急性心肌梗死患者院前延误的影响因素

急性心肌梗死(AMI)患者的治疗关键在于早期诊断和及时开通闭塞的冠状动脉,患者在发病后能否及早到院接受再灌注治疗,对患者的治疗效果和预后有重要影响.院前延误时间(PDT)即为从患者出现症状至到达医院接受治疗的时间.AMI患者就医大多是延迟的,主要原因是患者不能决定自己的症状是否需要治疗,也就是患者决定就医时间延长.本研究目的是分析造成急性心肌梗死患者院前延误的相关影响因素,为患者赢得最佳治疗时间提供理论依据.     

State-Dependent Memory Effects Using Caffeine and Placebo Do Not Extend to Metamemory

The authors examined the impact of caffeine on human memory and predictions of memory (i.e., metamemory). On Day 1, 83 college students drank a sweetened beverage containing either caffeine (4 mg/kg body weight) or a placebo before they studied 40 pairs of words. While the participants studied, they predicted their future memory performance for each word pair. On Day 2, the participants again received caffeine or a placebo before the memory test. The participants who drank the same beverage on both days (either caffeine or a placebo) recalled more word pairs than did those who drank different beverages (caffeine on 1 day and a placebo on the other day). In contrast, memory predictions were more accurate when the beverages did not match on both days. These data provide evidence for state-dependent memory when caffeine is used, but not for state-dependent metamemory. People's memory and their predictions of memory can be influenced in different ways if they drink caffeine before they study or take a test.     

Indecision and Avoidant Procrastination: The Role of Morningness—Eveningness and Time Perspective in Chronic Delay Lifestyles

The authors examined how time orientation and morningness—eveningness relate to 2 forms of procrastination: indecision and avoidant forms. Participants were 509 adults (M age = 49.78 years, SD = 6.14) who completed measures of time orientation, morningness—eveningness, decisional procrastination (i.e., indecision), and avoidant procrastination. Results showed that morningness was negatively related to avoidant procrastination but not decisional procrastination. Overall, the results indicated different temporal profiles for indecision and avoidant procrastinations. Avoidant procrastination related to low future time orientation and low morningness, whereas indecision related to both (a) high negative and high positive past orientations and (b) low present-hedonistic and low future time orientations. The authors inferred that distinct forms of procrastination seem different on the basis of dimensions of time.     

The Relation of Distressful Childhood Experiences and Empathy in College Undergraduates

We assessed the relation between the empathic responsiveness of young adults and the relative frequency and intensity of distressful events they experienced as children. Undergraduate subjects (N = 111; 56 men and 55 women) were led to believe that they were participating in two separate studies. In the first study, students completed the Distress Experiences in Childhood questionnaire, a filler task, and a slightly abbreviated version of the Mehrabian and Epstein (1972) empathy measure. In the second study, students watched an emotion-laden videotape of a patient (actually an actress) in a therapy session and subsequently completed an emotional-response questionnaire adapted from Batson, O'Quin, Fultz, Vanderplas, and Isen (1983). Students who rated their distressful childhood experiences as highly distressing scored higher on both measures of empathy than did students who rated their experiences as relatively less distressing. In contrast, the number of distressful childhood experiences reported was generally unrelated to empathy scores.     

Variability and Determinism in Motor Behavior

In investigations into perception-action systems, variability of observable behavior may be considered to (a) interfere with inquiry, (b) be neither detrimental nor particularly useful to inquiry, or (c) play a crucial role in inquiry. The authors underscore recent suggestions that alternative (c) is a preferred strategy for the study of many motor behaviors. In tutorial fashion, the authors review the concepts of variability and determinism with respect to postural and rhythmic movements. Study of the variability of those behaviors has revealed crucial features suggestive of underlying mechanisms and control, such as particular blends of noise and determinism (piecewise determinism). It has also revealed general lessons (for example, more variable does not mean more random and more controllable does not mean more deterministic) that may extend to other classes of perceptual-motor behavior.     

The Effect of Mental Practice on Performance in a Sequential Reaction Time Task

The effect of mental practice on performance in a dot-location RT task was investigated. Participants (N = 40) were required either to mentally practice, physically practice, or do no practice on an RT task in which the signals appeared in a repeating sequence. Correct mental practice, as opposed to incorrect mental practice and no practice, was predicted to have a positive (enhancing) effect on performance of the RT task. Despite previous evidence that mental rehearsal does enhance performance in many perceptual-motor tasks, neither correct nor incorrect mental rehearsal affected subsequent sequence learning; that is, no mental practice effect was observed. That surprising result is discussed in terms of motivational, psychoneuromuscular, separate memory systems, and transfer-appropriate processing explanations of mental practice.     

Learning to Minimize Energy Costs and Maximize Mechanical Work in a Bimanual Coordination Task

The authors addressed the hypothesis that economy in motor coordination is a learning phenomenon realized by both reduced energy cost for a given workload and more external work at the same prepractice metabolic and attentional energy expenditure. "Self-optimization" of movement parameters has been proposed to reflect learned motor adaptations that minimize energy costs. Twelve men aged 22.3 ± 3.9 years practiced a 90° relative phase, upper limb, independent ergometer cycling task at 60 rpm, followed by a transfer test of unpracticed (45 and 75 rpm) and selfpaced cadences. Performance in all conditions was initially unstable, inaccurate, and relatively high in both metabolic and attentional energy costs. With practice, coordinative stability increased, more work was performed for the same metabolic and attentional costs, and the same work was done at a reduced energy cost. Selfpaced cycling was initially below the metabolically optimal, but following practice at 60 rpm was closer to optimal cadence. Given the many behavioral options of the motor system in meeting a variety of everyday movement task goals, optimal metabolic and attentional energy criteria may provide a solution to the problem of selecting the most adaptive coordination and control parameters.     

Movement-Produced Feedback as a Mechanism For The Temporal Anticipation of Motor Responses

That part of the input hypothesis of motor timing behavior which postulates that movement-produced feedback can serve as a mechanism for the temporal anticipation of motor responses was tested. 32 male college Ss temporally anticipated (no preview) the coincidence of a moving pointer with a stationary one and executed the timing response with his right hand while either a high (HFB) or low (LFB) level of movement-produced feedback was indirectly manipulated in the left arm. The HFB group temporally anticipated with greater accuracy than the LFB group which supported that part of the input hypothesis being tested. Apparently, Ss were relying on proprioceptive feedback about the position of their left arm movement to cue the timing response of their right hand.     

Patterns of Human Interlimb Coordination Emerge from the Properties of Non-Linear,Limit Cycle Oscillatory Processes

The present article represents an initial attempt to offer a principled solution to a fundamental problem of movement identified by Bernstein (1967), namely, how the degrees of freedom of the motor system are regulated. Conventional views of movement control focus on motor programs or closed-loop devices and have little or nothing to say on this matter. As an appropriate conceptual framework we offer Iberall and his colleagues’ physical theory of homeokinetics first elaborated for movement by Kugler, Kelso, and Turvey (1980). Homeokinetic theory characterizes biological systems as ensembles of non-linear, limit cycle oscillatory processes coupled and mutually entrained at all levels of organization. Patterns of interlimb coordination may be predicted from the properties of non-linear, limit cycle oscillators. In a set of experiments and formal demonstrations we show that cyclical, two-handed movements maintain fixed amplitude and frequency (a stable limit cycle organization) under the following conditions: (a) when brief and constantly applied load perturbations are imposed on one hand or the other, (b) regardless of the presence or absence of fixed mechanical constraints, and (c) in the face of a range of external driving frequencies from a visual source. In addition, we observe a tight phasic relationship between the hands before and after perturbations (quantified by cross-correlation techniques), a tendency of one limb to entrain the other (mutual entrainment) and that limbs cycling at different frequencies reveal non-arbitrary, sub-harmonic relationships (small integer, subharmonic entrainment). In short, all the above patterns of interlimb coordination fall out of a non-linear oscillatory design. Discussion focuses on the compatibility of these results with past and present neurobiological work, and the theoretical insights into problems of movement offered by homeokinetic physics. Among these are, we think, the beginnings of a principled solution to the degrees of freedom problem, and the tentative claim that coordination and control are emergent consequences of dynamical interactions among non-linear, limit cycle oscillatory processes.