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https://www.readbyqxmd.com/read/29149509/promoting-person-centred-care-in-the-perioperative-setting-through-patient-advocacy-an-observational-study
#1
Ann-Sofie Sundqvist, Ulrica Nilsson, Marie Holmefur, Agneta Anderzén-Carlsson
AIMS AND OBJECTIVES: To examine the extent to which the findings from an integrative review regarding perioperative patient advocacy could be empirically supported, and to describe Swedish registered nurse anaesthetists' patient advocacy actions and interactions during the perioperative period. BACKGROUND: Patient advocacy is practiced by various health care professionals in promoting the well-being of patients. It is complex, and in a general health care context it has been described as supporting the patients both physiologically and psychologically...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29146465/more-than-blindsight-case-report-of-a-child-with-extraordinary-visual-capacity-following-perinatal-bilateral-occipital-lobe-injury
#2
Inaki-Carril Mundinano, Juan Chen, Mitchell de Souza, Marc G Sarossy, Marc F Joanisse, Melvyn A Goodale, James A Bourne
Injury to the primary visual cortex (V1, striate cortex) and the geniculostriate pathway in adults results in cortical blindness, abolishing conscious visual perception. Early studies by Larry Weiskrantz and colleagues demonstrated that some patients with an occipital-lobe injury exhibited a degree of unconscious vision and visually-guided behaviour within the blind field. A more recent focus has been the observed phenomenon whereby early-life injury to V1 often results in the preservation of visual perception in both monkeys and humans...
November 13, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/29137530/neuroanatomical-substrates-involved-in-unrelated-false-facial-recognition
#3
Eliane Ronzon-Gonzalez, Carlos R Hernandez-Castillo, Erick H Pasaye, Israel Vaca-Palomares, Juan Fernandez-Ruiz
Identifying faces is a process central for social interaction and a relevant factor in eyewitness theory. False recognition is a critical mistake during an eyewitness's identification scenario because it can lead to a wrongful conviction. Previous studies have described neural areas related to false facial recognition using the standard Deese/Roediger-McDermott (DRM) paradigm (morphed faces, looking similar to each other), triggering false memories (related false recognition). Nonetheless, misidentification of faces without trying to elicit false memories (unrelated false recognition) in a police lineup could involve different cognitive processes, and therefore, distinct neural areas...
November 15, 2017: Social Neuroscience
https://www.readbyqxmd.com/read/29137509/explicit-bias-toward-high-income-country-research-a-randomized-blinded-crossover-experiment-of-english-clinicians
#4
Matthew Harris, Joachim Marti, Hillary Watt, Yasser Bhatti, James Macinko, Ara W Darzi
Unconscious bias may interfere with the interpretation of research from some settings, particularly from lower-income countries. Most studies of this phenomenon have relied on indirect outcomes such as article citation counts and publication rates; few have addressed or proven the effect of unconscious bias in evidence interpretation. In this randomized, blinded crossover experiment in a sample of 347 English clinicians, we demonstrate that changing the source of a research abstract from a low- to a high-income country significantly improves how it is viewed, all else being equal...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29134840/the-ongoing-rediscovery-of-apr%C3%A3-s-coup-as-a-central-freudian-concept
#5
Jonathan House
Après-coup, Freud's Nachträglichkeit, is an essential psychoanalytic concept structuring each of four concepts, four mental processes that lie at the foundation of Freud's thinking: psychic trauma, repression, the creation of the unconscious, and the creation of infantile sexuality. It is argued here that infantile sexual drives, in contrast to the self-preservative instincts, arise from a two-step process of translation and repression in which the residues of failed translation become source-objects of the drives...
October 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/29134838/the-analyst-s-use-of-theory-or-theories-the-play-of-theory
#6
Steven H Cooper
Two clinical vignettes demonstrate a methodological approach that guides the analyst's attention to metaphors and surfaces that are the focus of different theories. Clinically, the use of different theories expands the metaphorical language with which the analyst tries to make contact with the patient's unconscious life. Metaphorical expressions may be said to relate to each other as the syntax of unconscious fantasy (Arlow 1979). The unconscious fantasy itself represents a metaphorical construction of childhood experience that has persisted, dynamically expressive and emergent into adult life...
October 2017: Journal of the American Psychoanalytic Association
https://www.readbyqxmd.com/read/29134829/book-review-from-ultrasound-to-army-the-unconscious-trajectories-of-masculinity-in-israel-from-ultrasound-to-army-the-unconscious-trajectories-of-masculinity-in-israel-by-mann-shalvi-hanni-translated-by-zohar-seree-london-karnac-books-2016-xiv-290-pp-47-95
#7
https://www.readbyqxmd.com/read/29132089/neural-effects-of-environmental-advertising-an-fmri-analysis-of-voice-age-and-temporal-framing
#8
Luis-Alberto Casado-Aranda, Myriam Martínez-Fiestas, Juan Sánchez-Fernández
Ecological information offered to society through advertising enhances awareness of environmental issues, encourages development of sustainable attitudes and intentions, and can even alter behavior. This paper, by means of functional Magnetic Resonance Imaging (fMRI) and self-reports, explores the underlying mechanisms of processing ecological messages. The study specifically examines brain and behavioral responses to persuasive ecological messages that differ in temporal framing and in the age of the voice pronouncing them...
November 10, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/29129593/emotional-priming-depends-on-the-degree-of-conscious-experience
#9
Michael Lohse, Morten Overgaard
Most experiments in consciousness research assume that awareness is a dichotomous 'either/or' phenomenon. However, participants can distinguish multiple levels of subjective experience of simple features (colour, shape etc.), which correlate with their performance in different tasks. As experiments showing multiple levels of perceptual awareness question the widespread idea that many forms of perception can occur unconsciously, we investigated emotional priming combined with methods able to measure small variations in subjective experience...
November 9, 2017: Neuropsychologia
https://www.readbyqxmd.com/read/29126870/susceptibility-to-unconscious-influences-is-unaffected-by-a-challenging-inhibitory-task-or-mental-exhaustion
#10
Angela Gurney, Anna-Nepheli L Lagos, Abigail Manning, Ryan B Scott
Unconscious influences have been demonstrated in a variety of behavioural contexts, however, a key question remains - to what extent do such influences vary with our changing mental states? We examine whether a prior inhibitory challenge increases susceptibility to subliminal priming in a stem completion task employing neutral (Experiment 1) and reward salient terms (Experiment 2). Results show stem completions to be significantly influenced by unconscious priming, and the challenging inhibitory task (the Stroop) to be significantly more mentally exhausting than the control task...
November 7, 2017: Consciousness and Cognition
https://www.readbyqxmd.com/read/29125495/a-dialogue-on-the-issue-of-the-quantum-brain-between-consciousness-and%C3%A2-unconsciousness
#11
Massimo Cocchi, Fabio Gabrielli, Lucio Tonello, Jack Tuszynski
In this paper, we present some diverse points of view on the issue of the quantum brain.The paper is structured in the form of opening statements by each of the co-authors followed by comments and critique presented by the other co-authors. The main focus of the discussion is on the interplay between the state of being alive and consciousness, both of which possess characteristics of quantum physical states.
November 7, 2017: Journal of Integrative Neuroscience
https://www.readbyqxmd.com/read/29123849/a-case-report-of-systemic-embolic-events-associated-with-atrial-fibrillation
#12
Hidehiko Nakano, Hiroshi Yamagami, Hisashi Ofuchi
Case: An 82-year-old woman who had atrial fibrillation was found unconscious and was brought to the emergency department by ambulance. Her Glasgow Coma Scale score was 3, and an electrocardiogram showed ST segment elevation in V3 and V4. Cardiac ultrasonography showed left ventricular asynergy in the anterior wall, septum, and apex. Although dissection of the aorta was suspected, contrast computed tomography showed multiple arterial thromboses, including bilateral common carotid arteries and poor contrast in the left ventricle...
January 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29122959/prefrontal-oxygenation-correlates-to-the-responses-in-facial-skin-blood-flows-during-exposure-to-pleasantly-charged-movie
#13
Kanji Matsukawa, Kana Endo, Ryota Asahara, Miho Yoshikawa, Shinya Kusunoki, Tomoko Ishida
Our laboratory reported that facial skin blood flow may serve as a sensitive tool to assess an emotional status. Cerebral neural correlates during emotional interventions should be sought in relation to the changes in facial skin blood flow. To test the hypothesis that prefrontal activity has positive relation to the changes in facial skin blood flow during emotionally charged stimulation, we examined the dynamic changes in prefrontal oxygenation (with near-infrared spectroscopy) and facial skin blood flows (with two-dimensional laser speckle and Doppler flowmetry) during emotionally charged audiovisual challenges for 2 min (by viewing comedy, landscape, and horror movie) in 14 subjects...
November 2017: Physiological Reports
https://www.readbyqxmd.com/read/29121298/human-neural-correlates-of-sevoflurane-induced-unconsciousness
#14
B J A Palanca, M S Avidan, G A Mashour
Sevoflurane, a volatile anaesthetic agent well-tolerated for inhalation induction, provides a useful opportunity to elucidate the processes whereby halogenated ethers disrupt consciousness and cognition. Multiple molecular targets of sevoflurane have been identified, complementing imaging and electrophysiologic markers for the mechanistically obscure progression from wakefulness to unconsciousness. Recent investigations have more precisely detailed scalp EEG activity during this transition, with practical clinical implications...
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29121278/frontal-alpha-delta-eeg-does-not-preclude-volitional-response-during-anaesthesia-prospective-cohort-study-of-the-isolated-forearm-technique
#15
A L Gaskell, D F Hight, J Winders, G Tran, A Defresne, V Bonhomme, A Raz, J W Sleigh, R D Sanders
Background: The isolated forearm test (IFT) is the gold standard test of connected consciousness (awareness of the environment) during anaesthesia. The frontal alpha-delta EEG pattern (seen in slow wave sleep) is widely held to indicate anaesthetic-induced unconsciousness. A priori we proposed that one responder with the frontal alpha-delta EEG pattern would falsify this concept. Methods: Frontal EEG was recorded in a subset of patients from three centres participating in an international multicentre study of IFT responsiveness following tracheal intubation...
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29121275/black-swans-challenging-the-relationship-of-anaesthetic-induced-unconsciousness-and-electroencephalographic-oscillations-in-the-frontal-cortex
#16
G A Mashour, M S Avidan
No abstract text is available yet for this article.
October 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29121108/spatio-temporal-dynamics-of-multimodal-eeg-fnirs-signals-in-the-loss-and-recovery-of-consciousness-under-sedation-using-midazolam-and-propofol
#17
Seul-Ki Yeom, Dong-Ok Won, Seong In Chi, Kwang-Suk Seo, Hyun Jeong Kim, Klaus-Robert Müller, Seong-Whan Lee
On sedation motivated by the clinical needs for safety and reliability, recent studies have attempted to identify brain-specific signatures for tracking patient transition into and out of consciousness, but the differences in neurophysiological effects between 1) the sedative types and 2) the presence/absence of surgical stimulations still remain unclear. Here we used multimodal electroencephalography-functional near-infrared spectroscopy (EEG-fNIRS) measurements to observe electrical and hemodynamic responses during sedation simultaneously...
2017: PloS One
https://www.readbyqxmd.com/read/29119363/the-effects-of-visual-feedback-distortion-with-unilateral-leg-loading-on-gait-symmetry
#18
Carlos Tobar, Eva Martinez, Nada Rhouni, Seung-Jae Kim
Our prior work provides evidence that visual feedback distortion drives an implicit adaptation; a gradual distortion of visual representation of step length modulated subjects' step lengths away from symmetry. To further explore the effect of the visual feedback distortion on unconscious change in step symmetry, we investigated whether such adaptation would occur even in the presence of altered limb mechanics by adding mass to one side of the leg. 26 subjects performed three 8-min trials (weight only, weight plus visual feedback, and weight plus visual feedback distortion) of treadmill walking...
November 8, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29119040/giant-mucopyocele-associated-with-intracranial-hypertension-case-report-and-literature-review
#19
Maick Willen Fernandes Neves, Luis Otavio Carneiro Pontelli, Luiz Gustavo de Abreu Mattos, Mariana Mazzuia Guimarães, Telmo Augusto Barba Belsuzarri, Tiago Fernandes Gonçales, Wolnei Marques Zeviani, Paulo Henrique Pires de Aguiar, João Flavio Mattos Araújo
Background: Mucoceles are epithelial lined sacs that contain mucous. Eventually, they can be infected and so called mucopyoceles, which are usually slow growing lesions with common bone destruction located in the facial sinus. Mucoceles show multivariate etiology and occur between the fourth and seventh decade of life. Case Description: Patient, 55-year-old, female, was referred unconscious with Cushing's triad to our department; she had fever since four days. The findings of skull computer tomography highlighted a large bifrontal lesion with an invasion of the rear wall of the frontal sinus, compression of the frontal lobes, and midline deviation...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29116375/uncoupling-n-acetylaspartate-from-brain-pathology-implications-for-canavan-disease-gene-therapy
#20
Georg von Jonquieres, Ziggy H T Spencer, Benjamin D Rowlands, Claudia B Klugmann, Andre Bongers, Anne E Harasta, Kristina E Parley, Jennie Cederholm, Orla Teahan, Russell Pickford, Fabien Delerue, Lars M Ittner, Dominik Fröhlich, Catriona A McLean, Anthony S Don, Miriam Schneider, Gary D Housley, Caroline D Rae, Matthias Klugmann
N-Acetylaspartate (NAA) is the second most abundant organic metabolite in the brain, but its physiological significance remains enigmatic. Toxic NAA accumulation appears to be the key factor for neurological decline in Canavan disease-a fatal neurometabolic disorder caused by deficiency in the NAA-degrading enzyme aspartoacylase. To date clinical outcome of gene replacement therapy for this spongiform leukodystrophy has not met expectations. To identify the target tissue and cells for maximum anticipated treatment benefit, we employed comprehensive phenotyping of novel mouse models to assess cell type-specific consequences of NAA depletion or elevation...
November 7, 2017: Acta Neuropathologica
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