-
Anales Del Sistema Sanitario de Navarra 2012This review analyzes the existing studies on home care rehabilitation and physiotherapy in patients with a knee prosthesis intervention, identifying and synthesising the... (Comparative Study)
Comparative Study Review
This review analyzes the existing studies on home care rehabilitation and physiotherapy in patients with a knee prosthesis intervention, identifying and synthesising the results of the interventions measured in terms of muscular strength, function, extension of the joint, walking, patient's quality of life and cost of the service, compared with other alternative treatments. Nine databases have been analysed: IME, ENFISPO, CUIDEN PLUS, PUBMED, EMBASE, CINAHL, PEDro, COCHRANE library Plus and TRIP DATA BASE where 18 studies met the criteria for inclusion with information on 4,996 patients. Home care rehabilitation varies from one place to another and between studies (forms of care, application, duration, variable measures); but the idea is supported that this is as effective and acceptable as that received in an outpatients' department. It accelerates the attainment of functional achievements in the short and medium term, entailing very brief hospital stays and a reduction in costs.
Topics: Arthroplasty, Replacement, Knee; Home Care Services; Humans; Knee Prosthesis; Physical Therapy Modalities
PubMed: 22552131
DOI: 10.4321/s1137-66272012000100009 -
Frontiers in Psychology 2022Accepting the idea that the mental representations of concepts, diagrams, relations, plans, etc., are thought-shapers, I suggest going a bit further. Any kind of...
Accepting the idea that the mental representations of concepts, diagrams, relations, plans, etc., are thought-shapers, I suggest going a bit further. Any kind of representation, be it mental or public, i.e., accessible to others, bears thought-shaping potential, albeit not in the same manner. Just as the idea of embodied cognition takes into consideration environmental facilities and obstacles, I suggest investigating thought processes in a broader context, i.e., placing thought-shapers in the context of their formation. I propose that the elements of the above mentioned definition of thought-shapers are built upon a structure that consists of representational skills, means, and institutions. In accordance with the idea of embeddedness and enactment, the need for communication and the given cognitive and physical aptitudes result in different kinds of expression, i.e., different kinds of representations available to others. When an expressional mode solidifies, it opens up new possibilities and limitations. I propose that mundane, almost unnoticeable affordances and their accompanying limits do shape our thoughts thoroughly. In my argument for the thought-shaper potential of the generative technique of public representations, I will delineate a historical overview of representational means in tandem with the main characteristics of different eras' crucial ideals and patterns of reasoning. I will close the historical overview with a terminological excursion exploring how publicly available representation and mental representation relate to each other and the kinds of ambiguities that accompany the latter term's use. Accordingly, embedding thought-shapers, I will outline the evolution of different representational techniques and skills. Then, because language is a decisive representational means, I will investigate its orientating and distortive potential. I will rely on some of Bergson's lesser-known remarks. I will illuminate how ocular-centrism was able to be a decisive metaphor in science and philosophy for long centuries, until recently even. In conclusion, as a case study, I will illuminate how the term "mental representation" as a highly abstract term facilitates and at the same time hinders philosophical and scientific inquiry.
PubMed: 35928426
DOI: 10.3389/fpsyg.2022.918820 -
Topics in Cognitive Science Jul 2018To explain how abstract concepts are grounded in sensory-motor experiences, several theories have been proposed. I will discuss two of these proposals, Conceptual... (Review)
Review
To explain how abstract concepts are grounded in sensory-motor experiences, several theories have been proposed. I will discuss two of these proposals, Conceptual Metaphor Theory and Situated Cognition, and argue why they do not fully explain grounding. A central idea in Conceptual Metaphor Theory is that image schemas ground abstract concepts in concrete experiences. Image schemas might themselves be abstractions, however, and therefore do not solve the grounding problem. Moreover, image schemas are too simple to explain the full richness of abstract concepts. Situated cognition might provide such richness. Research in our laboratory, however, has shown that even for concrete concepts, sensory-motor grounding is task dependent. Therefore, it is questionable whether abstract concepts can be significantly grounded in sensory-motor processing.
Topics: Concept Formation; Humans; Metaphor; Psychological Theory
PubMed: 29214726
DOI: 10.1111/tops.12311 -
Tijdschrift Voor Psychiatrie 2023Clear and unambiguous description of psychiatric symptoms is a prerequisite for a personalized and reliable mental state examination.
BACKGROUND
Clear and unambiguous description of psychiatric symptoms is a prerequisite for a personalized and reliable mental state examination.
AIM
To draw attention to the correct use of psychiatric language.
METHOD
Description of persistent linguistic errors and relevant but too little used terms, and a new Dutch translation for some psychopathological terms.
RESULTS
The following linguistic errors are presented: ‘concentration’ as if it means the sustaining of attention; ‘compulsive behaviour’ that is not really compulsive; ‘no diagnosis’ while no disorder is diagnosed; ‘no psychopathology’ as if the patient has no science of psychopathology; ‘to impress as’ for characteristic that are not impressive; ‘mild’ while psychiatric disorders are never mild; ‘inhibition’ as if we can observe that subjective phenomenon; ‘signs’ for symptoms that do not appear to us at all; ‘weather and climate’ for affect and mood, while the mood generally changes somewhat faster than he climate. Attention is drawn for the terms chronognosia, overvalued idea, sensory hyporeactivity and disorders of self-awareness. New Dutch translations for dysmorphic disorder, délire de négation, and paranoic are explained.
CONCLUSION
Psychiatrists, watch your language!
Topics: Male; Humans; Mental Disorders; Language; Psychiatry
PubMed: 36951767
DOI: No ID Found -
Psychoanalytic Inquiry Nov 2013The concept of mentalizing has captured the interest and imagination of an astonishing range of people-from psychoanalysts to neuroscientists, from child development...
The concept of mentalizing has captured the interest and imagination of an astonishing range of people-from psychoanalysts to neuroscientists, from child development researchers to geneticists, from existential philosophers to phenomenologists-all of whom seem to have found it useful. According to the Thompson Reuter maintained Web of Science, the use of the term in titles and abstracts of scientific papers increased from 10 to 2,750 between 1991 and 2011. Clinicians in particular have enthusiastically embraced the idea, and have put it to innovative use in their practices. Mentalization-based treatment (MBT)-making mentalizing a core focus of therapy-was initially developed for the treatment of borderline personality disorder (BPD) in routine clinical services delivered in group and individual modalities. Therapy with mentalizing as a central component is currently being developed for treatment of numerous groups, including people with antisocial personality disorder, substance abuse, eating disorders, and at-risk mothers with infants and children (A. Bateman & Fonagy, 2011). It is also being used with families and adolescents, in schools, and in managing social groups (Asen & Fonagy, 2011; Fonagy et al., 2009; Twemlow, Fonagy, & Sacco, 2005a, 2005b). In this article, we focus on MBT in the treatment of BPD.
PubMed: 26157198
DOI: 10.1080/07351690.2013.835170 -
Philosophical Transactions of the Royal... Aug 2018Grounded theories of cognition claim that concept representation relies on the systems for perception and action. The sensory-motor grounding of abstract concepts... (Review)
Review
Grounded theories of cognition claim that concept representation relies on the systems for perception and action. The sensory-motor grounding of abstract concepts presents a challenge for these theories. Some accounts propose that abstract concepts are indirectly grounded via image schemas or situations. Recent research, however, indicates that the role of sensory-motor processing for concrete concepts may be limited, providing evidence against the idea that abstract concepts are grounded via concrete concepts. Hybrid models that combine language and sensory-motor experience may provide a more viable account of abstract and concrete representations. We propose that sensory-motor grounding is important during acquisition and provides structure to concepts. Later activation of concepts relies on this structure but does not necessarily involve sensory-motor processing. Language is needed to create coherent concepts from diverse sensory-motor experiences.This article is part of the theme issue 'Varieties of abstract concepts: development, use and representation in the brain'.
Topics: Cognition; Concept Formation; Feedback, Sensory; Humans; Language; Learning; Models, Psychological
PubMed: 29915000
DOI: 10.1098/rstb.2017.0132 -
Ugeskrift For Laeger Apr 2024This review delves into the possible role of artificial intelligence (AI) in medical research, from planning to publication. AI can aid in idea generation, data... (Review)
Review
This review delves into the possible role of artificial intelligence (AI) in medical research, from planning to publication. AI can aid in idea generation, data analysis, and writing, with tools like chatbots and transcription systems enhancing efficiency. However, AI's limitations, including the "hallucination" problem in which it generates false information, require careful use and verification. Ensuring anonymity compliance with sensitive data is also vital. AI's transformative potential in research brings opportunities for innovation, necessitating mindful application to manage biases and data accuracy.
Topics: Artificial Intelligence; Biomedical Research; Humans; Data Accuracy
PubMed: 38704722
DOI: 10.61409/V08230532 -
Philosophical Transactions of the Royal... Aug 2018Numerical knowledge, including number concepts and arithmetic procedures, seems to be a clear-cut case for abstract symbol manipulation. Yet, evidence from perceptual... (Review)
Review
Numerical knowledge, including number concepts and arithmetic procedures, seems to be a clear-cut case for abstract symbol manipulation. Yet, evidence from perceptual and motor behaviour reveals that natural number knowledge and simple arithmetic also remain closely associated with modal experiences. Following a review of behavioural, animal and neuroscience studies of number processing, we propose a revised understanding of psychological number concepts as grounded in physical constraints, embodied in experience and situated through task-specific intentions. The idea that number concepts occupy a range of positions on the continuum between abstract and modal conceptual knowledge also accounts for systematic heuristics and biases in mental arithmetic, thus inviting psycho-logical approaches to the study of the mathematical mind.This article is part of the theme issue 'Varieties of abstract concepts: development, use and representation in the brain'.
Topics: Cognition; Concept Formation; Humans; Knowledge; Mathematical Concepts
PubMed: 29914993
DOI: 10.1098/rstb.2017.0125 -
Innovative Surgical Sciences Sep 2017Due to the rapidly evolving medical, technological, and technical possibilities, surgical procedures are becoming more and more complex. On the one hand, this offers an... (Review)
Review
Due to the rapidly evolving medical, technological, and technical possibilities, surgical procedures are becoming more and more complex. On the one hand, this offers an increasing number of advantages for patients, such as enhanced patient safety, minimal invasive interventions, and less medical malpractices. On the other hand, it also heightens pressure on surgeons and other clinical staff and has brought about a new policy in hospitals, which must rely on a great number of economic, social, psychological, qualitative, practical, and technological resources. As a result, medical disciplines, such as surgery, are slowly merging with technical disciplines. However, this synergy is not yet fully matured. The current information and communication technology in hospitals cannot manage the clinical and operational sequence adequately. The consequences are breaches in the surgical workflow, extensions in procedure times, and media disruptions. Furthermore, the data accrued in operating rooms (ORs) by surgeons and systems are not sufficiently implemented. A flood of information, "big data", is available from information systems. That might be deployed in the context of Medicine 4.0 to facilitate the surgical treatment. However, it is unused due to infrastructure breaches or communication errors. Surgical process models (SPMs) alleviate these problems. They can be defined as simplified, formal, or semiformal representations of a network of surgery-related activities, reflecting a predefined subset of interest. They can employ different means of generation, languages, and data acquisition strategies. They can represent surgical interventions with high resolution, offering qualifiable and quantifiable information on the course of the intervention on the level of single, minute, surgical work-steps. The basic idea is to gather information concerning the surgical intervention and its activities, such as performance time, surgical instrument used, trajectories, movements, or intervention phases. These data can be gathered by means of workflow recordings. These recordings are abstracted to represent an individual surgical process as a model and are an essential requirement to enable Medicine 4.0 in the OR. Further abstraction can be generated by merging individual process models to form generic SPMs to increase the validity for a larger number of patients. Furthermore, these models can be applied in a wide variety of use-cases. In this regard, the term "modeling" can be used to support either one or more of the following tasks: "to describe", "to understand", "to explain", to optimize", "to learn", "to teach", or "to automate". Possible use-cases are requirements analyses, evaluating surgical assist systems, generating surgeon-specific training-recommendation, creating workflow management systems for ORs, and comparing different surgical strategies. The presented chapter will give an introduction into this challenging topic, presenting different methods to generate SPMs from the workflow in the OR, as well as various use-cases, and state-of-the-art research in this field. Although many examples in the article are given according to SPMs that were computed based on observations, the same approaches can be easily applied to SPMs that were measured automatically and mined from big data.
PubMed: 31579744
DOI: 10.1515/iss-2017-0005 -
Soins; La Revue de Reference Infirmiere Oct 2023Considering that it's always a good idea to know where we've come from, in order to better envision where we're going, it's appropriate to look at the evolution of the... (Review)
Review
Considering that it's always a good idea to know where we've come from, in order to better envision where we're going, it's appropriate to look at the evolution of the relationship to care by following the thread of nurses' professional construction and the concomitant transformation of practices. Indeed, if we are to approach the discipline of nursing with serenity, we must first identify the key to its cultural heritage, which defines the way it comes into contact with illness at the patient's bedside.
PubMed: 37778861
DOI: 10.1016/j.soin.2023.08.018