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Theories of Consciousness as Reflexivity
No full textConsciousness is best understood in context, as one element of an interactive waking state in which the greater part of cognitive processing takes place in a nonconscious fashion. But if conscious and nonconscious processing are combined in the waking state, what distinguishes the former form the latter, what is consciousness, and what is its purpose? The answer to the second question depends crucially on our conclusion regarding the first. What is the property in virtue of which a state is conscious rather than nonconscious? In the following, it will be argued that of the answers most frequently proposed—intentionality, subjectivity, accessibility, reflexivity—only the final characteristic, reflexive, autonoetic awareness, is unique to the conscious state. Reflexivity can best be explained not as the product of a self-representational data structure, but as the expression of a recursive processing regime, in which cognition registers the properties of the processing state to a greater extent than properties of the content represented. And the principal characteristic of a reflexive processing state is cognitive reflexivity or autonoetic awarenes
Knowledge of Pharmacology of Analgesics Among Nurses in a Tertiary Centre
No full textObjectives: To evaluate the knowledge of nurses about the analgesics they administer in our hospital. Methodology: A total of 102 nurses completed the questionnaire which included 20 multiple choice questions based on the dosage forms, mechanism of action, route of administration, adverse effects of the commonly administered analgesics, the nurses’ educational qualifications and their working experience. Frequency, percentage, mean, Kruskal Wallis test and Mann Whitneys test were used to analyse data. Answers were given a score out of 20(100%). Results: The sample comprised of 17(16.6%) senior staff nurses, 38(37%) junior staff nurses and 47(46%) student nurses. Of the staff, 10.8 % were BSc and MSc nurses, 43.1 were GNM staff. The mean knowledge score of BSc & MSc staff was 12.18, GNM staff was 11.7 and of student nurses was 13.38. None of the groups scored more than 15, suggesting their knowledge was inadequate. There was a correlation between knowledge and experience in the staff nurses. Conclusion: The result of this study suggests that the knowledge of pharmacology of analgesics among nurses is inadequate, and thus supports the need for supplementary pharmacology education for nurses in clinical settings, focusing on common drugs they administer and help prevent medical errors
Systemic Therapy in Endometrial Cancer: Recent Advances.
No full textEndometrial cancer is a chemosensitive disease. Studies have established a clear benefit of chemotherapy in advanced stages and trials are ongoing to define its role in early stages as well. As more molecular pathways are being elucidated there is increasing role for targeted agents and future looks quite promising. We did an extensive search both online and offline for all the relevant articles including chemotherapy and targeted therapy for endometrial cancer
Cellulitis Due to Salmonella infantis.
No full textBacteria of the genus Salmonella are highly adapted for the growth in both humans and animals and cause a wide spectrum of disease. The growth of Serotypes S. typhi and S. paratyphi is restricted to human hosts, in whom these organisms cause enteric (typhoid) fever. The remaining Serotypes (non typhoidal Salmonella or NTS) can colonize the gastrointestinal tracts of the broad range of animals, including mammals, reptiles, birds and insects. The usual clinical presentation of non-typhoidal salmonellae (NTS) infection is self limited gastroenteritis; however bacteremia and focal extra intestinal infection may occur. However salmonella localization to the skin presenting as cutaneous ulceration is regarded as a rare event. Rates of morbidity and mortality associated with NTS are highest among the elderly, infants, and immunocompromised individuals, including those with hemoglobinopathies, HIV infection, or infections that cause blockade of the reticuloendothelial system. We isolated S.infantis in 50 years old man with left leg cellulitis. The serotype was confirmed at Central Research Institute, Kasauli
From hitting to tattling to gossip: An evolutionary rationale for the development of indirect aggression
No full textAdult humans are characterized by low rates of intra-group physical aggression, relative to both human children and non-human animals. I propose that the suppression of physically aggressive tendencies has been achieved partly through the replacement of dominance hierarchies by prestige hierarchies, driven by indirect reciprocity and mediated by indirectly aggressive competition and linguistic transmission of reputations. Reviewing the developmental literature on indirect aggression and related constructs provides three pieces of evidence that evolutionarily old impulses towards physical aggression are gradually socialized into indirect aggression: (i) physical aggression falls in early childhood over the same age range during which indirect aggression increases; (ii) the same individuals engage in both physical and indirect aggression; and (iii) dominant individuals practice indirect aggression more frequently. Consideration of the developmental course of indirect aggression is complemented by analysis of similar developments in verbal behaviors that are not necessarily aggressive, namely tattling and gossip. Two developmental transitions in indirect aggression and related behaviors are postulated. The first occurs in early childhood as children become aware of norms against physical aggression. The second occurs in preadolescence with the development of increasingly covert forms of reputational competition, as children try to renegotiate their status within peer social networks
Personality Testing in the Church of Scientology: \ud Implications for Outcome Research\ud
No full textMany fields of modern society require scientific proof of effectiveness before new methods can be widely accepted, as in clinical trials for new drugs, educational evaluation for teaching approaches, and outcome studies for psychological interventions. Previous outcome studies on the results from Scientology services are reviewed and found to be inconclusive. The paper is devoted to the question of whether the existing data base of several thousand case histories could be used for outcome studies. The existing data contain personality test scores on the Oxford Capacity Analysis (OCA) administered before and after scientology services. A detailed analysis of the OCA demonstrates that it was derived from the Johnson Temperament Analysis (JTA), a psychological test of poorly documented validity, by paraphrasing its items, copying its scoring weights and transforming its test norms, with some alterations. It was concluded that the OCA is presently unsuitable for outcome studies, but that this situation could change if additional research could demonstrate that the OCA had validities comparable to other personality tests. For future use, it is recommended that an entirely new version of the OCA be constructed with completely original items, simplified scoring weights, and empirically derived norms, and that its validity and reliability be demonstrated prior to implementation.Scientology, outcomes, OCA, Oxford Capacity Analysis, validatio
Indonesian Innovations on Information Technology 2013: Between Syntactic and Semantic Textual Network\ud
No full textNetwork and graph model is a good alternative to analyze huge collective textual data for the ability to reduce the dimensionality of the data. Texts can be seen as syntactic and semantic network among words and phrases seen as concepts. The model is implemented to observe the proposals of Indonesian innovators for implementation of information technology. From the analysis some interesting insights are outlined
SEMANTIC CLUSTERING WITH CONTEXT ONTOLOGY FOR INFORMATION RETRIEVAL SYSTEM\ud
No full textNowadays, there are so many increasing amount of information within world-wide web. For these increasing amounts of information, we need efficient and effective index structure when we have to find needed information. Most indexing techniques directly matched terms from the document and terms from query. But there is a problem when matching. That is most system doesn’t consider the meaning of the words. A word can have more than one meaning. But most systems didn’t consider the context (multiple meaning of a word). This paper presents how to construct an index structure using SSTC and context ontology that provides multiple meanings of a word. Context provides extra information to improve search result relevance. This paper produces context semantic cluster to provide indexing of search engine.\u
Rapunzel Syndrome: Trichobezoar in a 13 Years Old Girl
No full textBackground: Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms. Case Presentation: We present a 13 years old girl with Rapunzel syndrome, where the trichobezoar was not suspected at all especially with negative history of trichophagia. In majority of the cases the diagnosis was made very late in the history of the disease, at a stage where surgery is the only cure for this syndrome. Conclusion: A trichobezoar represents a serious surgical condition. It is important to consider such diagnosis in face of suggestive symptoms, even if signs of trichotillomania are not present. The discrepancies between the prevalence of trichotillomania and trichobezoars due to trichophagia may be due to issues related to self-selection of patients and symptom severity. Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorder
Autologous Blood versus Corticosteroid Local Injection for Treatment of Lateral Epicondylosis: A Randomized Clinical Trial
No full textObjective: The objective of the present single blinded prospective randomized control trial was assessment of efficacy of autologous blood injection versus local steroid injection in treatment of lateral epicondylosis of elbow. Methodology: Using a pre-post experimental design, a total of sixty patients of previously untreated lateral epicondylosis were selected; Group 1 (n=30) was administered single injection of autologous blood and Group 2 (n=30) single local corticosteroid injection. Assessment was done at baseline, 2 weeks, 6 weeks and 12 weeks using PRTEE (Patient Rated Tennis Elbow Evaluation) score. Results: Pre injection parameters showed no difference between groups (chi square test, p > 0.005). Analysis between groups showed significant decrease in steroid group at very short term - 2 weeks (unpaired t test, p < 0.005).There was no difference between groups at 6 weeks. There was a significant improvement in blood group at medium term -12 weeks (unpaired t test, p < 0.05). Conclusion: Both the interventions were effective in reducing pain and improving functional status of patients in short term, but autologous blood was more effective in longer run