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The hypothesis of grounded procedures of separation predicts accentuated effects in individuals with psychiatric disorders, for example, obsessive-compulsive disorders with washing compulsion. This could provide a vantage point for understanding cognitive processes related to specific disorders. However, fully exploring it requires updated experimental designs, including extensive control conditions, exclusion of alternative explanations, internal replications, and parametric variation to strengthen internal validity.We propose that procedures of separation have two functions, namely first, to establish the integrity of individual parts, and second, to make previously joint entities discreet and therefore countable. This allows taking stock of available resources, including evaluating the use of individual objects, a process that is especially adaptive under conditions of threat of contagious disease and resource scarcity.Using terror management theory and research findings, we expand the framework provided by Lee and Schwarz to highlight the potential link between separation and connection effects to existential, death-related concerns. Specifically, we address how death awareness may motivate separation and connection behaviors and how engaging in these behaviors may serve a protective terror management function.The proposed theory is broad enough to accommodate the reduction or elimination of prior influences by a variety of acts symbolizing separation (including cleansing). However, it does not account for stability in psychological variables, and is contradicted by widely documented stability in people's actual attitudes and behavior over time, in multiple domains, despite people's pervasive everyday acts of symbolic separation.We propose that grounded procedures may help explain psychological variations across cultures. Here we offer a set of novel predictions based on the interplay between the social and physical ecology, chronic sensorimotor experience, and cultural norms.Central to the account of grounded procedures is the premise that mental experiences are grounded in physical actions. We complement this account by incorporating frameworks in cultural psychology and developmental neuroscience, with new predictions. Through the examples of vicarious experiences and demerit transfer, we discuss why, and how, separation and connection may operate somewhat differently across cultures.Lee and Schwartz procedures of separation offer a much needed interpretation of the literature on moral cleansing. However, body ownership as a grounded mechanism of separation and connection has been neglected. We argue that embodiment may be employed to connect the self to desirable aspects of cognitive and emotional interactions and disembodiment to disconnect from undesirable elements.Recently, the Thai government introduced a novel program to train health volunteers as first responders to deal with increasing acute illness and injuries. This case study demonstrates the potential of this program to improve public access to emergency care through the integration of emergency care with a community-based health care system, specifically in a rural setting. A 39-year-old man collapsed with cardiac arrest in his village. Lay first responders from his neighborhood attended him immediately, administered chest compressions, and contacted Emergency Medical Services (EMS). They continued chest compressions until the EMS unit arrived. While the EMS transported him to the hospital, the patient attained return of spontaneous circulation and consciousness. He returned to his normal life without obvious neurological problems. The Thai strategy to develop a community-based first responder network through health volunteer training would address the issue of inequitable access to emergency care and improve patients' chances of survival and prognoses.Are grounded procedures such as cleansing value-neutral main effects? Culture-as-situated-cognition theory suggests otherwise. Societies differ in how frequently they trigger membership and individualizing cultural mindsets and their linked mental-procedures - connecting and separating, respectively. Commonly triggered mindsets (and their linked mental-procedures) feel fluent. Fluency feels good. Cleansing can separate from but also connect to others in the form of membership-based rituals.We applaud the goals and execution of the target article, but note that individual differences do not receive much attention. This is a shortcoming because individual differences can play a vital role in theory testing. find more In our commentary, we describe programs of research of this type and also apply similar thinking to the mechanisms proposed in the target article.
Peritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.
Inexperienced practitioners can stumble at several obstacles poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment.
To counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.
To counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.Grounded procedures of separation are conceptualized as a learned concept. The simultaneous cultural universality of the general idea and immense diversity of its implementations might be better understood through the lens of dual inheritance theories. By drawing on examples from developmental psychology and emotion theorizing, we argue that an innate blueprint might underlie learned implementations of cleansing that vary widely.Introduction With a sharp increase in NSAIDs and opioid use for chronic pain conditions associated with traumatic injuries and diseases, there has been an escalated risk of life-threatening side effects (cardiac and respiratory malfunction), inadvertent overdose, and even death. Their short duration of action and toxicity induces the need to develop extended-release analgesic drug formulations based on safe drugs like ketamine.Areas covered This review presents progressive breakthroughs in pain control strategies for augmenting patient's comfort and minimizing unnecessary adverse effects associated with NSAIDs and opioids. Advantages of using ketamine, a dissociative anesthetic and potent analgesic over opioids have been elaborated here for the development of advanced sustained-release analgesic drug formulations based on ketamine and polymers (hydrogels, microparticles, and nanoparticles) as mainstream systems. These systems can be very promising in the resource-constrained healthcare set-up where frequent drug dosing at short time intervals is extremely challenging.
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