavia lo sviluppo di trattamenti minimamente invasivi, prima fra tutte la scialoendoscopia, ha permesso di ottenere un tasso di conservazione della funzione ghiandolare di oltre il 90% dei casi. Se a livello sottomandibolare la principale misura terapeutica nella gestione delle stenosi del dotto ghiandolare rimane l’incisione duttale (eccezion fatta per il crescente ruolo della scialoendoscopia nelle stenosi centrali), viceversa a livello del dotto parotideo la stenosi viene preminentemente gestita mediante la scialoendoscopia. Va comunque sottolineato che nel 10-15% dei casi il successo terapeutico viene ottenuto attraverso un trattamento di tipo combinato. La seguente review si propone di fornire una panoramica circa l’epidemiologia, la diagnostica e l’attuale stato dell’arte del trattamento delle stenosi salivari. | it |
pair_28516978 | Autoimmune diseases of major salivary glands include Sjögren's syndrome and a complex of disorders classified as immunoglobulin G4-related diseases. These pathologies are characterised by an autoimmune reaction mediated by T-helper lymphocytes that targets the ducts of exocrine glands in Sjögren's syndrome and glandular parenchyma in immunoglobulin G4-related diseases. Immunoglobulin G4-related diseases represent recently introduced multi-organ diseases that also involve the salivary glands. However, the morbid conditions once known as Mikulicz's disease and Kuttner's tumour were recently considered as two variants of immunoglobulin G4-related diseases affecting the major salivary glands ( immunoglobulin G4-related sialadenitis). This review briefly summarises the pathogenesis and clinical features of autoimmune diseases of the major salivary glands, focusing on the diagnostic and therapeutic role of sialendoscopy. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Le patologie autoimmuni delle ghiandole salivari maggiori comprendono la sindrome di Sjögren e l’insieme di condizioni morbose raccolte sotto il nome di patologie IgG4-correlate. Tanto la sindrome di Sjögren quanto le patologie IgG4-correlate sono caratterizzate da una reazione autoimmune mediata dai linfociti T-Helper il cui bersaglio è rappresentato dai dotti delle ghiandole esocrine nella sindrome di Sjögren e dal parenchima ghiandolare nelle malattie IgG4-correlate. Queste ultime, di introduzione relativamente recente, coinvolgono solitamente molti organi tra cui le ghiandole salivari. Negli ultimi anni patologie un tempo note come malattia di Mikulicz e tumore di Kuttner sono state classificate come le patologie IgG4-correlate limitate alle ghiandole salivari maggiori e denominate scialoadeniti IgG4-correlate. Questa breve revisione riassume la patogenesi e le principali caratteristiche cliniche delle ghiandole salivari maggiori sottolineando il potenziale ruolo diagnostico e terapeutico delle scialoendoscopia. | it |
pair_28516979 | Salivary gland toxicity is a common adverse effect of radioactive iodine (<sup>131</sup>I) for the treatment of thyroid cancers with a prevalence ranging from 2% to 67% of the <sup>131</sup>I exposed population. Recently, sialendoscopy has been introduced as an attractive diagnostic and therapeutic tool for management of patients with radioiodine-induced sialadenitis that is unresponsive to standard medical treatments. The objective of the current review was to assess the impact of this procedure on outcomes in patients suffering from radioiodine sialadenitis. Overall, eight studies were included and 122 patients underwent 264 sialendoscopic procedures. Duct stenosis and mucous plugs were observed in 85.7% of endoscopic findings, supporting the role of ductal obstruction in the pathophysiology of radioiodine sialadenitis. In total, 89.3% of patients experienced complete or partial resolution of sialadenitis recurrences without any major adverse events, and parotidectomy was advocated in only 1 case. However, outcomes mainly concerned subjective reports and only two clinical experiences evaluated objective measurement with dissimilar results. Limited to few studies, xerostomia and obstructive symptoms responded differently after sialendoscopy. The optimal timing of salivary gland videoendoscopy needs to be further analysed in order to define the best management of radioiodine-induced obstructive sialadenitis. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La tossicità delle ghiandole salivari rappresenta un noto effetto indesiderato dello iodio radioattivo (<sup>131</sup>I) utilizzato per il trattamento di neoplasie tiroidee, con una prevalenza che varia dal 2% al 67% della popolazione esposta. Recentemente, la scialoendoscopia è stata introdotta come un interessante strumento diagnostico e terapeutico per la gestione dei pazienti affetti da scialoadenite radioiodio-indotta non responsiva ai trattamenti medici standard. L’obiettivo della presente revisione è stato valutare l’influenza di questa procedura sulla storia clinica di pazienti affetti da scialoadenite conseguente a trattamento con radioiodio. Complessivamente, la revisione ha incluso 8 studi, 122 pazienti e 264 scialoendoscopie. Le stenosi duttali ed i tappi mucosi hanno rappresentato l’85.7% dei reperti endoscopici, sostenendo il ruolo dell’ostruzione duttale nella fisiopatologia della scialoadenite da radioiodio. Circa l’89.3% dei pazienti riportarono una risoluzione parziale o completa degli episodi di scialoadenite ricorrente, senza complicanze post-operatorie maggiori. Un solo caso è stato sottoposto a parotidectomia per fallimento del trattamento scialoendoscopico e persistenza dei sintomi. Tuttavia, i risultati della letteratura riguardarono principalmente valutazioni soggettive e solamente in due esperienze cliniche furono prese in considerazione misure oggettive con risultati discordanti. La xerostomia fu analizzata in pochi studi, con benefici differenti rispetto ai sintomi ostruttivi. La tempistica ideale per la videoendoscopia delle ghiandole salivari necessita di ulteriori analisi, al fine di definire la miglior gestione delle scialoadeniti ostruttive radioiodio-indotte. | it |
pair_28516980 | Recent technological improvements in head and neck field have changed diagnostic and therapeutic strategies for salivary disorders. Diagnosis is now based on colour Doppler ultrasonography (US), magnetic resonance (MR) sialography and cone beam 3D computed tomography (CT), and extra- and intracorporeal lithotripsy, interventional sialendscopy and sialendoscopy-assisted surgery are used as minimally invasive, conservative procedures for functional preservation of the affected gland. We evaluated the results of our long-term experience in the management of paediatric obstructive salivary disorders. The study involved a consecutive series of 66 children (38 females) whose obstructive salivary symptoms caused by juvenile recurrent parotitis (JRP) (n = 32), stones (n = 20), ranula (n = 9) and ductal stenosis (n = 5). 45 patients underwent interventional sialendoscopy for JRP, stones and stenoses, 12 a cycle of extracorporeal shockwave lithotripsy (ESWL), three sialendoscopy-assisted transoral surgery, one drainage, six marsupialisation, and two suturing of a ranula. Three children underwent combined ESWL and interventional sialendoscopy, and seven a secondary procedure. An overall successful result was obtained in 90.9% of cases. None of the patients underwent traditional invasive sialadenectomy notwithstanding persistence of mild obstructive symptoms in six patients. No major complications were observed. Using a diagnostic work-up based on colour Doppler US, MR sialography and cone beam 3D TC, children with obstructive salivary disorders can be effectively treated in a modern minimally-invasive manner by extracorporeal and intracorporeal lithotripsy, interventional sialendoscopy and sialendoscopy-assisted transoral surgery; this approach guarantees a successful result in most patients, thus avoiding the need for invasive sialadenectomy while functionally preserving the gland. | en | lexi-ml/wmt_22_dataset_en_it | train | text | I disordini ostruttivi salivari sono infrequenti nell’età pediatrica. I recenti progressi tecnologici nel distretto della testa e del collo hanno modificato la strategia diagnostica e terapeutica dei disordini salivari. La diagnosi è oggi basata sull’eco color Doppler, sulla scialo-RMN, sulla cone beam 3D TC, mentre la litotrissia extracorporea ed intracorporea, la scialoendoscopia interventistica, la chirurgia scialoendoscopico- assistita, sono attualmente utilizzati come procedure conservative e mininvasive per la preservazione funzionale della ghiandola affetta. Abbiamo analizzato i risultati dell’esperienza clinica a lungo termine nel trattamento dei disordini ostruttivi dell’età pediatrica. Un gruppo consecutivo di 66 pazienti pediatrici (38 femmine) con sintomi salivari ostruttivi causati da parotite ricorrente pediatrica (32 pazienti), calcoli (20), stenosi duttali (5), e ranule (9) è stato incluso nello studio. 45 pazienti sono stati sottoposti a scialoendoscopia interventistica per parotite ricorrente, calcoli e stenosi, 12 pazienti sono stati sottoposti ad un ciclo di litotrissia extracorporea (ESWL), tre pazienti a chirurgia transorale scialoendoscopico-assistita, un paziente a drenaggio, sei a marsupializzazione e due a sutura della ranula. Nel 90,9% è stato raggiunto un risultato favorevole. L’approccio combinato di litotrissia salivare extracorporea e di scialoendoscopia interventistica è stato utilizzato in tre pazienti ed una procedura secondaria è stata eseguita in sette pazienti. Nessun paziente è stato sottoposto a scialoadenectomia nonostante la persistenza di modesti sintomi ostruttivi in sei pazienti. Non è stata osservata alcuna complicanza maggiore. Adottando un adeguato iter diagnostico mediante eco color Doppler delle ghiandole salivari, scialo-RMN e cone beam 3D TC, i pazienti pediatrici con disordini ostruttivi salivari possono essere efficacemente trattati con un approccio moderno mini-invasivo mediante tecniche di litotrissia extracorporea ed intracorporea, scialoendoscopia interventistica, e chirurgia transorale scialoendoscopico-assistita; questo approccio garantisce un risultato favorevole nella maggior parte dei pazienti evitando così il ricorso alla scialoadenectomia invasiva e mantenendo così la preservazione funzionale della ghiandola coinvolta. | it |
pair_28516981 | Botulinum toxin (BTX) is a neurotoxic protein produced by Clostridium botulinum, an anaerobic bacterium. BTX therapy is a safe and effective treatment when used for functional silencing of the salivary glands in disorders such as sialoceles and salivary fistulae that may have a post-traumatic or post-operative origin. BTX injections can be considered in sialoceles and salivary fistulae after the failure of or together with conservative treatments (e.g. antibiotics, pressure dressings, or serial aspirations). BTX treatment has a promising role in chronic sialadenitis. BTX therapy is highly successful in the treatment of gustatory sweating (Frey's syndrome), and could be considered the gold standard treatment for this neurological disorder. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La tossina botulinica è una neurotossina prodotta dal batterio anaerobio Clostridium botulinum. L’iniezione di tossina botulinica è un trattamento sicuro ed efficace quando viene usata per inibire la funzione delle ghiandole salivari in patologie come gli sialoceli o le fistole salivari di origine post-traumatica o iatrogena. Negli scialoceli e fistole salivari, il trattamento con tossina botulinica può essere preso in considerazione anche dopo il fallimento o in aggiunta ai trattamenti conservativi non chirurgici. La terapia con tossina botulinica si sta dimostrando promettente anche nel trattamento della scialoadenite cronica. La tossina botulinica ha un elevato tasso di risoluzione nella Sindrome di Frey ed è considerata il gold standard nel trattamento di questo disturbo neurologico. | it |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Lo Yijing (Libro dei cambiamenti) occupa una posizione molto importante nel cuore e nella mente di Jung, che era strettamente legato alle raccomandazioni di Richard Wilhelm sull'immaginazione attiva ed all'introduzione al contesto del Yijing. In questo articolo vengono presentate tre aree di discussione e di esplorazione: 1. La onto-cosmogonia contenuta nel Yijing; qui gli Autori esplorano il significato della sequenza degli otto trigrammi del Fuxi e del posizionarsi del Re Wen negli otto trigrammi, e l'ispirazione dell'immagine naturale di cielo-terra; non conoscendone l'intera onto-cosmogonia, noi non possiamo afferrare l'intero significato del Yijing. 2. L'onto-cosmogonia così come concepita nella psicologia junghiana, inizia dalle riflessioni sulla sincronicità, che Jung sviluppò proprio ispirato da I Ching; gli Autori esplorano la correlazione tra i quattro passi del movimento dinamico del Sé, secondo Jung, ed i quattro stadi del movimento cosmologico come rivelati dall'esagramma Qian ed i numeri nel He tu (River Map) ed in Luo shu (Luo Chart). 3. Le correlazioni tra il Taiji ed i 'due modi' ed altri termini della psicolgia junghiana. Dal punto di vista degli Autori, mettere in correlazione alcuni termini significativi della psicologia junghiana con concetti filosofici presenti nel Yijing può promuovere il processo di individuazione. Si ricorda che Jung ha fatto l'esperienza del Supremo Ultimo, che descrive nel suo commento al Segreto del Fiore d'Oro di Richard Wilhelm. Uno studio comparativo delle due discipline può aiutarci a raggiungere una maggiore comprensione di entrambi, e promuover lo scambio tra culture dell'Est e culture dell'Ovest. | it |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 易经哲学与荣格分析心理学:比较研究 易经在荣格的关于心的心理学中占据重要的位置, 它与卫礼贤关于金花的秘密的引介有密切的关系。这篇文章从三个方面进行论述:1、易经的本体生成论, 在此作者探讨了伏羲八卦序列和文王八卦序列的意义, 以及天地自然意象所带来的启发。不理解易经的本体生成论, 我们就不能真正理解易经。2、荣格心理学视角下的本体生成论, 这部分的开头对比了荣格所说的走向自性的四个步骤, 和乾卦及河图洛书所揭示的宇宙运动的四个阶段。3、讨论了太极、两仪与荣格心理学一些概念的关系。作者认为, 把荣格心理学的一些重要概念与易经哲学观念联系, 可以让自性化进程更为深入。荣格体会到了太极, 这在他给卫礼贤金华的秘密译本中的评论中有所叙述。比较这两个领域, 可以帮助我们更深入地理解二者, 加深中西方文化的交流。. | zh-cn |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Le Yi Jing (Livre des Mutations) occupe une place très importante dans le cœur-esprit de C.G. Jung, place très liée à l’introduction par Richard Wilhelm de la sagesse du Yi Jing et au soutien actif qu’il y a apporté. Dans cet article il y a trois domaines de discussion et d’exploration: 1. L’onto-cosmogonie conçue dans le Yi Jing; ici les auteurs explorent la signification des deux ordres de présentation des huit trigrammes, celui de Fuxi et celui du roi Wen, et l’inspiration de l’Image Naturelle « Ciel-Terre »; sans connaissance de son onto-cosmologie on ne peut pas appréhender le Yi Jing dans sa globalité. 2. L’onto-cosmogonie telle qu’elle est conçue dans la psychologie Jungienne, en commençant par une discussion sur la synchronicité, que Jung a élaborée en s’inspirant du Yi Jing; les auteurs explorent la corrélation entre les quatre étapes des mouvements dynamiques du Soi, conçues par Jung, et les quatre étapes du mouvement cosmologique tel qu’il est révélé par l’hexagramme Qian et par les nombres dans le He tu (diagramme de la rivière jaune) et le Luo shu (diagramme des neufs palais). 3. Les corrélations entre le Taiji et les Deux Modes (yin et yang) et certains termes de la psychologie Jungienne. Du point de vue des auteurs, corréler certains termes importants dans la psychologie Jungienne avec les concepts philosophiques du Yi Jing permettrait de mener plus loin le processus d’individuation. Jung a fait l’expérience de l’état d’Ultime Suprême, décrit dans ses commentaires sur Le Secret de la Fleur d’Or de Richard Wilhelm. Une étude comparative des deux disciplines peut nous apporter une compréhension plus approfondie et plus complète de chacune, et améliorer encore les échanges entre les cultures orientales et occidentales. | fr |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Das Yijing (Buch der Wandlungen) nimmt in C.G. Jungs Herz und Geist eine sehr bedeutende Position ein, was in enger Verbundenheit mit Richard Wilhelms aktiver Empfehlung und Einführung der Weisheit des Yijing stand. In diesem Artikel gibt es drei Bereiche der Diskussion und Erforschung: 1. Die im Yijing konzipierte Ontokosmogonie; hier untersuchen die Autoren die Bedeutung von Fuxis Sequenz von acht Trigrammen und König Wens Positionierung der acht Trigramme sowie die Inspiration des natürlichen Bildes von Himmel und Erde. Ohne dessen Ontokosmogonie zu kennen, können wir die Gesamtheit des Yijing nicht erfassen. 2. Die in der Jungschen Psychologie konzipierte Ontokosmogonie, beginnend mit der Diskussion der Synchronizität, die Jung mit Anregungen aus dem I Ging entwickelte. Die Autoren untersuchen die Korrelation zwischen Jungs vier Schritten dynamischer Bewegungen des Selbst und den vier Stufen der kosmologischen Bewegung, wie sie durch das Hexagramm Qian und die Zahlen in der He tu (Flußkarte) und im Luo shu (Luo-Diagramm) offenbart werden. 3. Die Korrelationen zwischen dem Taiji und dem Zwei-Modus und einigen Begriffen aus der Jungianischen Psychologie. Aus Sicht der Autoren kann die Korrelierung einiger bedeutender Begriffe der Jungianischen Psychologie mit philosophischen Konzepten im Yijing den Individuationsprozeß fördern. Jung erfuhr den Zustand von Supreme Ultimate, der in seinen Kommentaren zu Richard Wilhelms Das Geheimnis der goldenen Blüte beschrieben wird. Eine vergleichende Untersuchung der zwei Disziplinen kann zu einem umfassenderen und tieferen Verständnis von beiden beitragen und den Austausch zwischen östlichen und westlichen Kulturen weiter verbessern. | de |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | El Yijing (libro de los Cambios) ocupa un lugar significativo en la mente y corazón de C. G. Jung, el cual estuvo muy relacionado a la recomendación activa e introducción a la sabiduría del Yijing de Richard Wilhelm. En el presente trabajo se ofrecen tres áreas de discusión y exploración: 1. La onto-cosmogonía concebida en el Yijing, aquí los autores exploran el sentido de la secuencia de los Ocho Trigramas de Fuxi, y el Posicionamiento de los Ocho Trigramas de King Wen, y la inspiración de la Imagen Natural del Cielo y la Tierra; sin conocer esta onto-cosmogonía, no es posible aprehender la totalidad del Yijing. 2. La onto-cosmogonía en la psicología Junguiana, comenzando con una discusión sobre la sincronicidad, la cual Jung desarrolló inspirándose en el I Ching; los autores exploran la correlación entre los cuatro pasos en los movimientos dinámicos del Self según Jung y las cuatro etapas de los movimientos cosmológicos, tal como son revelados por el hexagrama Qian y los números en el He tu (mapa del Río) y Luo shu (Carta de Luo). 3. Las correlaciones entre el Taiji, la dualidad y otros términos de la psicología Junguiana. Desde la perspectiva de los autores, el correlacionar algunos términos significativos de la Psicología Junguiana con conceptos filosóficos del Yijing puede contribuir al desarrollo del proceso de individuación. Jung experimentó el estado de lo Absoluto, descripto en sus Comentarios al Secreto de la Flor Dorada de Richard Wilhelm. Un estudio comparativo de las dos disciplinas puede ayudarnos a alcanzar una comprensión más completa y profunda de ambas, y contribuir al intercambio entre las culturas de Oriente y Occidente. | es |
pair_34758126 | The Yijing (Book of Changes) occupied a very significant position in C.G. Jung's mind, which was closely related to Richard Wilhelm's active recommendation and introduction of the Yijing wisdom. Inspired by the Yijing, Jung set forth the 'principle of synchronicity', by which scholars tend to discuss the relationship between Yijing and Jungian psychology. In fact, Jungian analytical psychology conceives in-depth onto-cosmological connotations corresponding to the philosophy of the Yijing. The terms invented or employed by Jung such as 'archetype', 'Self', 'individuation', 'mandala,' 'anima and animus', 'persona and shadow' are interrelated with the connotations of Taiji (Supreme Ultimate) (○) and liang yi (two-mode) () in the Yijing philosophy. A comparative study of the two disciplines can help us gain a more comprehensive and deeper understanding of both, and further improve the exchanges of Eastern and Western cultures. | en | lexi-ml/wmt_22_dataset_en_it | train | text | И Цзин (Книга перемен) занимает очень важное место в уме и сердце Юнга и тесно связана с настоятельной рекомендацией Ричарда Вильгельма к ознакомлению с мудростью И Цзин. В этой статье обсуждаются и исследуются трои вопроса. 1. Онто-космогония, зародившаяся в И Цзин. Авторы изучают важность последовательности восьми триаграмм ФУ Си и положения Царя Вэня, а также вдохновение от образа Небо - Земля. Без знания этой онто-космогонии мы не можем в полной мере постичь И Цзин. 2. Онто-космогония, зародившаяся в юнгианской психологии, начинается с обсуждения синхронии - понятия, которое Юнг разработал, вдохновленный И Цзин. Авторы исследуют корреляцию между четырьмя шагами динамики Самости и четырьмя стадиями космогонической динамики, выраженной гексаграммой Кунь, числами в Хэ Ту (Карта Реки) и Ло Шу (квадрат Ло). 3. Корреляция между Тайчи, двумя модусами и некоторыми терминами из юнгианской психологии. С точки зрения авторов, можно изучение связей между основными терминами юнгианской психологии и философскими понятиями в И Цзин может способствовать процессу индивидуации. Юнг пережил состояние Высшее (Supreme Ultimate), которое он описал в комментариях к книге Ричарда Вильгельма «Тайна Золотого Цветка». Сравнительное исследование может помочь нам достичь более полного и глубокого понимания обеих дисциплин, а также улучшить взаимодействие между Восточной и Западной культурами. | ru |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Questo lavoro è stato presentato in risposta al lavoro di Meredith-Owen per l'inaugurazione della conferenza congiunta della The Society of Analytical Psychology e del West Midlands Institute of Psychotherapy nell'autunno del 2020. L'Autrice considera i vincoli posti dalla capacità materna di facilitare l'integrazione sia dell'ombra che dell'inconscio non represso. Questo difficile compito richiede l'impiego di una matrice culturale mediata da sistemi e strutture socio-politiche. Lo sviluppo di questa matrice culturale si poggia su processi simil-alchemici che potrebbero aiutare a sviluppare una comprensione che oltrepassi il proprio singolo punto di vista. | it |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 回应 William Meredith-Owen的文章:“炼金术之龙:温尼克特趋向客体心灵的路径” 这篇文章是对于William Meredith-Owen发表于2020年秋季, 分析心理学会与中西部地区心理治疗学院联合大会的开幕式上的论文的回应。作者讨论了个人母亲在助长阴影和未受压制的无意识的整合上的局限性。这一高难度的整合任务需要一个能动的文化模型, 透过社会政治系统和结构来进行参与。这一文化模型的改进依赖于炼金术式的过程, 它可以帮助人们发展出对于超越自己观点的视角的理解。. | zh-cn |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Cet article a été présenté en réponse à l’article de Meredith-Owen lors de la conférence inaugurale commune à la Society of Analytical Psychology et l’Institut de Psychothérapie des West Midlands, à l’automne 2020. L’auteur examine les contraintes qui affectent la capacité de la mère personnelle à faciliter l’intégration de l’ombre et de l’inconscient non-refoulé. Une tâche si difficile requiert l’implication d’une matrice culturelle aidante arbitrée ou soutenue par des systèmes et des structures socio-politiques. L’amélioration de cette fameuse matrice culturelle dépend de processus apparentés à l’alchimie, qui aideraient à étendre la compréhension au-delà du propre point de vue de chacun. | fr |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Dieser Beitrag wurde als Antwort auf das Papier von Meredith-Owen auf der ersten gemeinsamen Konferenz der Society of Analytical Psychology und des West Midlands Institute of Psychotherapy im Herbst 2020 vorgestellt. Der Autor betrachtet die Beschränkungen der Fähigkeit der persönlichen Mutter, die Integration sowohl des Schattens als auch des nicht unterdrückten Unbewußten zu unterstützen. Eine solch schwierige Aufgabe erfordert die Einbeziehung einer befähigenden kulturellen Matrix, die durch gesellschaftspolitische Systeme und Strukturen vermittelt wird. Die Verbesserung dieser kulturellen Matrix hängt von der Alchemie ähnlichen Prozessen ab die dazu beitragen würden, daß sich Verstehen über den eigenen Standpunkt hinaus entwickelt. | de |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | El presente trabajo fue presentado en la Conferencia inaugural conjunta de la Sociedad de Psicología Analítica y el Instituto de Psicoterapia West Midlands, en otoño 2020, como respuesta al trabajo de Meredith-Owen. La autora considera la capacidad limitada de la madre personal para facilitar la integración de la sombra y del inconsciente no-reprimido. Esta difícil tarea requiere del involucramiento de una matriz cultural facilitadora mediada por estructuras y sistemas socio políticos. La mejora de esta matriz cultural depende de procesos de orden alquímico, los cuales ayudarían al desarrollo de una comprensión que pueda ir más allá del propio punto de vista. | es |
pair_34758127 | This paper was presented as a response to Meredith-Owen's paper at the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The author considers the constraints on the personal mother's capacity to facilitate the integration of both the shadow and the unrepressed unconscious. Such a difficult task requires the involvement of an enabling cultural matrix mediated by socio-political systems and structures. The improvement of this cultural matrix relies on alchemical-like processes which would help understanding develop beyond one's own point of view. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Эта статья была написана в ответ на выступление Мередит-Оуэна на инаугарационной совместной конференции Общества Аналитической Психологии и Института Психотерапии Западного Мидландс осенью 2020 года. Автор рассматривает ограничения способности личной матери фасилитировать интеграцию тени и невытесненного бессознательного. Такая сложная задача требует вовлечения помогающей культурной матрицы, опосредованной социально-политическими системами и структурами. Улучшение этой культурной матрицы основывается на алхимических процессах, которые помогут расширить понимание и выйти за рамки собственной точки зрения. | ru |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Questo lavoro è stato presentato in risposta al alavoro di Meredith-Owen per l'inaugurazione della conferenza congiunta della The Society of Analytical Psychology e del West Midlands Institute of Psychotherapy nell'autunno del 2020. L'articolo propone un modo per comprendere l'inconscio collettivo attraverso il funzionamento del Sé nucleare, e così offre un ponte che indica l'indivisibilità tra la psiche personale e collettiva e l'inconscio, facendo riferimento al classico lavoro di Mary Williams (1963). Più specificamente, questo viene applicato al sogno di distruzione che Winnicott fece dopo aver recensito Memorie, Sogni, Riflessioni, come pure vengono considerate le parti della psiche che erano dissociate a seguito di una importante deprivazione precoce -la ferita narcisistica originaria. Le metafore alchemiche vengono collegate al processo analitico, che permette al Sé nucleare originario (con la sua natura identificativa, partecipativa e di connessione), quando integrato attraverso una relazione, di reimmergersi nell'inconscio e funzionare come to Sé. | it |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 炼金术及分裂的修复--对William Meredith-Owen的回应 这篇文字回应了William Meredith-Owen在2020年秋季, 分析心理学会与中西部地区心理治疗学院联合大会的开幕式上的论文“炼金术, 通往荣格客体心灵的桥梁”一文。文章呈现了一种通过核心的自我的功能来理解集体无意识的方法, 透过这一方式, 提供了一个可以显露出个体与集体心灵/无意识之间的不可分割性的桥梁, 这正是Mary Williams(1963)经典论文中的观点。文章特别将这一观点应用于温尼克特在回看《回忆、梦、思考》后做的破坏性的梦之上, 也应用于那些由于早期的剥夺而分裂出去--即原初的自恋创伤的心灵部分。文章呈现了炼金术的隐喻与分析过程的联系, 这一过程允许原始的核心自我 (带着它的认同性、参与性, 连接性的特征), 在透过关系整合时, 重新沉浸回无意识以及回归它作为自性的功能。. | zh-cn |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Cet article est une réponse à l’article que William Meredith-Owen a présenté à la conférence inaugurale commune à la Society of Analytical Psychology et l’Institut de Psychothérapie des West Midlands, à l’automne 2020, conférence intitulée « L’Alchimie, un Pont vers la Psyché Objective de Jung ». L’article présente une manière de comprendre l’inconscient collectif à travers le fonctionnement du noyau du soi, et offre ainsi une passerelle permettant de rendre compte de l’indivisibilité de la psyché/de l’inconscient collectifs et individuels, en référence à l’article bien connu de Mary Williams (1963). Plus spécifiquement, ceci est appliqué au rêve de destruction que Winnicott a eu après avoir fait la critique de « Ma vie: Souvenirs, Rêves et Pensées ». Ceci est également appliqué à des parties de la psyché qui ont été dissociées du fait de carences précoces importantes - les blessures narcissiques primaires. Il est montré que les métaphores alchimiques rendent compte du processus analytique, qui permet au noyau primitif du soi (avec sa nature identificatoire, participative et liante), quand il est intégré par le biais de la relation, de se retirer dans l’inconscient et de fonctionner en tant que Soi. | fr |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Dieser Text ist eine Antwort auf den Beitrag von William Meredith-Owen, das auf der ersten gemeinsamen Konferenz über 'Alchemie, eine Brücke zu Jungs objektiver Psyche' für die Society of Analytical Psychology und das West Midlands Institute of Psychotherapy im Herbst 2020 vorgestellt wurde. Der Artikel zeigt eine Möglichkeit auf, das kollektive Unbewußte durch die Funktionsweise des Kernselbst zu verstehen und bietet damit eine Brücke zur Unteilbarkeit der persönlichen und kollektiven Psyche/des Unbewußten und welche auf die klassischen Ausführungen von Mary Williams (1963) verweist. Dies wird insbesondere auf Winnicotts Traum von Zerstörung bezogen, den er nach Durchsicht von Erinnerungen, Träume, Gedanken hatte, sowie für Teile der Psyche, die aufgrund einer signifikanten frühen Deprivation dissoziiert waren - die primären narzißtischen Wunden. Alchemistische Metaphern werden herangezogen, die sich auf den analytischen Prozeß beziehen, der es dem primitiven Kernselbst (mit seiner identifizierenden, partizipativen, verbindenden Natur), wenn es durch eine Beziehung integriert wurde, ermöglicht, ins Unbewußte zurückzufallen und als Selbst zu fungieren. | de |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | El presente trabajo es una respuesta al trabajo presentado por William Meredith-Owen en la Conferencia Inaugural conjunta entre la Sociedad de Psicología Analítica y el Instituto de Psicoterapia West Midlands, sobre ‘Alquimia, un Puente hacia la Psique Objetiva de Jung’, en el otoño del 2020. El trabajo presenta un modo de comprender el inconsciente colectivo a través del funcionamiento del self nuclear (‘core-self’), y ofrece así un puente que da cuenta de la indivisibilidad de psique personal y colectiva, referenciando el clásico trabajo de Mary Williams (1963). Específicamente, se aplica al sueño de destrucción que Winnicott tuvo luego de su revisión de Recuerdos, Sueños, Pensamientos, así como a partes de la psique que fueron disociadas debido a una significativa falta temprana - herida narcisista temprana. Se muestran metáforas alquímicas relacionadas al proceso analítico, el cual posibilita al self nuclear primitivo (con su naturaleza conectora, participativa e identificatoria), hundirse en el inconsciente y funcionar como Sí Mismo, cuando es integrado a través de una relación. | es |
pair_34758128 | This paper is a response to William Meredith-Owen's paper presented at the inaugural joint conference on 'Alchemy, a bridge to Jung's objective psyche', for The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in autumn 2020. The paper presents a way of understanding the collective unconscious through the functioning of the core self, and thus offers a bridge which addresses the indivisibility of the personal and collective psyche/unconscious, referencing Mary Williams' (1963) classic paper. Specifically, this is applied to Winnicott's dream of destruction that he had after reviewing Memories, Dreams, Reflections, as well as to parts of the psyche that were dissociated due to significant early deprivation - the primary narcissistic wounds. Alchemical metaphors are shown to relate to the analytic process, which allows the primitive core self (with its identificatory, participatory, connecting nature), when integrated through relationship, to sink back into the unconscious and function as the Self. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Эта статья была написана в ответ на выступление Мередит-Оуэна на инаугарационной совместной конференции Общества Аналитической Психологии и Института Психотерапии Западного Мидландс осенью 2020 года. В статье представлен способ понимания коллективного бессознательного через функционирование ядерного селф, таким образом, является связующим звеном между неделимостью личной и коллективной психики/бессознательного, упомянутой в классической работу Мэри Уильямс (1963). Особенно это касается сновидения Винникота о разрушении, которое ему приснилось после написания обзора «Воспоминания, сновидения, размышления», а также тех частей психики, которые были диссоциированы в результате значительной ранней депривации - первичные нарциссические раны. Приведены алхимические метафоры, которые показывают как аналитический процесс позволяет первичому ядерному селф погрузиться назад в бессознательное и функционировать как Самость. Это возможно при интеграции в отношения. | ru |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Durante l'ultima decade c’è stato un netto incremento del numero dei giovani che si sono identificati come transgender. Più recentemente, sembra ci sia un aumento nel numero dei giovani che de-transitano o ritornano ad identificarsi con il loro sesso originario dopo aver fatto una transizione medica. Viene presentato il caso di una giovane donna che si è sottoposta ad una transizione ed è poi tornata ad identificarsi come femmina dopo circa due anni di testosterone. L’Autrice considera e critica il modello di cura affermativo in relazione alla disforia di genere nel caso clinico di una giovane. | it |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 去跨性别化:个案研究 在过去十年间, 全球跨性别青年的数量剧增。近期, 去除跨性别或是在追逐医学跨性别的个体重返对自身生理性别的认同的年轻人数量也在增加。文章呈现了一个个案, 关于一位女性曾经追求性别转换, 但在使用睾丸酮差不多两年后, 又重返女性化性别的认同。作者透过这个案例论述了对性别焦虑的年轻人的性别平权护理模型。. | zh-cn |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Dans les dix dernières années, on a vu un accroissement considérable du nombre de jeunes personnes qui s’identifient transgenre. Plus récemment, il semble qu’il y ait un accroissement du nombre de jeunes personnes qui reviennent en arrière par une détransition, ou qui reviennent à s’identifier à leur sexe de naissance après avoir souhaité une transition médicale. L’article présente le cas d’une jeune femme qui est entrée dans le processus de transition de genre et qui est ensuite revenue à une identification en tant femme, après presque deux années sous testostérone. A la lumière de ce cas, l’auteur examine et critique le modèle de soin qui va dans le sens d’affirmer la dysphorie de genre chez de jeunes personnes. | fr |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Innerhalb des letzten Jahrzehnts hat die Zahl der jungen Menschen, die sich als transgender identifizieren, weltweit stark zugenommen. In jüngerer Zeit scheint es einen Anstieg der Zahl junger Menschen zu geben, die sich nach einer medizinischen Umwandlung wieder mit ihrem Geburtsgeschlecht identifizieren. Es wird ein Fall einer jungen Frau vorgestellt, die eine Geschlechtsumwandlung anstrebte und sich nach fast zwei Jahren mit Testosterongaben wieder als weiblich identifizierte. Der Autor betrachtet und kritisiert das affirmative Modell der Betreuung geschlechtsbezüglich dysphorischer Jugendlicher im Lichte dieses Falls. | de |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | En la última década, ha habido un crecimiento global agudo de jóvenes que se han identificado como transgénero. Más recientemente, pareciera haber un incremento en el número de jóvenes de-transicionando o retornando a la identificación con su género natal luego de haber realizado una transición médica. Se presenta el caso de una joven mujer quien prosiguió una transición de género y retornó a identificarse como de género femenino, casi dos años después de haber tomado testosterona. La autora considera y critica, a la luz de este caso, el modelo afirmativo de cuidado para la disforia de género en las y los jóvenes. | es |
pair_34758129 | Within the last decade, there has been a sharp global rise in the number of young people identifying as transgender. More recently, there appears to be an increase in the numbers of young people detransitioning or returning to identifying with their natal sex after pursuing medical transition. A case is presented of a young woman who pursued a gender transition and returned to identifying as female after almost two years on testosterone. The author considers and critiques the affirmative model of care for gender dysphoric youth in light of this case. | en | lexi-ml/wmt_22_dataset_en_it | train | text | За последнее десятилетие мы стали свидетелями резкого увеличения числа молодых людей, которые идентифицируют себя как трансгендеров. Однако недавно наметилась обратная тенденция: де-переход или возвращение к идентификации cо cвоим биологическим полом после медицинского вмешательства. Представлен случай молодой женщины, которая предприняла попытку смены пола, а затем вернулась к идентификации себя как женщины после двух лет приема тестостерона. В свете этого случая автор критически рассматривает аффирмативную модель помощи гендерно-дисфоричным молодым людям. | ru |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Al momento attuale si osserva una tendenza politica alla polarizzazione ed alla radicalizzazione in diversi Paesi del mondo. L’ascesa dei movimenti populisti e di un discorso polarizzato dal crescente odio, contemporaneamente all’aumento delle sfide ambientali e culturali richiede un approccio psicologico multidimensionale a questi fenomeni. La visione di Jung dell’individuazione rimane cruciale per la comprensione e la possibilità di mitigare gli sviluppi verso una radicalizzazione, e verso la divisione tra le culture. Questo articolo considera le idee della psicologia del profondo classica e contemporanea a proposito dell’individuazione, del lavoro sull’Ombra e sui complessi culturali, ed applica queste idee agli attuali sviluppi socio-politici. Per illustrare meglio, il pensiero junghiano è messo in dialogo con quelle acquisizioni della Psicologia Sociale Teoria della Gestione del Terrore (Terror Management Theory -TMT) che mirano all’angoscia di morte inconscia per amplificare un senso di separatezza e di “alterità”, così come il giudizio ed il conflitto tra individui e gruppi. Questo lavoro mira ad approfondire la comprensione degli attuali fenomeni di polarizzazione culturale, come pure della cura collettiva e della crescita, attraverso una sintesi delle idee di Jung, della ricerca in TMT e del riaccendersi del fuoco dell’individuazione come opposto alla polarizzazione, all’alienazione ed al conflitto. | it |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 民粹主义时期的文化情结, 死亡焦虑和自性化:荣格心理学与社会心理学间的对话 世界各地都有一种明显的政治两极化和种族主义倾向。在加剧的环境和文化的挑战中正在升起的民粹主义及越发炙热的极端论述, 都呼吁在这些现象中有多元面向的心理学卷入。荣格自性化的视野对于理解甚至缓和这些种族主义的发展以及文化内外的分裂来说, 至关重要。文章讨论了传统的和现代的深度心理学关于自性化、阴影工作、文化情结的观点, 并把这些观点应用到当代社会政治发展之中。为了进一步阐明这一点, 荣格思想被带入到社会心理学中被称为恐怖管理的理论 (TMT)的一系列文献中进行对话, 这些对话显示, 无意识的死亡焦虑放大了分离感和他者, 以及个体与群体间冲突的评判。文章目的是加深当下文化极化现象的理解, 以及通过整合荣格的观点及TMT研究, 来进行的集体化的疗愈和成长, 以及重新点燃自性化之火, 以对抗极化、异化和冲突的趋势。. | zh-cn |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Une tendance à la radicalisation et la polarisation politique est notable dans un grand nombre de pays dans le monde entier. La montée des mouvements populistes et un discours de plus en plus tendu devant les défis environnementaux et culturels croissants appellent à une implication psychologique à diverses facettes par rapport à ces phénomènes. La vision de C.G. Jung concernant l’individuation reste cruciale pour comprendre et peut-être même mitiger les évolutions vers la radicalisation et la division entre les cultures et au sein de la même culture. Cet article examine les idées classiques et contemporaines de la psychologie des profondeurs en ce qui concerne l’individuation, le travail sur l’ombre et les complexes culturels, et applique ces idées aux évolutions socio-politiques actuelles. Pour aller plus loin, la pensée Jungienne est mise en conversation avec les découvertes d’un corpus de travail de la Psychologie Sociale, appelé TMT (Théorie du Management de la Terreur). Ce corpus indique que l’angoisse inconsciente de mort vient amplifier le sentiment de séparation et d’altérité, ainsi que le jugement et le conflit entre les individus et entre les groupes. L’article s’emploie à approfondir la compréhension du phénomène actuel de polarisation culturelle mais aussi de la guérison et de la croissance collective, en synthétisant des idées venant de Jung et de la recherche sur la TMT. Il vise aussi à rallumer la flamme du feu de l’individuation comme une butée à la tendance à la polarisation, l’aliénation et au conflit. | fr |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | In vielen Ländern der Welt ist ein Trend zur politischen Polarisierung und Radikalisierung zu beobachten. Der Aufstieg populistischer Bewegungen und ein zunehmend hitziger polarisierter Diskurs angesichts zunehmender ökologischer und kultureller Herausforderungen erfordern eine vielfältige psychologische Beschäftigung mit diesen Phänomenen. C.G. Jungs Vision von Individuation bleibt entscheidend für das Verständnis und möglicherweise die Abschwächung von Entwicklungen in Richtung Radikalisierung und Spaltung innerhalb und zwischen Kulturen. Dieser Artikel betrachtet klassische und zeitgenössische tiefenpsychologische Ideen in Bezug auf Individuation, Arbeit am Schatten und kulturelle Komplexe und wendet diese Ideen auf aktuelle gesellschaftspolitische Entwicklungen an. Zur weiteren Erläuterung wird das Jungianische Denken mit den Ergebnissen einer sozialpsychologischen Richtung namens Terror-Management-Theory (TMT) in Beziehung gebracht, die auf unbewußte Todesangst als Erweiterung des Gefühls der Trennung und des Andersseins sowie des Urteils und des Konflikts zwischen Individuen und Gruppen hinweist. Der Beitrag zielt darauf ab, das Verständnis der aktuellen kulturellen Polarisierungsphänomene sowie der kollektiven Heilung und des kollektiven Wachstums durch die Synthese von Ideen aus der Jung- und TMT-Forschung zu vertiefen und das Feuer der Individuation als Gegenpol zum Trend der Polarisierung, Entfremdung und des Konflikts neu zu entfachen. | de |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | En muchos países a través del mundo, se observa una tendencia hacia la polarización y la radicalización política. El crecimiento de movimientos populistas y un discurso crecientemente acalorado y polarizado ante los desafíos culturales y del medio ambiente demanda un involucramiento psicológico multifacético con estos fenómenos. La visión de la individuación de C. G. Jung permanece crucial para comprender, y posiblemente mitigar, desarrollos hacia la radicalización y a la división dentro y entre culturas. El presente trabajo considera ideas de la psicología profunda clásica y contemporánea sobre individuación, trabajo con la sombra y complejos culturales, y aplica estas ideas a desarrollos socio-políticos actuales. Para una mayor elucidación, se propone un diálogo entre el pensamiento Junguiano y hallazgos de un campo dentro de la Psicología Social, llamado Teoría de la Gestión del Terror (TGT) la cual se focaliza en el miedo a la muerte inconsciente, como forma amplificada de un sentimiento de separación y otredad, así como en el juicio y conflicto entre individuos y grupos. El presente trabajo tiene como objetivo profundizar en la comprensión del fenómeno actual de polarización cultural, y también contribuir a la sanación y al crecimiento colectivo al sintetizar ideas de C. G. Jung y de investigación en TGT, y reavivar la llama de la individuación como contraposición a la tendencia hacia la polarización, alienación y conflicto. | es |
pair_34758131 | A trend towards political polarization and radicalization is observable in many countries across the world. The rise of populist movements and an increasingly heated polarized discourse in the face of mounting environmental and cultural challenges calls for a multifaceted psychological engagement with these phenomena. C.G. Jung's vision of individuation remains crucial for understanding, and possibly mitigating, developments towards radicalization and division within and between cultures. This paper considers classic and contemporary depth psychological ideas regarding individuation, shadow work and cultural complexes, and applies these ideas to current socio-political developments. To further elucidate, Jungian thought is brought into conversation with the findings of a body of literature within social psychology called Terror Management Theory (TMT) which points to unconscious death anxiety as amplifying a sense of separation and otherness, as well as judgment and conflict between individuals and groups. This paper aims to deepen the understanding of current cultural polarization phenomena as well as to collective healing and growth by synthesizing ideas from Jung and TMT research, and to rekindle the fire of individuation as a counter to the trend of polarization, alienation and conflict. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Тенденция к политической поляризации и радикализации наблюдается во многих странах по всему миру. Рост популистских движений, возрастающий накал и поляризованность обсуждений перед лицом увеличивающихся культурных и средовых сложностей нуждается в многостороннем психологическом подходе к рассмотрению этих явлений. Взгляд К. Г. Юнга на индивидуацию остается чрезвычайно важным для понимания и возможного смягчения радикализма, а также внутри- и межкультурного радикализма. В статье рассматриваются классическое и современное понимание индивидуации в рамках глубинной психологии, а также исследуется работа тени и культурные комплексы. Эти идеи применяются к современным социополитическим движениям. взгляды Для дальнейшего прояснения вопроса юнгианская мысль представлена в диалоге с литературой по социальной психологии, которая получила название Теория управления террором (Terror Management Theory (TMT), которая указывает на бессознательный страх смерти как амплификацию ощущения отдельности и инаковости, а также на осуждение и конфликт между индивидами и группами. Цель статьи - углубить понимание современного феномена культурной поляризации, а также коллективного исцеления и роста благодаря синтезу идей Юнга и TMT исследований, разжечь огонь индивидуации в противовес поляризации, отчуждению и конфликту. | ru |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Ci sono molte riflessioni, sia individuali che collettive all'interno dei nostri Istituti, sugli effetti sul nostro lavoro con i pazienti causati dal COVID-19 e la necessità di spostarsi rapidamente dai setting delle nostre stanze di consultazione al lavoro online con i pazienti (si veda anche il precedente numero di questo Journal). Questo articolo si focalizza su ciò che noi abbiamo appreso da queste esperienze e che possiamo aggiungere alla nostra conoscenza sul ruolo del setting nel lavoro analitico. Facendo riferimento al lavoro di Bleger (1967) che mette in luce il setting nella sua dimensione fatta di proiezioni di affetti e desideri primitivi, l'articolo esplora come pazienti differenti hanno risposto alla perdita dell'analista come custode del setting e, più particolarmente, alla perdita della sua presenza fisica. Vengono esplorate alcune domande chiave e sfide sia per i pazienti che per gli analisti durante la pandemia, quando il “setting inizia a lacrimare”. | it |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 在我们的学派里已有许多关于个体或集体的反思, 反思我们对新冠病人的工作, 以及反思突然从咨询室转向线上工作的变化所需要的准备 (参见上期杂志)。这篇文章关注我们在这些经验中所汲取的教训, 以增进我们对于分析工作中设置所扮演的角色的理解。文章运用Bleger富有创意的论文的观点, 把一般性的设置看作是静音的原始愿望与情感投射的载体, 透过这种观点, 文章探讨了不同的病人如何应对失去分析师, 这位设置的守护者, 特别是作为具身的存在的失去的应对。文章探讨了一些疫情期间, 当“设置开始哭泣时”, 病人和分析师所面对的关键问题与挑战。. | zh-cn |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Il y a eu beaucoup de réflexions, à la fois individuelles et en groupe au sein de nos Instituts, sur les effets du Covid-19 sur notre travail avec les patients et sur l’obligation de passer soudainement du cadre de notre salle de consultation au travail avec nos patients en ligne (voir également le numéro précédent de ce Journal). Cet article se concentre sur ce que nous avons appris de telles expériences qui puisse s’ajouter à notre connaissance en ce qui concerne le rôle du cadre dans le travail analytique. M’appuyant sur l’article fondamental de Bleger (1967) - qui souligne que le cadre habituel est le porteur silencieux des projections d’affects et de souhaits primaires - l’article explore comment différents patients ont réagi à la perte de l’analyste en tant que gardien du cadre et en particulier, en tant que présence incarnée. L’article explore quelques questions clés et défis des patients et des analystes durant la pandémie, « quand le cadre a commencé à pleurer ». | fr |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | In unseren Instituten gab es viele individuelle und kollektive Überlegungen zu den Auswirkungen von COVID-19 auf unsere Arbeit mit Patienten und der Notwendigkeit, plötzlich von der Einrichtung unserer eigenen Beratungsräume zur Online-Arbeit mit Patienten überzugehen (siehe auch die vorherige Ausgabe dieses Journals). Dieser Beitrag konzentriert sich auf das, was wir aus diesen Erfahrungen gelernt haben, was unser Wissen über die Rolle des Settings in der analytischen Arbeit erweitern kann. In Anlehnung an Blegers (1967) grundlegenden Artikel, in dem die übliche Haltung als stummer Projektionsträger für primitive Wünsche und Affekte hervorgehoben wird, wird hier untersucht, wie verschiedene Patienten auf den Verlust des Analytikers als Hüter des Settings und insbesondere als verkörperte Präsenz reagiert haben. Einige Schlüsselfragen und Herausforderungen für Patienten und Analytiker während der Pandemie, wenn ‘das Setting zu weinen beginnt’, werden untersucht. | de |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Ha habido muchas reflexiones, tanto individuales como colectivas al interior de nuestros Institutos, sobre los efectos causados por el COVID-19 en nuestro trabajo con pacientes, y la necesidad de moverse repentinamente desde el encuadre en nuestros propios consultorios a trabajar con pacientes en modalidad virtual (ver también la edición previa de esta Revista). El presente trabajo se focaliza en aquello que hemos aprendido de estas experiencias que puede enriquecer nuestro conocimiento sobre el rol del encuadre en el trabajo analítico. Tomando como base el trabajo seminal de Bleger (1967) en el que se subraya el encuadre usual como portador de proyecciones silenciadas para deseos y emociones primitivas, el trabajo explora cómo diversos pacientes han reaccionado a la pérdida del analista como guardián del encuadre, y en particular como presencia corpórea. Se exploran algunas preguntas y desafíos claves para ambos, paciente y analista, durante la pandemia, cuando ‘el encuadre comienza a llorar’. | es |
pair_34758134 | There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Последнее время в наших институтах появилось размышлений, личных и коллективных, о влиянии коронавируса на нашу работу с пациентами и требованием немедленно перейти к онлайн терапии (смотри предыдущий номер журнала). В этой статье внимание сфокусировано на том, что мы узнали и поняли в ходе удаленной работы, как это обогатило наше знание о роли сеттинга в аналитической работе. Отталкиваясь от знаменитой публикации Бледжера (1967) об обычном сеттинге как безмолвном носителе проекций примитивных желаний и аффектов, автор исследует, как разные пациенты отреагировали на потерю аналитика как стража сеттинга, в особенности, в качестве воплощенного, физического присутствия. Рассматриваются некоторые ключевые вопросы и вызовы для пациентов и аналитиков во время пандемии, когда «сеттинг начал плакать». | ru |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Gli standard globali di vita sono considerevolmente cresciuti come risultato del progresso della civiltà umana. Ad ogni modo, le crisi ecologiche, gli armamenti nucleari e l'accresciuto senso di scontento sono in una lista di cose che ci portano ad interrogarci sulla natura della modernità. Spesso, questi temi collettivi su larga scala sembrano troppo schiaccianti perché un singolo individuo possa affrontarli in profondità e quindi la domanda 'Come possiamo noi, come individui, affrontare i problemi che si affacciano all'intera umanità?' rimane senza una risposta. Questo lavoro suggerisce che sia il sottostante dualismo concettuale ad impedire di rispondere a questa domanda, ma, delineando l'interazione tra psiche e civilizzazione, le azioni necessarie a correggere la traiettoria della civiltà occidentale diventano evidenti. | it |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 绘制心灵与文明的联系:克服观念上的二元论如何帮助我们更好地理解人种轨迹 作为人类文明进步的结果, 全球生活标准得到显著提高。但是, 生态危机, 全球核武器问题及越演愈烈的心理不满感, 以及一系列其它的事物都显示出现代化的问题。通常这些大规模的集体问题对于个体来说都过于强烈, 无法让个体进入深刻的沉思, 于是“我们作为个体如何解决那些面向广大人性的问题?“这一问题就没有解答。这篇文章提出是潜在的二元论观念限制了人们为这个问题提出解答, 通过绘制心灵与文明之间的互动, 修正西方文明轨迹的必要方法就会显露出来。. | zh-cn |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | De manière générale les niveaux de vie ont considérablement augmenté du fait des progrès apportés par la civilisation humaine. Cependant, les crises écologiques, l’armement nucléaire au niveau mondial et un sentiment croissant d’insatisfaction psychologique sont dans la liste des choses qui remettent en question la nature de la modernité. Souvent ces questions collectives de grande ampleur semblent trop accablantes pour que l’individu s’y attache de manière sérieuse. Alors subsiste la question « comment sommes-nous supposés, en tant qu’individus, nous occuper des problèmes auxquels l’humanité au sens large est confrontée? ». Cet article suggère que ce sont les dualismes conceptuels sous-jacents qui nous empêchent de répondre à cette question, et qu’en modélisant l’interaction entre la psyché et la civilisation, les actions nécessaires pour corriger la trajectoire de la civilisation occidentale pourraient devenir repérables. | fr |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Der globale Lebensstandard hat aufgrund der durch die menschliche Zivilisation hervorgebrachten Fortschritte erheblich zugenommen. Ökologische Krisen, globale nukleare Rüstung und ein zunehmendes Gefühl psychischer Unzufriedenheit gehören jedoch zu einer Liste von Dingen, die die Natur der Moderne in Frage stellen. Oft scheinen diese weitläufigen kollektiven Probleme zu überwältigend, als daß der Einzelne vertieft darüber nachdenken könnte, und so bleibt die Frage ‘Wie sollen wir als Einzelpersonen die Probleme angehen, mit denen die gesamte Menschheit konfrontiert ist?'. Dieser Beitrag geht davon aus, daß es die zugrunde liegenden konzeptuellen Dualismen sind, die eine Antwort auf diese Frage verunmöglichen. Durch die Kartierung der Wechselwirkung zwischen Psyche und Zivilisation können die Maßnahmen erkennbar werden, die zur Korrektur der Flugbahn der westlichen Zivilisation erforderlich sind. | de |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Los estándares globales de vida se han incrementado considerablemente como resultado del progreso producido por la civilización humana. Sin embargo, las crisis ecológicas, el armamento nuclear y una creciente sensación de descontento psicológico se encuentran entre una lista de cosas que cuestionan la naturaleza de la modernidad. A menudo, estos temas colectivos de gran escala parecen demasiado abrumadores para que el individuo pueda reflexionar en profundidad, y entonces, persiste la pregunta: ‘¿cómo nosotros, como individuos, debemos abordar los problemas que enfrenta la humanidad? Este trabajo sugiere que son los dualismos conceptuales subyacentes los que impiden una respuesta a esta pregunta, y que, a través de cartografiar la interacción entre psique y civilización, las acciones necesarias para corregir la trayectoria de la civilización Occidental pueden tornarse evidentes. | es |
pair_34758135 | Global living standards have increased considerably as a result of the progress brought about by human civilization. However, ecological crises, global nuclear armament and an increasing sense of psychological discontent are among a list of things that bring into question the nature of modernity. Often these large-scale collective issues seem too overwhelming for the individual to ponder in any great depth and thus the question, 'how are we, as individuals, supposed to address the problems facing broader humanity?' remains. This paper suggests that it is the underlying conceptual dualisms that prevent an answer to this question, and by mapping the interaction between psyche and civilization, the actions necessary to correct the trajectory of Western civilization may become apparent. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Во всем мире стандарты уровня жизни значительно повысились в результате прогресса, достигнутого человеческой цивилизацией. Однако экологические кризисы, ядерное вооружение и растущее чувство психологического недовольства - наряду с другими процессами - ставят под сомнение природу современности. Часто эти крупномасштабные коллективные проблемы кажутся слишком сложными для индивидуума, и их глубокое осмысления оказывается под сомнением, поэтому возникает вопрос: «Как мы, как личности, должны обращаться с проблемами, стоящими перед всем человечеством?». Автор предполагает, что концептуальный дуализм мешает ответить на этот вопрос, нам необходимо сделать карту взаимодействия между психикой и цивилизацией, которая поможет прояснить действия, необходимые для корректировки траектории западной цивилизации. | ru |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La psiche è non binaria e multipla ed il lavoro analitico nel contenitore analitico deve essere mantenuto nella fluidità e nella molteplicità. Gli analisti sono chiamati a convogliare energie Queer (non specificamente eterosessuali) nella attitudine analitica. L'energia Queer è intrinsecamente non conforme e disidera confrontarsi con concetti a priori per favorire l'espressione del Sé. Una attitudine analitica Queer cerca di confondere la narrativa, decostruire il linguaggio, ed ascoltare in profondità cosa sta emergendo nel campo. L'energia Queer è anche fortemente attivatrice e spesso risulta in una polarizzazione di attitudini ed un fallimento nel riuscire a tenere ciò che sta emergendo. Questa risposta a Withers (2020) ed a Herdzik (2021) è un invito per tutti noi ad affrontare i nostri complessi che si attivano intorno al lavoro sui temi transgender e la fluidità dell'esperienza Queer. La molteplicità del Sé cerca di farsi vedere attraverso il processo analitico. La comprensione cosciente di ciò che è emergente, e quindi sconosciuto, è al cuore di questo processo. Una analisi capace di tenere l'energia Queer offre un contesto per l'esplorazione dell'identità di genere e per la sua espressione. | it |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 回应Withers的文章(2020):“跨性别医疗化以及对心理压力的规避”, 以及回应Herdzik’s (2021)对Withers的回应 心灵是非二元的和多元的, 在分析性容器中的临床工作必须包含多元的流动性。分析师有责任把反常的能量带入分析性的态度。反常的能量本质上不遵从一致性, 并期待与先验的观念面质, 从而促进自性的展开。反常的分析性态度寻求模糊的叙事, 解构语言, 以及深入倾听场域中的新声。反常的能量也是被深度唤起的, 其结果常常是观念的两极化和难以抱持住新浮现的内容。 这一对 Withers (2020) 和 Herdzik (2021)文章的回应, 邀请我们所有人在跨性别议题的工作中, 使用我们激活了的情结, 以及使用反常经验的流动性。自性的多元性寻求透过分析过程而被认知。有意识地对当下的浮现持有至诚的经验, 并因此让未知成为这一过程的核心。可以抱持住反常的涌现的分析性能力, 为性别的探索及其表达提供了剧场。. | zh-cn |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La psyché est non-binaire et multiple et le travail clinique dans le contenant analytique doit se passer dans la fluidité de la multiplicité. Les analystes sont appelés à apporter l’énergie Queer à l’attitude analytique. L’énergie Queer est intrinsèquement non conformiste. Elle cherche à confronter les idées préconçues, et fait ceci pour soutenir le déploiement du Soi. Une attitude analytique Queer cherche à brouiller le récit, à déconstruire la langue, et à écouter profondément ce qui émerge dans le champ. L’énergie Queer est aussi profondément stimulante. Il en résulte souvent des polarisations de l’attitude et l’impossibilité de contenir ce qui est en train d’émerger. Cette réponse à Withers (2020) et à Herdzik (2021) est une invitation pour chacun d’entre nous à mobiliser nos propres complexes activés dans le travail avec les questions transgenres et la fluidité de l’expérience Queer. La multiplicité du Soi recherche à être connue à travers le processus analytique. L’expérience authentique et maintenue consciemment de ce qui est émergent - et de ce fait inconnu - est au cœur de ce processus. Une analyse capable d’accueillir et de contenir l’énergie Queer offre un théatre pour l’exploration de l’identité de genre et son expression. | fr |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Die Psyche ist nicht-binär und vielfältig und die klinische Arbeit im analytischen Container muß in der Fluidität der Vielheit erfolgen. Analytiker sind aufgerufen, Queer-Energie in die analytische Haltung zu bringen. Queere Energie ist von Natur aus nicht konform und strebt im Dienst der Entfaltung des Selbst a priori danach, Konzepten entgegentreten. Eine queere analytische Haltung versucht, das Narrativ zu verwischen, die Sprache zu dekonstruieren und vertieft auf das zu hören, was auf dem Gebiet auftaucht. Queer-Energie ist auch tief aktivierend und führt oft zu Polarisierungen der Einstellung und einem Versagen, das Entstehende zu halten. Diese Antwort auf Withers (2020) und Herdzik (2021) ist eine Einladung für uns alle, unsere aktivierten Komplexe für die Arbeit mit Transgenderthemen und die Fluidität der Queer-Erfahrung einzusetzen. Die Vielfältigkeit des Selbst versucht, durch analytische Prozesse erkannt zu werden. Im Zentrum dieses Prozesses steht die bewußtgehaltene authentische Erfahrung dessen, was aus der Tiefe auftaucht und somit unbekannt ist. Eine Analyse, die Queer-Energie halten kann, bietet eine Bühne für die Erforschung der Geschlechtsidentität und ihres Ausdrucks. | de |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La psique es no binaria y múltiple, y el trabajo clínico en el contenedor analítico debe ser sostenido en la fluidez de la multiplicidad. Analistas son convocados/as a brindar energía Queer a la actitud analítica. La energía Queer es intrínsecamente no conformista y busca confrontar conceptos a priori al servicio del despliegue del Self. Una actitud analítica Queer busca desdibujar narrativas, deconstruir el lenguaje, y escuchar profundamente aquello que emerge en el campo. La energía Queer es también profundamente activadora y a menudo resulta en una polarización de la actitud no pudiendo sostener lo emergente. Esta respuesta a Withers (2020) y a Herdzik (2021) es una invitación a todos nosotros a comprometernos con nuestros complejos activados al trabajar con temas de transgénero y la fluidez de la experiencia Queer. La multiplicidad del Self busca ser conocida a través del proceso analítico. Sostener conscientemente la experiencia auténtica de lo emergente y desconocido está en el núcleo de este proceso. Un análisis capaz de sostener energía Queer ofrece un teatro para la exploración de la identidad de género y su expresión. | es |
pair_34758136 | Psyche is non-binary and multiple and clinical work in the analytic container must be held in the fluidity of multiplicity. Analysts are called to bring Queer energy to analytical attitude. Queer energy is intrinsically non-conforming and desires to confront a priori concepts in service to the unfolding of the Self. A Queer analytic attitude seeks to blur narrative, deconstruct language and listen deeply for what is emergent in the field. Queer energy is also deeply activating and often results in polarizations of attitude and a failure to hold what is emergent. This response to Withers (2020) and to (Herdzik 2021) is an invitation for all of us to engage our activated complexes around work with transgender issues and the fluidity of the Queer experience. The multiplicity of the Self seeks to be known through analytic process. Consciously held authentic experience of what is emergent and thus unknown is at the core of this process. An analysis capable of holding Queer energy offers a theatre for the exploration of gender identity and its expression. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Психика не бинарна и множественна, поэтому клиническая работа в аналитическом контейнере должна удерживаться в текучести множественности. Аналитикам необходимо привнести Квир энергию в аналитическую установку. Квир-энергия по своей сути неконформна и стремится противостоять априорным концепциям, служащим раскрытию Самости. Квир-аналитическая установка стремится размыть нарратив, деконструировать язык и внимательно прислушаться к том, что возникает в поле. Квир-энергия сильно активирующая и часто приводит к поляризации установки и неспособности обеспечить хороший холдинг возникающему в поле. Этот ответ Уизерсу (2020) и Херджику (2021) - приглашение всем нам вовлечь наши активированные комплексы в работу с трансгендерной темой и подвиженостью, текучестью Квир опыта. Множественность Самости стремится быть познанной посредством аналитического процесса. Сознательно удерживаемый аутентичный опыт того, что возникает в поле, а значит является незнаемым, лежит в основе этого процесса. Анализ, способный удерживать квир-энергию, предлагает пространство для исследования гендерной идентичности и ее выражений. | ru |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Questo articolo parte dal concetto di Winnicott della madre sufficientemente buona per discutere come capire se una situazione terapeutica sia sufficientemente buona per continuare o cattiva per finire. Questo dilemma è esplorato nei termini delle sindromi cliniche, come l'anoressia ed il gioco patologico, e si focalizza principalmente sulle conclusioni dell'analisi avviate dall'analista, che sono definite il 'Dilemma di Casablanca', in riferimento all'amplificazione della conclusione del film Casablanca. L'Autore prosegue discutendo queste conclusioni unilaterali, presentando le interviste fatte a 40 analisti e terapeuti sulla loro esperienza clinica. Viene anche presentato un modello di cattiva conclusione. Le differenze psicologiche tra una analisi sufficientemente buona come contrapposta ad una sufficientemente cattiva vengono esplorate alla luce delle idee di Winnicott e Neumann. | it |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 何时停止?当刚刚够好变成刚刚够坏的时候 这篇文章引出了温尼克特刚刚够好的母亲的概念, 来讨论如何知道治疗的情境是不是刚刚够好, 可以持续, 还是刚刚不够好, 可以结束了。文章通过临床症状来探讨这种困境, 这些症状包括神经性厌食, 病理性赌博, 但是主要集中讨论的是分析师发起的结束, 这被称为“卡萨布兰卡困境”, 命名来源于电影卡萨布兰卡的结局部分的放大。作者继续讨论这种来自单方面的结束, 这些讨论基于对40位分析师和治疗师关于其临床经验的访谈。文章呈现了一种刚刚不够好的结束的类型。文章通过温尼克特和诺伊曼的观点讨论了刚刚够好和刚刚够坏的分析师之间的心理差别。. | zh-cn |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Cet article s’appuie sur le concept de Winnicott de la mère suffisamment bonne afin de discuter de comment savoir si une situation thérapeutique est suffisamment bonne pour poursuivre ou suffisamment mauvaise pour arrêter. Ce dilemme est étudié du point de vue de syndromes cliniques tels l’anorexie ou l’addiction aux jeux d’argent. L’article se concentre principalement sur les terminaisons initiées par l’analyste, pour lesquelles on parle du « dilemme de Casablanca » en amplification de la fin du film Casablanca. L’auteur explore de telles terminaisons - décidées unilatéralement - s’appuyant sur des entretiens avec 40 analystes et thérapeutes au sujet de leur expérience clinique. L’article présente une typologie des terminaisons suffisamment mauvaises. Il examine les différences entre une analyse suffisamment bonne et une analyse suffisamment mauvaise, à travers les idées de Winnicott et de Neumann. | fr |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Dieser Artikel stützt sich auf Winnicotts Konzept der good enough mother und erörtert wie man wissen kann, ob eine therapeutische Situation gut genug ist um fortzufahren oder schlecht genug um beendet zu werden. Dieses Dilemma wird im Hinblick auf klinische Syndrome wie Anorexie und pathologisches Glücksspiel untersucht, konzentriert sich jedoch hauptsächlich auf von Analytikern initiierte Beendigungen, die als 'Casablanca-Dilemma' bezeichnet werden und auf einer Amplifikation des Endes des Films Casablanca beruhen. Der Autor diskutiert solche einseitigen Beendigungen anhand von Interviews mit 40 Analytikern und Therapeuten bezüglich ihrer klinischen Erfahrungen. Eine Typologie von ausreichend schlechten Beendigungen wird vorgestellt. Die psychologischen Unterschiede zwischen einer ausreichend guten und einer ausreichend schlechten Analyse werden mit Hilfe der Ideen von Winnicott und Neumann erforscht. | de |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Este artículo se basa en el concepto de la madre suficientemente buena, de Winnicott, para analizar cómo reconocer cuándo una situación terapéutica es suficientemente buena para continuar o suficientemente mala para concluir. Se explora este dilema en síndromes clínicos, como anorexia y juego patológico, pero se focaliza principalmente en el analista - iniciador de finales, llamado ‘el dilema Casablanca’, en base a la amplificación del final de la película Casablanca. El autor continúa analizando semejantes finales unilaterales, a partir de entrevistas a cuarenta analistas y terapeutas acerca de su experiencia clínica. Se presenta una tipología de finales suficientemente malos. Se exploran las diferencias psicológicas entre un suficiente buen análisis en oposición a uno suficientemente malo, a través de las ideas de Winnicott y Neumann. | es |
pair_34758137 | This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Статья написана на основе понятия Винникота о достаточно хорошей матери и выносит на обсуждение вопрос: как понять, что терапевтическая ситуация является достаточно хорошей, чтобы продолжить, или достаточно плохой, чтобы закончить. Эта дилемма исследуется в терминах клинических синдромов, таких как анорексия и патологический гемблинг. Однако основной фокус статьи - это «дилемма Касабланки»: завершение терапии по инициативе аналитика. Название появилось в результате амплификации финала фильма «Касабланка». Автор исследует одностороннее завершение, основываясь на данных интервью с 40 аналитиками и терапевтами. Предложена типология плохого окончания. Психологические различия между достаточно хорошим анализом и достаточно плохим рассмотрены через призму идей Винникота и Нойманна. | ru |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Questo lavoro è stato presentato alla conferenza inaugurale congiunta della Society of Analytical Psychology e del West Midlands Institute of Psychotherapy nell'autunno del 2020. Sviluppa l'interesse dell'Autore (2011, 2015, 2016) sul confronto tra Winnicott e Jung attraverso le immagini del lavoro alchemico di Michael Maier nel 1617, Atalanta Fugiens, ed attraverso le lenti della bi-logica di Matte Blanco. | it |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | 炼金术之龙:温尼克特趋向客体心灵的路径 这篇文章发表于2020年秋季, 分析心理学会与中西部地区心理治疗学院联合大会的开幕式上。它促成了作者对温尼克特与荣格之间关联的兴趣(2011, 2015, 2016), 作者通过马克布兰考的二值逻辑检视了麦克-迈尔斯1617年名为《Atalanta Fugiens》的炼金术作品。. | zh-cn |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Cet article a été présenté à la conférence inaugurale commune à la Society of Analytical Psychology et à l’Institut de Psychothérapie des West Midlands, à l’automne 2020. L’article représente le prolongement de l’intérêt de son auteur (2011, 2015, 2016) pour l’implication de Winnicott avec Jung, ceci en se penchant sur l’imagerie du travail alchimique de Michael Maier en 1617 dans son Atalanta Fugiens, et en le regardant à travers la perspective de la bi-logique de Matte Blanco. | fr |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Dieser Text wurde im Herbst 2020 auf der ersten gemeinsamen Konferenz der Society of Analytical Psychology und des West Midlands Institute of Psychotherapy vorgestellt. Er entfaltet das Interesse des Autors (2011, 2015, 2016) an Winnicotts Engagement für Jung, indem es die Bilder von Michael Maiers alchemistischem Werk von 1617, Atalanta Fugiens, durch die Linse von Matte Blancos Bi-Logik betrachtet. | de |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | El presente trabajo fue presentado en la Conferencia inaugural conjunta de la Sociedad de Psicología Analítica y el Instituto de Psicoterapia West Midlands en otoño del 2020. Desarrolla el interés del autor (2011, 2015, 2016) en el involucramiento de Winnicott con Jung, contemplando la imaginería del trabajo alquímico Atalanta Fugiens de Michael Maier de 1617, a través de la lente bi-lógica de Matte Blanco. | es |
pair_34758140 | This paper was presented to the inaugural joint conference of The Society of Analytical Psychology and the West Midlands Institute of Psychotherapy in the autumn of 2020. It develops the author's interest (2011, 2015, 2016) in Winnicott's engagement with Jung by looking at the imagery of Michael Maier's alchemical work of 1617, Atalanta Fugiens, through the lens of Matte Blanco's bi-logic. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Доклад был представлен на инаугарационной совместной конференции Общества Аналитической Психологии и Института Психотерапии Западного Мидландс осенью 2020 года. Автор развивает свои идеи (2011, 2015, 2016) об увлеченности Винникота теорией Юнга, исследуя образы алхимической работы Майкла Майера 1617 года Atalanta Fugiens, через призму би-логики Матте Бланко. | ru |
pair_34758948 | The prevalence of osteochondral changes in the metatarsal growth plates of fattening bulls was investigated. Plantarodorsal radiographic views of the metatarsal region of 204 hind legs from 102 slaughtered fattening bulls were taken. Radiographic lesions in metatarsal growth plates were confirmed in selected cases using computed tomography (n=14) and histology (n=6). Radiographic criteria for growth plate lesions were axis deviations between the metatarsal bones and the digit, radiolucencies in the growth plate, increased bone density in the metaphysis, irregularities of the growth plate and marginal osteophytes («lipping»). The individual lesions were categorised as present/absent or 1 = slight, 2 = distinct, and 3 = severe. A weighted sum of these radiographic changes was generated for each growth plate and for each animal, and used for statistical analysis of the associations between husbandry factors and the occurrence of lesions. Almost all of the metatarsal bones had signs of osteochondral changes on the radiographs of the growth plates. The most common lesions were lipping (99,5 %), increased bone density in the metaphysis (66,6 %) and radiolucencies in the growth plates (64,1 %). Computed tomography and histology revealed hyperplasia of the margins of the epiphysis and metaphysis, focal increase in bone deposits accompanied by incomplete ossification and irregular and widened cartilage columns of the growth plate. There were statistically significant associations between the weighted radiographic changes and slaughter weight, average daily weight gain, husbandry practices and production label. The prevalence of radiographic lesions indicative for osteochondrosis of the metatarsal growth plates of fattening bulls slaughtered at a local abattoir was high. The extent to which the distinct and severe lesions are associated with reduced production and obvious clinical lameness requires further study. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La prevalenza dei cambiamenti osteocondrali nelle articolazioni epifisarie dei tori da ingrasso doveva essere documentata, per questo studio, post-mortem utilizzando le ossa metatarsali. Sono state quindi raccolti ed esaminati radiograficamente 204 piedi posteriori di 102 tori da ingrasso nel percorso fascio plantarodorsale. Le lesioni delle ossa metatarsali sono state confermate in casi selezionati utilizzando la tomografia computerizzata (n=14) e l’istologia (n=6). I criteri radiografici dei risultati delle lesioni erano il gonfiore dei tessuti molli, la deviazioni dell’asse tra il metatarso e il piede, schiarimenti nella zona di crescita, aumento della densità dell’osso adiacente all’articolazione epifisaria, regolarità e larghezza delle linee dell’articolazione epifisaria così come estrazioni ossee («lipping») al bordo dell’articolazione epifisaria. Le singole lesioni sono state classificate come presenti/assenti o 1 = lievi, 2 = evidenti e 3 = gravi. Una somma ponderata di questi cambiamenti radiografici è stata generata per ogni metatarso e per ogni animale, e utilizzata per l’analisi statistica delle associazioni tra i fattori di allevamento e la comparsa delle lesioni. Tra le 204 ossa metatarsali raccolte, quasi tutte evidenziavano cambiamenti radiografici nel senso di osteocondrosi alle articolazioni epifisarie. Le lesioni più comuni erano il lipping (99,5 %), l’aumento della densità ossea vicino alle linee articolari (66,6 %) e gli schiarimenti nella zona di crescita (64,1 %). La tomografia computerizzata e l’istologia hanno rivelato un’iperplasia dei margini dell’epifisi e della metafisi, e un aumento focale dei depositi ossei accompagnato da un’ossificazione incompleta e colonne cartilaginee irregolari e allargate della placca di crescita. Sono state rilevate associazioni statisticamente significative tra i cambiamenti radiografici ponderati e il peso di macellazione, l’aumento di peso medio giornaliero, le pratiche di allevamento e l’etichetta di produzione. La prevalenza di lesioni radiografiche indicative di osteocondrosi delle placche di accrescimento metatarsali dei tori da ingrasso macellati in un mattatoio locale era alta. La misura in cui queste lesioni distinte e gravi sono associate a una produzione ridotta e a una zoppia clinica evidente richiede ulteriori studi. | it |
pair_34758948 | The prevalence of osteochondral changes in the metatarsal growth plates of fattening bulls was investigated. Plantarodorsal radiographic views of the metatarsal region of 204 hind legs from 102 slaughtered fattening bulls were taken. Radiographic lesions in metatarsal growth plates were confirmed in selected cases using computed tomography (n=14) and histology (n=6). Radiographic criteria for growth plate lesions were axis deviations between the metatarsal bones and the digit, radiolucencies in the growth plate, increased bone density in the metaphysis, irregularities of the growth plate and marginal osteophytes («lipping»). The individual lesions were categorised as present/absent or 1 = slight, 2 = distinct, and 3 = severe. A weighted sum of these radiographic changes was generated for each growth plate and for each animal, and used for statistical analysis of the associations between husbandry factors and the occurrence of lesions. Almost all of the metatarsal bones had signs of osteochondral changes on the radiographs of the growth plates. The most common lesions were lipping (99,5 %), increased bone density in the metaphysis (66,6 %) and radiolucencies in the growth plates (64,1 %). Computed tomography and histology revealed hyperplasia of the margins of the epiphysis and metaphysis, focal increase in bone deposits accompanied by incomplete ossification and irregular and widened cartilage columns of the growth plate. There were statistically significant associations between the weighted radiographic changes and slaughter weight, average daily weight gain, husbandry practices and production label. The prevalence of radiographic lesions indicative for osteochondrosis of the metatarsal growth plates of fattening bulls slaughtered at a local abattoir was high. The extent to which the distinct and severe lesions are associated with reduced production and obvious clinical lameness requires further study. | en | lexi-ml/wmt_22_dataset_en_it | train | text | La prévalence des modifications ostéochondrales des plaques de croissance métatarsiennes des taureaux à l’engraissement a été étudiée. Des radiographies planto-dorsales de la région métatarsienne de 204 membres postérieurs de 102 taureaux d’engraissement abattus ont été réalisées. Les lésions radiographiques des plaques de croissance métatarsiennes ont été confirmées dans des cas sélectionnés par tomodensitométrie (n=14) et histologie (n=6). Les critères radiographiques des lésions du cartilage de conjugaison étaient les déviations de l’axe entre les os métatarsiens et les phalanges, les radiotransparences du cartilage de conjugaison, l’augmentation de la densité osseuse de la métaphyse, les irrégularités du cartilage de conjugaison et les ostéophytes marginaux (« lipping »). Les lésions individuelles ont été classées comme présentes/absentes ou 1 = légères, 2 = distinctes et 3 = sévères. Une somme pondérée de ces modifications radiographiques a été générée pour chaque plaque de croissance et pour chaque animal et utilisée pour l’analyse statistique des associations entre les facteurs d’élevage et l’apparition de lésions. Presque tous les os métatarsiens présentaient des signes de modifications ostéochondrales sur les radiographies des plaques de croissance. Les lésions les plus fréquentes étaient le « lipping » (99,5 %), l’augmentation de la densité osseuse au niveau de la métaphyse (66,6 %) et les radiotransparences des plaques de croissance (64,1 %). La tomodensitométrie et l’histologie ont révélé une hyperplasie des marges de l’épiphyse et de la métaphyse, une augmentation focale des dépôts osseux accompagnée d’une ossification incomplète et des colonnes cartilagineuses irrégulières et élargies sur le cartilage de conjugaison. Il y avait des associations statistiquement significatives entre les changements radiographiques pondérés et le poids d’abattage, le gain de poids quotidien moyen, les pratiques d’élevage et les labels de production. La prévalence des lésions radiographiques révélatrices d’une ostéochondrose des plaques de croissance métatarsiennes des taureaux d’engraissement abattus dans un abattoir local était élevée. La mesure dans laquelle ces lésions distinctes et sévères sont associées à une production réduite et à une boiterie clinique évidente nécessite une étude plus approfondie. | fr |
pair_34758948 | The prevalence of osteochondral changes in the metatarsal growth plates of fattening bulls was investigated. Plantarodorsal radiographic views of the metatarsal region of 204 hind legs from 102 slaughtered fattening bulls were taken. Radiographic lesions in metatarsal growth plates were confirmed in selected cases using computed tomography (n=14) and histology (n=6). Radiographic criteria for growth plate lesions were axis deviations between the metatarsal bones and the digit, radiolucencies in the growth plate, increased bone density in the metaphysis, irregularities of the growth plate and marginal osteophytes («lipping»). The individual lesions were categorised as present/absent or 1 = slight, 2 = distinct, and 3 = severe. A weighted sum of these radiographic changes was generated for each growth plate and for each animal, and used for statistical analysis of the associations between husbandry factors and the occurrence of lesions. Almost all of the metatarsal bones had signs of osteochondral changes on the radiographs of the growth plates. The most common lesions were lipping (99,5 %), increased bone density in the metaphysis (66,6 %) and radiolucencies in the growth plates (64,1 %). Computed tomography and histology revealed hyperplasia of the margins of the epiphysis and metaphysis, focal increase in bone deposits accompanied by incomplete ossification and irregular and widened cartilage columns of the growth plate. There were statistically significant associations between the weighted radiographic changes and slaughter weight, average daily weight gain, husbandry practices and production label. The prevalence of radiographic lesions indicative for osteochondrosis of the metatarsal growth plates of fattening bulls slaughtered at a local abattoir was high. The extent to which the distinct and severe lesions are associated with reduced production and obvious clinical lameness requires further study. | en | lexi-ml/wmt_22_dataset_en_it | train | text | Die Prävalenz von osteochondrotischen Veränderungen in den Epiphysenfugen von Maststieren sollte anhand der Ossa metatarsalia postmortal dokumentiert werden. Dazu wurden 204 Hinterfüsse von 102 Maststieren gesammelt und röntgenologisch im plantarodorsalen Strahlengang untersucht. Bei ausgewählten Ossa metatarsalia wurden die Veränderungen computertomographisch (n=14) und histologisch (n=6) detaillierter dargestellt. Radiologische Kriterien für die Befundung waren Weichteilschwellung, Achsenabweichungen zwischen Röhrbein- und Zehenachse, Aufhellungen in der Wachstumszone, vermehrte Dichte des an die Epiphysenfuge angrenzenden Knochens, Regelmässigkeit und Weite der Epiphysenfugenlinien sowie knöcherne Ausziehungen («Lippenbildung») am Rande der Epiphysenfuge. Die Veränderungen wurden je nach Kriterium in vorhanden/nicht vorhanden oder 1 = schwach, 2 = deutlich und 3 = stark gewichtet. Aus den Befunden wurden gewichtete Röntgensummen der Veränderungen pro Metatarsus und pro Tier für die statistische Auswertung erstellt. Mit Hilfe dieser Röntgensumme wurde statistisch untersucht, ob ein Zusammenhang der Röntgenveränderungen mit verschiedenen Faktoren der Haltung bestand. Von den 204 Ossa metatarsalia wiesen nahezu alle röntgenologische Veränderungen im Sinne einer Osteochondrose an den Epiphysenfugen auf. Die häufigsten Befunde waren eine «Lippenbildung» (99,5 %), erhöhte Dichte des Knochengewebes nahe den Fugenlinien (66,6 %) und Aufhellungen in den Fugen (64,1 %). Die entsprechenden computertomographisch und histologisch nachweisbaren Veränderungen waren eine Hyperplasie des Randbereichs der Epiphyse und der Metaphyse, vermehrte Knochendichte bei unvollständiger Verknöcherung und eine Unregelmässigkeit sowie Verbreiterung der Säulenknorpelzone. Ein signifikanter Zusammenhang der gewichteten röntgenologischen Veränderungen mit dem Schlachtgewicht, mit der durchschnittlichen täglichen Gewichtszunahme, mit dem Produzenten sowie mit dem Produktionslabel war statistisch nachzuweisen. Zusammenfassend konnte röntgenologisch eine hohe Prävalenz von osteochondrotischen Veränderungen der Epiphysenfugen der Ossa metatarsalia von Maststieren aus dem Einzugsbereich des lokalen Schlachthofs festgestellt werden. Der Zusammenhang der deutlichen und insbesondere der starken Schädigungen mit einer reduzierten Mastleistung und einer klinischen Lahmheit bedarf weiterer Untersuchungen. | de |
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