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Theodore Fallon Jr. M.D. M.P.H. Andres Pumariega M.D. Wesley Sowers M.D. Robert Klaehn M.D. Charles Huffine M.D. Thomas Vaughan Jr. M.D. Nancy Winters M.D. Mark Chenven M.D. Larry Marx M.D. Albert Zachik M.D. William Heffron M.D. Katherine Grimes M.D. M.P.H. 《Journal of child and family studies》2006,15(2):140-152
The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/ CASII) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demonstrates excellent reliability when rating vignettes. Using children and adolescents in live system of care clinical settings, the CALOCUS/CASII demonstrates reasonable validity when compared with the Child Global Assessment Scale, and the Child and Adolescent Functional Assessment Scale. 相似文献
393.
Theodore R. Schatzki 《Continental Philosophy Review》2006,39(2):155-182
This essay analyzes the time of human activity. It begins by discussing how most accounts of action treat the time of action
as succession, using Donald Davidson's account of action as illustration. It then argues that an adequate account of action
and its determinants, one able to elucidate the ``indeterminacy of action,' requires an alternative conception of action
time. The remainder of the essay constructs a propitious account of the time and determination of action. It does so by critically
drawing on Henri Bergson's notion of duration and Martin Heidegger's notion of the teleological dimensionality (past, present,
and future) of existence. Whereas Bergson provides valuable insights into the continuity of activity, Heidegger illuminates
the determination of action. Combining their insights yields an account of the time of activity that supplements succession
with a nonsuccessive temporality: the time of activity is an overlapping continuum of action performances each of which is
structured as coming towards an end starting from a motivating state of affairs. The essay concludes with brief thoughts on
what justifies calling the nonsuccessive dimensionality of existence a kind of time. 相似文献
394.
Chen J Patel R Friedman TC Jones KS 《International journal of comparative psychology / ISCP ; sponsored by the International Society for Comparative Psychology and the University of Calabria》2010,23(1):82-90
Dizocilpine maleate (MK-801) is one of several NMDA receptor antagonists that is widely used to pharmacologically model the symptoms of psychosis and schizophrenia in animals. MK-801 elicits behaviors in adult zebrafish (Danio rerio) that are phenotypically consistent with behaviors observed in humans and rodents exposed to tbhe drug. However, the molecular and cellular processes that mediate the psychotomimetic, cognitive and locomotive behaviors of MK-801 are unclear. We exposed zebrafish larvae to MK-801 to assess their merit as a model organism to elucidate the behavioral effects of NMDA receptor blockade. Zebrafish larvae were acutely immersed in MK-801 to assess the effect on spontaneous swimming. MK-801 caused a time- and dose-dependent increase in larval swim speed, and the peak response (a five-fold increase in swim speed) was evoked by a three h exposure to a 20 uM dose. Zebrafish larvae did not exhibit sensitivity to the locomotor effects of MK-801 until 5 dpf, suggesting a critical role for developmental in sensitivity to the drug. Exposure to the low potency NMDA antagonist, memantine, did not alter the swim speed of zebrafish larvae. Co-immersion in D(1) or D(2) dopamine receptor antagonists did not disrupt the time course or magnitude of the increase in swim speed, suggesting dopaminergic signaling is not required for the locomotor actions of MK-801. Our findings of the behavioral actions of MK-801 in zebrafish larvae are consistent with previous observations in mammals and imply that the physiological, cellular and molecular processes disrupted by MK-801 are conserved in zebrafish larvae. These data suggest that the zebrafish larvae is a valid and useful model to elucidate neurobehavioral aspects of NMDA receptor antagonism and may provide insight to the neurobiology of psychosis and schizophrenia. 相似文献
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