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71.
Otto S 《The Journal of clinical ethics》2007,18(3):247-251
This was a troublesome case, without complete consensus about the right thing to do. It seemed there were arguments on both sides: those who thought that the goal of comfort care without treatment was most consistent with his wishes, versus those who thought the additional testing and treatment might have produced a net benefit in spite of the burdens. Ultimately, the patient was placed in a facility with a do-not-resuscitate (DNR) order in effect and a plan for comfort care. He may live a few months or more. We all hope that whatever time he has is spent free of pain and symptoms, and that he is able to live a life of quality consistent with his wishes. The main story line is consistent with actual events; however, there have been changes in terms of gender, disease, and relationships that have been included to protect the anonymity of the patient. 相似文献
72.
Paulo A. S. Veloso Renata P. de Freitas Petrucio Viana Mario Benevides Sheila R. M. Veloso 《Journal of Philosophical Logic》2007,36(5):489-509
We compare fork arrow logic, an extension of arrow logic, and its natural first-order counterpart (the correspondence language)
and show that both have the same expressive power. Arrow logic is a modal logic for reasoning about arrow structures, its
expressive power is limited to a bounded fragment of first-order logic. Fork arrow logic is obtained by adding to arrow logic
the fork modality (related to parallelism and synchronization). As a result, fork arrow logic attains the expressive power
of its first-order correspondence language, so both can express the same input–output behavior of processes. 相似文献
73.
Emily B. Myers Sheila E. Blumstein Edward Walsh James Eliassen 《Psychological science》2009,20(7):895-903
ABSTRACT— The problem of mapping differing sensory stimuli onto a common category is fundamental to human cognition. Listeners perceive stable phonetic categories despite many sources of acoustic variability. What are the neural mechanisms that underlie this perceptual stability? In this functional magnetic resonance imaging study, a short-interval habituation paradigm was used to investigate neural sensitivity to acoustic changes within and between phonetic categories. A region in the left inferior frontal sulcus showed a pattern of activation consistent with phonetic invariance: insensitivity to acoustic changes within a phonetic category and sensitivity to changes between phonetic categories. Left superior temporal regions, in contrast, showed graded sensitivity to both within- and between-category changes. These results suggest that perceptual insensitivity to changes within a phonetic category may arise from decision-related mechanisms in the left prefrontal cortex and add to a growing body of literature suggesting that the inferior prefrontal cortex plays a domain-general role in computing category representations. 相似文献
74.
Rationale: The facilitating effect of multisensory integration on motor responses in adults is much larger than predicted by race‐models and is in accordance with the idea of coactivation. However, the development of multisensory facilitation of endogenously driven motor processes and its relationship to the development of complex cognitive skills in school‐age children is largely unexplored. Method: Twenty adults and 95 children where allocated into six age groups: 6, 7, 8, 9, 10–11 and adults. Participants’ motor reaction times (MRTs) and accuracy in response to the detection of auditory, visual and audiovisual stimuli were recorded. Children's reading accuracy and nonverbal IQ were also assessed. Results: In general, MRTs of children were significantly slower with greater variability than those of adults. Although the average level of multisensory facilitation was similar for all age groups, mean cumulative density functions (CDFs) showed that multisensory facilitation in 6 and 10–11‐year‐olds is within the predictive limits of race‐models. Where coactivation was seen in the CDF of individual children it was not as strong or as consistent as that in adults. The degree of multisensory facilitation did not correlate with age, reading accuracy or IQ. Conclusion: The average level of multisensory facilitation to endogenously driven motor responses does not change gradually with age nor is it related to intelligence or reading accuracy. In general, multisensory integration remains immature until 10–11 years of age and lies within the predicted confines of race‐models. 相似文献
75.
Janice Bowie Barbara Curbow Thomas Laveist Sheila Fitzgerald Kenneth Pargament 《Journal of religion and health》2001,40(4):411-422
In this study, we investigated the relationship between religious coping style and anxiety related to breast cancer and the use of mammography in a sample of African American women. We also assessed the relationship of breast cancer anxiety to related variables such as church affiliation and attendance, church teachings on health, and acceptance of those teachings. 相似文献
76.
Sheila Spong 《Counselling and Psychotherapy Research》2010,10(1):67-74
Aim: It is only relatively recently that discourse analysis has begun to rise to prominence in the fields of counselling and psychotherapy. This paper briefly explains ways of understanding discourse analysis, discussing what the approach can offer counselling research and practice. Approach: An initial categorisation of recent discourse analysis studies is offered, to demonstrate diverse ways in which this type of research can address issues relevant to counselling practice. The five categories proposed range from the examination of language use in therapy to analyses that focus on the social structures, meanings and power relations related to therapy. Implications: The paper demonstrates that through the critical analysis of counselling sessions, research interviews, written texts and other materials, discourse analysis can provide insight into ways in which counselling operates as a social practice, and so help counsellors to contextualise their work within broader social structures and processes. 相似文献
77.
Sheila Payne 《Counselling psychology quarterly》1989,2(3):337-344
Fifty-three patients with advanced cancer were studied prospectively for 6 months to assess whether the site and method of chemotherapy administration influence levels of anxiety and depression. Patients received chemotherapy either at home or in hospital. Cases of clinical anxiety (36%) and depression (27%) were highest in the hospital treated group during the middle period of therapy. Patients treated at home had a lower psychiatric morbidity for anxiety (21%) and depression (21%) at the same period. There was no statistically significant difference in the mean scores on anxiety and depression between the groups. Overall, anxiety was more prevalent than depression. This study indicates that a minority of patients with advanced cancer treated by chemotherapy experience measureable psychiatric morbidity. Counselling services should be provided for these women throughout treatment, not just at the outset. 相似文献
78.
Sheila McDonough 《Islam & Christian-Muslim Relations》1992,3(2):292-303
Mohamed Ali, an Indian Muslim political activist of the 1920s, hoped to articulate an empowering perspective for his generation of Indian Muslims. He found Harnack's critique of the history of Christian dogma a suggestive basis for a new image of the relation of Islam to the religious life of the centuries before the Prophet Muhammad. He wanted to create a scheme for a ‘Federation of Faiths’ which would enable Indian Muslims to co‐operate in the new India with persons of other traditions. The article explains the context of Mohamed Ali's thought. Although his perspective lost momentum in India after the collapse of the non‐cooperation and Khilaft movements, it may be that a reconsideration of his ideas would be useful in the context of inter‐religious dialogue. 相似文献
79.
This paper examines the question of whether there are effects of prosody on the syntactic parsing of temporarily ambiguous sentences containing complement verbs. It reports the results of five experiments employing cross-modal response tasks where the visually presented target word was either an appropriate or an inappropriate continuation in terms of the prosodic form of the preceeding auditory sentence fragment. Two experiments employing cross-modal naming only showed indications of sensitivity to syntactic and appropriateness manipulations when coupled with a simultaneous appropriateness judgment task. In contrast, the experiments employing cross-modal lexical decision showed greater sensitivity to syntactic and appropriateness effects. However, while the results from these studies replicated our earlier auditory parsing results and provided support for the suggestion that there are differences in visual and auditory parsing processes and for a constituent-based, minimal commitment type auditory parser, none of the studies demonstrated an effect of prosodic form on the parsing process. 相似文献
80.
Kevin McDonough 《Studies in Philosophy and Education》1995,14(1):77-103
The paper develops and contrasts two views about the role of examples in moral education — one based on R.M. Hare's recent two-level conception of moral reasoning and one based on Aristotle's conception ofphronesis. It concludes that a Harean view leads to a harmful and impoverished form of moral education by encouraging children to ignore or distort the complexity of particular moral judgments. It also concludes that an Aristotelian view, by emphasizing the importance of rich examples such as those found in literature, enables children to develop and exercise a capacity for moral judgment that is sensitive to the complexities of particular moral judgments. Finally, the role of examples in public moral education in liberal pluralist societies is examined. 相似文献