Abstract: This work is a proposal of a finite element model to obtain the electromagnetic performance of a squirrel cage motor considering the magnetic wedges and radial vents. To analyze the electromagnetic performance at the design stage, without the need to build a prototype, the paper proposes a simple two dimensions finite element model, which includes components as magnetic wedges used to hold the windings in the stator slots, radial vents in the core, which are part of motor cooling system, and edge effects to improve the model. The stator and rotor cores are modeled with an equivalent homogeneous permeability, obtained from the combination of the radial air vents of rotor and stator and the magnetic core material. The permeability of magnetic wedges is also considered. Edge effects considered are the end winding leakage inductance, representing the leakage flux in the end coils of the stator, and an equivalent impedance between rotor bars due to conductivity and leakage flux in the rings of the squirrel cage. The results obtained are compared with experimental tests performed in steady state to validate the model. Furthermore, no-load and blocked-rotor tests are simulated to estimate the equivalent circuit parameters and draw the typical induction motor torque-speed curve, which is compared with the obtained curve by means of Thevenin’s theorem. With this proposed model, the results are close to the ones obtained experimentally. The implementation of a 3D model is complex, and the computational cost can be much higher, compared to the 2D model developed here.

Resumen: Este trabajo es una propuesta de un modelo de elementos finitos para obtener el desempeño electromagnético de un motor jaula de ardilla que cuenta con cuñas magnéticas y ventilaciones radiales. Para el análisis del desempeño electromagnético, en la etapa de diseño, evitando la necesidad de construir un prototipo, se propone un modelo simple de elementos finitos en dos dimensiones que incluye componentes como cuñas magnéticas utilizadas para mantener los devanados en las ranuras del estator, ventilaciones radiales en el núcleo, que son parte del sistema de enfriamiento del motor, y efectos de borde para complementar el modelo. Los núcleos del estator y del rotor se modelan con una permeabilidad homogénea equivalente, obtenida de la combinación de las salidas de aire radiales del rotor y el estator y material del núcleo magnético. También se considera la permeabilidad de las cuñas magnéticas. Los efectos de borde que se consideran son: la inductancia de dispersión en el cabezal del devanado, el cual representa el flujo disperso al final de las bobinas del estator, y una impedancia equivalente entre las barras del rotor debido a la conductividad y el flujo disperso en los anillos de la jaula de ardilla. Para validar el modelo, los resultados obtenidos se comparan con pruebas experimentales realizadas en estado estable. Adicionalmente, las pruebas de rotor bloqueado y sin carga se simulan para estimar los parámetros del circuito equivalente y obtener la curva par-velocidad del motor inducción, la cual se compara con la curva obtenida mediante el teorema de Thévenin. Los resultados del modelo propuesto son cercanos a los obtenidos en el laboratorio. La implementación de un modelo 3D es compleja y el costo computacional puede ser alto comparado con el modelo 2D desarrollado en este trabajo.

Abstract Between 2011 and 2014, the municipal management of the economist Luis Flores García, protagonist of the intervention of the Historic Center of Cusco, was developed. He outstanded for his social and cultural focus; However, actions to revalue the Cusco way, started controversy in the media; However, a large sector of the population remembers it with great affection because it supported the development of urban plans highly demanded. Some of his projects were almost imperceptible to the neighbors, but the technicians focused that these notably improved the quality of life of the citizens, in the medium and long term. This article analyzes this management and how it influenced the traditional neighborhood of Santa Ana.

Resumen Entre 2011 y 2014 se desarrolló la gestión municipal del economista Luis Flores García, protagonista de la intervención del Centro Histórico del Cusco. Se destacó por su enfoque social y cultural; no obstante, acciones de revalorización de lo cusqueño, dieron inicio a polémicas en los medios de comunicación; sin embargo, un gran sector de la población lo recuerda con gran cariño porque apoyó el desarrollo de planes urbanos muy demandados. Algunos de sus proyectos, resultaron casi imperceptibles a los vecinos, pero los técnicos advierten que estos mejoraron notablemente la calidad de vida de la ciudadanía, a mediano y largo plazo. El presente artículo analiza dicha gestión y cómo influyó en el barrio tradicional de Santa Ana.

Narrativa que percorre o conjunto de atendimentos clínicos vividos por uma dupla, médica e paciente, no Ambulatório de Arritmia durante o processo de tratamento de uma jovem, sem cardiopatia estrutural, com arritmia ventricular complexa, muito sintomática, sem resposta ao tratamento convencional. Utilizou-se abordagem médica ampliada, não convencional, em que o perfil psicoemocional da paciente foi levado em consideração. Por meio de um método cartográfico, buscou-se delinear os percursos trilhados, ressaltando-se os afetos vividos, os impasses, superações e paradas, enquanto vincos de intensidade que marcaram diversos acontecimentos. A paciente obteve reversão das arritmias e dos sintomas após três anos e meio de tratamento e segue sem arritmia após seis anos e meio. Com isso, acreditamos poder colaborar, de forma construtiva, com o questionamento de diversos aspectos das relações clínicas contemporâneas, das dimensões afetivas do adoecer e de processos implicados na construção da saúde.

Narrative depicting the clinical care journey experienced by a doctor and her patient—a young woman with symptomatic ventricular tachycardia, with no structural heart disease, with no response to conventional treatment—at the Arrhythmia Outpatient Clinic. The non-conventional expanded medical approach—where the patient’s psychoemotional profile is taken into consideration—was adopted. Through a cartographic method, we aim to trace the paths taken, highlighting feelings, deadlocks, achievements, and stoppage moments as lines of intensity marking several events. The patient reversed her arrhythmia and symptoms after three and a half years of treatment, and remains so after six and a half years. Therefore, we believe we can constructively cooperate with the discussions of several aspects of contemporary clinical relations, affective dimensions of becoming ill, and processes implied in the development of health.

Narrativa que trascurre por el conjunto de atenciones clínicas vividas por dos personas, una médica y una paciente, en el Ambulatorio de Arritmia, durante el proceso de tratamiento de una joven, sin cardiopatía estructural, con arritmia ventricular compleja, muy sintomática, sin respuesta al tratamiento convencional. Se utilizó el abordaje médico ampliado, no convencional, en el que el perfil psicoemocional de la paciente se llevó en consideración. Por medio de un método cartográfico, se buscó delinear los recorridos seguidos, subrayándose los afectos vividos, los callejones sin salida, las superaciones y las paradas, como marcas de intensidad que señalaron diversos acontecimientos. La paciente tuvo reversión de las arritmias y de los síntomas después de tres años y medio de tratamiento y continúa sin arritmia pasados seis años y medio. De esa forma, creemos que podemos colaborar, de forma constructiva, con el cuestionamiento de diversos aspectos de las relaciones clínicas contemporáneas, de las dimensiones afectivas del enfermarse y de procesos implicados en la construcción de la salud.

Narrativa que percorre o conjunto de atendimentos clínicos vividos por uma dupla, médica e paciente, no Ambulatório de Arritmia durante o processo de tratamento de uma jovem, sem cardiopatia estrutural, com arritmia ventricular complexa, muito sintomática, sem resposta ao tratamento convencional. Utilizou-se abordagem médica ampliada, não convencional, em que o perfil psicoemocional da paciente foi levado em consideração. Por meio de um método cartográfico, buscou-se delinear os percursos trilhados, ressaltando-se os afetos vividos, os impasses, superações e paradas, enquanto vincos de intensidade que marcaram diversos acontecimentos. A paciente obteve reversão das arritmias e dos sintomas após três anos e meio de tratamento e segue sem arritmia após seis anos e meio. Com isso, acreditamos poder colaborar, de forma construtiva, com o questionamento de diversos aspectos das relações clínicas contemporâneas, das dimensões afetivas do adoecer e de processos implicados na construção da saúde.

Narrative depicting the clinical care journey experienced by a doctor and her patient—a young woman with symptomatic ventricular tachycardia, with no structural heart disease, with no response to conventional treatment—at the Arrhythmia Outpatient Clinic. The non-conventional expanded medical approach—where the patient’s psychoemotional profile is taken into consideration—was adopted. Through a cartographic method, we aim to trace the paths taken, highlighting feelings, deadlocks, achievements, and stoppage moments as lines of intensity marking several events. The patient reversed her arrhythmia and symptoms after three and a half years of treatment, and remains so after six and a half years. Therefore, we believe we can constructively cooperate with the discussions of several aspects of contemporary clinical relations, affective dimensions of becoming ill, and processes implied in the development of health.

Narrativa que trascurre por el conjunto de atenciones clínicas vividas por dos personas, una médica y una paciente, en el Ambulatorio de Arritmia, durante el proceso de tratamiento de una joven, sin cardiopatía estructural, con arritmia ventricular compleja, muy sintomática, sin respuesta al tratamiento convencional. Se utilizó el abordaje médico ampliado, no convencional, en el que el perfil psicoemocional de la paciente se llevó en consideración. Por medio de un método cartográfico, se buscó delinear los recorridos seguidos, subrayándose los afectos vividos, los callejones sin salida, las superaciones y las paradas, como marcas de intensidad que señalaron diversos acontecimientos. La paciente tuvo reversión de las arritmias y de los síntomas después de tres años y medio de tratamiento y continúa sin arritmia pasados seis años y medio. De esa forma, creemos que podemos colaborar, de forma constructiva, con el cuestionamiento de diversos aspectos de las relaciones clínicas contemporáneas, de las dimensiones afectivas del enfermarse y de procesos implicados en la construcción de la salud.

Abstract Introduction: Current guidelines state that patients with severe mitral regurgitation should be treated in reference centers with a high reparability rate, low mortality rate, and durable results. Objective: To analyze our global experience with the treatment of organic mitral regurgitation from various etiologies operated in a single center. Methods: We evaluated all surgically treated patients with organic mitral regurgitation from 2004-2017. Patients were evaluated clinically and by echocardiography every year. We determined early and late survival rates, valve related events and freedom from recurrent mitral regurgitation and tricuspid regurgitation. Valve failure was defined as any mitral regurgitation ≥ moderate degree or the need for reoperation for any reason. Results: Out of 133 patients with organic mitral regurgitation, 125 (93.9%) were submitted to valve repair. Mean age was 57±15 years and 52 patients were males. The most common etiologies were degenerative disease (73 patients) and rheumatic disease (34 patients). Early mortality was 2.4% and late survival was 84.3% at 10 years, which are similar to the age- and gender-matched general population. Only two patients developed severe mitral regurgitation, and both were reoperated (95.6% at 10 years). Freedom from mitral valve failure was 84.5% at 10 years, with no difference between degenerative and rheumatic valves. Overall, late ≥ moderate tricuspid regurgitation was present in 34% of the patients, being more common in the rheumatic ones. The use of tricuspid annuloplasty abolished this complication. Conclusion: We have demonstrated that mitral regurgitation due to organic mitral valve disease from various etiologies can be surgically treated with a high repair rate, low early mortality and long-term survival that are comparable to the matched general population. Concomitant treatment of atrial fibrillation and tricuspid valve may be important adjuncts to optimize long-term results.

ABSTRACT 6-Methylcoumarin (6MC) is a semisynthetic coumarin with important in vitro and in vivo anti-inflammatory activity. In order to continue the pre-clinical characterization of this molecule, in vitro intestinal permeability, plasma profile and tissue distribution after oral administration in rats were studied. The permeability of 6MC was evaluated by the Caco-2 cellular model in both the apical-basal (A-B) and basal-apical (B-A) directions. The pharmacokinetics and biodistribution were evaluated in rats after oral and intraperitoneal administration at doses of 200 mg/kg. Transport experiments with Caco-2 cells showed that 6MC presented high permeability at all concentrations evaluated. This finding suggested that 6MC could be transported across the gut wall by passive diffusion. The plasma concentration-time curve showed that the maximum concentration (Cmax) was 17.13 ± 2.90 µg/mL at maximum time (Tmax) of 30 min for the oral route and Cmax 26.18 ± 2.47 µg/mL at 6.0 min for the intraperitoneal administration, with elimination constant of (Ke ) 0.0070 min-1 and a short life half time of (T1/2 ) lower that 120 min. The distribution study showed that 6MC has high accumulation in the liver, and widespread distribution in all the organs evaluated.

Cd1-xZnxS thin films have been studied extensively as window layers for solar cell applications. However, a mismatch between the Cd1-xZnxS and copper-indium-gallium-selenide absorber layers increases with Zn film concentration, which reduces the device efficiency. In this work, Cd1-xZnxS thin films with low Zn concentrations were analyzed. The effect of the addition of different molar Zn concentrations to the reaction mixture on the growth mechanism of Cd1-xZnxS thin films and the influence of these mechanisms on structural, optical and morphological properties of the films has been studied. Cd1-xZnxS thin films were synthesized by chemical bath deposition using an ammonia-free alkaline solution. Microstructural analysis by X-ray diffraction showed that all deposited films grew with hexagonal structure and crystallite sizes decreased as the Zn concentration in the film increased. Optical measurements indicated a high optical transmission between 75% and 90% for wavelengths above the absorption edge. Band gap value increased from 2.48 eV to 2.62 eV, and the refractive index values for Cd1-xZnxS thin films decreased as the Zn increased. These changes in films and properties are related to a modification in growth mechanism of the Cd1-xZnxS thin films, with the influence of Zn(OH)2 formation being more important as Zn in solution increases.

Relato de dois casos de dirofilariose canina de localização ectópica no Estado do Rio de Janeiro. Este é o primeiro relato de migração errática para esta parasitose em cães no Estado, e chama a atenção o curto espaço de tempo entre os dois casos. O fato da região ser endêmica para a parasitose, seu caráter zoonótico e o relato de casos humanos no Estado, demonstram que as autoridades competentes devem estar atentas aos programas de controle da dirofilariose assim como no perfil patogênico da infecção.

Report of two canine dirofilariosis cases of ectopic location in the state of Rio de Janeiro. This is the first report of erratic migration for this parasitosis in dogs in the state, calling attention to the short period of time between the two cases. The fact that the area is endemic for this parasite, its zoonotic potential and the report of human cases in the state, demonstrates that authorities should be alerted to the control programs of dirofilariosis along with the pathogenic profile of the infections.

Objective: To demonstrate the late laparoscopic handling for the repair of a post-traumatic giant hernia. Setting: Hospital CIMA Chihuahua, third level health care. Design: Case description. Case description. Male patient, 41-year-old, who 7 years before had been involved in a frontal automotive collision with loss of consciousness. Four months before his management, he started with weight loss and inability to retain food in the stomach. An esophageal-gastro-duodenal series was performed, which revealed a giant diaphragmatic hernia, gastric volvulus, the CAT scan evidenced hernia orifice in the left hemidiaphragm with gastric volvulus in the right hemithorax. Surgery was performed using a laparoscopic approach; the patient presented a bilateral pleural effusion, which on the 5th of surgery was restricted to the left side only, and resolving 15 days after surgery. Conclusions: When stating that a post-traumatic diaphragmatic hernia is not diagnostic immediately after the event, then we can say that it has become a chronic problem. Repair of post-traumatic diaphragmatic hernias, although technically more complex, have as alternative the laparoscopic route and placement of prosthetic materials with good short- and median-term results, becoming the gold standard for their treatment when performed by expert hands and in appropriate medical centers.

Objetivo: Demostrar el manejo laparoscópico tardío en la reparación de una hernia postraumática gigante. Sede: Hospital CIMA Chihuahua, Tercer Nivel de Atención. Diseño: Descripción de caso. Descripción del caso. Paciente masculino de 41 años de edad, que 7 años previos participó en accidente automovilístico de frente con pérdida de la conciencia. Cuatro meses antes de su manejo comienza con pérdida de peso y una incapacidad importante para mantener los alimentos en el estómago. Se realiza serie esófago-gastroduodenal presentando hernia diafragmática gigante, vólvulo gástrico, la TAC evidencia orificio herniario en hemidiafragma izquierdo con vólvulo gástrico en el hemitórax derecho. Se realiza el tratamiento quirúrgico por abordaje laparoscópico, presentando un derrame pleural bilateral que, al 5º día de postoperado, se mantenía sólo en el lado izquierdo, resolviéndose en su totalidad a los 15 días de postoperado. Conclusiones: Cuando hablamos que una hernia diafragmática postraumática no es diagnóstica de manera inmediata al evento, entonces podemos hablar que el padecimiento se convierte en un problema crónico. La reparación de las hernias diafragmáticas postraumáticas, aunque técnicamente con mayor complejidad, tienen como alternativa la vía laparoscópica y la colocación de materiales protésicos con buenos resultados a corto y mediano plazo, convirtiéndose, en manos expertas y centros hospitalarios adecuados, en el estándar de oro para el manejo de las mismas.

Este trabalho está ligado a pesquisas a respeito de processos de subjetivação e adoecimento contemporâneos, pela abordagem afirmativa e não reducionista da fibromialgia. Formula-se uma metodologia chamada de afirmação do campo problemático, a qual procura resistir à abordagem dialética e à negativação dos sinais e sintomas, para captar a processualidade do jogo de afetos e da produção de signos de hoje, fazendo uso de instrumental psicanalítico, filosófico e clínico. A indiscernibilidade dos limites, a multiplicação de superfícies e a alienação dos ritmos participantes dos processos vitais de individuação surgem como resultados da pesquisa e propõe-se abordar um corpo-questão como território de incidência política, ética e clínica.

This paper related to studies on the contemporary processes of subjectivation and becoming ill, through an affirmative and non-reductionist approach towards fibromyalgia. A method named affirmation of the problematic field was formulated. This sought to resist dialectic approaches and denial of signs and symptoms, in order to pick up the procedurality of the set of affections and the production of signs today, using psychoanalytical, philosophical and clinical tools. Indiscernibility of boundaries, multiplication of surfaces and alienation of the participating rhythms of the vital processes of individuation arose as results from the study. An approach taking the body question as a field for political, ethical and clinical incidence was therefore proposed.

Este trabajo se vincula a investigaciones sobre los procesos de subjetivación y padecimiento contemporáneos mediante un abordaje afirmativo y no reduccionista de la fibromialgia. Para ello se formula una metodología denominada afirmación del campo problemático, tendiente a resistir al abordaje dialéctico y a la negativación de las señales y los síntomas, para captar la procesualidad del juego de afectos y de la producción de signos en la actualidad, haciendo uso de instrumental psicoanalítico, filosófico y clínico. La indiscernibilidad de los límites, la multiplicación de superficies y la alienación de los ritmos participantes en los procesos vitales de individuación surgen como producto de esta investigación. Se plantea aquí abordar un cuerpo-cuestión como territorio político, ético y clínico.

Este trabalho está ligado a pesquisas a respeito de processos de subjetivação e adoecimento contemporâneos, pela abordagem afirmativa e não reducionista da fibromialgia. Formula-se uma metodologia chamada de afirmação do campo problemático, a qual procura resistir à abordagem dialética e à negativação dos sinais e sintomas, para captar a processualidade do jogo de afetos e da produção de signos de hoje, fazendo uso de instrumental psicanalítico, filosófico e clínico. A indiscernibilidade dos limites, a multiplicação de superfícies e a alienação dos ritmos participantes dos processos vitais de individuação surgem como resultados da pesquisa e propõe-se abordar um corpo-questão como território de incidência política, ética e clínica.

This paper related to studies on the contemporary processes of subjectivation and becoming ill, through an affirmative and non-reductionist approach towards fibromyalgia. A method named affirmation of the problematic field was formulated. This sought to resist dialectic approaches and denial of signs and symptoms, in order to pick up the procedurality of the set of affections and the production of signs today, using psychoanalytical, philosophical and clinical tools. Indiscernibility of boundaries, multiplication of surfaces and alienation of the participating rhythms of the vital processes of individuation arose as results from the study. An approach taking the body question as a field for political, ethical and clinical incidence was therefore proposed.

Este trabajo se vincula a investigaciones sobre los procesos de subjetivación y padecimiento contemporáneos mediante un abordaje afirmativo y no reduccionista de la fibromialgia. Para ello se formula una metodología denominada afirmación del campo problemático, tendiente a resistir al abordaje dialéctico y a la negativación de las señales y los síntomas, para captar la procesualidad del juego de afectos y de la producción de signos en la actualidad, haciendo uso de instrumental psicoanalítico, filosófico y clínico. La indiscernibilidad de los límites, la multiplicación de superficies y la alienación de los ritmos participantes en los procesos vitales de individuación surgen como producto de esta investigación. Se plantea aquí abordar un cuerpo-cuestión como territorio político, ético y clínico.

The magnetic mineral in loess and paleosols in a geological sequence of La Plata, Argentina, 34º 54´ 14´´ S and 58º 02' 00´´ W were studied by applying Mössbauer spectroscopy and rock magnetism. Hematite (antiferromagnetic) is by far the dominant iron-bearing magnetic component in both loess and paleosol natural samples. However, SIRM and coercitivity values correspond to ferrimagnetic magnetite. The samples were also subjected to magnetic separation. The magnetically enriched loess samples show a remarkable increase in the content of magnetite. The enhancement of non-magnetic Fe3+ and a decrease of Fe2+ mineral phases in the paleosol layer seems to be a consequence of the process of pedogenesis which also has given rise to a dissolution of magnetic iron oxides by weathering. Consequently the enhancement of SIRM and mass susceptibility values were obtained in horizons less affected by pedogenesis. The increase of magnetite phase in the fraction below 0.062 mm, suggests that the wind could have been the main carrier of magnetic minerals, causing the mayor increasing of the observed magnetic parameters.

Mediante la utilización de espectroscopía Mössbauer y magnetismo de rocas se estudian los minerales magnéticos en muestras de loess y paleosuelos en una sección geológica de La Plata, Argentina, 34º 54´ 14´´ S y 58º 02' 00´´ O. Mediante Mössbauer se determinó que la fase magnética dominante en muestras naturales, sin enriquecer magneticamente, es la hematita (antiferromagnética), tanto en la muestra de loess como en la del paleosuelo. No obstante, mediante magnetismo de rocas se comprueba que los valores de MRSI y coercitividad corresponden a magnetita ferrimagnética. Las muestras fueron también sometidas a separación magnética, constatándose un mayor enriquecimiento en magnetita en la muestra de loess. El incremento de las fases minerales no magnéticas de Fe3+ y el decrecimiento de las de Fe2+ en la muestra de paleosuelo, parece ser una consecuencia de los procesos de pedogénesis, los que también han generado la disolución de los óxidos magnéticos por meteorización. Consecuentemente los valores de MRSI y de susceptibilidad másica se incrementan sensiblemente en los horizontes correspondientes al material menos afectado por procesos de pedogénesis. El aumento de la fase correspondiente a la magnetita en la fracción menor que 0,062 mm, sugiere que el viento ha sido el principal portador de minerales magnéticos, causando el mayor incremento de los parámetros magnéticos observados.

Utilizando o método cartográfico, este trabalho propõe uma análise do contemporâneo da Medicina, por meio de seu encontro com a Psicanálise. A escolha do método cartográfico tem o intuito de evitar tanto uma perspectiva de análise dialética, quanto o isolamento do "observador" de seu objeto. A cena médica, tecnológica, abre-se para receber planos de comunicação/contaminação que ultrapassam a habitual relação médico-paciente. Isto para sustentar a complexidade dos encontros, comportando fatores inconscientes e virtuais. Complexidade esta que, levada em consideração, implica uma ética particular. Propõe-se o uso do que foi chamado "quase-conceito" para auxiliar na tarefa cartográfica de determinar planos compostos no encontro. Rejeita-se o voluntarismo que acarreta a produção de "manuais de conduta", para buscar "linhas de força" que atravessam o espaço contemporâneo e os nele imersos, linhas estas consideradas como pré-individuais.

Relying on the cartographic method, this article proposes an analysis of the contemporary element of Medicine, by means of its interface with psychoanalysis. The cartographic method was chosen to avoid both the perspective of dialectical analysis and the isolation of the "observer" relative to the observed object. The medical scene, being technological, is open to levels of communication/contamination that exceed the usual doctor/patient relation, so that it may support the complexity of interfaces, including unconscious and virtual elements. This complexity, when taken into account, implies in a particular ethic. What is proposed is the use of a so-called "near-concept" to aid in the cartographic task of determining the levels that interfacing comprises. There is a rejection of the voluntarism that leads to the production of "conduct manuals", in order to seek "energy lines" that cross contemporary space and the duo immersed in it, such lines being regarded as pre-individual.

Este trabajo pretende realizar un análisis de la contemporaneidad efectuando una intersección entre la medicina y el psicoanálisis. Para ello se utiliza aquí el método cartográfico, con miras a evitar, tanto una perspectiva de análisis dialéctica como el aislamiento del «observador» con relación a su objeto. La escena médica y tecnológica se abre para recibir planos de comunicación-contaminación, que van más allá de la habitual relación médico-paciente para sostener la complejidad de los encuentros, que involucra factores inconscientes y virtuales. Complejidad ésta que, cuando se la considera, implica una ética particular. Se plantea el uso de aquello que se llama «casi conceptos»; en este caso, la delicadeza y la sutileza, para auxiliar en la tarea cartográfica de determinar los planos compuestos en el encuentro. Se rechaza el voluntarismo que deriva en la producción de «manuales de conducta», para buscar «líneas de fuerza» que atraviesan el espacio contemporáneo y la dupla en el inmersa, líneas éstas consideradas como preindividuales.

Utilizando o método cartográfico, este trabalho propõe uma análise do contemporâneo da Medicina, por meio de seu encontro com a Psicanálise. A escolha do método cartográfico tem o intuito de evitar tanto uma perspectiva de análise dialética, quanto o isolamento do "observador" de seu objeto. A cena médica, tecnológica, abre-se para receber planos de comunicação/contaminação que ultrapassam a habitual relação médico-paciente. Isto para sustentar a complexidade dos encontros, comportando fatores inconscientes e virtuais. Complexidade esta que, levada em consideração, implica uma ética particular. Propõe-se o uso do que foi chamado "quase-conceito" para auxiliar na tarefa cartográfica de determinar planos compostos no encontro. Rejeita-se o voluntarismo que acarreta a produção de "manuais de conduta", para buscar "linhas de força" que atravessam o espaço contemporâneo e os nele imersos, linhas estas consideradas como pré-individuais.

Relying on the cartographic method, this article proposes an analysis of the contemporary element of Medicine, by means of its interface with psychoanalysis. The cartographic method was chosen to avoid both the perspective of dialectical analysis and the isolation of the "observer" relative to the observed object. The medical scene, being technological, is open to levels of communication/contamination that exceed the usual doctor/patient relation, so that it may support the complexity of interfaces, including unconscious and virtual elements. This complexity, when taken into account, implies in a particular ethic. What is proposed is the use of a so-called "near-concept" to aid in the cartographic task of determining the levels that interfacing comprises. There is a rejection of the voluntarism that leads to the production of "conduct manuals", in order to seek "energy lines" that cross contemporary space and the duo immersed in it, such lines being regarded as pre-individual.

Este trabajo pretende realizar un análisis de la contemporaneidad efectuando una intersección entre la medicina y el psicoanálisis. Para ello se utiliza aquí el método cartográfico, con miras a evitar, tanto una perspectiva de análisis dialéctica como el aislamiento del «observador» con relación a su objeto. La escena médica y tecnológica se abre para recibir planos de comunicación-contaminación, que van más allá de la habitual relación médico-paciente para sostener la complejidad de los encuentros, que involucra factores inconscientes y virtuales. Complejidad ésta que, cuando se la considera, implica una ética particular. Se plantea el uso de aquello que se llama «casi conceptos»; en este caso, la delicadeza y la sutileza, para auxiliar en la tarea cartográfica de determinar los planos compuestos en el encuentro. Se rechaza el voluntarismo que deriva en la producción de «manuales de conducta», para buscar «líneas de fuerza» que atraviesan el espacio contemporáneo y la dupla en el inmersa, líneas éstas consideradas como preindividuales.