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1.
Estud. pesqui. psicol. (Impr.) ; 21(3): 1064-1086, set.-dez. 2021. ilus, graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1359104

ABSTRACT

O presente estudo busca ampliar o conhecimento sobre formulações contemporâneas acerca do desenvolvimento da consciência em bebês no primeiro ano de vida e suas relações com o desenvolvimento global subsequente. Realizou-se uma pesquisa documental do tipo Estudo do Estado da Arte com levantamento nacional e internacional. Os procedimentos e resultados foram organizados em eixos de análise. Os resultados demonstraram um conjunto de formulações sobre o tema os quais, de forma geral, convergiram para a compreensão do bebê humano enquanto consciente desde o nascimento, mesmo que em nível mínimo. Pesquisadores defendem que bebês exibem um 'sentido implícito' de que são seres ativos e diferenciados de outros, expressando rudimentos de consciência. Argumentou-se que nos recém-nascidos a vida psíquica em nível rudimentar está associada ao funcionamento das estruturas subcorticais, que possibilitam a construção de processos cognitivos e afetivos cada vez mais coerentes. Ressaltaram-se diferentes níveis de consciêcia no primeiro ano de vida, especialmente por volta dos dois, seis, nove e doze meses. Esta pesquisa pode colaborar para avanços na compreensão do psiquismo de bebês nos meses iniciais do primeiro ano de vida. (AU)


The present study aims to expand the knowledge about contemporary formulations about the development of consciousness in babies in the first year of life and its relationship with the subsequent global development. A documentary research of the Study of the State of the Art type was performed with national and international survey. The procedures and results were organized into axes of analysis. The results demonstrated an arrange of formulations about the theme which in general converged to the comprehension of the human baby as conscious since birth even if just at a minimal level. Researchers argue that babies exhibit an 'implicit sense' that they are active beings and differentiated from others, expressing rudiments of conscience. It was argued that in newborns psychic life at a rudimentary level is associated with the functioning of subcortical structures, enabling them to build cognitive and affective processes that are increasingly coherent. Different consciousness levels in the first year of life were highlighted, especially around two, six, nine and twelve months. This research can contribute to advances in the understanding of the psyche of babies in the first months of the first year of life. (AU)


El presente estudio busca expandir el conocimiento acerca de las formulaciones contemporáneas sobre el desarrollo de la conciencia en los bebés en el primer año de vida y su relación con el desarrollo global posterior. Se realizó una investigación documental del tipo Estudio del Estado del Arte con estudiosnacionales e internacionales. Los procedimientos y resultados se organizaron en ejes de análisis. Los resultados demostraron una serie de formulaciones acerca del tema que, en general, convergían en la comprensión del bebé humano como consciente desde su nacimiento, aunque sólo en un nivel mínimo. Los pesquisadores argumentan que los bebés exhiben un "sentido implícito" de que son seres activos y distintos de los demás, expresando rudimentos de conciencia. Se argumentó que en los recién nacidos la vida psíquica en un nivel rudimentario se asocia con el funcionamiento de las estructuras subcorticales, les permitiendo construir procesos cognitivos y afectivos cada vez más coherentes. Se destacaron distintos niveles de conciencia del bebé en el primer año de vida, especialmente alrededor de los dos, seis, nueve y doce meses. Esta investigación puede contribuir para avances en la comprensión de la psique de los bebés en los primeros meses del primer año de vida. (AU)


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Infant, Newborn , Child Development , Conscience , Consciousness
2.
Fisioter. Bras ; 22(3): 442-455, Jul 15, 2021.
Article in Portuguese | LILACS | ID: biblio-1290536

ABSTRACT

Introdução: A fibromialgia é uma síndrome crônica, com etiologia desconhecida, frequente em mulheres e com sintomas que afetam a qualidade de vida. Tem se discutido que essa condição afete inclusive a musculatura do assoalho pélvico. Objetivo: Verificar o conhecimento a respeito do períneo, a presença de sintomas de perdas urinárias e o nível de satisfação sexual em mulheres fibromiálgicas. Métodos: Participaram dessa abordagem 7 fibromiálgicas atendidas semanalmente pela fisioterapia. Para avaliação inicial, utilizamos um Questionário de Consciência Perineal e o Índice de Satisfação Sexual Feminina (FSFI). Durante os dois meses de intervenção, foram realizadas 2 palestras educativas e 8 encontros para a realização de exercícios perineais. Depois da intervenção, o FSFI foi aplicado novamente e os dados foram analisados por estatística simples. Resultados: As participantes demonstraram conhecer a localização das estruturas do sistema urinário, porém 4 das mulheres (57,1%) relataram não saber contrair a musculatura do assoalho pélvico. Todas relataram urgência miccional, raras perdas urinárias ao esforço e insatisfação sexual, antes da intervenção melhorando na reavaliação. Conclusão: As participantes pouco conhecem sobre a musculatura do assoalho pélvico, sua contração adequada e a atuação da fisioterapia nessa condição. A satisfação sexual encontrou-se prejudicada inicialmente apresentando melhora após as intervenções. (AU)


Introduction: Fibromyalgia is a chronic syndrome, with unknown etiology, common in women and with symptoms that affect quality of life. It has been argued that this condition affects even the pelvic floor musculature. Objective: To verify the knowledge about the perineum, the presence of symptoms of urinary loss and the level of sexual satisfaction in fibromyalgia women. Methods: Seven fibromyalgia patients attended weekly by physical therapy participated in this approach. For initial assessment, we used Perineal Awareness Questionnaire and Female Sexual Satisfaction Index (FSFI). During two months of intervention, 2 educational lectures and 8 meetings were held to perform perineal exercises. After intervention, FSFI was applied again, and the data were analyzed using simple statistics. Results: The participants demonstrated to know the location of the structures of the urinary system, however 4 of the women (57.1%) reported not knowing how to contract the pelvic floor muscles. All of them reported urinary urgency, rare urinary losses on exertion and sexual dissatisfaction, before the intervention, improving the reassessment. Conclusion: The participants know little about the musculature of the pelvic floor, its adequate contraction, and the role of physical therapy in this condition. Sexual satisfaction was initially impaired, showing improvement after the interventions. (AU)


Subject(s)
Humans , Female , Fibromyalgia , Physical Therapy Modalities , Orgasm , Quality of Life , Urinary Tract , Pelvic Floor , Consciousness
3.
Rev. med. Risaralda ; 27(1): 4-9, ene.-jun. 2021.
Article in Spanish | LILACS, COLNAL | ID: biblio-1280487

ABSTRACT

Resumen El objetivo de este manuscrito es reflexionar sobre la enfermedad, la eutanasia y el aborto desde la bioética, considerando las implicaciones legales en Colombia y la visión al respecto de profesionales dedicados a las ciencias de la salud en diferentes lugares del mundo. Las enfermedades crónicas son causa importante de limitación funcional, sufrimiento y mortalidad; algunas patologías comprometen tanto el estado de conciencia en las personas que afectan la capacidad de decidir, por lo cual, es importante buscar alternativas para garantizar la autonomía de los pacientes. La eutanasia es aceptada solo en algunos países, pero cuenta con dificultades para el acceso, debido a trámites burocráticos o falta de reglamentación. Finalmente, el aborto es un procedimiento altamente cuestionado por colectivos sociales y religiosos, lo cual ha llevado a la estigmatización de las mujeres que desean acceder a él.


Abstract This manuscript aims to reflect on the disease, euthanasia, and abortion from bioethics, reviewing the legal implications in Colombia and comparing with the vision of health sciences professionals in different parts of the world. Chronic diseases are a major cause of functional limitation, suffering, and mortality. Some pathologies compromise the state of consciousness in people, which affects the ability to decide, so it is important to look for alternatives to guarantee the autonomy of patients. Euthanasia is accepted in only a few countries, but it has difficulties with access due to red tape or lack of regulation. Finally, abortion is judged by religious and social groups, which has led to the stigmatization of women who wish to access it.


Subject(s)
Humans , Bioethics , Euthanasia , Disease , Personal Autonomy , Abortion , Pathology , Social Control, Formal , Societies , Chronic Disease , Consciousness , Health Sciences
4.
Notas enferm. (Córdoba) ; 20(37): 15-22, jun. 2021.
Article in Spanish | LILACS, BDENF, BINACIS, UNISALUD | ID: biblio-1283217

ABSTRACT

La mirada histórica retrospectiva del dolor nos posiciona frente a su coexistencia con la humanidad. Cada cultura tuvo su peculiar manera de afrontarlo, darle significado y tomar sus medidas de alivio. La ciencia, desde su lugar, ha desarrollado conceptos explicando razones y orígenes de su presencia. Las ciencias médicas en su anhelo de aliviar las dolencias de las personas, elaboraron escalas de evaluación del dolor. En las terapias intensivas, donde el estado de conciencia del paciente varía acorde a la necesidad que se produce a fin de resolver su patología o el motivo de ingreso a este servicio, resulta necesario valorar su estado neurológico para poder así determinar con precisión la escala de evaluación del dolor que aporte el resultado más oportuna según el momento preciso. Debido a los cuidados que lleva a cabo el profesional de enfermería con los internados, es quien permanece mayor tiempo con ellos; pudiendo cultivar una relación interpersonal más profunda, y debido a lo cual, no sólo colaborar en el alivio del dolor, sino también, si fuera necesario, ayudar a que encuentre el sentido a éste, en palabras de Travelbee. Para poder implementar dicha idea, el objetivo del presente protocolo, se define el siguiente objetivo: «Tomar acuerdo e implementar el uso adecuado y continuo de las escalas del dolor, en el paciente de terapia intensiva de adultos, de acuerdo a su grado de conciencia, a fin de reducir el dolor durante su estadía de internación[AU]


The retrospective historical view of pain positions us in front of its coexistence with humanity. Each culture had its own way of dealing with it, giving it meaning, and taking its relief measures. Science, from its place, has developed concepts explaining reasons and origins of its presence. The medical sciences in their desire to alleviate people's ailments, developed pain assessment scales. In intensive therapies, where the patient's state of consciousness varies according to the need that occurs in order to resolve their pathology or the reason for admission to this service, it is necessary to assess their neurological status in order to accurately determine the scale of pain assessment that provides the most timely result according to the precise moment. Due to the care carried out by the nursing professional with the internees, it is he who stays with them the longest; being able to cultivate a deeper interpersonal relationship, and due to which, not only collaborate in the relief of pain, but also, if necessary, help it find meaning to it, in the words of Travelbee. In order to implement this idea, the objective of this protocol, the following objective is defined: "Agree and implement the adequate and continuous use of pain scales, in the adult intensive care patient[AU]


A visão histórica retrospectiva da dor nos posiciona diante de sua convivência com a humanidade. Cada cultura tinha sua própria maneira de lidar com isso, dando-lhe sentido e tomando suas medidas de alívio. A ciência, a partir de seu lugar, desenvolveu conceitos que explicam as razões e as origens de sua presença. As ciências médicas, em seu desejo de aliviar as doenças das pessoas, desenvolveram escalas de avaliação da dor. Nas terapias intensivas, onde o estado de consciência do paciente varia de acordo com a necessidade que ocorre para a resolução de sua patologia ou o motivo da admissão neste serviço, é necessário avaliar seu estado neurológico para determinar com precisão a escala de avaliação da dor que fornece o resultado mais oportuno de acordo com o momento preciso. Devido aos cuidados realizados pelo profissional de enfermagem com os internos, é ele quem fica com eles por mais tempo; ser capaz de cultivar um relacionamento interpessoal mais profundo, e por isso, não só colaborar no alívio da dor, mas também, se necessário, ajudá-la a encontrar sentido para ela, nas palavras de Travelbee. Para concretizar essa ideia, objetivo deste protocolo, é definido o seguinte objetivo: "Acordar e implementar o uso adequado e contínuo de escalas de dor, no paciente adulto em terapia intensiva, de acordo com seu grau de consciência, a fim de reduzir dor durante a sua internação[AU]


Subject(s)
Humans , Adult , Pain/classification , Pain Measurement , Conscience , Consciousness , Critical Care , Culture , Interpersonal Relations , Empathy
5.
Neuroscience Bulletin ; (6): 1583-1594, 2021.
Article in English | WPRIM | ID: wpr-922637

ABSTRACT

It is widely acknowledged that holistic processing is a key characteristic of face perception. Although holistic processing implies the automatic integration of face parts, it is unclear whether such processing requires the awareness of face parts. Here, we investigated the interactions between visible face parts and face parts rendered invisible using continuous flash suppression (CFS). In the first experiment with the upper half-face visible and the lower half-face invisible, the results showed that perceived face identity was influenced by the invisible lower half-face, suggesting that integration occurs between the visible and invisible face parts, a variant of the "composite face effect". In the second experiment, we investigated the influence of visible face parts on the processing of invisible face parts, as measured by the time it took for the invisible parts to break out from CFS. The results showed a visible-to-invisible facilitation effect, that the aligned invisible face parts broke through CFS faster than when the visible and invisible face parts were misaligned. Visible eyes had a stronger influence on the invisible nose/mouth than the other way around. Such facilitation of processing from visible to invisible parts was also found when Chinese characters were used as stimuli. These results show that information integration occurs across the consciousness boundary.


Subject(s)
Awareness , Consciousness , Eye , Face , Facial Recognition , Photic Stimulation
6.
Chinese Medical Journal ; (24): 765-776, 2021.
Article in English | WPRIM | ID: wpr-878108

ABSTRACT

BACKGROUND@#Reviving patients with prolonged disorders of consciousness (DOCs) has always been focused and challenging in medical research. Owing to the limited effectiveness of available medicine, recent research has increasingly turned towards neuromodulatory therapies, involving the stimulation of neural circuits. We summarised the progression of research regarding neuromodulatory therapies in the field of DOCs, compared the differences among different studies, in an attempt to explore optimal stimulation patterns and parameters, and analyzed the major limitations of the relevant studies to facilitate future research.@*METHODS@#We performed a search in the PubMed database, using the concepts of DOCs and neuromodulation. Inclusion criteria were: articles in English, published after 2002, and reporting clinical trials of neuromodulatory therapies in human patients with DOCs.@*RESULTS@#Overall, 187 published articles met the search criteria, and 60 articles met the inclusion criteria. There are differences among these studies regarding the clinical efficacies of neurostimulation techniques for patients with DOCs, and large-sample studies are still lacking.@*CONCLUSIONS@#Neuromodulatory techniques were used as trial therapies for DOCs wherein their curative effects were controversial. The difficulties in detecting residual consciousness, the confounding effect between the natural course of the disease and therapeutic effect, and the heterogeneity across patients are the major limitations. Large-sample, well-designed studies, and innovations for both treatment and assessment are anticipated in future research.


Subject(s)
Clinical Trials as Topic , Consciousness , Consciousness Disorders/therapy , Humans , Treatment Outcome
7.
Article in Chinese | WPRIM | ID: wpr-879887

ABSTRACT

Rapid-onset obesity with hypothalamic dysfunction, hypoventilation, and autonomic dysregulation syndrome (ROHHADS) is a rare multi-system disease, and delayed diagnosis and treatment may lead to catastrophic cardiopulmonary complications. As far as we know, no patient with ROHHADS has been reported in China, and this article reports a child with ROHHADS to improve the awareness of this disease among clinicians. A girl, aged 3 years, had the clinical manifestations of rapid weight gain, fever, disturbance of consciousness, and convulsion. The physical examination showed a body weight of 20 kg, somnolence, irregular breathing, and stiff neck. She had increased blood levels of prolactin and follicle-stimulating hormone and hyponatremia. The lumbar puncture showed an increased intracranial pressure. The brain MRI and magnetic resonance venography showed symmetrical lesions in the periventricular region and venous thrombosis in the right transverse sinus and the superior sagittal sinus. The sleep monitoring showed hypopnea. The girl was finally diagnosed with ROHHADS and intracranial venous thrombosis. She recovered after symptomatic treatment including decreasing intracranial pressure, anticoagulation, and respiratory support. The possibility of ROHHADS should be considered for patients with unexplained obesity, fever, and hypoventilation, with or without central nervous system symptoms. Early diagnosis and standardized follow-up can improve the prognosis of children with ROHHADS.


Subject(s)
Child , Child, Preschool , China , Consciousness , Female , Humans , Hypothalamic Diseases , Hypoventilation , Obesity
8.
Psicol. Estud. (Online) ; 26: e45690, 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1250506

ABSTRACT

RESUMO: A adolescência, com base na Teoria Histórico-Cultural, é um período do desenvolvimento humano que está ligado não só a mudanças biológicas, mas também sociais; é um período de superação das estruturas de consciência desenvolvidas desde a infância e incorporação de elementos da vida adulta, principalmente no que tange à capacidade de pensar por conceitos ou desenvolvimento do pensamento teórico. Nesse artigo de cunho teórico lançamos o seguinte problema: como seria uma atividade pedagógica que leva em consideração o adolescente concreto e que possibilite seu desenvolvimento psíquico? Para isso, trazemos dados dos estudos de Vygotski (1996), Leontiev (1978, 2004) e Elkonin (1961) acerca da adolescência e, a partir deles, lançamos indicativos para uma atividade pedagógica destinada a esse público. Defendemos que a Pedagogia Histórico-Crítica é um caminho possível para a atividade pedagógica com adolescentes e sua boa utilização proporciona o acesso à apropriação dos conhecimentos historicamente produzidos pela humanidade, sem desconsiderar que o aluno é um ser concreto.


RESUMEN. La adolescencia, basada en la Teoría Histórico-Cultural, es un período del desarrollo humano que está ligado no sólo a cambios biológicos, sino también sociales, es un período de superación de las estructuras de conciencia desarrolladas desde la infancia e incorporando elementos de la vida adulta, especialmente el desarrollo de las funciones psíquicas superiores y la capacidad de con respecto a la capacidad de pensar por intermedio de conceptos o el desarrollo del pensamiento teórico. En ese artículo teórico lanzamos el siguiente problema: ¿cómo sería una actividad pedagógica que toma en consideración al adolescente concreto y que posibilite su desarrollo psíquico? Para ello, traemos datos de los estudios de Vygotski (1996), Leontiev (1978, 2004) y Elkonin (1961) acerca de la adolescencia y, a partir de ellos, lanzamos indicativos para una actividad pedagógica destinada a ese público. Defendemos que la Pedagogía Histórico-Crítica es un camino posible para la actividad pedagógica con adolescentes y su buena utilización proporciona el acceso a la apropiación de los conocimientos históricamente producidos por la humanidad sin desconsiderar lo que el alumno es un ser concreto.


ABSTRACT: Adolescence, based on Historical-Cultural Theory, is a period of human development linked not only to biological but also social changes. It is a period of overcoming the structures of consciousness developed since childhood and incorporating adult life elements, especially concerning concepts or theoretical thinking development. In this theoretical article, we present the following problem: what would be a pedagogical activity that considers the concrete adolescent and allows his psychic development? For this, we bring data from the studies of Vygotsky (1996), Leontiev (1978, 2004) and Elkonin (1961) about adolescence and, from them, we have published indicatives for a pedagogical activity aimed at this audience. We argue that Historical-Critical Pedagogy is a possible path for pedagogical activity with adolescents. Its proper use provides access to the appropriation of knowledge historically produced by humanity, without disregarding that the student is a concrete being.


Subject(s)
Humans , Male , Female , Adolescent , Psychology/education , Teaching , Education , Personality Development , Psychology, Educational/education , Thinking , Adolescent Behavior/psychology , Conscience , Consciousness , Knowledge , Human Development , Interpersonal Relations , Language
9.
Rev. chil. neuro-psiquiatr ; 58(3): 294-299, set. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1138584

ABSTRACT

Resumen La anosognosia es un trastorno neuropsicológico que genera en el paciente una incapacidad para tener un estado de conciencia pleno sobre su enfermedad o déficit, producto de una injuria cerebral. En este artículo reportamos el análisis de un caso que producto de un traumatismo craneoencefálico presentó esta alteración cerebral. El análisis neuropsicológico inicia con la descripción clínica del caso, su estado premórbido, el relato familiar del estado actual y un análisis neuropsicológico que sustenta la hipótesis diagnóstica de anosognosia. Se discute el caso presentado en base a la necesidad de realizar diagnósticos precisos y proponer programas de rehabilitación neuropsicológica para que los pacientes con anosognosia sufran el menor impacto posible en las actividades de su vida diaria producto del trastorno cerebral adquirido.


Anosognosia is a neuropsychological disorder that generates in the patient an inability to have a state of full awareness about their disease or deficit due to brain injury. In this article we report the analysis of a case that, due to a head injury, presented this brain disorder. The neuropsychological analysis begins with the clinical description of the case, its premorbid status, the family report of the current state and a neuropsychological analysis of the symptoms presented that support the diagnostic hypothesis of anosognosia. The case presented is discussed based on the need to make accurate diagnoses and propose neuropsychological rehabilitation programs so that patients with anosognosia suffer the least possible impact on the activities of their daily lives as a result of acquired brain disorder.


Subject(s)
Humans , Male , Aged , Awareness , Consciousness , Agnosia , Craniocerebral Trauma , Neuropsychology
10.
Psicol. ciênc. prof ; 40: e189510, jan.-maio 2020.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1140926

ABSTRACT

O romance Mrs. Dalloway, escrito pela inglesa Virginia Woolf (1882-1941), é um marco na literatura universal por apresentar um novo formato na arte da escrita intitulado fluxo de consciência. Esta forma estilística visa descrever as falas e os pensamentos dos personagens por meio do discurso indireto livre, integrado à preleção do narrador. O enredo se passa em um único dia da vida da protagonista Clarissa Dalloway, no qual são captados os ínfimos detalhes do que ela experiencia. Dentre os fenômenos vivenciados encontramos a noção de tempo, por meio da qual o narrador mistura homogeneamente o fluxo passado, presente e futuro. O objetivo deste artigo é discutir a vivência do tempo na referida obra literária pautada numa discussão fenomenológica. Para isto, utilizamos como método a revisão narrativa da literatura de autores que contribuíram para o desenvolvimento da noção de tempo vivido na fenomenologia. É no fluxo do tempo que se dão os significados das experiências na história dos personagens no seu contato ambíguo com o mundo. Concluímos que as descrições elaboradas por Virginia Woolf possibilitam uma aproximação à vivência do tempo, que atravessa a totalidade da dimensão do ser...(AU)


The novel Mrs. Dalloway, written by English writer Virginia Woolf (1882-1941), is a landmark in universal literature for presenting a new format in the art of writing named Stream of Consciousness. This stylistic form aims to describe the speeches and thoughts of the characters through free indirect speech, integrated to the narrator's lecture. The novel takes place in a single day of the life of the protagonist Clarissa Dalloway, capturing the minute details of what she experiences. Among the phenomena experienced we find the notion of time, whereby the narrator mixes the past, present, and future flux into one envelope. This article thus discusses the experience of time in this literary work based on a phenomenological discussion. We conducted a review of the literature including authors that contributed to the development of the notion of experienced time in phenomenology. In the flow of time lie meanings of the experiences of characters in their ambiguous contact with the world. We conclude that the descriptions elaborated by Virginia Woolf allow for an approximation to the experience of time that crosses the totality of the dimension of being...(AU)


La novela La Señora Dalloway, de la escritora inglesa Virginia Woolf (1882-1941), es un hito en la literatura universal por presentar un nuevo formato en el arte de la escritura titulado "flujo de conciencia". Esta forma estilística pretende describir las palabras y los pensamientos de los personajes por medio del discurso indirecto libre, integrado a la prelección del narrador. La historia de la novela se pasa en un único día de la vida de la protagonista Clarissa Dalloway, en el que se captan los ínfimos detalles de lo que ella experimenta. Entre los fenómenos vivenciados encontramos la noción de tiempo, por medio de la cual el narrador mezcla el flujo pasado, presente y futuro en un envoltorio único. El objetivo de este artículo es discutir la vivencia del tiempo en la referida obra literaria pautada en una discusión fenomenológica. Para ello, utilizamos como método la revisión de la literatura de autores que contribuyeron al desarrollo de la noción de tiempo vivido en la fenomenología. Es en el flujo del tiempo que se dan los significados de las experiencias en la historia de los personajes en su contacto ambiguo con el mundo. Concluimos que las descripciones elaboradas por Virginia Woolf posibilitan una aproximación a la vivencia del tiempo, que atraviesa la totalidad de la dimensión del ser...(AU)


Subject(s)
Humans , Female , Adult , Thinking , Time , Life , Narration , Famous Persons , History , Literature , Speech , Work , Writing , Consciousness , Growth and Development , Forecasting , Light
11.
Acta bioeth ; 26(1): 107-116, mayo 2020.
Article in Spanish | LILACS | ID: biblio-1114604

ABSTRACT

La comprensión de la conciencia ha sido durante siglos uno de los caballos de batalla del devenir intelectual, en tanto contexto en el que se han definido y redefinido las diferentes percepciones socioculturales, científicas, filosóficas e ideológicas del ser humano. Lejos de tratarse de un problema superado, se trata de una cuestión que, reformulada una y otra vez, en distintos ámbitos y contextos, retorna sin cesar al epicentro del debate intelectual, dadas sus consecuencias epistémicas y necesariamente éticas. En este trabajo se trata de mostrar cómo tal debate y sus posturas se alimentan de una percepción que se estima "anticuada" del problema, al afrontarlo desde una óptica esencialista (cifrada sobre un modelo de pensamiento basado en esquemas de razón-objeto), a la par que se propone una reformulación de la cuestión en términos procesuales, inspirada en la propuesta del emergentismo sistémico. Con ello, se pretende aportar un enfoque superador de un modelo intelectual que se estima obsoleto, a la par que se propicia una reflexión ética en torno a las consecuencias intelectuales ideológicas y prácticas devenidas de un sostenimiento artificioso del mismo en el ámbito de la ciencia.


For centuries, the understanding of conciousness has been one of the topic issues of intellectual development, and a context in which the different sociocultural, scientific, philosophical and ideological perceptions of the human being have been defined and redefined. Far from being a solved problem, it's a theme that, reformulated again and again in different fields and contexts, returns endlessly to the epicenter of intellectual discussion because it has, necessarily, trascendental epistemic and ethical consequences. This paper tries to show how such confrontation and its positions are fed by an "outdated" perception of the problem, when faced it from an essentialist perspective (encrypted on a model of thought based on reason-object schemes). Therefore is proposed a reformulation of the question in procedural terms inspired by the theory of systemic emergentism. So, it is intended to provide an overcoming approach to an intellectual model that is considered obsolete, while fostering an ethical reflection on the ideological intellectual consequences and practices derived from its artificial support in the field of Science.


A compreensão de consciência tem sido, durante séculos, um dos cavalos de batalha do tornar-se intelectual, no contexto em que se definiu e se redefiniu as diferentes percepções socioculturais, científicas, filosóficas e ideológicas do ser humano. Longe de se tratar de um problema superado, trata-se de uma questão que, reformulada uma ou outra vez, em distintos âmbitos e contextos, retorna ao epicentro do debate intelectual, dadas suas consequências epistêmicas e necessariamente éticas. Tratamos demonstrar neste trabalho como tal debate e suas posturas alimentam-se de uma percepção que se estima ser "antiquada" do problema, ao enfrenta-lo a partir de uma visão essencialista (codificada sobre um modelo de pensamento baseado em esquemas de razão-objeto), ao mesmo tempo em que se propõe uma reformulação da questão em termos processuais, inspirada na proposta do emergentismo sistêmico. Com isto, pretende-se aportar um enfoque que supera um modelo intelectual que se estima obsoleto, ao mesmo tempo em que se propicia uma reflexão ética em torno das consequências intelectuais ideológicas e práticas decorrentes de um apoio artificial do mesmo no âmbito da ciência.


Subject(s)
Philosophy , Conscience , Knowledge , Consciousness
12.
Article in Chinese | WPRIM | ID: wpr-879773

ABSTRACT

OBJECTIVE@#To study the value of amplitude-integrated EEG (aEEG), Full Outline of Unresponsiveness (FOUR), and Glasgow Coma Scale (GCS) in evaluating the prognosis of children with disturbance of consciousness in the pediatric intensive care unit (PICU).@*METHODS@#A total of 164 children with disturbance of consciousness who were admitted to the PICU of Children's Hospital Affiliated to Soochow University were enrolled as subjects. According to prognosis, they were divided into a poor prognosis group with 111 children and a good prognosis group with 53 children. The results of aEEG monitoring, FOUR score, and GCS score on days 1 and 5 of admission were collected. The association between evaluation methods and prognosis was analyzed. The receiver operating characteristic (ROC) curve was used to evaluate the value of aEEG, FOUR, and GCS in predicting prognosis.@*RESULTS@#The children with no improvement or abnormal aggravation of aEEG on day 5 tended to have a poor prognosis. The results of aEEG was positively correlated with prognosis (r=0.689, P0.05), while aEEG combined with FOUR had an AUC of 0.945, which was significantly larger than that of each index alone (P<0.05).@*CONCLUSIONS@#Both aEEG and FOUR can be used as effective tools to predict the prognosis of children with disturbance of consciousness, and a combination of aEEG and FOUR can improve the predictive value.


Subject(s)
Child , Consciousness , Electroencephalography , Glasgow Coma Scale , Humans , Prognosis , ROC Curve
13.
Braz. j. med. biol. res ; 53(8): e9278, 2020. tab, graf
Article in English | ColecionaSUS, LILACS, ColecionaSUS | ID: biblio-1132545

ABSTRACT

Ayahuasca is described as a hallucinogenic substance whose property is to alter the subjective experience of time and impair the perception of the passage of time during stimuli of more than two to three seconds. The dose-dependent effects of two concentrations of ayahuasca in the ritualistic context were investigated employing temporal reproduction tasks in participants experienced in shamanistic ayahuasca rituals. The study was conducted on nine healthy volunteers who ingested two doses of ayahuasca at two times during a ritual session. The doses of each session, consumed in amounts ranging from 20 to 60 mL, were either of low concentration or of experimental ayahuasca according to a double-blind procedure. Participants performed the task of immediately listening and reproducing, with a laptop, 20-s musical stimuli during the session. The results showed that significant temporal distortion was triggered by the musical stimulus presented without the ingestion of ayahuasca, with means of 16.33 to 16.52 s. There were minor temporal distortions after ingestion of ayahuasca: a mean of 17.91 s for control ayahuasca and of 18.38 s for experimental ayahuasca. These results with less temporal distortion among participants with ayahuasca intake disagree with other studies of hallucinogens involving temporal reproduction.


Subject(s)
Humans , Psychotropic Drugs , Plant Extracts , Banisteriopsis , Music , Time Factors , Ceremonial Behavior , Double-Blind Method , Consciousness
14.
Article in Chinese | WPRIM | ID: wpr-826709

ABSTRACT

OBJECTIVE@#To evaluate recovering consciousness effect of electroacupuncture (EA) on patients after traumatic brain injury (TBI) surgery.@*METHODS@#A total of 100 patients with traumatic coma were randomly divided into an observation group and a control group, 50 cases in each group. The control group was mainly treated with awakening drugs and neurotrophic drugs; on the basis of treatment in the control group, the observation group was treated with EA at Neiguan (PC 6) and Shuigou (GV 26) with disperse-dense wave, 2 Hz/100 Hz in frequency, 0.1-5 mA in intensity. After 30 min of EA, the needles were stayed 60 min. The treatment was performed once a day for 14 consecutive days. The changes in Glasgow coma score (GCS) was observed in the two groups before treatment and after 7, 14 days of treatment; and the two groups were followed up for 3 months after treatment to evaluate the Glasgow outcome scale (GOS) and Barthel index (BI) scores.@*RESULTS@#After 7, 14 days of treatment, the GCS scores of the two groups were higher than those before treatment (<0.05), and the increase degree in the observation group was significantly larger than that in the control group (<0.05). At 3 months of follow-up, the GOS and BI scores of the observation group were better than those of the control group (<0.05).@*CONCLUSION@#Early electroacupuncture intervention can effectively promote the recovery of consciousness after traumatic brain injury surgery, and has a curative long-term effect.


Subject(s)
Acupuncture Points , Brain Injuries, Traumatic , General Surgery , Therapeutics , Consciousness , Electroacupuncture , Humans
15.
Psicol. reflex. crit ; 33: 03, 2020. tab, graf
Article in English | LILACS, INDEXPSI | ID: biblio-1101333

ABSTRACT

Abstract The holotropic mind perspective, an integral part of the framework of transpersonal psychology, has been considered a revolutionary approach to a certain spectrum of experiences in Non-ordinary states of consciousness (NOSC) which conventional approaches tend to treat indiscriminately as pathological processes, because PHM recognizes in these experiences their healing and evolutionary potential. This article describes the needs assessment, implementation, and evaluation of an experiential and educational program on the holotropic mind perspective and its praxis, Holotropic Breathwork® (HB), with students and professionals from the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type of the University of Brasilia. The intervention aimed to establish change goals and objectives that would promote the adoption of the holotropic mind perspective's elements, such as a framework to broaden and strengthen mental health programs that assist people experiencing NOSC. The stages developed, inspired by the Intervention Mapping protocol, included a needs assessment; elaboration of change objective matrices; selection and description of methods based on theory and their applications; conception, planning, and implementation of the intervention; and results evaluation. Participants reported that the intervention allowed the expansion of their theoretical-conceptual and technical frameworks, giving them a less pathologizing understanding of and approach to NOSC and allowing them to perceive and manage such states, not as indiscriminately pathological expressions, but as phenomena inherent to the human condition that can be accepted and cared for without the exclusionary and exhaustive bias of mental disorders. Limitations and practical implications are discussed.


Subject(s)
Humans , Psychotic Disorders/prevention & control , Mental Health , Consciousness , Crisis Intervention , Program Development
16.
Pesqui. prát. psicossociais ; 14(4): 1-13, out.-dez. 2019.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1115072

ABSTRACT

Neste artigo, o número é abordado como um fenômeno psíquico, sendo analisado a partir de suas possibilidades e particularidades simbólicas. Para tanto, foram consultados textos históricos, antropológicos, filosóficos, mitológicos e religiosos sobre o conhecimento matemático. Esses textos foram selecionados em periódicos indexados e livros científicos conceituados. Em seguida, foi realizado um movimento de compreensão, a partir da fundamentação teórica da Psicologia Analítica de Carl Gustav Jung. Como fenômeno psíquico, o número é entendido como um arquétipo que adveio à consciência e como um símbolo, isto é, como um mistério que tem um sentido passível de compreensão. Nesse contexto, o número ocupa o lugar de imagem psíquica central de nossos interesses, ao redor do qual foram efetuadas analogias (amplificação), procedimento característico do método hermenêutico-simbólico da Psicologia Analítica.


In this article, the number is approached as a psychic phenomenon, being analysed from its possibilities and symbolic particularities. Therefore, historical, anthropological, philosophical, mythological, and religious texts on mathematical knowledge were consulted. These texts have been selected in indexed periodicals and well-known scientific books. Then, a movement of understanding was made, based on the theoretical basis of Analytical Psychology by Carl Gustav Jung. As a psychic phenomenon, the number is understood as an archetype that came to consciousness, and as a symbol, that is, as a mystery that has a comprehensible sense. In this context, the number occupies the place of the central psychic image of our interests, around which analogies were made (amplification), a characteristic procedure of the hermeneutic-symbolic method of Analytical Psychology.


En este artículo, el número se aborda como un fenómeno psíquico y se analiza a partir de sus posibilidades y particularidades simbólicas. Para ello se consultaron textos históricos, antropológicos, filosóficos, mitológicos y religiosos sobre el conocimiento matemático. Estos textos fueron seleccionados de revistas indexadas y libros científicos de renombre. Luego, se realizó um movimiento de comprensión desde la base teórica de la Psicología Analítica. Como fenómeno psíquico, el número se entiende con un arquetipo que llegó a la consciencia y como un símbolo, es decir, como un misterio que tiene un sentido comprensible. En este contexto, el número ocupa el lugar de la imagen psíquica central de nuestros intereses, alrededor de cual se fueron hechas analogías (amplificación), un procedimiento característico del método hermenêutico-simbólico de la Psicología Analítica.


Subject(s)
Psychology , Jungian Theory , Symbolism , Conscience , Consciousness , Knowledge , Comprehension , Hermeneutics , Neuropsychological Tests
17.
Aval. psicol ; 18(4): 362-371, out.-dez. 2019. il
Article in Portuguese | LILACS | ID: biblio-1055240

ABSTRACT

As vivências de flow e engajamento se relacionam com atributos pessoais e laborais, gerando resultados superiores nos negócios, no desempenho dos trabalhadores e na satisfação de vida. Este estudo visou investigar flow e engajamento no trabalho e suas correlações com características pessoais e laborais. A amostra foi formada por 317 participantes (66,9% do sexo feminino) com idade média de 39,72 anos (DP = 10,8), que responderam um questionário sociodemográfico e escalas que permitiram medir as variáveis alvo. Para análise de dados, foi realizada análise de rede. Os dados evidenciaram que alguns recursos individuais e do trabalho estão fortemente correlacionados com flow e engajamento laborais. Os resultados apontam para a importância de se promover um ambiente de trabalho que estimule o alinhamento de habilidades e a comunicação, além da diminuição de afetos negativos, para se potencializar as vivências de flow e engajamento nesse contexto. (AU)


The experience of flow and engagement has been related to personal and work attributes, generating superior results related to business success, employee performance and life satisfaction. This study aimed to investigate flow and engagement at work and their associations with personal and work characteristics. The sample consisted of 317 participants (66.9% female) with a mean age of 39.72 years (SD = 10.8), who responded to a socio-demographic questionnaire and scales that allowed the target variables to be measured. A network analysis was performed to interpret the data. The data showed that some individual and work resources are strongly correlated with work flow and engagement. The results indicate the importance of promoting a work environment that stimulates skills alignment, communication and the reduction of negative affect to enhance the flow and engagement experiences in this context. (AU)


Las vivencias de flow y compromiso están relacionadas con los atributos personales y laborales, generando resultados superiores en los negocios, en el rendimiento de los trabajadores y en la satisfacción con la vida. Este estudio tuvo como objetivo investigar el flow y el rendimiento en el trabajo y sus vínculos con las características personales y laborales. La muestra se compuso por 317 participantes (66.9% mujeres) con una edad media de 39.72 años (DS = 10.8), que respondieron a un cuestionario sociodemográfico y a escalas que permitieron medir las variables objetivas. Para el análisis de datos, se realizó un análisis de red. Los datos mostraron que algunos recursos individuales y laborales están fuertemente correlacionados con el flow y el compromiso de trabajo. Los resultados señalan la importancia de promover un ambiente de trabajo que estimule la alineación de las habilidades y la comunicación; además de la reducción de afectos negativos, para potenciar el flow y las de compromiso en este contexto. (AU)


Subject(s)
Humans , Female , Adult , Middle Aged , Surveys and Questionnaires , Consciousness , Work Engagement , Job Satisfaction , Factor Analysis, Statistical
19.
Rev. bras. enferm ; 72(6): 1428-1434, Nov.-Dec. 2019. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1042185

ABSTRACT

ABSTRACT Objective: To evaluate the performance of the modified early warning score (Mews) in a nursing ward for patients in clinical deterioration. Method: This is an analytical, quantitative and predictive study. Mews' parameters (systolic blood pressure, heart rate, respiratory rate, temperature and level of consciousness) were evaluated every six hours. The following events were reported: death, cardiopulmonary arrest and transfer to intensive care. The evaluations were performed in a hospital of reference in the state of São Paulo, Brazil. Results: A total of 300 patients were included (57 ± 18 years old, males: 65%). There number of combined events was observed to be greater the higher the score's value (00%; 00%; 01; 09%; 19%; 28%; 89%, respectively, for Mews 0; 1; 2; 3; 4; 5 and 6; p < 0.0001). Mews ≥ 4 was the most appropriate cut-off point for prediction of these events (sensitivity: 87%, specificity: 85% and accuracy: 0.86). Conclusion: Mews properly measured the occurrence of severe events in hospitalized patients of a Brazilian public hospital's nursing ward. Mews ≥ 4 seems to be the most appropriate cut-off point for prediction of these events.


RESUMEN Objetivo: Evaluar el desempeño de la puntuación de alerta temprana modificada (Mews) en una enfermería de pacientes con deterioro clínico. Método: Se trata de un estudio analítico, cuantitativo y predictivo. Los parámetros Mews (presión arterial sistólica, frecuencia cardíaca, frecuencia respiratoria, temperatura y nivel de conciencia) se evaluaron cada 6 horas. Se registraron los siguientes eventos: muerte, parada cardiorrespiratoria y transferencia para la terapia intensiva. Las evaluaciones se realizaron en un hospital de referencia del interior del estado de São Paulo. Resultados: Participaron 300 pacientes (57 ± 18 años; sexo masculino: 65%). Se observó un número creciente de eventos asociados según el mayor valor de la puntuación (00%; 00%; 01%; 09%; 19%; 28%; 89%, respectivamente, para los Mews 0; 1; 2; 3; 4; 5 y 6; p <0,0001). Los Mews ≥ 4 fueron el punto de corte más adecuado para la predicción de estos eventos (sensibilidad: 87%; especificidad: 85%; y exactitud: 0,86). Conclusión: Los Mews permitieron estimar adecuadamente la ocurrencia de eventos graves en pacientes hospitalizados en la enfermería de un hospital público brasileño. Los Mews ≥ 4 parece ser el punto de corte más adecuado para predecirlos.


RESUMO Objetivo: Avaliar o desempenho do escore de alerta precoce modificado (Mews) em uma enfermaria de pacientes em deterioração clínica. Método: Trata-se de um estudo analítico, quantitativo e preditivo. Os parâmetros do Mews (pressão arterial sistólica, frequência cardíaca, frequência respiratória, temperatura e nível de consciência) foram avaliados de 6 em 6 horas. Os seguintes eventos foram registrados: óbito, parada cardiorrespiratória e transferência para terapia intensiva. As avaliações foram realizadas em um hospital de referência do interior do estado de São Paulo. Resultados: Foram incluídos 300 pacientes (57 ± 18 anos, sexo masculino: 65%). Observou-se número crescente de eventos combinados de acordo com o maior valor do escore (00%; 00%; 01%; 09%; 19%; 28%; 89%, respectivamente, para os Mews 0; 1; 2; 3; 4; 5 e 6; p < 0,0001). Mews ≥ 4 foi o ponto de corte mais adequado para predição destes eventos (sensibilidade: 87%, especificidade: 85% e acurácia: 0,86). Conclusão: Mews mensura adequadamente a ocorrência de eventos graves em pacientes hospitalizados em enfermaria de um hospital público brasileiro. Mews ≥ 4 parece ser o ponto de corte mais adequado para predição destes eventos.


Subject(s)
Humans , Male , Female , Hospital Rapid Response Team/organization & administration , Clinical Deterioration , Early Warning Score , Time Factors , Blood Pressure , Body Temperature , Brazil , Patient Transfer , Sensitivity and Specificity , Consciousness , Death , Emergency Service, Hospital , Respiratory Rate , Heart Arrest/diagnosis , Heart Rate , Hospitals, Public , Intensive Care Units , Middle Aged
20.
Article in English | WPRIM | ID: wpr-764985

ABSTRACT

BACKGROUND: Most depth of anesthesia (DOA) monitors rely on the temporal characteristics of a single-channel electroencephalogram (EEG) and cannot provide spatial or connectivity information. Phase lag entropy (PLE) reflects DOA by calculating diverse connectivity from temporal patterns of phase relationships. The aim of this study was to compare the performance of PLE and bispectral index (BIS) monitors for assessing DOA during anesthesia induction, nerve integrity monitoring (NIM), and anesthesia emergence. METHODS: Thirty-five patients undergoing elective thyroid surgery with recurrent laryngeal nerve NIM received propofol and remifentanil via target-controlled infusion. After applying PLE and BIS monitors, propofol infusion was initiated at a calculated effect site concentration (Ce) of 2 µg/mL and then increased in 1-µg/mL Ce increments. After propofol Ce reached 5 μg/mL, a remifentanil infusion was begun, and anesthesia induction was considered complete. During NIM, PLE and BIS values were compared at a specific time points from platysma muscle exposure to subcutaneous tissue closure. PLE and BIS values were recorded continuously from preanesthetic state to full recovery of orientation; bias and limits of agreement between monitors were calculated. RESULTS: PLE and BIS values decreased progressively with increasing propofol Ce during anesthetic induction and increased by stages during emergence. The prediction probabilities of PLE and BIS for detecting propofol Ce changes were 0.750 and 0.756, respectively, during induction and 0.749 and 0.746, respectively, during emergence. No aberrant PLE or BIS values occurred during NIM. Correlation coefficients for BIS and PLE were 0.98 and 0.92 during induction and emergence, respectively. PLE values were significantly higher than BIS values at full recovery of orientation. Estimated bias between monitors was −4.16 ± 8.7, and 95% limits of agreement were −21.21 to 12.89. CONCLUSION: PLE is a reasonable alternative to BIS for evaluating consciousness and DOA during general anesthesia and during NIM. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0003490


Subject(s)
Anesthesia , Anesthesia, General , Bias , Consciousness , Consciousness Monitors , Electroencephalography , Entropy , Humans , Information Services , Propofol , Recurrent Laryngeal Nerve , Subcutaneous Tissue , Superficial Musculoaponeurotic System , Thyroid Gland
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