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Orientation (mental)
Orientation is a function of the mind involving awareness of three dimensions: time, place and person A person (: people or persons, depending on context) is a being who has certain capacities or attributes such as reason, morality, consciousness or self-consciousness, and being a part of a culturally established form of social relations suc .... Problems with orientation lead to ''dis''orientation, and can be due to various conditions. It ranges from an inability to coherently understand person, place, time, and situation, to complete disorientation. Assessment Assessment of a person's mental orientation is frequently designed to evaluate the need for focused diagnosis and treatment of conditions leading to an altered level of consciousness. A variety of basic prompts and tests are available to determine a person's level of orientation. These tests frequently primarily assess the ability of the person (within EMS) to perform basic functions of life (see: Airway Breathi ...
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Mind
The mind is that which thinks, feels, perceives, imagines, remembers, and wills. It covers the totality of mental phenomena, including both conscious processes, through which an individual is aware of external and internal circumstances, and unconscious processes, which can influence an individual without intention or awareness. The mind plays a central role in most aspects of human life, but its exact nature is disputed. Some characterizations focus on internal aspects, saying that the mind transforms information and is not directly accessible to outside observers. Others stress its relation to outward conduct, understanding mental phenomena as dispositions to engage in observable behavior. The mind–body problem is the challenge of explaining the relation between matter and mind. Traditionally, mind and matter were often thought of as distinct substances that could exist independently from one another. The dominant philosophical position since the 20th century has ...
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Acute Stress Reaction
Acute stress reaction (ASR), also known as psychological shock, mental shock, or simply shock, as well as acute stress disorder (ASD), is a psychological response to a terrifying, Psychological trauma, traumatic, or surprising experience. The reactions may include but are not limited to intrusive thoughts, or Dissociation (psychology), dissociation, and reactivity symptoms such as Avoidance coping, avoidance or hyperarousal. It may be exhibited for days or weeks after the traumatic event. If the condition is not correctly addressed, it may develop into post-traumatic stress disorder (PTSD). Diagnosis The International Classification of Diseases (ICD) treats this condition differently from the Diagnostic and Statistical Manual of Mental Disorders (DSM). According to the ICD-11, acute stress reaction refers to the symptoms experienced a few hours to a few days after exposure to a traumatic event. In contrast, DSM-5 defines acute stress disorder by symptoms experienced 48 hours t ...
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Mental Status Examination
The mental status examination (MSE) is an important part of the clinical Psychiatric assessment, assessment process in Neurology, neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, Propositional attitude, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgment. There are some minor variations in the subdivision of the MSE and the sequence and names of MSE domains. The purpose of the MSE is to obtain a comprehensive cross-sectional description of the patient's mental state, which, when combined with the biographical and historical information of the psychiatric history, allows the clinician to make an accurate medical diagnosis, diagnosis and psychiatric formulation, formulation, which are required for coherent treatment planning. The data are collected through a combination of d ...
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Mental Confusion
In psychology, confusion is the quality or emotional state of being bewildered or unclear. The term "acute mental confusion"''Confusion Definition''
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Prefrontal Cortex
In mammalian brain anatomy, the prefrontal cortex (PFC) covers the front part of the frontal lobe of the cerebral cortex. It is the association cortex in the frontal lobe. The PFC contains the Brodmann areas BA8, BA9, BA10, BA11, BA12, BA13, BA14, BA24, BA25, BA32, BA44, BA45, BA46, and BA47. This brain region is involved in a wide range of higher-order cognitive functions, including speech formation (Broca's area), gaze ( frontal eye fields), working memory ( dorsolateral prefrontal cortex), and risk processing (e.g. ventromedial prefrontal cortex). The basic activity of this brain region is considered to be orchestration of thoughts and actions in accordance with internal goals. Many authors have indicated an integral link between a person's will to live, personality, and the functions of the prefrontal cortex. This brain region has been implicated in executive functions, such as planning, decision making, working memory, personality expression, moderating ...
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Inferior Parietal Lobule
The inferior parietal lobule (subparietal district) lies below the horizontal portion of the intraparietal sulcus, and behind the lower part of the postcentral sulcus. Also known as Geschwind's territory after Norman Geschwind, an American neurologist, who in the early 1960s recognised its importance. It is a part of the parietal lobe. Structure It is divided from rostral to caudal into two gyri: * One, the supramarginal gyrus ( BA 40), arches over the upturned end of the lateral fissure; it is continuous in front with the postcentral gyrus, and behind with the superior temporal gyrus. * The second, the angular gyrus ( BA 39), arches over the posterior end of the superior temporal sulcus, behind which it is continuous with the middle temporal gyrus. In males, the inferior parietal lobule is significantly more voluminous in the left hemisphere compared to the right. This extreme asymmetry is not present in females and this may contribute to cognitive differences between the ...
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Posterior Cingulate Cortex
The posterior cingulate cortex (PCC) is the caudal part of the cingulate cortex, located posterior to the anterior cingulate cortex. This is the upper part of the " limbic lobe". The cingulate cortex is made up of an area around the midline of the brain. Surrounding areas include the retrosplenial cortex and the precuneus. Cytoarchitectonically the posterior cingulate cortex is associated with Brodmann areas 23 and 31. The PCC forms a central node in the default mode network of the brain. It has been shown to communicate with various brain networks simultaneously and is involved in diverse functions. Along with the precuneus, the PCC has been implicated as a neural substrate for human awareness in numerous studies of both the anesthetized and vegetative (coma) states. Imaging studies indicate a prominent role for the PCC in pain and episodic memory retrieval. Increased size of the ventral PCC is related to a decline in working memory performance. The PCC has also been str ...
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Precuneus
In neuroanatomy, the precuneus is the portion of the superior parietal lobule on the medial surface of each brain hemisphere. It is located in front of the cuneus (the upper portion of the occipital lobe). The precuneus is bounded in front by the marginal branch of the cingulate sulcus, at the rear by the parieto-occipital sulcus, and underneath by the subparietal sulcus. It is involved with episodic memory, visuospatial processing, reflections upon self, and aspects of consciousness. The location of the precuneus makes it difficult to study. Furthermore, it is rarely subject to isolated injury due to strokes, or trauma such as gunshot wounds. This has resulted in it being "one of the less accurately mapped areas of the whole cortical surface". While originally described as homogeneous by Korbinian Brodmann, it is now appreciated to contain three subdivisions. It is also known after Achille-Louis Foville as the ''quadrate lobule of Foville''. The Latin form of was f ...
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Shock (circulatory)
Shock is the state of insufficient blood flow to the tissues of the body as a result of problems with the circulatory system. Initial symptoms of shock may include weakness, tachycardia, hyperventilation, sweating, anxiety, and increased thirst. This may be followed by confusion, unconsciousness, or cardiac arrest, as complications worsen. Shock is divided into four main types based on the underlying cause: hypovolemic, cardiogenic, obstructive, and distributive shock. Hypovolemic shock, also known as low volume shock, may be from bleeding, diarrhea, or vomiting. Cardiogenic shock may be due to a heart attack or cardiac contusion. Obstructive shock may be due to cardiac tamponade or a tension pneumothorax. Distributive shock may be due to sepsis, anaphylaxis, injury to the upper spinal cord, or certain overdoses. The diagnosis is generally based on a combination of symptoms, physical examination, and laboratory tests. A decreased pulse pressure ( systolic blood pre ...
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Time
Time is the continuous progression of existence that occurs in an apparently irreversible process, irreversible succession from the past, through the present, and into the future. It is a component quantity of various measurements used to sequence events, to compare the duration of events (or the intervals between them), and to quantify rates of change of quantities in material reality or in the qualia, conscious experience. Time is often referred to as a fourth dimension, along with Three-dimensional space, three spatial dimensions. Time is one of the seven fundamental physical quantities in both the International System of Units (SI) and International System of Quantities. The SI base unit of time is the second, which is defined by measuring the electronic transition frequency of caesium atoms. General relativity is the primary framework for understanding how spacetime works. Through advances in both theoretical and experimental investigations of spacetime, it has been shown ...
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Cognitive Disorder
Neurocognitive disorders (NCDs), also known as cognitive disorders (CDs), are a category of mental health disorders that primarily affect cognitive abilities including learning, memory, perception, and problem-solving. Neurocognitive disorders include delirium, mild neurocognitive disorders, and major neurocognitive disorder (also known as dementia). They are defined by deficits in cognitive ability that are acquired (as opposed to developmental), typically represent decline, and may have an underlying brain pathology. The DSM-5 defines six key domains of cognitive function: executive function, learning and memory, perceptual-motor function, language, complex attention, and social cognition. Although Alzheimer's disease accounts for the majority of cases of neurocognitive disorders, there are various medical conditions that affect mental functions such as memory, thinking, and the ability to reason, including frontotemporal degeneration, Huntington's disease, dementia with L ...
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Amnesia
Amnesia is a deficit in memory caused by brain damage or brain diseases,Gazzaniga, M., Ivry, R., & Mangun, G. (2009) Cognitive Neuroscience: The biology of the mind. New York: W.W. Norton & Company. but it can also be temporarily caused by the use of various sedative and hypnotic drugs. The memory can be either wholly or partially lost due to the extent of damage that is caused. There are two main types of amnesia: * Retrograde amnesia is the inability to remember information that was acquired before a particular date, usually the date of an accident or operation. In some cases, the memory loss can extend back decades, while in other cases, people may lose only a few months of memory. * Anterograde amnesia is the inability to transfer new information from the short-term store into the long-term store. People with anterograde amnesia cannot remember things for long periods of time. These two types are not mutually exclusive; both can also occur simultaneously. Case stud ...
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