Mental Processes

心理过程
  • 文章类型: Meta-Analysis
    Giofrè等人记录了统计做法和报告的变化。PLOSONE12(4),e0175583(2017),他在两个高级期刊(心理科学[PS]和实验心理学杂志[JEPG])中调查了十种统计和开放实践:零假设显著性检验;置信区间或可信区间;多个实验结果的荟萃分析;置信区间解释;效应大小解释;样本大小确定;数据排除;数据可用性;材料可用性;以及预先注册的设计和分析计划。这项调查是基于对2013年至2015年间在这些期刊上发表的所有论文的分析。本研究的目的是跟踪PS和JEPG在随后几年的变化,从2016年到2020年,增加代码可用性作为进一步的开放实践。我们发现大多数实践都有所改善,除了一些例外(即,置信区间解释和荟萃分析)。尽管有这些积极的变化,我们的结果表明需要进一步改进统计实践和采用开放实践.
    Changes in statistical practices and reporting have been documented by Giofrè et al. PLOS ONE 12(4), e0175583 (2017), who investigated ten statistical and open practices in two high-ranking journals (Psychological Science [PS] and Journal of Experimental Psychology-General [JEPG]): null hypothesis significance testing; confidence or credible intervals; meta-analysis of the results of multiple experiments; confidence interval interpretation; effect size interpretation; sample size determination; data exclusion; data availability; materials availability; and preregistered design and analysis plan. The investigation was based on an analysis of all papers published in these journals between 2013 and 2015. The aim of the present study was to follow up changes in both PS and JEPG in subsequent years, from 2016 to 2020, adding code availability as a further open practice. We found improvement in most practices, with some exceptions (i.e., confidence interval interpretation and meta-analysis). Despite these positive changes, our results indicate a need for further improvements in statistical practices and adoption of open practices.
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  • 文章类型: Systematic Review
    UASSIGNED:美国牙科协会(ADA)将循证牙科(EBD)定义为“一种口腔保健方法,需要对临床相关科学证据进行系统评估的明智整合,与口腔和医疗状况和病史有关,与牙医的临床专业知识和患者的治疗需求和偏好。“临床实践指南(CPG)是包括旨在优化患者护理的建议的声明,这些建议是通过对证据的系统审查以及对替代治疗方案的益处和危害的评估而得出的。因此,ADACPGs是EBD最严格的例子,可以为临床实践提供信息。CPGs应具有最高质量水平,以确保临床建议的适当性和及时性。
    UNASSIGNED:这项研究的目的是测量ADACPG的方法学严密性和透明度。
    UNASSIGNED:每个ADACPG由4名独立评估员使用《研究与评估指南》(AGREEII)工具进行评估。获得6个领域和总体质量的定量质量评分。此外,评估人员通过对每个项目的评论和对完整建议的评估,提供了定性分析。
    UNASSIGNED:使用75%的质量评分作为高质量指南的阈值。使用此度量,当前10个ADACPG中有6个被认为是高质量的,1略低于质量阈值,和3被认为是边缘的。即使在总体评估中被评估为高质量的人中,某些领域未达到75%的质量阈值.
    未经评估:总的来说,ADACPG共同为临床医生提供高质量的指导.尽管自2016年以来,AGREE评估指南已在CPG开发中使用,但在某些领域仍有改进的空间(即,利益相关者的参与,发展的严谨性,适用性,和编辑独立性)。
    UNASSIGNED:这项研究的结果总结了10项现行ADA临床实践指南的方法学严谨性和透明性。自采用AGREE标准(2016年)以来,CPG是均匀的高质量的。较旧的CPG的质量稍低,但总体上被认为是可以接受的。因此,ADACPG可以放心地用于告知从业者严格的循证牙科标准支持的治疗方案。然而,方法学质量仍有改进的空间。
    The American Dental Association (ADA) defines evidence-based dentistry (EBD) as \"an approach to oral healthcare that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the oral and medical condition and history, with the dentist\'s clinical expertise and the patient\'s treatment needs and preferences.\" Clinical practice guidelines (CPGs) are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options. Therefore, ADA CPGs are the most rigorous examples of EBD to inform clinical practice. CPGs should be of the highest level of quality to ensure the appropriateness and timeliness of clinical recommendations.
    The aim of this study was to measure the methodological rigor and transparency of the ADA CPGs.
    Each ADA CPG was appraised by 4 independent assessors using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Quantitative quality scores were obtained for 6 domains and overall quality. In addition, assessors provided a qualitative analysis by providing comments for each item and an appraisal of the full recommendation.
    A quality score of 75% was used as the threshold for high-quality guidelines. Using this metric, 6 of the current 10 current ADA CPGs were considered to be of high quality, 1 was slightly below the quality threshold, and 3 were considered marginal. Even among those evaluated to be high quality in overall assessment, certain domains did not reach the quality threshold of 75%.
    Overall, the ADA CPGs collectively provide high-quality guidance for the clinician. While the AGREE appraisal guidelines have been used in CPG development since 2016, there is still room for improvement in certain domains (i.e., stakeholder involvement, rigor of development, applicability, and editorial independence).
    The results of this study summarize the methodological rigor and transparency of the 10 current ADA clinical practice guidelines. Since adoption of AGREE standards (2016), CPGs have been uniformly of high quality. The quality of older CPGs was somewhat lower but overall deemed acceptable. Thus, ADA CPGs may be used with confidence to inform practitioners of treatment options supported by rigorous evidence-based dentistry standards. However, there is still room for improvement in methodological quality.
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  • 文章类型: Consensus Development Conference
    虽然小脑在运动功能中的作用是公认的,其在认知功能中的并发作用的性质仍然不太清楚。当前的共识文件收集了关于小脑在一系列认知和情感功能中发挥的各种重要作用的不同观点。本文认为小脑与神经认知发育有关,语言功能,工作记忆,执行功能,以及小脑内部控制模型的发展,并反思了一些更好地理解小脑作为“监督学习机”的状态可以丰富我们理解人类功能和适应能力的方法。由于所有贡献者都同意小脑在认知中起作用,也有一个共识,即这个结论仍然是高度推理的。关于小脑在认知中的作用的许多结论源于应用有关小脑对运动协调和质量的贡献的已知信息。这些推论是基于小脑组成基础设施的一致性及其明显的模块化组织。这种观点得到了相当大的支持,根据对小脑内病理患者的观察。
    While the cerebellum\'s role in motor function is well recognized, the nature of its concurrent role in cognitive function remains considerably less clear. The current consensus paper gathers diverse views on a variety of important roles played by the cerebellum across a range of cognitive and emotional functions. This paper considers the cerebellum in relation to neurocognitive development, language function, working memory, executive function, and the development of cerebellar internal control models and reflects upon some of the ways in which better understanding the cerebellum\'s status as a \"supervised learning machine\" can enrich our ability to understand human function and adaptation. As all contributors agree that the cerebellum plays a role in cognition, there is also an agreement that this conclusion remains highly inferential. Many conclusions about the role of the cerebellum in cognition originate from applying known information about cerebellar contributions to the coordination and quality of movement. These inferences are based on the uniformity of the cerebellum\'s compositional infrastructure and its apparent modular organization. There is considerable support for this view, based upon observations of patients with pathology within the cerebellum.
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  • 文章类型: English Abstract
    2005年,“德国神经科学法律评估协会”(德国神经科学法律评估协会)与其他协会一起发布了对闭合性头部受伤患者进行法律评估的指南。同时,不仅成像技术的科学进步,而且神经心理学等其他领域的科学进步都需要进行修订,在这里介绍。同时,在德国,指南的处理已经系统化,因此申请了德国医学学会合作组织的注册,并有望在德国指南注册中心发布。
    In 2005, the \"Deutsche Gesellschaft für Neurowissenschaftliche Begutachtung\" (German Society for Neuroscientific Legal Evaluation) together with other Societies published a guideline for the legal evaluation of patients with closed head injuries. Meanwhile, not only scientific progress in imaging techniques but also in other fields such as neuropsychology has necessitated a revision, which is presented here. In the mean time, the handling of guidelines has been systematised in Germany so that a registration with the Cooperation of German Medical Learned Societies is applied for and publication in the German Guideline Registry is expected.
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  • 文章类型: Consensus Development Conference
    经颅磁刺激(TMS;单脉冲或重复(rTMS))或经颅直流电刺激(tDCS;阳极或阴极)的小脑神经刺激领域在科学界越来越受欢迎。特别是因为这些刺激技术是非侵入性的并且提供了关于小脑功能的新信息。专家小组之间达成共识,TMS和tDCS都可以有效影响小脑功能,不仅在运动领域,对视觉引导跟踪任务的影响,运动周围抑制,运动适应和学习,还用于脑-小脑回路处理的认知和情感操作。言语工作记忆,语义关联和预测性语言处理是这些操作之一。TMS和tDCS都调节小脑和初级运动皮层之间的连通性,调节小脑兴奋性。小脑TMS是评估小脑-丘脑-皮质环功能和研究共济失调病理生理学的有效且有价值的方法。在大多数情况下,DCS诱导小脑活动的极性依赖性位点特异性调节。小脑-齿-丘脑-M1通路的成对联合刺激可诱导皮质脊髓兴奋性的双向长期尖峰时间依赖性可塑性样变化。然而,专家小组认为,一些重要问题仍未解决,需要进一步研究。特别是,TMS在促进小脑可塑性中的作用尚未确定。此外,电极刺激的确切定位和tDCS后效应的持续时间仍不清楚.需要未来的研究来更好地定义小脑特定区域的DCS如何影响个体小脑症状,考虑到小脑症状的地形组织。非侵入性小脑调制的长期神经后果也不清楚。尽管人们一致认为小脑疾病的临床应用可能很多,强调缺乏严格的大规模临床试验。应鼓励进一步的研究,以更好地阐明在小脑运动中使用非侵入性神经刺激技术的作用,认知和精神康复策略。
    The field of neurostimulation of the cerebellum either with transcranial magnetic stimulation (TMS; single pulse or repetitive (rTMS)) or transcranial direct current stimulation (tDCS; anodal or cathodal) is gaining popularity in the scientific community, in particular because these stimulation techniques are non-invasive and provide novel information on cerebellar functions. There is a consensus amongst the panel of experts that both TMS and tDCS can effectively influence cerebellar functions, not only in the motor domain, with effects on visually guided tracking tasks, motor surround inhibition, motor adaptation and learning, but also for the cognitive and affective operations handled by the cerebro-cerebellar circuits. Verbal working memory, semantic associations and predictive language processing are amongst these operations. Both TMS and tDCS modulate the connectivity between the cerebellum and the primary motor cortex, tuning cerebellar excitability. Cerebellar TMS is an effective and valuable method to evaluate the cerebello-thalamo-cortical loop functions and for the study of the pathophysiology of ataxia. In most circumstances, DCS induces a polarity-dependent site-specific modulation of cerebellar activity. Paired associative stimulation of the cerebello-dentato-thalamo-M1 pathway can induce bidirectional long-term spike-timing-dependent plasticity-like changes of corticospinal excitability. However, the panel of experts considers that several important issues still remain unresolved and require further research. In particular, the role of TMS in promoting cerebellar plasticity is not established. Moreover, the exact positioning of electrode stimulation and the duration of the after effects of tDCS remain unclear. Future studies are required to better define how DCS over particular regions of the cerebellum affects individual cerebellar symptoms, given the topographical organization of cerebellar symptoms. The long-term neural consequences of non-invasive cerebellar modulation are also unclear. Although there is an agreement that the clinical applications in cerebellar disorders are likely numerous, it is emphasized that rigorous large-scale clinical trials are missing. Further studies should be encouraged to better clarify the role of using non-invasive neurostimulation techniques over the cerebellum in motor, cognitive and psychiatric rehabilitation strategies.
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  • 文章类型: Journal Article
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  • Charlton et al. (2008) (Charlton, R.A., Landua, S., Schiavone, F., Barrick, T.R., Clark, C.A., Markus, H.S., Morris, R.G.A., 2008. Structural equation modelling investigation of age-related variance in executive function and DTI-measured white matter change. Neurobiol. Aging 29, 1547-1555) presented a model that suggests a specific age-related effect of white matter integrity on working memory. We illustrate potential pitfalls of structural equation modelling by criticizing their model for (a) its neglect of latent variables, (b) its complexity, (c) its questionable causal assumptions, (d) the use of empirical model reduction, (e) the mix-up of theoretical perspectives, and (f) the failure to compare alternative models. We show that a more parsimonious model, based solely on the well-established general factor of cognitive ability, fits their data at least as well. Importantly, when modelled this way there is no support for a role of white matter integrity in cognitive aging in this sample, indicating that their conclusion is strongly dependent on how the data are analysed. We suggest that evidence from more conclusive study designs is needed.
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    文章类型: Consensus Development Conference
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  • 文章类型: Journal Article
    Compared with people of other ages, the elderly are much more heterogeneous in terms of physical and mental status, and they are subject to more day-to-day variability. However, some see the institutionalized elderly as stereotypes, having little autonomy and being easily subjugated such that they will consent to take part in any sort of experiment. Thus, a counter-productive paternalism may lead them to protect elderly patients by making such choices for them. The interests of the incompetent elderly must be scrupulously protected, but competent elderly potential subjects can appropriately be assumed to be responsible and should be accorded the dignity of making their own choices. The consent process should be individualized rather than codified for the elderly, as for potential subjects of other ages.
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  • 文章类型: Journal Article
    反应水平量表(RLS85)是一种“昏迷量表”,用于直接评估急性脑部疾病患者的整体反应水平。即使在难以评估的患者的管理中,它也是为可靠使用而设计的。如插管患者和眼睑肿胀患者。我们在这里介绍RLS85的手册及其使用指南。概述了基本概念和限制。给出了已知信度和效度的简明信息。针对假定观察员的培训计划(医生,护士和助理护士)概述。建议RLS85的用户参考这些指南,并在科学报告中明确说明与本手册的任何偏差,以便于不同研究和不同组患者之间的有效比较。
    The Reaction Level Scale (RLS85) is a \"coma scale\" for the direct assessment of overall reaction level in patients with acute brain disorders. It is devised for reliable use even in the management of patients who are difficult to assess, such as intubated patients and patients with swollen eyelids. We here present the manual of the RLS85 and the guidelines for its use. The underlying concepts as well as limitations are outlined. Condensed information of known reliability and validity is presented. A training scheme for presumed observers (doctors, nurses and assistant nurses) is outlined. It is suggested that users of the RLS85 refer to these guidelines and in scientific reports clearly state any deviations from this present manual in order to facilitate valid comparisons between different studies and different groups of patients.
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