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Open Medicine
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2007
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vol. 2
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issue 3
280-293
EN
Data in literature that use methods for studying the learning and memory processes suggest that GABA and especially GABAB receptor antagonists may be active against amnesia. The aim of our study was to examine the effects of three new GABAB-antagonists on learning and memory processes. Active and passive avoidance tests with negative reinforcement in rats were used. The rats treated with different GABAB receptor antagonists showed improving effects in both tests (active and passive avoidances)on learning as well as on memory retention. There are some differences in their activities, probably due to its chemical structures. The phosphinic analogue CGP63360A is potent to the point that the benzoic one CGP76290A and the left isomer of the benzoic analogue CGP76291A has no effect. It may be concluded that the obtained results on the GABAB receptor antagonists could contribute to their pharmacological characteristics and might be of interest for potential clinical implication.
EN
Paneurhythmy is a group psycho-physical practice created in Europe, involving marked social interaction. The purpose of this paper is to provide information about Paneurhythmy, and to discuss its potential as a means of development of partnership and social skills. This article offers a brief introduction into Paneurhythmy. The basic characteristics of Paneurhythmy practices providing appropriate conditions for the improvement of partnership skills are formulated and explained. By means of analysis, discussion and examples, it is shown how Paneurhythmy for beginners and its further practice can develop skills for successful partnership with children and adults. The existent empirical and theoretical studies on the subject to date have been specified, confirming the cultivation of partnership and social skills through Paneurhythmy. Paneurhythmy has an extremely big potential for the development of partnership skills and for the improvement of social functioning. In this respect, the most important characteristics of Paneurhythmy are the following: group practice in pairs, an appropriate aim of the practice, the right music, common rhythm and synchronization of movements, specific distances between participants, typical characteristics and expressiveness of participants’ movements, Paneurhythmy philosophy, sharing space, suitable lyrics of Paneurhythmy songs, figures for the arrangement of participants, acting social roles and broadening the range of awareness. Paneurhythmy is a widely-accessible new instrument for personal and social development. This is confirmed by the existent scientific studies, revealing that, with children and adults, both initial training and further practising Paneurhythmy leads to the improvement of interpersonal relations and social skills.
EN
INTRODUCTION: Lung auscultation is one of the basic physical examination tests both in the pre-hospital and hospital settings and should be performed on any patient who has problems with the respiratory system. Depending on the condition, clinicians can hear different breathing sounds. Our aim is to assess the effectiveness of lung auscultation on cadavers. MATERIAL AND METHODS: The study was conducted in October 2018, among 27 Emergency Medical Services (EMS) students at the University of Natural Sciences and Humanities in Siedlce. The research tool used in this study was prepared human cadaver. Students listened to four pulmonary fields (apices and bases) using a stethoscope. RESULTS: The study included 27 students with an average age of 21.76 (SD ± 3.20). The average auscultation results were: right lung at the apex - 59.26% (SD ± 49.14), right lung at the base - 96.30% (SD ± 18.89), left lung at the apex - 40.74% (SD ± 49 , 14), left lung at the base - 77.78% (SD ± 41.57). The average satisfaction score on a scale from 1 to 5 was 4.37 points (SD ± 1.13). CONCLUSIONS: The study showed that conducting classes on mannequins is not sufficient for effective auscultation of pulmonary fields, which could probably be obtained through practice on cadavers. Students showed a high level of satisfaction with participation in the study. In order to improve the quality of students’ education and practical skills, periodic classes oncadavers should be conducted.
PL
WSTĘP: Osłuchiwanie płuc jest jednym z podstawowych badań zarówno w warunkach przedszpitalnych jak i w trakcie hospitalizacji. Należy je wykonać u każdego pacjenta, u którego występują problemy z układem oddechowym. W zależności od obecnego schorzenia, można usłyszeć różne szmery oddechowe. Celem publikacji jest ocena efektywności osłuchiwania płuc na kadawerach. MATERIAŁ I METODY: Badanie przeprowadzono w październiku 2018 roku, wśród 27 studentów ratownictwa medycznego Uniwersytetu Przyrodniczo-Humanistycznego w Siedlcach. Narzędziem badawczym był preparat ludzkiego korpusu, który wcześniej został odpowiednio przygotowany. Studenci przy użyciu stetoskopu osłuchiwali cztery pola płucne (szczyty i podstawy). WYNIKI: W badaniu wzięło udział 27 studentów, u których średnia wieku wyniosła 21.76 (SD ± 3.20). Średnie wyniki osłuchiwania wyniosły: prawe płuco u szczytu – 59,26 % (SD ± 49,14), prawe płuco u podstawy – 96.30 % (SD ± 18,89), lewe płuco u szczytu – 40,74 % (SD ± 49,14), lewe płuco u podstawy – 77,78 % (SD ± 41,57). Średni wynik poziomu satysfakcji w skali od 1 do 5 wyniósł 4,37pkt (SD ± 1,13). WNIOSKI: Badanie wykazało, iż prowadzenie zajęć na fantomach nie jest wystarczające pod względem odpowiedniego przygotowania studentów do efektywnego osłuchiwania pól płucnych, co prawdopodobnie można by było uzyskać poprzez ćwiczenia na kadawerach. Studenci wykazali wysoki poziom satysfakcji z udziału w badaniu. Należy poszukać rozwiązań umożliwiających okresowe prowadzenie zajęć na kadawerach dla studentów w celu podnoszenia jakości ich kształcenia i umiejętności praktycznych.
EN
This study was conducted for investigating the effects of chronically administered vitamin D3 and resveratrol, which has antioxidant properties, on memory and learning impairment caused by streptozotocin-induced diabetes. Saline was administered to the mice in the first group. Streptozotocin (60 mg/kg, i.p.) was given to the mice in the second group for 3 consecutive days and no treatment was performed. Vitamin D3 (800 IU/kg, i.p.) was given to the streptozotocin-induced hyperglycemic mice in the third group for 4 weeks. Resveratrol (40 mg/kg, i.p.) was given to the streptozotocin-induced hyperglycemic mice in the fourth group for 4 weeks. Then, passive avoidance test was applied to the mice. A significant difference was found between DM+Vit D3 group (21.6±1.7, n=7) and diabetic control group (28±2.6, n=7) in the acquisition test (p<0.001). A similar result was observed between diabetic-resveratrol group (23.7±2.5, n=7) and the untreated diabetic mice group (28±2.6, n=7). There was a significant difference. 4-week vitamin D3 (400 IU/day, i.p.) and 4-week resveratrol (40 mg/kg, i.p.) treatments given to streptozotocin-induced diabetic mice were observed to significantly improved the passive avoidance acquisition and retention times. These results show the positive effects of vitamin D3 on memory.
EN
The curriculum of the Medical Faculty is a result of a compromise between the need to upgrade and extend the material and the immutability of study duration. In result of reduction of time for acquisition of basic practical skills.The aim of the study was to evaluate the current curriculum by students and answer the question: What are the students' expectations of teaching surgery? and to compare the opinion in two academic centers in Poland.Material and methods. The survey embraced 85 students of the Medical Faculty of IV (25.9%), V (22.35%) and VI (51.75%) year of the Medical University of Gdańsk and VI year students of the Pomeranian University of Szczecin (PUM- 34%). Students completed a 19-item questionnaire, send by e-mail. Questions were closed (yes / no or grades 1-5) with the option of opinion adding to each item. The Statistica (version 9) package for calculations was used. Differences with p<0.05 was considered statistically significant. Qualitative data (opinions) were prepared in the form of summary tables, generalized or quoted.Results. Satisfaction with the education of students amounted to 2,1-2,4 (on a scale 1-5). There is a weak association between gender and choice of surgical specialties. Declaring an interest in surgery does not affect the assessment of classes. Most students believe that the amount of theoretical classes is sufficient, there is lack of practical classes. Among procedures they want to learn, most often were mentioned: bladder catheterization, suturing, wound treatment and putting stomach tube. Additionally, they pay attention to the lack of affordable learning materials.Conclusions. Students expect a full "non-corridor" utilization of classes, learn and practice the basic and most frequent activities at the patient. They are dissatisfied with the current training methods, and would be taught in a diverse and active way.
EN
Recent studies suggest that students fail to meet the international guidelines for physical activity. Therefore, an increased number of physical activity interventions attempt to change this trend. The current paper reviews the intervention studies which were based on the Self-Determination Theory (SDT). Three databases (PsycINFO, Medline, and SPORTDiscus) were scrutinized in the current review, which yielded 437 potential articles. Employing the recommended selection based on the population, intervention, comparators, and outcome (PICO), 14 articles could be included in the narrative analysis. The results showed that interventions based on the SDT were very heterogeneously operationalized in these studies. Despite different interventions, the results suggest that SDT-based interventions have the potential to increase students' physical activity through both, autonomy and supportive environment. Teachers' professional development in implementing SDT-based physical activity interventions for students is highly recommended.
EN
The aim of the study was to examine the level of knowledge and sensitivity to dysmorphic features in a child with facial and body dysmorphia on the part of students of medicine and dentistry. We tested 70 students of medicine and 70 students of dentistry. A photograph of a child with craniofacial microsomia (CFM)was shown to all the tested students. Their task was to detect and name those facial deformities and describe the child in terms of selected features not related to the child’s health condition. As a tool was used the Overgeneralization Effect Scale and a questionnaire designed by the author relating to facial deformities. Significant differences were observed in the level of knowledge and sensitivity to dysmorphic features between students of medicine and dentistry. Future dentists detected more dysmorphic features in the face of the photographed child when compared to students of medicine. Interestingly, this sensitivity to abnormalities was found to noticeably increase with each subsequent year of study for dentistry students, while the opposite was observed for the stu dents of medicine. Importantly, a relationship was observed be tween the sensitivity to dysmorphic features and the general evaluation of the child in terms of non-medical aspects by the group of dentistry students. With the increase in the students’ skills to recognize dysmorphic features, the overall evaluation of the child tended to decrease. The results obtained indicate that the skills related to recognizing dysmorphic features are better in students of dentistry than in students of medicine. The sensitivity to abnormalities evidently increase with each subsequent year of study for dentistry students, while the opposite was observed for medical students.
EN
Interferon beta is the most widely prescribed therapy for the multiple sclerosis (MS), positively modifying the disease course. The aim of this study was to examine effects of long-term treatment with interferon beta-1b (8 mln. IU every other day, for 24 months) on the nonverbal learning and sustained visual attention in MS patients. Nineteen relapsing-remitting patients were included. The mean age was 30.3 (18-43) years, mean disease duration and mean EDSS scores were 3.2 (0.5-7.0) years and 2.05 (0.5-5.0), respectively. The patients underwent psychological testing three times: before interferon beta-1b treatment, 12 and 24 months later. The Nonverbal Learning Test, the Visual Continuous Attention Test and Beck Depression Inventory were used. Nineteen matched (age, sex, education, EDSS scors, disease duration) control subjects, also with relapsingremitting MS, not reciving interferon beta, underwent the same testing procedure. Before interferon beta-1b treatment there were no significant differences among examined and control groups on any tests. 24 months treatment with interferon beta-1b positively influenced nonverbal learning (p<0.05), and did not change sustained attention and mood. Treatment with interferon beta-1b reduced MS attack frequency (p<0.05) and had beneficial (statistically unsignificant) effect on disability assessed by the EDSS. Serious adverse events were not observed in treated patients. Conclusions: 1. Treatment with interferon beta-1b positively influences nonverbal learning. 2. During interferon beta-1b therapy were not observed significant changes in sustained attention and mood.
PL
Interferon beta jest najczęściej stosowanym lekiem łagodzącym przebieg kliniczny stwardnienia rozsianego (SM). Celem tej pracy była ocena wpływu przewlekłego leczenia interferonem beta-1b (8 mln. j.m. podawane co drugi dzień, przez 24 miesiące) na uczenie się niewerbalne i ciągłość uwagi wzrokowej u chorych na stwardnienie rozsiane. Zbadano 19 pacjentów z postacią rzutowo-remisyjną SM. Średni wiek chorych wynosił 30,3 (18-43) lata, średni czas trwania choroby – 3,2 (0,5-7,0) lata, średnia wartość skali EDSS – 2,05 (0,5-5,0) punktu. Pacjentów poddano 3-krotnie (przed rozpoczęciem leczenia interferonem, po upływie 12 i 24 miesięcy) badaniu psychologicznemu. Wykorzystano: test uczenia się niewerbalnego (NVLT), test ciągłości uwagi (DAUF) i Inwentarz Depresji Becka. Grupę kontrolą stanowiło 19 chorych również z postacią rzutowo-remisyjną SM, odpowiednio dobranych pod względem wieku, płci, wykształcenia, stopnia niesprawności (EDSS) i czasu trwania choroby, nieleczonych interferonem beta, których poddano takiej samej procedurze badawczej. Wyniki osiągnięte przed leczeniem interferonem beta-1b przez pacjentów z grupy badanej i kontrolnej nie różniły się istotnie w żadnym z testów. Trwające 24 miesiące leczenie interferonem beta-1b korzystnie wpłynęło na uczenie się niewerbalne (p<0,05), nie zmieniając istotnie ciągłości uwagi ani nastroju. Terapia zmniejszała częstość rzutów choroby (p<0,05) oraz miała korzystny wpływ na narastanie niesprawności ocenianej w skali EDSS (brak istotności statystycznej). Nie obserwowano poważnych działań niepożądanych w grupie chorych leczonych interferonem beta-1b. Wnioski: 1. Leczenie interferonem beta-1b wpływa korzystnie na niewerbalne uczenie się. 2. W trakcie terapii interferonem beta-1b nie obserwowano istotnych zmian ciągłości uwagi ani nastroju.
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2010
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vol. 6
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issue 3
236-240
EN
Orderly and harmonious development of psychomotor child is the result of physiological maturation of the central nervous system and sensory organs, and their mutual stimulation and integration. As a result, the child is properly developed in small and large motor skills and verbal communication, it can make social relationships, achieve emotional stability and ability to focus attention and learning. The aim of the study is to draw attention and raise awareness among representatives of different professions focused on a child, of problems caused by the processes of sensory integration dysfunction. There was also presented the concept of development sequencing explaining the development and maturation of these processes. According to Ayres, the method creator, stages of development are closely interlinked forming a logical sequence. Without a proper, full development of the early stage, development in further stages will be disturbed. The work includes a case study of a child who was admitted to the clinic due to walking on toes. Child’s behaviour prompted the therapist to conduct a study of sensory integration processes. There were described results of clinical observation and South California Sensory Integration Tests. There were presented difficulties and problems that are consequences of disturbed functions. The study also presents examples of sensory symptoms of disintegration, which after observing should make the doctor, teacher and parents to suggest a child visiting a sensory integration therapist in order to conduct research and start appropriate stimulus treatment.
PL
Prawidłowy i harmonijny rozwój psychoruchowy dziecka jest wynikiem fizjologicznego dojrzewania centralnego układu nerwowego i narządów zmysłów oraz ich wzajemnej stymulacji i integracji. W rezultacie dziecko dysponuje odpowiednio rozwiniętą sprawnością w zakresie motoryki małej i dużej oraz komunikacji werbalnej, potrafi nawiązywać więzi społeczne, osiąga stabilność emocjonalną oraz zdolność koncentracji uwagi i uczenia się. Celem pracy jest zwrócenie uwagi na problemy spowodowane zaburzeniem procesów integracji sensorycznej i uwrażliwienie na nie przedstawicieli różnych zawodów, w których centrum zainteresowania znajduje się dziecko. Przedstawiono w niej koncepcję sekwencyjności rozwoju tłumaczącą przebieg i dojrzewanie przywołanych wyżej procesów. Według Ayres, twórczyni tej metody, stadia rozwoju są ze sobą ściśle powiązane, tworząc logiczną sekwencję. Bez prawidłowego pełnego rozwoju wcześniejszego etapu rozwój na kolejnych będzie zaburzony. Praca zawiera studium przypadku dziecka, które trafiło do poradni rehabilitacji z powodu chodu na palcach. Zachowanie dziecka skłoniło terapeutę do zbadania jego procesów integracji sensorycznej. Opisano wyniki obserwacji klinicznej oraz Południowokalifornijskich Testów Integracji Sensorycznej. Przedstawiono trudności oraz problemy będące skutkami zaburzonych funkcji. Praca prezentuje również przykłady objawów dezintegracji sensorycznej, które po zaobserwowaniu powinny skłonić lekarza, pedagoga i rodziców do zaproponowania dziecku wizyty u terapeuty integracji sensorycznej w celu przeprowadzenia badania i podjęcia właściwej terapii bodźcowej.
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