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[Utility of conceptual schemes and mental maps on the teaching-learning process of residents in pediatrics].

BACKGROUND: The present study was done at the internal medicine service oft he Hospital lnfantil in the State of Sonora, Mexico. We tried to address the question of the use of conceptual schemes and mind maps and its impact on the teaching-learning-evaluation process among medical residents. OBJECTIVE: Analyze the effects of conceptual schemes, and mind maps as a teaching and evaluation tool and compare them with multiple choice exams among Pediatric residents. MATERIAL AND METHODS: Twenty two residents (RI, RII, RIII)on service rotation during six months were assessed initially, followed by a lecture on a medical subject. Conceptual schemes and mind maps were then introduced as a teaching-learning-evaluation instrument. Comprehension impact and comparison with a standard multiple choice evaluation was done. The statistical package (JMP version 5, SAS inst. 2004) was used. RESULTS: We noted that when we used conceptual schemes and mind mapping, learning improvement was noticeable among the three groups of residents (P < 0.001) and constitutes a better evaluation tool when compared with multiple choice exams (P < 0.0005). CONCLUSION: Based on our experience we recommend the use of this educational technique for medical residents in training.

Education, Medical, Graduate↗

The evidence base for complementary and alternative medicine: methods of Evidence Mapping with application to CAM.

BACKGROUND: There is widespread concern regarding the adequacy of evidence for specific practices under the rubric of "complementary and alternative medicine" (CAM). OBJECTIVE: To map the evidence pertaining to many commonly used CAM practices. DESIGN: In 2000, the Yale Prevention Research Center was funded by the Centers for Disease Control and Prevention to conduct a "systematic review" of the evidence underlying CAM. The investigative team, working in collaboration with CAM practitioners, developed a systematic and replicable 9-step process termed evidence mapping. The process stipulates means for specifying the boundaries of the subject to be mapped in MeSH terms, and the characteristics used to situate retrieved articles in the overall map of evidence. SETTING: Yale Prevention Research Center, Derby, CT. RESULTS: Steps completed thus far have led to the identification of over 4,000 papers distributed across 207 condition-treatment pairs. Of these pairs, 58% (n = 121) have been studied with one or more RCTs (1,070 total RCTs), and 23% (n = 47) have been the subject of one or more meta-analyses (86 total meta-analyses). Thirty-seven condition/treatment pairs (18%) had no identifiable supporting studies. CONCLUSIONS: The novel methods of evidence mapping reported are useful and practical in characterizing the extent, distribution, and methodologic quality of research pertaining to a broad topic in medicine. Applied to CAM, they suggest that summary judgments about the quantity or quality of underlying evidence are overly simplistic.

Complementary Therapies↗

[Systems organization of the electrical activity of the brain in recognizing a visual image based on data from the mapping of interconnection indices].

Eight subjects were studied by the method of topographic mapping of interconnection characteristics of the human brain electrical activity in the process of recognition of visual images. The method used in our studies differs from others by the fact that properties of the processes interconnections are mapped but not the characteristics of the very processes. Under recognition of images the relief of topographic map of interconnections of cortical electrical processes increases in the right and decreases in the left frontal areas. Thus both hemispheres participate in this process. The hypothesis is suggested about two types of spatial synchronization: of similar electrical activity and of the activity differentiated in the brain sections. The developed method proved to be informative for the studied structure of spatial-temporal organization of the human brain electrical activity.

Adolescent↗

The roles of microtubule-associated proteins in brain morphogenesis: a review.

Microtubule-associated proteins (MAPs) are a diverse family of cytoskeletal proteins that copurify with tubulin in vitro. Recently a number of novel approaches have been used to learn more about the functions of MAPs during brain development, including: localization of MAPs and their mRNA in the developing brain, comparisons of MAPs between species to learn potential fundamental characteristics, biochemical analysis of changes in MAPs in process-bearing cell lines, and sequence analysis of MAP cDNAs and cDNA transfection studies. Taken together, these data allow us to assign roles to MAPs which are abundant in the developing brain, and to develop models for future studies. Four MAPs are particularly abundant in the developing brain: MAP1B, the high and low-molecular weight forms of MAP2, and juvenile tau. MAP1B is the only MAP to be found consistently in extending processes in both the developing and adult brain, making it a likely regulator of neurite outgrowth. High-molecular weight MAP2 and tau crosslink microtubules in dendrites and axons, respectively. Low-molecular weight MAP2 may be able to regulate MAP2-mediated crosslinking to make processes more labile during development and in adult brain regions where synaptogenesis is active. Tau-mediated crosslinking may be regulated by temporal regulation of the expression of tau forms with different binding affinities to tubulin. High-molecular weight MAP2 is sequestered into dendrites by the selective transport of its mRNA. This allows rapid and local regulation of MAP2 synthesis.

Aging↗

Spatiotemporal differences between cognitive processes of spatially possible and impossible objects: a high-density electrical mapping study.

Differences in cognitive processing between spatially possible and impossible figures were investigated using event-related potentials (ERPs). Two types of figures with identical luminance and equivalent spatial frequency were used as visual stimuli: possible three-dimensional figures (drawn with perspective and existing in the three-dimensional world) and impossible figures (drawn with perspective but not existing in the three-dimensional world). High-density electroencephalographic recording (72 channels) was performed for analysis of ERPs accompanying perception of each figure type; amplitude differences between the conditions were considered neurophysiologic correlates to perceptual differences between possible and impossible objects. Low-resolution brain electromagnetic tomography (LORETA) was used to identify the current source related to the differences. Compared with impossible three-dimensional figures, perception of possible figures showed a significant negative potential increase in the right inferior occipitotemporal region between 350 and 389 ms of latency. The current source was localized to the right fusiform gyrus. The results suggest that right fusiform gyrus is involved in discrimination between spatially possible and impossible objects.

Adult↗

Monitoring stored-product pests in food processing plants with pheromone trapping, contour mapping, and mark-recapture.

Distribution and movement patterns of several species of stored-product pests in a food processing plant were investigated. The objectives of this study were to determine the temporal and spatial variation in abundance of stored-product pests using pheromone traps; assess the effectiveness of trap type, location, and number on monitoring insect populations; and to evaluate the nature of pheromone trap capture hot spots by measuring patterns of insect movement. We determined that the distributions of Trogoderma variabile Ballion, Lasioderina serricorne (F.), Tribolium castaneum (Herbst), and Plodia interpunctella (Hübner) within the facility were typically clumped and that foci of high trap captures, based on visual observation of contour maps, varied among species and over time. Trap type and location influenced the number of T. variabile captured: traps on the floor and along walls captured more individuals than hanging traps and traps next to support pillars. T. variabile was the predominant insect pest at this facility and from mark-recapture studies, we found that individual beetles moved across multiple floors in the facility and from 7 to 216 m though the warehouse.

Animals↗

Effects of healthy aging on the regional cerebral metabolic rate of glucose assessed with statistical parametric mapping.

The aging process is thought to result in changes in synaptic activity reflecting both functional and structural cell derangement. However, previous PET reports on age-related changes in resting brain glucose utilization (CMRglc) have been discrepant, presumably because of methodological as well as subject screening differences. In contrast to other studies, which used a region of interest approach, the objective of the present work was to determine, by means of the SPM software, the changes in regional CMRglc as a function of age in 24 optimally healthy, unmedicated volunteers of ages from 20 to 67 years. Global CMRglc showed a significant decline with age (approximately 6% per decade, P < 0.05), which concerned all the voxels studied save for most of the occipital cortex and part of the cerebellum. The most significant effects (P < 0.001) concerned the association neocortex in perisylvian temporoparietal and anterior temporal areas, the insula, the inferior and posterior-lateral frontal regions, the anterior cingulate cortex, the head of caudate nucleus, and the anterior thalamus, in a bilateral and essentially symmetrical fashion. The high posterior parietal cortex was not sampled in this study. This distribution of changes in CMRglc with age may differ from that seen in Alzheimer' disease, where the earliest metabolic reduction has been shown to affect the posterior cingulate cortex.

Adult↗

Risk-maps informing land-use planning processes A survey on the Netherlands and the United Kingdom recent developments.

The definition of safety distances as required by Art 12 of the Seveso II Directive on dangerous substances (96/82/EC) is necessary to minimize the consequences of potential major accidents. As they affect the land-use destinations of involved areas, safety distances can be considered as risk tolerability criteria with a territorial reflection. Recent studies explored the suitability of using Geographical Information System technologies to support their elaboration and visual rendering. In particular, the elaboration of GIS "risk-maps" has been recognized as functional to two objectives: connecting spatial planners and safety experts during decision making processes and communicating risk to non-experts audiences. In order to elaborate on these findings and to verify their reflection on European practices, the article presents the result of a comparative study between the United Kingdom and the Netherlands recent developments. Their land-use planning practices for areas falling under Seveso II requirements are explored. The role of GIS risk-maps within decisional processes is analyzed and the reflection on the transparency and accessibility of risk-information is commented. Recommendations for further developments are given.

Accidents, Occupational↗

Effects of left anterior fascicular block on the depolarization process as depicted by total body surface mapping.

To examine the effects of left anterio fascicular block (LAFB) on the depolarization process as manifested on the body surface, 142 lead maps were recorded in 25 subjects with LAFB. Three abnormalities were detected: (1) In the early and mid portion of QRS, twenty of 25 subjects showed abnormal anterior superior positivity, starting in the precordial area and proceeding toward the left subclavicular area. The explanation was thought to be the relatively delayed, dysynchronous, and superiorly directed altered sequence of depolarization of the anterior left ventricle. (2) All the subjects showed left lower abnormal negativity. This was thought to represent the unopposed receding activation front after the left ventricular breakthrough posteroinferiorly and also the negative aspect of the abnormally directed superior positivity. (3) Eleven subjects showed abnormal negative potentials at the right lower chest. This was thought to represent the partially unopposed activation fronts of the right ventricular free wall seen after right ventricular epicardial breakthrough, because of the absence of the usually cancelling normal forces from the anterior portion of the left ventricle. Additionally, the surface manifestation of the septal depolarization was found to be indistinguishable from nornal. This study further enhances our understanding of the altered sequence of depolarization in LAFB, as manifested on the body surface instant-by-instant.

Bundle-Branch Block↗

Integrating human brain maps.

Perception, action, cognition, and emotion can now be mapped in the brain by a growing family of techniques. Positron emission tomography, functional magnetic resonance imaging, event-related electrical potentials, event-related magnetic fields, and other non-invasive imaging techniques are rapidly evolving and providing an increasingly rich literature on the functional organization of the human brain. Although no two techniques map identical physiological processes or physical parameters, replications of functionally specific maps by different techniques indicate sufficient common ground for multimodality integration. The process of integration is multi-tiered. Recent advances in integration range from simple image fusion, to model-based synthetic analyses, to collective databases for neural-system modeling. Spatially, temporally, physiologically, and cognitively accurate computational models of the neural systems of human behavior are the ultimate objective of functional brain mapping. This objective will be reached only through integrating the diversity of modern brain-mapping methods.

Brain Mapping↗

Problem solving, recall, and mapping relations in isomorphic transfer and nonisomorphic transfer among preschoolers and elementary school children.

Analogical problem-solving processes were studied in 4 experiments using 5- and 7-move scheduling problems. Subjects were preschool and elementary school children. On each acquisition trial, the child heard a list of statements representing the exact series of moves necessary to solve the problem and was immediately asked to recall the list. Physical materials representing the problem were then produced and the child was asked to solve it. In transfer only setting/constraint information was provided prior to problem solving. In the first study, mapping processes were explored in nonisomorphic transfer tasks with different constraints and problem spaces. Mapping processes were very good, except when a feature of the base was mapped to a misleading cue in the transfer problems. The second study revealed that combining the problem-solving task with the recall task facilitated isomorphic transfer but not nonisomorphic transfer. The 2 remaining studies revealed that preschool children show excellent isomorphic transfer in both 5- and 7-move problems. The major developmental difference was in how the children ordered the propositions in their recall protocols. The findings were discussed in terms of problem spaces, flexibility of transfer, and developmental theory.

Child↗

Arsenic poisoning in Bangladesh: spatial mitigation planning with GIS and public participation.

A PPGIS (Public Participatory Geographical Information System) has recently been developed in combination with PRA (Participatory Rural Appraisal) and GIS (Geographical Information Systems) methodologies to utilise GIS in the context of the needs of communities that are involved with, and affected by development programmes. The impact of arsenic poisoning in Bangladesh is 'tragic and painful' on patients' health and their social life what was described as the 'worse mass poisoning in human history' in a WHO report. Deep tubewell is said to be a source of arsenic-free safe drinking water and people are mainly interested in deep tubewell water rather than rainwater harvesting, dug-wells, and pond-sand-filters (PSF) approved by the BAMWSP (Bangladesh Arsenic Mitigation Water Supply Project). This paper mainly explores the application and suitability of GIS with local community participation in deep tubewell planning for arsenic mitigation. The relevant data for this study were collected from the field survey. The PRA methods were used to obtain social and resource information; while a GIS was used to organise, analyse, and display the information. Participants from three different focus-groups were asked to determine their 'own priorities' for spatial planning of deep tubewell for arsenic-free water. The study results valuable community perspectives on deep tubewell planning and reveals the suitability of PPGIS in spatial planning for arsenic mitigation with local community mapping overlay. The process of dialogue and preparation of mental mapping within each focus-group participants lead to enhance information about community needs of deep tubewell in the study area.

Arsenic Poisoning↗

[Cognitive processes in unconscious patients? A brain mapping study of the P300 potential].

P300 is the most investigated component of the event-related potentials. Being the correlate of an active target discrimination and decision making process it is seen as related to cognition. Such elementary cognitive processes--as expressed in P300--can happen even in states of coma. In four of 35 comatose patients with diffuse head injury we were able to measure the P3-wave showing frontal and parietal components. Accordingly some unawakable patients can still recognize differences in pitch. The structure of components and their psychophysiological meaning are discussed.

Adult↗

Visual information processing of computed topographic electrical activity brain maps.

Effective display of computer-generated biomedical images draws on computer graphics and image processing, display technology and human factors, visual psychophysics and perception, cognitive psychology, and the new field of scientific data visualization. In converting from raw, acquired data to a visual display, developers need to know the limitations of the data and of the display technology. To obtain reliable inferences about the clinical or physiological state of the patient requires that the computer display be matched to the visual information-processing competence and limitations of human observers. The issues that should be considered by both developers and users of computer-based display technologies to enhance clinical performance in observation and diagnosis are surveyed with reference to electrical activity brain maps.

Brain↗

Database search post-processing by neural network: Advanced facilities for identification of components in protein mixtures using mass spectrometric peptide mapping.

Database search post-processing by neural network was employed in peptide mapping experiments. The database search was performed using both the known algorithms and score functions, such as Bayesian, MOWSE, Z-score, correlations between calculated and actual peptide length fractional abundance, and, in addition, the probability of protein digest pattern in peptide fingerprint, all embedded in locally developed program. The new signal-processing algorithm based on neural network improves signal-noise separation and is acceptable for automatic protein identification in mixtures. Its power was tested on Helicobacter pylori protein inventory after preceding protein separation by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). Increase in protein identification success rate was observed, and about 100 proteins were identified with no need of human participation in database search estimation.

Algorithms↗

Photodissociation and multiphoton dissociative ionization processes in CH(3)S(2)CH(3) at 193 nm studied using velocity-map imaging.

Dissociation and ionization processes in dimethyl disulfide, CH(3)S(2)CH(3), induced by one- or two-photon absorption of 193 nm light, have been studied using velocity-map ion imaging. The analysis of the ion images of the CH(3)S(2) (+), CH(3)S(+), S(2) (+), and S(+) fragments has allowed the characterization of the scattering dynamics of some of the main photolysis and dissociative-ionization processes. In particular, the experiments corroborate the formation of electronically excited SCH(3)((2)A(1)) products in the 193 nm photodissociation of dimethyl disulfide seen in earlier studies, and show that laser ionization provides a very sensitive method for their detection. The data have also allowed determination of the recoil energy and angular distributions of the CH(3)S(2) (+) and CH(3)S(+) products of the two-photon dissociative-ionization of the CH(3)S(2)CH(3) molecule. The measured distributions for these products are consistent with the formation of a transient parent ion which dissociates after a substantial intramolecular rearrangement, possibly yielding the most stable isomeric forms of the fragments, namely CH(2)S(2)H(+) and CH(2)SH(+).

Journal Article↗