4例肾上腺区局限性Castleman病临床诊治分析

探讨肾上腺区局限性Castleman病的临床特点及诊治方法。回顾性分析4例经术后病理证实的肾上腺区局限性 Castle-man病患者的临床资料,并结合文献复习讨论Castleman病的临床特点及诊治方法。结果4例肾上腺区局限性Castleman病均顺利手术切除,术后随访1个月～22个月,未见肿瘤复发。Castleman病临床上少见,表现为不明原因的淋巴结肿大,临床表现无特异性,最终确诊依靠病理诊断。病变可发生在淋巴组织的任何部位,肾上腺区罕见,手术切除为首选治疗。     

THE HUMAN BEING SHAPING AND TRANSCENDING ITSELF: WRITTEN LANGUAGE,BRAIN, AND CULTURE

Recent theological anthropology emphasizes a dynamic and integral understanding of the human being, which is also related to Karl Rahner's idea of active self‐transcendence and to the imago Dei doctrine. The recent neuroscientific discovery of the “visual word form area” for reading, regarded in light of the concept of cultural neural reuse, will produce fresh implications for the interrelation of brain biology and human culture. The theological and neuroscientific parts are shown in their mutual connections thus articulating the notion that human beings shape and transcend themselves both at the biological and at the cultural level. This will have relevant implications for the timely topic of human uniqueness in science and theology, and in proposing a new research perspective in which theology may consider culture along with its biological import, but not necessarily in strictly evolutionary terms alone.     

A Longitudinal Study of Factors Influencing Occupational Therapy Students' Practice Preference from Pre-Admission Through Job Selection

Abstract

The number of occupational therapists and students choosing to practice in the area of mental health continues to decline. A longitudinal comparative study was conducted using a class of 27 Bachelor's and 20 Master's students, to examine the factors that influence the students' practice area preference at three points from pre-admission to job selection. The major influential factors were similar for both groups. At pre-admission, observation, volunteer work or a job in OT or a related field was reported to be the most influential factor in choosing a practice area preference. At level II fieldwork, positive influences on practice area preference were generally higher for physical disabilities, and negative influences were higher for mental health. At job selection, availability of a job and patient population were the most important influencing factors. Pre-admission experiences, level II fieldwork, and professionally challenging aspects of the practice area preference were the most important retrospective experiences influencing preference for practice area. In order to maintain or increase a presence in mental health the profession may need to expand OT students' pre-admission experiential expectations, professional mental health supports, and job opportunities in mental health.     

Age of acquisition effects on the functional organization of language in the adult brain

Using functional magnetic resonance imaging (fMRI), we neuroimaged deaf adults as they performed two linguistic tasks with sentences in American Sign Language, grammatical judgment and phonemic-hand judgment. Participants’ age-onset of sign language acquisition ranged from birth to 14 years; length of sign language experience was substantial and did not vary in relation to age of acquisition. For both tasks, a more left lateralized pattern of activation was observed, with activity for grammatical judgment being more anterior than that observed for phonemic-hand judgment, which was more posterior by comparison. Age of acquisition was linearly and negatively related to activation levels in anterior language regions and positively related to activation levels in posterior visual regions for both tasks.     

心理分析治疗中"界限"的概念体系及意义

从心理分析的角度出发,通过文献研究和临床方法,首次系统提出并论证了界限的概念体系及与之相应的系统行为:“界内行为”、“越界行为”、“违界行为”和“侵界行为”;并就界限设置的双重意义以及治疗师系统行为的意义进行了讨论。     

Multisensory integration in multiple reference frames in the posterior parietal cortex

Spatial information processing takes place in different brain regions that receive converging inputs from several sensory modalities. Because of our own movements—for example, changes in eye position, head rotations, and so forth—unimodal sensory representations move continuously relative to one another. It is generally assumed that for multisensory integration to be an orderly process, it should take place between stimuli at congruent spatial locations. In the monkey posterior parietal cortex, the ventral intraparietal (VIP) area is specialized for the analysis of movement information using visual, somatosensory, vestibular, and auditory signals. Focusing on the visual and tactile modalities, we found that in area VIP, like in the superior colliculus, multisensory signals interact at the single neuron level, suggesting that this area participates in multisensory integration. Curiously, VIP does not use a single, invariant coordinate system to encode locations within and across sensory modalities. Visual stimuli can be encoded with respect to the eye, the head, or halfway between the two reference frames, whereas tactile stimuli seem to be prevalently encoded relative to the body. Hence, while some multisensory neurons in VIP could encode spatially congruent tactile and visual stimuli independently of current posture, in other neurons this would not be the case. Future work will need to evaluate the implications of these observations for theories of optimal multisensory integration.Edited by: Marie-Hélène Giard and Mark Wallace     

时间知觉的注意调节：一项ERP研究

采用双任务实验范式探讨时间知觉注意调节的动态过程。通过指导语使被试按照比例将注意分配到声音刺激的时间属性与音调属性上,形成对时间因素不同注意程度的五种注意条件,同时记录反应时、错误率和事件相关电位数据。对峰值分析发现,P2注意条件主效应不显著,但多重比较时T（只注意时间）与P（只注意音调）条件差异显著;对CNV平均波幅分析,发现注意条件主效应显著,随着分配在时间属性上的注意的减少,其波幅逐渐降低;对T与P条件的差异波地形图分析发现,波幅最大的区域位于额叶、中央区和顶叶;该差异波的偶极子定位于辅助运动区（额上回、额中回）和顶下小叶。以上结果表明,P2阶段存在时间信息加工;CNV反映时间知觉的注意调节,时间知觉中存在控制加工应该以CNV的出现为指标;辅助运动区可能为时间知觉的核心成分,具有跨通道效应;顶下小叶也与对时间的注意有关,但并不是特异性的。本研究不支持Lewis提出的 “自动”与“认知控制”计时系统理论中 “秒”为两系统分界点以及辅助运动区只属于“自动计时系统”的观点     

EFFECT OF ACADEMIC DEGREE AND DISCIPLINE ON RELIGIOUS BELIEFS AND EVOLUTION ACCEPTANCE: SURVEY AT A CHILEAN UNIVERSITY

Affiliation with a scientific area or degree program could affect one´s religious beliefs and acceptance of evolution; however, this issue has been poorly studied. Moreover, little information is available regarding Chilean university scientists’ views on religion and evolution. This study aims to provide the first documentation of the opinion of scientists at a Chilean University with regard to religion and evolution. This was done by conducting a personal survey of first and last year undergraduate students, graduate students, and faculty. We found that nonreligiosity, as well as acceptance of Darwinian evolution, increased with possession of an advanced degree and this correlation was stronger for individuals who study biology and physics in comparison to those who study chemistry. Although less than 30 percent of undergraduate students are atheists/agnostics, more than 70 percent of faculty members are atheist or agnostic. However, most of the surveyed scientists did not see a conflict between science and religion.