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1.
J Cogn Neurosci ; 36(6): 1099-1122, 2024 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-38358004

RESUMO

This article investigates the processing of intonational rises and falls when presented unexpectedly in a stream of repetitive auditory stimuli. It examines the neurophysiological correlates (ERPs) of attention to these unexpected stimuli through the use of an oddball paradigm where sequences of repetitive stimuli are occasionally interspersed with a deviant stimulus, allowing for elicitation of an MMN. Whereas previous oddball studies on attention toward unexpected sounds involving pitch rises were conducted on nonlinguistic stimuli, the present study uses as stimuli lexical items in German with naturalistic intonation contours. Results indicate that rising intonation plays a special role in attention orienting at a pre-attentive processing stage, whereas contextual meaning (here a list of items) is essential for activating attentional resources at a conscious processing stage. This is reflected in the activation of distinct brain responses: Rising intonation evokes the largest MMN, whereas falling intonation elicits a less pronounced MMN followed by a P3 (reflecting a conscious processing stage). Subsequently, we also find a complex interplay between the phonological status (i.e., accent/head marking vs. boundary/edge marking) and the direction of pitch change in their contribution to attention orienting: Attention is not oriented necessarily toward a specific position in prosodic structure (head or edge). Rather, we find that the intonation contour itself and the appropriateness of the contour in the linguistic context are the primary cues to two core mechanisms of attention orienting, pre-attentive and conscious orientation respectively, whereas the phonological status of the pitch event plays only a supplementary role.


Assuntos
Estimulação Acústica , Atenção , Eletroencefalografia , Potenciais Evocados Auditivos , Humanos , Feminino , Masculino , Atenção/fisiologia , Adulto , Adulto Jovem , Potenciais Evocados Auditivos/fisiologia , Orientação/fisiologia , Alemanha , Idioma , Tempo de Reação/fisiologia , Percepção da Altura Sonora/fisiologia , Percepção da Fala/fisiologia , Percepção Auditiva/fisiologia
2.
Front Immunol ; 14: 1267816, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37928527

RESUMO

Introduction: Naïve T cells remain in an actively maintained state of quiescence until activation by antigenic signals, upon which they start to proliferate and generate effector cells to initiate a functional immune response. Metabolic reprogramming is essential to meet the biosynthetic demands of the differentiation process, and failure to do so can promote the development of hypofunctional exhausted T cells. Methods: Here we used 13C metabolomics and transcriptomics to study the metabolism of CD8+ T cells in their complete course of differentiation from naïve over stem-like memory to effector cells and in exhaustion-inducing conditions. Results: The quiescence of naïve T cells was evident in a profound suppression of glucose oxidation and a decreased expression of ENO1, downstream of which no glycolytic flux was detectable. Moreover, TCA cycle activity was low in naïve T cells and associated with a downregulation of SDH subunits. Upon stimulation and exit from quiescence, the initiation of cell growth and proliferation was accompanied by differential expression of metabolic enzymes and metabolic reprogramming towards aerobic glycolysis with high rates of nutrient uptake, respiration and lactate production. High flux in anabolic pathways imposed a strain on NADH homeostasis, which coincided with engagement of the proline cycle for mitochondrial redox shuttling. With acquisition of effector functions, cells increasingly relied on glycolysis as opposed to oxidative phosphorylation, which was, however, not linked to changes in mitochondrial abundance. In exhaustion, decreased effector function concurred with a reduction in mitochondrial metabolism, glycolysis and amino acid import, and an upregulation of quiescence-associated genes, TXNIP and KLF2, and the T cell suppressive metabolites succinate and itaconate. Discussion: Overall, these results identify multiple metabolic features that regulate quiescence, proliferation and effector function, but also exhaustion of CD8+ T cells during differentiation. Thus, targeting these metabolic checkpoints may be a promising therapeutic strategy for both prevention of exhaustion and promotion of stemness of anti-tumor T cells.


Assuntos
Linfócitos T CD8-Positivos , Ativação Linfocitária , Humanos , Diferenciação Celular , Transporte Biológico , Regulação para Baixo
3.
Cognition ; 240: 105598, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37604027

RESUMO

Language users employ creative and innovative means to refer to novel concepts. One example is place-for-event metonymy as in "How many bands played at Woodstock?" where the place name is used to refer to an event. We capitalize on the observation that place-for-event metonymy can on the one hand result in the conventionalization of the event reading (as is the case for "Woodstock") but on the other hand can also be relatively short-lived as a function of the socio-cultural or historical impact of the respective event (e.g., "Egypt" to refer to one of the sites of the Arab Spring). We use place-for-event metonymy as a test case to tap into discrete stages of conventionalization and compare the processing of the place and the event reading of particular expressions, with ratings of the degree of conventionalization as predictors. In an event-related potential (ERP) reading study, we observed a modulation of the Late Positivity between 500 and 750 ms post-onset by condition (event vs. place reading) and degree of conventionalization. The amplitude of the positivity was most pronounced for event readings with a low degree of conventionalization (similar to previous findings from ad-hoc metonymy). Interestingly, place readings with a high degree of (event) conventionalization also evoked a pronounced positivity. The Late Positivity is viewed to reflect processing demands during reconceptualization required for proper utterance interpretation. Overall, the data suggest that stages of meaning evolution are reflected in the underlying neurophysiological processes.


Assuntos
Encéfalo , Idioma , Humanos
4.
Front Artif Intell ; 6: 1058554, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37009201

RESUMO

Studies on pronoun resolution have mostly utilized short texts consisting of a context and a target sentence. In the current study we presented participants with nine chapters of an audio book while recording their EEG to investigate the real-time resolution of personal and demonstrative pronouns in a more naturalistic setting. The annotation of the features of the pronouns and their antecedents registered a surprising pattern: demonstrative pronouns showed an interpretive preference for subject/agent antecedents, although they are described to have an anti-subject or anti-agent preference. Given the presence of perspectival centers in the audio book, this however confirmed proposals that demonstrative pronouns are sensitive to perspectival centers. The ERP results revealed a biphasic N400-Late Positivity pattern at posterior electrodes for the demonstrative pronoun relative to the personal pronoun, thereby confirming previous findings with highly controlled stimuli. We take the observed N400 for the demonstrative pronoun as an indication for more demanding processing costs that occur due to the relative unexpectedness of this referential expression. The Late Positivity is taken to reflect the consequences of attentional reorientation: since the demonstrative pronoun indicates a possible shift in the discourse structure, it induces updating of the discourse structure. In addition to the biphasic pattern, the data showed an enhanced positivity at frontal electrode sites for the demonstrative pronoun relative to the personal pronoun. We suggest that this frontal positivity reflects self-relevant engagement and identification with the perspective holder. Our study suggests that by using naturalistic stimuli, we get one step closer to understanding the implementation of language processing in the brain during real life language processing.

5.
J Psycholinguist Res ; 51(3): 627-653, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35430639

RESUMO

Previous research has investigated anaphoric resolution at the anaphor. Using a self-paced reading study we show that prominence profiles, i.e. the ranking of the referential candidates for anaphoric resolution, are dynamically established as discourse unfolds. We compared four types of context sentences introducing two referents and found that the cost of the computation of the prominence profile depends on the alignment of prominence-lending features, namely 'left edge', 'agent', 'subject'. Cost occurs as referents become available. Further downstream, we contrasted two types of pronouns in German, personal pronoun vs. demonstrative pronoun. By the time the pronoun is encountered, profile computation is already complete, as indicated by the lack of interaction between context and pronoun type. An effect of pronoun reveals that resolution is driven by the form-dependent strength with which an interpretation is obtained (demonstrative pronouns being more stable than personal pronouns). The results also indicate that two prominence-lending features - subjecthood and agentivity - compete with each other.


Assuntos
Compreensão , Idioma , Humanos , Leitura
6.
Palliat Support Care ; : 1-12, 2022 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-35048846

RESUMO

OBJECTIVE: Having a child with cancer is a burdensome experience for parents. Nurses need to better understand beliefs, hopes, and values of parents to holistically support them, which may have an impact on grief and depression. Thus, the aim of this paper was to highlight the social and spiritual dimensions of parental experiences on end-of-life care of their child with cancer. METHOD: A narrative literature review was conducted by systematically searching databases (CINAHL Complete, Academic Search Elite, MEDLINE) for relevant literature. The contents of included studies were critically appraised regarding their methodological quality. RESULTS: Eleven studies were included. In terms of the social dimension, three categories emerged that are important for parents: Being a Parent, Being in Relationship with the Child, and Being in Relationship with Health Professionals. Parents tried to maintain normality and joy for their child, but also kept control over the situation. They wanted to protect their child from suffering but also felt the need to talk to them about dying. Parents had ambivalent experiences with helpful but also burdensome staff. The spiritual dimension comprised two main categories, Hope and Faith and a Unique Bond. Hope was found to be an important source of strength, while Faith was only mentioned by some parents. For parents the emotional connection with their child constituted a source of meaning as well as a foundation, on which they based their decisions on. SIGNIFICANCE OF RESULTS: A therapeutic relationship and a supportive environment can be established by healthcare professionals by noticing, encouraging the unique bond between parents and their children, as well as by reflecting and addressing the parents' challenging situation.

7.
Front Psychol ; 12: 623648, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34489770

RESUMO

In discourse pragmatics, different referential forms are claimed to be indicative of the cognitive status of a referent in the current discourse. Referential expressions thereby possess a double function: They point back to an (existing) referent (form-to-function mapping), and they are used to derive predictions about a referent's subsequent recurrence in discourse. Existing event-related potential (ERP) research has mainly focused on the form-to-function mapping of referential expression. In the present ERP study, we explore the relationship of form-to-function mapping and prediction derived from the antecedent of referential expressions in naturalistic auditory language comprehension. Specifically, the study investigates the relationship between the form of a referential expression (pronoun vs. noun) and the form of its antecedent (pronoun vs. noun); i.e., it examines the influence of the interplay of predictions derived from an antecedent (forward-looking function) and the form-to-function mapping of an anaphor (backward-looking function) on the ERPs time-locked to anaphoric expressions. The results in the time range of the P300 and N400 allow for a dissociation of these two functions during online language comprehension.

8.
Front Psychol ; 12: 679491, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34349701

RESUMO

We present the first ERP experiments that test the online processing of the scalar implicature some ⇝ not all in contexts where the speaker competence assumption is violated. Participants observe game scenarios with four open cards on the table and two closed cards outside of the table, while listening to statements made by a virtual player. In the full access context, the player makes a fully informed statement by referring only to the open cards, as cards on the table; in the partial access context, she makes a partially informed statement by referring to the whole set of cards, as cards in the game. If all of the open cards contain a given object X (Fullset condition), then some cards on the table contain Xs is inconsistent with the not all reading, whereas it is unknown whether some cards in the game contain X is consistent with this reading. If only a subset of the open cards contains X (Subset condition), then both utterances are known to be consistent with the not all implicature. Differential effects are observed depending on the quantifier reading adopted by the participant: For those participants who adopt the not all reading in the full access context, but not in the partial access context (weak pragmatic reading), a late posterior negativity effect is observed in the partial access context for the Fullset relative to the Subset condition. This effect is argued to reflect inference-driven context retrieval and monitoring processes related to epistemic reasoning involved in evaluating the competence assumption. By contrast, for participants who adopt the logical interpretation of some (some and possibly all), an N400 effect is observed in the partial access context, when comparing the Subset against the Fullset condition, which is argued to result from the competition between the two quantifying expressions some cards on the table and some cards in the game functioning in the experiment as scalar alternatives.

9.
Can J Exp Psychol ; 75(2): 189-196, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34014703

RESUMO

One of the most debated topics in figurative language studies is whether the access to non-literal meanings is direct or indirect. Although models that argue for longer processing times for figurative compared to literal meanings have been largely criticized, figurative language is often associated with increased cognitive work. We investigated whether such greater cognitive work is indicative of more time-consuming processes or rather lower availability of figurative meanings, and whether there are differences between figurative types. We used a multi-response Speed-Accuracy Trade-off paradigm, where a meaningfulness judgment task was combined with a response deadline procedure to estimate speed and accuracy independently for metaphorical (Those dancers are butterflies) and metonymic sentences (That student reads Camilleri), compared with literal equivalents. While both metaphors and metonymies showed lower asymptote, that is, they were judged less accurately than literal counterparts, only metonymies were associated with a processing delay. Moreover, the difference in asymptote with respect to the literal condition was greater for metaphor than for metonymy. These findings indicate that the process that derives metaphor and metonymy is more complex than the process that derives literal meanings, even more so for metaphor. The processing delay, however, is present only in the case of metonymies. Taken together, our study offers key findings that reconcile a lively debate on the time course of figurative language comprehension, showing that the cost of non-literal meaning is not always a matter of time, and depends also on the figurative type. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Borboletas , Metáfora , Animais , Compreensão , Humanos , Idioma , Tempo de Reação , Leitura
10.
J Nurs Scholarsh ; 53(2): 246-254, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33555110

RESUMO

PURPOSE: RobotReviewer is a machine learning system for semi-automated assistance in risk of bias assessment. The tools's performance in randomized controlled trials (RCTs) in the field of nursing remains unknown. We aimed therefore to evaluate the agreement in risk of bias assessment between RobotReviewer and human reviewers. DESIGN: Evaluation study using a retrospective diagnostic design. METHODS: We used RobotReviewer as the index test and human reviewers' risk of bias assessment reported in Cochrane reviews as the reference test. A convenience sample of electronically available English-language full texts of RCTs included in Cochrane reviews with nurs* in the title were eligible for inclusion. In this context, we assessed random sequence generation, allocation concealment, and blinding (personnel or participants and assessors) corresponding to Cochrane risk of bias version 2011. Two independent research teams performed and double-checked data extraction and analysis. We calculated sensitivity, specificity, receiver operating characteristic (ROC) curve, the area under the ROC curve, predictive values, observed percentage of agreement, and Cohen's kappa (including confidence intervals, if applicable). FINDINGS: The selection process yielded 190 RCTs published between 1958 and 2016 in 23 Cochrane reviews published between 2000 and 2018. Missing assessments of risk of bias domains in Cochrane reviews or RobotReviewer yielded varying sample sizes per risk of bias domain. Sensitivity ranged from 0.44 to 0.88 and specificity from 0.48 to 0.95. Positive predictive value was highest for allocation concealment (0.79) and lowest for blinding assessors (0.25). Cohen's kappa was moderate for randomization (0.52), allocation concealment (0.60), and for blinding of personnel/patients (0.43). Blinding of outcome assessors had only slight agreement (0.04). CONCLUSIONS: This is the first evaluation of risk of bias assessment by RobotReviewer in RCTs included in nursing-related Cochrane reviews. It yielded a moderate degree of agreement with human reviewers for randomization and allocation concealment, and an adequate sensitivity for detecting low risk of selection bias. CLINICAL RELEVANCE: Based on our results, using the RobotReviewer for risk of bias assessment in RCTs can be supportive in some risk of bias domains. However, human reviewers should supervise the semi-automated assessment process.


Assuntos
Viés , Medição de Risco/métodos , Robótica , Humanos , Pesquisa em Enfermagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Reprodutibilidade dos Testes , Estudos Retrospectivos , Literatura de Revisão como Assunto
11.
Front Psychol ; 12: 672927, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-35308073

RESUMO

When faced with an ambiguous pronoun, an addressee must interpret it by identifying a suitable referent. It has been proposed that the interpretation of pronouns can be captured using Bayes' Rule: P(referent|pronoun) ∝ P(pronoun|referent)P(referent). This approach has been successful in English and Mandarin Chinese. In this study, we further the cross-linguistic evidence for the Bayesian model by applying it to German personal and demonstrative pronouns, and provide novel quantitative support for the model by assessing model performance in a Bayesian statistical framework that allows implementation of a fully hierarchical structure, providing the most conservative estimates of uncertainty. Data from two story-continuation experiments showed that the Bayesian model overall made more accurate predictions for pronoun interpretation than production and next-mention biases separately. Furthermore, the model accounts for the demonstrative pronoun dieser as well as the personal pronoun, despite the demonstrative having different, and more rigid, resolution preferences.

12.
Arch Pharm (Weinheim) ; 353(11): e2000209, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32780524

RESUMO

Dendrimers represent an opportunity for targeted drug delivery into tumor cells. This is facilitated, for example, by loading of dendrimers with anticancer compounds. However, to assess the effects caused by such conjugates, knowledge of the cytotoxicity of the dendrimers themselves is necessary. The poly(amido amine)-derived dendrimers G1 (Phe)6 , G1 (Dan)3 , and G2 were selected due to their different numbers of free amino groups and the poly(propylene imine) (PPI) dendrimer PPI-G3 served as a reference. The compounds were evaluated for cell-death induction using breast cancer (MCF-7, MDA-MB-231) and leukemia (LAMA-84, K562, SD-1, SUP-B15) cell lines. The compounds exhibited concentration-dependent effects in the low micromolar range against the mammary carcinoma cells. A dependency on the generation, and particularly on the type of dendrimer, was deduced while the quantity of the free amino groups was subsidiary. G2 revealed to be most cytotoxic, also against all tested leukemia cell lines. The cell line SD-1, however, was susceptible to all dendrimers. The mode of cell death was mainly determined by necrosis, especially at higher concentrations, while apoptosis played a subordinate role. The other dendrimers exerted no antimetabolic effects against LAMA-84, K562, and SUP-B15 cells. Therefore, these dendrimers are generally suitable as nontoxic drug carriers for leukemia cells.


Assuntos
Antineoplásicos/farmacologia , Neoplasias da Mama/tratamento farmacológico , Dendrímeros/farmacologia , Leucemia/tratamento farmacológico , Antineoplásicos/química , Apoptose/efeitos dos fármacos , Neoplasias da Mama/patologia , Sobrevivência Celular/efeitos dos fármacos , Dendrímeros/química , Relação Dose-Resposta a Droga , Feminino , Humanos , Células K562 , Leucemia/patologia , Células MCF-7 , Necrose
13.
Neuroreport ; 31(8): 624-628, 2020 05 22.
Artigo em Inglês | MEDLINE | ID: mdl-32345849

RESUMO

Accentuation influences selective attention and the depth of semantic processing during online speech comprehension. We investigated the processing of semantically congruent and incongruent words in a language that presents cues to prosodic prominences in the region of the utterance occurring after the focussed information (the post-focal region). This language is Italian, in particular the variety spoken in Bari. In this variety, questions have a compressed, post-focal accent, whereas in statements there is a low-level pitch in this position. Using event-related potentials, we investigated the processing of congruent and incongruent target words with two prosodic realizations (focussed with accentuation, post-focal realization) and in two-sentence modalities (statement, question). Results indicate an N400 congruence effect that was modulated by position (focal, post-focal) and modality (statement, question): processing was deeper for questions in narrow focus than in post-focal position, while statements showed similar pronounced N400 effects across positions. The attenuated N400 difference for post-focal targets in questions was accompanied by a more enhanced late positivity when they were incongruent, indicating that attentional resources are allocated during updating of speech act information.


Assuntos
Atenção/fisiologia , Encéfalo/fisiologia , Semântica , Percepção da Fala/fisiologia , Adulto , Eletroencefalografia , Potenciais Evocados , Feminino , Humanos , Idioma , Masculino , Adulto Jovem
14.
Neurosci Lett ; 712: 134435, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31425824

RESUMO

Priming of pragmatic enrichment has been found in behavioural studies. We extend this by examining the neural correlates of priming for two implicature categories, quantifiers and disjunctions. Participants engaged in a primed sentence-picture matching task where they were presented with a sentence (e.g., "some of the letters are Bs") followed by a picture. In prime trials the pictures were either consistent with an enriched interpretation (some but not all) or a basic interpretation (some and possibly all) of the sentence. The pictures in target trials were always consistent with the enriched interpretation. Using ERPs, we found a priming effect on the picture reflected in a reduced positivity for quantifiers when the preceding trial had an enriched interpretation, and no effect for disjunction. The pragmatic priming effect can be dissociated from expectation-based processes. It suggests that abstract derivation processes are primed during pragmatic alignment.


Assuntos
Encéfalo/fisiologia , Compreensão/fisiologia , Potenciais Evocados/fisiologia , Idioma , Eletroencefalografia , Feminino , Humanos , Masculino , Adulto Jovem
15.
Pain Manag Nurs ; 20(1): 75-81, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30425012

RESUMO

BACKGROUND: Chronic back pain affects many aspects of everyday life and is a common reason for medical visits, leading to high direct and indirect health care costs. Innovative and cost-effective nonpharmacologic pain management methods should be promoted to ensure adequate treatment. AIMS: The aim of this pilot study was to investigate the pain-relieving effect of Therapeutic Touch in adult neurologic patients with back pain. DESIGN: A pretest-post-test randomized controlled trial. SETTINGS: A university hospital in Austria. PARTICIPANTS/SUBJECTS: Patients with back pain diagnosis (N = 29) on hospital admission. METHODS: A pilot study was conducted for 3 months. The control group (n = 14) received the pharmacologic pain management recommended by the World Health Organization; patients in the intervention group (n = 15) received additionally four Therapeutic Touch treatments on 4 consecutive days. The Quebec Back Pain Disability Scale and the Numeric Pain Rating Scale were used as outcome measures to evaluate activity domains affected by back pain and pain intensity. RESULTS: Pain improvement was found in the intervention group according to the mean score of the Quebec Back Pain Disability Scale (day 1: 72.53, standard deviation [SD] ± 14.10; day 4: 39.47, SD ± 8.77; p < .001). The Numerical Pain Rating Scale score averaged 4.33 points (SD ± 2.09) on the first day and 2.47 points (SD ± 1.12) on the fourth day. The long-term effect of Therapeutic Touch was significant and indicated a major effect (Pillai's trace = .641, F(3.12) = 7.1, p = .005, ηp2 = .641). CONCLUSIONS: Therapeutic Touch seems to be a noninvasive nursing intervention for back pain management to provide more professional patient care.


Assuntos
Dor nas Costas/terapia , Toque Terapêutico/normas , Adulto , Idoso , Áustria , Dor nas Costas/psicologia , Dor Crônica/psicologia , Dor Crônica/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem em Neurociência/métodos , Enfermagem em Neurociência/normas , Manejo da Dor/métodos , Manejo da Dor/normas , Medição da Dor/métodos , Quartos de Pacientes/organização & administração , Projetos Piloto , Qualidade de Vida/psicologia , Quebeque , Inquéritos e Questionários , Toque Terapêutico/métodos
16.
Nurse Educ Today ; 66: 158-165, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29704703

RESUMO

BACKGROUND: Within nursing education, the clinical learning environment is of a high importance in regards to the development of competencies and abilities. The organization, atmosphere, and supervision in the clinical learning environment are only a few factors that influence this development. In Austria there is currently no valid instrument available for the evaluation of influencing factors. OBJECTIVES: The aim of the study was to test the construct validity with principal component analysis as well as the internal consistency of the German Clinical Learning Environment, Supervision and Teacher Scale (CLES+T scale) in Austria. METHOD: The present validation study has a descriptive-quantitative cross-sectional design. The sample consisted of 385 nursing students from thirteen training institutions in Austria. The data collection was carried out online between March and April 2016. Starting with a polychoric correlation matrix, a parallel analysis with principal component extraction and promax rotation was carried out due to the ordinal data. RESULTS: The exploratory ordinal factor analysis supported a four-component solution and explained 73% of the total variance. The internal consistency of all 25 items reached a Cronbach's α of 0.95 and the four components ranged between 0.83 and 0.95. CONCLUSION: The German version of the CLES+T scale seems to be a useful instrument for identifying potential areas of improvement in clinical practice in order to derive specific quality measures for the practical learning environment.


Assuntos
Aprendizagem , Psicometria , Garantia da Qualidade dos Cuidados de Saúde , Inquéritos e Questionários , Adulto , Áustria , Estudos Transversais , Feminino , Humanos , Masculino
17.
Brain Res ; 1684: 1-8, 2018 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-29409797

RESUMO

We often walk around when we have to think about something, but suddenly stop when we are confronted with a demanding cognitive task, such as calculating 1540*24. While previous neurophysiological research investigated cognitive and motor performance separately, findings that combine both are rare. To get a deeper understanding of the influence of motor demands as well as the difficulty of a simultaneously performed cognitive task, we investigated 20 healthy individuals. Participants performed two cognitive tasks with different levels of difficulty while sitting or standing on one leg. In addition to behavioral data, we recorded the electroencephalogram from 26Ag/AgCI scalp electrodes. The critical time-windows, predefined by visual inspection, yielded an early (200-300 ms, P2) and a subsequent positivity (350-500 ms, P3). Statistical analysis of the early time window registered a motor × cognition interaction. Resolution of this interaction revealed an effect of the cognitive task in the one-legged stance motor condition, with a more pronounced positivity for the difficult task. No significant differences between cognitive tasks emerged for the simple motor condition. The time-window between 350 and 500 ms registered main effects of the motor task and a trend for the cognitive task. While the influence of cognitive task difficulty (in the P3) is in accordance with previous studies, the motor task effect is specific to one-legged stance (cf. no effects for running in previous research). The motor-cognition interaction found in the P2 indicates that the more difficult motor task (one-legged stance) facilitates cognitive task performance.


Assuntos
Cognição/fisiologia , Equilíbrio Postural/fisiologia , Desempenho Psicomotor/fisiologia , Análise e Desempenho de Tarefas , Adulto , Comportamento/fisiologia , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Adulto Jovem
18.
J Nurs Meas ; 25(3): 173-184, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29268820

RESUMO

BACKGROUND AND PURPOSE: The Observation Instrument for Assessing Pain in Elderly With Dementia (BISAD) was developed in Germany. The instrument demonstrated high inter-rater reliability values for the original French version. So far, there are no results to that effect in the Austrian long-term care setting available. The objective of this study was to investigate agreement and inter-rater reliability of BISAD in residents with dementia. METHODS: A quantitative multicenter-descriptive cross-sectional design with a convenience sample of 71 residents. RESULTS: Analysis of all eight items demonstrated fair to moderate concordance. Absolute agreement of the total value was 25.32%. Subtotals of the observation before mobilization was 52.11%, and during mobilization 32.39%. CONCLUSION: The reliability analysis shows that the items are less reliable. Currently, BISAD does not make a reliable contribution to clinical decision making in the tested setting.


Assuntos
Demência , Observação , Medição da Dor/instrumentação , Idoso , Áustria , Estudos Transversais , Feminino , Humanos , Assistência de Longa Duração , Masculino , Casas de Saúde , Reprodutibilidade dos Testes
19.
J Nurs Meas ; 25(3): 504-518, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29268832

RESUMO

BACKGROUND AND PURPOSE: Delirium is a common and often unrecognized complication of hospitalized elderly patients. Currently, there is no evidence for inter-rater reliability studies between registered nurses in the literature. Furthermore, the user-friendliness of the Delirium Observation Screening Scale (DOSS) has not been tested in Austria. METHODS: A quantitative cross-sectional design with a convenience sample of 141 patients and 36 nurses in an Austrian hospital. RESULTS: Analysis of rater-agreement and inter-rater reliability on item level, total score as well as category of delirium risk demonstrated very high agreement. In contrast, no or only fair kappa coefficient were determined. The user-friendliness of the scale was partially satisfactory. CONCLUSIONS: The very high absolute agreement speaks for the reliability of DOSS although the kappa paradox became obvious. The results of the presented study relate only to the tested setting.


Assuntos
Delírio/diagnóstico , Programas de Rastreamento/enfermagem , Diagnóstico de Enfermagem , Observação , Idoso , Idoso de 80 Anos ou mais , Áustria , Estudos Transversais , Feminino , Humanos , Masculino , Programas de Rastreamento/métodos , Pesquisa em Avaliação de Enfermagem , Variações Dependentes do Observador , Reprodutibilidade dos Testes
20.
Front Aging Neurosci ; 7: 217, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26648865

RESUMO

Hierarchical predictive coding has been identified as a possible unifying principle of brain function, and recent work in cognitive neuroscience has examined how it may be affected by age-related changes. Using language comprehension as a test case, the present study aimed to dissociate age-related changes in prediction generation versus internal model adaptation following a prediction error. Event-related brain potentials (ERPs) were measured in a group of older adults (60-81 years; n = 40) as they read sentences of the form "The opposite of black is white/yellow/nice." Replicating previous work in young adults, results showed a target-related P300 for the expected antonym ("white"; an effect assumed to reflect a prediction match), and a graded N400 effect for the two incongruous conditions (i.e. a larger N400 amplitude for the incongruous continuation not related to the expected antonym, "nice," versus the incongruous associated condition, "yellow"). These effects were followed by a late positivity, again with a larger amplitude in the incongruous non-associated versus incongruous associated condition. Analyses using linear mixed-effects models showed that the target-related P300 effect and the N400 effect for the incongruous non-associated condition were both modulated by age, thus suggesting that age-related changes affect both prediction generation and model adaptation. However, effects of age were outweighed by the interindividual variability of ERP responses, as reflected in the high proportion of variance captured by the inclusion of by-condition random slopes for participants and items. We thus argue that - at both a neurophysiological and a functional level - the notion of general differences between language processing in young and older adults may only be of limited use, and that future research should seek to better understand the causes of interindividual variability in the ERP responses of older adults and its relation to cognitive performance.

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