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By: Allison Elizabeth Ashley-Koch, PhD

  • Professor in Medicine
  • Professor in Biostatistics and Bioinformatics
  • Research Professor in Molecular Genetics and Microbiology
  • Faculty Network Member of the Duke Institute for Brain Sciences
  • Affiliate of the Center for Child and Family Policy
  • Member of Duke Molecular Physiology Institute


Consciousness can also refer to heart attack x factor discount bystolic 5 mg visa the state of an individual arrhythmia grand rounds 5mg bystolic free shipping, as in a sharp or dull state of consciousness hypertension kidney disease bystolic 2.5 mg without a prescription, a drug-induced state such as euphoria, or a diminished state due to drowsiness, sleep, neurological abnormality, or coma. In this module, we focus not on states of consciousness or on self-consciousness, but rather on the process that unfolds in the course of a conscious experiencea moment of awarenessthe essential ingredient of consciousness. Other Minds You have probably experienced the sense of knowing exactly what a friend is thinking. We can try to infer whats going on in someone elses mind by relying on the assumption that they feel what we imagine we would feel in the same situation. We might account for someones actions or emotional expressions through our knowledge of that individual and our careful observations of their behavior. Consciousness 486 By measuring brain activity using various neuroscientific technologies, we can acquire additional information useful for deciphering another persons state of mind. In special circumstances such inferences can be highly accurate, but limitations on mind reading remain, highlighting the difficulty of understanding exactly how conscious experiences arise. A Science of Consciousness Attempts to understand conscio usness have been pervasive throughout human history, mostly dominated by philosophical analyses focused on the first-person perspective. Now we have a wider set of approaches that includes philosophy, psychology, neuroscience, cognitive science, and contemplative science (Blac kmore, 2006; Koch, 2012; Zelazo, Moscovitch, & Thompson, 2007; Zeman, 2002). Consciousness is a topic that has been addressed by religious scholars, the challenge for this combination philosophers, psychologists and neuroscientists. That explanation would include describing the benefits of consciousness, particularly for behavioral capabilities that conscious experiences allow, that trump automatic behaviors. Subjective experiences also need to be described in a way that logically shows how they result from precursor events in the human brain. Moreover, a full account would describe how consciousness depends on biological, environmental, social, cultural, and developmental factors. At the outset, a central question is how to conceive of consciousness relative to other things we know. Objects in our environment have a physical basis and are understood to be composed of constituents, such that they can be broken down into molecules, elements, atoms, particles, and so on. Sometimes a phenomenon can best be conceived as a process rather than a physical entity. What, then, is the relationship between our conscious thoughts and the physical universe, and in particular, our brains Consciousness 487 Rene Descartes position, dualism, was that mental and physical are, in essence, different substances.

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Learning about those categories is a complex process that involves seeing exemplars (babies) high blood pressure quiz bystolic 5 mg mastercard, hearing or reading general descriptions (Babies like black-and-white pictures) hypertension journals ranking generic 5mg bystolic otc, general knowledge (babies have kidneys) wireless blood pressure monitor generic 2.5mg bystolic with mastercard, and learning the occasional rule (all babies have a rooting Categories and Concepts 524 reflex). As different cultures have different interests and different kinds of interactions with the world, it seems clear that their concepts will somehow reflect those differences. Categories and Concepts 525 Outside Resources Debate: the debate about Pluto and the definition of planet is an interesting one, as it illustrates the difficulty of arriving at definitions even in science. The Planetary Science Institutes website has a series of press releases about the Pluto debate, including reactions from astronomers, while it happened. If you do an image search for familiar categories such as houses, dogs, weddings, telephones, fruit, or whatever, you can get a visual display on a single page of the category structure. Of course, the results are probably biased, as people do not just randomly upload pictures of dogs or fruit, but it nonetheless will likely reveal the typicality structure, as most of the pictures will be of typical exemplars, and the atypical ones will stand out. Pick a couple of familiar categories and try to come up with definitions for them. Going around the room, point to some common objects (including things people are wearing or brought with them) and identify what the basic-level category is for that item. Discuss with class members from other countries or cultures whether the corresponding categories in their cultures differ. Can you make a hypothesis about when such categories are likely to differ and when they are not Categories and Concepts 527 Vocabulary Basic-level category the neutral, preferred category for a given object, at an intermediate level of specificity. Developmental differences in the acquisition of basic and superordinate categories. Dissociating explicit and procedural-based systems of perceptual category learning. Category differentiation in object recognition: Typicality constraints on the basic category advantage. Journal of Experimental Psychology: Learning, Memory, and Cognition, 24, 14111436. The development of assessments to measure this concept is at the core of the development of psychological science itself. This module introduces key historical figures, major theories of intelligence, and common assessment strategies related to intelligence. This module will also discuss controversies related to the study of group differences in intelligence.

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It will review With more cerebrovascular neurosurgeons becoming current standards of care and then explore newer trained in both techniques pulse pressure in athletes discount 2.5mg bystolic visa, the treatment paradigms treatment options arteria thoracica lateralis cheap 2.5mg bystolic overnight delivery, including targeted therapies hypertension medscape buy cheap bystolic 2.5mg online, are changing and are often controversial. This seminar intratumoral strategies, immunotherapeutic approaches will examine the different treatment modalities for and viral therapies. Special emphasis will be placed on the association of spinal this seminar will concentrate on explaining the deformities with conditions commonly treated by approaches and indications for surgical therapy of neurosurgeons. Appropriate preoperative evaluation and surgical decision Learning Objectives: After completing this educational making will be discussed. Innovative surgical techniques activity, participants should be able to: will be presented. Management of the most common n Discuss natural, clinical and radiographic history of lesions arising in this area will be discussed. Learning Objectives: After completing this educational n Detail appropriate clinical and radiographic evaluation activity, participants should be able to: of, and determine non-operative and operative n Review the options for surgical approaches to treatment options for adult spinal deformity. Learning Objectives: After completing this educational activity, participants should be able to: n Evaluate the safety and effectiveness of new lumbar disc technologies. A global making resection strategies, such as when to perform approach will be provided. The use and effcacy of preoperative and postoperative anti-epileptic medications Learning Objectives: After completing this educational also will be discussed. A variety of craniotomies have been employed for anterior It includes information on the pharmacology and clinical circulation aneurysm clipping. In this course, participants evidence supporting opioids and related medications in will become familiar with the various options, including neurosurgery patients, how to provide these medications the pterional, full and modifed orbitozygomatic, mini safely to neurosurgical patients, even in those who are pterional and supraorbital craniotomies. Participants chronic opioid users, and how new health care legislation will learn how to choose among the various options, the affects the use of opioids in neurosurgical practice. Learning Objectives: After completing this educational activity, participants should be able to: Learning Objectives: After completing this educational activity, participants should be able to: n Discuss the pharmacology and pharmacokinetics of opioids used in neurosurgical practice, including related n Describe the major types of craniotomies that allow medications used in these patients such as naloxone access to the common sites of anterior circulation and buprenorphine. As a volunteer, you can: n Attend Practical Clinics or Breakfast Seminars, free of charge. Priority will be given to medical students and residents, especially those Represent your residency program and face off who have marshaled in the past. Early in 2017, you will against your colleagues in a challenging competition receive a form to complete and submit, indicating your of neurosurgical skills, hosted by the Young session preferences. Along with bragging rights, prizes are awarded for the top-performing residency team and top individual scores during the competition. Leadership Development Course Neurosurgeon-scientist Career Senior Resident Development Course (By Recommendation Only) Fee: $65 Clinic Fee: $450 Director: Gregory J. Registration fees at the Learning Center meeting would be considerably higher without the income New this year, the Learning Center has been created to generated from exhibitor participation. Please set aside provide an educational area for attendees on the exhibit dedicated time to visit with exhibitors, and let them know foor that will include: you value their participation at the meeting. Electronic Abstract Presentations Exhibit and Learning Center Hours Original abstracts and presentations will be available to view at computer kiosks within the Learning Center.

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The passion component of love is comprised of physiological and emotional arousal; these can include physical attraction prehypertension need medication generic 2.5mg bystolic mastercard, emotional responses that promote physiological changes blood pressure chart paediatrics bystolic 2.5mg with mastercard, and sexual arousal blood pressure omron purchase bystolic 2.5mg free shipping. Lastly, commitment refers Love, Friendship, and Social Support 759 to the cognitive process and decision to commit to love another person and the willingness to work to keep that love over the course of your life. The elements involved in intimacy (caring, closeness, and emotional support) are generally found in all types of close relationshipsfor example, a mothers love for a child or the love that friends share. Specifically, serotonin production increased by as much as 40% in newly in-love individuals. Conversely, when a person experiences a breakup, the brain processes it in a similar way to quitting a heroin habit (Fisher, Brown, Aron, Strong, & Mashek, 2009). Another interesting point is that long-term love and sexual desire activate different areas of the brain. More specifically, sexual needs activate the part of the brain that is particularly sensitive to innately pleasurable things such as food, sex, and drugs. In other words, love grows out of positive rewards, expectancies, and habit (Cacioppo, Bianchi Demicheli, Hatfield & Rapson, 2012). Love, Friendship, and Social Support 760 Love and the Internet the ways people are finding love has changed with the advent of the Internet. In a poll, 49% of all American adults reported that either themselves or someone they knew had dated a person they met online (Madden & Lenhart, 2006). As Finkel and colleagues (2007) found, social networking sites, and the Internet generally, perform three important tasks. Specifically, sites provide individuals with access to a database of other individuals who are interested in meeting someone. Dating sites generally reduce issues of proximity, as individuals do not have to be close in proximity to meet. Finally, some Internet dating websites advertise special matching strategies, based on factors such as personality, hobbies, and interests, to identify the perfect match for people looking for love online. In general, scientific questions about the effectiveness of Internet matching or online dating compared to face-to-face dating remain to be answered. It is important to note that social networking sites have opened the doors for many to meet people that they might not have ever had the opportunity to meet; unfortunately, it now appears that the social networking sites can be forums for unsuspecting people to be duped. In 2010 a documentary, Catfish, focused on the personal experience of a man who met a woman online and carried on an emotional relationship with this person for months. As he later came to discover, though, the person he thought he was talking and writing with did not exist. Aaron Ben-Zeev stated, online relationships leave room for deception; thus, people have to be cautious. Social Support When bad things happen, it is important for people to know that others care about them and can help them out.

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The lower left region of Figure 1 provides the dominant model of vocational interests arrhythmia babys heartbeat order bystolic 2.5mg fast delivery, one developed from decades of large-scale longitudinal and cross cultural research blood pressure 80 over 40 generic 5 mg bystolic fast delivery. It shows a hexagonal structure consisting of six general themes: Realistic (R) = working with gadgets and things buy cheap bystolic 2.5 mg, the outdoors, need for structure; Investigative (I) = scientific pursuits, especially mathematics and the physical science, an interest in theory; Artistic (A) = creative expression in art and writing, little need for structure; Social (S) = people interests, the helping professions, teaching, nursing, counseling; Enterprising (E) = likes leadership roles directed toward economic objectives; and Conventional (C) = liking of well structured environments and clear chains of command, such as office practices. These six themes covary inversely with the distance between them, hence, the hexagonal structure circling around R-I-A-S-E-C. John Holland (1959, 1996) justifiably receives most of the credit for this model (Day & Rounds, 1998), although Guilford et al. Although each theme contains multiple subcomponents, Hollands hexagon, like the radex of cognitive abilities, captures the general Intellectual Abilities, Interests, and Mastery 1026 outlines of the educational/occupational interest domain, but there are molecular strands of intellective and interest dimensions that add nuance to these general outlines (for abilities, see Carroll, 1993; for interests, see Dawis, 1991; Savickas & Spokane, 1999). There are also super-ordinal themes such as people versus things (Su, Rounds, & Armstrong, 2009), which manifest arguably the largest sex-difference on a psychological dimension of human individuality. For basic science, this shows how ostensibly different kinds of intelligence at the extreme do not stem from different qualities, but rather from endpoint extremes within a multivariate space of systematic sources of individual differences, which pull with them constellations of nonintellectual personal attributes. For applied practice, skilled educationalvocational counselors routinely combine information on abilities and interests to distill learning and work environments that individuals are likely to thrive in competence and experience fulfillment (Dawis, 1992; Rounds & Tracy, 1990). For further insights, a final class of important psychological determinants is needed, however. Mastery As all parents of more than one child know, there are huge individual differences in the extent to which individuals embrace opportunities for positive development. Seasoned faculty at top institutions for graduate training have observed the same phenonemonamong highly select graduate students, task commitment varies tremendously. Even among the intellectual elite, individual differences in accomplishments stem from more than abilities, interests, and opportunity; conative determinants are critical catalysts. Galton (1869) called it zeal, Hull (1928) called it industriousness, and Webb (1915) called it will. Conative factors are distinct from abilities and preferences, having more to do with individual differences in energy or psychological tempo rather than the content of what people can do or how rapidly they learn. Indeed, characteristic across scientific studies of expertise and world-class accomplishment are attributes Intellectual Abilities, Interests, and Mastery 1027 specifically indicative of indefatigable capacities for study and work. Nevertheless, in the field of talent development and identification, the greatest consensus appears to be found on the topic of conation, rather than cognition or affect. Exceptional performers are deeply committed to what they do, and they devote a great deal of time to doing it. Regardless of the theorist, Howard Gardner, Dean Simonton, Arthur Jensen, Anders Erikson, and Harriet Zuckerman all agree that this is a uniform characteristic of world class performers at the top of their game. People who wish to do so must organize their whole lives around a single enterprise. One group consists of a sample of profoundly gifted adolescents identified at age 12 as in the top 1 in 10,000 in mathematical or verbal reasoning ability; they were subsequently tracked for 20 years. Now in their mid-thirties, subjects were asked how much they would be willing to work in their ideal job and, second, how much they actually do work.

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