In speech, the phenomenon of coarticulation (differentiation of phoneme production depending on the preceding or following phonemes) suggests an organization of movement sequences that is not strictly serial. In the skeletal motor system, however, evidence for comparable fluency has been lacking. Thus the present study was designed to quantify coarticulation in the hand movement sequences of sign language interpreters engaged in fingerspelling. Records of 17 measured joint angles were subjected to discriminant and correlation analyses to determine to what extent and in what manner the hand shape for a particular letter was influenced by the hand shapes for the preceding or the following letters. Substantial evidence of coarticulation was found, revealing both forward and reverse influences across letters. These influences could be further categorized as assimilation (tending to reduce the differences between sequential hand shapes) or dissimilation (tending to emphasize the differences between sequential hand shapes). The proximal interphalangeal (PIP) joints of the index and middle fingers tended to show dissimilation, whereas at the same time (i.e., during the spelling of the same letters) the joints of the wrist and thumb tended to show assimilation. The index and middle finger PIP joints have been shown previously to be among the most important joints for computer recognition of the 26 letter shapes, and therefore the dissimilation may have served to enhance visual discrimination. The simultaneous occurrence of dissimilation in some joints and assimilation in others demonstrates an unprecedented level of parallel control of individual joint rotations in an essentially serial task. (+info)
Reproductive behavior in the squid Sepioteuthis australis from South Australia: ethogram of reproductive body patterns.
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Squids use a diverse range of body patterns for communication. Each pattern consists of a series of chromatic, postural, and locomotor components that are under neural control and can change within fractions of a second. Here we describe an ethogram of 48 body pattern components from in situ observations of reproductively active Sepioteuthis australis. In addition, we identify the total time and average duration that each component is shown, to a resolution of 1 s. Our results suggest that only a few components (e.g., "Golden epaulettes," "Stitchwork fins," and "Rigid arms") are temporally common, that is, shown for more than 80% of the time. In contrast to the component classification reported for other species of squid, for this species we suggest a classification system consisting of "short acute" (lasting for < 10 s); some of these same components were also classified as "medium acute" (11-60 s) or "chronic" (> 60 s). Several body patterning components were previously unreported, as were some of the combinations observed. The significance of these patterning components is discussed within the context of the associated behaviors of the squid on the spawning grounds. (+info)
Pitfalls in communication with Hispanic and African-American patients: do translators help or harm?
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The Martin Luther King County General Hospital, Los Angeles, California, provides services for an equal number of Hispanics (most are recent immigrants from Mexico) and African Americans who have lived in the community since before the Watts riot in 1965. The hospital is staffed by a large percentage of foreign-trained doctors and other personnel who speak some English, but suffer from a lack of understanding of the Hispanic as well as the African-American patients. Very few trained interpreters are provided for the Spanish-speaking population, and no interpreters are provided for African Americans. A 100-question survey on common African-American expressions was conducted in the Department of Family Medicine, as well as an opinion poll to determine if adequate understanding existed between patients and providers. The data revealed that native African-American providers understood significantly more African-American expressions than foreign, white, and Hispanic providers. The opinion poll also revealed inadequate translation of medical complaints from patients through interpreters. In addition, the poll found that diagnoses and instructions were not adequately related to the patients. Furthermore, it was felt that trained interpreters should be provided for all patients who presented communication problems. (+info)
Seeing fearful body expressions activates the fusiform cortex and amygdala.
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Darwin's evolutionary approach to organisms' emotional states attributes a prominent role to expressions of emotion in whole-body actions. Researchers in social psychology [1,2] and human development [3] have long emphasized the fact that emotional states are expressed through body movement, but cognitive neuroscientists have almost exclusively considered isolated facial expressions (for review, see [4]). Here we used high-field fMRI to determine the underlying neural mechanisms of perception of body expression of emotion. Subjects were presented with short blocks of body expressions of fear alternating with short blocks of emotionally neutral meaningful body gestures. All images had internal facial features blurred out to avoid confounds due to a face or facial expression. We show that exposure to body expressions of fear, as opposed to neutral body postures, activates the fusiform gyrus and the amygdala. The fact that these two areas have previously been associated with the processing of faces and facial expressions [5-8] suggests synergies between facial and body-action expressions of emotion. Our findings open a new area of investigation of the role of body expressions of emotion in adaptive behavior as well as the relation between processes of emotion recognition in the face and in the body. (+info)
Pain assessment and management in critically ill intubated patients: a retrospective study.
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BACKGROUND: Little research has been done on pain assessment in critical care, especially in patients who cannot communicate verbally. OBJECTIVES: To describe (1) pain indicators used by nurses and physicians for pain assessment, (2) pain management (pharmacological and nonpharmacological interventions) undertaken by nurses to relieve pain, and (3) pain indicators used for pain reassessment by nurses to verify the effectiveness of pain management in patients who are intubated. METHODS: Medical files from 2 specialized healthcare centers in Quebec City, Quebec, were reviewed. A data collection instrument based on Melzack's theory was developed from existing tools. Pain-related indicators were clustered into nonobservable/subjective (patients' self-reports of pain) and observable/objective (physiological and behavioral) categories. RESULTS: A total of 183 pain episodes in 52 patients who received mechanical ventilation were analyzed. Observable indicators were recorded 97% of the time. Patients' self-reports of pain were recorded only 29% of the time, a practice contradictory to recommendations for pain assessment. Pharmacological interventions were used more often (89% of the time) than nonpharmacological interventions (<25%) for managing pain. Almost 40% of the time, pain was not reassessed after an intervention. For reassessments, observable indicators were recorded 66% of the time; patients self-reports were recorded only 8% of the time. CONCLUSIONS: Pain documentation in medical files is incomplete or inadequate. The lack of a pain assessment tool may contribute to this situation. Research is still needed in the development of tools to enhance pain assessment in critically ill intubated patients. (+info)
Rapid perceptual integration of facial expression and emotional body language.
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In our natural world, a face is usually encountered not as an isolated object but as an integrated part of a whole body. The face and the body both normally contribute in conveying the emotional state of the individual. Here we show that observers judging a facial expression are strongly influenced by emotional body language. Photographs of fearful and angry faces and bodies were used to create face-body compound images, with either matched or mismatched emotional expressions. When face and body convey conflicting emotional information, judgment of facial expression is hampered and becomes biased toward the emotion expressed by the body. Electrical brain activity was recorded from the scalp while subjects attended to the face and judged its emotional expression. An enhancement of the occipital P1 component as early as 115 ms after presentation onset points to the existence of a rapid neural mechanism sensitive to the degree of agreement between simultaneously presented facial and bodily emotional expressions, even when the latter are unattended. (+info)
Balance in single-limb stance after surgically treated ankle fractures: a 14-month follow-up.
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BACKGROUND: The maintenance of postural control is fundamental for different types of physical activity. This can be measured by having subjects stand on one leg on a force plate. Many studies assessing standing balance have previously been carried out in patients with ankle ligament injuries but not in patients with ankle fractures. The aim of this study was to evaluate whether patients operated on because of an ankle fracture had impaired postural control compared to an uninjured age- and gender-matched control group. METHODS: Fifty-four individuals (patients) operated on because of an ankle fracture were examined 14 months postoperatively. Muscle strength, ankle mobility, and single-limb stance on a force-platform were measured. Average speed of centre of pressure movements and number of movements exceeding 10 mm from the mean value of centre of pressure were registered in the frontal and sagittal planes on a force-platform. Fifty-four age- and gender-matched uninjured individuals (controls) were examined in the single-limb stance test only. The paired Student t-test was used for comparisons between patients' injured and uninjured legs and between side-matched legs within the controls. The independent Student t-test was used for comparisons between patients and controls. The Chi-square test, and when applicable, Fisher's exact test were used for comparisons between groups. Multiple logistic regression was performed to identify factors associated with belonging to the group unable to complete the single-limb stance test on the force-platform. RESULTS: Fourteen of the 54 patients (26%) did not manage to complete the single-limb stance test on the force-platform, whereas all controls managed this (p < 0.001). Age over 45 years was the only factor significantly associated with not managing the test. When not adjusted for age, decreased strength in the ankle plantar flexors and dorsiflexors was significantly associated with not managing the test. In the 40 patients who managed to complete the single-limb stance test no differences were found between the results of patients' injured leg and the side-matched leg of the controls regarding average speed and the number of centre of pressure movements. CONCLUSION: One in four patients operated on because of an ankle fracture had impaired postural control compared to an age- and gender-matched control group. Age over 45 years and decreased strength in the ankle plantar flexors and dorsiflexors were found to be associated with decreased balance performance. Further, longitudinal studies are required to evaluate whether muscle and balance training in the rehabilitation phase may improve postural control. (+info)
Spared ability to recognise fear from static and moving whole-body cues following bilateral amygdala damage.
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Bilateral amygdala lesions impair the ability to identify certain emotions, especially fear, from facial expressions, and neuroimaging studies have demonstrated differential amygdala activation as a function of the emotional expression of faces, even under conditions of subliminal presentation, and again especially for fear. Yet the amygdala's role in processing emotion from other classes of stimuli remains poorly understood. On the basis of its known connectivity as well as prior studies in humans and animals, we hypothesised that the amygdala would be important also for the recognition of fear from body expressions. To test this hypothesis, we assessed a patient (S.M.) with complete bilateral amygdala lesions who is known to be severely impaired at recognising fear from faces. S.M. completed a battery of tasks involving forced-choice labelling and rating of the emotions in two sets of dynamic body movement stimuli, as well as in a set of static body postures. Unexpectedly, S.M.'s performance was completely normal. We replicated the finding in a second rare subject with bilateral lesions entirely confined to the amygdala. Compared to healthy comparison subjects, neither of the amygdala lesion subjects was impaired in identifying fear from any of these displays. Thus, whatever the role of the amygdala in processing whole-body fear cues, it is apparently not necessary for the normal recognition of fear from either static or dynamic body expressions. (+info)