historical perspectives

历史观点
  • 文章类型: Journal Article
    远程康复作为远程医疗的新分支学科是信息技术的应用,通过双向或多点交互式在线电信技术来支持和提供康复服务。这使治疗师能够优化时机,强度,和治疗的持续时间,这在当前卫生系统的面对面治疗方案的限制下通常是不可能的。
    回顾神经系统疾病中远程康复的历史观点和概念框架。
    从历史角度对文献进行了叙述性回顾,并使用关于慢性神经系统疾病的PRISMA指南对概念框架进行了系统回顾;多发性硬化症,脊髓损伤,中风,帕金森病,认知障碍,和头痛。搜索包括过去20年(2004年至2024年)的文章。
    远程康复可以追溯到20世纪60年代和70年代初。记录在案的有效干预措施主要是针对言语障碍的疗法。概念框架包括远程康复计划的三个主要组成部分,包括发展,实施,和评价。COVID-19大流行突然使远程康复成为人们关注的焦点,因为身体上的距离变得必要。在下载的110,000篇文章中,43符合纳入标准,以审查与神经系统疾病有关的远程康复的概念框架。文章讨论了多发性硬化症(2),脊髓疾病(1),stroke(17),帕金森病(15),头痛(3)和认知障碍(5)。所有审查的文章都评估了远程医疗的有效性,但有关多发性硬化症和脊髓疾病的文章除外,这些文章检查了该技术与最终用户之间的间期。
    随着创新工具和应用程序的后续整合,远程康复的未来看起来很有希望。这将需要技术的适应,持续能力建设,教育,并培训医疗保健专业人员,以确保他们充分具备提供优质虚拟现实康复护理的必要技能。
    UNASSIGNED: Telerehabilitation as a new subdiscipline of telehealth is the application of information technology to support and deliver rehabilitation services via two-way or multipoint interactive online telecommunication technology. This enables the therapist to optimize the timing, intensity, and duration of therapy which is often not possible within the constraints of face-to-face treatment protocols in current health systems.
    UNASSIGNED: To review the historical perspective and conceptual framework of telerehabilitation in neurological disorders.
    UNASSIGNED: A narrative review of the literature was performed for the historical perspective and a systematic review of the conceptual framework was performed using the PRISMA guidelines on chronic neurological disorders; multiple sclerosis, spinal cord injury, stroke, Parkinson\'s disease, cognitive impairment, and headaches. The search included articles from the past 20 years (2004 to 2024).
    UNASSIGNED: Telerehabilitation dates back to the 1960s and early 1970s. Documented effective interventions were mostly on therapies for speech disorders. The conceptual framework consisted of three major components of telerehabilitation programmes including development, implementation, and evaluation. The COVID-19 pandemic suddenly made telerehabilitation come to the limelight because physical distancing became necessary. Out of the 110,000 articles downloaded, 43 met the inclusion criteria for review on the conceptual framework of telerehabilitation in relation to neurological disorders. The articles discussed multiple sclerosis (2), spinal cord disorders (1), stroke (17), Parkinson\'s disease (15), headaches (3), and cognitive disorders (5). All articles reviewed assessed the effectiveness of telemedicine except for the articles on multiple sclerosis and spinal cord disorders which examined the interphase between the technology and the end users.
    UNASSIGNED: The future of telerehabilitation looks promising with the subsequent integration of innovative tools and applications. This will require the adaption of technology, continuous capacity building, education, and training of healthcare professionals to ensure that they are adequately equipped with the necessary skills to provide quality virtual reality rehabilitation care.
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  • 文章类型: Journal Article
    本文对不断变化的心理健康治疗领域进行了广泛的回顾,绘制从传统方法到现代突破的转型路径,并推测潜在的未来发展。故事的发展是通过调查历史观点,同时反思现在并强调所吸取的教训及其对当代实践的影响。我们已经从庇护所的污名化约束发展到将人权,尊严,个性化,首先是文化敏感的治疗。现代方法更加多样化,以证据为基础,从尖端技术进步到循证心理治疗。由于药物治疗的微妙平衡而引起的伦理考虑强调了施用严重影响心理健康的药物的责任。文化因素成为支柱,强调文化敏感性对促进宽容是多么重要。通过承认人类经验的许多方面是相互关联的,整体方法有助于缩小身心之间的差距。综合医学和替代疗法代表了从还原论方法到整体观点的转变。技术进步正在重新构想心理健康治疗的提供,虚拟和数字环境开辟了新的访问和支持渠道。这些事态发展超越了区域界限,重塑常规治疗动力学,为个体化治疗铺平道路。文化问题突出了文化能力在导航复杂的心理健康治疗系统和调整干预措施以适应各种文化背景的特殊要求方面的重要性。有了心灵感应,虚拟现实,和人工智能是有望进一步彻底改变心理健康疗法的新技术,这篇论文展望未来。这篇综述的结论是想象有一天精神健康被优先考虑,疗法是可用的,人类经验的多样性受到重视。通往重视社会的道路,养育,并继续庆祝心理健康。
    This article offers an extensive review of the changing field of mental health therapies, charting a transformational path from traditional methods to modern breakthroughs and speculating on potential future developments. The story develops by investigating historical viewpoints while reflecting on the present and highlighting the lessons learned and their impact on contemporary practices. We have advanced from the stigmatized constraints of asylums to a paradigm that puts human rights, dignity, and individualized, culturally sensitive treatment first. Modern methods are much more varied and evidence-based, from cutting-edge technical advancements to evidence-based psychotherapies. The ethical considerations arising from the delicate balance of pharmacological therapies underline the responsibility of administering drugs that significantly affect mental health. Cultural factors become a pillar, highlighting how crucial cultural sensitivity is to promoting tolerance. By acknowledging how many facets of the human experience are interrelated, holistic methods help close the gap between the mind and body. Integrative medicine and alternative therapies represent a shift away from reductionist approaches and toward a holistic viewpoint. The delivery of mental health treatment is being reimagined by technological advancements, with virtual and digital environments opening up new access and support channels. These developments cut beyond regional boundaries, reinventing conventional therapy dynamics and paving the way for individualized therapies. Cultural concerns highlight the significance of cultural competency in navigating the complex mental health treatment system and adapting interventions to fit the particular requirements of various cultural contexts. With telepsychiatry, virtual reality, and artificial intelligence among the new technologies that promise to further revolutionize mental health therapies, the essay looks to the future. This review concludes by imagining a day when mental health is prioritized, therapies are available, and the diversity of human experience is valued. The path to a society that values, nurtures, and celebrates mental health continues.
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    文章类型: Journal Article
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  • 文章类型: Journal Article
    目的:在过去的二十年中,儿童残疾领域发生了翻天覆地的变化。值得注意的是,70年前,爱尔兰的克里斯蒂·布朗以尖锐的清晰表达了现在扎根的想法,提供值得学习的教训,说明了为什么“我的左脚”仍然是关于儿童发展和残疾的文学的独特贡献。
    UNASSIGNED:世界卫生组织2001年对“残疾”的重新考虑(国际功能分类,残疾与健康或ICF)催生了对当代概念的大量吸收和适应,特别是“儿童残疾的F词”(现在是“儿童发展的F词”)。1954年出版的克里斯蒂·布朗开创性的诗歌自传《我的左脚》今天引起了共鸣,使ICF生动而令人难忘。
    方法:作者,发育儿科医生,通过ICF镜头折射了“我的左脚”的主题,以说明现在被认为是现代的概念长期以来一直存在,但遗憾的是忽略了。克里斯蒂·布朗的第一人称叙事为所有在儿童残疾领域工作的人提供了灵感和信息。
    结果:这篇文章是一个个人的反映,汇集了当代21世纪的概念和思想,从克里斯蒂·布朗是一个年轻的作家,报告了他对“残疾”生活的观点和看法。
    结论:克里斯蒂·布朗70年前慷慨分享的教训今天应该受到重视。在关于“儿童残疾”的现代思维和行动的背景下,我们需要一种方法来对待我们所做的一切,将残疾儿童视为和尊重整个人,将他们置于家庭和社区的环境中,在卫生专业社区和整个社区中识别并促进他们的优势和抱负,并使它们能够\'变成\'和\'属于\'。
    The field of childhood disability has undergone a sea-change in the past two decades. Remarkably, 70 years ago, the ideas now taking root were expressed with poignant clarity by Ireland\'s Christy Brown, providing lessons that were there to be learned, illustrating why \'My Left Foot\' remains a singular contribution to the literature about child development and disability.
    The World Health Organization\'s 2001 reconsideration of \'disability\' (the International Classification of Functioning, Disability and Health or ICF) has spawned considerable uptake and adaptation of contemporary concepts, notably with the \'F-Words for Childhood Disability\' (now the \'F-words for Child Development\'). Published in 1954, Christy Brown\'s ground-breaking poetic autobiography \'My Left Foot\' resonates today with messages that bring the ICF to life vividly and memorably.
    The author, a developmental paediatrician, has refracted the themes of \'My Left Foot\' through an ICF lens to illustrate that concepts now considered modern have long been in plain sight, but sadly ignored. Christy Brown\'s first-person narrative animates ideas and messages for all who work in the field of childhood disability.
    This essay is a personal reflection that draws together both contemporary 21st century concepts and ideas from the time that Christy Brown was a young author reporting his perspectives and perceptions on living with \'disability\'.
    The lessons Christy Brown generously shared 70 years ago should be heeded today. In the context of modern thinking and action regarding \'childhood disability\', we need an approach to all we do that sees and respects children with \'disabilities\' as whole people, that situates them in the context of family and community, that identifies and promotes their strengths and aspirations within both the health professional community and the community at large and enables them to \'become\' and to \'belong\'.
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  • 文章类型: Journal Article
    Optometry education in Nepal began in 1998 in collaboration with the University of Auckland, New Zealand, with the primary objective of addressing the unmet needs of eye health and vision care. Over the last two decades, the development of optometry education has seen significant progress, including a shift from a three-year to a four-year curriculum, an increase in the uptake of students, and recent launches of two additional bachelor\'s degree and a master\'s degree programmes. Complementary to the educational progress, several professional advances have occurred in the intervening years. These include the formation of the Nepalese Association of Optometrists that oversees the professional development and the rights, welfare, security, and protection of Optometrists, memberships into the World Council of optometry and the Asia Pacific Council of optometry, integration of the profession into the governmental regulatory body Nepal Health Professional Council, and formulation of the code of ethics and minimum requirements for a Bachelor\'s level University degree in optometry. This article briefly presents the historical events leading to the establishment of optometry in Nepal and the evolution of the program in the intervening years.
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  • 文章类型: Journal Article
    Growing empirical evidence reveals that traditional set-theoretic structures cannot in general be applied to cognitive phenomena. This has raised several problems, as illustrated, for example, by probability judgement errors and decision-making (DM) errors. We propose here a unified theoretical perspective which applies the mathematical formalism of quantum theory in Hilbert space to cognitive domains. In this perspective, judgements and decisions are described as intrinsically non-deterministic processes which involve a contextual interaction between a conceptual entity and the cognitive context surrounding it. When a given phenomenon is considered, the quantum-theoretic framework identifies entities, states, contexts, properties and outcome statistics, and applies the mathematical formalism of quantum theory to model the considered phenomenon. We explain how the quantum-theoretic framework works in a variety of judgement and decision situations where systematic and significant deviations from classicality occur.
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  • DOI:
    文章类型: Historical Article
    Dentoalveolar surgery, formerly known as dental surgery or oral surgery, is one of the basic branches of oral and maxillofacial surgery. While it has a long history; however, there are great differences in its evolution globally. This article presents a brief review on the development of dentoalveolar surgery internationally. Furthermore, a systematic review on its development in China, is detailed in 6 stages. However, while its development in China since 2005 has been most profound, improvements are still needed in treatment concepts, instruments, treatment processes, attention to high-risk populations and cooperation with other dental/medical disciplines. Future projections based on present standards of care are also presented.
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  • 文章类型: Historical Article
    OBJECTIVE: This article covers violence prevention (homicide and suicide) activities in the African American community for nearly 50 years.
    METHODS: Drawing on lived experience the works of early and recent efforts by African American physicians, the author illustrates we know a great deal about violence prevention in the African American community.
    RESULTS: There remains challenges of implementation and political will. Further, most physicians, like the public, are confused about the realities of homicide and suicide because of the two different presentations both are given in the media and scientific literature.
    CONCLUSIONS: Responses to homicide and suicides should be based on science not distorted media reports. There are violence prevention principles that, if widely implemented, could stem the tide of violence.
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  • 文章类型: Journal Article
    Historical and current concepts of in vitro fibrillogenesis are considered in the light of disorders in which amyloid is deposited at anatomic sites remote from the site of synthesis of the corresponding precursor protein. These clinical conditions set constraints on the interpretation of information derived from in vitro fibrillogenesis studies. They suggest that in addition to kinetic and thermodynamic factors identified in vitro, fibrillogenesis in vivo is determined by site specific factors most of which have yet to be identified.
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