Статті в журналах з теми "Imagerie multimodalités"

Clinicians and researchers have provided strong evidence for the efficacy of Guided Imagery and Music (GIM) and similar therapies across a wide range of clinical conditions. What is still lacking is a theoretical framework that would allow for the identification of the ‘active ingredients’ in this process. This paper seeks to introduce a new systemic framework for investigating such therapies by examining the biological roots as well as the role of music in the regulation of individual and social life to maintain homeostasis via multimodality by means of arousal, imagery, attentional engagement, emotion, memory and analogous processes. Taking the work of Edelman, Damasio and other leaders of modern neuroscience as a point of departure, homeostasis and multimodality are presented as essential not only to the human life process in terms of our active mental life but also to the fullness of Edelman's "primary consciousness" and Damasio's "core self." The implications of these intricate cross-connections are considered as well as the unique propensity for music to spontaneously and multimodally engage these connections. Proposals are also made to evaluate these ideas and stimulate further research in both basic science and clinical practice. Keywords: multimodality, self, reentrant, signaling, homeostasis, consciousness, music therapySpanishImagineria Multimodal en musica: Ingredientes activos y los mecanismos que subyacen la participación musicalHarry Ballan , Anna AbrahamResumen: Clínicos e investigadores han provisto de sólida evidencia sobre la eficacia de la Imaginería Guiada y Música (GIM) y de terapias similares en un amplio rango de condiciones clínicas. Lo que aún falta es un marco teórico que permitiría identificar los “ingredientes activos” en este proceso. Este trabajo busca introducir un nuevo marco sistemático para la investigación de dichas terapias examinando los marcadores biológicos así como el rol de la música en la regulación del individuo y su vida social para mantener la homeostasis de manera multimodal por medio del alerta, la imaginería, el compromiso atencional, la emoción, la memoria y otros procesos análogos. Tomando el trabajo de Edelman, Damasio y otros líderes de la neurociencia moderna como punto de partida, la homeostasis y la multimodalidad son presentadas como esenciales no solo en los procesos de la vida humana en términos de nuestra vida activa mental sino también en la plenitud de la “conciencia primaria” de Edelman y del “core self” de Damasio. Las implicancias de estas intrincadas conexiones entrecruzadas son consideradas también como la propensión espontánea y multimodal de la música para enlazar estas conexiones. Se propone evaluar estas ideas y estimular nuevas investigaciones basadas tanto en la ciencia como en la práctica clínicaPalabras clave: msica, multimodal, imaginería, homeostasis, conciencia, musicoterapia GermanMultimodale Imagery in Music: Aktive Bestandteile und Mechanismen , die musikalischem Handeln zugrunde liegenHarry Ballan, Anna AbrahamKliniker und Forscher haben überzeugende Evidenz für die Wirkung von Guided Imagery and Music (GIM) und ähnlicher Therapien über ein weites Spektrum klinischer Zustände geliefert. Was noch fehlt, ist ein theoretischer Rahmen, der erlauben würde, die aktiven Bestandteile in diesem Prozess zu identifizieren. Dieser Beitrag versucht, einen neuen systemischen Rahmen für solche Therapien vorzustellen, indem die biologischen Wurzeln und die Rolle der Musik zur Regulation individuellen und sozialen Lebens untersucht werden, die über Multimodalitäten von Arousal, Imagery, attentionales Engagement, Emotionen, Erinnerung und analogen Prozessen Homöostase zu erhalten suchen. Wenn man die Arbeiten von Edelmann, Damasio und anderen führenden Personen der modernen Neurowissenschaften als Ausgangpunkt nimmt, werden Homöostase und Multimodalität als wesentlich nicht nur für den menschlichen Prozess unseres aktiven mentalen Lebens als auch als Fülle von Edelmans „primary consciousnes“ und Damasios „core self“ präsentiert. Die Verflechtungen dieser schwierigen Kreuz-Verbindungen werden sowohl als einzigartige Neigung für Musik bis zur spontanen und multimodalen Beteiligung dieser Verbindung angesehen. Es wurden bereits Vorschläge gemacht, diese Ideen zu evaluieren und weitere Forschung für Grundlagenwissenschaft und klinischer Praxis anzuregenKeywords: Musik, Multimodalität, Imagery, Homöostase, Bewusstsein, Musiktherapie. ItalianHarry Ballan, Anna Abraham Medici e ricercatori hanno forito una forte evidenza dell’efficacia della Guided Imagery and Music (GIM) e di terapie simili, applicate ad una vasta gamma di condizioni cliniche. Ciò che ancora manca è un quadro teorico che permetterebbe l’identificazione dei “principi attivi” in questo processo. Il presente documento si propone di introdurre un nuovo quadro sistematico per indagare tali terapia esaminando le radici biologiche, nonché il ruolo della musica nella regolazione della vita individuale e sociale mantenendo l’omeostasi per mezzo dell’eccitazione, l’immaginario, l’impegno dell’attenzione, emozione, memoria e altri processi analoghi. Prendendo il lavoro di Edelman, Damasio ed altri leader delle neuroscienze moderne come punto di partenza, l’omeostasi e la multimodalità sono essenzialmente presenti non solo per il processo della vita umana I termini di nostra vita mentale attiva, ma anche per la pienezza della “coscenza primadria di Edelman e il cuore di se stesso di Damasio. Le implicazioni di questi intricati collegamenti trasversali sono considerati come anche l’unica propensita per la musica di impegnare spontaneamente e multimodalmente quest connessioni. Le proposte per valutare queste idee e stimolare ultiriori ricerche sia nella scienza di base che nella pratica clinica sono fatte. Parole Chiave: musica, multimodalità, immaginario, omeostasi, musicoterapiaChinese音樂中的多元形式聯想：投入音樂帶來的活化元素與機制對於音樂引導意象(GIM)的廣泛應用及臨床上類似的治療法之效用，臨床工作者與研究者已提出許多有力的證據。然而，能用來定義在過程中的「活化元素」之理論架構則尚未完備。本文試以一種新的架構來研究這些治療，透過生理基礎以及音樂的多元形式與方法，如喚起、想像、集中注意力、將情緒和記憶類比的過程，調節社交生活並維持自我平衡。文中以Edelman、Damasio和其他現代神經科學領導者的觀點出發，以自我平衡及多元形式為基礎，不只是人類生活中的心智活動過程，也將Edelman所提的「首要意識」以及Damasio所謂的「核心自我」作為根基，將這些複雜而交錯連結的意義加以考慮，以音樂獨有的特性將這些多元的模式自發性的連結。作者建議未來要進一步評估這些想法，並激勵更多這方面的基礎科學研究與臨床實踐。Japanese音楽におけるマルチモーダル・イメージ： 音楽的エンゲージメントの基礎的な有効成分と仕組み Harry Ballan, Anna Abraham臨床家と研究者はGIM並びに広範囲での臨床条件における類似した療法の効能について強いエビデンスを提供してきた。理論構成上未だに不足しているのはこのプロセスにおける“有効成分”の証明を考慮に入れることである。本研究は、生物学ルーツの検証によってこれらの療法の調査のための新しいシステムの枠組み、 同時に、覚醒、心像、 注意の調和、感情、記憶、そして相違したプロセスを経たマルチモーダルを通じて恒常性を保持するための個人と社会生活の調整においての音楽の役割の紹介に努める。出発点として、Damasios Edelman氏の研究、そして他の現代の神経学の先駆者について、また、 恒常性とマルチモーダルの活動的な精神的生活の見地からの人類の生活のプロセス、そしてEdelman氏の“主意識”とDamasio氏の “中核的自己” の充満度について言及する。これらの複雑な相互関係の包含について、また、自発性とマルチモーダルをこれらの関係と噛み合わせるための音楽独特の性質が考察される。基礎的科学と臨床においてこれらの見解を評価し将来の研究を促すための提案がなされた。キーワード：音楽、マルチモーダル、イメージ、恒常性、意識、音楽療法 Korean음악의 다중 심상: 음악적 개입의 기초를 이루는 유효 요소와 장치들 Harry Ballan, Anna Abraham 임상의들과 연구자들은 다양한 임상 상황에서 심상 유도 음악(GIM)과 유사한 치료법들의 효능에 대한 강력한 증거들을 제시해왔다. 그러나 이 과정에서 효과적인 요소들을 식별할 수 있는 이론적 토대는 여전히 부족하다. 본 연구는 비유 과정(analogous processes), 기억, 정서, 주의 개입(attentional engagement), 각성(arousal), 심상(imagery) 같은 다중 접근법(multimodality)을 통해 항상성(homeostasis)을 유지하기 위해서 개인 생활 및 사회생활의 규제에서 음악이 하는 역할 뿐만 아니라 생물학적 근거를 조사함으로써 해당 치료법들에 대한 새로운 체계적 토대를 도입하려고 한다. Edelman, Damasio, 그리고 현대 신경 과학의 지도자들의 연구를 출발점으로, 항상성과 다중접근법(multimodality)을 우리의 활발한 정신생활과 관련된 인간의 일상 과정뿐 만 아니라 Edelman의 일차의식(primary consciousness)과 Damasio의 핵심 자아(core self)에도 꼭 필요한 것으로 나타났다. 음악이 다양한 측면에서 이런 연관관계에 개입할 수 있는 독특한 경향성이 있다는 것 뿐 만 아니라 또한 복잡한 교차적 연관관계가 갖는 의의도 고려해야 한다. 본 연구는 기초 과학과 임상현장 두 영역에서 이루어 질 수 있는 추가 연구에 대한 제안 및 평가에 대해 제안한다. 키워드: 음악, 다중의(multimodal), 심상, 항상성, 의식, 음악 치료

Abstract Percutaneous therapeutic options for an increasing variety of structural heart diseases (SHD) have grown dramatically. Within this context of continuous expansion of devices and procedures, there has been increased demand for physicians with specific knowledge, skills, and advanced training in multimodality cardiac imaging. As a consequence, a new subspecialty of ‘Interventional Imaging’ for SHD interventions and a new dedicated professional figure, the ‘Interventional Imager’ with specific competencies has emerged. The interventional imager is an integral part of the heart team and plays a central role in decision-making throughout the patient pathway, including the appropriateness and feasibility of a procedure, pre-procedural planning, intra-procedural guidance, and post-procedural follow-up. However, inherent challenges exist to develop a training programme for SHD imaging that differs from traditional cardiovascular imaging pathways. The purpose of this document is to provide the standard requirements for the training in SHD imaging, as well as a starting point for an official certification process for SHD interventional imager.

Through an unpublished experiment on eye-tracking, we highlight the syncretic multimodality reading as the object of study, specifically the polysemy as a semantic phenomenon of visual perception as a general objective. In a situation of reading digital photography from Brazilian magazine magazines (G Magazine), eye movements were constructed reading paths, with effects of (dis)order of the image and senses of the look (reading gestures). These pathways are results (gaze plot, heat map and pairwise comparisons) of Brazilian university readers. The rationale for choosing specific group data (heterosexual men) is based on the average yes response to the question Is there nudity in the image? (found on the last slide of the experiment). The no responses were from the other five participating groups (homosexual men, bisexual men, homosexual women, bisexual women, heterosexual women). The justification is also given by the heat map and ‘p’ value of this group heterosexual men indicate pairwise comparisons, in relation to the areas of interest: right model underwear, drag queen’s face-wig-bust, Dicesar’s face, drag sandal queen, right model face. The proposal of analysis shares theoretical knowledge by adopting for analysis the dimensions of the various facets of the construct (construction of meaning, Ferrari, 2016, Ferrari et al., 2017) and the semantic-discursive relationship (Pêcheux, 1982, 1983, 2000, 2001, 2011, 2013, 2018) in visual perception of reading digital photograph of advertising cover, in May 2010 issue, of an erotic magazine. The article invests on the metaphorical extensions resulting and dependent on the construction of movement caused, whose construction depends on the existence of polychromy in digital photography, which allows the drive to correspond in the consequent ocular movement, occurrence by the desire of the change of visual direction. This plot has its correspondence in the interpretation that ensures the elaboration of the answer yes or no before the question proposed in the imagery reading experiment.---------------------------------------------------------------------------SINTAXE IMAGÉTICA, POLICROMIA E EXTENSÃO METAFÓRICA EM UMA FOTOGRAFIA NA REVISTA G MAGAZINE: UM ESTUDO EXPERIMENTAL DE LEITURA USANDO RASTREAMENTO OCULARPor meio de um experimento inédito sobre leitura de imagem por rastreamento ocular (eye-tracking), destacamos a leitura de multimodalidade sincrética como objeto de estudo, especificamente a polissemia como fenômeno semântico de percepção visual como objetivo geral. Em situação de leitura de fotografia digital de revista publicitária brasileira (G Magazine), movimentos oculares realizados construíram percursos de leitura, com efeitos de (des)ordem da imagem e sentidos do olhar (gestos de leitura). Esses percursos são resultados (gaze plot, heat map e pairwise comparisons) de leitores universitários brasileiros. A justificativa de escolha de tais dados de grupo específico (homens heterossexuais) se baseia pela média de resposta sim, em relação à pergunta Há nudez na imagem? (que se encontrava no último slide do experimento), se apresentar diferente da média das respostas não dos demais cinco grupos participantes (homens homossexuais, homens bissexuais, mulheres homossexuais, mulheres bissexuais, mulheres heterossexuais) e pelo heat map e valor de p desse grupo homens heterossexuais indicar pairwise comparisons, em relação às áreas de interesse: cueca do modelo direito, rosto-peruca-busto da drag queen, rosto do Dicesar, sandália da drag queen, rosto do modelo direito. A proposta de análise compartilha conhecimentos teóricos ao adotar para análise as dimensões das várias facetas do construal (construção do significado, Ferrari, 2016; Ferrari et al., 2017) e a relação semântico-discursiva (Pêcheux, 1982, 1983, 1984; Souza, 2000, 2001, 2011, 2013, 2018) em percepção visual de leitura de fotografia digital de capa publicitária, em edição de maio de 2010, de uma revista de erotismo. O artigo investe sobre as extensões metafóricas resultantes e dependentes da construção de movimento causado, cuja construção depende da existência da policromia na fotografia digital, que permite a pulsão corresponder no consequente movimento ocular, impulsionado pelo desejo da mudança de direção visual. Essa trama tem sua correspondência na interpretação que assegura a elaboração da resposta sim ou não diante da questão proposta no experimento de leitura imagética.---Original em inglês.

The interaction between the implanter team and the imager team is critical to the success of transcatheter native mitral valve replacement (TMVR), a novel interventional procedure in the therapeutic arsenal for mitral regurgitation. This imaging scenario necessitates the addition of a new dedicated professional figure, dubbed "the interventional imager," with specific expertise in structural heart disease procedures. As its clinical application grows, knowledge of the various imaging modalities used in the TMVR procedure is required for the interventional imager and beneficial for the interventional implanter team. The purpose of this review is to describe the key steps of the procedural imaging pathway in TMVR using the Tendyne mitral valve system, with an emphasis on echocardiography. Pre-procedure cardiac multimodality imaging screening and planning for TMVR can determine patient eligibility based on anatomic features and measurements, provide measurements for appropriate valve sizing, plan/simulate the access site, catheter/sheath trajectory, and prosthesis positioning/orientation for correct deployment, and predict the risks of potential procedural complications and their likelihood of success. Step-by-step echocardiographic TMVR intraoperative guidance includes: apical access assessment; support for catheter/sheath localization, trajectory and positioning, valve positioning and clocking; post deployment: correct clocking; hemodynamic assessment; detection of perivalvular leakage; obstruction of the left ventricular outlet tract; complications. Knowledge of the multimodality imaging pathway is essential for interventional imagers and critical to the procedure's success.