职业精神与弱势病人

医学职业研究所对美国医生的现实行为的调查说明:医生们是相信且赞同职业精神在对待弱势病人方面的关键信条的;增强美国医生的职业精神的努力,也应该包括努力转变医生照顾弱势病人的行为方面。但是,增强职业精神的努力不仅要通过书本上的或理论上的教育,也应该包括致力于制定使医生更容易履行这些义务的实践政策,提供体制上的支持可使医生更容易做他们已经知道其应该做的行为。     

Musical Training,Bilingualism, and Executive Function: A Closer Look at Task Switching and Dual‐Task Performance

This study investigated whether musical training and bilingualism are associated with enhancements in specific components of executive function, namely, task switching and dual‐task performance. Participants (n = 153) belonging to one of four groups (monolingual musician, bilingual musician, bilingual non‐musician, or monolingual non‐musician) were matched on age and socioeconomic status and administered task switching and dual‐task paradigms. Results demonstrated reduced global and local switch costs in musicians compared with non‐musicians, suggesting that musical training can contribute to increased efficiency in the ability to shift flexibly between mental sets. On dual‐task performance, musicians also outperformed non‐musicians. There was neither a cognitive advantage for bilinguals relative to monolinguals, nor an interaction between music and language to suggest additive effects of both types of experience. These findings demonstrate that long‐term musical training is associated with improvements in task switching and dual‐task performance.     

Inaction inertia

Inaction inertia occurs when bypassing an initial action opportunity has the effect of decreasing the likelihood that subsequent similar action opportunities will be taken. This overview of the inaction inertia literature demonstrates the impact of inaction inertia on decision making. Based on research on the causes of inaction inertia, we show that it is a multi-determined phenomenon, explained by both valuation and regret considerations. Moreover, we demonstrate how a sour grapes explanation of inaction inertia might integrate these two accounts. Furthermore, we explain when inaction inertia is most likely to occur and how it can be prevented. We conclude that the inaction inertia literature does not only add to our understanding of this intriguing phenomenon, but also contributes to related social psychological phenomena, such as the sunk cost effect, sequential decision making, decision avoidance (e.g., choice deferral, status quo bias, decisional conflict), and procrastination.     

Consolidation and translation regulation

mRNA translation, or protein synthesis, is a major component of the transformation of the genetic code into any cellular activity. This complicated, multistep process is divided into three phases: initiation, elongation, and termination. Initiation is the step at which the ribosome is recruited to the mRNA, and is regarded as the major rate-limiting step in translation, while elongation consists of the elongation of the polypeptide chain; both steps are frequent targets for regulation, which is defined as a change in the rate of translation of an mRNA per unit time. In the normal brain, control of translation is a key mechanism for regulation of memory and synaptic plasticity consolidation, i.e., the off-line processing of acquired information. These regulation processes may differ between different brain structures or neuronal populations. Moreover, dysregulation of translation leads to pathological brain function such as memory impairment. Both normal and abnormal function of the translation machinery is believed to lead to translational up-regulation or down-regulation of a subset of mRNAs. However, the identification of these newly synthesized proteins and determination of the rates of protein synthesis or degradation taking place in different neuronal types and compartments at different time points in the brain demand new proteomic methods and system biology approaches. Here, we discuss in detail the relationship between translation regulation and memory or synaptic plasticity consolidation while focusing on a model of cortical-dependent taste learning task and hippocampal-dependent plasticity. In addition, we describe a novel systems biology perspective to better describe consolidation.     

Attentional attraction of receptive fields can explain spatial and temporal effects of attention

A multitude of attentional effects were found at both the neural and behavioural levels of perception; however, the nature of the attentional mechanism is an unsettled issue. It is typically assumed that the fundamental impact of attention is enhancement of neuronal responses, but some attentional effects are difficult to explain by such gain modulations. Here we offer a different view: We suggest that the most fundamental impact of attention is the attraction (shift) of receptive fields towards the attended location. We further show, both conceptually and by model simulations, that this attraction of receptive fields can explain a diverse range of attentional effects, spatial as well as temporal, linking physiological measurements at the unit level with psychophysical observations (e.g., enhanced contrast sensitivity, enhanced spatial resolution, the Mexican-hat profile of attention, prolonged perceived duration, prior entry, degraded temporal resolution).     

Exogenous influences on task set activation in task switching

To explore the effect of exogenous processes on cognitive control, we used a cueing task-switching paradigm with two spatial judgement tasks and added an irrelevant colour attribute to the task-relevant spatial attribute of the target. The colour was not related to any specific Stimulus-Response relation in the tasks. A correlation was created between stimulus colour and task identity. This correlation was strong but imperfect in Experiment 1 and perfect in Experiment 2. As a result of the colour-task correlation, stimuli contained redundant information about task identity. By changing the correlation pattern every few blocks we caused this information to be sometimes invalid. In both experiments, performance was worse when the information carried by the target was invalid than when it was valid. However, this effect was exclusive to conditions with short task preparation time. By comparing performance with a control group, which had no colour-task correlation (in Experiment 2) we established that the colour manipulation did not cause a qualitative change in preparation strategy, and that the exogenous effect was stronger in switch trials than in repetition trials. We conclude that exogenous processes that are related to task set affect performance primarily if they are presented before endogenous processes of task set preparation have been launched.     

Starting research in interaction design with visuals for low-functioning children in the autistic spectrum: a protocol.

On starting to think about interaction design for low-functioning persons in the autistic spectrum (PAS), especially children, one finds a number of questions that are difficult to answer: Can we typify the PAS user? Can we engage the user in interactive communication without generating frustrating or obsessive situations? What sort of visual stimuli can we provide? Will they prefer representational or abstract visual stimuli? Will they understand three-dimensional (3D) graphic representation? What sort of interfaces will they accept? Can we set ambitious goals such as education or therapy? Unfortunately, most of these questions have no answer yet. Hence, we decided to set an apparently simple goal: to design a "fun application," with no intention to reach the level of education or therapy. The goal was to be attained by giving the users a sense of agency--by providing first a sense of control in the interaction dialogue. Our approach to visual stimuli design has been based on the use of geometric, abstract, two-dimensional (2D), real-time computer graphics in a full-body, non-invasive, interactive space. The results obtained within the European-funded project MultiSensory Environment Design for an Interface between Autistic and Typical Expressiveness (MEDIATE) have been extremely encouraging.     

Misremembering pictured objects: people of all ages demonstrate the boundary extension illusion

In the boundary extension illusion, subjects recollect more of a photographed scene than was originally shown. In this study, first- and fifth-grade children, young adult college students, and older adults studied 4 one-object or 4 two-object picture stimuli for 15 s each. Immediately after each visual scene was shown, the subjects drew it from memory inside a rectangle that was the same size as the previous picture. This study demonstrated that all age groups, from young children to older adults, were susceptible to the boundary extension illusion. This finding is discussed in terms of Intraub's perceptual schema hypothesis and Johnson's source-monitoring hypothesis.