Nursing in the health care system of the postmodern world: crossroads, paradoxes and complexity

Entering the postmodern world in which society is confronting crossroads, paradoxes, and complexity, the health care system is encountering a transformation more comprehensive and revolutionary than has ever been seen before. Analysis of the state of nursing vis a vis these transformations indicates that the current paradigm does not ensure the existence of the profession in the postmodern health care system. That is because of increased difficulties in consolidating the economic and quality issues into the core of nursing, and in understanding the complexity inherent in health related situations.     

Inhibitory motor control in children with attention-deficit/hyperactivity disorder: event-related potentials in the stop-signal paradigm.

BACKGROUND: The aim of the study was to investigate the inhibitory control of an ongoing motor response and to identify underlying neural deficiencies, manifested in event-related potentials, that cause poorer inhibitory performance in children with attention-deficit/hyperactivity disorder. METHODS: A stop-signal paradigm with a primary visual task and auditory stop signal was used to compare performance in 13 children with attention-deficit/hyperactivity disorder and 13 control children, while event-related potentials were recorded simultaneously. RESULTS: Children with attention-deficit/hyperactivity disorder showed poorer inhibitory performance through a slower inhibitory process. Inhibitory processing of auditory stop signals was marked by a frontal N2 component that was reduced in the attention-deficit/hyperactivity disorder group relative to controls. A central positive component (P3) was associated with the success of inhibiting a response, but there were no group differences in its amplitude or latency. CONCLUSIONS: Findings support the hypothesis of deficient inhibitory control in children with attention-deficit/hyperactivity disorder. Slower inhibitory processing appears to be due to a specific neural deficiency that manifests in the processing of the stop signal as attenuated negativity in the N2 latency range.     

Neurodynamic Studies on Emotional and Inverted Faces in an Oddball Paradigm

The detection of a change in a face stimulus was studied in an oddball paradigm. Event-related potentials (ERPs) and MEG responses to face stimuli were recorded in four conditions: 1) happy standard, neutral deviant; 2) neutral standard, neutral deviant; 3) inverted happy standard, inverted neutral deviant; 4) inverted neutral standard, inverted neutral deviant. In all conditions, the target was a face with glasses. Neutral deviants elicited a negative deflection (with a maximum around 280 ms) in ERP and MEG responses, an effect similar to auditory mismatch negativity. Face inversion diminished deviance-related negativity, implying an important role of face recognition in the observed effect. Emotional content and larger physical differences between stimuli in conditions 1 and 3 compared to conditions 2 and 4 did not show statistically significant effect on the neutral-deviant-related negativity.     

C57BL/6小鼠胆结石形成中固醇载体蛋白2的mRNA水平和胆固醇饱和指数增高

目的观察C57BL/6鼠胆囊结石形成过程中肝固醇载体蛋白2(SCP2)mRNA水平及胆囊胆汁中胆固醇饱和指数的变化。方法C57BL/6鼠20只,分为结石组和对照组。对照组喂普通饲料,结石组采用1%的胆固醇饮食4周;RT-PCR方法检测肝SCP2 mRNA水平的变化;全自动生化仪检测胆脂,并计算胆固醇饱和指数。结果胆囊结石组肝SCP2 mRNA水平显著升高,胆汁胆固醇饱和指数亦显著增加。结论肝SCP2的表达及胆汁CSI的增高呈正相关。     

Predicting development of sustained unresponsiveness to milk oral immunotherapy using epitope-specific antibody binding profiles

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GKT原理的模拟犯罪测试范式实验研究

目的:本实验旨在以实际犯罪较接近的实验场景验证GKT的测谎机制,并探讨其对罪犯以及其他嫌疑人的判定有效性。方法:以72名健康大学生为被试,让被试在模拟犯罪的背景下采用三种包含不同说谎和认知成分的回答方式进行测谎测试,采用Limestone测谎仪测量被试皮肤电反应。结果:回答方式与角色两因子在判定分数上的主效应均显著,交互作用不显著。结论:在模拟犯罪测试范式下,GKT模式中认知与说谎机制是共存的,其中认知成分不占主要地位,说谎成分占主要地位,GKT模式无法兼顾有效地判定"犯罪"和"知情无辜"角色,需进一步改进。     

Demonstration of the presence of IL-16, IL-17 and IL-18 at the murine fetomaternal interface during murine pregnancy

PROBLEM: To determine if interleukin-16 (IL-16), IL-17, and IL-18 are present at the murine fetomaternal interface during pregnancy as a first step towards investigating their roles in fetomaternal relationship. METHODS: Expression of IL-16, IL-17, and IL-18, was assessed by immunohistochemistry (IHC) in the BALB/c x BALB/k (H2d x H2k), and the CBA/J x BALB/c non-abortion prone, and CBA/J x DBA/2 abortion prone matings. Enzyme-linked immunosorbent assay (ELISA) were performed for the two latter cytokines to compare local production in the abortion prone CBA/J x DBA/2 versus the non-abortion prone CBA/J x BALB/c matings. RESULTS: Expression of IL-17 was borderline. The anti-IL-16 staining specifically localized in the uterine stroma and glandular epithelium and was rather low in the placenta. IL-18 staining started in the peri-implantation uterus in the basal proliferative stroma, and was also traced, although weaker, in the glandular epithelium. In the immediate post-implantation period, a weak stromal staining persisted but there was a strong labeling of the ectoplacental cone. Interestingly, when the ectoplacental cone differentiates into placenta having a major histocompatibility complex (MHC) class I + spongiotrophoblast and a (MHC class I-) labyrinth, a very strong transient labeling of uterine natural killer (u-NK) cells was found. Later in gestation, IL-18 was also produced by giant cell and spongiotrophoblast. Finally, we compared by ELISA the production of IL-17/-18 in CBA/J x DBA/2 and CBA/J x BALB/c matings. We detected significantly more IL-18 in the non-abortion prone combination decidua or placenta. CONCLUSION: The three cytokines IL-16, IL-17, and IL-18 were detected at the fetomaternal interface with a tissue specific, stage-dependent distribution. The predominance of IL-18 secretion in the non-resorption prone matings lead us to question the general validity of the classical T-helper (Th)1/2 paradigm.     

Skin Conductance Conditioning to Potentially Phobic Stimuli as a Function of Interstimulus Interval and Delay Versus Trace Paradigm

Because prepared learning has been defined in terms of response acquisition in spite of degraded input, it was expected that differences in resistance to extinction between skin conductance responses conditioned to potentially phobic and neutral stimuli would increase with increased interstimulus interval (ISI) and be larger with a trace than with a delay conditioning paradigm. Twelve groups with 10 subjects each were observed in a differential conditioning experiment manipulating ISI (2, 8, or 16 sec), paradigm (delay versus trace), and fear-relevance of the conditioned stimulus (potentially phobic versus neutral). The results showed highly reliable resistance to extinction of first-interval anticipatory responses to phobic stimuli, and no resistance to extinction of the corresponding responses to the neutral stimuli. This difference did not interact either with the ISI or the paradigm factor. Thus, although underscoring the reliability of the difference in conditioning to potentially phobic and neutral stimuli, the results did not support the specific hypothesis of conditioning to phobic stimuli as being less dependent on the ISI parameters than conditioning to neutral stimuli.     

Learning and retention of a shock avoidance task by rat using deafferented hind limb

Learning and retention of a shock avoidance task were studied in the absence of proprioceptive or other topographic feedback. Rats with a deafferented hind limb were trained using the instrumental shock avoidance and retention paradigm of Horridge. Rats received shock whenever they lowered an electrode attached to a deafferented hind foot into an electrolyte bath; yoked-control rats received the shocks to a deafferented hind food along with the experimental animals. Experimental animals consistently held their feet above the electrolyte (p<0.01). During the early minutes of the second phase (a testing situation, in which the experimental and control animals were both shocked for leg lowering) the experimentals received fewer shocks than the controls (p<0.001); the controls eventually withheld their feet (p<0.001). These results indicate that rats with deafferented hind limbs provide a simple system for the study of learning and retention in the absence of proprioceptive or other topographic feedback.     

Reflection of an Orienting Reflex in the Phases of Evoked Potentials in the Rabbit Visual Cortex and Hippocampus during Substitution of Stimulus Intensity

Experiments on conscious rabbits were performed using the oddball paradigm, in which a rare (deviant) and common (standard) stimuli were of the same color but different intensities. Deviant stimuli were of lesser intensity. Recordings were made of evoked potentials induced by series of uniform deviant stimuli (without using standard stimuli), which were presented at the beginning and end of stimulation. Visual evoked potentials recorded in response to deviant stimuli in the visual cortex and hippocampus showed increases in the amplitudes of phases, shifted towards positivity as compared with responses to standard stimuli and uniform deviant stimuli at the beginning and end of stimulus blocks. Significant changes affected phases P1 and P2 of visual evoked potentials in the cortex and phases P1, N1, and P2 in the hippocampus. The most significant increase in evoked potentials in the cortex was seen for the P2 peak (P130). It is suggested that changes in responses to oddball-deviant stimuli result from an orienting reflex to rare, unexpected stimuli and that the P2 (P130) peak in the cortex is associated with transmission of information regarding changes in the intensity of the light. The amplitude of this peak was shown to be decreased in responses to uniform deviant stimuli at the beginning and end of stimulus blocks. It was also demonstrated that the clearest and most contrasting changes in visual evoked potentials in responses to deviant and standard stimuli were seen with the smallest differences in intensity between these types of stimulus, this reflecting increases in the orienting reflex at threshold differences.