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Insight and imagination. 洞察力和想象力。
V. Carroll
How are humans different from other animals? What unique characteristics set us apart from other mammals? Language? Many other mammalsV dolphins, chimps, dogsVcommunicate in meaningful ways with each other. Tools? Again, many other mammals use tools in their every day lives. Emotions? We observe behaviors in other mammals that appear similar to human emotion. The Public Broadcasting System recently aired a seriesVBThe Human Spark[Vthat examines these questions. In the three-part series, host Alan Alda joins neuroscientists, archeologists, and primatologists as they try to explain the nature of Bhuman uniqueness.[Using state-of-the-art, high-tech imaging techniques as well as low-tech but scientifically sound laboratory studies of primates, dogs, and human children, scientists examine the ways in which we are similar and those in which we differ. Some of the early evidence of human uniqueness exists in the cave paintings found in southern France. Thirty thousand years ago, our Neanderthal predecessors created extraordinary art that demonstrates imagination, representational thinking, and perhaps a sense of spirituality that we share. Archeological evidence indicates that the Neanderthals lived cooperatively within some sort of social network. However, the Neanderthal line did not survive, leading scientists to ask what really makes us different. Brain size alone? Spoken language or other means of social communication? Better cognitive sequencing? Alda observed the chimps and participated in experiments with them; he and the researchers studying these primates observed the continuity and discontinuity between their skills and ours. Chimps Bmake[ tools and use them efficiently, but they do not save the tools for future, repeated use as we do. Chimps live in social networks that include empathy and cooperation, but these traits are limitedVfor example, sharing food rewards occurs rarely despite nonverbal cues from others in the network. They do not seem to attend to the concerns of others in the group; social understanding is limited. The story of the FOXP2 gene may explain how we made the neurological Bjump[ that explains our uniqueness. Human cognition and abstract thought rely on language. In 1995, Vargha-Khadem et al. published an article that investigated a familial language disorder, a verbal apraxia, linked to a bilateral reduction in the size of affected individuals’ caudate nucleus. Six years later, other researchers announced that they had linked a mutation in a single gene to this language disorder. Named FOXP2, this gene contains a forkhead domain that facilitates transcription fromDNA to RNA. Human FOXP2 differs from chimp FOXP2 in two amino acids; these mutations occurred between 10,000 and 100,000 years ago and have been critical for the development of human speech and the evolution of languageVcritical components of human uniqueness. Language and speech provide us with representational thinking and the ability to conceptualize what ot
人类和其他动物有什么不同?是什么独特的特征使我们有别于其他哺乳动物?语言吗?许多其他哺乳动物,如海豚、黑猩猩、狗,彼此之间都以有意义的方式交流。工具吗?同样,许多其他哺乳动物在日常生活中也使用工具。情绪吗?我们观察到其他哺乳动物的行为似乎与人类的情感相似。公共广播系统最近播出了一个系列节目《人类火花》,探讨了这些问题。在这个由三部分组成的系列节目中,主持人艾伦·阿尔达与神经科学家、考古学家和灵长类动物学家一起,试图解释人类独特性的本质。[利用最先进的高科技成像技术,以及对灵长类动物、狗和人类儿童进行的低技术但科学合理的实验室研究,科学家们研究了我们的相似之处和不同之处。人类独特性的一些早期证据存在于法国南部发现的洞穴壁画中。三万年前,我们的尼安德特人祖先创造了非凡的艺术,展示了想象力、具象思维,也许还有我们共有的一种灵性。考古证据表明,尼安德特人在某种社会网络中合作生活。然而,尼安德特人并没有存活下来,这让科学家们开始思考,到底是什么让我们与众不同。仅仅是大脑的大小?口语或其他社会交流方式?更好的认知排序?阿尔达观察黑猩猩,并和它们一起做实验;他和研究这些灵长类动物的研究人员观察到它们的技能和我们的技能之间的连续性和不连续性。黑猩猩会制造工具并有效地使用它们,但它们不会像我们一样把工具保存起来以备将来反复使用。黑猩猩生活在包括同情和合作在内的社会网络中,但这些特征是有限的——例如,尽管网络中其他黑猩猩发出了非语言暗示,但它们很少分享食物奖励。他们似乎不关心群体中其他人的关心;社会理解是有限的。FOXP2基因的故事或许可以解释我们是如何产生神经上的Bjump,从而解释我们的独特性。人类的认知和抽象思维依赖于语言。1995年,varga - khadem等人发表了一篇文章,研究了一种家族性语言障碍,一种语言失用症,与受影响个体的双侧尾状核大小减少有关。六年后,其他研究人员宣布,他们已经将一个基因突变与这种语言障碍联系起来。这个基因被命名为FOXP2,它包含一个叉头结构域,可以促进从dna到RNA的转录。人类的FOXP2与黑猩猩的FOXP2在两个氨基酸上不同;这些突变发生在1万到10万年前,对人类语言的发展和语言的进化至关重要,而语言是人类独特性的关键组成部分。语言和言语为我们提供了表征思维和将他人的想法概念化的能力。最后,阿尔达和神经科学家利用高科技成像技术证明,人类在无所事事的时候可能是最有创造力的,在不积极思考的时候,我们最有能力挖掘意向性。我们能够在别人的生活中思考自己,能够从别人的角度考虑问题。我们预测别人对某一特定事件、经历或想法的看法。即使是很小的孩子也会注意别人的意图,并做出相应的行为。所有这些发现对我们这些神经科学护士意味着什么?我们的许多病人都经历了口语交流能力的变化。如果我们相信这种能力使我们独一无二,那么我们就需要帮助他们弥补功能障碍。我们需要寻找方法来支持他们独特的损失和剩余的技能。我们需要利用自己对人类行为、合作和同理心的洞察,尽可能提供最好的护理。作为神经科学护理人员,我们是有意识的护理提供者,会考虑他人的担忧。我们也可以利用我们所有的高科技,科学的复杂知识和设备来帮助我们的病人和他们的家人了解和应对神经功能障碍。我们可以成为火花!
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引用次数: 0
"Once upon a time..."--narrative in nursing. “从前……”——护理叙事。
V. Carroll
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引用次数: 5
Leading by example...and with evidence. 以身作则……还有证据。
V. Carroll
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引用次数: 0
Research and quality improvement activities: when is institutional review board review needed? 研究和质量改进活动:什么时候需要机构审查委员会的审查?
M. McNett, K. Lawry
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引用次数: 9
Oh, nurse, where art thou? 噢,奶妈,你在哪儿?
V. Carroll
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引用次数: 0
Healthcare reform--the time is now. 医疗改革——现在是时候了。
V. Carroll
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引用次数: 0
DBS: uncharted territory--a nurse's perspective. 脑起搏器:未知领域——护士的视角。
Beka Serdans
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引用次数: 1
Neuroscience nursing: where do we go from here? 神经科学护理:我们将何去何从?
J. Woods
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引用次数: 0
Sex differences in depressive symptoms and their correlates after mild-to-moderate traumatic brain injury. 轻至中度创伤性脑损伤后抑郁症状的性别差异及其相关性
Pub Date : 2008-09-01 DOI: 10.1097/01.HTR.0000336876.99972.CD
E. Bay, A. Sikorskii, Denise Saint-Arnault
The purpose of this secondary data analysis, guided by allostatic load theory, was to compare depressive symptoms and their correlates in men and women following mild or moderate traumatic brain injury (n = 159). Using general linear modeling procedures in the Statistical Analysis Software, women reported significantly higher Center for Epidemiological Studies-Depression scores compared with men. According to the Neurobehavioral Functioning inventory subscales, women also reported higher somatic and motor symptoms and difficulties with memory and cognition. Further, women within the first 6 months of their injury reported higher levels of depressive and depressive-somatic symptoms, perceived chronic stress, pain, memory difficulties, and somatic symptoms. These findings were no longer present at the 6- to 12-month or >12-month cutoffs. Women's depressive symptoms during the early recovery period are explained by higher symptom loads and perceived stress, yet mechanisms responsible for these differences remain to be elucidated. Future research is needed to describe hormonal, perceptual, or brain structure differences that may account for these findings. Findings from such research will most likely to contribute to our understanding of postconcussion syndrome.
在适应负荷理论的指导下,本次要数据分析的目的是比较轻度或中度外伤性脑损伤后男性和女性的抑郁症状及其相关因素(n = 159)。使用统计分析软件中的一般线性建模程序,女性报告的流行病学研究中心抑郁得分明显高于男性。根据神经行为功能量表,女性还报告了更高的躯体和运动症状以及记忆和认知方面的困难。此外,在受伤的前6个月内,女性报告了更高水平的抑郁和抑郁躯体症状、感知到的慢性压力、疼痛、记忆困难和躯体症状。这些发现在6- 12个月或>12个月时不再存在。女性在恢复早期的抑郁症状可以用更高的症状负荷和感知压力来解释,但造成这些差异的机制仍有待阐明。未来的研究需要描述激素、知觉或大脑结构的差异,这些差异可能会解释这些发现。这样的研究结果很可能有助于我们对脑震荡后综合症的理解。
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引用次数: 29
Unilateral neglect: assessment in nursing practice. 单侧忽视:护理实践中的评估。
R. Jepson, Kurt Despain, D. Keller
The North American Nursing Diagnosis Association has recognized unilateral neglect (UN) as a nursing diagnosis for more than 2 decades. Such a designation implies that nurses primarily are responsible for assessing, treating, and researching the disorder. However, nurses have made few documented contributions toward this responsibility. Although UN is a complex problem that requires attention from several specialties, there is room for nurses to substantially increase their role. Nurses are uniquely positioned to assess and treat UN by virtue of their interaction with patients in a variety of times, settings, and activities. Nurses need to develop quantifiable measures of clinical observation that are reliable and valid in nursing practice. This article reviews the literature to examine the impact of UN, existing assessment methods, and nursing involvement in assessment and treatment. Potential nursing contributions in practice and research are featured as well.
北美护理诊断协会已经承认单侧忽视(UN)作为一种护理诊断超过20年。这样的称号意味着护士主要负责评估、治疗和研究这种疾病。然而,护士对这一责任的贡献很少。虽然联合国是一个复杂的问题,需要几个专业的关注,但护士仍有很大的空间来大大提高他们的作用。护士由于在各种时间、环境和活动中与患者互动,在评估和治疗UN方面处于独特的地位。护士需要制定可量化的临床观察措施,在护理实践中可靠有效。本文回顾文献,探讨联合国的影响,现有的评估方法,以及护理参与评估和治疗。在实践和研究中潜在的护理贡献也有特色。
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引用次数: 12
期刊
The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
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